The Academy's pocasts offer the latest updates on Academy activities, ophthalmic news, and interviews with leading clinicians around the world.
American Academy of Ophthalmology
A conversation between Robert Goldberg, MD, and Roger Dailey, MD, FACS. Since the FDA approved Restylane in 2003, the popularity of dermal fillers has grown steadily. As the use of such fillers increases, the likelihood a clinician may face an associated complication is also higher. Dr. Roger Dailey of the Oregon Health and Science University shares his approach for preventing and addressing these complications, which include granulomas, infections, and the most worrisome, vascular necrosis. (February 2012)
A conversation between Lisa B. Arbisser, MD, and Wayne Knox, PhD. Dr. Lisa Arbisser talks with Wayne Knox, professor of optics at the University of Rochester. Dr. Knox shares his experience with the latest experimental use of the femtosecond laser, using the laser to adjust the power of an IOL after it has been implanted in the eye. Unlike the light adjustable lens, this noninvasive technique of shaping the refractive index could be used on standard acrylic hydrophobic IOLs to correct for residual refractive errors, astigmatism, and higher order aberrations. It may even be used to produce multifocality on the lens after implantation. (January 2012)
An interview with Mildred M. G. Olivier, MD, and Eydie G. Miller-Ellis, MD. Drs. Mildred Olivier and Eydie Miller review the Annual Meeting symposium they hosted on glaucoma treatment in a multicultural world. Discussion focuses on how cultural diversity and ethnicity can affect patient encounters and the physician-patient relationship. Drs. Olivier and Miller offer several examples of how cultural awareness, especially in patient communication and cooperation with the primary care provider, can improve health literacy and compliance with treatment recommendations. (November 2011)
Host Andrew Lee, MD, interviews Nicholas Volpe, MD. Drs. Andrew Lee and Nicholas Volpe discuss ischemic oculomotor cranial nerve palsy, including the importance of history taking and workup, as well as the follow-up protocol for suspected third, fourth, and sixth nerve palsies. (November 2011)
Host Andrew Lee, MD, interviews Alfredo Sadun, MD, and Neil Miller, MD. Dr. Andrew Lee leads a discussion on nonarteritic anterior ischemic optic neuropathy (NAION). The topics range from workup in the presence and absence of classic risk factors for NAION to various controversial treatment options. Finally, the participants discuss prognosis and the likelihood of a second attack on the same or fellow eye. (November 2011)
Host Neil Bressler, MD, interviews Jennifer Lim, MD, and Judy Kim, MD. Dr. Neil Bressler leads a discussion on the management of patients with age-related macular degeneration. The participants consider a range of issues, including their approach to antibiotic use, the real-world implication of the published CATT outcomes, and the challenge of motivating patients who may be discouraged by a long-term regimen of intravitreal injections. (November 2011)
An interview between Thomas Oetting, MD, and James P. Dunn, MD. Dr. JP Dunn, Residency Program Director at the Wilmer Eye Institute, shares his experience
An interview with David Hardten, MD. Dr. David Hardten, program director for the 2011 Refractive Surgery Subspecialty Day, discusses the highlights of this ISRS-sponsored Annual Meeting, including hotly debated topics on detecting forme fruste keratoconus and wave-front guided ablation, updates on corneal cross-linking and presbyopia correction as well as advice on using femtosecond lasers for astigmatic keratotomy. (November 2011)
A conversation with Andrew P. Doan, MD, PhD, and Robert F. Melendez, MD, MBA. As the Academy
A conversation between Patricia Chevez-Barrios, MD, and Mathew Wilson, MD, FACS. Since intra-arterial chemotherapy for retinoblastoma reemerged five years ago, the procedure has been performed successfully in more than 25 countries, with high rates of globe salvage. But as the procedure has gained traction, significant complications and unanswered questions have also surfaced. Drs. Matt Wilson and Patricia Chevez-Barrios discuss those questions and the potential risks of treating the eye first rather than the patient. (June 2011)
