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OAS 2022 Scientific Program

Friday, September 9, 2022
10:00 am
Registration Opens 
11:45 am-12:00 pm 
Welcome & Introductions                               

12:00-12:30 pm 
Advances in the Management of Thyroid Eye Disease - Fatemeh Rajaii, MD, PhD, Johns Hopkins Medicine

  • Identify key clinical features of Thyroid Eye Disease
  • Describe the traditional Thyroid Eye Disease treatment paradigm
  • Describe novel and emerging options for treatment of Thyroid Eye Disease

12:30-1:00 pm
Optimizing perioperative brain health in older patients undergoing ophthalmic surgery - Elaine Liew, MD, UCLA Medical Center

  • Demonstrate that perioperative neurocognitive disorder is a serious concern among older patients. 
  • Identify risk factors that make it more likely for someone to have postoperative delirium. 
  • Discuss evidence based practices that relate to the perioperative management of older patients presenting for ophthalmic surgery. 

1:00-2:30 pm 
Advances in Ophthalmic Regional Anesthesia What 35+ Years Has Taught Me - Randy Harvey, CRNA, BS, Florida Eye Clinic/ASC 

  • Learn how to Geometrically redirect your needle tip to avoid vital orbital structures 
  • Discuss the use of data to validate your ophthalmic blocks 
  • Observe challenging ophthalmic blocks performed on AL > 29mm, difficult airways and anti coagulated patients

Ophthalmic Surgery and Anesthesia in Pregnancy and Lactation - Anna Gabrielian, MD, Johns Hopkins Medicine 

  • Understand optimal surgical timing in pregnancy
  • Identify possible complications 
  • Understand implications of anesthetics on fetus and lactation

3:30-4:00 pm
When Can I Start? Coordinating Urgent Ophthalmology Surgery Cases - Simon Hill, RN, BSN, Johns Hopkins University of Medicine

  • To understand the challenges present in organizing urgent ophthalmology surgery cases
  • Techniques for visualizing OR timing for urgent ophthalmology cases
  • Best practice advisories on scheduling challenges in the OR

4:00-4:30 pm 
Safe Ophthalmic Anesthesia: A Review - Vinodkumar Singh, MD, FRCA, University of Alabama at Birmingham

  • Patient safety in the field of surgical ophthalmic care
  • Intraoperative and postoperative adverse events in ophthalmic surgery, possible prevention strategies and management of complications
  • How medical errors occur: the Swiss Cheese model

4:30-5:00 pm 
Less is More: Preoperative Workup for Eye Surgery - Maggie Jeffries, MD, Avanti Anesthesia

  • To understand the current literature as it relates to the preoperative workup before cataract surgery
  • To be able to recognize the comorbidities that preclude safe anesthetic care for patients undergoing cataract surgery
  • To be able to recognize the few situations where cataract surgery should likely be delayed to allow optimization of comorbidities

5:00-6:45 pm
Roundtable - Hosted by OAS Planning Committee 

  • Discuss and debate trending topics for ophthalmic anesthesia patient care.

7:00-8:30 pm
Exhibit & Networking Reception 
Poster Hall 

Saturday, September 10, 2022 
7:00 AM
Continental Breakfast 
8:00-8:30 am
AICD/Pacemaker Perioperative Management - Lindsey A. Nelson, MD, MedStream Anesthesia, PLLC  
  • Understand the historical development and function of CIEDs
  • Recognize the difference between the types of CIEDs and their indications for placement
  • Develop mitigating strategies for CIEDS to prevent perioperative malfunction
    8:30-9:00 am 
    Pediatric Anesthesia and Ophthalmic Surgery: Comorbidities - Christina Giblin, DO, Spectrum Healthcare Partners
    • Recognize systemic diseases that have ophthalmic findings that require surgical interventions 
    • Understand the anesthetic implications of those conditions 
    • Discuss strategies to address anesthetic risk in children with systemic disease presenting for ophthalmic surgery

    9:00-9:30 am 

    Novel Treatment Approaches for Connective Tissue Disorders - Jefferson Doyle, MD, PhD, MHS, Wilmer Eye Institute

    • Identify connective tissue disorders. 
    • Describe the implications tissue disorders have on ophthalmic surgical procedures. 
    • Describe emerging and novel treatment approaches for patients with connective tissue disorders.
    9:30-10:00 am
    Surgical Fire: It Could Happen to You - Mark Phillips, MD, FASA, University of Alabama at Birmingham
    • Identify the components of the fire triangle
    • Identify cases at high risk for surgical fire and methods to prevent surgical fires from occurring
    • Discuss steps to take in responding to and managing a surgical fire

