The June 2024 CJO is now available online. Here are some of the highlights: 

Resident Perspectives + visual abstract: Our talented team of residents have summarized 4 articles with a focus on what’s most relevant to ophthalmology learners here in Canada and around the globe. In addition, our April visual abstract provides a visual summary of an article on Comparison of pain perception in patients undergoing manual cataract surgery versus refractive laser-assisted cataract surgery

Original research articles:

• Retinal vein occlusion in patients with primary angle closure: a prospective case-control study
• Effectiveness of the Eyesi Surgical Simulator for ophthalmology trainees: systematic review and meta-analysis
• Incidence of ophthalmologic pathology and associated risk factors in orbital fractures at a level 1 trauma centre
• Herpes zoster ophthalmicus: frequency and risk factors for developing uncommon ocular manifestations
• Burnishing of exposed porous polyethylene orbital implant: is it useful?
• Diabetic retinopathy screening integrated in multidisciplinary diabetes eye care clinic: a pilot project

Photo essays and case reports:

• Scleromalacia after extrusion of a senile calcific plaque [photo essay]
• Bacillary layer detachment due to retinal arterial macroaneurysm [photo essay]
• Early ophthalmic findings in Hermansky-Pudlak syndrome type 9 [photo essay]
• Corneal ulcer as the presenting sign of prolonged contact lens retention over 25 years [case report]
• Monocular Charles Bonnet syndrome secondary optic neuritis and the utilization of artificial intelligence to illustrate visual hallucinations [case report]
• Rhegmatogenous retinal detachment associated with an epibulbar tumour [case report]
• Beyond the norm: unusual orbital manifestation of hairy cell leukemia [case report]

Follow the CJO on social media:

Facebook: CanJOphth

Instagram: @cjo_jco

LinkedIn: CJO – JCO

Twitter: @CanJOphth

Date: October 10-11, 2024

Location: Madrid, Spain

Welcome to the 10th Global Ophthalmology Meeting, happening on October 10-11, 2024, in Madrid, Spain. This conference serves as a vital platform for ophthalmologists, researchers, clinicians, educators, and industry professionals worldwide. Attendees can expect an engaging program featuring scientific sessions, keynote presentations, workshops, and poster sessions covering various facets of ophthalmology. Key themes include advancements in surgery, diagnostic technologies, management of ocular diseases, and public health initiatives. The event offers an opportunity to network, share insights, and collaborate with peers, experts, and industry leaders. With Madrid’s rich cultural heritage and vibrant atmosphere as the backdrop, attendees will also have the chance to explore the city’s landmarks and culinary delights. Join us for two days of learning, innovation, and camaraderie at the 10th Global Ophthalmology Meeting in Madrid.

For more information, please visit: https://globalophthalmology.conferenceseries.com/

Date: Friday, May 31st 2024

Location: Hockey Hall of Fame – Toronto, ON

Don’t miss this session with renowned experts sharing their experience with the latest digital and surgical innovations to improve patient outcome and optimize clinical workflows.

This session includes:

• Shamik Bafna, MD
• Hady Saheb, MD
• David Wong, MD

For more information, visit: https://www.zeiss.ca/meditec/en/news-events/events/cos_2024_zeiss.html

The Royal College is excited to launch the MOC Learn & Connect Series which will provide details on the new changes to the MOC framework, as well as share the educational strategies that will support the medical community.

At the end of this session, you will be able to:

• Describe the motivation and rationale for updating the MOC program;
• Identify key elements of the updated MOC program, including new learning activities, section descriptions, cycle requirements and other changes;
• Explain each section of the refreshed MOC program to promote meaningful learning.

In addition to these virtual events, the MOC Learn & Connect series includes pre-recorded videos and opportunities for live Q&A with MOC team members.

MOC Credits

This event is an Accredited 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 Royal College Learning Improvement Unit. You may claim a maximum of 1 hour.

To register, CLICK HERE.

Questions? Contact the Royal College Services Centre at (613) 730-6243, 1-800-461-9598 or [email protected]

The April 2024 CJO is now available online. Here are some of the highlights: 

Resident Perspectives + visual abstract: Our talented team of residents have summarized 4 articles with a focus on what’s most relevant to ophthalmology learners here in Canada and around the globe. In addition, our April visual abstract provides a visual summary of an article on OCT outcomes as biomarkers for disease status, visual function, and prognosis in diabetic macular edema.

