Looking Beyond VEGF Suppression: Optimizing the Patient Journey was held on Saturday, June 17 from 6:30 – 8:00 am ET at the 2023 COS Annual Meeting.

Our host, Dr. Wai-Ching Lam, joined by four international experts, discussed the following objectives:

• Outline the role of the Tie-2/ang pathway in DME and nAMD and how it may impact patient outcomes
• Identify the important biomarkers on structural OCT that can help predict treatment response in DME and nAMD
• Discuss real-world case presentations and when to switch patients from one agent to another

International Experts

• Shaheer Aboobaker, MD
  • Toronto, ON
  • Case presentations
• Diana Do, MD
  • Stanford, CA
  • Update on faricimab in diabetic macular edema and neovascular AMD
• Sunir Garg, MD
  • Philadelphia, PA
  • Emerging treatments for neovascular AMD
• SriniVas Sadda, MD
  • Los Angeles, CA
  • Biomarkers to help predict treatment response in DME and nAMD

Click Here to View Video

Click Here to View Video

The Lions of Canadian Ophthalmology gathered on Friday, June 16 from 6:30 – 8:00 am ET at the 2023 COS Annual Meeting & Exhibition to judge three research presentations related to retinal disease.

Dr. Diana Do delivered a keynote lecture on Clinical Innovations: From Bench to Bedside  ̶  The Future is Now.  

Lions of Canadian Ophthalmology:

1. Eric Tourville, MD (Chair)

1. David Maberley, MD
2. Cynthia Qian, MD
3. Geoff Williams, MD

International Speaker:

1. Diano Do, MD
2. Stanford, CA

Canadian Researchers:

1. Gareth Mercer, MD, PhD
2. Marko Popovic, MD, MPH
3. Matthew Quinn, MD, PhD

The Innovation in Retina Research Award is being offered by the Canadian Ophthalmological Society (COS) with the support of Bayer Inc. for clinical trainees (residents or fellows) for a research project proposal related to retinal disease, with preference being given to research that has the potential to advance knowledge about or improve the care of patients. To determine final standing, the top three selected submissions will present their research proposal during this virtual symposium and respond to questioning by our judging Lions.  The symposium audience will also be able to vote for its choice of the top pitch.

CANMEDS Roles: Medical expert, Scholar

This symposium was co-developed by the Canadian Ophthalmological Society and Bayer Inc. and was planned to achieve scientific integrity, objectivity and balance.

First Prize $35,000

• Dr Gareth Mercer
• Department of Ophthalmology and Vision Sciences, Sunnybrook Health Sciences Centre, University of Toronto
• Microinvasive Suprachoroidal Buckling: Research and Development of a Novel Device and Technique for Retinal Detachment Repair

Second Prize $22,500

• Dr Matthew Quinn
• Department of Ophthalmology, University of Ottawa
• Dysbiotic Events and the Risk of Neovascular Age-related Macular Degeneration: A Population-based Study
• Audience Choice Award Winner: Additional $5,000

Third Prize $12,500

• Dr Marko Popovic
• Department of Ophthalmology and Vision Sciences, University of Toronto
• A Prospective Matched Cohort Study of Intravitreal Topotecan in the Repair of Rhegmatogenous Retinal Detachment with Proliferative Vitreoretinopathy

Congratulations to our winners and thank you to all of our applicants! The future of retinal research certainly looks bright.

Click Here to View Video

mEYEstro is a user-friendly software that automatically generates standardized graphs for refractive surgery outcomes – as prescribed by JRS, JCRS, and Cornea Journals.

The software produces the following 11 standard graphs; Efficacy: 1. Cumulative uncorrected (UDVA) and corrected visual acuity (CDVA), 2. Difference between UDVA and CDVA, Safety: 3. Change in line of CDVA, Accuracy: 4. Spherical equivalent (SEQ) to intended target, 5. Attempted vs. achieved SEQ, 6. Defocus equivalent (DEQ) accuracy, 7. Refractive astigmatism accuracy, 8. Target-induced astigmatism vs. Surgically-induced astigmatism, 9. Correction index histogram, 10. Angle of error histogram, Stability: 11. SEQ stability over time. Percent proportions, means, standard deviations, Cohen’s d effect sizes, and p-values are calculated and displayed on each graph. All graphs can be easily exported as high-resolution TIFF images for figures to use in scientific manuscripts and presentations.

The software can be downloaded at https://www.lasikmd.com/media/meyestro/index.php, and a tutorial is available at https://www.youtube.com/watch?v=NFlRRHx6ZaI.

Please note that our software was recently thoroughly tested, peer-reviewed and published in BMC Ophthalmology, the paper about the software is available at: https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12886-023-02904-6

The second issue of the 2023 Video Journal of Cataract, Refractive, & Glaucoma Surgery is out! This 90 minute issue is entitled: A Smorgasbord of Delicious Cases and represents 27 of the video highlights of the ESCRS meeting in Milan.

