EVENT: SCO’S 2023 RESIDENTS WEEKEND
DATE: JUNE 9-10, 2023
TIMES: FRIDAY, JUNE 9, 2023 7:30 A.M.-4:30 P.M.; SATURDAY, JUNE 10, 2023 7:30 A.M.-1:30 P.M.
LOCATION: SCO CAMPUS
*THIS IS A NON-COPE EVENT
FRIDAY, JUNE 9, 2023:
7:30 AM (CONTINENTAL BREAKFAST SERVED IN ATRIUM)
7:30 AM REGISTRANT PACKET PICK-UP
8-10 AM COURSE 1
Title: Functional and Low Vision Optometry
Location: (NORTH CLASSROOM)
Presenters:
Marija Novakovich, OD
Allie Robertson, OD
Beth Katz, OD
Jessica Ships, OD
Course Descriptions:
Dorsal Midbrain Syndrome, also known as Parinaud Syndrome, is classically seen as a triad of convergence retraction nystagmus, impaired up gaze, and pupillary hyporeflexia. This presentation highlights a patient who suffered a stroke 3 weeks prior to evaluation and has been wearing a pirate patch ever since to avoid diplopia. This case report will review the presentation, etiology, appropriate diagnostic imaging and testing, and treatment of dorsal midbrain syndrome.
The next presentation discusses how to diagnose and manage macular degeneration, the progressive nature of the disease, and how evolving technology can be utilized to give patients a better visual outcome. It concludes with a discussion regarding low vision evaluations and how an evaluation can allow most patients to regain their independence.
Third, this course examines an atypical case of color vision. Using the case as a lens, it will review various color vision deficiencies, the tests performed to diagnosis them and differentiate between inherited and acquired cases.
Finally, Visual Snow Syndrome is a chronic neurological disorder that has flown under the radar and been misdiagnosed for years. It can cause detrimental effects on one’s quality of life inhibiting their vision, hearing, and cognitive function. This presentation reviews the various presentations/symptoms of visual snow, its pathophysiology, diagnosis, and possible treatment options. A case report of a patient with visual snow syndrome and many other neurological conditions will be used to assist as a template for further understanding and clinical management.
8-10 AM COURSE 2
Title: Treatment & Management of Ocular Disease I
Location: (SOUTH CLASSROOM)
Presenters:
Rachel Barrantes, OD
Kathryn Schmandt, OD
Collin Simmons, OD
Andrew Plaxco, OD
Course Descriptions:
Peripheral exudative hemorrhagic chorioretinopathy (PEHCR) is an uncommon peripheral retinal finding with characteristics that make it an important differential to consider. This course examines how to properly diagnose and manage this rare condition. A case report of a patient who presented with PEHCR will also be covered.
Next, this course sets out to provide an updated more standardized definition of pathologic myopia. We will discuss how to properly classify different disease stages as well as visually significant complications.
Third, this presentation follows a difficult case presentation in which a patient has been diagnosed with the following: IIH, optic disc drusen, multiple sclerosis. This course explores how to differentiate papilledema from pseudo papilledema using oct and explores the different clinic presentations of papilledema, optic disc drusen, and optic neuritis.
Finally, this course reviews different types of retinal holes, tears, and detachments. It will showcase the utility of peripheral OCT to guide retinal referrals in two separate cases.
10-12 PM COURSE 3
Title: Functional Vision Optometry
Location: (NORTH CLASSROOM)
Presenters:
Lester Efianayi, OD
Rachel Williams, OD
Jenna Juarez, OD
Maria Bontrager, OD
Course Descriptions:
This course examines the complexity of diagnosing, treating and managing visual and visual-perceptual sequelae of Post-Concussion Syndrome in an optometric setting. A case report of a patient with Post-Concussion Syndrome will be used to illustrate the impact of vision therapy and rehabilitation on this population.
Next, this course reviews three visual electrodiagnostic procedures: visual evoked potential (VEP), electroretinogram (ERG), and electrooculogram (EOG). The protocol for each test will be reviewed and clinical indications will be examined, followed by a case presentation where visual electrodiagnostic testing was performed.
