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SECO Daily
Friday, March 3, 2017
Retina Docs Take on Vitreoretinal Comanagement
M
Posterior Vitreous Separation
ohammad Rafieetary, OD, of the Charles
Retina Institute hosted two rising stars
in retinal surgery yesterday for a look
at how optometrists can prepare to combat an
expected growth in retinal disease—due to both
the aging population and the emergence of systemic diseases with retinal consequences, such as
diabetes. In particular, speakers John Randolph,
MD, and Eric Sigler, MD, focused on the latest in
comanagement, imaging technologies, therapies
and surgical options for vitreoretinal diseases.
Vein Occlusion
“With vein occlusions, the mechanism of macular
edema is not completely understood,” Dr. Randolph explained. The three types of vein occlusions
are:
1. Combined vein and artery occlusion
2. VEGF-driven
3. Inflammatory mediator-driven
Dr. Randolph presented three case studies to
illustrate how these different occlusions manifest
and how they’re treated. “We all know that, in
most of these cases, there’s an elevated level of
vascular endothelial growth factor (VEGF). The
anti-VEGF drugs all are antibodies that target the
VEGF molecule and downregulate it for somewhere between four and eight weeks.” Unfortunately, he said, up to 50% of patients have either a
partial or poor response. In addition, some patients
experience inflammation.
Emerging and future treatments for vein occlusions, he said, include designed ankyrin repeat
proteins, anti-erythropoietin therapy and the
Iluvien implant (fluocinolone acetonide intravitreal
implant, Alimera Sciences).
Degenerative Disorders
“Chorioretinal degenerations are a group of disorders that have both genetic and environmental
defects in the RPE, retinal or choroidal function,”
explained Dr. Sigler. These include:
• Macular degeneration
• Best vitelliform dystrophy
• Stargardt’s disease
• Retinitis pigmentosa
• Choroidal neovascularization
000_sd0317_fri_pre_ja.indd 1
Eric Sigler, MD, of the Ophthalmic Consultants of Long
Island, advised attendees on comanaging degenerative
disorders, such as Stargardt’s disease and retinitis
pigmentosa, at Thursday morning’s Retina Roundup.
“The key take-home point is that the visual sequelae for all of these disorders is due to atrophy,
and atrophy—meaning loss of cells—is really not
treatable at this point.”
However, patients do have some options, and
they primarily begin with seeing their optometrist. New technology has reshaped how doctors
can monitor these diseases. For instance, optical coherence tomography (OCT) angiography
and Doppler OCT are giving ODs the ability to
visualize the retinal ganglion cell layer and “will
probably become much more important in the
future,” Dr. Sigler said. However, “the standard
that I use to look at early detection of drusen is
OCT as well as autofluorescence.”
Some older technologies still come in handy,
though. “If I see someone with unexplained vision loss and I suspect macular problems, it’s important to check [fluorescein angiography]. One
thing we can see with fluorescein angiography
that no other imaging device can demonstrate—
including OCT angiography—is leakage or the
breakdown of the blood-retinal barrier.”
Dr. Rafieetary synthesized Dr. Sigler’s points.
“If you start delving into the cross section of images on OCT and high-resolution scans, a lot of
these diseases will make a whole lot more sense
to us. And that is important to translate for our
patients so that they can understand what’s happening to them and make plans for their treatment future.”
“In becoming a retina specialist, probably the
biggest learning curve initially was getting really
good at examining the peripheral retina,” said
Randolph, who returned to the stage to present the
third section of the four-part course. This section
focused on posterior vitreous detachment (although Dr. Randolph takes issue with that name,
saying the patient will possibly conflate it with
retinal detachment. He prefers “separation.”).
“I encourage all my referring doctors to really get good at examining the peripheral retina
whether through scleral depression or mastering
your indirect ophthalmoscope skills,” he said.
This is all in the effort to avoid urgent retinal
detachments, which are rare, but, if not treated
immediately, can lead to vision loss.
Dr. Randolph attributed a recent increase in
PVD-related detachments to increased cataract
surgeries, but even still, most PVD patients won’t
undergo a detachment. However, he said, primary
care eye doctors should monitor them regularly,
perhaps three times in a month, to make sure they
don’t develop a tear. “If I look three times in a
month and I don’t find a tear, then I’m fairly confident they’re not going to develop one.”
The Genetics of AMD
Dr. Sigler closed out the morning session with a
brief talk on so-called AMD treatment, but in fact,
Dr. Rafieetary said, that’s a misnomer. “We still
are not treating AMD, we are treating choroidal
neovascular membrane, and that’s a disconnect we
all have to make. Anti-VEGF therapy is not a treatment for AMD.”
Dr. Sigler pointed to a cutting-edge way doctors
can monitor for AMD—genetic testing. Genetic
markers of macular degeneration include genes
that code for “complements,” or protein molecules
that float around in the blood stream to help destroy foreign antigens.
“The real key” to preventing AMD for patients
with genetic markers for AMD, Dr. Sigler said,
is “environmental factors. Smoking is huge one.
We’re starting to understand that obesity also can
lead to problems. But remember, there are many
additional factors that remain to elucidated.”
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SECO0317_Vistakon.indd 1
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SECO Daily
3
Getting Back to Basics With Red Eye Evaluation
W
hen looking to quickly diagnose red
eye, Thomas G. Quinn, OD, encouraged attendees of yesterday’s “Practical
Problem-Solving of Red Eye in the Contact Lens
Patient,” to avoid over-relying on technology.
Instead, he said, look to fundamentals, such as a
strong patient history and thorough clinical exam,
to make an accurate assessment.
“You can fall into a trap where you rely on the
gadgets to do the work for you, but the best computer we have sits right here,” he said, pointing to
his head.
A study in the Archives of Internal Medicine
comparing senior residents and experienced clinicians in accurately diagnosing emergency department patients found that the best standalone tool
for an accurate diagnosis was a good history, Dr.
Quinn noted.1 The best combination tool was a
good history and a proper physical exam.
“We’re in a hurry, so we want to short-circuit
the history, when in fact, that makes the whole
process longer,” Dr. Quinn said.
Dr. Quinn discussed signs and symptoms of red
Thomas G. Quinn, OD, gave practical wisdom on
evaluating patients for red eye during yesterday’s
“Practical Problem-Solving of Red Eye in the Contact
Lens Patient” session.
eye, potential causes and the right questions a clinician should ask (e.g., Where is the red? Does it itch
or burn?) to make a differential diagnosis between
issues such as viral infection, dryness, belpharitis/
MGD, and other common causes of red eye.
He encouraged eye care professionals to thoroughly examine the eyelid and check the aperture
for further diagnostic clues. If a patient presents
with red eyes just in the aperture, it’s likely dryness, Dr. Quinn said. In that case, lissamine green
dye would reveal staining.
Dr. Quinn provided clinical indicators that
contact lenses may be contributing to red eye and
common contact lens culprits, including hypoxia,
allergy, infection or inflammation.
Determining the state of a patient’s contact lens
hygiene is also an essential part of the clinical assessment. Dr. Quinn told a story about an adolescent male whom he fit with a daily disposable lens,
who kept returning to his office with a red eye. Dr.
Quinn was perplexed until the third visit when the
boy’s mother came with him.
“She told me, ‘Well, at the end of the day, he
gets in bed and probably picks his nose and then
takes his contacts out and throws them onto his
carpet next to his bed,’” Dr. Quinn said to the
sound of audience laughter. “He was forgetting the
clean hands part of the equation.”
1. Paley L, Zornitzki T, Cohen J, et al. Utility of clinical examination in the diagnosis of
emergency department patients admitted to the department of medicine of an academic
hospital. Arch Intern Med. 2011 Aug 8;171(15):1394-6.
On Skinning Cats — or Corneas
Tomorrow’s special session will bring you up to speed on the many corneal transplant
options you may find yourself comanaging.
Saturday, 9am – 11am, Bldg. A, Amphitheater A3
T
Photos: Peter Veldman, MD
ing the stroma with the newest treatment option.
hese days, the selective corneal transplant
tions, ideal patient populations and outcomes.
Returning to skinning cats, Dr. Veldman will
options are more robust, and confusing,
Like all good teachers, Dr. Veldman will
round
out his comprehensive look at corneal
than ever. Patients with irregular corneas—
leave no stone unturned in this presentation.
transplant
by digging into the intricacies of Deswhether from herpes simplex virus, keratoconus,
Two bonus topics break up the weighty surgical
cemet’s
stripping
automated endothelial keratoocular trauma, post-surgery or a number of other
discussion: herpes simplex virus and corneal colplasty
(DSAEK),
Descemet’s
membrane endothelicauses—can benefit from any number of procelagen crosslinking. After all, you can’t talk about
al
keratoplasty
(DMEK)
and
Descemet’s stripping
dures, including SLET, DALK, PKP, DSAEK,
stromal rehabilitation without mentioning (1) the
without
endothelial
keratoplasty
(DSWEK).
DMEK and DSWEK. During tomorrow mornleading cause of infection corneal blindness in inArmed
with
this
knowledge,
attendees
are
ing’s special session “Skinning Cats: Corneal
dustrialized populations and (2) the potential for
avoiding
all
this
surgery
in
the
fi
rst
place
by
savthen
tasked
with
identifying
the
best
surgical
Transplantation From Front to Back,” Peter B.
option for three different cases: a
Veldman, MD, one of the nation’s
28-year-old monocular male with
leading corneal pioneers, will unpack
bullous keratopathy in the left eye;
these acronyms using his robust
a 58-year-old male with Fuchs’
knowledge, clinical videos—and a bit
dystrophy and a nuclear cataract of
of humor.
the left eye; and a 61-year-old male
Beginning with simple limbal
with inferior bullous keratopathy,
epithelial transplantation (SLET),
neovascularization and cataract of
and then moving on to penetrating
the right eye.
keratoplasty (PKP) and deep anterior
By the end of the session, will
lamellar keratoplasty (DALK), Dr.
