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80030019: What's New In Diabetic Retinopathy and Venous Occlusive Disease

October 12, 2012
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Accreditation Statement
The Johns Hopkins University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement
The Johns Hopkins University School of Medicine designates this live activity for a maximum of 7.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

DESCRIPTION

The total number of people worldwide with diabetes mellitus is projected to rise from 171 million in 2000 to 366 million in 2030. In the United States, almost 24 million or 8 percent of the population has diabetes mellitus. Approximately 4.0 million Americans age 40 and older have diabetic retinopathy, 900,000 of whom have vision threatening disease, defined as severe non-proliferative or proliferative diabetic retinopathy, macular edema, or both. Diabetic retinopathy remains the leading cause of blindness in adults who make up the work force. Despite this, diabetic retinopathy and venous occlusive disease are often under-diagnosed and under-treated. This annual course highlights new information being reported by the Diabetic Retinopathy Clinical Research Network and others, which will impact current standard care and management strategies.

OBJECTIVES

After attending this activity, the participant will demonstrate the ability to:
  • Summarize evidence of relation of diabetic control to incidence and severity of retinopathy.
  • Diagnose diabetic macular edema, severe non-proliferative retinopathy, and high risk proliferative diabetic retinopathy.
  • Determine how best to manage diabetic macular edema, severe non-proliferative diabetic retinopathy, and high risk proliferative diabetic retinopathy
  • Recognize new experimental treatment options

Talks

October 12, 2012  7:55 AM to 8:00 AM

Welcome and Introduction

Goldberg, Morton
October 12, 2012  8:00 AM to 8:05 AM

Conference Goals

Solomon, Sharon
N/A
October 12, 2012  8:05 AM to 10:05 AM

Epidemiology and Medical Management - Moderator

Solomon, Sharon
N/A
October 12, 2012  8:05 AM to 8:20 AM

Epidemiology and of Diabetic Retinopathy and Retinal Vein Occlusions

Ervin, Ann-Margaret
Discuss the distribution and determinants of diabetic retinopathy and retinal vein occlusions in the US
October 12, 2012  8:20 AM to 8:40 AM

An Ophthalmologist's Guide to Diabetes Medical Management in 2012

Kalyani, Rita
To discuss an algorithmic approach to using glucose-lowering agents in the management of type 2 diabetes mellitus. To recognize recent developments in guidelines and therapies for type 2 diabetes.
October 12, 2012  8:40 AM to 9:00 AM

Is Depression Associated with Type II Diabetes?

Golden, Sherita
To describe the epidemiological data showing a bi-directional association between depression and type 2 diabetes. To know the behavioral and hormonal mechanisms linking depression and type 2 diabetes. To describe the association between depression and ocular complications of diabetes.
October 12, 2012  9:00 AM to 9:20 AM

Fibrate Treatment of High Triglycerides Improves Diabetic Retinopathy

Margolis, Simeon
Treatment of diabetic patients with fibrates to lower triglyceride levels may reduce the likelihood of retinopathy.
October 12, 2012  9:20 AM to 9:35 AM

What Ophthalmologists Might Want to Know from the ACCORD Trial

Chew, Emily
The participant will demonstrate the ability to understand the importance of intensive glucose, blood pressure control and management of dyslipidemia in reducing the rate of progression of diabetic retinopathy.
October 12, 2012  9:35 AM to 9:50 AM

Classification of Diabetic Retinopathy: Why Clinically Significant Macular Edema (CSME) is On Its Way Out; Why Background Diabetic Retinopathy is Not Used

Bressler, Susan
Recognize that OCT has altered the manner in which diabetic macular edema is diagnosed and managed. Understand that there are finer gradations of diabetic retinopathy to determine disease stability or responsiveness to intervention
October 12, 2012  10:30 AM to 11:40 AM

Management of Diabetic Macular Edema - Moderator

Goldberg, Morton
October 12, 2012  10:30 AM to 10:50 AM

Overview of Pharmacologic Therapies for Diabetic Macular Edema

Nguyen, Quan Dong
October 12, 2012  10:50 AM to 11:05 AM

Retreatment Algorithms: What to Consider after Starting Anti-VEGF Therapy

Bressler, Neil
Describe the underlying principles used to develop a web-based algorithm that incorporates intravitreal anti-vascular endothelial growth factor treatment for diabetic macular edema in a Diabetic Retinopathy Clinical Research Network randomized clinical trial.
October 12, 2012  11:05 AM to 11:20 AM

Is There a Role for Vitrectomy or Pharmacologic Treatment of Vitreomacular Adhesions for Diabetic Macular Edema?