Original research articles:

·        Development and validation of the first Canadian Aboriginal syllabics visual acuity chart

·        Zonular dialysis and cataract surgery: results from a UK tertiary eye care referral centre

·        Development of a standardized Canadian undergraduate medical education ophthalmology curriculum

·        Incidence of ocular surface squamous neoplasia in pterygium specimens

·        Effect of race and ethnicity on surgical outcomes for rhegmatogenous retinal detachments

• Characterization of pentosan polysulfate patients for development of an alert and screening system for ophthalmic monitoring

Photo essays, correspondence, and case reports:

·        Bilateral conjunctival melanosis in diffuse melanosis cutis and metastatic melanoma

·        Unilateral acute idiopathic maculopathy in hand, foot, and mouth disease

·        Laser pointer-induced maculopathy with secondary macular neovascularization

·        A virtual Canadian Ophthalmology Mentorship Program (COMP) for medical students

·        Surgical technique enhancements for successful subretinal gene therapy delivery

·        Ocular syphilis with coincident Bartonella infection

·         Unveiling ocular surface squamous neoplasia within a conjunctival epithelial inclusion cyst

Follow the CJO on social media:

Facebook: CanJOphth

Instagram: @cjo_jco

LinkedIn: CJO – JCO

Twitter: @CanJOphth

Date: July 3 – 6, 2024

Location: McGill University Health Center, 1001 Decarie Blvd, Montreal, Quebec

Registration is now open for the Refractive Surgery Alliance’s course on Refractive Lens and Cataract Surgery. This course is a comprehensive, interactive course that covers all aspects of refractive lens and cataract surgery and is open to all cataract and refractive surgery ophthalmologists.

The course covers the following key topics:

• Principles and philosophy of lens refractive surgery
• Lens-based approaches for the surgical management of presbyopia
• Patient evaluation and education
• Preoperative technologies, biometry, and surgical planning
• IOL technologies
• Surgical pearls
• Postoperative considerations and complication management
• Phakic IOLs and myopic lens surgery
• Growing your lens refractive practice
• Future considerations

The course faculty includes:

• Guillermo Rocha, MD, FWCRS (Course Chairman)
• Roger Zaldlvar, MD, MBA, FWCRS
• Samuel Masket, MD
• Damien Gatinel, MD, PhD, FWCRS
• Baseer Khan, MD
• Paul Harasymowycz, MD
• Guy M Kezirian, MD, MBA, FWCRS
• Erik Mertens, MD, FWCRS

To learn more about this course and for registration details, visit: https://www.refractivealliance.com/moderncataractsurgery/

UPDATE (2024-04-17): We are collecting case reports on solar retinopathy following the recent solar eclipse. If a patient you’ve seen experienced vision impairment or related symptoms after viewing the eclipse, please fill out the following form to contribute to our research efforts. Your participation is crucial in helping us gather valuable data to better understand and mitigate the effects of solar retinopathy. You can access the form by clicking HERE.

Looking directly at the sun without proper protection can cause significant damage to your eye leading to a condition called solar retinopathy. During unshielded observation of a solar eclipse, the lens of the eye acts just like a magnifying glass, focusing the sun’s rays onto the retina at the back of the eye. This concentrated energy can result in permanent burns of the retina, and even irreversible blind spots.

The retina has no pain receptors. Therefore, it can take time before someone realizes that retinal damage may have occurred. You should be attentive to signs such as a blurry vision, visual distortion, and decreased colour vision and if you have looked at the solar eclipse without eye protection.

Let’s delve into some commonly asked questions about solar retinopathy and solar eclipse safety, and expert answers to equip both patients and providers with valuable insight during this event.

Commonly asked questions and answers

Q: What is the best primary prevention?

A: Refraining from viewing the solar eclipse is the best primary prevention to solar retinopathy. You can safely view the event indirectly, by TV or web.

Q: Which glasses are unsafe?

A: Sunglasses, glasses with transition lenses, glasses with polarizing filters, exposed film, x-ray film, and neutral density filters, do not provide enough safety to view the eclipse.

It is equally unsafe to view the eclipse from your telescope, camera, binoculars without the appropriate special filter, or through a window without the correct eye protection.

Q: Can one take pictures of the eclipse with a smartphone?