    10:30-11:30 am 
    Hustead Memorial Lecture: What Do I Need from Anesthesia For My Pediatric Anterior Segment Patients? - Ken Nischal, MD, FAAP, FRCOphth, UPMC Children's Hospital of Pittsburgh

    • Recognize the child’s eye is different from that of an adult due to elasticity in sclera
    • Recognize the effect of end tidal pCO2 on ocular blood flow
    • Understand the effect of anesthesia on intraocular pressure management

      Saturday, September 10, 2022 Continued

      1:30-2:00 pm 
      A New Twist on an Old Problem: Using Genetic Disorders to Study Myopia  - Jefferson Doyle, MD, PhD, MHS, Wilmer Eye Institute

      • Understand the range of genetic disorders in which high myopia can develop.
      • Appreciate the mechanisms that may drive pathological eye growth in these clinical conditions.
      • Learn about recent therapeutic insights into combating myopic eye growth in a subset of these disorders.

      2:00-2:30 pm 
      Pediatric Anesthesia and Ophthalmic Surgery: Anxiety and Post-Operative Delirium
       Christina Giblin, DO, Spectrum Healthcare Partners

      • Describe risk factors associated with increased perioperative anxiety in pediatric patients.
      • Discuss interventions to mitigate preoperative anxiety in children. 
      • Identify the presentation of emergence delirium and strategies for treatment.

      2:30-3:00 pm 
      Pro/Con Debate: MAC vs General Anesthesia for Retina Surgery
       Elaine Liew, MD, UCLA Medical Center

      • Describe when it is appropriate to select MAC therapies.
      • Describe when it is appropriate to select general anesthesia therapies. 
      3:00-3:30 pm
      Diagnosing and Treating Acute MI at the Ambulatory Surgical Center  - Mark Phillips, MD, FASA, University of Alabama at Birmingham
      • Diagnose acute MI events including cardia events. 
      • Manage and treat patients who present with acute MI events. 

      3:30-5:30 pm
      Lecture and Hands-On Workshop | Orbital Anatomy, Sub-Tenon Blocks & Orbital Blocks

       Block Workshop - Howard Palte, MBChB, FCA, University of Miami 

      • Describe anatomy and function Tenon capsule
      • List indications for sub-Tenon anesthesia
      • Comment on limitations and complications of sub-Tenon blocks

      Sunday, September 11, 2022 
      6:45 am 
      Continental Breakfast 
      7:00-7:30 am
      OAS Member Business Meeting
        7:30-8:00 am 
        Anticoagulation Prior to Ophthalmic Surgery (TBA) - 
        Timmy Nguyen, MD, Cleveland Clinic Florida
        • Understand the use of anticoagulant therapy in patients presenting for ophthalmic surgery. 
        • Describe the comorbidities and risk profiles that impact ophthalmic surgery. 
        • Manage treatment, including the decision to use or discontinue use, for patients undergoing anticoagulation therapy.

        8:00-8:30 am 
        Anterior Segment (iStent, hydrus for cataract surgeries) - Yassine J Daoud, MD, FaCS, Johns Hopkins Medicine

        • Describe cataract surgery anesthesia requirements 

        • Differentiate glaucoma patients

        • Understand minimally invasive cataract surgeries and treatment strategies

          8:30-9:00 am
          MKO Melt: Implementation Into Practice - Chris Bender, DNAP, CRNA, Vance Thompson Vision

          • Identify Patient selection for the MKO Melt 

          • Understand dosing of the Melt 

          • Describe advantages / disadvantages of the MKO Melt

          9:00-9:30 am
          International Prospective on Anesthesia Care - Iosifina Giannakikou, MD

          • Recognize differences between US and EU in anesthesia manpower 
          • Recognize differences between US and EU in patients characteristics and perceptions 
          • Recognize differences between US and EU in anesthesia techniques

          9:30-10:00 am
          Anesthesia in Adjustable Strabismus Surgery - Edward Kuwera, MD, Johns Hopkins University of Medicine

          • Describe strabismus surgery and understand which extraocular muscles are most and least adjustable. 
          • Understand anesthetic care for children undergoing a post-operative adjustment. 
          • Know what anesthetic medications to avoid in adjustable strabismus surgery.

          10:00-10:30 am
          When Your Patient Says I Have an Iodine Allergy - William G Myers, MD, Northwestern University Feinberg School of Medicine

          • Learn to identify the types of iodine reactions
          • Understand when an iodine reaction to IVP dye is relevant
          • Understand the chemistry of povidone iodine action

          Ophthalmologists & Anesthesiologists: What Each Should Know About the Other - Pete Spitellie, MD, JJM Medical

          • Compare and contrast best practices as understood by ophthalmologists and anesthesiologists. 

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