Gap in Diagnosis of AMD
|
|
- Jodie Porter
- 8 years ago
- Views:
Transcription
1 Disclosures New Methods in Diagnosing AMD Steven Ferrucci, OD, FAAO Chief, Sepulveda VA Professor, SCCO Speakers bureau/advisory board: Alcon Allergan Macula Risk VSP MacuLogix Reichert Technologies TradiDonal AMD Diagnosis TradiDonal Diagnosis Fundus exam q 6-12 mos HAG AMD leading cause of vision loss in padents> 65 TradiDonal diagnosis not working! HAG not sensidve enough Now that new treatments are available, early diagnosis is imperadve Large Unmet Need Prevalence of AMD 9.2 million Americans 7 out of every 100 adults over 40 years old 1 out of every 10 adults over 60 years old Prevalence of diabedc rednopathy 4.9 million Americans 3 out of every 100 adults over 40 years old Prevalence of glaucoma 2.7 million Americans 2 out of every 100 adults over 40 years old Klein et al. (2011) Arch Ophthalmology 129:75 Eye Disease Prevalence Group (2004) Arch Ophthalmology 122:532 Eye Disease Prevalence Group (2004) Arch Ophthalmology 122: United States Census Gap in Diagnosis of AMD Current Treatment Up to 78% of AMD padents are unaware undl significant vision loss has already occurred Early AMD not adequately detected by current methods Normal Early/Dry AMD Late/Wet AMD Early AMD AREDS nutridonal supplements lower risk of progression by 25% Behavior modificadon Choroidal NeovascularizaDon LucenDs (ranibizumab) AvasDn (bevacizumab) off label Eylea (aflibercept) Olsen et al. (2004) Ophthalmology 111:250 Cervantes- Castañeda et al. (2008) Eye 22:777 1
2 New AMD Diagnosis New diagnosdc equipment being developed Earlier detecdon of disease AdaptDX FAF MSI Earlier detecdon of conversion from dry to wet AMD PHP: Home, Office OCT EvaluaDon of risk factors MPOD GeneDc TesDng Dark AdaptaDon Impairment Dark adaptadon is the transidon from day vision to night vision Dark adaptadon impairment is the clinical hallmark of early AMD. Cholesterol deposits responsible for drusen also impair dark adaptadon Owsley et al. (2001) Ophthalmology 108:1196 Jackson & Edwards (2008) J Ocular Biological Diseases & InformaDcs 1:7 Adapt DX Dark AdaptaDon in AMD Studies indicate dark adaptation is very sensitive for AMD diagnosis, more than other standard test Dark adaptation 85% sensitivity Snellen acuity 25% Contrast sensitivity 25% Photopic visual field 25% Scotopic visual field 20% Owsley et al. (2001) Ophthalmology 108:1196 AMD Disease Staging N=8 AdaptDx DiagnosDc Study N=9 N=5 MulDsite study N=6 N=5 N=1 Sample consisted of 127 AMD padents and 21 normal adults. All subjects in these subgroups failed to reach the recovery criteria within the 20 minute test duration. Dark adaptation time conservatively set at 20 minutes for comparison purposes. Clinical diagnosis confirmed by redna specialist grading fundus photographs Jackson & Edwards (2008) J Ocul Biol Dis Inform 1: 7 2
3 Rapid Dark AdaptaDon: Test Results PaDents classified as having AMD if dark adaptadon >6.5 minutes High SensiDvity: correctly idendfied 90.6% of confirmed AMD cases High Specificity: correctly idendfied 90.5% of confirmed normal cases AMD cases exhibit no rod recovery of dark adaptadon AdaptDx Advantages No preadaptadon required Protocols as rapid as 5 minutes Low padent burden Easy to operate CPT ($64 avg.) FDA 510K cleared (K100954) Glaucoma Successful Precedent Humphrey Perimeter Psychophysical test 5 minute dura>on $65 reimbursement (CPT 92083) Current eye care profit center AMD MacuLogix Psychophysical test 5 minute dura>on $65 reimbursement (CPT 92284) New, poten-ally larger eye care profit center AdaptDx Not currently FDA approved for AMD Approved as a dark adaptometer only 18 clinical studies and trials Over 1300 patients Commercially available early 2013 Decreased dark adaptation may precede clinical findings by as much as 4 years MacuLogix Principles of MulD- Spectral Imaging (MSI) RHA Optometrist s Gateway to the RPE FDA approved Health Canada approved European CE Mark obtained Technique used in remote sensing with applicadons in airborne and astronomical mapping to extract detailed info of distant views Approach which uses a moderate number of non overlapping discreet spectral bands, or slices, to highlight targeted features Offers spadal resoludon PLUS spectral informadon which is aids in localizadon/depth assessment ANNIDIS HEALTH SYSTEMS 17 3
