CAO Congress 2017<

Course Descriptions

Wednesday June 28, 2017

Demystifying Severe Keratitis in Patients with Dry Eye Disease (1hour) Dry eye disease is a complex multifactorial disease in which the tear film is unstable and no longer provides sufficient nourishment or protection to the ocular surface. In severe cases of dry eye disease, a vicious circle of tear film instability and escalating inflammation can result in severe keratitis—a chronic, progressive, inflammatory condition that if left untreated, can lead to fluctuating and/or reduced vision or ultimately permanent vision loss. This session aims to inform optometrists and other healthcare professionals about the etiology, pathophysiology, and current practices in diagnosis and management of severe keratitis in patients with dry eye disease.
Speaker: Dr Langis Michaud

Time to think differently about Dry Eye Disease (DED): Looking at the inflammatory Cycle (1 hour) About 3 million Canadians are suffering from dry eye disease. Dry eye disease is one of the most common clinical entities optometrists encounter today: Are we doing what we should about it? This program seeks to answer this question by describing a wealth of new research that clarifies our understanding of appropriate diagnosis and management of dry eye disease in light of our enhanced understanding about inflammatory processes. Emphasis will be placed on an in-depth education on ocular surface disease prevalence as well as on how OSD should be approached in the optometric setting.
Speaker: Dr Derek Cunningham

The ABCs of OCT: Interpretation of Raster Scans (1 hour) Optical coherence tomography is arguably the biggest innovation in eye care in the last twenty years, and has revolutionized the management of patients with macular degeneration, diabetic retinopathy, retinal vein occlusion, vitreoretinal interface abnormalities, and a myriad of other conditions. The wealth of information provided, however, can be overwhelming. This review will guide practitioners through a number of these presentations, both common and uncommon, noting features in raster scans that will facilitate diagnosis and decision               

Outsmart the Competition Don’t Outspend Them, Outsmart Them (Keynote) Budget should never get in the way of great marketing. In a world where most eye care professional don’t have huge budgets to trounce the competition, where small advertisers are up against deeper pockets, and where independent businesses can struggle to make an impact, there is a way to gain remarkable returns. This presentation is media-rich and demonstrates amazing ideas from around the world from organizations that chose to spend creativity, not dollars.
Speaker: Terry O'Reilly

Tear-free Infant Examination (1hour) COPE# Many practitioner fear the examination of the infant / toddler. This presentation reviews examination techniques and clinical presentations in this age group. You will learn methods of visual acuity determination, detection of strabismus and amblyopia, and common refractive errors. You will leave with an increased comfort level in examining infants and educating parents about the importance of early intervention in vision care.
Speaker: Dr Valerie Kattouf

Cornea & Quality of Vision (1 hour) This presentation will develop step-by-step the understanding one needs to recognize, analyse, and manage poor quality vision as reported by patients with healthy eyes. This understanding will benefit optometrists who follow contact lens, cataract, pseudophakic, and post-refractive patients.
Speaker: Dr Kashif Baig

Top 5 Neuro-ophthalmic Diagnoses Not to Miss (1 hour) While neuro-ophthalmology is often regarded as an ‘armchair specialty’ with limited treatment options, several neuro-ophthalmic presentations require acute and appropriate triage in order to prevent vision and life threatening complications.  Five of these diagnoses will be discussed, including tips on recognizing them and appropriate initial management.
Speaker - Dr Daniel Lelli

iStrain: What effect do today's tablets and media devices have on vision? (1 hour) COPE#  Today’s world presents a variety of challenges in regard to vision usage. The exponential use of digital media has effects on children’s vision and learning. The diagnosis of accommodative and binocular vision issues will be reviewed. The information shared will review optometric treatment and advice to share with parents who ask about the effect of the digital age on vision. 
Speaker: Dr Valerie Kattouf

