Presented by The University of California, San Francisco Beckman Vision Center Department of Ophthalmology

OPHTHALMOLOGY U P D AT E December 2 -3, 2016

F R I DAY - S AT U R DAY

2016

Grand Hyatt Hotel San Francisco, CA

PROGRAM CHAIRS

David F. Chang, MD Clinical Professor of Ophthalmology, UCSF Alejandra G. de Alba Campomanes, MD, MPH Associate Professor of Ophthalmology and of Pediatrics, UCSF David G. Hwang, MD, FACS Professor of Opthalmology Director, Cornea Service Director, Refractive Surgery Service, UCSF Stephen D. McLeod, MD Professor and Chairman of Ophthalmology, UCSF Yvonne Ou, MD Assistant Professor of Ophthalmology, UCSF Daniel M. Schwartz, MD Professor of Ophthalmology; Director, Retina Service, UCSF M. Reza Vagefi, MD Associate Professor of Ophthalmology, UCSF Robin A. Vora, MD Medical Retina and Cataract Surgery Chief of Ophthalmology Kaiser Permanente, East Bay

OPHTHALMOLOGY U P DAT E

2016

Grand Hyatt Hotel 345 Stockton Street San Francisco, CA

December 2-3, 2016

The UCSF Ophthalmology Update will update practicing ophthalmologists on advances in: glaucoma, pediatric ophthalmology, neuro-ophthalmology, retina, oncology, oculoplastic and reconstructive surgery, cornea, refractive surgery, external disease, and uveitis. EDUCATIONAL OBJECTIVES We specifically anticipate improvements in skills and strategies to: • Evaluate and manage the patient with dysphotopsia after cataract surgery. • Understand the role that intraoperative assessment of refractive error plays in optimizing intraocular lens power selection. • Understand how imaging technology aids in deciding whether to perform laser iridotomy in patients with narrow angles. • Select optimal surgical approach in patients with inadequate capsular support. • Develop an evidence-based approach to management of orbital floor fractures.

objectives

ACCREDITATION The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. UCSF designates this live activity for a maximum of 13.25 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This CME activity meets the requirements under California Assembly, Bill 1195, continuing education and cultural and linguistic competency. Nurses: For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 CreditTM issued by organizations accredited by the ACCME. Physician Assistants: AAPA accepts category 1 credit from AOACCME, Prescribed credit from AAFP, and AMA PRA Category 1 CreditTM from organizations accredited by the ACCME. Pharmacy: The California Board of Pharmacy accepts as continuing professional education those courses that meet the standard of relevance to pharmacy practice and have been approved for AMA PRA Category 1 CreditTM.

COURSE CHAIR

GUEST FACULTY (CONT’D)

COURSE FACULTY (CONT’D)

Daniel M. Schwartz, MD Professor of Ophthalmology Director, Retina Service University of California, San Francisco

George A. Williams, MD Clinical Professor of Biomedical Sciences The Eye Research Institute of Oakland University Rochester, Michigan

Stuart Seiff, MD Professor of Ophthalmology Robert L. Stamper, MD Professor of Ophthalmology Jay M. Stewart, MD Associate Professor of Ophthalmology

PROGRAM CHAIRS

David F. Chang, MD Clinical Professor of Ophthalmology Alejandra G. de Alba Campomanes, MD, MPH Associate Professor of Ophthalmology and of Pediatrics David G. Hwang, MD, FACS Pearl T. and Samuel J. Kimura Chair in Ophthalmology Professor of Ophthalmology Co-Director, Cornea Service Co-Director, Refractive Surgery Service University of California, San Francisco Stephen D. McLeod, MD Professor and Chairman of Ophthalmology University of California, San Francisco Yvonne Ou, MD Assistant Professor of Ophthalmology University of California, San Francisco M. Reza Vagefi, MD Associate Professor of Ophthalmology University of California, San Francisco Robin A. Vora, MD Medical Retina and Cataract Surgery Chief of Ophthalmology Kaiser Permanente, East Bay GUEST FACULTY

Anthony Aldave, MD Professor of Ophthalmology, Walton Li Chair in Cornea and Uveitis, Chief of the Cornea and Uveitis Division Director of the Cornea and Refractive Surgery Fellowship Program; UCLA David Geffen School of Medicine Los Angeles, CA Warren E. Hill, MD Medical Director of East Valley Ophthalmology Mesa, Arizona Malik Kahook, MD Professor of Ophthalmology Vice Chair, Clinical & Translational Research; Director, Glaucoma Service & Glaucoma Fellowship Department of Ophthalmology University of Colorado School of Medicine Aurora, CO Paul D. Langer, MD Associate Professor of Ophthalmology & Visual Science Rutgers Medical School Newark, NJ