4 Foresee PHP Preferential Hyperacuity Perimeter Uses Vernier acuity to detect changes for AMD before they can be seen with Amsler May be able to detect subtle progression in AMD to facilitate earlier referral and therefore treatment Distributed by Reichert Technologies The science Studies show that 80% of wet AMD patients arrive too late for useful treatment, after significant damage has already been done Often by time Amsler grid change is noted, VA is already reduced and lesion size is already to large Studies also show that lesion size is an important factor in successful treatment The science Studies also show what we probably knew: PHP had a greater sensitivity than the Amsler Grid in detecting AMD The PHP was superior to the Amsler Grid in detecting AMD related lesions in this cohort The test Easy operation Comfortable for patient Noninvasive Rapid threshold test ~ 5 min/ eye Automated results analysis Generates visual field map of disturbance patterns consistent with the progression of AMD Results Studies show that Foresee has good specificity/sensitivity for detection on CNVM Almost equal to FA, the gold standard May aid in earlier detection of dry to wet AMD sooner than current testing Out of 10 pts, 8 were detected earlier, 2 at same time Results Earlier detection may lead to earlier treatment and better results Also, may reduce number of referrals to retinal specialists for suspected CNVM as well as unnecessary FA 50-90% of pts referred to retina specialist did not have wet AMD 4
5 Types of Alerts Suspected Change Alert When a padent has a stadsdcally significant change compared to their personal threshold and the normadve database, the pracdce will be contacted to schedule a prompt appointment for an exam. The padent will also be nodfied. Can t Establish Baseline Alert (CEBL) When a padent is unable to establish a baseline, both the pracdce and padent will be nodfied. If padent is monocular, we will arrange to collect the device. Otherwise he/she will condnue monitoring the other eye. MPOD MacuScope TM Low MPOD has been shown to be risk factor for development of AMD in several studies High MPOD appears to be protecdve for AMD Measurement of MPOD may help stradfy risk factors for development of MPOD At least 2 commercially available instruments QuantifEYE TM by Zeavision Fundus Autofluorescence (FAF) Imaging Non-invasive technique which utilizes fluorescent properties of lipofuscin to study the health and viability of RPE/ photoreceptor complex 5
6 Fundus Autofluorescence (FAF) Imaging Optos Daytona In AMD, may help differentiate from similar entities FAF variation may precede retinal changes, and may be prognostic for those patients that will continue to develop vision loss Canon CX- 1 Hybrid Digital MydriaDc/Non- MydriaDc ReDnal Camera Color Red Free Cobalt FA FAF Heidelberg Spectralis with Blue Peak Cirrus Photo 800/ CZM Volk Pictor Hand help portable digital imaging system Can take both rednal and external photos Non- mydriadc Download as jpegs via USB 6
7 EyeQuick Digital Ophthalmoscope Camera Portable, wireless ReDnal and exterior photos Can transfer images via USB to computer or EMR Volk Digital Lenses Is AMD in our DNA? AMD is a genedc disease with known markers accoundng for at least 70% of the populadon atributable risk Other 30% is environmental/lifestyle Risk factors Non- modifiable: age, race, gender Modifiable: Smoking, increased BMI, poor diet/ nutridon, UV exposure Major genetic factors CFH Single most important genedc component CFH Y402H ARMS2/HTRA1 Second most important gene in AMD C3 Another component of the complement system ND2 Mitochondrial oxidadve phosphoryladon molecule Others Genetic Factors and Risk: More than additive! AMD GeneDc TesDng Former Smokers: 1.29x Current Smokers: 2.4X Non-Smoker and CFH,Y402H: 7.6X Current smoker and CFH,Y402H: 34X Macula Risk NXG IdenDfies AMD padents who may progress to vision loss within: 2 years 5 years 10 years Cheek Swab 7
8 Great Science - Key AMD genes Clinical Assessment + GeneDcs COL8A1 TIMP3 LIPC ARMS2 APOE CETP ABCA1 C3 C2 CFB CFI CFH Macula Risk NXG 12 genes CFH CFI CFB C2 C3 ARMS2 TIMP3 COL8A1 LIPC APOE CETP ABCA1 Complement Oxygen Metabolism Extracellular Matrix Cholesterol Metabolism Smoking BMI Age AMD status Complete set of Risk factors Non- GeneDc Factors 40% GeneDc Factors 60% Both required for highest accuracy 1. CFH 2. CFI 3. C2 4. CFB 5. C3 6. ARMS2 7. TIMP3* 8. COL8A1* 9. LIPC* 10. CETP* 11. ABCA1* 12. APOE Clinical ValidaDon March 2012 IOVS ProspecDve Assessment of GeneDc Effects on Progression to Different Stages of Age- Related Macular DegeneraDon Using MulDstate Markov Models Yi Yu, Robyn Reynolds, Bernard Rosner, Mark J. Daly, and Johanna M. Seddon InvesDgaDve Ophthalmology & Visual Science, March 2012, Vol. 53, No Caucasians Average Follow up = 10.3 years 5 year predicdve power = C StaDsDc Score 10 year predicdve power = C StaDsDc Score SensiDvity & Specificity > 80% Macula Risk NXG Reimbursement for Insured PaDents ICD- 9 Codes non- specific AMD non- exudadve senile macular degeneradon exudadve senile macular degeneradon drusen PaDent Friendly Billing Policies PaDent Report Primary Eye Care Protocol Recommended pracdce protocol developed by the Macula Risk Optometry Advisory Board: L. Alexander, D. Cunningham, M. Dunbar, S. Ferrucci, J. Gerson, P. Karpecki, G. Morgan, D. Nelson, J. Rumpakis, J. Schaeffer, L. Semes, D. Shechtman, J. Sherman, K. Smick 8