Lunch & Learn: Bridging the Gap in Ocular Nutrition: A Stronger Path to Better Eye Health for Your Patients - sponsored by Novartis (1 hour) As our understanding grows regarding the complex interrelations between human biological systems, clinical practice is steadily becoming increasingly holistic. The relationship between optimal eye function and whole‐body health is observed in the benefit of supplementation with antioxidant and antiinflammatory nutrients to reduce the risk of progression of age‐related macular degeneration (AMD). Such supplementation is particularly valuable in the older patients at high risk for AMD progression, as seniors are at greatest risk for consuming a diet that is lacking in proper nutrition. This presentation provides a clinical rationale and supporting evidence for the use of established nutrient formulations in seniors with AMD at risk of progression and of the important role of all eye care providers in counselling patients in eye‐specific and whole‐body nutritional health.
Speakers: David E. Lederer, MD; Sarah MacIver, OD; Doug Cook, RDN

Anterior Blepharitis Secondary to Demodex (1.5 hours)  This lecture will provide a differential diagnosis of anterior blepharitis (staphylococcus vs seborrheic vs Demodex). A detailed description of the life cycle, clinical presentation, co-morbities of Demodex-induced anterior blepharitis will be presented. Home and in-office lid margin hygiene management options for Demodex will be discussed.
Speaker: Dr Etty Bitton

Optometric Evaluation of Concussion Patients (1 hour)  A presentation of the topic of concussion geared toward the primary care optometrist. We will review the clinical picture of concussion and the significant effect on the visual system. The focus will be on the optometric examination sequence and the role the optometrist plays in the decision for the concussion patient to return to their previous level of activity.
Speaker: Dr Valerie Kattouf

Legal, Cash Flow and Taxation - Best Practices for ODs (1.5 hours) This session will look at a range of issues facing optometrists including; share structure, leases, contract, preparation for sale of practice, banking arrangements, tax rates, incorporation, GST/HST and more.
Speakers: Gary Katz, CPA, CA & Harold Feder, LL.B.

Anterior Segment/Auto Immune Disease (2 hours) Rheumatoid arthritis, juvenile idiopathic arthritis, Sjögren syndrome, the seronegative spondyloarthropathies and others are amongst the common autoimmune disorders encountered in clinical practice. These chronic disorders often present with ocular symptoms and signs, making the primary eyecare provider a pivotal component of early and accurate diagnosis. A targeted systemic workup as well as prompt and appropriate treatment are both critical in order to minimize the potentially devastating ocular and systemic effects of these diseases, as well as minimize the impact on the patient quality of life.
Speaker: Dr. Lisa Prokopich

Retinal Problems You Do Not Want to Miss (2 hrs) This talk will discuss retinal pathologies with important ocular and systemic implications including ocular trauma.  Early recognition of these pathologies is vital to preserve visual function or even save a life.  Common important conditions (including trauma) will be discussed as well as some rare but very important retinal disorders.
Speaker: Dr Bernard Hurley

Thursday June 29, 2017

Does Strategy Really Matter For Your Contact Lens Practice? (1 hour) Build your practice through increased patient retention, enhanced interactions with your patients, and matching your lens choice to best suit their lifestyle. By moving to the daily disposable modality an office will see incremental benefits across many channels of the practice. Learn tools to build your practice in the daily disposable modality and engage full office support to achieve success. Examination of strategies to improve lens patient’s comfort and compliance and strategies to improve practice, management and retain patients.
Speaker: Dr Scott Mundle

Retinal Imaging- Raising Your Clinical Standard (1 hour) This lecture will begin with a review of retinal anatomy followed by a discussion of the importance of routine retinal examinations and the various methods of doing so. The problems of record keeping in the world of electronic medical records will be presented. The Optomap technology will be described including optics, use of various wavelengths and autofluorescence.   Emphasis will be placed on the value of retinal photography and analysis in certain patient populations including children, pregnant women, diabetics and patients with AMD. The use of retinal photography in patient education will be discussed with several images that review common retinal conditions
Speaker: Dr Barbara Caffery  

Itching for Greater Value - Managing Ocular Allergies (1 hour) Patients who suffer from allergies commonly present with ocular discomfort.  Often their journey begins in the optometrists’ office with many touch points throughout the year, especially during the height of allergy season.  Providing relief to these patients can come in many forms. From ophthalmic solutions for itchy, red eyes to daily contact lenses.  There are new options available for patient relief. By building rapport and providing full spectrum solutions, the allergy patient is an ideal candidate to add value to your practice.
Speaker: Dr. Mile Brujic

