Chapter 4: Keys to Planning Treatments of Complex Cornea Patients

Chapter 4 Keys to Planning Treatments of Complex Cornea Patients
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  • Overview

    Dr. Nicole Fram discusses unique preoperative diagnostics and IOL calculation considerations for complex cornea patients.  She discusses her decision making process between corneal and lens treatment for phakic patients.

    This activity is supported by an unrestricted educational grant from Avellino, AcuFocus, and Glaukos.

  • Learning Objectives

    Upon completion of this activity, the participant should be able to:

    • Review the prevalence of keratoconus and the prevalence of complex corneas among refractive surgery and cataract surgery candidates
    • Improve understanding of new technologies for the identification of inherited risk factors before or early in the progression of corneal disease
    • Understand how cross-linking technology can help halt the progression of keratoconus
    • Identify techniques and technologies to improve visual quality and patient satisfaction in complex cornea patients presenting for cataract and refractive surgery
    • Accreditation

      ACCREDITATION STATEMENT
      This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Evolve Medical Education LLC (Evolve) and The Fundingsland Group. Evolve is accredited by the ACCME to provide continuing medical education for physicians.

      CREDIT DESIGNATION STATEMENT
      Evolve Medical Education designates this enduring material for a maximum of .25 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    • Participation Method

      In order to obtain credit, proceed through the program, complete the post-test, evaluation and submit for credit.

    • Faculty and Disclosures

      Elizabeth Yeu, MD

      Elizabeth Yeu, MD

      Virginia Eye Consultants
      Medical Director, CVP Mid-Atlantic
      Cornea, Cataract, External Disease, and Refractive Surgery
      Assistant Professor
      Department of Ophthalmology
      Eastern Virginia Medical School
      Norfolk, VA


      Gerd U. Auffarth, MD, PhD, FEBO

      Gerd U. Auffarth, MD, PhD, FEBO

      Chairman, Department of Ophthalmology, Heidelberg University Eye Hospital
      Director (Head), International Vision Correction Research Centre
      Director (Head), David J. Apple Center for Ocular Pathology
      University-Eye Clinic
      Heidelberg, Germany


      Brandon D. Ayres, MD

      Brandon D. Ayres, MD

      Cornea Service
      Wills Eye Hospital
      Philadelphia, PA


      Nicole Fram, MD

      Nicole Fram, MD

      Managing Partner, Advanced Vision Care
      Clinical Instructor of Ophthalmology
      Stein Eye Institute, UCLA
      Los Angeles, CA


      Richard Lindstrom, MD

      Richard Lindstrom, MD

      Program Director
      Founder and Attending Surgeon
      Minnesota Eye Consultants
      Minneapolis, Minnesota


      DISCLOSURE POLICY
      It is the policy of Evolve that faculty and other individuals who are in the position to control the content of this activity disclose any real or apparent conflicts of interest relating to the topics of this educational activity. Evolve has full policies in place that will identify and mitigate all conflicts of interest prior to this educational activity.

      The following faculty/staff members have the following financial relationships with commercial interests:

      Elizabeth Yeu, MD, has had a financial relationship or affiliation with the following ineligible companies in the form of Consultant: Advanced Vision Group, Alcon, Allergan, Avellino, Bausch + Lomb, BioTissue, BVI, BlephEx, Bruder, Carl Zeiss Meditec, CorneaGen, Dompé, Expert Opinion, EyePoint Pharmaceuticals, Glaukos, Guidepoint, Johnson & Johnson Vision, Kala Pharmaceuticals, LayerBio, Lensar, Melt, Merck, Mynosys, Novartis, Ocular Science, Ocusoft, Omeros, Oyster Point Pharmaceuticals, Science Based Health, Sight Sciences, Sun Pharmaceutical Industries, Surface, Tarsus, TearLab, Thea, TopCon, and Visus. Research/Grants: Alcon, BioTissue, Johnson & Johnson Vision, Tarsus, TopCon, and TearLab. Stock/Shareholder: Advanced Vision Group, Avellino, BlephEx, CorneaGen, Expert Opinion, LayerBio, Mati, Melt, Modernizing Medicine, Ocular Science, Orasis, Oyster Point Pharmaceuticals, Staar, Tarsus, and Visus.

      Gerd U. Auffarth, MD, PhD, FEBO, has had a financial agreement or affiliation during the past year with the following commercial interests in the form of Consultant: Alcon Vision, Carl Zeiss Meditec, Johnson & Johnson Vision. Lecture Fees: Biotech, Carl Zeiss Meditec, Johnson & Johnson Vision, Hoyga, Kowa, Oculentis, Oculus, Rayner, Santen, and Sifi. Travel Fees: Alcon Vision, Carl Zeiss Meditec, Johnson & Johnson Vision, Hoya, Kowa, Oculentis, Rayner, Santen, and Sifi. Research Grants: Acufocus, Johnson & Johnson Vision, Anew, Biotech, Carl Zeiss Meditec, Contamac, Hoya, Kowa, Oculentis, Oculus, PhysIOL, Rayner, Santen, and Sifi.

      Brandon D. Ayres, MD, has had a financial relationship or affiliation with the following ineligible companies in the form of Consultant: Alcon Vision, Allergan, Bausch + Lomb, Carl Zeiss Meditec, Dompé, Eyevance, Eyepoint Pharmaceuticals, Glaukos, Gore Surgical, Kala, Omeros, Microsurgical Technology, Mojo, Novartis, Sight Sciences, and TearLab. Speaker’s Bureau: Alcon Vision, Allergan, and Dompé.

      Nicole Fram, MD, has had a financial relationship or affiliation with the following ineligible companies in the form of Consultant: Alcon, Carl Zeiss Meditec, CorneaGen, Johnson & Johnson Vision, Ocular Therapeutix, Orasis Pharmaceuticals, and Oyster Point. Speaker's Bureau: Alcon, Beaver-Visitec, CorneaGen, and Glaukos. Stock/Shareholder: CorneaGen, Ocular Science, and Orasis Pharmaceuticals. Research/Grants: Carl Zeiss Meditec and Ocular Therapeutix.

      Richard Lindstrom, MD, has had a financial agreement or affiliation during the past year with the following commercial interests in the form of Consultant and Stock/Shareholder: Acufocus.

      The Evolve  and The Fundingsland staff and planners have no financial relationships with commercial interests.

    • Disclaimer

      OFF-LABEL STATEMENT
      This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The opinions expressed in the educational activity are those of the faculty. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

      DISCLAIMER
      The views and opinions expressed in this educational activity are those of the faculty and do not necessarily represent the views of Evolve, The Fundingsland Group, Acufocus, or Glaukos.

    • System Requirements

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        • Google Chrome for Windows, Mac OS, iOS, and Android
        • Apple Safari for Mac OS and iOS
        • Mozilla Firefox for Windows, Mac OS, iOS, and Android
        • Microsoft Edge for Windows
      • Recommended Internet Speed: 5Mbps+

    • Publication Dates

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