9 Summary Knowledge of genetic risk is important Increased counseling for patients at high risk Know which pts need to be examined more frequently Sooner vitamin supplementation May have implications regarding treatment 37% higher risk of additional Lucentis injections if CFH Y402H CFH TT/TC treated with Avastin had increase in vision with 53.7 % improved vs. only 10.5% if CC genotype CATT study did not show relationship between genetic subtype and treatmnet Prevalence of Ocular Diseases Glaucoma 4.4 Million DiabeDc ReDnopathy 5.3 Million Dry AMD 15.0 Million For every 1 glaucoma pa-ent, there are 3 AMD pa-ents The Vision Problems in the U.S. Report, NEI, 2001 AMD: A Changing Environment When there was no effecdve therapy, the pracdce of following AMD with one annual exam followed by Amsler was acceptable Now there are breakthrough treatments that reduce loss of vision if detected early With great power, comes great responsibility Uncle Ben, Spiderman 9
Age- Related Macular Degeneration
Age- Related Macular Degeneration Age-Related Macular Degeneration (AMD) is the leading cause of blindness in the United States. It is caused by damage to a localized area of the central retina called
More informationGenetic Testing for Macular Degeneration
Applies to all products administered or underwritten by Blue Cross and Blue Shield of Louisiana and its subsidiary, HMO Louisiana, Inc.(collectively referred to as the Company ), unless otherwise provided
More informationRetinal Imaging Biomarkers for Early Diagnosis of Alzheimer s Disease
Retinal Imaging Biomarkers for Early Diagnosis of Alzheimer s Disease Eleonora (Nora) Lad, MD, PhD Assistant Professor of Ophthalmology, Vitreoretinal diseases Duke Center for Macular Diseases Duke University
More informationGet Your Eyes Examined
1 Vision Changes You may notice vision changes with aging. Many changes are common and can often be corrected. As you get older, you are at higher risk of age-related eye diseases and conditions. Get Your
More informationAge-Related Eye Diseases and Conditions. See Well for a Lifetime
Age-Related Eye Diseases and Conditions See Well for a Lifetime Vision Changes You may notice vision changes with aging. Many changes are common and can often be corrected. As you get older, you are at
More informationimagespectrum ADVANCED DIGITAL IMAGE MANAGEMENT SYSTEM Get a Better Handle on the Big Picture.
imagespectrum ADVANCED DIGITAL IMAGE MANAGEMENT SYSTEM Get a Better Handle on the Big Picture. imagespectrum Securely streamline your practice WORKFLOW WITH imagespectrum. imagespectrum enables eye care
More information04/03/2015. EMR Documentation and Compliance: The Retina Point of View. Financial Disclosure. Financial Disclosure
EMR Documentation and Compliance: The Retina Point of View William T. Koch, COA, COE, CPC The Retina Institute Kirk A. Mack, COMT, COE, CPC, CPMA Corcoran Consulting Group Financial Disclosure William
More informationVitreo-Retinal and Macular Degeneration Frequently Asked Questions
Vitreo-Retinal and Macular Degeneration Frequently Asked Questions What is a Vitreo-Retinal specialist? Retinal specialists are eye physicians and surgeons who focus on diseases in the back of the eye
More informationTop Medicare Audit problems. Retinal Imaging Technology. Optometric Medical Coding. Unilateral codes. Modifiers
Top Medicare Audit problems Evaluation, Diagnosis, Coding and Reimbursement Associated with Medical Vitreo-Retinal Conditions Kim Castleberry, OD Plano Eye Associates Patient/staff initiated billing complaints!
More informationVisual Acuity, Impairments and Vision Insurance Plan Provisions. Stuart West Specialty Sales Manager Virginia CE Forum 2009 Course # 201718
Visual Acuity, Impairments and Vision Insurance Plan Provisions Stuart West Specialty Sales Manager Virginia CE Forum 2009 Course # 201718 How Vision Works Light passes through the cornea & lens Light
More informationGeographic Atrophy: The Advanced Form of Dry AMD
Age-related macular degeneration (AMD) is a disease associated with aging that gradually destroys sharp, central vision. Central vision is needed for seeing objects clearly and for common daily tasks such
More informationTrends in Ophthalmology a Market Perspective. Matthias Karl, Michael Kempe
Trends in Ophthalmology a Market Perspective Matthias Karl, Michael Kempe 30.04.2013 Agenda 1 2 3 4 Role of Optical Technologies in Ophthalmology Demands of the Market - Trends in the Application Implications
More informationSchedule of Benefits. for Optometry Services (April 1, 2009) Ministry of Health and Long-Term Care
Schedule of Benefits for Optometry Services (April 1, 2009) Ministry of Health and Long-Term Care PREAMBLE [Commentary: The Schedule of Benefits for Optometry Services identifies the maximum amounts prescribed
More informationTo: all optometrists and billing staff
Number: Opto 27 Date: September 29, 2011 Page: 1 of 1 Subject: Schedule of Optometric Benefits amendments October 1, 2011/New explanatory code list Reference: Schedule of Optometric Benefits To: all optometrists
