West Indian Med J 2015; 64 (Suppl. 3) 39

Wednesday, July 8, 2015

Infection Control in Ophthalmology

E Dean ORBIS

This course reviews infection control processes for the oph-thalmic nurse and technician. Standard precautions, uni-versal precautions, as well as cleaning and disinfection inthe ophthalmic setting will be covered. Review of toxicanterior segment syndrome (TASS) and endophthalmitissymptomatology will also be included.Objectives:

C Define universal precautions and standard precau-tions

C Describe instrument cleaning, disinfection andsterilization processes

C Compare and contrast TASS and endophthalmitis

The Logistics of Quality Assessment and PerformanceImprovement

E Dean ORBIS

This course discusses factors that can be used to improvethe quality of care in the ophthalmic setting. The coursetakes a multifactorial approach in assessing the needs of theophthalmic practice including change implementation toimprove healthcare quality.Objectives:

C Describe the process of tracking quality indicatorsC Discuss the components of a quality assessmentand performance improvement study

Abstracts

Ocular Pharmacology

R Bhola

Practical approaches to instillation of ocular medication toimprove compliance and reduced systemic toxicity areaddressed. Side effects and drug interaction of ocular med-ication in regard to patient education are discussed.

Visual Fields

K Golnik

This course will describe different methods of assessingperipheral vision and illustrate the relevant anatomy of thevisual pathways. The three anatomic correlates of visualfield interpretation will be discussed. Numerous abnormalvisual fields will be presented for participant identification.Objectives: At the completion of this presentation, the participant willbe able to:

C List different methods of assessing peripheralvision

C Describe relevant anatomy leading to differentpatterns of visual field loss

C Identify important patterns of visual filed loss

Pertinent Pupillary Problems

K Golnik

This case-based course will cover pupillary pathway ana-tomy, description and causes of relative afferent pupillarydefects and differential diagnosis of anisocoria.Objectives: At the completion of this presentation, the participant willbe able to:

C Describe the relevant pupillary pathway anatomyC Identify a relative afferent pupillary defectC List causes of anisocoria

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Ocular Motility

K Golnik

This course will describe the ocular motility examinationand illustrate the relevant anatomy of the ocular motorpathways. Abnormal ocular motility such as ocular motorcranial nerve palsies, myasthenia gravis and thyroidorbitopathy will be demonstrated with video examples.Objectives: At the completion of this presentation, the participant willbe able to:

C Outline the basic ocular motility examinationC Describe relevant anatomy of ocular motilitydeficits

C Identify common patterns of abnormal ocularmotility

Thursday, July 9, 2015

Surgical Assisting Lecture and Workshop

E Dean ORBIS

This course covers actions the surgical scrub nurse/techni-cian can utilize to minimize infections, be more efficientand improve the quality of care in the ophthalmic surgicalsetting. Hands-on training will be provided to improve cur-rent practice.Objectives:

C Identify one action to improve the efficiency ofsetting up the sterile environment

C Describe situations when a sterile field is nolonger considered sterile

IOL Calculations

C SimmsKingston Ophthalmic Training CentreHotel Dieu HospitalKingston, Ontario, Canada

This course will cover the basics of intraocular lens (IOL)calculations including the required measurements (axiallength, keratometry) and other factors required. The coursewill cover the most commonly used IOL formulae andwhich ones to use under different circumstances.

B-scan Echography in Ocular Pathology

M de La TorreUniversidad Nacional Mayor de San MarcosLima, Peru

B-scan echography is a simple, non-invasive and veryimportant tool in the clinical assessment of various ocularand orbital diseases. With a general understanding of theindications and proper examination technique, one canobtain a vast amount of information not possible with clin-ical examination alone. We describe the principles, tech-niques, and indications for B-scan examination, as well asprovide a general understanding of echographic character-istics of various ocular pathologies.

B-scan ultrasound is useful when direct visualizationof intraocular structures is difficult or impossible due toopaque media (dense cataracts or vitreous opacities). Othersituations that preclude normal examination are lid prob-lems (eg severe oedema, partial or total tarsorrhaphy), kera-toprosthesis, corneal scars or oedema, hyphema, hypopyon,miosis, pupillary membranes.

Diagnostic B-scan ultrasound can accurately imageintraocular structures: vitreous, retina, choroid, and sclera.Also, ultrasound is used for diagnostic purposes eventhough pathology is clinically visible, such as differentiat-ing intraocular tumours, serous versus haemorrhagicchoroidal detachments, exudative versus rheghmatogenousretinal detachments or optic disc drusen versus papille-dema.

We present common conditions such as vitreousdegeneration and detachment, asteroid hyalosis, vitreoushaemorrhage, tractional retinal detachment, peripheralretinal tear, persistent hyperplastic primary, retinopathy ofprematurity, ocular trauma, intraocular foreign body,choroidal melanoma and retinoblastoma, macular condi-tions such as age-related macular degeneration (ARMD),neovascularization, macula oedema and others which canbe accurately evaluated with this modality.

