Reading, dyslexia, and vision therapy

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  • 130 Difficult problems: Nonstrabismus. Brian Forbes, Ken Nischal,

    newer technologies and thorough discussion of what the `experts' re-

    the ETROP Study. Dr. Phelps will discuss the neonatologist's perspec-

    Hemangioma management will be examined in detail, starting with

    viewed in preparation for this workshop. Videos will be shown that

    ney. During the course of a career, each surgeon develops a range of

    Volume 14 Number 1 / February 2010 e33133 Reading, dyslexia, and vision therapy. Sheryl M. Handler,Megan ReesThis workshop will give a comprehensive summary of the latest infor-mation on language acquisition, reading, dyslexia, and eye functionstive, and also compare the ETROP Study to other ROP clinical trials. Dr.Palmer will discuss significant findings from the CRYO-ROP Study andhow these comparewith the ETROP Study. At the conclusion, the panelwill look forward to discuss further analyses underway in the ETROPStudy. We expect a vigorous debate on the subject of plus diseaseand the future of photoscreening, as it may pertain to findings fromthe ETROP Study. The audience will have the opportunity to interactwith the panel to review study methodology and use to make (or exclude) the diagnosis of pediatric glaucoma.Technologies to be discussed include: central corneal thicknessand other features affecting pressure evaluation (including new de-vices for measuring intraocular pressure), optic nerve head (andmacular?) imaging (optical coherence tomography, etc.), visual fieldevaluation, and modern strategies for medical management of thehigh-risk or confirmed glaucoma case. A case-based format will beutilized, and attendee questions and comments will be encouraged.

    132 Findings from the Early Treatment for Retinopathy ofPrematurity Study. William V. Good, Bradley A. Davitt, Robert J.Hardy, Earl A. Palmer, Dale L. Phelps, Graham E. QuinnIn this workshop, the findings from the Early Treatment for Retinop-athy of Prematurity Study (ETROP) will be reviewed, explained, anddiscussed. Dr. Good will begin with an overview of the study, factorsthat were considered at the studys inception, and major findings ofthe study. Dr. Hardy will review statistical methods used to determinefindings. Drs. Davitt and Quinn will discuss refractive error changesnoted in the ETROP Study, and how these compare with the CRYO-ROP Study. Dr. Quinn will review ICROP findings that are relevant toAlex V. Levin, Scott Olitsky, David Wallace, Sean DonahueIn this workshop, we will discuss 5 patients with primary ocular dis-ease processes, other than strabismus, whose diagnosis, findings, ortreatment present a clinical dilemma to the pediatric ophthalmolo-gist. The goal of the discussion will be to elucidate basic lines ofthinking that should direct the clinician toward appropriate diagnos-tic and therapeutic solutions. The audience is encouraged to partic-ipate in the discussion.

    131 Does this child have glaucoma? Applying newer technologiesto the diagnosis and management of pediatric glaucoma. Sharon F.Freedman, Allen D. Beck, Alex V. LevinDoes this child have glaucoma? Applying newer technologies to thediagnosis and management of pediatric glaucoma. Synopsis: Pediat-ric glaucoma sometimes presents with clear objective signs thatmake its diagnosis (though not necessarily its successful treatment!)rather straightforward. Yet at other times, abnormalities of the opticnerve or other features of the childs case raise suspicion of the glau-coma diagnosis but doubt remains. This workshop is intended to re-view cases of known and suspected glaucoma, with emphasis onfinancial impact to your practice, vendor selection, e-prescribing, andthe meaningful use clause. The participant will gain the knowledgenecessary to begin an implementation of EHR for his or her practice.Journal of AAPOSsurgical secrets to facilitate care. These secret personal techniquesmay make a difficult step easier, make surgery more efficient, makesurgery safer, or may enhance outcomes. The purpose of this work-shop is to reveal an assortment of these surgical secrets that boththe novice and expert surgeon will find valuable for the treatmentof both strabismus and nonstrabismus related problems. Witha heavy emphasis on video presentations, individual presenters,with varying levels of surgical experience, will be allowed amaximumof 5 minutes to present her or his favorite surgical tip(s). This work-shop promises to be fast-paced, entertaining, and very some of the most successful surgeries as well as surgeriesthat were particularly challenging. The workshop will focus on les-sons that the instructors have learned from performing these surger-ies as well as lessons learned from reviewing all of the surgicalvideos. This course will teach pediatric ophthalmologists new tech-niques that will allow them to perform cataract surgery during in-fancy more successfully.

    136 Surgical secrets. Scott E. Olitsky, Evelyn PaysseThe acquisition and enhancement of surgical skills is a lifelong jour-earlier treatment modalities and culminating in the pioneering useof intralesional corticosteroid injections. More recent utilization oftopical and systemic corticosteroid therapy, surgical excision, sur-face laser treatment and the emergence of propranolol therapywill be presented. Clinical indications, strategies and clinical exam-ples of successes, failures and complications of these treatmentswill be discussed.

    135 Infant cataract surgery techniquesvideo lessons learnedfrom the infant aphakia treatment study. Scott R. Lambert,M. Edward Wilson, David A. Plager, Edward G. BuckleyCataract surgery during infancy can be very challenging. These eyesare often microphthalmic and lack scleral rigidity. They are also moreprone to intraoperative complications such as iris prolapse and hem-orrhaging. It can be particularly challenging to implant an intraocularlens in the capsular bag in these eyes. The Infant Aphakia TreatmentStudy (IATS) is a NEI sponsored randomized clinical trial comparingtreatment with an intraocular lens versus a contact lens followingcataract surgery in infants\7 months of age with a unilateral con-genital cataract. One-hundred fourteen infants were enrolled inIATS between December 2004 and January 2009. The IATS protocolrequired that all of the primary cataract surgeries be videotaped andsubmitted for review. One or more of the instructors for this work-shop reviewed all of these videos to ensure that the IATS protocolswere being followed. All of the IATS videos were subsequently re-re-necessary to read. We will cover in depth controversial theoriessuch as the Magnocellular Theory and the Irlen Syndrome (ScotopicSensitivity Syndrome). Behavioral/Developmental Optometric theo-ries and practice will be reviewed. Behavioral Optometric testing,training (developmental) lenses, and vision therapy will be exten-sively discussed and examples shown. The participant will gaina thorough understanding of the issues and controversies and bebetter equiped to discuss this subject with our patients and their fam-ilies.

    134 Management of hemangiomas: Past, present, and future.Daniel J. Karr, Gregg T. Lueder, Burton J. Kushner, David A. Plager

    Difficult problems: NonstrabismusDoes this child have glaucoma? Applying newer technologies to the diagnosis and management of pediatric glaucomaFindings from the Early Treatment for Retinopathy of Prematurity StudyReading, dyslexia, and vision therapyManagement of hemangiomas: Past, present, and futureInfant cataract surgery techniques-video lessons learned from the infant aphakia treatment studySurgical secrets


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