SLET—which helped this 18-year-old patient with an alkali injury to the left eye (left)
you
be able to guess Dr. Veldman’s
Veldman will highlight the difference gain a spectacle-corrected visual acuity of 20/25 at six months post-op (right)—is just
preferred surgical option?
between the procedures, their indica- the tip of the iceberg in Saturday’s special session.
REVIEW OF OPTOMETRY • SECO SHOW DAILY • MARCH 3, 2017
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4
SECO Daily
Thorough Therapeutics: An OD Pharmacist Tells All
A
ttendees of yesterday’s talk, “Everything
You Wanted to Know About
Therapeutics, But Were Afraid to Ask”
by Bruce Onofrey, OD, RPh, were given a crash
course on current therapeutic strategies for a
plethora of conditions.
Dr. Onofrey started out the Wednesday morning lecture by asking the audience: What’s more
important, safety or efficacy? “With a large population, we always go for efficacy,” he said. “Safety
is not less important, but it’s important only for
the individual that you’re talking about.” Judge
each patient’s need for and tolerance of a drug
against its clinical value to the case rather than
categorically deciding what’s safe and what isn’t,
he advised.
From there, as Dr. Onofrey gave a detailed discourse on ocular pharmacology, three main topics
emerged: recurrent corneal erosion, pain management and ocular surface disease.
There is a new way of thinking about and approaching corneal erosion. “It’s not your mother’s
or your father’s optometry anymore,” Dr. Onofrey said, as he asked doctors to reconsider and
update their protocols for the common practice
of eye patching. He also stressed the advantages
of bandage contact lenses over amniotic membrane use; namely, comfort and price. Debride
the cornea before fitting the lens, he advised. “If
that epithelium looks like mush, get rid of it,” Dr.
Onofrey said. “It really does retard healing and it
can increase inflammation.” He stressed the importance of fitting a bandage lens a bit tight (8.4
base curve) so that it doesn’t move, and advised
caution during removal to avoid disrupting a fragile new epithelium.
In the realm of pain management, Dr. Onofrey
warned about opiate overuse leading to addiction
but noted that “the greatest risk to these patients
is not opiate poisoning, but liver failure from
acetaminophen.” The recommended maximum
dose for adults has changed from Tylenol Extra
Strength (4g) to Tylenol Regular Strength (2.6), he
said.
For non-opiate pain relief, one to two tablets
of Tylenol up to three times a day in conjunction
with a prescription for 600mg of Motrin can be
just as effective as a narcotic, if not more so.
Shifting to dry eye, Dr. Onofrey walked attendees through a particularly valuable chart mapping
the cascade of dry eye’s observable pathologies,
causes and contributors, and stages of progression.
“Dry eye leads to tissue damage, which leads to
inflammation, which leads to reduced tear quality,” he said. “Where are they along that spectrum
of damage?” And though omega-3 fatty acids are
popular and useful for dry eye, Dr. Onofrey cautioned attendees to recommend DHA- and EPAcontaining products. “What you want to prescribe
is a purified, quantified product.”
The lecture finished by addressing coexisting
diseases, highlighting ocular surface disease in
glaucoma patients who use drops preserved with
BAK, which Dr. Onofrey said really stands for
“buy another kind,” giving credit to UAB’s Leo
Semes, OD, for that joke.
Ask Away: Coding Confusion Clarified
Experts get to the bottom of tricky billing questions.
A
ttendees of Wednesday afternoon’s
“Ask the AOA Coding Experts: Top 10
Questions” got some much-needed clarification on all of their coding uncertainties. After
breezing through the basics to refresh everyone’s
memory on CPT procedure codes, ICD-9-CM/
ICD-10-CM diagnosis codes, HCPCS codes and
code modifiers, experts Rebecca Wartman, OD,
and Harvey Richman, OD, took some time to
review recent changes that affect coding and billing
for optometrists.
While some changes, such as the discontinuation of CPT code 92140 for provocative tests
for glaucoma are no-brainers (“If you have ever
used this code, you probably weren’t using it right
anyway,” Dr. Wartman said), others can be more
challenging. Most ICD-10 changes, for example,
demand more specificity when coding. “Do not use
unspecified, as that now indicates it wasn’t documented,” Dr. Richman said, using coding for dry
age-related macular degeneration as an example.
“A lot of the time you will have more codes now,”
Dr. Wartman added.
Clinicians have to be wary of new therapeutics,
too, according to the experts. Some new CPT III
codes, such as 0402T for collagen crosslinking of
Dr. Wartman (left) and Dr. Richman (right) explain changes
to the ICD-10 codes that now specify dry AMD staging.
cornea, are still not covered, but you have to use
them to help establish them as “big boy codes,”
Dr. Wartman joked.
Once the speakers turned to the top 10 questions, they found themselves fielding questions
from the audience, as the complexity of each coding situation prompted follow up.
To help clarify many questions at once, the
speakers broke down the importance of code
wording, and how easily the wrong wording can
cause confusion. “CPT code wording is the only
official definition for codes,” Dr. Wartman said.
The code introductions, however, are not part of
the official definition and “are only there to further
explain the code.” For example, a question about
when clinicians can use codes 92004 and 92014
sparked significant discussion among the audience. While the official wording states, “medical
examination and evaluation, with initiation or continuation of diagnostic and treatment program,”
the code introduction mentions evaluating based
on a new diagnostic or management problem. But
that doesn’t mean you have to have a new diagnosis to use the code, Drs. Wartman and Richman
stressed. “This was a big problem a few years ago,
as clinicians thought they had to use 99000 codes
for follow up because of this wording,” said Dr.
Richman. “I’m really glad everyone is now on the
same page and knows this isn’t the case.”
The session continued with a lively back and
forth as the presenters walked everyone through
several more common questions about prescribing
Medicare glasses and performing a refraction after
cataract surgery, using modifier 25, billing when
using an autorefractor and documentation and
billing for posterior vitreous detachments, to name
a few. Every question prompted audience involvement, as one question led to another.
“This is really what this presentation is supposed to be about,” said Dr. Richman. “Getting
you guys to think through these different things.”
REVIEW OF OPTOMETRY • SECO SHOW DAILY • MARCH 3, 2017
000_sd0317_fri_pre_ja.indd 4
3/2/17 6:36 PM
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EDUCATIONAL MEETINGS OF CLINICAL EXCELLENCE
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Charleston, SC
March 24-26, 2017**
San Diego, CA
April 20-23, 2017**
Charleston Marriott
Joint Meeting: NT&T/OCCRS
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Program Chair:
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Program Chair:
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Orlando, FL
June 8-11, 2017**
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November 3-5, 2017*
Disney’s Yacht & Beach Club
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Program Chair:
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OPTOMETRIC CORNEA, CATARACT
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2/27/17 6:11 PM
2017
WHERE SIGHT MEETS VISION
TM
1970s
Saturday
Night Fever
Party
Grab your love beads, your old 45s and
Dust off your bell bottoms!
Join SECO for a blast from the past.
Featuring Dennis DeYoung,
lead vocalist of STYX
hits ‘Come Sail Away’, ‘Babe’, ‘Mr. Roboto’, ‘The Best of Times’,
‘Don’t Let It End’, ‘Show Me The Way’, and ‘Lady’,"
March 4, 2017
8:30PM - MIDNIGHT
Costume Contest with prizes for the best 1970s costume!
000_sd0317_fri_pre_ja.indd 6
2/27/17 5:56 PM
SECO Daily
7
Friday, March 3 — Course Listings
MEETINGS AND EVENTS
8am – 5pm
SNAPP East Meeting
Omni Maple A/Maple BC/Spruce
(S Tower)
8am – 12pm
Southern Caucus
Omni International ABCD, Level M2
10:45am – 5pm
Optometry’s Marketplace at SECO™
GWCC Bldg. A Exhibit Hall
Ticket Exchange for the Saturday
Night Fever Party
GWCC Bldg. A Exhibit Hall,
Conversation Cafe
3pm – 4:30pm
International Leaders Forum
Omni Grand Ballroom A
5pm – 7pm
Ophthalmic Professionals Party
Omni International Ballrooms A–C
Level M2
5:30pm – 6:30pm
Southern College of Optometry
Adjunct Faculty Forum
Omni Birch (S Tower)
6pm – 7:30pm
NSUCO Alumni & Friends Reception
Omni Magnolia Room, Level M2
6pm – 7:30pm
Pennsylvania College of Optometry
Alumni and Friends Reception
Omni Grand Ballroom B, Level M4
9am – 11am
061 Cornea Cornucopia
Whitley, Yeu, Gupta
Amphitheater A3
137 The Role of Lab Testing in
Managing Ocular Disease
A314
Than
138 Maximizing Profits in A
Competitive Market
A315
Mills
OPTOMETRIST COURSES
11am – 12pm
A Different POV: New Perspectives
on Optometry’s Future
Presentation Theater 1
Neukirch, Hazard
Not for credit
6:30am – 7:30am
121 Stem Cell Technology in
Glaucoma
A302
Semes
Broadened Options: An
Optometrist’s Guide to New Lens
Technologies and Biologics Options
Presentation Theater 3
Karpecki
122 Zeiss Cirrus OCT
A313
Gaddie
12pm – 1pm
302 Lunch Symposium
Sights of Innovation presented by
Bausch + Lomb
Rosenblatt
AND
Dry Eye – A Complex Disease with
Potential Consequences presented
by Allergan
Karpecki
Amphitheater–A3
9pm – 12am
NEXT Party
For Students & Recent Grads
Omni International Ballrooms A–C,
Level M2
Bad Habits – Eye Docs of Rock Party
Ventanas (275 Baker St.)
123 Lid Lesions: Relax or Refer?
A305
Lonsberry
6:30am – 8:30am
124 Pharmacology of Injectable
Meds
A314
Than
125 Do You Understand Your
Practice’s Financial Health?