OD Interactive Plenary Session - New Technologies (2 hours) Join your colleagues to hear Dr. Chris Wroten preview the cutting edge of diagnostic techniques, innovative therapeutic treatments, and developing technologies in eye care.   With improved patient outcomes as the end goal, see the impact these treatments and technologies are having on how eye care is delivered and how these future trends may influence care delivery models.  Glaucoma, cataracts, retinal disease, gene therapy, minor periocular and intraocular surgical procedures, novel drug delivery methods, & presbyopia management are specific areas of focus.
Speaker: Dr Chris Wroten

Contact Lenses 2020 and Beyond for OAs (1 hour) This course will look at the potential future applications for contacts outside their traditional use of correcting vision. The technologies covered will include such diverse areas as drug delivery, disease diagnosis and management, myopia prevention and sophisticated imaging and augmented reality opportunities.
Speaker: Dr Lyndon Jones

Dry Eye Update for OAs (1 hour) Dry eye continues to be a major problem for practitioners and patients alike, with upwards of 30% of patients complaining of dry eye. This course will review the latest technology available for diagnosing dry eye and discuss some of the new technologies that help to manage this chronic problem.
Speaker: Dr Lyndon Jones

Optofair Skills Camp*  Naso-Lacrimal Duct Probing & Irrigation (optional add-on registration) (1.5 hrs) Dilation and irrigation is an essential tool to determining the cause of a patient’s epiphora, especially. If you are like many eye care practitioners, you may find yourself shying away from doing the procedure in clinic. Whatever, the reason, it is time to become re-acquainted and comfortable with this important skill. This workshop will review the indications, contraindications, interpretation and follow up care for D&I. This will be combined with a hands- on workshop to practice and hone the skill in order to get you ready and comfortable to perform D&I on your next day back in clinic.
Speakers: Dr Sarah MacIver & Dr Lisa Prokopich  

Optofair Skills Camp*  Scleral Lenses (optional add-on registration) (1.5 hours) Building a successful scleral lens practice can be challenging but will result in an office achieving better patient satisfaction, increased profitability and better patient retention. Scleral lenses have become an increasingly popular option for irregular cornea patients, patients with corneal surface disease and even normal cornea patients. This presentation will benefit practitioners in education of scleral lens including an overview of scleral lenses, insertion/removal and fitting of scleral lenses and how to incorporate scleral lenses into a practice.
Speaker: Dr Andrew Biondo

Oculary Emergencies - Diagnosis & Treatment (2 hrs) Cases of current methods of treating ocular emergencies. Includes the ocular adnexa and lacrimal system, mechanical and infectious involvement of the anterior segment, urgent glaucomas, diabetic retinopathy, hypertensive retinopathy, CRVO, CRAO and macular hole.
Speakers: Dr Marc Myers & Dr Andrew Gurwood

Progression of Glaucoma (2 hrs) Identifying the initial insult in glaucoma involves both structural and functional items. Markers for progression include RNFL thickness, inner retinal thickness (GCC/macular RNFL) and now with OCT-Angiography, blood vessel density.  Visual fields are becoming more sophisticated in identifying the trajectory of progression, as well. This course will explore the current state of affairs of both.
Speaker: Dr Leo Semes

Mise à jour sur la sécheresse oculaire Ocular (2 hours) Cette présentation visera à reconnaître les facteurs de risques associés à la sècheresse oculaire ainsi que les différents éléments diagnostiques dans l’évaluation de celle-çi disponible aux cliniciens. La prise en charge d’un patient souffrant de l’œil sec sera explorée à l’aide de cas clinique afin de souligner des différents étiologies de sécheresse.
Speaker: Dr Etty Bitton

