2015 rate card print5e3548d14dcea9ad4884-3d60fc0fa5878c65be6ab1e2048633f4.r92. print rates 1.eye: th

10Healio.com/Ophthalmology

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US EDITION

A SLACK Incorporated® publication

OCULAR SURGERY NEWS

Healio.com/Ophthalmology

®

Point-of-care tests for ocular surface disease gaining acceptance as diagnostic tools Ocular surface disease has various causes, and in- offi ce testing is one means to defi ne those causes. Red eye: Th ere is a test for that. Meibomian gland dys- function: Th ere is a test for that. Allergy: Th ere is a test for that. Dry eye: Th ere is a test for that — more than one.

Point-of-care testing (POCT) is a growing area in ophthalmology in which clinicians obtain immedi- ate results that enhance the accuracy of a diagnosis or help rule one out during one clinic visit. Th e most common testing done in an ophthalmologist’s of- fi ce is for ocular surface disease, which encompasses three primary areas: dry eye, meibomian gland dys- function and ocular allergy.

Th e advantages of these in-offi ce tools are speed and simplicity; the disadvantage may be lack of rev- enue, according to OSN Healio.com/Ophthalmology Board Member William B. Trattler, MD.

“[POCT] is very simple to implement in your of- fi ce,” Trattler said. “It probably won’t generate a lot of income, but it really helps us hone the diagnosis to better care for our patients.”

“We are just in the beginning of the general

Im ag

e: W

hi te

D E

Point-of-care tests for ocular surface disease are technically easy for offi ce staff to perform and are comfortably easy for patients to endure, according to Darrell E. White, MD.

COMPLICATIONS CONSULT

Pre-Descemet’s endothelial keratoplasty combines advantages of DSAEK, DMEK

The PDEK graft allows easy intraoperative handling because it is not as fl imsy as Descemet’s membrane alone, and PDEK can use donor eyes of any age. 33

LINDSTROM’S PERSPECTIVE

All eye care practitioners should utilize point-of- care testing 6

NEWS YOU CAN USE FROM UPMC EYE CENTER

Nonsurgical option available for long-standing or sensory strabismus in adults With Botox, improvements in the position of the eye can be seen even after the initial 3-month paresis has worn off . 7

IN THE JOURNALS

Intravitreal ranibizumab associated with subfoveal choroidal thinning in idiopathic disease Intravitreal ranibizumab therapy was associated with thinning of the subfoveal choroid in patients treated for unilateral idiopathic subfoveal choroidal neovascularization. 23

Meeting coverage starts on page 14

Kiawah Eye 2014 May 29-31

Meeting News Coverage

Ten-point scorecard can assess administrator prowess The success of your administrator has a direct eff ect on the success of your practice. 25

Surgical Maneuvers: Early results of stab incision glaucoma surgery promising The technique involves the creation of a compromised leaking corneoscleral tunnel with minimal to no conjunctival dissection. 4

GAITHERSBURG, Md. — Amid concerns about safety and study methodology, the U.S. Food and Drug Administration’s Ophthal- mic Devices Panel of the Medical Devices Advisory Committee voted recently on three questions concerning the Kamra inlay.

Although more panel members voted “no” on a question of the device’s safety, a majority voted “yes” on efficacy and a slim majority voted “yes” on whether the de-

vice’s benefits outweigh the risks. Th e Kamra inlay (AcuFocus) is indicated

for the improvement of near and intermedi- ate vision in presbyopic patients. Th e inlay is placed intrastromally in the cornea on the visual axis through a femtosecond laser- created pocket using a spot/line separation of 6 μm × 6 μm or less. Placement of the in- lay should be at a depth of 180 μm or greater.

“Th e Kamra inlay represents more than a

decade of research, development and clinical evaluation, and we appreciated the opportu- nity to present the Kamra data back to the Ophthalmic Devices Advisory Panel,” Nick Tarantino, MD, chief clinical and regulatory offi cer for AcuFocus, said in a company press release.

On the question of the implant’s safety in patients who meet the criteria specifi ed in the

FDA panel continued on page 3

Volume 32 • Number 13

JULY 10, 2014

FDA panel affi rms Kamra inlay’s effi cacy and benefi ts, votes ‘no’ on safety

OSN Italy 2014 May 23-24

AOS American Ophthalmological Society May 15-18

OSNUS07A14pgs1,10-13.indd 1 6/18/2014 3:51:21 PM

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