Third, this course outlines the diagnostic criteria, common symptoms, and relevant clinical testing in evaluating patients with Visual Snow Syndrome. It also explores various treatment options for these patients, including use of chromatic tints and vision therapy to reduce visual symptoms.
Finally, developmental dyslexia as a specific learning disability that affects the acquisition of language and literacy will be reviewed. Much debate exists surrounding the role of vision and visual perception in the etiology and management of the condition. This course discusses the definition of dyslexia, the visual deficits that may be associated with it, and the role of vision therapy in treatment of the dyslexic patient who presents with visual deficits.
10-12 PM COURSE 4
Title: Neuro Optometry
Location: (SOUTH CLASSROOM)
Presenters:
Caleb Counce, OD
Gabrielle Magee, OD
Melissa Huynh, OD
Brittany Caputo, OD
Course Descriptions:
Horner’s syndrome is a rare condition caused by a disruption in the oculosympathetic pathway that can present as a triad of signs and symptoms, along with various others. Timely diagnosis can lead to proper treatment and management as Horner’s syndrome may be the first and only sign of a potential fatal underlying condition. This presentation aids in the diagnosis and localization of suspected Horner’s syndrome to allow for proper treatment and management of potential underlying causes of oculosympathetic pathway lesions.
Next, this course examines what complications can result after an arteriovenous malformation (AVM) ruptures. The use of prism to correct visual complications that may occur, as well as what activities may be useful during in-office vision rehabilitation, will be discussed.
Third, this presentation examines pituitary adenomas. These tumors are the most common cause of optic chiasm compression. Patients may present with symptoms such as headache, bitemporal visual defects, and ocular motor deficits. Diagnostic testing includes visual field, neuroimaging and lab work. This case presentation reviews optometry’s role when diagnosing and managing pituitary adenomas.
Finally, this course examines autoimmune encephalitis, a relatively new diagnosis of inflammatory processes that affect the central nervous system. Due to the generalized inflammation as well as the harsh treatment options, many visual symptoms and ocular complications can be present in these patients. This course aims to increase awareness of the condition and highlights a case report to demonstrate the role of vision therapy in managing symptoms.
11:40-12:30 PM (LUNCH BUFFET IN ATRIUM-seating in atrium and E/W Classroom)
12:30-2:30 PM COURSE 5
Title: Contact Lens and Functional Vision Optometry
Location: (NORTH CLASSROOM)
Presenters:
Sara Restuccio, OD
Lindsey Rector, OD
Lynette Wray, OD
Taylor Greif, OD
Course Descriptions:
Dry eye disease is a very common eye condition that optometrist encounter daily. This course examines several factors that contribute to the cause and severity of dry eye. Treatments for dry eye, including scleral lenses, will be discussed.
Next, diplopia as common symptom of myasthenia gravis (MG) will be reviewed. A rare case of a patient with concurrent MG and Chiari malformation Type 1 with variable persistent incomitant diplopia will be presented. A review of the ocular manifestations of MG and Chiari malformations, including differential diagnoses, workup, and management will conclude the presentation.
Third, post-concussion syndrome consists of various visual symptoms affecting accommodation and vergence in the form of blur and diplopia will be reviewed. This course examines how vision therapy can be an effective treatment for patients with post-concussion syndrome. A brief review of the pathways involved in accommodation and vergence will be discussed followed by studies that show the effectiveness of vision therapy as an option for treatment. The components of a successful vision therapy program will be outlined with examples of activities.
Finally, the last presentation focuses on the signs and symptoms of long-term COVID patients and their visual outcomes. Since 2020, research has progressed on long-term effects of our systemic health and risks for comorbidities due to exposure to COVID-19. Between the years of 2020-2023 Bowersox Vision Center saw an influx of patients present with binocular visual symptoms such as diplopia, decreased depth perception, balance complications, difficulty with concentration and other cognitive tasks as well as trouble focusing after being diagnosed with COVID-19. During this presentation we will be walking through multiple cases and treatment plans.
12:30-2:30 PM COURSE 6
Title: Treatment & Management of Ocular Disease II
Location: (SOUTH CLASSROOM)
Presenters:
Maithili Patel, OD
Megan Overberg, OD
Rachel Steele, OD
Aaliyah Cole, OD
Course Descriptions:
Herpes viral infection is a major health concern as it can be sight threatening. HSV can affect any ocular structure and cornea is most common among them. This course describes atypical etiology and presentation of HSV keratitis.