More informationEye and Vision Care in the Patient-Centered Medical Home
1505 Prince Street, Alexandria, VA 22314 (703) 739-9200200 FAX: (703) 739-9497494 Eye and Vision Care in the Patient-Centered Medical Home The Patient Centered Medical Home (PCMH) is an approach to providing
More informationVision Rehabilitation Team
Incorporating Occupational Therapy into Your Low Vision Rehabilitation Practice John Rundquist, OD, FAAO Disclosure Statement: Nothing to disclose Please silence all mobile devices. Unauthorized recording
More informationNC DIVISION OF SERVICES FOR THE BLIND POLICIES AND PROCEDURES VOCATIONAL REHABILITATION
NC DIVISION OF SERVICES FOR THE BLIND POLICIES AND PROCEDURES VOCATIONAL REHABILITATION Section: E Revision History Revised 01/97; 05/03; 02/08; 04/08; 03/09; 05/09; 12/09; 01/11; 12/14 An individual is
More informationICG IMAGING FOR EXUDATIVE ARMD
ICG IMAGING FOR EXUDATIVE ARMD MARK H. NELSON, MD MBA WINSTON-SALEM, NC ASRS INSTRUCTION COURSE AUGUST 24, 2011 FINANCIAL DISCLOSURE Novartis Pharmaceutics, Incorporated Consultant, Grant Recipient Heidelberg
More informationAvastin (Bevacizumab) Intravitreal Injection
Avastin (Bevacizumab) Intravitreal Injection This handout describes how Avastin may be used to treat wet age related macular degeneration (AMD) or macular edema due to retinal vascular disease such as
More information7/29/2014. Optometric Care in the Nursing Home setting- Is it worth it? Disclosure. Objectives of this lecture. James F. Hill III, OD, FAAO
A little bit about me Charleston, SC Optometric Care in the Nursing Home setting- Is it worth it? James F. Hill III, OD, FAAO Please silence all mobile devices. Unauthorized recording of this session is
More informationDiabetic Eye Screening Revised Grading Definitions
Diabetic Eye Screening Revised Grading Definitions Version 1.3, 1 November 2012 To provide guidance on revised grading definitions for the NHS Diabetic Eye Screening Programme Project/Category Document
More informationMacular Degeneration
Macular Degeneration Overview The macula is an area at the back of your eye that you use for seeing fine detail such as reading a book. Macular degeneration (MD) covers a number of conditions which affect
More informationICD-10 Codes for Optometry. Eric Botts, OD Macomb, IL drvision@claimdoctor.net
ICD-10 Codes for Optometry Eric Botts, OD Macomb, IL drvision@claimdoctor.net Disclosures I am a member of Speakers Bureau for Zeissmeditec and ALCON but have no financial interest in these companies.
More informationIncorporating Research Into Sight (IRIS) Essentia Rural Health Institute Marshfield Clinic Penn State University
Incorporating Research Into Sight (IRIS) Essentia Rural Health Institute Marshfield Clinic Penn State University Aim 1. Develop and validate electronic algorithms for ophthalmic conditions and efficacy
More informationWhat can I expect to pay if I have traditional Medicare?
What is Medicare? Medicare is a federal government health program for people 65 and older or people under 65 with some disabilities. Medicare has 4 parts Part A, Part B, Part C and Part D. Medicare Part
More informationCurrent Management of Retinal Vein Occlusion Robert A. Mittra, MD VRS Course 2015
Central Retinal Vein Occlusion Hemi-Central Vein Occlusion Current Management of Retinal Vein Occlusion Robert A. Mittra, MD VRS Course 2015 Branch Retinal Vein Occlusion Ischemic vs. non-ischemic BRVO
More informationMODERN CLINICAL OPTOMETRY BILLING & CODING THE MEDICAL EYE EXAMINATION. Definitions of Eye Examinations. Federal Government Definition
MODERN CLINICAL OPTOMETRY BILLING & CODING THE MEDICAL EYE EXAMINATION Craig Thomas, O.D. 3900 West Wheatland Road Dallas, Texas 75237 972-780-7199 thpckc@yahoo.com Definitions of Eye Examinations Optometry
More informationIncreasing cost of health care 2010 Prevalence of Cataract Patients: 24.4 M (NEI/NIH) of patients age 40+
7/27/15 Comanaging Modern Cataract Surgery: Guiding patients through Advanced Technology and Optimizing Surgical Outcomes Disclosures: Robert S. Stutman, OD, MBA, FAAO Alcon Speaker s Alliance Select Eye
More informationUnderstanding Visual Fields, Part III; Which Field Should Be Performed?
Journal of Ophthalmic Medical Technology Volume 3, Number 1 February 2007 www.jomtonline.com Understanding Visual Fields, Part III; Which Field Should Be Performed? Michael N. Wiggins, MD and Inci Dersu,
More informationThe HIPPA Act of 1996 BILLING & CODING THE MEDICAL EYE EXAMINATION. Federal Government Definition. Optometry School Definition 7/20/2011
BILLING & CODING THE MEDICAL EYE EXAMINATION Craig Thomas, O.D. 3900 West Wheatland Road Dallas, Texas 75237 972-780-7199 thpckc@yahoo.com The HIPPA Act of 1996 Result of law is to establish national standards
More informationCR-2 AF and CR-2 PLUS AF Non-Mydriatic cameras. Designed for the highest possible image quality. See the smallest details, don t miss pathology.