The VJCRGS is completing its 39th year of providing the highest quality of education to anterior segment surgeons around the world. With a new issue every quarter, the Journal is a free benefit for being a member of COS, allowing access to all 39 years of content. Please consider making it available to your membership by publishing the table of contents and the website www.vjcrgs.com.

Thank you,

Robert H. Osher, MD
Professor of Ophthalmology, University of Cincinnati College of Medicine
Medical Director Emeritus, Cincinnati Eye Institute
Founder & Editor, Video Journal of Cataract, Refractive, & Glaucoma Surgery

Table of Contents Volume 39, Issue 2, 2023

Highlights of the ESCRS

A Smorgasbord of Delicious Cases

PREOPERATIVE CHALLENGES

Persistent Fetal Vasculature………………………………………………………………. Dr. Priya Narang, India

Proximal Zonules…………………………………………………………………………. Dr. Hatem Ammar, Egypt

Microspherophakia…………………………………………………………………… Dr. Hazem El Nashar, Eqypt

Ectopia Lentis……………………………………………………………………….. Dr. Meriem Ouederni, Tunisia

Extreme Hyperopia…………………………………………………………………. Dr. Evripidis Sykakis, Greece

Cloudy Cornea…………………………………………………………………………. Dr. Sanjay Chaudhary, India

Pseudoexfoliation Syndrome………………………………………. Dr. Maria Jesus Quiroz-Quiroga, Spain

Morgagnian Cataract……………………………………………………………. Dr. Yehia Salah Mostafa, Egypt

PK with Small Pupil…………………………………………………………. Dr. Diane Silveira-Silva, Portugal

IOFB with Iris Reconstruction…………………………………………………………… Dr. Alvaro Silva, Spain

ICL with Traumatic Aniridia………………………………………….. Dr. Belen Alfonso-Bartolozzi, Spain

INTRAOPERATIVE COMPLICATIONS

Epithelial Bulla……………………………………………………………………………… Dr. Ashraf Armia, Egypt

Blue Vitreous…………………………………………………………………………………. Dr. Pritam Rajput, India

Iris Prolapse……………………………………………………………………………… Dr. Alokesh Ganguly, India

Argentinian Flag……………………………………………………………….. Dr. Hassan Khaled, Saudi Arabia

Capsular Puncture……………………………………………………………………. Dr. Nishant Gupta, Australia

Capsular Snag………………………………………………………………………………… Dr. Vaishal Kenia, India

Double Tear……………………………………………………………………………………… Dr. Sheetal Brar, India

Fixing Mistakes…………………………………………………………………… Dr. Luciano Perrone, Argentina

Amazing Case!………………………………………………………………………………. Dr. Ahmed Assaf, Egypt

Decisions Decisions…………………………………………………………………………. Dr. Robert Osher, USA

POSTOPERATIVE PROBLEMS

Vaccine Inflammation…………………………………………………… Dr. Lional Raj Daniel Ponniah, India

Refractive Surprise……………………………………………………………….. Dr. Igor Sivec Trampuz, Nepal

IOL Dislocation………………………………………………………………………… Dr. Julio Almeida, Portugal

Flanged Repositioning………………………………………………………………… Dr. Robert Guinand, Aruba

White Cornea…………………………………………………………………………. Dr. Nancy Al Raggad, Jordan

Locked Chamber Mystery………………………………………………….. Dr. Jiri Cendelin, Czech Republic

Click here to watch the latest issue:

Canadian Ophthalmological Society, in co-development with Bausch + Lomb “Shining a light on challenging glaucoma cases – from diagnosis to surgery” Webinar recordings are now available.

March 30th, 2023 Recording
Presenters:
Dr. Cindy M.L. Hutnik MD, PhD, FRCSC
Professor and Chair,
Department of Ophthalmology
Schulich School of Medicine & Dentistry,
Western University
Ophthalmologist-in-Chief, Ivey Eye Institute
London, Ontario
Dr. Marcelo Nicolela MD, FRCSC
Professor and Head; Chief of Service
Department of Ophthalmology & Visual Sciences
Dalhousie University; NSH – Central Zone
Halifax, Nova Scotia

April 12th, 2023 Recording
Presenters:
Dr. Cindy M.L. Hutnik MD, PhD, FRCSC
Professor and Chair,
Department of Ophthalmology
Schulich School of Medicine & Dentistry, Western University Ophthalmologist-in-Chief, Ivey Eye Institute
London, Ontario
Dr. Jonathan Wong MD, FRCSC
Clinical assistant professor,
Department of Ophthalmology
Cumming School of Medicine,
University of Calgary
Calgary, Alberta

Learning Objectives:

1. Diagnosing and monitoring progression of glaucoma
2. Initiating the most appropriate therapy for your patients
   • Looking at the treatment approach through the glaucoma guidelines
   • Solving the mystery of medication vs SLT vs combination treatment
   • Incorporating Best Practices moving forward

The Shining a light on challenging glaucoma cases – from diagnosis to surgery is a group learning activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada and approved by the Canadian Ophthalmological Society. You may claim a maximum of 1 hour (credits are automatically calculated).

