CJO June 2022 Issue Highlights

The June 2022 CJO is now available online. Here are some of the highlights:

Resident Perspectives + visual abstract: Our amazing team of residents have summarized 7 articles with a focus on what’s most relevant to ophthalmology learners here in Canada and around the globe, including the article featured in our June visual abstract, Postoperative supine position after primary Descemet-stripping automated endothelial keratoplasty reduces graft detachment rate.

Original research articles:
Clinical features, visual outcome, and poor prognostic factors in occlusive retinal vasculitis
Effectiveness of a 3D-printed mask fitter in an Ophthalmology setting during COVID-19
Research productivity and impact of Canadian academic ophthalmologists: trends in H-index, gender, subspecialty, and faculty appointment
Comparison of outcomes in patients with and without soft contact lens wear following Boston keratoprosthesis type 1
Incidence of steroid response in microinvasive glaucoma surgery with trabecular microbypass stent and ab interno trabeculectomy

Research letters, photo essays, and case reports:
Outcomes of first cases of DMEK at a Canadian university hospital centre [research letter]
Retinal racemose hemangioma characterization with multimodal imaging [photo essay]
IgG4-related orbital disease [photo essay]
Rare case of extramacular choroidal macrovessel [case report]
Multiple myeloma with concurrent herpes zoster ophthalmicus [case report]
Wellness among Canadian ophthalmology resident physicians: a national survey [correspondence]

Follow the CJO on social media:

Twitter: @CanJOphth

Instagram: @cjo_jco

Facebook: CanJOphth

Canadian Eyecare Today Issue No. 1

The first issue of Canadian Eyecare Today for 2022 is now available for your reading pleasure. This publication examines issues and topics that are relevant to today’s clinician in the treatment and management of eye disease from a Canadian perspective.

To subscribe to this publication now, please click here.
Some of the content you will find in this issue THE EVOLVING ROLE OF OCT IN PATHOLOGIC MYOPIA
Carl Shen, MD Mark Seamone, MD  Mark Greve, MD

Michael J. Wan, MD

Cindy M.L. Hutnik, MD, PhD, FRCSC and Michael T. Kryshtalskyj, MD
Kian M. Madjedi, MD, MPhil
Andrew C.S. Crichton, MD, FRCSC

Joshua Teichman, MD, MPH, FRCSC

Jing Wang, MD Please feel free to forward the publication link to your peers!

Canadian Ophthalmology Curriculum Topics & Objectives

Canadian Ophthalmology Curriculum Topics & Objectives

This document is the finalized list of curriculum topics and objectives for Canadian undergraduate medical education in ophthalmology. The development of this list was based off  three resources: The 2018 objective list developed by the Association of University Professors in Ophthalmology (AUPO) with endorsement from the American Academy of Ophthalmology (AAO)1, the AUPO’s 2009 Ophthalmology Core Knowledge and Skills competencies2,and the Medical Council of Canada’s (MCC) objectives pertaining to ophthalmology3.

After a preliminary list of objectives was made based off the previously mentioned resources, a survey was sent to the members of AUPO asking for expert opinion on each curriculum objective and if they warrant inclusion. Based on this survey, talking points were created and later discussed in a virtual meeting where the list was finalized.

*Urgent and red flag conditions have been denoted with a red Asterix. These warrant urgent referral to an ophthalmologist.

Download the full PDF document here:

The ICO shares the recent launch of the World Health Organization’s (WHO) global guidelines to support women and newborns in the postnatal period

Eye Care Embedded in New WHO Neonatal Care Guidelines

The ICO shares the recent launch of the World Health Organization’s (WHO) global guidelines to support women and newborns in the postnatal period.

For the first time ever, eye care has been embedded in neonatal care guidelines, demonstrating the importance of access to high-quality vision care in the healthy development of babies.
The ICO is in Official Relation status with the WHO. We encourage all ICO Member Societies to share these new guidelines with their networks.