CR-2 AF and CR-2 PLUS AF Non-Mydriatic cameras Designed for the highest possible image quality. See the smallest details, don t miss pathology. CR-2 AF Extremely compact and lightweight (just 15 kg) camera:
More informationBasics of Medical versus Vision Coding
Basics of Medical versus Vision Coding Marcus Gonzales, OD TOA Convention 2011 DISCLAIMER This lecture and the concepts within apply to CPT and Medicare/Medicaid guidelines that are currently applicable,
More informationHEALTH EVIDENCE REVIEW COMMISSION (HERC) COVERAGE GUIDANCE: DIAGNOSIS OF SLEEP APNEA IN ADULTS DATE: 5/9/2013 HERC COVERAGE GUIDANCE
HEALTH EVIDENCE REVIEW COMMISSION (HERC) COVERAGE GUIDANCE: DIAGNOSIS OF SLEEP APNEA IN ADULTS DATE: 5/9/2013 HERC COVERAGE GUIDANCE The following diagnostic tests for Obstructive Sleep Apnea (OSA) should
More informationIR Conference Call on EYLEA (aflibercept) Injection in Diabetic Macular Edema. September 28, 2013
IR Conference Call on EYLEA (aflibercept) Injection in Diabetic Macular Edema September 28, 2013 Safe Harbor Statement This presentation includes forward-looking statements that involve risks and uncertainties
More informationHeader of section Validation Document EyeCare Screening & Detection Solve and scale unsolved problems
Header of section Validation Document EyeCare Screening & Detection Solve and scale unsolved problems 1 References: Multiple studies have been conducted globally to aid qualification & acceptance of the
More informationINFORMATION ON DARC: THE DIGITAL ANGIOGRAPHY READING CENTER
INFORMATION ON DARC: THE DIGITAL ANGIOGRAPHY READING CENTER 1 DIGITAL ANGIOGRAPHY READING CENTER Chairman/Medical Director Jason S. Slakter, M.D. Clinical Professor of Ophthalmology NYU School of Medicine
More informationFundus Photograph Reading Center
Modified 7-Standard Field Digital Color Fundus Photography (7M-D) 8010 Excelsior Drive, Suite 100, Madison WI 53717 Telephone: (608) 410-0560 Fax: (608) 410-0566 Table of Contents 1. 7M-D Overview... 2
More informationA Day in the Office: Optimizing Reimbursement in the Glaucoma Practice. Riva Lee Asbell Philadelphia, PA
A Day in the Office: Optimizing Reimbursement in the Glaucoma Practice Riva Lee Asbell Philadelphia, PA Introduction A large part of revenue generated by glaucoma specialists comes from the office practice
More informationAssessing the Accuracy of the Technology-based Eye Care Services (TECS) Protocol to a Standard Clinical Ophthalmic Exam
Assessing the Accuracy of the Technology-based Eye Care Services (TECS) Protocol to a Standard Clinical Ophthalmic Exam Introduction: As patients age, they are more at risk to lose vision. Routine eye
More informationThe Business of Optometry
The Business of Optometry Carl H. Spear, OD, MBA, FAAO April Jasper, OD, FAAO Optometry is a Business A Five Year Picture Would you recommend your children go to Optometry School? Total U.S. Vision Care
More informationFDA approves Lucentis (ranibizumab injection) for treatment of diabetic macular edema
Media Release Basel, 13 August 2012 FDA approves Lucentis (ranibizumab injection) for treatment of diabetic macular edema First major treatment advance in more than 25 years for sight-threatening condition
More informationOptometric Residency Program
Optometric Residency Program PRIMARY EYE CARE DEPARTMENT OF VETERANS AFFAIRS PORTLAND VA MEDICAL CENTER PORTLAND, OREGON SPONSOR: DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER, PORTLAND, OREGON AFFILIATE:
More informationCommissioning better eye care
Commissioning better eye care Clinical commissioning guidance from The College of Optometrists and The Royal College of Ophthalmologists Age-related macular degeneration Version: 1 Published: 25 Nov 2013
More informationOhr Pharmaceutical Reports Fiscal Year 2015 Financial and Business Results
December 10, 2015 Ohr Pharmaceutical Reports Fiscal Year 2015 Financial and Business Results OHR-102 Phase 3 Program in Wet-AMD to be Initiated Upon Completion of SPA; Enroll Patients in Q1 2016 Conference
More information82 Gilbert Street, Adelaide, SA, 5000 82 Gilbert Street, Adelaide, SA, 5000 W +61 8 8104 5293 M +61 417 818 658 W +61 8 8104 5200 M +61 414 661 994
ASX RELEASE Ellex Medical Lasers Limited (ASX:ELX) Adelaide, Australia Date: 14 September 2015 Release: Immediate Topic: Ellex releases first case study results for 2RT at major tradeshow Adelaide, Australia,
More informationACTVE INTERVENTIONAL CLINICAL TRIALS - 03/01/2015. Principal Investigator Study Title and Sponsor Study Description
Cornea and External Disease Service Li, Jennifer A Prospective, Multicenter Post-Approval Study (PAS) of VisionCare s Implantable Miniature Telescope (by Dr. Isaac Lipshitz) in Patients with Bilateral
More informationAn Informational Guide to CENTRAL RETINAL VEIN OCCLUSION
Science of CRVO www.scienceofcrvo.org An Informational Guide to CENTRAL RETINAL VEIN OCCLUSION This brochure will guide you in understanding CRVO and the treatment options available to prevent vision loss.
More informationOptic Nerve Imaging. Management of Glaucoma
Optic Nerve Imaging in the Diagnosis and Management of Glaucoma Scott D. Smith, MD, MPH Associate Professor of Clinical Ophthalmology Director, Glaucoma Service Columbia University, New York, NY Glaucoma
More informationPhysicians. Michael E. Rauser, MD. Leila M. Khazaeni, MD. William H. Kiernan, OD. Joseph T. Fan, MD. Priscilla K. Luke, MD. John C.
