EW
SHOW DAILY
56
T
he Friday morning EyeWorld
CME Education event focused
on "Developing the Latest
Point of Care Ocular Surface
Testing Protocol: Making Advanced
Decisions From Advanced Diagnos-
tics." The program chair was Eric D.
Donnenfeld, MD, New York, and
faculty included Edward J. Holland,
MD, Cincinnati, Terry Kim, MD,
Durham, N.C., and Elizabeth Yeu,
MD, Norfolk, Va. The progression of
ocular surface diagnostics, the
impact of certain diagnostics on out-
comes, using advanced diagnostics
in treatment decisions, and imple-
menting
ocular surface diagnostics
into a practice were covered.
Dr. Donnenfeld detailed the
progression of ocular surface diag-
nostics over time, starting from 1904
when the Schirmer's test was first
used. Current options for the tear
film have expanded quite a bit.
Physicians need to be more cost
effective
in their practices, and
these diagnostic tests will be helpful,
according to Dr. Donnenfeld.
Dr. Holland discussed the
impact of ocular surface disease on
refractive cataract surgery. The
understanding of dry eye disease
has evolved with time, but it is still
underdiagnosed, he said.
Dry eye disease can have an im-
pact on refractive outcomes because
it can affect the accuracy of meas-
urements used for the selection of
the IOL and power. Advanced tear
film diagnostics can help with
quicker and more accurate diagnosis
of dry eye for improved accuracy in
IOL power calculation and surgical
planning, as well as maximizing
postoperative acuity and satisfac-
tion.
"I believe we need to do a better
job of screening and diagnosing,"
Dr. Holland said. As we move to
this aging population, I think we're
going to be overwhelmed with
patients, I think we need to be more
efficient in evaluating and treating
dry eye," he said.
Dr. Kim spoke about using
diagnostics to drive treatment and
discussed specific tests for dry eye
disease. A lot of these diagnostic
modalities enable physicians to
diagnose on a more specific level,
he said.
Some of the advanced diagnos-
tic modalities include tear composi-
tion analysis, serum biomarker
testing, and tear film structure and
other image analysis. Dr. Kim went
into detail on a number of tests,
Saturday April 26, 2014
Meeting Reporter
EyeWorld CME Education program targets dry eye
by Ellen Stodola EyeWorld Staff Writer