The following course reviews the importance of patient medical history accompanying their chief complaint. Discussion on the benefit of ancillary imaging in the diagnosis of a traumatic choroidal effusion will also be included.
This presentation covers vitelliform lesions in association with Best’s disease, adult onset foveomacular vitelliform dystrophy, and acquired vitelliform lesions. Special attention will be paid to genetic associations, multimodal image findings, and clinical course.
Finally, inherited and acquired retinal diseases can cause varying degrees of visual impairment. This presentation reviews various maculopathies and causes for macular photoreceptor loss. A case report of a patient with macular photoreceptor loss will be used to guide the discussion and highlight the role of technology in differentiating macular diseases with similar fundoscopic presentations.
2:30-4:30 PM COURSE 7
Title: Ophthalmic Surgery and Public Health
Location: (NORTH CLASSROOM)
Presenters:
Kathy Nguyen-Duong, OD
MarthaClaire Pile, OD
Chong Lee, OD
Rachel Kane, OD
Course Descriptions:
Radial keratotomy (RK) is a myopic refractive surgery that involves making multiple deep incisions into the cornea. This course examines the history and technique of RK, and also reviews treatment and management of associated long-term complications.
Next, this course reviews the subtle topography differences of corneal ectasia and corneal scarring. Keratoconus is a corneal condition that if treated early the progression can be delayed and still result in good vision for the patient. However, there are different conditions that can present similar to keratoconus. This presentation differentiates keratoconus between other corneal ectasias, and particularly corneal scarring.
Third, we examine the importance of advocating for patients in complex circumstances regarding coordination of care in the healthcare field. We will specifically discuss three cases involving common matters that optometrists face as an eyecare provider.
Finally, a discussion of the management of patients undergoing cataract and refractive surgeries will occur. Highlighted in this course are an examination of how these surgeries have changed over time, when to refer patients for surgery, the various intraocular implants and refractive surgeries available, and a review of post-operative complications.
2:30-4:30 PM COURSE 8
Title: Treatment & Management of Ocular Disease III
Location: (SOUTH CLASSROOM)
Presenters:
Lindsay Thornton, OD
Jacqueline Fiddler, OD
Carlene Solomon, OD
Cynthia Lenhoff, OD
Course Descriptions:
Vascular occlusions appear with varying signs, symptoms, and severities. This presentation outlines the etiologies and presentations of vascular occlusions along with the nuances of systemic management. A case report highlights the vision threatening complications from vascular occlusions.
Chronic central serous retinopathy is a well-studied condition with numerous treatment options. It can affect any population at any age, but is mainly observed in middle aged adult males. Treatments range from observation to laser surgical intervention. This presentation covers multiple differentials you may consider, an overview of central serous retinopathy, and an overview of the treatment options available.
This course examines the systemic and ocular manifestations of granulomatosis with polyangiitis (GPA), a rare autoimmune disorder. Specifically discussed are the diagnostic procedures and ocular signs to be aware of while performing an eye examination.
This last course follows a patient who presented with episodic vision loss and paresthesia following a COVID-19 infection. This presentation covers an in-depth discussion on optic atrophy and its etiologies with an emphasis on demyelinating diseases. Finally, we discuss recent findings relating COVID-19 infection to the development of optic atrophy.
4:15 PHOTO ON STAIRCASE OF ALL RESIDENTS
5:00 PM RESIDENT’S GRADUATION CEREMONY (8TH FLOOR) (Residents & Invited Guests)
6:00 PM PROGRAM W/ FEATURING INFORMATION FROM Allergan -NORTH CLASSROOM (Residents)
6:15 PM RESIDENT’S RECEPTION IN ATRIUM (Residents & Invited Guests)
SATURDAY, JUNE 11, 2022:
7:30 AM (CONTINENTAL BREAKFAST SERVED IN ATRIUM)
7:30 AM REGISTRANT PACKET PICK-UP
8-10:00 AM COURSE 9
Title: Treatment and Management of Ocular Disease IV
Location: (NORTH CLASSROOM)
Presenters:
Wenjie Zhan, OD
Julie Pan, OD
Katie Jones, OD
Brittany Bowman, OD
Course Descriptions:
Bilateral angle closure glaucoma is a rare complication of systemic medications. Vortioxetine, brand name Trintellix, is an oral serotonergic antidepressant. Although listed as an adverse reaction, glaucomatogenic potential has rarely been reported. We present a case of bilateral acute angle closure glaucoma presumed secondary to Vortioxetine with a phacomorphic component.
