e34 Volume 14 Number 1 / February 2010

Unfinished presentations that are still in progress will be terminatedat exactly 5 minutes to assure that this workshop remains bothdynamic and on schedule.

137 Oculoplastic pearls for the pediatric ophthalmologist.Manoj V. Parulekar, Dan De AngelisThis workshop will be co-presented by pediatric ophthalmologists andoculoplastic surgeons, sharing our experiences from large tertiary re-ferral childrens hospitals and oculoplastic units. We hope this combi-nation will provide a unique perspective on pediatric oculoplasticdisorders. Apart from the management of common eyelid disorders,such as ptosis and hemangioma, we hope to include case-based dis-cussion on difficult conditions like childhood proptosis, syndromeswith eyelid involvement, facial nerve palsy and Mobius syndrome,and masquerade syndromes of the eyelid and orbit. A problem solvingapproach to these conditions will be shared with the participants.Salient features

1. Management algorithms for common clinical problems2. Problem solving for complex cases3. Surgical pearls- videos will be used to illustrate important sur-

gical procedures4. Hands-on workshop: introduction to various surgical instru-

ments and devices including frontalis sling suspension usingsilicone rods.

138 Practice management tips and secrets. Maria Patterson,Patrick J. Droste, Robert Gold, Deborah Costakos, Robert Arnold,Eric LichtensteinGood practice management skills are necessary to maintain anefficient practice and provide long-standing and quality patient care.This symposium will cover the following practice management topics:

1. An overview of basic practice financials for the pediatric oph-thalmology practice

2. Reducing denied claims and write-offs3. Optical dispensing for the pediatric practice4. ROP contracting5. Managing optometrists as physician extenders in your practice6. Electronic medical records within the pediatric ophthalmology

office7. Insurance contract negotiations8. Reducing no-show rates

The presentations will provide perspective from multiple practice lo-cations and settings. There will be a question and answer session atthe end of the program.

139 Pediatric refractive surgery: Extraocular and intraoculartechniques, benefits, and risks. Evelyn A. Paysse, LawrenceTychsen, Erin StahlRefractive surgery has now been used for over 10 years for a subsetof children who have impediments to standard spectacle or contactlens wear. It has been successfully used in this population to treatsevere anisometropia and bilateral ametropia associated with am-blyopia. Extraocular techniques include photorefractive keratec-tomy, laser assisted subepithelial keratomileusis, and laserassisted in situ keratomileusis. Intraocular techniques are just start-ing to be investigated in the pediatric population for refractive errorsthat are outside of the treatment dose capabilities of the excimer la-ser and include refractive lensectomy and phakic intraocular lenses.This course will discuss the various techniques, how and when touse each technique, and the risks and benefits of each. Outcomesdata will be given that summarize the known benefits, risks, rates

of re-operation, and complications. Family counseling will bediscussed including informed consent, institutional review board is-sues, and FDA off-label use considerations. A discussion of newertechniques that are being used in adults that may have future clinicalrelevance to the pediatric population will also be included. Someillustrative case presentations will be given. Ample time will bereserved for questions from the audience.

140 Medical literature—reading it and writing it. Members OfThe AAPOS Research Committee: Gil Binenbaum, Brian Brooks,Suquin Guo, Jonathan Holmes, Mohamad Jaafar, Graham E. Quinn,Kristina Tarczy-Hornoch, Jaime Tejedor, David Wallace, Agnes WongThis workshop is addressed to consumers and producers of the med-ical literature and addresses three main issues:

1. How to read and evaluate medical literature and evaluate itmore criticallya. the hierarchy of evidence in medical literatureb. the search for the ‘‘study question’’c. approach to data analysis/appropriate to question?d. finding the take-home message in the discussion/commentse. assessing biases that may affect the message

2. How to improve the quality of your own contributions to the lit-eraturea. refining a study question and designing a study to answer

the questionb. do you have or can you accumulate a sample that is ade-

quate to address the question?c. picking the best analytic approachd. not overstating your conclusions/commentse. acknowledging study limitationsf. picking the right journal

3. How to review for scientific journalsa. your responsibilities as a reviewerb. what are the essential elements that must be met?c. what to do when a paper is:

i. incredibly awfulii. marginal but some valueiii. nearly there

The workshop aims to provide a practical approach using examplesfrom our own experience and stumbles.

141 What’s new and important in pediatric ophthalmology andstrabismus. Melinda Rainey, Jitka Zobal-Ratner, Deborah Alcorn,Kyle Arnoldi, Dean Bonsall, Michael ChiangParticipants: Melinda Rainey, MD, Chair, Jitka Zobal-Ratner, MD,Deborah Alcorn, MD, Kyle Arnoldi CO, Dean Bonsall MD, Darren Ba-cal MD, Michael Chiang MD, Oscar Cruz, MD, George Ellis Jr., MD,Evelyn Paysee, MD, Gill Roper-Hall DBOT, CO, Janine Smith-Mar-shall, MD, Barry Wasserman, MD, Daniel Weaver, MD, KimberlyYen, MD. This workshop, sponsored and presented by the Profes-sional Education Committee, has been well received and well at-tended at many past AAPOS and AAO meetings. Throughout theyear, members of the committee peruse the major journals of ophthal-mology, pediatric interest and general medicine and select articleswhich they feel are new and important to Pediatric Ophthalmology.The committee members then summarize the journal articles, whichare then assembled into an extensive handout (available prior tothe meeting on the AAPOS Web site). The journals reviewed includeJ AAPOS, Ophthalmology, JPOS, BJO, Archives of Ophthalmology,Survey of Ophthalmology, and various other journals which typicallycontain articles of interest. After the handout is generated, committee

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