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29 EW SHOW DAILY 2018 ASCRS•ASOA Annual Meeting, Washington, D.C. Visit Quidel at Booth 809 quidel.com MMP-9 TEST Adenoviral conjunctivitis TEST Introducing Quidel's Innovative Eye Health Solutions nal threats (viruses, hackers, mal- ware, ransomware), internal threats (aging equipment, poor mainte- nance, low redundancy, bad be- havior), and physical infrastructure (network links, battery backups, data backups, failed servers, and failed network equipment). Wrapping up the session, Mr. Reck discussed ways hackers com- promise your network and infor- mation, and he offered input on ways you can protect yourself. His suggestions included to review your social media security settings, use credit monitoring/locking, verify before sharing personal informa- tion, a technology usage policy, use two-factor authentication, use a VPN for all remote work, do a network security audit, use security awareness training, and utilize user/password theft monitoring (dark web monitor- ing). EW Editors' note: The speakers have no financial interests related to their comments. Mr. Theine said the short-term impact of the attack included no re- mote access for several days, which caused minor impact to satellite locations. The offsite revenue cycle also had no access to the server/ information, and the offsite book- keeper had no access to accounting. They had forced VPN connections for remote access and required IT monitoring software installed on all remote devices connecting to the server. Mr. Theine said the practice added data backup service changes, upgraded its anti-virus to Cylance, required Cylance use by all remote connections, planned upgrades to the firewall, and the IT vendor was included in annual/strategic plan- ning processes. During his presentation, Mr. Ferry shared stories of different types of security breaches and how his company helped address them. Your IT infrastructure is the backbone of your business, he said. Your servers and software handle scheduling, billing, communica- tions, patient EHR data and care. Your infrastructure is an employee that works 24/7/365, he said, and when it's unavailable, business can- not be conducted. Mr. Ferry described one event of spyware/key logging. This occurred because a user had downloaded an email that contained a link to an external server, which they had clicked and downloaded the file. They thought the link was broken since nothing happened, but the link had installed a key logger that was transmitting every key stroke to an external server. Another event he went into detail on was a company which was experiencing network downtime and poor performance. Logging in and accessing data would take tens of minutes at times, he said, and saving a Word document to the network would take minutes. After several days, the company reached out for help. What was found, Mr. Ferry, said was poor cable and network man- agement, with multiple Ethernet loops and equipment not designed for that type of service. This hap- pened after years of neglect had reached a point where the network no longer worked. To correct this, Mr. Ferry said his company created a network map over a period of 2 days. They also replaced many of the network switches and patch cables and used cable management and labels to keep things organized. He also described a network outage that was caused by a squir- rel that had damaged a major fiber-optic cable, which was used by multiple service providers. Finally, he mentioned a case of a building fire that burned an entire building, including offices, the accounting department, networking equip- ment, and servers. Fortunately, there were offsite backup images and VM snapshots of the server available from their backup system, he said, as well as some created when the fire started. To conclude, Mr. Ferry summed up different types of threats: exter- HIT continued from page 28 by Lauren Lipuma EyeWorld Contributing Writer I n Monday afternoon's EyeCon- nections symposium, a panel of experts examined several new techniques and technologies anterior segment surgeons are using and offered pearls for adopting them. Among the topics panelists described were the Yamane tech- nique of intrascleral haptic fixation (ISHF), a new trifocal IOL, and sever- al new glaucoma surgery devices. Steven Safran, MD, Lawrencev- ille, New Jersey, started with funda- mentals of the Yamane technique, which he said provides many advan- tages over the glued ISHF method. The Yamane technique is kinder and gentler to the ocular surface because it requires no conjunctival dissec- Fundamentals of new surgical procedures tion; it is easier and safer for patients with thin sclera because it requires no flaps; it is a faster procedure; and it provides very stable IOL fixation with virtually no risk of the haptics slipping back into the eye. The method does have some drawbacks, however. It requires PVDF haptics, a special 30-gauge thin-walled needle, good bimanual dexterity, visualization, and vitrecto- my, and an infusion line to prevent bleeding and cyclodialysis, he said. A key step in the procedure is making a peripheral iridotomy to prevent reverse pupillary block, he added. Reverse pupillary block can cause posterior bowing of the iris, continued on page 30 Dr. Brubaker explains how ophthalmologists are seeing a renaissance of glaucoma care with a range of new technologies that are both safe and effective.

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