Panuveitis is an inflammation of the eye that involves the entire uveal tract. In many cases, panuveitis does not only represent a disorder of the eye but also a disorder of other parts of the body. This presentation examines the common ocular and systemic etiologies related to panuveitis, work-up necessary for its diagnosis, and the proper treatment protocol for the condition. A case report of a patient with panuveitis secondary to suspected active toxoplamosis will be used to guide the discussion.
Next, this presentation reviews the characteristics of different types of eyelid malignancies, discuss the most commonly employed biopsy techniques, and explore several surgical and non-surgical treatment options. A case report of a patient with advanced squamous cell carcinoma is used to emphasize the importance of timely diagnosis and treatment as well as demonstrate circumstances in which preferred management options are not viable.
Finally, limbal stem cell deficiency (LSCD) commonly presents with nonspecific signs and symptoms and consequently is often misdiagnosed, especially in the early stages. In LSCD, the basal epithelium within the limbus has decreased ability to repopulate the corneal epithelium causing pain and blurred vision among many other symptoms. This presentation outlines diagnosis, treatment and management for LSCD in addition to highlighting two clinical cases.
8-10 AM COURSE 10
Title: Treatment & Management of Ocular Disease V
Location: (SOUTH CLASSROOM)
Presenters:
Nicolette Ruta, OD
Elton Angoni, OD
Larissa Lamas, OD
Marissa Buinickas, OD
Course Descriptions:
This presentation provides a comprehensive review of the various differential diagnoses, pathogenesis, and risk factors of patients with these atypical multiple NAIONs, illustrated by a case series of patients along with their fundus photos, visual fields, and OCT imaging. Cases include a patient with unilateral sequential NAIONs, a patient with bilateral NAIONs, and even a patient with simultaneous unilateral sequential NAIONs and bilateral NAIONs.
Torpedo maculopathy is a rare, benign, congenital lesion of the retinal pigment epithelium (RPE) and outer retina. This course examines the presentations of various congenital and focal chorioretinal abnormalities, with a focus on the efficacy of retinal imaging in diagnosis and management. A case study of a patient with torpedo maculopathy will be used for further understand clinical presentation and management.
Presumed ocular histoplasmosis syndrome is a fungal infection thought to be caused by the fungus Histoplasma capsulatum. Endemic areas are said to be along the Ohio and Mississippi river valleys. There is a classic clinical presentation triad with treatment necessary when and if choroidal neovascular membrane is present. This is a case report of a new choroidal neovascular membrane in a patient shortly after YAG capsulotomy procedure.
This course reviews different types of retinal artery occlusions as well as the appropriate management based on classification of the retinal artery occlusion and patient age.
To assist this presentation, a case report of a branch retinal artery occlusion in a patient younger than the mean age will be discussed.
10:00 AM -12:00 PM COURSE 11
Title: Treatment & Management of Ocular Disease VI
Location: (NORTH CLASSROOM)
Presenters:
Clara Hong, OD
Renee Weaver, OD
Delores Lootens, OD
Megan Doyle, OD
Course Descriptions:
This course covers the definition and causes of uveitis, as well as specific cases of uveitis secondary to sarcoidosis, spondyloarthropathy, and neurosyphilis in the setting of poorly controlled HIV emphasizing the importance of recognizing underlying causes and taking a collaborative approach to patient care.
Next, this course provides an overview of Acute Macular Neuroretinopathy, delving into how a diagnosis is made and the differentials to consider when patients present with paracentral scotomas and decreased visual acuity. A case report of a patient with AMN and current use of oral contraceptives as the sole risk factor for development of this retinal disease will be used to assist in further understanding the disease and its management.