A315
Rogoff
7am – 9am
601 Hybrid and Scleral Lens
Learning Lab
A407
Sonsino
6:30pm – 8pm
UABSO Alumni Reception
Omni Grand Ballroom E, Level M4
7:45am – 8:45am
126 Clinical Cases in Glaucoma
A302
Sendrowski
6:30pm – 8:30pm
Southern College of Optometry
Reception for Alumni & Friends
Omni Atrium Terrace S. Tower
127 Optovue OCT
A316
Pizzimenti
7:15pm – 8:45pm
Shire Dinner Symposium
Omni, International Ballroom EF
128 Pain Pain, Go Away
A311
Casella
7:30pm – 9pm
IU School of Optometry Alumni &
Friends Reception
Omni, Grand Ballroom A, Level M4
129 Morning Retinal Rounds
A313
Rafieetary
8pm – 10pm
National Optometric Association
Reception
Omni Redwood Room
130 Poor EHR Performance:
Who Do I Blame?
A304
Tierney
1:45pm – 2:45pm
136 CE for CME
A313
Mukkamala
139 The Fired Employee: Avoiding
Tech Revenge
A316
Parker
1:45pm – 3:45pm
131 Next Generation Glaucoma
Meds and Delivery
A311
Gaddie
132 In–Office Electrodiagnostics:
What Can It Do For You?
A304
Lighthizer
133 Treating with Oral Meds: From
Dry Eye to Dendrites
A305
Lonsberry, Spear
134 Rules and Exceptions in Neuro–
Ophthalmic Disease
A302
Sowka
135 State of the Art Cataract Care
A312
Schweitzer
140 Interpreting the OCT: Fact or
Artifact?
A411/412b
Caldwell
602 MGD Learning Lab
A303
Hauser, Kabat
603 Injections Learning Lab
A310
Ensor, Neal, Walker
2:45pm – 3:45pm
141 Intravitreal Injections
A313
Mukkamala
142 Using Technology to Prevent
Embezzlement
A316
Parker
604 Optovue OCT Learning Lab
Presentation Theater 1
Pizzimenti
4pm – 5pm
Position of Wear and Compensated
Rxs
Presentation Theater 1
Lahr, Hicks
Keeping Up With The Millennials ECP
University
Presentation Theater
Parker
Best Practices for Patient Satisfaction
with New Extended
Depth of Focus IOLs
Presentation Theater 3
Karpecki, Devries, Schmidt
Not for Credit
5pm – 6pm
144 Game of Loans
A304
Mills
149 Inept and Distracted: The
Technology-Centered Employee
A316
Bazan
(Continued on p. 9)
REVIEW OF OPTOMETRY • SECO SHOW DAILY • MARCH 3, 2017
000_sd0317_fri_pre_ja.indd 7
2/27/17 4:54 PM
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Geographic Atrophy - The Next Frontier In Care
Rishi Singh, MD; Mark Dunbar, OD (Capacity 75)
2:00-2:45 PM
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Howard Purcell, OD FAAO (Capacity 75)
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Andrew Neukirch, OD; Mr. Troy Hazard (Capacity 50)
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Broadened Options: An optometrist’s guide to new lens technologies and biologics options
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SATURDAY OD
11:00 AM-12:00 PM
12:00-1:00 PM
12:00-12:45 PM
3:15-4:15 PM
Patient Handoff - Collaborative Patient Care
Ryan Parker, OD (Capacity 75)
Say Hii in Georgia!
Scott Hauswirth, OD, FAAO; Bridgitte Shen Lee, OD; Walter Whitley, OD, MBA, FAAO (Capacity 75, boxed lunch provided)
THEATER
2
3
Essilor Town Hall
THEATER
Leveraging Technology to Get Your Patients in The Door Enter to Win $100 Amex card
THEATER
The Evolution of Lenses, Blocking Blue Light
THEATER
Ryan Parker, OD (Capacity 75)
Visual Merchandising Tactics
Travis Reed (Capacity 75)
ESSILOR
THEATER
2
1
2
ESSILOR
THEATER
3
OPHTHALMIC PROFESSIONALS PRESENTATIONS
FRIDAY OP
11:00 AM-12:00 PM
Ophthalmic Merchandising 101
Pete Hanlin, LDO (Capacity 75)
Team Health Care – What’s Your Role In The Practice Of The Future?
12:00-1:00PM
John Rumpakis, OD, MBA (Capacity 75)
Special Events Ideas and Best Practices
Travis Reed (Capacity 75)
Front Desk Triage – Understanding Vision Visits vs. Medical Encounters
2:00-3:00PM
John Rumpakis, OD, MBA (Capacity 75)
Perception of Value
Pete Hanlin, LDO (Capacity 75)
THEATER
1
ESSILOR
THEATER
2
THEATER
3
THEATER
1
THEATER
2
ESSILOR
SATURDAY OP
Documentation & Compliance Requirements For Ophthalmic Techs
John Rumpakis, OD, MBA (Capacity 75)
1:30-2:30PM
Patient Handoff - Collaborative Patient Care
Ryan Parker, OD (Capacity 75)
2017 Retail Trends
Travis Reed (Capacity 75)
000_sd0317_fri_pre_ja.indd 8
THEATER
1
THEATER
2
ESSILOR
THEATER
3
2/27/17 5:57 PM
SECO Daily
9
Friday, March 3 — Course Listings
(Continued from p. 7)
5pm – 7pm
143 The Devil is in the Diagnosis
A302
Sowka, Gaddie, Marrelli
145 Prevention of Medical Errors for
Optometric Physicians
A311
Easton
146 Covering the Cornea from
A(BMD) to Z(oster)
A312
Schweitzer
147 No Matter How You Slice It: A
Primer on the OCT
A313
Rafieetary
148 Clinical Challenges in Uveitis:
Tales from the AC
A314
Sendrowski
605 Advanced Corneal Procedures
Learning Lab
A407
Pate, Steele, Than
6pm – 7pm
150 Advances in Measuring Tear Film
Dynamics
A304
Smith
151 Preventing In–Office HIPAA
Blunders
A316
Parker
TEAM–CENTERED LEARNING
COURSES
6:30am – 7:30am
512 CL’s for the Next Generation
A311
Quinn
6:30am – 8:30am
513 Take Control of Myopia!
A411/412b
Walline
7:45am – 8:45am
514 Blepharitis, MGD and OSD
A305
Gaddie
5pm – 7pm
515 A Guide to Diabetic Disease and
Pharmacology
A305
Ensor
516 Making Sense Out of Healthcare
Reform
A315
Rogoff
517 Traumatic Brain Injuries: What
You Don’t Know Can Hurt You
A411/412b
Hinrichs
OPHTHALMIC PROFESSIONALS
COURSES
7am – 8am
730 A Review of
HIPAA Rules
A402
Wartman, Richman
731 Intro to Refractive Data
Collection
A403
Gustus
732 Sometimes the Solution
is the Solution
A405
Rakow
733 Troubleshooting
Dispensing to Seniors
A410
Drake
7am – 9am
906 Preliminary Skills for the
Technician Learning Lab
A406
Pate, Smith, Steele
8am – 9am
736 Basic Terminology
A404
Graves
908 Refractometry
Learning Lab
A408
Gustus
738 Troubleshooting Rx Complaints
A410
Gibb
8am – 11am
907 POA, CPOT, COA Prep Course
A412a
Shwom
9am – 10am
739 Making the Most Out of Patient
History
A404
Lonsberry
Special Events Ideas and Best
Practices
Presentation Theater 3
Reed
1pm – 2pm
745 Meaningful Use
A402
Wartman, Richman
746 Advances in Measuring
Tear Film Dynamics
A403
Smith
911 Refractometry Learning Lab
A408
Gustus
747 Clinical First Aid
A404
Graves
9am – 11am
909 Lensometry Learning Lab
A406
Coleman, Stevens
748 Pediatric Contact Lenses
A405
Walline
910 Slit Lamp Learning Lab
A407
Cioni, Graves
749 Generation Y: Know Your
Patient
A410
Manso
10am – 11am
740 Claims Denial: What Is The Next
Step?
A402
Wartman, Richman
913 Prism Progressive
Learning Lab
A406
Coleman, Stevens
741 Injections Assisting
A403
Ensor, Neal
914 Goldmann Tonometry
Learning Lab
A407
McCullough
742 Blue Light
A410
Manso
743 Achieving First–Fit Success With
Toric Soft Lenses
A405
Rakow
744 Troubleshooting Pediatric
Dispensing
A404
Drake
8am – 10am
734 Coding and Billing
A402
McCarty
11am – 12pm
912 Refractometry Learning Lab
A408
Gustus
735 Ocular Pathology: What Went
Wrong?
A403
Lane
Ophthalmic Merchandising 101 ECP
University
Presentation Theater
Hanlin
737 It’s A Very Scleral World
A405
Nguyen
12pm – 1pm
Team Health Care – What’s Your
Role In The Practice Of The Future?
Presentation Theater 1
Rumpakis
915 Advanced Refractometry
Techniques
Learning Lab
A408
Gustus
2pm – 3pm
Front Desk Triage – Understanding
Vision Visits vs. Medical Encounters
Presentation Theater 1
Rumpakis
Perception of Value ECP University
Presentation Theater
Hanlin
3pm – 5pm
750 I Speak Your Language:
Understanding
Personality Dynamics
Amphitheater A3
Manso
REVIEW OF OPTOMETRY • SECO SHOW DAILY • MARCH 3, 2017
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10
SECO Daily
Welcome Optometry Students!
T
hank you for attending SECO 2017, where you can bring your
future as an optometrist into focus. While you’re here, you can experience the best education in optometry while you network with your
peers, working optometrists, potential employers and industry leaders, and
enjoy some fun social events.
Free Continuing Education
Current optometry students and residents are welcome to attend the optometrist continuing education program at SECO 2017 for free, including the
Special Sessions and lunch at the OD Symposium Series courses on Thursday and Friday along with the Student Symposium on Saturday. Students
can attend courses as long as space is available, except for Learning Labs,
which are excluded.
