Download the program here. Additional lecture details with learning objectives are listed below.
Scientific Program Schedule
Friday, September 11, 2020 (all times are CT)
Welcome & Opening Remarks
Zhuang T. Fang, MD, UCLA
Keratoconus and Corneal Transplantation
Uri Soiberman, MD, Wilmer Eye Institute, Johns Hopkins University
Discuss the natural history of keratoconus.
Discuss treatment options for keratoconus.
Describe the technique used in deep anterior lamellar keratoplasty.
Adapting to Times: Providing Care for Patients Receiving Outpatient Ophthalmic Procedures Amidst the COVID-19 Pandemic
Jennifer Katsura, CRNA, UCLA Medical Center & Zhuang Fang, MD, UCLA
Discuss the impacts of the COVID-19 pandemic on the anesthetic care of patients receiving outpatient ophthalmic procedures.
Describe pre-operative COVID-19 protocols for outpatient ophthalmic procedures.
Discuss anesthetic protocols for enhanced provider protection amid the COVID-19 pandemic.
Monitored Anesthesia Care: A Simplified Proven Approach
Alan Zamora, MSN, CRNA, UCLA Health System & Zhuang Fang, MD, UCLA
Discuss Ideal MAC technique
Identify challenges to MAC anesthesia
Discuss possible approach in standardizing MAC via 622 technique.
E-Cigarette Vaping, Marijuana Use and their Implications in Anesthesia
Elaine Liew, MD, UCLA Medical Center
- Discuss new information about vaping.
- Evaluate the risks of vaping to our health.
- Discuss EVALI as a phenomenon associated with vaping.
Eliminating the Preoperative History and Physical Examination in Low Risk Surgery Patients---Risky Business or Long Overdue?
Susan Wolf, PA-C, AA, BA, MPAS, MMS, Wilmer Eye Institute, Johns Hopkins Hospital
List/evaluate tools used to screen patients to determine the need for a preoperative evaluation.
Determine the risks of eliminating the preoperative history and physical examination.
Determine if there is a difference in the incidence of significant medical events in the population that received a preoperative history and physical examination compared to those that did not.
Fast-Track Evaluation for Ophthalmic Surgery
Teri Fraley, RN, UCLA & Zhuang Fang, MD, UCLA
- Identify syndromes associated with difficult airway that are associated with cataract, glaucoma or strabismus.
- Identify factors that should be considered when scheduling a medically complex pediatric patient for outpatient surgery.
- Discuss benefits/risks of the use of different pre-medication regiments in medically complex pediatric patients.
Telemedicine in Anesthesia Practice
Richard Rivers, MD, PhD, Johns Hopkins University & Susan Wolf, PA-C, AA, BA, MPAS, MMS, Wilmer Eye Institute, Johns Hopkins Hospital
Discuss the meaning of telemedicine on the ambulatory setting
Describe the limitations of telemedicine in the ophthalmic patient population
Discuss how telemedicine has been affected by COVID-19
Saturday, September 12, 2020 (all times are CT)
Welcome & Overview
Zhuang T. Fang, MD, UCLA
Genetic Eye Disorders & Their Anesthetic Implications
Jefferson Doyle, MD, PhD, MHS, Wilmer Eye Institute
Discuss inherited eye disorders with occult or frank systemic manifestations.
Discuss ways they can manifest systemically.
Learn to identify cases ahead of time to prevent complications.
Anesthetic Consideration for Children with Congenital Disease Undergoing Ophthalmic Surgery
Ihab Ayad, MD, University of California, Los Angeles
Discuss trisomy 21 common medical problems and their implication during anesthesia.
Focus on neck instability in trisomy 21 patients and cardiac lesions as two common features.
Discuss criteria and proper precautions to care for those children during ophthalmic surgery.
Update on Glaucoma in Pathophysiology and Treatment
Simon Law, MD, PharmD, Jules Stein Eye Institute
Discuss the disease process of glaucoma.
Recognize the risk factors of glaucoma.
Discuss the current medical and surgical treatment options.
Eyelid and Orbit Anatomic Pearls
Robert Goldberg, MD, Jules Stein Eye Center, UCLA
- Discuss pertinent orbital anatomy for injections.
- Recognize danger areas in the orbit.
- Discuss orbital surface anatomy as it applies to anesthesiology.
11:15 am-12:00 pm
Hustead Memorial Lecture: The Reemergence of Akinesia as a Target of Ophthalmic Anesthesia in Robotics, Stem Cell Transfer, and Gene Therapy
Scott Greenbaum, MD, NYU School of Medicine
Identify the advantages of a still eye during cataract surgery.
Identify the advantages of a still eye during newer eye surgical techniques.
Discuss the advantages of akinesia provided by parabulbar anesthesia versus general and retrobulbar anesthesia.
Cardiac Arrest in Ophthalmic ORs
Vinodkumar Singh, MD, University of Alabama at Birmingham
Discuss causes of cardiac arrest in Ophthalmic cases.
Discuss the reasons that may lead to cardiac arrest.
Describe the precautions needed in ophthalmic surgeries.
Ophthalmic Anesthesia Malpractice Claims
Michael Morley, MD, Massachusetts General Hospital & Anne Menke, RN, PhD, Ophthalmic Mutual Insurance Company
List the top 3 types of injury patients suffered after anesthesia/sedation for eye surgery.
Discuss risks to consider during a preoperative assessment.
Consider measures that can improve the safety of ophthalmic anesthesia.
Staying out of Legal Crosshairs: An Overview of Opioid Enforcement Trends
Jason Steinhardt, JD, University of Maryland Law School
Recognize methods used by law enforcement to investigate suspicious opioid prescriptions
Understand "red flags" that may contribute to legal scrutiny
Understand the legal processes may be initiated based on suspicious opioid prescription patterns
Update in ASC Compliance and Regulation During COVID-19 Pandemic
Elethia Dean, RN, PhD, ASC Compliance
Panel Discussion – Management of Difficult Cases
Moderator: Scott Greenbaum, MD, NYU School of Medicine
Zhuang Fang, MD, UCLA
Eric Fry, MD, Fry Eye Associates
Howard Palte, MD, Bascom Palmer Eye Institute
Tina Tran, MD, Johns Hopkins
Describe clinical situations in which anesthetic management is contentious.
Outline key considerations in opting between MAC and GA.
List patient factors that may preclude surgery in an outpatient facility.
Discuss important equipment and backup facilities for day-case eye surgery.
Debate the pros and cons of preoperative for eye surgery cases.
Recognize common clinical syndromes associated with ocular pathology.
Question & Answer & Discussion
OAS Membership Business Meeting