CJO April 2022 Issue Highlights

The April 2022 CJO is now available online. Here are some of the highlights: 

Resident Perspectives + visual abstract: Our amazing team of residents have summarized 7 articles with a focus on what’s most relevant to ophthalmology learners here in Canada and around the globe, including the article featured in our April visual abstract, Frozen versus fresh corneal graft carriers in Boston keratoprosthesis surgery: 10-year outcomes.

Original research articles:

Research letters and case reports:

Follow the CJO on social media:

Twitter: @CanJOphth

Instagram: @cjo_jco

Facebook: CanJOphth

Re-Visioning: Stargardt Disease

An article, entitled Re-visioning by Carol Yaple, which was included in the CMAJ, Vol. 194, Issue 97 Mar 2022

“On Dec. 1, 2011, I received a diagnosis of Stargardt disease, an inherited retinal disorder that affects central vision. Genetic testing showed that my mother carried the mutation, and my father contributed a common variant. One in 10 000 are afflicted with this rare condition, which often presents in childhood.”

Read the Full Article here:

Re-visioning – Stargardt DiseaseDownload

How to Claim Section 3 Credits for Quality Improvement Activities?

How do quality improvement activities relate to CPD offerings?

A Fellow receives information about practice guidelines or an area of practice for any of the CanMEDS Roles/practice settingsThe Fellow could identify an area of their practice to evaluate and follow these guidelines to assess, identify, and measure areas for quality improvement using Practice Assessment guidelines for MOC Section 3 credits
The Fellow could review their charts/ electronic health records to assess performance against these clinical measure(s) to identify areas for quality improvement using Chart Audit guidelines for MOC Section 3 credits

Read the full Royal College Maintenance of Certification (MOC) guideline on how to identify areas for quality improvement using MOC Section 3

New Essential Guidance for Quality Improvement

Expanding Learning QI Implementation

Aligned with calls to integrate quality improvement (QI) and physician life-long learning, the Royal College is collaborating with partners and stakeholders across the health care system to evolve its Maintenance of Certification (MOC) Program. In small, practical increments, this renewed CPD strategy aims to be more relevant, improvement-focused, and user-friendly, enabling physicians to achieve care outcomes and/or continued personal-professional growth important to them and their patients.

Although these collective goals are clear, some specialists may be unfamiliar with QI principles and thus have difficulty connecting them to important improvement work they already do. Others might be challenged with identifying how to apply QI towards a specific personal development goal, professional practice role (e.g. clinician, educator, administrator), or transitioning stage of their career.

The following guidance aims to address these issues and provides:

What is QI?
New to QI and need a brief introduction? This section introduces the model for improvement (MFI) and its guiding questions to get you started.

How to do QI
Interested in knowing how to get started with QI? This section provides tools and resources to kickstart planning and implementing your quality improvement initiatives now.

Where to report QI
Section 3: Assessment Activity
Section 2: Self-Learning

For information on QI implementation visit the Royal College’s website.

Resources related to Complaints


Patients’ complaints involving ophthalmologists in the province of Ontario, Canada: a 5-year review (June 2020) – Published in the Canadian Journal of Ophthalmology (CJO)

Review of Ophthalmology Medical Professional Liability Claims in the United States from 2006 through 2015 (May 2018) – Published in Ophthalmology

Doctors’ experiences and their perception of the most stressful aspects of complaints processes in the UK: an analysis of qualitative survey data (July 2016) – Published in the BMJ

The impact of complaints procedures on the welfare, health and clinical practise of 7926 doctors in the UK: a cross-sectional survey (January 2015) – Published in the British Medical Journal (BMJ)

CMPA Articles

What to do if you’re notified of a College complaint (March 2018) – For many physicians, a regulatory authority (College) complaint is stressful, but can be managed by speaking with the CMPA, assessing the complaint, and responding professionally and respectfully.

Coping with a College complaint: Suggestions for reducing anxiety (April 2012) – Dealing with the stress of a College complaint is easier when a physician understands the complaint process and receives support, advice, and coping strategies from the CMPA.