Refractometry and Retinoscopy

C SimmsKingston Ophthalmic Training CentreHotel Dieu HospitalKingston, Ontario, Canada

An important aspect of the ophthalmic examination isdetermining the refractive state of a patient’s eye.Refractometry covers all aspect of the refraction processfrom retinoscopy to manifest refraction.Objectives:

C Review of lenses and refractive errorsC Discuss the retinoscopy technique

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C Identify with and against motionC Discuss manifest refractometry

Ocular Anatomy and Physiology

S Amarakoon

The eye is a specialized organ that allows passage of lightrays which are then converted to electrical impulses tocreate a visual image in the brain. Its anatomy can be divi-ded into the anterior segment and posterior segment. Theanterior segment includes the cornea, sclera, conjunctiva,iris, pupil and lens. The transparent nature of the corneaallows passage of light through to the clear lens which thentransmits it to the posterior segment. The posterior seg-ment is composed of the vitreous humor, choroid, retinaand the optic nerve. The lights rays that are transmittedthrough the lens are then projected onto the retina. The re-tina converts these to electrical impulses which are thentransmitted through the optic nerve onto the brain to createan image which is perceived by the observer.

Friday, July 10, 2015

Ultrasound Workshop

C SimmsKingston Ophthalmic Training CentreHotel Dieu HospitalKingston, Ontario, Canada

Refractometry and Retinoscopy Workshop

C SimmsKingston Ophthalmic Training CentreHotel Dieu HospitalKingston, Ontario, Canada

Microbiology 2015 Course for Ophthalmic Assistantsand Nurses

A AnduzeOphthalmic Consultants of St Croix US Virgin Islands

This course offers a general discussion of infectious organ-isms commonly found in an ophthalmic office setting; theiridentification, mechanism of action, universal and specificprecautions in control of inoculation and spread. The threemost effective methods of control are through sterilization,disinfection and antisepsis, and using heat and chemicals.

The fact that our present uses of infection control may becausing organism resistance is highlighted. The danger ofmethicillin-resistant Staphylococcus aureus (MRSA) andother antibiotic resistant bacterial strains and the possibili-ty of encounter with highly contagious viruses (Ebola) arediscussed. Collection of specimens and cultures, indica-tions for biopsy, and extreme cases of high-risk eyes arepresented.

Eye Diseases

C Bourne University of South FloridaTampa, Florida, USA

Objective: To provide a comprehensive overview of thefollowing diseases: glaucoma, keratoconus and age-relatedmacular degeneration.The focus will be on:

C An overview of the disease processC Relevant history/chief complaint componentsC Diagnostic evaluationsC Treatment options

Systemic Diseases

C Bourne University of South FloridaTampa, Florida, USA

Objectives: To understand how systemic diseases impactocular health.

Part 1 and Part 2 of the lecture focusses on the fol-lowing systems:

C Inflammatory and autoimmune diseaseC Metabolic and endocrine disordersC Vascular diseaseC Infectious diseasesC Neoplastic diseaseC Learn how to apply the review of systems ques-tionnaire to the ophthalmic examination andpatient care

Conflict Resolution

E DeanORBIS

This course covers conflict situations that may occur in theophthalmic practice. Strategies for successful resolution ofconflicts will be discussed, including the use of leadershipskills to assist staff in resolving conflicts.

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Objectives:C Define conflictC Discuss strategies that can be used in the resolu-tion of conflicts

Leadership and Professional Development

E Dean ORBIS

This course discusses leadership strategies that staff andmanagers can utilize in maximizing the ophthalmic prac-tice. Methods to improve career development and growthin the field of ophthalmology will also be discussed. Objectives:

C List one leadership styleC Discuss one action the nurse/technician can taketo achieve career goals

Saturday, July 11, 2015 (for those not doing examinations)

Ophthalmology is Risky Business

E Dean ORBIS

This course will discuss real scenarios from ophthalmicpractices that led to litigation, and actions each individualcan implement to reduce risk. This course includes audi-ence participation with scenarios that commonly arise inthe field of ophthalmology and appropriate response ofophthalmic personnel.Objectives:

C Define risk management as it relates to ophthal-mology

C Explain the importance of managing risk in theophthalmic practice

Inventory Management of Surgical Supplies

S Moonasar

Inventory management has always and continues to plaguethe healthcare system. It is one of the main factors that cancause a patient to be cancelled from a surgical procedure.

Effective inventory management is all about knowingwhat is on hand, where it is in use, and how much finishedproduct results.

Inventory management is the process of efficientlyoverseeing the constant flow of units into and out of anexisting inventory. It is a process that involves controllingthe transfer in of units in order to prevent the inventoryfrom becoming too high, or dwindling to levels that couldput the operation of the company into jeopardy.

Forecasting or projections plays a crucial role in hav-ing the necessary stock on hand in your operating room/office or hospital. Does seasonality affect your surgicalroster and ultimately your ordering patterns? What are thefactors that could contribute to lack of inventory in an oper-ating theatre especially in ambulatory surgical centres?How efficient are your suppliers? Do you know their lead-time and delivery periods? How do you avoid just-in-mepurchases? What are the costs associated when there is lackof inventory?

The people who work with your stock and use yourinventory system are the most crucial element in establish-ing a good inventory management system.