COURSE FACULTY (University of California, San Francisco unless otherwise noted)

Nisha Acharya, MD Professor of Ophthalmology Robert Bhisitkul, MD, PhD Professor of Ophthalmology David F. Chang, MD Professor of Ophthalmology Emmett Cunningham, MD, PhD, MPH Professor of Ophthalmology Stanford University, Stanford, CA Bertil Damato, MD Professor of Ophthalmology Eugene de Juan Jr., MD Professor of Ophthalmology John Gonzales, MD Assistant Professor of Ophthalmology Jennifer Graves, MD, PhD Assistant Professor of Neurology Ying Han, MD, PhD Assistant Professor of Ophthalmology Jonathan C. Horton, MD, PhD Professor of Ophthalmology, Neurology, and Physiology Creig S. Hoyt, MD Professor of Ophthalmology Andrew G. Iwach, MD Associate Professor of Ophthalmology Robert C. Kersten, MD Professor of Ophthalmology Thomas M. Lietman, MD Ruth Lee and Phillips Thygeson Distinguished Professor Shan C. Lin, MD Professor of Ophthalmology Director of Glaucoma Service Brandon Lujan, MD Assistant Professor of Ophthalmology and the Medical Director of the Casey Reading Center Anthony T. Moore, MBBS, FRCS, FRCOphth Professor of Ophthalmology Ayman Naseri, MD Professor of Ophthalmology Jennifer Rose-Nussbaumer, MD Assistant Professor of Ophthalmology Sriranjani Padmanabhan, MD Clinical Instructor of Ophthalmology Saras Ramanathan, MD Associate Professor of Ophthalmology Julie Schallhorn, MD Assistant Professor of Ophthalmology; Keck School of Medicine of USC Los Angeles, CA

CORDES FACULTY

Richard Abbott, MD Professor of Ophthalmology University of California, San Francisco Michael Geske, MD Department of Ophthalmology Kaiser Permanente Oakland, CA Ashleigh Levison, MD Ophthalmologist Retinal Consultants of Arizona Brandon J. Lujan, MD Assistant Clinical Professor of Ophthalmology University of California, San Francisco Ronald B. Melles, MD Department of Ophthalmology Kaiser Permanente Redwood City Medical Center, CA Isabella Phan, MD Assistant Clinical Professor of Ophthalmology University of California, San Francisco Soraya Rofagha, MD Assistant Clinical Professor of Ophthalmology University of California, San Francisco Poorab K Sangani, MD Chief, Department of Ophthalmology The Permanente Medical Group, South San Francisco, CA Michael Seider, MD Vitreoretinal Surgeon Ocular Oncologist The Permanente Medical Group M. Reza Vagefi, MD Associate Professor of Ophthalmology University of California, San Francisco Robin A. Vora, MD Medical Retina and Cataract Surgery Chief of Ophthalmology Kaiser Permanente, East Bay Dandan Wang, MD Pathology resident, Los Angeles County Hospital, University of Southern California Los Angeles, CA Syd Williams, MD Associate Clinical Professor of Ophthalmology University of California, San Francisco

faculty faculty

OPHTHALMOLOGY UPDATE December 2-3, 2016 FRIDAY, DECEMBER 2, 2016 7:00 am 7:50

Registration & Continental Breakfast Welcome

Stephen McLeod, MD

GLAUCOMA • Moderator: Yvonne Ou, MD 8:00 Case #1: Your Patient Doesn't Want Laser or Surgery for Increasing Surgery, But Also Complains about Her Drops 8:02 Wouldn't You Rather Use Brand Name or Preservative-Free Drops? 8:12 Generics Are Cheaper And Just As Effective 8:22 Panel Discussion / Rebuttals 8:27 Case #2: A Primary Angle Closure Suspect Is Referred and has No Signs of Intermittent Angle Closure 8:29 There's No Harm In Waiting and Observing 8:39 Let's Do An LPI Right Away 8:49 Panel Discussion / Rebuttals 8:55 Case #3: A Patient Presents with Newly Diagnosed Advanced Glaucoma 8:57 Give Medications or Laser A Trial First 9:07 Let's Go Straight To Surgery 9:17 Panel Discussion / Rebuttals 9:22 Glaucoma Management: When Is It Too Good to Be True? 9:32 Advances In the Surgical Treatment of Glaucoma 9:52 Panel Discussion 9:57 Break RETINA/UVEITIS/ONCOLOGY • Moderator: Robert Bhisitkul, MD 10:15 Current Approaches to Scleral PC-IOL Fixation 10:35 OCT Angiography 10:50 A New Clinical Trial for Geographic Atrophy 11:00 Retinal Drug Delivery 11:10 Mosquito Borne Uveitis 11:20 11:30 11:40