Research Division 1 Research As an institution, Loma Linda University Health Systems takes research very seriously. Our world-renowned scientists are always striving to advance the understanding of human
More informationThe Observer. Advanced Vitreo Retinal Care for Your Patients
The Observer V o l u m e 2 7, I s s u e 4 S E P T E M B E R 2 0 1 4 O U R D O C T O R S George J. Pardos, M.D. Gary A. Belen, M.D. Jason J. Wang, M.D. Miriah Teeter, M.D. Howard Amiel, M.D. Lawrence Spivack,
More informationResidency Program in Ocular Disease and. Refractive and Ocular Surgery
Mission Statement: Residency Program in Ocular Disease and Refractive and Ocular Surgery The mission of the Eye Center of Texas (ECT) residency program is to provide qualified postdoctoral optometry graduates
More informationPrinciples of Ophthalmic Nursing Unit Outline
Principles of Ophthalmic Nursing Unit Outline Continuing Professional Education (CPE) Course: Application for credit worthiness in progress Prerequisites: Nil Incompatible Units: Nil Co ordinator: Amanda
More informationMaking Vision a Health Priority. Speaker s Guide
Making Vision a Health Priority Speaker s Guide SLIDE 1 Introduction of the speaker. The purpose of this presentation is to provide information about vision changes that can occur with age and to talk
More informationEYE ON PACIFIC. Corneal Topography in Optometric Practice
INSIDE -Uses of autofluorescence in clinical practice: p. 3 -The Vision Therapy Service has been remodeled: p. 4 -Don t ignore decreased best corrected visual acuity: p. 4 pacificu.edu Pacific University
More informationLOCSU Enhanced Services
LOCSU Enhanced Services Glaucoma Repeat Readings & OHT Monitoring Enhanced Service Pathway Issued by Local Optical Committee Support Unit May 2009 [Revised June 2012] Contents Page Executive Summary...
More informationBoomers and Disease Detection with OCT: Catalyst for Optometric Practice Growth
Boomers and Disease Detection with OCT: Catalyst for Optometric Practice Growth COPE 38496-PD Michael Chaglasian, OD Boomers and Disease Detection with OCT: Catalyst for Optometric Practice Growth Disclosure:
More informationBasic of Epidemiology in Ophthalmology Rajiv Khandekar. Presented in the 2nd Series of the MEACO Live Scientific Lectures 11 August 2014 Riyadh, KSA
Basic of Epidemiology in Ophthalmology Rajiv Khandekar Presented in the 2nd Series of the MEACO Live Scientific Lectures 11 August 2014 Riyadh, KSA Basics of Epidemiology in Ophthalmology Dr Rajiv Khandekar
More informationIntroduction Houston Retina Associates
1 2 Introduction This book was written by Houston Retina Associates to provide our patients with basic knowledge about retinal anatomy, an introduction to some of the diagnostic tests and treatments used
More informationICOP 2011 OXFORD UK REPORT ON THE INTERNATIONAL CONFERENCE ON OPHTHALMIC PHOTOGRAPHY 2011
ICOP 2011 OXFORD UK REPORT ON THE INTERNATIONAL CONFERENCE ON OPHTHALMIC PHOTOGRAPHY 2011 Report compiled by: Rahila Bashir and the MEDICAL IMAGING UK Ltd conference team On September the 22 nd we saw
More informationPatient-Reported Outcomes with LASIK (PROWL-1) Results
Patient-Reported Outcomes with LASIK (PROWL-1) Results Elizabeth M. Hofmeister, MD CAPT, MC, USN Naval Medical Center San Diego Refractive Surgery Advisor for Navy Ophthalmology Assistant Professor of
More informationAge-Related Macular Degeneration. K. Bailey Freund, M.D. James M. Klancnik, Jr., M.D. Lawrence A. Yannuzzi, M.D. Bruce Rosenthal, O.D.
Age-Related Macular Degeneration K. Bailey Freund, M.D. James M. Klancnik, Jr., M.D. Lawrence A. Yannuzzi, M.D. Bruce Rosenthal, O.D. Contents Introduction 5 Anatomy of the Eye 6 The Eye 7 The Retina 9
More informationIncidence of Exudative Age-Related Macular Degeneration among Elderly Americans
Incidence of Exudative Age-Related Macular Degeneration among Elderly Americans Jonathan C. Javitt, MD, MPH, 1 Zhiyuan Zhou, PhD, 2 Maureen G. Maguire, PhD, 2 Stuart L. Fine, MD, 3 Richard J. Willke, PhD
More informationCoding for the Future!
Coding for the Future! American Society of Ophthalmic Registered Nurses November 11, 2012 Presented by Joy Newby, LPN, CPC, PCS Newby Consulting, Inc. 5725 Park Plaza Court Indianapolis, IN 46220 Voice:
More informationAppVisit! Proactive medicine, individualized care! Harvey Fishman, MD, PhD Co- founder, AppMedicine Fishman Vision
AppVisit Proactive medicine, individualized care Harvey Fishman, MD, PhD Co- founder, AppMedicine Fishman Vision Technology is changing interactions with brick and mortar businesses Books... CDs......Doctors
More informationNational AMD & Low Vision Awareness Month- February 2016. Dr. Karuna Milind. Wellness Dept., Health India TPA.