Student Symposium
Saturday, March 4, 12pm – 1:15pm
A411/412b
The Student Symposium is a special course just for students with a free
lunch and an opportunity to network with and hear presentations from
industry leaders and interact with students from all over the country. It is
sponsored in part by Alcon, Johnson & Johnson Vision Care, Inc., and VSP
Global. Presentations are:
Alcon Update
Tom Duchardt, FAAO
EYE-INSPIRED™. Patient-focused.
Charissa Lee, OD, FAAO
Getting to Know VSP Global
Vernon Dela Cruz
WIN $1,000 SCHOLARSHIP AT THE STUDENT
SYMPOSIUM
You could win a $1,000 scholarship from SECO International just by attending the Student Symposium on Saturday. You must be present to win,
so don’t forget to register.
NEXT PARTY
Friday, March 3, 9pm – Midnight
Omni International Ballroom ABC
SECO’s NEXT Party, for students and recent grads, is where you will celebrate your role as the future of the profession and have a great time with
free food and drinks, a photo booth and a DJ. Sponsored in part by Hoya/
Seiko.
Get $100 Cash Stipend
Every student attending SECO 2017 will receive a $100 cash stipend to help
offset your attendance costs. To receive your stipend, you must bring your
exchange ticket and name badge in person to the exhibit hall’s Conversation
Cafe ONLY on Saturday, March 4, from 3pm – 4pm.
FOOD | DRINKS | MUSIC | PHOTO BOOTH
ALL STUDENTS AND RECENT GRADS ARE INVITED
TO CELEBRATE THE FUTURE OF OPTOMETRY
Friday, March 3 9:00 PM – Midnight
Omni Hotel, International Ballroom ABC
Sponsored in part by
REVIEW OF OPTOMETRY • SECO SHOW DAILY • MARCH 3, 2017
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SECO Daily
11
Leading the Way With Innovative
Programs and Resources
T
oday’s optometrists are continuing to expand their role in patient care. In recognition of this trend, Allergan has been working closely with ODs
nationwide to provide programs and resources aimed at helping them diversify their practice.
Following is an overview of just some of the key resources Allergan has to offer.
OPTOMETRY JUMPSTART®
OPTOMETRY JUMPSTART® provides students and recent graduates with tools and information to help them get off to a strong start. Currently, 9,120
new ODs and students are registered in the program, including 91% of the class of 2016.
For new ODs, OPTOMETRY JUMPSTART® offers:
• Product samples for patients who need them
• A dedicated Allergan sales representative
• Savings programs to help manage costs for eligible patients
• Patient education materials
Students and recent graduates (2012–2017) can tap into the power of OPTOMETRY JUMPSTART® at
AllerganODJumpstart.com.
Allergan TechAlliance
Allergan TechAlliance provides a wealth of resources to help technicians do what they do best…even better.
As a member of TechAlliance, technicians gain access to the following resources:
• Patient counseling tools
• Coverage and co-pay information
• TechTutorials that offer tips for dealing with managed care and pharmacy issues
To learn more about this program, visit AllerganTechAlliance.com.
The Allergan Optometry Facebook® page
The Allergan Optometry Facebook® page is dedicated to enhancing the positive partnership between Allergan and eye care
professionals. We invite you to “like” our page, where we:
• Discuss information on disease states like dry eye disease and glaucoma
• Share helpful patient care resources for you and your patients
• Communicate information about upcoming events and activities
• Actively engage, listen, and respond to you
Connect with Allergan in a whole new way at Facebook.com/AllerganOptometry.
“These innovative optometry initiatives demonstrate how
the people of Allergan are working to help ODs strengthen
their standing in the forefront of their profession. Visit
AllerganOptometry.com for more information on all
Allergan has to offer.”
—Dave Gibson, Director, Optometric Professional Relations
Published in Cooperation with Allergan, a SECO CHAMPION PREMIER PARTNER.
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12
SECO Daily
Optometry’s Marketplace™ Hosts the Top Industry Companies
(as of February 1, 2017)
Attendees can visit Optometry’s Marketplace at SECO™ for free just by mentioning an exhibiting company they intend to visit during SECO 2017.
EXHIBITOR .............................. Booth
EXHIBITOR............................... Booth
EXHIBITOR .............................. Booth
EXHIBITOR............................... Booth
A&A Optical ....................................733
ABB Optical Group ...........................328
ABS Smart Mirror .......................... 1416
Abbott Medical Optics .................... 1427
Acuity Pro/VisionScience
Software ..................................... 1406
Advanced Ocular Care/
Bryn Mawr Communications ......... 1404
AIT Industries/Briot USA ...................426
Akorn (TheraTears) ..........................501
Alcon ..............................................429
Allergan ........................................ 1311
Allied Powers, LLC ........................ 1614
Alternative & Plan “B” Eyewear ...... 1241
American Academy of Optometry .... 1720
American Academy of Orthokeratology
and Myopia Control ..................... 1722
American Board of Opticianry/
National Contact Lens Examiners
(ABO/NCLE) ................................. 1613
American Board of Optometry ......... 1718
Applied Medical Systems ............... 1513
Aspex Eyewear Group .................... 1300
Avalon Eyewear ............................. 1239
B&B Protector Plans, Inc. ............... 1501
Bank of America Practice Solutions ..410
Baumvision ................................... 1322
Bausch + Lomb ...............................818
Beaver Visitec International ..............315
Bellinger ....................................... 1424
Beye, LLC ..................................... 1402
Binocleuses .................................. 1221
Bio-Tissue ......................................400
BioD, LLC .......................................744
BlephEx ..........................................326
Bruder Healthcare Company ........... 1437
Capri Optics ....................................209
CareCredit ......................................301
CatarActive3 ...................................222
ClearLens ..................................... 1236
ClearVision Optical ..........................805
Coburn Technologies .......................321
College of Optometrists in Vision
Development (COVD) .................... 1624
Compliancy Group ...........................341
Compulink Business Systems ......... 1201
Computer Zone ...............................232
Conant Lens, Inc. ............................245
Contact Lens Spectrum
(Pentavision) .................................307
Contemporary Concepts, Inc. ............218
Continental Optical Imports ............ 1442
CooperVision ...................................621
Costa Sunglasses ............................627
Crystal Practice Management ......... 1536
DGH Technology, Inc. ......................320
Digital Heat Corporation ...................241
Diopsys ..........................................913
Dynamic Labs .................................338
Dyop Vision Associates ....................345
E-Dr. Network/New Era ....................404
Eastern Ophthalmic Supply & Repair .600
Edison Optics ................................ 1238
Encore Vision, Inc. ......................... 1343
Eschenbach Optik ............................708
Eske ............................................. 1540
Essilor Instruments ..........................420
Essilor of America ...........................419
Europa International/State Optical .. 1200
Eye Designs, LLC ............................921
Eyecare Business (Pentavision) ........309
EyeCare Partners, LLC .....................323
EyeCare Prime ................................713
Eyefficient, LLC ...............................300
Eyefunc ........................................ 1539
EyeMed Vision Care .........................533
EyePromise/ZeaVision ......................339
Eyes of Faith Optical ...................... 1521
Face à Face/Woow Eyewear ........... 1330
Fashion Optical Displays ..................727
Fast Pay (First Insight) .....................840
FCI Ophthalmics ..............................304
First Vision Media Group ................ 1441
Forus Health ...................................303
FoxFire Systems Group ....................219
Fresnel Prism and Lens Co. ..............441
Georgia Acuity Systems ................. 1500
Georgia Lions Lighthouse
Foundation ................................. 1710
Good-Lite .......................................227
GPN/The Edge .................................423
Gramercy Eyewear ........................ 1243
Haag Streit USA/Reliance .................711
Hai Laboratories ..............................800
Healthtec Industries.........................313
Heidelberg Engineering ....................500
Heine USA.......................................318
Hoya Vision Care ........................... 1013
i-dealoptics .................................. 1310
Icare USA .......................................432
Imagewear .................................... 1210
iMatrix/DemandForce .................... 1019
Innexus by Innereactive ...................212
Interstate Optical .............................808
Invision Magazine .......................... 1626
Italia Independent USA ................... 1306
Johnson & Johnson
Vision Care, Inc. ............................409
Kasperek USA Optical .................... 1337
Katena ............................................438
Keeler Instruments, Inc. ...................329
Kenmark Group ............................. 1507
Kentucky College of Optometry ....... 1623
Kering Eyewear USA, Inc. .................230
Kingdom Eyewear .......................... 1327
Kio Yamato Optics ......................... 1143
Konan Medical .............................. 1400
LA Eyeworks ................................. 1227
Lacrivera ........................................645
Lafont .......................................... 1231
LasikPlus ........................................211
LiquidEHR, Inc. ............................. 1524
Lombart Instruments ..................... 1301
Luneau Technology USA/
AIT/Briot .......................................426
Luneau Technology USA/
Visionix/LPO ..................................424
Luxottica Group ...............................537
M&S Technologies ...........................739
MacuLogix ......................................235
Marchon/Altair .............................. 1119
Marco Ophthalmic ...........................927
Marcolin USA Eyewear Corp. .......... 1330
Maui Jim Sunglasses ..................... 1133
MaximEyes by First Insight ...............836
MaxiVision (MedOp Health, Inc.) .......233
Mid-Gulf Instruments .......................345
Miraflex ..........................................215
Modern Design Architects ................210
Modern Optical International ............406
Morel Eyewear .............................. 1533
My Vision Express ......................... 1141
MyEyeDr ....................................... 1528
National Academy of Opticianry ...... 1611
National Optometric Association ..... 1615
National Recalls ..............................231
National Vision Retail .......................504
National Vision, Inc. .........................503
Natural Ophthalmics ........................743
NCI Vision Systems ..........................325
Nerdwax .........................................544
Nidek, Inc. .................................... 1215
Nordic Naturals ............................. 1628
Nouveau ....................................... 1212
Nova Southeastern University
College of Optometry ................... 1621
NovaBay Pharmaceuticals ................433
Novartis ..........................................714
Oasis Medical .................................437
OcuHub ........................................ 1620
Oculus ............................................536
Ocusoft ........................................ 1530
Ocutech, Inc. ..................................305
Ogi Frames ................................... 1433
Optek International ..........................308
Opticwash ......................................445
Optikam Tech, Inc. ..........................842
Opto Multimedia ............................ 1612
Optometric Management
(Pentavision) .................................311
Optometry Giving Sight .................. 1627
Optometry Times ........................... 1503
Optos, Inc. ......................................813
Optovue ..........................................810
Orgreen + Goldsmith ..................... 1225
Otto Trading, Inc. ............................444
Presenta Nova .................................741
Primary Care Optometry News
and Healio.com by Slack, Inc. ........221
ProDesign Denmark ....................... 1523
Professional Eye Care Associates
of America (PECAA) ..................... 1515
Proof Eyewear .................................545
RAM Mobile Clinic ......................... 1445
Reichert, Inc. ................................ 1137
Remote Area Medical ..................... 1538
Review of Optometry .......................601
RevolutionEHR............................... 1338
Robertson Optical Lab......................611
Santinelli International .....................737
ScienceBased Health .......................314
SECO Photo Booth ......................... 1600
Shanghai Conant Optics CO., Ltd. .....245
Shire ............................................ 1419
Signet Armorlite ..............................814
SingleCare ......................................439
Solutionreach ..................................538
Southern College of Optometry ....... 1307
State Optical Co. ........................... 1223
Sun Ophthalmics .............................203
Suppleyes, Inc. ...............................223
TC Charton Asian Fit Eyewear ......... 1638
TearLab Corp. .................................401
TearScience ....................................330
TelScreen .......................................322
The McGee Group .......................... 1411
The View Lounge ........................... 1330
Thema Optical ............................... 1240
Tifosi Optics ...................................310
TLC Laser Eye Centers .....................639
Topcon Medical Systems .................827
US Optical .................................... 1401
UAB School of Optometry ............... 1619
Villa Eyewear ................................ 1326
Vision Ease .....................................234
Vision Rehabilitation Services ......... 1714
Visioneering Technologies, Inc. ........226
Vmax Vision, Inc. .............................405
Volk Optical ....................................329
VOSH International ........................ 1622
VSI/Vision Systems, Inc. ................. 1005
VSP Global/VSP Vision Care &
VSP Optics Group ........................ 1027
Wal-Mart Health and Wellness ..........412
Walman Instruments ...................... 1109
Walman Optical ............................. 1205
Weave ............................................201
WestGroupe .................................. 1405
Williams Group ................................633
Winston Salem Industries for
the Blind ..................................... 1712
Wolters Kluwer ................................609
X-Cel Specialty Contacts ................ 1214
Zeiss ............................................ 1113
REVIEW OF OPTOMETRY • SECO SHOW DAILY • MARCH 3, 2017
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SECO Daily
13
Bad Habits Rock Out for Good Cause
Friday, 9pm – 12am, Ventana’s Rooftop Space (275 Baker St.)