11:50 12:10

Intermediate Uveitis: When and How do you Treat? Lessons Learned from Uveitis Cases Late-Stage Management of Retinal Vein Occlusion: Collective Analyses of The Bravo, Cruise, Horizon, and Shore Studies Seven Deadly Sins in Ocular Oncology Lunch (On Your Own)

PEDS/NEURO • Moderator: Creig Hoyt, MD 1:30 In Flagrante Delicto: Capturing the Moment when Fusion is Lost in Strabismus 1:45 Two Pretenders 2:00 Investigation of Infantile Onset Nystagmus 2:15 The Fundus In Neurologic Disease 2:30 Panel Discussion 2:45 Break OCULOPLASTICS • Moderator: M. Reza Vagefi, MD 3:05 Plastics Section Lecture: Pearls in the Management of Orbital Floor Fractures 3:20 Paramedian Forehead Flap for Ocular Adnexal Reconstruction 3:35 Is there a Role for Sentinel Lymph Node Biopsy in Eyelid Malignancy? 3:50 Basic Concepts in Skin Care 4:05 Introduction and Kramer Lecture: The Use of Computerized, Preoperative Planning and 3D Printing in the Repair of Complicated Periorbital Fractures 4:30 pm Adjourn

Yvonne Ou, MD

Malik Kahook, MD Robert Stamper, MD All Yvonne Ou, MD Shan Lin, MD Ying Han, MD All Yvonne Ou, MD Yvonne Ou, MD Sriranjani Padmanabhan, MD All Andrew Iwach, MD Malik Kahook, MD All

George Williams, MD Brandon Lujan, MD Jay Stewart, MD Eugene De Juan, MD Emmett Cunningham, MD, PhD, MPH John Gonzales, MD Nisha Acharya, MD Robert Bhisitkul, MD, PhD

Bertil Damato, MD

Jonathan Horton, MD Creig Hoyt, MD Anthony Moore, MD Jennifer Graves, MD

Paul Langer, MD M. Reza Vagefi, MD Robert Kersten, MD Stuart Seiff, MD Paul Langer, MD

program

2016 Grand Hyatt Hotel San Francisco, CA

SATURDAY, DECEMBER 3, 2016 7:30 am 8:00 8:05

Continental Breakfast Welcome and Introduction of the Proctor Lecturer Proctor Lecture: Intravitreal Injections: Epidemiology, Economics And Health Policy

Stephen McLeod, MD George Williams, MD

CATARACT SECTION • Moderator: David F. Chang, MD Session 1: Mini-Symposium – Target Emmetropia, MD Panel: Drs. Warren Hill, Ayman Naseri, Stephen Mcleod, Saras Ramanathan 8:45 IOL Power Calculations Warren Hill, MD 8:58 Flacs – Does It Help? Saras Ramanathan, MD 9:11 Toric IOLS – Pearls and Pitfalls Warren Hill, MD 9:24 Intraoperative Guidance Technology David Chang, MD Panel Discussion - 3 Minutes Following Each Talk Session 2: IOL Complications – My Top 5 Pearls Panel: Drs. Warren Hill, Anthony Aldave, Jay Stewart, David Hwang 9:55 IOL Power Surprise Warren Hill, MD 10:07 Pseudophakic Dysphotopsia Stephen McLeod, MD 10:19 IOL Implantation Absent Capsular Support Ayman Naseri, MD 10:31 IOL Subluxation David Hwang, MD 10:43 IOL Explantation Anthony Aldave, MD 11:00 Break CORNEA/REFRACTIVE SURGERY • Moderator: David Hwang, MD 11:20 OCT Applications in Keratorefractive and Lens-Based Julie Schallhorn, MD Refractive Surgery 11:32 Fuchs Dystrophy: A New Paradigm in Diagnosis David Hwang, MD and Treatment 11:44 Here At Last: Corneal Cross-Linking Jennifer Rose-Nussbaumer, MD 11:56 Options and Outcomes in the Management of Corneal Anthony Aldave, MD Limbal Stem Cell Deficiency 12:11 Update on Management of Fungal Keratitis Thomas Lietman, MD 12:23 Panel Discussion Moderator: Dr. Hwang Panel: Drs. Aldave, Lietman, Mcleod, Schallhorn, and Rose-Nussbaumer 12:35 Lunch (On Your Own) or Cordes Lunch (Members Only) CORDES SESSION • Moderator: Robin Vora, MD and Julius Oatts, MD 2:16 35 Years of Volunteering with the AAO: Richard Abbott, MD Personal Reflections 2:37 A Cautionary Tale Reza Vagefi, MD 2:47 The First 5 Years After Training: What to Expect and Soraya Rofagha, MD Lessons Learned 2:57 Acute Open Angle Glaucoma - Does it Exist Syd Williams, MD 3:07 Read the Map Robin Vora, MD 3:17 IOL Formula Shootout: Which is the best? Ronald Melles, MD 3:27 Primum Non Nocere Poorab Sangani, MD 3:48 Mystery Posterior Uveitis Ashleigh Levison, MD 3:58 MacTel Misdirection Brandon Lujan, MD 4:08 Imaging of Intraocular Tumors Isabella Phan, MD 4:18 Biopsy Technique for Uveal Melanoma: A Multi-Center Michael Seider, MD Trends Analysis 4:28 Mystery Medical Cornea Mike Geske, MD 4:38 Ethnic Variation of Ocular Anterior Segment Biometry Dandan Wang, MD 5:00 pm Adjourn