National AMD & Low Vision Awareness Month- February 2016. Dr. Karuna Milind. Wellness Dept., Health India TPA. February is National AMD and Low Vision Awareness Month. Age-related macular degeneration
More information~Contributing to Eye Health~
~Contributing to Eye Health~ 26 Eye Care Market Trends FY2007 Retinal Camera market forecasts by eye disease FY 2010 Auto Keratorefractometer Retina 160 Refraction Retina 200 Refraction Auto Lens Edger
More informationTelemedicine. Telemedicine for Pediatric Retinal Diseases. Why ROP? Why ROP? Why ROP? 6/22/2015. Telemedicine in Pediatric Retinal Practice
Telemedicine for Pediatric Retinal Diseases Telemedicine Synchronous Examination and diagnosis in real-time Traditional medical specialties 2015 Ophthalmic Photographers' Society Mid-Year Program Cagri
More informationThe Evaluation of Screening Policies for Diabetic Retinopathy using Simulation
The Evaluation of Screening Policies for Diabetic Retinopathy using Simulation R. Davies 1, S.C. Brailsford 1, P.J. Roderick 2 and C.R.Canning 3 1 School of Management, University of Southampton, UK 2
More information2013 Diabetes and Eye Disease Fact Sheet
The Georgia Department of Public Health 2013 Diabetes and Eye Disease Fact Sheet Diabetes is the leading cause of new cases of blindness among United States adults. 1-3 As Georgia s population ages and
More informationWhite Paper. Ophthalmology Site Certification
White Paper Ophthalmology Site Certification Table of Contents 1. Introduction... 3 2. What is Site Certification?... 3 3. An Example of Certification for Ophthalmology Studies... 3 4. Visual Acuity Certification...
More informationAZOA 2016. April 22-24. Spring Congress. Tucson, Arizona. Loews Ventana Canyon Resort. 14 hours of COPEapproved. Arizona Optometric Association
Tucson, Arizona easy online registration http://www.azoa.org/ Connect 14 hours of COPEapproved CE AZOA 2016 Spring Congress NEW RESORT LOCATION!!! Loews Ventana Canyon Resort Arizona Optometric Association
More informationCharles C Wykoff, David M Brown, Maria E Maldonado, Daniel E Croft. Clinical science
Aflibercept treatment for patients with exudative age-related macular degeneration who were incomplete responders to multiple ranibizumab injections (TURF trial) Charles C Wykoff, David M Brown, Maria
More informationUnderstanding PQRS Guidelines - 2011
Understanding PQRS Guidelines - 2011 John A. McGreal Jr., O.D. Missouri Eye Associates McGreal Educational Institute Excellence in Optometric Education John A. McGreal Jr., O.D. Missouri Eye Associates
More informationBasics in Billing and Coding an Eye Exam
Basics in Billing and Coding an Eye Exam By Harvey Richman, OD Many doctors feel that they're either billing too high or not high enough. Many doctors feel intimidated by the process of medical billing
More informationMeasure of Confidence. Glaucoma Module Premium Edition
Measure of Confidence Glaucoma Module Premium Edition The Changing Face of Glaucoma Practice Literature 1 Leske et al., Arch Ophthalmol 1997; 115:1051-1057 2 Doughty et al., Surv Ophthalmol 2000; 44:367-408
More informationICD-10 Workshop. Financial Disclosure. Quick Guide (if you missed Part I) Tool Box. GEM Files. 2014 Corcoran Consulting Group (800) 399-6565
Financial Disclosure ICD-10 Workshop Mary Pat Johnson is a Senior Consultant at Corcoran Consulting Group and acknowledges a financial interest in the subject matter of this presentation. Mary Pat Johnson,
More informationVisual Disorders in Middle-Age and Elderly Patients with Diabetic Retinopathy
Medical Care for the Elderly Visual Disorders in Middle-Age and Elderly Patients with Diabetic Retinopathy JMAJ 46(1): 27 32, 2003 Shigehiko KITANO Professor, Department of Ophthalmology, Diabetes Center,
More informationSection 8: Clinical Exercise Testing. a maximal GXT?
Section 8: Clinical Exercise Testing Maximal GXT ACSM Guidelines: Chapter 5 ACSM Manual: Chapter 8 HPHE 4450 Dr. Cheatham Outline What is the purpose of a maximal GXT? Who should have a maximal GXT (and
More informationPATIENT REGISTRATION AND HISTORY FORM ~ FAMILY EYE HEALTH ASSOCIATES
PATIENT REGISTRATION AND HISTORY FORM ~ FAMILY EYE HEALTH ASSOCIATES PATIENT INFORMATION: Name (Last, First, MI) Date: Address: City State Zip Home Phone 2nd Phone Work Cell E-Mail Gender: M F Birthdate
More informationICD-9 CM. ICD-9 9 CM stands for International Classification of Diseases, 9 th revision, clinical modifications
Ophthalmology Coding ICD-9 9 CM & CPT By Alice Landry, Registered Health Information Administrator and Certified Procedural Coder Harvey & Bernice Jones Eye Institute University of Arkansas for Medical
More informationSynergy. Ophthalmic Data Management System. EyeRoute CONNECTING VISIONS
EyeRoute Synergy Ophthalmic Data Management System CONNECTING VISIONS Comprehensive Ophthalmic Data Management All Together Now. EyeRoute Synergy provides eye care professionals the ability to easily collect,
More informationSpectral domain OCT used to view and quantify choroidal vascular congestion in new subretinal fluid following scleral buckling.