A
s students of Ohio State University’s
College of Optometry, Bad Habits:
The Eye Docs of Rock, formed for
the sole purpose of competing in a local talent show. “We lost,” says bassist Michael
‘Jules’ Raies, OD, dryly. Now, “30 years
later, we’re still playing.” That’s an understatement. Bad Habits aren’t just still playing, they’ve become somewhat of an institution. Since their college days, members have
come and gone and the band has carved the
truly unique niche of entertaining conference-going ODs with a set of classic rock
covers ranging from Journey and Lynyrd
Skynyrd to current hits. And they don’t go
for the easy joke. “We don’t really do any
ocular puns or ‘eye songs’,” Dr. Raies says.
The band has played events associated
with and, sometimes, auxiliary to optometry
conferences for nearly 20 years, but this performance at SECO 2017 is special. “This year
we were asked to put together an affiliate event
for [the charity] Optometry Giving Sight,” Dr.
Raies says. “It’s been kind of a fun thing for me
to put together this event, not just play it.”
In addition to the musical mayhem, the
OPHTHALMIC
PROFESSIONALS
SYMPOSIUM
Enjoy a free lunch, exhibit hall
giveaways, and presentations
from industry, exclusively designed
for ophthalmic professionals.
WIN $100
JUST FOR ATTENDING THE OP SYMPOSIA!
SECO WILL AWARD 20 LUCKY ATTENDEES WITH $100 CASH.
Thursday, March 2 11:00 AM - 12:00 PM
Introducing AIR OPTIX® plus HydraGlyde Contact Lenses
Kris Kerestan-Garbig, OD
Presented by
show will feature a few special guests
custom tailored for an all-OD audience,
among them Paul Ajamian, OD, Alan Glazier, OD, Tom Griffth, OD, and Ted McElroy, OD. About these guest stars, Dr. Raies
says, “Expect the Unexpected! We are
excited to have our guests appear with us
on stage. This will be a great reunion with
Dr. Ajamian. The last time we shared a
stage with him was several years ago, when
we were his house band for SECO LIVE!,
his early morning education talk show that
he held during the conference.”
Optometry Giving Sight targets the prevention of blindness and impaired vision due to
uncorrected refractive error. The band will
be raising money by raffling off an iFusion
OCT/retinal camera system donated by
Optovue and through 30th anniversary Bad
Habits: Eye Docs of Rock tour T-shirt sales.
Raffle tickets are available at Optometry Giving
Sight’s booth 1627.
STUDENT
SYMPOSIUM
Saturday, March 4 12:00 PM - 1:15 PM
You could win a $1,000 scholarship from SECO International
just by attending the Student Symposium on Saturday.
You must be present to win.
Alcon Update
Tom Duchardt, FAAO
Presented by
EYE-INSPIRED™ Patient-focused
Charissa Lee, OD, FAAO
Presented by
Getting to Know VSP Global
Vernon Dela Cruz, University & Student Relations Manager
Presented by
REVIEW OF OPTOMETRY • SECO SHOW DAILY • MARCH 3, 2017
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14
SECO Daily
A Dose of Oral Medication
Today, 1:45pm – 3:45pm, Room A305, Level 3
T
he right to prescribe oral medications is
a hard-won battle for optometrists—and
one that’s still raging in some states.
For those who can, and those who can’t but
are curious to learn about it anyway, Blair
Lonsberry, OD, and Carl Spear, OD, are presenting “Treating with Oral Meds: From Dry
Eye to Dendrites” this afternoon at 1:45pm in
Room A305. The course includes take-homeready information on dosing, mechanisms of
action, monitoring protocols, expectations and
common pitfalls for a range of disease types.
“Optometric physicians are very comfortable with the use of topical medications, but
when it comes to oral medications they tend to
hesitate,” explains Dr. Lonsberry. “What we
hope to do is to encourage attendees to use oral
medications when it is indicated by reviewing
clinical cases that would be best treated with
the use of an oral medication.”
The course will review conditions such as
herpes simplex keratitis and herpes zoster,
corneal ulcers and uveitis. Attendees will learn
Dendritic lesions pose a clinical challenge. Today’s session will review current systemic drug treatment protocols.
how to apply systemic corticosteroids, penicillins, cycloplegics and tetracyclines, as well as
their potential for side effects. Drs. Spear and
Lonsberry also will discuss other in-office treatments that can accompany oral medications,
such as corneal debridement, amniotic membrane placement, stromal puncture and thermal
pulsation.
“Several states have expanded their thera-
peutic laws over the past several years, and
we want to encourage the doctors to practice
to their full scope of practice,” Dr. Lonsberry
says. “We want to take away the trepidation or
hesitation in using an oral medication when it
is indicated. In some situations, an oral medication is the best treatment option and in others it
is a much more economical treatment vs. going
with a topical medication.”
FRIDAY MARCH 3
5:00PM - 7:00PM
Omni Hotel, International Ballroom ABC
You’re a star in the optometric office
and this is your chance to celebrate!
Sponsored in part by
Proud to honor you as a
star in your optometric office.
REVIEW OF OPTOMETRY • SECO SHOW DAILY • MARCH 3, 2017
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SECO Daily
15
Ease into Electrodiagnostics
Today, 1:45am – 3:45pm, Room A304, Level 3
L
earn why electrodiagnostic testing should
be embraced rather than feared in a comprehensive afternoon lecture.
In-office use of electrodiagnostic testing has
seen steady expansion over the past five years,
largely due to improvements to the tests’ speed
and ease of use. While they can still be a bit
bewildering for newcomers, they make great
advances in diagnosis possible.
Nathan Lighthizer, OD, will help attendees
get comfortable with everything that goes into
employing these tests during today’s lecture,
“In-Office Electrodiagnostics: What Can It Do
For You?” Specifically, the course will cover
visually evoked potential (VEP), pattern electroretinogram (pERG) and multifocal electroretinogram (mfERG) tests.
“These tests help to detect ‘stress’ or dysfunction in the visual pathway or at certain retinal
levels,” Dr. Lighthizer says. “Very similar to
how an EKG can detect ‘stress’ or dysfunction
in the heart and an abnormal EKG can be an
early sign of an impending heart attack.”
Indications
“These tests can be used in various disease
processes,” Dr. Lighthizer adds, including glaucoma, macular degeneration, Plaquenil toxicity,
diabetes, unexplained vision loss, optic neuropathies, multiple sclerosis and optic neuritis.
The course will emphasize how each different test works, what situation each should be
used in and why each should be considered.
Additionally, examples of clinical cases will be
presented to highlight how the tests are currently being used. “The emphasis lately has
been on earlier and earlier detection,” Dr.
Lighthizer says.
Future Use
While VEP and pERG tests have become increasingly popular in private practices, a newer
test is close to getting an office-setting release
as well. “The mfERG test has been around a
long time, it just has never entered widespread
private practice,” Dr. Lighthizer says. “That
may be changing in the future.”
Once rare, electrodiagnostic testing is becoming routine.
OPHTHALMIC
P R O F E S S I O N A L C E R T I F I C AT E
Demonstrate a commitment to your profession and
continued learning by enrolling in SECO's new
Ophthalmic Professional Certificate Program.
It’s not too late for this year!