A conversation among Richard Lindstrom, MD, David F. Chang, MD, William W. Culbertson, MD, and Michael C. Knorz, MD. Dr. Richard Lindstrom moderates a panel of 3 experts who share their impressions on LASIK-assisted cataract surgery. The participants discuss the current and potential benefits of applying Femtosecond laser to the cataract procedure, including precise control of the size and location of the capsulorrhexis, an integrated imaging system, reproducible incisions for astigmatism correction, and the ability to soften or prechop a dense nucleus. (May 2011)
A conversation between Lisa B. Arbisser, MD, and Daniel Goldberg, MD. Despite more than 200 years of research and debate, the mechanism of accommodation remains a mystery. But new research has revealed clues that may solve this mystery and change the future of surgical presbyopia correction. In this interview, Dr. Daniel Goldberg discusses new findings and shares his consolidated theory of accommodation that may help pave a new course for correcting presbyopia. (April 2011)
A conversation between Michael Belin, MD, and Charles McGhee, MD. Dr. Charles McGhee, an international expert in corneal and external eye disease, delivered the De Ocampo Lecture at the Asia-Pacific Academy of Ophthalmology Congress 2011. After his lecture, he sat down with Dr. Michael Belin to discuss the past and evolving future of lamellar corneal transplantation. (April 2011)
A conversation between Judy Kim, MD, and Neil M. Bressler, MD. Dr. Neil Bressler, chair of the Diabetic Retinopathy Clinical Research Network (DRCR.net), discusses this year
A conversation between Lisa B. Arbisser, MD, and Warren Hill, MD. IOL power calculation formulas abound, but which can you trust to deliver the best, most consistent results for your patients? In today
An interview with John Kanellopoulos, MD. Epi-on or Epi-off? Should topography-guided PRK occur before or after cross-linking? How about intracorneal rings? Are surgeons cross-linking too much tissue? What exactly is keratoconus? Drs. A. John Kanellopoulos and Theo Seiler brought together world-wide experts to discuss these questions at an International Society of Refractive Surgery symposium during the 2010 Joint Meeting in Chicago. (December 2010)
A conversation between Judy Kim, MD, and Yale Fisher, MD. Dr. Yale Fisher discusses his new educational website (www.ophthalmicedge.org) that combines short lectures with a video library, which captures real-time imaging and pattern recognition for a variety of ultrasonic B-Scan diagnoses. (December 2010)
Host Andrew Lee, MD, interviews Neil Miller, MD, and Peter Savino, MD. Conversation includes the important clinical features and constitutional symptoms associated with giant cell arteritis, and approaches to tissue biopsy, steroid treatment, and communication with the patient and related health care personnel. (November 2010)
Host Neil Bressler, MD, interviews Julia Haller, MD, Michael Ip, MD, and Andrew Schachat, MD. Conversation includes retinal vein occlusion in the scope of other diseases particular to the aging adult, how diagnosis is best established for a central retinal vein occlusion, and how to evaluate a patient over a course of long-term care. Also discussed is the use of anti-VEGF agents and intraocular steroids for the treatment of patients with macular edema related to vein occlusion. (November 2010)
Host Neil Bressler, MD, interviews Carl Baker, MD, and Michael Elman, MD. Conversation includes the use of OCT and angiography in evaluating for potential treatment of DME. Participants share their insight on which patients and situations are appropriate for focal grid laser, anti-VEGF drugs, intravitreal triamcinolone, or some combination based on several complicating factors and recent studies. (November 2010)
A conversation between Robert Goldberg, MD, and David Holck, MD. Dr. David Holck, a leading innovator and contributor to the field of facelift surgery, was awarded the 2010 Henry Baylis Cosmetic Surgery Award at the ASOPRS 41st Annual Fall Scientific Symposium. After delivering his lecture, he sat down with Dr. Robert Goldberg to discuss key aspects of successful surgery and offer advice to oculoplastic surgeons interested in learning more. (November 2010)
A conversation between Robert Goldberg, MD, and Yoash Enzer, MD. All patients on aspirin or warfarin were once advised to stop taking these anticoagulants two weeks before surgery. But new evidence shows that many patients suffer serious thrombotic events as a result, underscoring the need for a more measured approach. In today