Dealing with Difficult Patients (for OAs) (1 hour) The Optometric Assistant is often the first staff member to encounter each patient as they arrive into the office or answer the practices’ phone or email correspondence. While most patient interactions are pleasant and professional, there is occasion to have to deal with a patient that is dissatisfied, unhappy with products or services or at worst irate.  This one hour lecture walks through the steps of taking control of the situation when this occurrence presents itself and gives guidance to the OA in how to truly “listen” to a patient concerns, helpful words and phrases to manage the conversation, how to offer guidance and help with solving the situation as well as when best to call in further administration and/or the optometrist. Understanding the nuances of human behaviour and what is required to neutralize anger, offer solutions and retain the patients’ trust in the practice is not always innate. This lecture walks through various scenarios and discusses how these practices can be put into place to always maintain an atmosphere of professionalism. Patient behaviour that is disruptive, rude or indignant will also be presented with guidance as to how to protect staff, optometrists and other patients from unruly circumstances. There will be an opportunity for audience questions during the last 10 minutes of the lecture.
Speaker: Marilyn Smith

OA CE: OCT/Visual Fields/Retinal Imaging (1 hr) Ever wonder what the results from a patients’ visual fields and OCTs mean and why they are important to the doctor? This lecture presents an overview of retinal imaging technology and visual field (perimetry) testing in primary eye care settings. The lecture will compare normal images and field results to abnormal conditions and also give some basic tips on how to improve the quality of the tests when you are performing them on patients.
Speaker: Dr Sarah MacIver

Friday June 30, 2017

The Importance of Oxygen for your Patients’ Eyes (1 hour) We all need oxygen. So do our eyes. Join us to gain a better understanding of the migration from hydrogel to silicone hydrogel contact lens materials by reviewing current market trends. Expand your knowledge on the importance of oxygen for ocular health, even in a daily disposable, and review clariti and MyDay as viable options for offering your patients the healthiest (i.e. silicone hydrogel) daily disposable contact lenses.
Speaker: Dr. Andrea Lasby

When the Mind’s Eye Goes Dry – Understanding the Psychology of Dry Eye Disease (1 hour) While the role of inflammation in Dry Eye Disease is well-established, the role of psychological factors in this disease state is infrequently considered.  What psychological features influence the patient's experience of the disease, and can these features help us to understand the sign-symptom disconnect that characterizes this disease?  In this lecture, Dr. Adler reviews the inflammatory basis behind this disease and shares his pearls about using Restasis, but also challenges us to think beyond the ocular surface of the Dry Eye patient and to consider the person behind the eyes.
Speaker: Dr. Richard Adler

Acute V Chronic The Dawn of Ocular Surface Inflammation (1 hour) Traditional approaches in the field of ocular surface disease OSD have evolved greatly in the last 20 years, but more so since the DEWS workshop by TFOS in 2007. Tear film diagnostics like osmolarity, MMP-9, non-invasive tear metrics are widely gaining their place in clinical practice. Functional metrics are matched by structural measurements like meibography. Managing Dry Eye DE and Corneal Neuropathy CN has evolved from purely topical management to a myriad of options in customized medicine. This course will discuss topical anti-inflammation options, and non-surgical clinical treatments for these disease entities.
Speaker: Dr. Richard Maharaj     

Management of Superficial Corneal Injuries (1 hr) Presentation of methods to recognizing, identifying, differentially diagnosing and managing superficial corneal injuries.  Mechanisms, examination techniques, and therapeutic managements are discussed.  Dry eye, chemical injury, contact lens complications, foreign bodies, and abrasions are discussed.
Speakers: Dr Marc Myers & Dr Andrew Gurwood

Management of Ocular Occlusive Disease (1 hr) Review the salient anatomy and pathophysiology of ocular arterial occlusive disease, along with its inflammatory/cardiovascular basis. Discuss signs and symptoms of the common ocular occlusive events along with descriptions of treatment options and outcomes-of-intervention.
Speakers: Dr Marc Myers & Dr Andrew Gurwood

Glaucoma (2 hrs) Medical management of glaucoma involves many decisions.  Whether to offer a treatment option at any point of diagnostic evidence, burden of treatment, choice of initial therapy, life expectancy and other factors.  This course will attempt to offer a template for these considerations.
Speaker: Dr Leo Semes