This webinar has been supported by an educational grant from Bausch + Lomb.

EXPLORE THE PRACTICE RESOURCE CENTRE – we are pleased to share the new PRC promotional video. In just over two minutes, we highlight the benefits of the site for seasoned practitioners and those just starting their career, how to easily submit ideas and resources, how to create a custom reading list, and much more.

As a team of ophthalmologists, ophthalmology residents, and medical students at the University of Calgary, we are dedicated to exploring and developing simulation-based learning endeavours and 3D printing innovations in surgical ophthalmology.

Check out the latest simulation walkthrough videos below:

The EyeSi Simulator Walkthrough

In this project, we provide walkthrough videos of the levels of the VR Magic EyeSi® Surgical simulator. A staple in many ophthalmology training programs, the EyeSi® system provides virtual modules to practice surgical skills in cataract surgery. However, there are no specific walkthroughs and tips provided by the simulator in completing each individual level. Hence our library of over 100 videos on Youtube® include individualized advice and narration on video walkthroughs on how we approached each level, and our final scoring as well. We hope these videos help ophthalmology residents in completing all the levels in the EyeSi® cataract simulator, that will translate directly into real-life operating room success!

EyeSi Vitreoretinal Simulator Walkthrough

In this project, we provide walkthrough videos of the levels of the VR Magic EyeSi® Surgical simulator for the Vitreoretinal module. A staple in many ophthalmology training programs, the EyeSi® system provides virtual modules to practice surgical skills in cataract surgery and vitreoretinal surgery. However, there are no specific walkthroughs and tips provided by the simulator in completing each individual level. Hence our library of over 100 videos on Youtube® include individualized advice and narration on video walkthroughs on how we approached each level, and our final scoring as well.

Read more here to learn about the Clinical Ophthalmologists and the Design Teams involved in this innovative project.

COS Forum 2023: Building the Future of Ophthalmology

In this webinar, we present speakers discussion initiatives of importance to ophthalmologists and other healthcare professionals:

• Advocating on Behalf of the Profession
• Competence by Design
• Alleviating Drug Shortages
• Innovation and Development – COS Annual Meeting & Exhibition

In the presentations, you will:

• Understand the COS educational offerings, professional development opportunities, and resources readily available to members.​
• Integrate learnings about drug shortages, national vision care, scope expansion and access to eye care into clinical practice.​

Affect change through leadership opportunities on the Board of Directors or one of the COS Councils and Committees

Download the Video Here

Videos Now Available for Download

On Wednesday, November 23, 2022 at 8:00 pm EST, COS presented a webinar entitled LGBTQ2S+ Issues in Ophthalmology: Working Towards Equity.

Dr Michael A. Puente presented this 1.5-hour webinar examining the status of health equity for LGBTQ2S+ patients and professional equity for LGBTQ2S+ ophthalmologists, with a view to creating safe spaces for and allyship with the LGBTQ2S+ community. The lecture was followed by a case-based panel discussion.

Speaker – Dr. Michael A. Puente, Jr. Michael Puente, MD, is an assistant professor of ophthalmology at the University of Colorado and a pediatric ophthalmologist at Children’s Hospital Colorado. He is a co-founder of the LGBTQ+ Interest Group of the American Academy of Ophthalmology (AAO) and volunteers as a mentor in AAO’s Minority Ophthalmology Mentoring Program. He serves as Vice-Chair of the Advocacy Committee of the American Association for Pediatric Ophthalmology and Strabismus (AAPOS) and is a member of the AAPOS Taskforce on Diversity, Equity, and Inclusion. He has led an advocacy campaign to overturn the United States Food and Drug Administration’s ban on corneal donation by men who have sex with men, working with members of the United States Congress as well as leadership of the American Medical Association, Eye Bank Association of America, and AAO. He has presented on LGBTQ+ issues in

The full webinar video is available for download here.

If you would like to view specific topics from the video, please see the titles and links for download below:

1. Sex
2. Sexual Orientation
3. Safe Space Part 1
4. Safe Space Part 2
5. Microaggressions
6. LGBTQ2S+
7. Intersectionality
8. Implicit Bias
9. Gender
10. Two Spirit
11. Allyship