Commentary from William Trattler, MD. This year
A conversation between Lisa B. Arbisser, MD, and Rupert Menapace, MD. Dr. Menapace discusses his alternative to in-the-bag IOL implantation: buttonholing the IOL into the posterior capsule. His experience with more than 1,000 cases shows the technique prevents posterior capsular opacification and significantly reduces fibrosis. (August 2010)
A conversation between Robert Goldberg, MD, and Guy Ben Simon, MD. Dr. Ben Simon discusses a paper he presented at Oculoplastics Today 2010, showing that the size of the bony ostium created during external dacryocystorhinostomy substantially decreases three months after successful surgery. (August 2010)
A conversation between Lisa B. Arbisser, MD, and George Beiko, BM, BCh, FRCSC, on customized IOLs for spherical aberration. Surgeons now have the opportunity to choose an IOL that best fits an individual patient
A conversation between the Academy's CEO/EVP David W. Parke II, MD, and ONE Network editor-in-chief Karl Golnik, MD. Dr. Parke discusses the new ethics code. The code is voluntary, and the Academy is among the first medical societies to adopt it. (May 2010)
A conversation between Lisa B. Arbisser, MD, and Stephen Wilmarth, MD, on the future of synthetic antimicrobials. Dr. Stephen Wilmarth, chairman of the ophthalmic development committee at NovaBay Pharmaceuticals, discusses synthetic antimicrobials called Aganocides that may deliver the same or better efficacy than antibiotics without triggering antibiotic-resistance. (March 2010)
Host Neil Bressler, MD, interviews Anne Fung, MD, and Michael Jumper, MD, on the topic of diabetes in the geriatric patient. Conversation includes detection of various levels of retinopathy, monitoring disease control and patient communication, approaches to panretinal photocoagulation, and treating the diabetic patient with dementia. (March 2010)
Host Neil Bressler, MD, interviews Alfredo Sadun, MD, and Nicholas Volpe, MD, on the topic of neuro-ophthalmic disease particular to the aging eye. Conversation includes giant cell arteritis and the approach to clinical diagnosis and treatment, as well as the relationship between senile dementia and ophthalmic vision loss. (October 2009)
Host Neil Bressler, MD, discusses macular degeneration with Carl Regillo, MD, and George Williams, MD. The conversation considers the AREDS vitamin formula, how to monitor disease risk and approach treatment options, and finally how to help patients and their families cope with potential vision loss. (October 2009)
A conversation between Robert Goldberg, MD, and Mark Lucarelli, MD, during the Annual Fall Scientific Symposium of the American Society of Ophthalmic Plastic & Reconstructive Surgery (ASOPRS). Dr. Lucarelli and colleagues conducted an anonymous, online survey of ASOPRS members as well as a literature review to determine surgeons
A conversation between Robert Goldberg, MD, and Tanuj Nakra, MD, during the Annual Fall Scientific Symposium of the American Society of Ophthalmic Plastic & Reconstructive Surgery (ASOPRS). Dr. Nakra and colleagues retrospectively reviewed outcomes in 19 patients injected with hyaluronic acid gel fillers for a variety of indications, including nasal valve collapse, dorsum asymmetry, wide or flat dorsum and prior surgical over-resection of the dorsum. They found the procedure to be safe and effective with high patient satisfaction. (October 2009)
A conversation between Robert Goldberg, MD, and Bita Esmaeli, MD, during the Annual Fall Scientific Symposium of the American Society of Ophthalmic Plastic & Reconstructive Surgery (ASOPRS). Dr. Esmaeli and colleagues reviewed the clinical data and histologic features of 30 consecutive patients with conjunctival or eyelid melanomas that underwent sentinel lymph node biopsy. Based on their findings they recommend sentinel lymph node biopsy for patients with ocular adnexal melanoma of greater than 2 mm in Breslow thickness and with ulceration. (October 2009)
A conversation between the Academy's CEO/EVP David W. Parke II, MD, and ONE Network editor-in-chief Karl Golnik, MD (October 2009)
A transcript of an Academy and ASCRS teleconference on IFIS (8/17/06)
Interviews with several key speakers on the topics that are important to ophthalmology residents(from the 2006 Mid Year Forum)
A summary of the key issues facing ophthalmologists (from the 2006 Mid Year Forum)