Arevalo, J. Fernando
After attending this lecture, the participant will demonstrate the ability to understand how the vitreo-retinal interface plays a critical role in the pathogenesis of diabetic retinopathy. The term pharmacologic vitreolysis refers to the use of enzymes to liquefy the vitreous gel, and to induce posterior vitreous detachment (PVD). At the concussion of this lecture the attendee will be aware of several human case series that have demonstrated that intravitreal injection of autologous plasmin enzyme was a safe and effective adjunct to vitreous surgery for the treatment of diabetic macular edema (DME) and proliferative diabetic retinopathy. Recently, it was shown that intravitreal injection of plasmin enzyme without the performance of vitrectomy induced complete PVD and reduced macular thickening due to refractory DME. I will demonstrate our results with several DME cases.
October 12, 2012  11:20 AM to 11:40 AM

ASRS PAT Survey on DME; AAO Preferred Practice Pattern on DME: Guidelines on Treatment

Thompson, John
Understand new guidelines for the treatment of diabetic macular edema. Differentiate between appropriate use of laser photocoagulation and anti-VEGF drugs for diabetic macular edema. Understand shifting practice patterns of their peers in the treatment of diabetic macular edema
October 12, 2012  11:40 AM to 12:30 PM

Managing Diabetic Macular Edema in 2012: Case Presentations - Moderator

Solomon, Sharon
To methodically approach the management of diabetic macular edema cases with various therapies using evidence-based medicine.
October 12, 2012  11:40 AM to 12:30 PM

Managing Diabetic Macular Edema in 2012: Case Presentations

Arevalo, J. Fernando
N/A
October 12, 2012  11:40 AM to 12:30 PM

Managing Diabetic Macular Edema in 2012: Case Presentations

Bressler, Neil
Discuss the latest diagnostic and therapeutic approaches for evaluating and treating diabetic macular edema
October 12, 2012  11:40 AM to 12:30 PM

Managing Diabetic Macular Edema in 2012: Case Presentations

Nguyen, Quan Dong
October 12, 2012  11:40 AM to 12:30 PM

Managing Diabetic Macular Edema in 2012: Case Presentations

Thompson, John
The chair of this panel discussion will provide the objectives.
October 12, 2012  1:30 PM to 2:10 PM

Management of Proliferative Diabetic Retinopathy - Moderator

Zimmer-Galler, Ingrid
N/A See individual speakers for this session for objectives.
October 12, 2012  1:30 PM to 1:45 PM

Impact of Intravitreal Corticosteroids or Anit-VEGF Drugs on Worsening/Improvement of Diabetic Retinopathy?

Zimmer-Galler, Ingrid
Understand the possible role of pharmacotherapy with intravitreal corticosteroid or anti-VEGF agents on the risk for progression or regression of diabetic retinopathy severity.
October 12, 2012  1:45 PM to 2:00 PM

Proliferative Diabetic Retinopathy: PRP or Anti-VEGF Agents or Both?

Scott, Adrienne
Describe the rationale for the use of panretinal photocoagulation and anti-VEGF agents in the treatment of proliferative diabetic retinopathy Apply the most recent clinical trial recommendations to the treatment of proliferative diabetic retinopathy
October 12, 2012  2:00 PM to 2:10 PM

Vitrectomy for Proliferative Diabetic Retinopathy

Baranano, David
Discuss the indications, timing, and outcomes of vitrectomy surgery in the management of proliferative diabetic retinopathy.
October 12, 2012  2:10 PM to 2:30 PM

Surgical Case Presentation

Baranano, David
discuss the surgical management of diabetic macular edema. discuss surgical strategies for addressing tractional retinal detachment and vitreous hemorrhage
October 12, 2012  2:10 PM to 2:30 PM