Understanding Rx and Dispensing with Confidence (for OAs) (1 hour) The prescription is the basis of all spectacle orders. The patient may only be interested in the latest fashion trend in frames or the final cost but the informed and confident OA will know how to interpret the prescription for the best needs of both the spectacle fabrication and the patients’ overall delight in their new eyewear. In this one hour lecture, the OA will be reminded of some of the basic Rx interpretations that must be considered when presented with a new Rx as well as considerations of the patients’ vocation, hobbies and eyewear needs. Special measurements for high or unusual Rx’s will be discussed as well as how to present 2nd and 3rd pairs as needed during the frame selection process. A 10 minute question period will be given at the end of the lecture for questions from the participants.
Speaker: Marilyn Smith

Dispensing - PAL Corridors, Hobbies, Sports, Sun Specs/UV (for OAs) (1 hour) With access to so much excellence in spectacle lens designs, the OA must be comfortable presenting several lens designs that may be beneficial to patients according to their day to day needs. This one hour lecture will highlight the “other pairs” that need consideration for the comfort and best visual advantage to each patient. New technologies in sports vision, sunwear and accommodation for todays’ increased use of computer technologies will be discussed.  As the advancements in digital eyewear have also increased greatly, what to offer patients for the optimal PAL corridor length, individualized digital lens designs and AR technologies, the OA requires current information as many patients will do their own “research” before arriving at the office!  Protective sunwear is a must for every patient and this lecture will review the various types of sunwear available for best patient comfort according to each individual lifestyle. 10 minutes at the end of the lecture will allow for questions.
Speaker: Marilyn Smith

The Power of Nutrition and Its Impact upon Ocular Wellness and Ocular Disease (1 hour) This one hour rapid fire lecture will review the power of personalized nutrition and how lifestyle habits promote ocular wellness and minimize disease. The discussion will include: dry eye management, recommendations beyond AREDS, support for diabetes and insulin resistance, nutritional controversies that have been debunked by clinical research, and how a healthy microbiome may reduce anti-inflammatory conditions of the eye. At the conclusion of the lecture there will be a nutrition panel discussion to answer questions from the audience.
Speakers: Dr Dennis Ruskin, Dr Laurie Capogna, Dr Paul Chous

Contact Lenses 2020 & Beyond (1 hour) This course will look at the potential future applications for contacts outside their traditional use of correcting vision. The technologies covered will include such diverse areas as drug delivery, disease diagnosis and management, myopia prevention and sophisticated imaging and augmented reality opportunities.
Speaker: Dr Lyndon Jones

Social Media 2.0 for ODs & OAs (1 hour) Many eyecare practices embrace social media as an economical means to connect with patients, fill exam chairs and raise the level of communications. That’s all good. However, if your practice is using social media the same way you have for years, you likely are falling short of unleashing its full potential as a marketing and communications tool that can elevate the eyecare you deliver and be a powerful practice-builder. In short, the first generation of social media is over.
Speaker: Dr Justin Bazan

OA CE: Ocular Urgencies & Emergencies The A-Zs of Ocular Urgencies and Emergencies: A look at Common Ocular Conditions from Front to Back. This lecture will feature common and important eye conditions that optometric assistants should know. This will help assistants understand more of what the patient is experiencing, help field phone calls and understand referral urgency at the office.
Speaker: Dr Sarah MacIver

Diabetes: An Inside Look (1.5 hours) This course takes a unique look at diabetes and the eye diseases associated with it from the perspective of an optometrist who specializes in diabetes eye care and has had diabetes nearly 50 years.
Speaker: Dr Paul Chous

Myopia Control (1.5 hours) Interest in myopia has increased substantially in recent years, due to its rising prevalence across populations worldwide. This presentation will review the most recent knowledge regarding the prevalence of myopia, its impact on healthy vision and what methods (historically and recent) have been used to slow the progression of myopia.
Speaker: Dr Lyndon Jones

OA CE: Contact Lenses; Hands-on Workshop (2hrs) This workshop is a 2-hour interactive and educational experience preparing Optometric Assistants for the complete patient experience with contact lenses. Topics will include patient selection criteria, fitting principles, lens handling and care techniques as well as strategies to ensure compliance. Optometric Assistants will gain hands-on experience working with a variety of lens types.
Speakers: Dr Jenna Bright & Sonja Cheung