Email [email protected] if you have not
already enrolled in the program!
REVIEW OF OPTOMETRY • SECO SHOW DAILY • MARCH 3, 2017
000_sd0317_fri_pre_ja.indd 15
2/27/17 5:02 PM
Up to
18 CE
NEW TECHNOLOGIES
Credits
2017
& TREATMENTS IN
Eye Care
(COPE approved)
Join us in
Orlando, Florida
REVIEW OF OPTOMETRY®
EDUCATIONAL MEETINGS OF CLINICAL EXCELLENCE
June 8-11, 2017
Join Review of Optometry’s New Technologies & Treatments in Eye Care
June 8-11, 2017 in Orlando at Disney’s Yacht & Beach Club. This meeting
provides up to 18 COPE CE credits including interactive workshops!**
INTERACTIVE WORKSHOPS AVAILABLE!**
Registration cost: $595
Receive $100 OFF if registered before April 16, 2017
FACULTY
Paul Karpecki, OD, FAAO
Douglas Devries, OD
Joseph Shovlin, OD, FAAO
Brad Sutton, OD, FAAO
Program Chair
DISNEY’S YACHT & BEACH CLUB
D
1700 Epcot Resorts Boulevard
Orlando, Florida 32830
0
0
Phone: 407-934-7000
Discounted room rate $215/night†
t†
3 WAYS TO REGISTER
online: www.reviewofoptometry.com/OrlandoNTT2017
email: [email protected] | phone: 866-658-1772
**Separate registration required. † Rooms limited. See event website for complete details.
Photos Courtesy of Disney Group Marketing
Administered by
Review of Optometry ®
SECO House Ad Orlando 2017.indd 1
Approved
2/27/17 6:14 PM
SECO Daily
17
TOMORROW
Coffee Courses
All courses take place 6:30am – 7:30am
152 Rosacea Review
Room A304, Level 3
This course will rely on a collection of case studies to provide clinicians with practical
information about proper diagnosis and management (as well as comanagement) of
rosacea, with an emphasis on how the condition impacts ocular health. It will review the
common causes of this skin condition, its signs and symptoms and evaluate a number of
management approaches.
Joe Pizzimenti, OD
153 Corneal Hysteresis
Room A305, Level 3
The course provides an academic overview of corneal hysteresis along with case
studies to demonstrate the points made throughout. Leo Semes, OD, will review the
test’s history, methodology and place in daily practice. He’ll also discuss complicating
factors, such as central corneal thickness and how hysteresis compares with Goldmann
tonometry.
Leo Semes, OD
154 Digital Dry Eye
Room A313, Level 3
Dry eye symptoms are a growing problem, and not just among patients in their sixties
anymore. Researchers suspect the increased use of digital devices is leading to more
dry eye in younger and younger patients. This course can help you recognize the
presentation early by explaining the “digital demographic” and the impact that blue
light may have. It’ll also provide an overview of the binocular systems and how they’re
impacted by dry eye disease. You’ll learn the right questions to ask patients as well as
management approaches for both doctor and patient.
Milton Hom, OD
518 Transient Vision Loss
Room A312, Level 3
EXHIBIT HALL HIGHLIGHTS
TODAY’S HOURS 10:45am – 5pm
FREE CE IN THE PRESENTATION THEATERS
Free CE will be available throughout SECO 2017 in our
three Presentation Theaters! Space in each session is
limited and participation is on a first-come, first-served
basis. Today’s schedule includes 11 courses with 3 hours
of CE and 2 other courses for ODs and 5 hours of CE for
Ophthalmic Professionals. Check the SECO 2017 Program
or the following page for the full schedule.
CONVERSATION CAFE
Recharge in the Conversation Café. It’s the place to relax,
chat with friends and colleagues, and view outstanding
clinical images submitted to our first SECO Ophthalmic
Imaging Challenge. Plus, you’ll find coffee, charging
stations, a bar and snacks.
SHOW SPECIALS
Many exhibitors are offering special deals during SECO
2017. Check out the list in the mobile app or on the
following page.
Transient vision loss calls for a careful history, clinical examination and systematic
approach. This course focuses on the history, associated symptoms, ophthalmic
examination, differential diagnosis and work-up for the patient with monocular and
binocular transient visual loss. Ocular and systemic etiologies will be reviewed.
Tina Porzukowiak, OD
THE VIEW
519 Examining a Problem Child
Room A314, Level 3
FASHION SHOW
Optometrists—especially family optometrists—see patients living with a variety of
executive dysfunction disorders, such as ADHD, nonverbal learning disabilities and
even severe sensory integration and emotional regulation difficulties. As such, it is
necessary to learn effective strategies to improve the success in these populations. This
course will review approaches to modify the office and the examination to improve
success. Sources will be provided to allow the practitioner to further educate in the
future as needed.
Celia Hinrichs, OD
156 HIV and AIDS: What Every Optometrist Needs to Know
Room A315, Level 3
All medical professionals—optometrists included—are called upon to fight the spread
and lessen the impact of, HIV and AIDS. This course is designed to disabuse ODs of
some long debunked myths about the disease and provide updates for 2017.
Joe Sowka, OD
See some of the world’s most exclusive frames in THE
VIEW, SECO’s Luxury Eyewear Pavilion, in Booth #1330.
Don’t miss out on tomorrow’s Frames Fashion Showcase at
11am, where you will see the latest in frame fashion trends
while learning tips and tricks to help your bottom line. Be
among the first to arrive and take home a fashion show
swag bag! Learn even more in these Presentation Theater
courses with Travis Reed in Presentation Theater 3.
Today
12pm – 1pm Special Events Ideas and Best Practices
Saturday, March 4
1:30pm – 2:30pm 2017 Retail Trends
3:15pm – 4:15pm Visual Merchandising Tactics
REVIEW OF OPTOMETRY • SECO SHOW DAILY • MARCH 3, 2017
000_sd0317_fri_pre_ja.indd 17
2/27/17 5:03 PM
2017
WHERE SIGHT MEETS VISION
TM
SHOW SPECIALS
Do you want to learn first-hand how the first step in a LASIK procedure is performed?
Now you can!
You are invited by TLC Laser Eye Centers® to participate in a wet lab at our TLC Booth #
639 on Thursday, March 2nd through Saturday, March 4th.
We are experts in optometry website design and optometric marketing. 50% off
website set up special.
Natural Eye Drops for Tear Stimulation & Allergy
15% DISCOUNT on all orders placed during the Show. Our eye drops are preservative
free, do not sting and are safe with contacts. We are looking forward to meeting you at
Booth 743.
Digital Heat
Corporation
Free Dry Eye Treatment with Heated Eye Pad (Booth #241). Experience a dry eye
treatment with Heated Eye Pad, FDA cleared medical device offered by Digital Heat
Corporation. It provides constant temperature over time to only where needed with
minimal corneal pressure. The device is 50% off retail price at the booth during the
convention.
Walman Optical, booth 1210 & 1212: SECO Exclusive on select frames from Imagewear,
Revolution, and Nouveau
5/$50, 8/$100, 12/$175, 20/$300
New to Imagewear, Revolution, or Nouveau? Special offers available.
Modern’s 20/20 Frame Offer
Receive 20 FREE “Value Frames” with 20-piece BMEC Purchase
BMEC is Modern’s very popular collection for bigger men. With 71 fashionable styles,
eye sizes range from 52mm to 62mm. Temple lengths measure up to 160mm. All BMEC
frames include a 2-year warranty.
PECAA
Professional Eye Care Associates of America
Authorized Contact Lens Distributor
Enjoy extra peace of mind with OCULUS!
Get a FREE additional year of warranty on OCULUS products when you purchase at the
SECO 2017 meeting. This offer includes our popular products such as the Pentacam®
for Keratoconus screening, Keratograph® 5M for Dry Eye analysis, Easyfield® C for
visual field perimetry. Please stop by the OCULUS booth #536 for a free demo and to
speak with one of our sales specialists.
Do you order contacts? Get rich bonuses for signing up at Booth 404!
Become a New Era/e-dr. member at the show and earn:
• 5% rebate on your first full month’s orders, then 2% for the rest of ’17, or…
• Up to $1,500 VISA® reward for $5,000/mo. in your first 3 months.
Ask for full details at Booth 404.
$250 AMEX Gift Card Drawing
Visit booth #840 for a 5 minute Fast Pay Billing Services consultation and be entered
in a raffle to win a $250 American Express gift card. Drawing will occur on Saturday,
March 4th, 3pm. You do not need to be present to win.
Special Equipment and lens cleaner Deals
Dynamic Labs will be offering special discounts on Equipment and Lens Cleaner during
the first hour of the show every day. Stop by booth 338 for special unpublished deals
every day.
Receive an iPad Air when you purchase 20 frames. Leave the booth with your premium
in hand!
Mix and match any 20 frames from the following collections to receive an iPad Air:
Glen Lane, Pure-T, Pure-T Max, Camelot, Pure Color, Cc: Two is One or Pure Comfort.
Visit Kasperek USA Optical at booth #1337 to see all of our show specials and latest
releases!
Transform Your Practice with 3 Free Months of The EDGE
3 Free Months of The EDGE with EDGEPro Enhancements”
FREE Countertop Display when you buy 8 Polinelli Reading Glasses with BluePro
Technology! Buy 6 of our NEW Visolux Digital HD Video Magnifiers and get the 7th
FREE!
Booth 423
The $998.00 All-in-one digital acuity chart RAFFLE
Stop by our booth to win a chance for a free acuity chart during SECO!! Plus, save at
least $100.00 on all of our acuity charts ONLY at SECO.
$500 Gift Certificate Drawing
Be sure to stop by booth #727 and enter our drawing for a chance to win a $500 gift
certificate to use toward any of our quality products!
SPECIAL OFFER for SECO ATTENDEES
$0 Down and No Payments on a New Optovue OCT until January 2018! Visit Optovue
Booth #810
COMPLIMENTARY Reference Guide – Booth 400
Stop by Bio-Tissue’s booth to receive your complimentary copy of: Why Intervene with
PROKERA – Five “D’s” Reference Guide. This handy laminated guide provides you with
ocular surface indications where treatment with PROKERA may be the ideal option.