Spectral domain OCT used to view and quantify choroidal vascular congestion in new subretinal fluid following scleral buckling. Robert Gizicki MD, Mohamed Haji, Flavio Rezende Retina Service, Hôpital Maisonneuve-Rosemont,
More informationAlexandria Fairfax Sterling Leesburg 703-931-9100 703-573-8080 703-430-4400 703-858-3170
DIABETIC RETINOPATHY www.theeyecenter.com This pamphlet has been written to help people with diabetic retinopathy and their families and friends better understand the disease. It describes the cause, symptoms,
More information2015 Convention and Annual Meeting Doctor Registration Materials
2015 Convention and Annual Meeting Doctor Registration Materials 115th Annual Meeting 2015 Convention September 24-27, 2015 Kalahari Resort Wisconsin Dells, WI June 10, 2015 2 Who: What: Wisconsin Optometrists
More informationLake Oswego Eye Clinic 530 First ST, Suite A Lake Oswego, OR 97068 Office: (503) 636-9608 Fax: (503) 636-9600
PAYMENT AGREEMENT: We accept most insurance plans as a courtesy. We encourage you to familiarize yourself with your individual plan. Insurance coverage is an agreement between patient and insurance company
More informationPreparing for ICD-10 Advance Preparation for Implementation Charles Brownlow, OD drbrownlow@pmi-eyes.com
Preparing for ICD-10 Advance Preparation for Implementation Charles Brownlow, OD drbrownlow@pmi-eyes.com International Classification of Diseases (ICD-9, ICD-10) Both include codes for all medical conditions,
More informationRequest for Ophthalmologist/Optometrist Report Age Pension or Disability Support Pension on the basis of blindness
Request for Ophthalmologist/Optometrist Report Age Pension or Disability Support Pension on the basis of blindness This report will help the Australian Government Department of Human Services in determining
More information2005 Survey of Public Knowledge, Attitudes, and Practices Related to Eye Health and Disease. Executive Summary
2005 Survey of Public Knowledge, Attitudes, and Practices Related to Eye Health and Disease Executive Summary March 2008 EXECUTIVE S U M M A R Y Eye diseases, which include diabetic retinopathy, glaucoma,
More informationCURRICULUM VITAE. 5101 East Calavar Dr. Scottsdale, Arizona 85254 mbloomenstein@gmail.com
CURRICULUM VITAE 5101 East Calavar Dr. Scottsdale, Arizona 85254 mbloomenstein@gmail.com PRESENT PRACTICE (2007-Present) Schwartz Laser Eye Center Director of Optometric Services 8416 E. Shea Boulevard,
More informationIntroduction to ICD- 10 Coding for Eyecare May 3, 2014
Introduction to ICD- 10 Coding for Eyecare May 3, 2014 Jeffrey Restuccio, CPC, CPC- H, MBA Coding and Billing Consultant specializing in Eyecare Memphis TN (901) 517-1705 jeff@eyecodingforum.com www.!
More informationVision Glossary of Terms
Vision Glossary of Terms EYE EXAMINATION PROCEDURES Eyeglass Examinations: The standard examination procedure for a patient who wants to wear eyeglasses includes at least the following: Case history; reason
More informationAn introduction to Optos
An introduction to Optos Building The Retina Company Roy Davis, CEO Christine Soden, CFO 1 Forward-Looking Statements Certain statements made in this presentation are forward-looking statements. These
More informationBSM Connection elearning Course
BSM Connection elearning Course Scope of the Eye Care Practice 2008, BSM Consulting All Rights Reserved. Table of Contents OVERVIEW...1 THREE O S IN EYE CARE...1 ROUTINE VS. MEDICAL EXAMS...2 CONTACT LENSES/GLASSES...2
More informationA Merge System Overview. Advanced Ophthalmic Image Management Merge Eye Care PACS
A Merge System Overview Advanced Ophthalmic Image Management Merge Eye Care PACS Merge Eye Care PACS is the most advanced ophthalmic image management system available, combining features and technologies
More informationOptometry at Melbourne
Optometry at Melbourne Doctor of Optometry 2011 intake Dr Alex Gentle Department of Optometry & Vision Sciences Melbourne Graduate School of Science Presentation Structure What is optometry? Optometry
More informationPresentation prepared for: Vision Providers & Staff
Presentation prepared for: Vision Providers & Staff Avesis is National Executive Offices in Baltimore, MD Operations located in Phoenix, AZ Phone: (800) 828-9341 Eligibility Claims Member Services Southeast
More informationRESIDENCY IN PRIMARY EYE CARE William V. Chappell Jr. Veterans Multi-Specialty Outpatient Clinic
RESIDENCY IN PRIMARY EYE CARE William V. Chappell Jr. Veterans Multi-Specialty Outpatient Clinic Mission of the Residency Program Daytona Beach, Florida Program Coordinator: Ian D. Raden, O.D., M.B.A.
More informationDear Patient, We look forward to seeing you.
Dear Patient, Welcome to Mosier Eye Center! We appreciate your selection of our office and we look forward to serving you for all your eye care needs. This packet was created to provide you with some valuable
More informationThe Eyes Have It! by Carol A. Rice, Ph.D., R.N. Professor and Extension Health Specialist. Fall, 2001
The Eyes Have It! by Carol A. Rice, Ph.D., R.N. Professor and Extension Health Specialist Fall, 2001 Educational programs of the Texas A&M AgriLife Extension Service are open to all people without regard
More informationFacts about diabetic macular oedema
Patient information medical retina services Facts about diabetic macular oedema What is diabetic macular oedema? Diabetic eye disease is a leading cause of blindness registration among working age adults
More information