This course is designed to review BRAO and essential treatment, including immediate stroke workup, lab work to be ordered, and prognosis for patient. Review also includes differential diagnoses associated with sudden vision loss or amarosis fugax.
Finally, this presentation discusses determination of concurrent artery and vein occlusions. A case report of a patient with a branch retinal artery occlusion and a central retinal vein occlusion presenting unilaterally will be used to discuss visual outcomes and recommended clinical management.
10:00 AM-12:00 PM COURSE 12
Title: Treatment & Management of Ocular Disease VII
Location: (SOUTH CLASSROOM)
Presenters:
Dahyun Ji, OD
Weleed Langer, OD
Emma Stahr, OD
Mary Catherine Clark, OD
Course Descriptions:
The presentation lists all the different types of ocular findings that we can see in patients with a history of trauma. It also highlights the importance of knowing how to appropriately triage and manage these conditions.
Lyme disease is one of the most common vector-borne diseases worldwide. Lyme disease can affect multiple systems, including neurologic, cardiovascular, musculoskeletal, and dermatologic. Ocular manifestations can be observed with Lyme disease, and can affect any structure of the eye depending on the stage of the disease. This presentation delves into the clinical presentation of systemic and ocular Lyme disease as well as treatment and management. A case report of a patient presenting with acute onset double vision as a complication of Lyme disease will be used to assist as a template for further understanding and clinical management.
This course aims to examine the treatment of traumatic hyphemas and sequelae in the context of the pediatric population. Specifically, this presentation seeks to highlight how treatment differs between adult and pediatric patients in both short-term and long-term management.
The following course highlights the characteristics of primary vitreoretinal lymphoma and the nature of the disease. A review of the ancillary and diagnostic testing will also be covered.
12:00 PM-1:30 PM COURSE 13
Title: Treatment & Management of Ocular Disease and Ocular Surgery
Location: (NORTH CLASSROOM)
Presenters:
Qiaohui White, OD
Onyale Warnock, OD
Soo Jung Lee, OD
Course Descriptions:
This presentation outlines the common etiologies of true and pseudo-papilledema in pediatric populations, and introduce various diagnostic tools, including a spotlight on the Heidelberg OCT with the GMPE (Glaucoma Module Premium Edition) module. Additionally, a case report of a child with optic nerve drusen will illustrate the importance of various diagnostic tests in differentiating between true and pseudo pediatric papilledema.
This course also provides an overview of dry eye syndrome (DES), ocular surface disease (OSD), and meibomian gland dysfunction (MGD) treatment and management tools. It will discuss when and how to utilize these tools, and review a few clinical cases that utilize various dry eye and ocular surface treatment protocols.
Corneal transplantation is utilized to replace damaged or unhealthy cornea with healthy donor tissue. This presentation utilizes cases to demonstrate some unique complications that may be encountered after the ophthalmologist performs the surgery.
12:00 PM-1:30 PM COURSE 14
Title: Systemic Disease and Neuro Optometry
Location: (SOUTH CLASSROOM)
Presenters:
Leia Ballesteros, OD
Austin Molbegott, OD
Annie Lane, OD
Course Descriptions:
Diabetes mellitus is a condition that affects people from all ethnicities, including the Hispanic community. This course serves to educate providers on demographic factors affecting the Hispanic community that may impact care. By understanding these unique challenges and risk factors, providers can better tailor their approach to management of diabetes and ultimately help navigate patients towards improved outcomes.
Acute unilateral vision loss can occur due to a variety of reasons many of which have underlying and undiagnosed systemic etiologies. These conditions may be inflammatory, infectious, or of mixed origin but few can be quite as insidious as sleep apnea. This presentation covers the unique clinical findings, progression, diagnosis, and management of an ischemic optic neuropathy event.
Finally, the following course emphasizes the importance of regular formal visual field testing, dilation with examination of the optic nerve, and optical coherence tomography of the retinal nerve fiber layer in the co-management of patients with visually threatening intracranial masses both before and after surgical resection/drainage. Recurrence of such masses may occur months to years after surgical treatment, and this course will detail the diagnosis and management of a patient with a recurrent vision-threatening arachnoid cyst.