Additionally it provides corresponding ICD10 codes, clinical guidance and supporting
literature citations.
DRAWING FOR AN OPTICAL DISPENSING TOOL KIT AT THE KODAK LENS BOOTH
#814
Visit Signet Armorlite’s KODAK Lens Booth # 814 to enter a drawing for a 19-piece
Optical Tool Kit for your Practice. While you’re there pick up a complimentary Mouse
Pad/Cleaning Cloth and learn about our HEV Blue Light filtering products. See the live
demonstration.
TOWER SHOWCASE GIVE-AWAY! Booth 218
Beautiful Individually Tailored Tower Showcase.
This beautiful Tower Showcase will be a wonderful addition to any vision center or
office! So don’t lose sight of this valuable opportunity! Visit us and register for this
beautiful showcase, drawing will be held Saturday, March 4th. Barbara Wright Design,
Contemporary Concepts craftsmanship…Building Your Vision!
Solutionreach $1 Activation Promotion for SECO Guests
Solution Reach $1 activation for SECO guests.
Designer Contact Lens Cases
0% of pre-order of any cases. FREE lip balm on visit.
HEINE
Booth 1540
Booth 836
PECAA. The Doctor Alliance Group for Independent Doctors.
Join the Professional Eye Care Associates of America (PECAA) by March 15th and
enjoy free membership in Q2 2017!
Compliancy Group Simplifies HIPAA Compliance With The Guard
Take advantage of our SECO Show Special – 3 Months FREE (Over $500 Savings!) –
and find out why we are the most endorsed HIPAA compliance solution in eye care.
Learn how we can simplify compliance so you can confidently focus on running your
practice.
Demo MaximEyes EHR and get Starbucks card; free data conversion with purchase
$10 Starbucks gift card to the first 10 doctors who attend a 10-minute demo of
MaximEyes EHR at Booth #836. Free data conversion if you buy MaximEyes at SECO.
Boost Your Online Profile &Attract New Patients with iMatrix and Demandforce
Give your site a makeover and get seen online with iMatrix. Then optimize and
automate your patient communications with Demandforce. Ready to grow your
practice? We’re offering new customers a 2-month free trial for both these powerful
marketing platforms. Contact us today to get started: 877-779-2531
Discounts and Giveaways Daily for More to Love and Rowdy Gentlemen Collections
$500 in Visa Cards, 40% discounts, and Free swag
Get a Free VX40 Automatic Lens Analyzer with Qualifying Purchase
With qualifying purchase you will receive a new VX40 Lens Analyzer. The VX40 is a
fully automatic autolensmeter / lens analyzer with an easy one button start operation
that can integrate with EMR systems and allow you to educate your patients about
different progressive lens designs through side-by-side comparisons.
SECO Exclusive offers on select frames from Imagewear, Revolution, Nouveau Eyewear
and more. Get 5 for $50, 8 for $100, 12 for $175, or 20 for $300.Plus, special offers
available for new customers. Visit us at booth #1205, #1210 and #1212.
Buy 12 frames from any one collection, receive a $50 visa gift card!*
Additional Year of Warranty with Lens Edging System Purchase at the Show
Gain an additional year of warranty with purchase of a new edging system such as the
brand new Briot Attitude. Featuring wavefront lens analysis and a smart design shape
creation for less potential for human error and additional sources of revenue for your
lab.
*Vue collection requires a 24 piece purchase to qualify. Cannot be combined with any other offer.
You Could Win an Apple Watch Sport at SECO!
Visit EyePromise® booth #339 March 2nd - 4th to learn about the QuantifEye® MPS
II macular pigment optical density (MPOD) measurement instrument and how our
nutraceuticals can help protect your patients’ eye health. While you are there, get your
MPOD tested to be entered to win an Apple Watch Sport.
VeraPlug™ Punctal Occluder (Sterile Preloaded) - $40/pr.
VeraPlug™ Punctal Occluder (Nonsterile Bulk) - $250/10 pr. box
Vera90™ Extended Wear Plugs - $125/20 per box
VeraC7™ Collagen - $45/60 per box
Stop by booth #645 to register to win an iPad mini 2.
BETA 200 LED Direct Ophthalmoscope - Show Price: $310 SAVE $66 BETA 200 Retinoscope - Show Price: $325 SAVE $115
BETA NT Well Rechargeable Handle - Show Price: $125 SAVE $22
OMEGA 500 UNPLUGGED - Show Price: $3,178 SAVE $336
OcuTech
GIVEAWAY at OCUTECH Low Vision Booth 305 - SightScope Flip Clip-On Patient
Demo!
A Galilean telescope, the SightScope Flip provides the sharpest optics and widest field
of view possible in low vision aids. It’s easy to prescribe and natural for patients to use.
Special slip-on reading attachments are available to make reading, using the computer
and playing cards easiest as possible.
Come See What’s New at McGee!
Purchase 24 Vera Bradley, Trina Turk or Badgley Mischka frames and receive your
choice of 6 FREE frames from the McGee Group’s other fashionable collections,
including our newest brand Life is Good! Purchase 36 frames and receive 10 FREE
frames! Offer valid only at SECO Booth #1411, March 2-4.
000_sd0317_fri_pre_ja.indd 18
2/27/17 5:03 PM
SECO Daily
19
Alumni Receptions Tonight
E
very year, SECO is proud to play host to a number of alumni receptions. Tonight, schools of optometry across the country will hold receptions to
honor their alumni and give them the opportunity to connect with former classmates and network with colleagues from their alma mater. These
receptions are open to all school alumni, regardless of graduation year, and are being held throughout the Omni Hotel at CNN Center.
This year’s alumni receptions include:
NSUCO Alumni & Friends Reception
UABSO Alumni Reception
6pm – 7:30pm
Omni Magnolia Room, Level M2
6:30pm – 8pm
Omni Grand Ballroom E, Level M4
Pennsylvania College of Optometry Alumni
and Friends Reception
6pm – 7:30pm
Omni Grand Ballroom B, Level M4
Southern College of Optometry Reception
for Alumni & Friends
6:30pm – 8:30pm
Omni Atrium Terrace S. Tower
IU School of Optometry Alumni & Friends Reception
7:30pm – 9pm
Omni, Grand Ballroom A, Level M4
Accredited Continuing Education for Optometrists and Ophthalmic Professionals
SECO University - the Education Resource
Center from SECO International - is built on
a decade of experience providing online
optometric CE.
Enroll today and get access to 100+ hours
of COPE-approved online CE credit along
with dozens of exclusive learning and
training tools.
JOIN THE CLASS OF
20/20
SECOUNIVERSITY.COM
ONLINE EDUCATION
SPECIAL SESSION VIDEOS
AUDIO RECORDINGS
MULTIMEDIA POSTERS
REVIEW OF OPTOMETRY • SECO SHOW DAILY • MARCH 3, 2017
000_sd0317_fri_pre_ja.indd 19
2/27/17 5:04 PM
Up to
NEW TECHNOLOGIES
2017
& TREATMENTS IN
EEye Care
28 CE
Credits
(COPE approved)
REVIEW OF OPTOMETRY®
EDUCATIONAL MEETINGS OF CLINICAL EXCELLENCE
San Diego
We invite you to attend a unique “Joint Meeting” held at the
San Diego Marriott Del Mar, April 20–23, 2017.
Hotel reservations: 858-523-1700, discounted room rate $149/night †
Review’s New Technologies & Treatments in Eye Care and
Optometric Cornea, Cataract & Refractive Society Meeting (OCCRS)
*
are combined to provide you with up to 28 COPE CE credits in one weekend.
Experience superior education provided by prominent Key Opinion Leaders in optometry.
Participate in hands-on interactive workshops.‡
See event website for agenda and detailed fees.
New Technologies & Treatments in Eye Care Faculty
Paul Karpecki, OD, FAAO
Program Chair
Douglas Devries, OD
Ben Gaddie, OD, FAAO
Ron Melton, OD, FAAO
Randall Thomas, OD, FAAO
OCCRS Faculty
Andrew Morgenstern, OD, FAAO
President, OCCRS
Clark Chang, OD, MS, FAAO
Program Co-Chair
Tracy Schroeder Swartz, OD, MS, FAAO
Program Co-Chair
Three Ways to Register
Convenient opportunities to register for one or both meetings with joint-meeting and early bird discounts. **
online: www.reviewofoptometry.com/SanDiego2017 phone: 866-658-1772
e-mail: [email protected]
Administered by
Review of Optometry ®
Approved
†Rooms limited. ‡Separate registration required. **Additional CE fees if attending both meetings.
Agenda subject to change. See website for details: www.reviewofoptometry.com/sandiego2017
SECO House Ad San Diego 2017.indd 1
Photos ©istock.com/JobsonHealthcare
2/27/17 6:22 PM
SECO Daily
21
Tighten Up Your Knowledge of Crosslinking
Get an in-depth look at a procedure that will soon likely become the standard for ectasia care.
Saturday, 7:45am – 8:45am, Room A315, Level 3
Photo: Walter Whitley, OD, and Derek Cunningham, OD
P
ractitioners looking to familiarize
Next, the presentation will jump into
themselves more with corneal collagen
treatment options. Finally, Dr. Karpecki
crosslinking (CXL) will get a chance
will discuss recent technological adSaturday with a morning course taught by
vancements in keratoconus treatment,
Paul Karpecki, OD. The FDA approved CXL
being sure to emphasize the available
for progressive keratoconus and post-LASIK
options that help make the CXL process
ectasia in April 2016.1
as smooth as possible.