Surgical Case Presentation

Scott, Adrienne
n/a
October 12, 2012  2:10 PM to 2:30 PM

Surgical Case Presentation

Thompson, John
The chair of this panel presentation will provide this information.
October 12, 2012  2:10 PM to 2:30 PM

Surgical Case Presentation

Zimmer-Galler, Ingrid
N/A
October 12, 2012  2:10 PM to 2:30 PM

Surgical Case Presentation - Moderator

Arevalo, J. Fernando
N/A
October 12, 2012  2:30 PM to 3:50 PM

Management of Retinal Vein Occlusions - Moderator

Campochiaro, Peter
manage retinal vein occlusions
October 12, 2012  2:30 PM to 2:45 PM

Why Isn't A Medical Work-Up Indicated for Venous Occlusive Disease?

Ying, Howard
provide the appropriate medical work-up for patients presenting with a new retinal vein occlusion.
October 12, 2012  2:45 PM to 3:00 PM

Role of Laser Photocoagulation for Macular Edema from Retinal Vein Occlusion

Finkelstein, Daniel
Understand the rationale for proper timing and use of laser photocoagulation for perfused macular edema that is secondary to branch or central vein occlusion
October 12, 2012  3:00 PM to 3:15 PM

Anti-VEGF Drugs or Corticosteroids for Macular Edema from Retinal Vein Occlusions?

Campochiaro, Peter
Summarize recent data regarding treatment of retinal vein occlusions and discuss approaches to management
October 12, 2012  3:35 PM to 3:50 PM

Management of Capillary Non-perfusion and Neovascularization following Retinal Vein Occlusion

Sodhi, Akrit
diagnose and manage capillary non-perfusion and neovascularization following Retinal Vein Occlusion
October 12, 2012  3:50 PM to 4:50 PM

Managing Retinal Vein Occlusions in 2012: Case Presentations

Wenick, Adam
N/A
October 12, 2012  3:50 PM to 4:50 PM

Managing Retinal Vein Occlusions in 2012: Case Presentations - Moderator

Campochiaro, Peter
Summarize recent data regarding treatment of retinal vein occlusions and discuss approaches to management.
October 12, 2012  3:50 PM to 4:50 PM

Managing Retinal Vein Occlusions in 2012: Case Presentations

Sodhi, Akrit
N/A
October 12, 2012  3:50 PM to 4:50 PM

Managing Retinal Vein Occlusions in 2012: Case Presentations

Finkelstein, Daniel
N/A
October 12, 2012  3:50 PM to 4:50 PM

Managing Retinal Vein Occlusions in 2012: Case Presentations

Ying, Howard
N/A
October 12, 2012  4:50 PM to 5:00 PM

Closing Remarks

Solomon, Sharon
N/A

Policy On Speaker And Provider Disclosure

It is the policy of the Johns Hopkins University School of Medicine that the speaker and provider disclose real or apparent conflicts of interest relating to the topics of this educational activity, and also disclose discussions of unlabeled/unapproved uses of drugs or devices during their presentation(s). Johns Hopkins University School of Medicine OCME has established policies in place that will identify and resolve all conflicts of interest prior to this educational activity. Detailed disclosure will be made in the activity handout materials.

Event Information
Johns Hopkins School of Medicine, Turner Auditorium
720 Rutland Ave
Baltimore, MD
Directions

Target Audience(s)

This activity is intended for Ophthalmologists, Retina Specialists, Residents, Fellows and other Health Care Professionals

Course Director

Sharon Solomon

Course Co-Director

Neil Bressler

Lodging

Hyatt Regency Baltimore
300 Light Street
Baltimore, Maryland 21202
Phone: (800) 233-1234 or
(410) 528-1234
Fax: (410) 605-2870

Hotel Website

https://resweb.passkey.com/go/JHUOct2012

Contact Info

(800) 233-1234 Ask for the Johns Hopkins Diabetic Retinopathy rate. $239

Contact Info

General Info: 410.502.9634

Mailing Address:
Johns Hopkins University School
of Medicine
Thomas B. Turner Building
720 Rutland Avenue, Room 20
Baltimore, Maryland 21205-2195

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