GENERAL INFORMATION

REFUND POLICY

Advanced registration closes one (1) business day prior to start of course. On site registration fees, if applicable, will be applied after this date.

Cancellations received in writing before November 28, 2016 of the course will be refunded, less a $75 administrative fee. No refunds will be made on cancellations received after that date.

REGISTRATION INFORMATION

Tuition: $525 $400

Physicians Nurses/Allied Health Professionals/Residents/Fellows * On-site registration will be $50 additional. SYLLABUS

A printed syllabus will be provided and is included in the registration fee. Syllabus submissions will be added and updated after the course electronically to the course website. REGISTER VIA

Online: Mail:

cme.ucsf.edu Complete course registration form and send with payment to: UCSF Office of CME, P.O. Box 45368 San Francisco, CA 94145-0368 Fax: Fax completed registration form to: (415) 502-1795 (be sure to include your credit card number) Phone: To register by phone or to inquire about registration status, please call UCSF’s CME Registration Office at (415) 476-5808 On-Site Registration: Generally, we are able to accommodate on-site registration at our courses; however, pre-registration is preferred to ensure that we have adequate course materials. Please check our website for up-to-date information on the course: cme.ucsf.edu

CONFERENCE LOCATION

Enjoy San Francisco’s renowned attractions such as the historic cable cars, shopping in Union Square, or visit San Francisco’s culinary hub at the Ferry Building. The Grand Hyatt Hotel is just steps from Union Square and the Theatre District. A block of guestrooms has been reserved at the special UCSF conference rate of $239/night. You are urged to make your reservations early. The cut off date is November 10, 2016, or until the group room block is filled. After this date, rooms will be provided on a space-available basis only. To make hotel reservations on-line, go to www.cme.ucsf.edu and click on the hotel link in the Travel & Lodging section of the course webpage. If you prefer to telephone in your reservation, call 1-888-421-1442 and identify yourself as a member of this UCSF conference to receive the special rate. By staying at the host hotel, you help UCSF meet its contractual obligations and keep registration fees reasonable. RENTAL CAR

Hertz is offering special rates for participants of this conference; simply call 800-654-2240 and refer to convention number # 03BW0135 or call your travel agent. You may also make reservations at www.Hertz.com. Advance reservations are recommended.. AIR TRANSPORTATION

UCSF has negotiated special fares with United Airlines for our course attendees. You may use the following tour code to book on your own: ZWQA984664

general info

For more information or to register online visit our website at cme.ucsf.edu You may also reach us by calling the Office of CME at (415) 476-4251 or email [email protected]

E Printed on Recycled Paper

0569 University of California, San Francisco Office of Continuing Medical Education 3333 California Street Suite 450 San Francisco, CA 94143-0742

MOP17002

cme.ucsf.edu

2016 OPHTHALMOLOGY UPDATE December 2-3, 2016 Grand Hyatt Hotel San Francisco, California Mail to : UCSF Office of CME P.O. Box 45368 San Francisco, CA 94145-0368 Fax: (415) 502-1795

Online registration: cme.ucsf.edu Registration Information: (415) 476-5808 Course Information: (415) 476-4251

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