First introduced by Theo Seiler, MD, CXL
Among the main points of the preseninvolves saturating the cornea with riboflavin,
tation is the importance of early kerathen exposing it to UV light for 30 minutes.
toconus diagnosis. To help make this
The riboflavin absorbs the UV light and
easier, Dr. Karpecki will review a list of
produces singlet oxygen, which then causes
indicators of potential early keratoconus,
crosslinking of collagen fibers and extracellular
such as inferior steepening in topography
matrix proteins. Thus far, CXL seems to be the
or the scissors reflex in retinoscopy.
first technology than can stop the progression
Another important takeaway from the
Avedro’s KXL system uses laser crosshairs to align the optical head.
of ectasia.2
presentation will be the fact that patients
Dr. Karpecki will use a combination of
are now more educated than ever on
research and documented experience to help attendees become well-versed
topics such as CXL. As such, they expect their doctors to be able to answer
in CXL history, technique, uses, efficacy and more.
questions thoroughly and talk at length about the options that best fit their
The course will begin with some essential diagnostic information for
situations.
keratoconus and pellucid marginal degeneration. Through this, doctors will
1. American Optometric Assocaiation. FDA approves first corneal cross-linking system for treatment. Available at www.aoa.org/news/
learn to appropriately identify when and why CXL treatment may be warclinical-eye-care/fda-approves-first-corneal-cross-linking-system-for-treatment?sso=y. Accessed Feb. 22, 2017.
ranted.
2. Kent C. Making the most of corneal cross-linking. Rev of Ophthalmol. 2016;23(9):32-41.
Continuing Education with Examination (CEE) Courses at SECO 2017
Date
Start
End
Course #
Title
COPE
CE Broker
3/3/17
6:30 AM
8:30 AM
124
Pharmacology of Injectable Meds
42759-PH
20-589396
3/3/17
1:45 PM
3:45 PM
134
Rules and Exceptions in Neuro-Ophthalmic Disease
49232-NO
20-578506
3/3/17
1:45 PM
3:45 PM
133
Treating with Oral Meds: From Dry Eye to Dendrites
51343-OP
20-578070
3/3/17
1:45 PM
3:45 PM
131
Next Generation Glaucoma Meds and Delivery
51264-GL
20-578060
3/3/17
1:45 PM
3:45 PM
135
State of the Art Cataract Care
50997-PO
20-552251
3/3/17
5:00 PM
7:00 PM
147
No Matter How You Slice It: A Primer on the OCT
51025-PD
20-552247
3/3/17
5:00 PM
7:00 PM
146
Covering the Cornea from A(BMD) to Z(oster)
51265-AS
20-578082
3/3/17
5:00 PM
7:00 PM
515
A Guide to Diabetic Disease and Pharmacology
51026-SD
20-561891
3/3/17
5:00 PM
7:00 PM
143
The Devil is in the Diagnosis
51027-GL
20-552243
3/4/17
1:15 PM
3:15 PM
166
Ocular Surface Smackdown: Inflammation vs. Obstruction
51028-AS
20-586238
3/4/17
1:15 PM
3:15 PM
164
Rheumatology, Thyroid Dysfunction, and the Eye
46119-SD
20-578512
3/4/17
1:15 PM
3:15 PM
163
The Optic Neuropathies
51031-NO
20-552189
3/4/17
1:15 PM
3:15 PM
161
Maximizing the OCT in Glaucoma
51389-GL
20-560045
3/4/17
1:15 PM
3:15 PM
160
Anterior Segment Grand Rounds
42155-AS
20-574174
3/4/17
5:00 PM
7:00 PM
526
Making Vision Therapy Thrive In A Primary Care Practice
51705-FV
20-561893
3/4/17
5:00 PM
7:00 PM
171
Lasers in Optometry
51266-LP
20-561883
3/4/17
5:00 PM
7:00 PM
170
The Best of Paul and Paul
51310-AS
20-561881
REVIEW OF OPTOMETRY • SECO SHOW DAILY • MARCH 3, 2017
000_sd0317_fri_pre_ja.indd 21
3/2/17 6:42 PM
22
SECO Daily
Practice Success: It’s a SNAPP
Retail docs met to stragetize on overcoming obstacles in the exam room and the back office.
A
t the first Society of National Associated
Pearle Professional (SNAPP) meeting to
happen at SECO, attendees from Pearle
Vision Centers heard from both key speakers
and audience members on a range of clinical
and practice management topics. On Wednesday
afternoon, Craig Thomas, OD, provided his
insight into attaining a higher level of clinical
care, more effectively dealing with health care
plans and increasing profitability. During his
presentation, Dr. Thomas asked the audience
four key questions:
How do we advance the level of clinical care?
You need to make the doctors working in your
practice better, Dr. Thomas said, and the key to
being a better doctor, along with being medically oriented, is being suspicious. “Every time
I shake your hand,” Dr. Thomas said he thinks
to himself, “Do you have glaucoma? I heard you
might have glaucoma, and before you walk out
of here I’m going to have to prove that you don’t
have glaucoma—because you might.”
Additionally, your staff needs to get better—through training, motivation and monitoring—and so does the technology in your office.
“It is impossible to advance the level of clinical
care without some advanced technology,” Dr.
Thomas said. You don’t need a space shuttle,
but you can’t examine patients with antiquated
equipment, either.
Finally, Dr. Thomas said that we cannot
choose to treat one disease and not another,
using keratoconus and glaucoma as examples.
“We are held to the same standards as an ophthalmologist when it comes to diagnosing. You
have to do all the work anyways—you might as
well just [treat] it.”
When is it appropriate to use a patient’s
medical insurance instead of their vision insurance? “When it’s reasonable and medically
necessary,” according to Dr. Thomas. Secondly,
it’s important for clinicians to be able to convert
patients from a vision care mode to a medical
mode, by explaining what you think could be
wrong and that it would be beneficial to run a
test to exclude the possibility.
How do we use the patient’s health insurance
more effectively? Insurance verification is the
key to effectiveness, said Dr. Thomas. It’s important to have experienced staff members who can
properly bill patients. If mistakes are made, it’s
best to not bill the patient, which often causes
frustration and incites them to leave.
“Our vision is to create a collaborative group that will increase the success and
profitability of Pearle Vision affiliates,” says Lisa Hamilton, OD, a Pearle Vision
license-holder from Denver and president of SNAPP. The organization’s three-tier
mission is to (1) negotiate group buying discounts, (2) provide professional and
business education and (3) foster camaraderie so Pearle professionals can help
each other become more successful by sharing best practices and business growth
strategies.
At SECO 2017, “SNAPP is focusing on educating our members on ICD-10 billing and coding, helping them understand how to take advantage of merit-based
incentive payments and teaching Pearle-affiliated doctors how to deliver value in a
fee-for-value system,” says Dr. Hamilton. “We are also focusing on HIPAA and HR
compliance. Finally, it’s important that we help our members build new relationships so that we can have friends we can call on later when we have challenges in
our own stores and would like to compare notes with a trusted colleague.”
How do we increase profitability? Reducing
turnover is an important component, said Dr.
Thomas. “Every time I fire someone, it costs me
$8500,” he said. It’s important to think about
not only making more money, but also taking
steps to avoid losing money, such as not buying
inventory that you will be unlikely to sell.
Thursday’s morning sessions began with John
Nolan, OD, presenting “Nutrition and the Eye:
A supplement to Enhance Vision and Cognitive
Performance.” He provided easy-to-understand
explanations of the scientific method and key
conclusions from the literature, ultimately
arguing that mesozeaxanthin supplementation
is indispensible for macular health in young,
healthy individuals. Perhaps controversially, he
pushed back against the recommendation for
zinc supplementation.
Members-only Think Tank
The meeting concluded with a brainstorming
session on important staff management issues,
introduced by Brooke Hawley. In SNAPP’s
members-only think tank, employee engagement,
management and bonuses were just a few of
the topics up for discussion. Audience members
chimed in with topics such as in-store contests,
commissions and employee conflict. Reducing
turnover was a hot topic, along with correcting employee behavior. The room was split to
discuss these two topics, and each group was
asked, “Instead of firing, how do you reduce the
behavior?” said Ms. Hawley.
The separate groups conferred with each other
to work through the problem and then the room
came back together to discuss the two topics.
One representative of each group outlined how
their group had decided to correct behavior and
avoid turnover.
Correcting employee behavior. “Laying out
clear expectations and following up with forms
have been successful for our practice,” said one
has member. The SNAPP audience came to a
consensus that this was one of the most important components to facilitating good behavior.
“It’s hard to correct the behavior if they don’t
know what the behavior is that you want them
to change,” one attendee said. Another brought
up the importance of having an employee handbook to help set expectations. Others suggested
monthly staff meetings to address employee
issues. Finally, one member said the implementation of a “no gossiping” rule has been very
helpful to eliminating problems in their practice.
Reducing turnover. The audience agreed that
clear communication of expectations in the first
90 days of employment and balancing attention
on positive vs. negative behaviors were fundamental. Audience members said not to be accusatory of employees and to celebrate success.
Additionally, rotating employees through
tasks instead of “pigeon-holing” is beneficial.
Using whiteboards helps keep things fresh and
avoids employees thinking they are getting the
short end of the stick, according to Ms. Hawley.
Finally, rewarding employees with a nice
commission structure and making sure employees are cross-trained on pretesting, insurance
verification and selling can reduce mayhem in
one employee’s absence.
REVIEW OF OPTOMETRY • SECO SHOW DAILY • MARCH 3, 2017
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CONGRATULATIONS TO THE
2017 BEST PRACTICES HONOREES
Best Practices celebrates optometric practices that are
elevating the eye care industry through their excellence in both
patient care and business development.
Amarillo Vision Specialists – Amarillo, TX
Blount County Eye Center – Maryville, TN
Caruso Eye Care – Lake Worth, FL
Castle Pines Eye Care – Castle Pines, CO
Complete Eye Care of Medina – Medina, MN
Havasu Eye Center – Lake Havasu City, AZ
Lawrenceville Family Eyecare – Lawrenceville, GA
Little Eyes – Carmel, IN
Premier Eyecare – Knoxville, TN
Specialty Eyecare Group – Kirkland, WA
Learn more at eyecarebestpractices.com
AN INITIATIVE OF
©2017 CooperVision 4240 02/17
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