A: You can take pictures of the eclipse with your smartphone or tablet device, but make sure that you are not viewing the eclipse without the proper eye protection while aligning the device for the photo. Please keep in mind that some manufacturers state that prolonged pointing of the smartphone/camera to the sun may affect its sensors.

Q: What is the right filter to have when viewing the eclipse?

A: ISO 12312-2 certified. Upon receiving your glasses, please take the time to inspect as the glasses should not be scratched or torn. If the glasses are being worn by children, ensure that they are supervised at all times.

Q: What is the maximum duration of time that we can view the solar eclipse without permanent damage? What if I glance at the eclipse, look away, and then back again?

A: There is no duration of time that you can view the eclipse without permanent damage! The effects of the damage by the sun are cumulative, so looking at the eclipse multiple times would do more damage than looking at it once. It is advised that you do not look directly at the sun at all.

Please keep in mind that if on the totality path, to use great caution and under expert supervision to indicate the time that you may securely remove and put back on the certified glasses.

Q: Can animals suffer from solar retinopathy as well?

A: In theory, yes, if they are looking at the sun during the eclipse.

Q: Can someone with a previous history of ocular disease view the eclipse?

A: Yes, but only with precaution and the correct eye protection. If unsure, they can enjoy the solar eclipse by viewing it indirectly (such as through a livestream or broadcast on TV).

Resources

The authors of this Q&A on solar eclipse eye safety have compiled a comprehensive set of resources tailored to both patients and ophthalmologists, ensuring that everyone can access reliable information and guidance.

For the general public

Government of Canada – Stay safe while watching the solar eclipse

American Astronomical Society – Viewing the solar eclipse safely

Exploratorium – View the eclipse safely through livestream

Association des médecins ophthalmologistes du Québec – Éclipse solaire du 8 avril (French only)

Canadian Ophthalmological Society – Protect your vision

The Dose – How can I watch a solar eclipse and keep my eyes safe?

For the ophthalmologist

American Academy of Ophthalmology EyeWiki – Solar retinopathy

The Astronomical Journal – Physical and visual evaluation of filters for direct observation of the sun and the international standard ISO

Queen’s University – Grand Rounds Presentation: Total solar eclipse and eye health

Ophthalmology Times – Protecting vision during solar eclipses: Insights for ophthalmologists

Thank you to Dr. Marie-Josée Aubin and Dr. Cynthia Qian for creating this helpful resource!

The Master Clinician Alliance (MCA) is providing a Section 3 accredited online self-assessment program focusing on ocular AE assessment and management. Navigate through a learning path that includes a pre- and post-questionnaire, patients cases, knowledge questions as well as presentations.

QUICK AND EASY PARTICIPATION, NO ZOOM MEETINGS! Simply complete the program on your own, conveniently from your mobile device or computer. The program is expected to take about 1 hour to complete. Please note that the program is available in English and French.

Learning objectives:

By the end of this learning session, you will be able to:

1. Describe the mechanisms of action and design of antibody drug conjugates (ADCs)
2. Recognize the corneal toxicities caused by ADCs and propose appropriate corneal adverse event (AE) management strategies to minimize ocular complications
3. Implement effective communication and coordination strategies to enhance collaborative care for oncology patients experiencing corneal toxicities

To register for this self-assessment program, please click HERE.

The latest issue of Canadian Eye Care Today is now available! This publication features clinical perspectives and practical information on topics in eye care relevant to today’s clinician. Its peer-reviewed articles focus on the treatment and management of eye disease from a Canadian perspective.

The content of this issue includes:

• Gene Therapy Updates for Inherited Retinal Dystrophies
  • Melissa Lu, MD; Daniel Milad, MD; Cynthia X. Qian, MD, FRCSC.
• Recent Advances in the Evaluation and Treatment of Primary Angle Closure Disease
  • Alanna James, MD; Benjamin Y. Xu, MD, PhD.
• Corneal Lumps and Bumps
  • Mohammad Al-Fayyadh, MD; Mona Koaik, MD.
• Retinal Artery Occlusion and Neurovascular Risk
  • Jesia Hasan, MD, FRCSC.
• Approach to Infectious Keratitis: Clinical Pearls While on Call
  • Sonia N. Yeung, MD, PhD, FRCSC, FACS; Alfonso Iovieno, MD, PhD, FRCSC, FACS; Barbara Burgos-Blasco, MD, PhD.

To access the latest issue, click on the picture below!