2013 NZAO Conference
The 2013 NZAO Conference was held 18-20 Oct. at Shed 6 (on the Waterfront by TSB Arena)
Speakers powerpoint slides can now be downloaded if you click on the links provided in the conference programme below...
Speakers
Conference Programme
CPD Credits
Social Events
Activities & Attractions
Optometry Exhibition
Accommodation
Pre-Conference Activities - Thursday 17 Oct. Social at Macs Function Centre & Golf
The NZAO Conference aims to be New Zealand’s premier optometry conference providing a wide range of clinical pearls and practical take home information to improve your patient management immediately. Wellington is a great little capital filled with activities to suit everyones taste. There is a great line-up of speakers. The programme will provide something of interest and great learning for all. This will be complimented by an exhibition from the wider optometry / optical industry to inform what is new on the pharmaceutical front, supply of equipment, optometry support systems, and new product lines.
2013 Conference Programme - held at Shed 6 Wellington
see links below to speaker presentation slides.
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Friday 18th October 2013 |
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7:00am-8:20am |
Coffee & Registration |
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8:20am-8:30am |
Official Opening |
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8:30am-10:00am |
Prof. Algis Vingrys |
Glaucoma Suspects- Clinical Decision Making In Borderline Cases |
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10:00am-10:30am |
Dr. Simon Backhouse |
Light Exposure Patterns In Children And Their Correlation With Refractive Error |
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10:30am-11:00am |
Morning Tea |
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11:00am-12:00pm |
Dr. Diane Kenwright |
Recent Advances In Uveal, Conjunctival And Lid Melanoma |
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12:00pm-1:00pm |
AGM |
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1:00pm-2:15pm |
Lunch |
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2:15pm-2:45pm |
Prof. Michael Kalloniatis |
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2:45pm-3:15pm |
Prof. Michael Kalloniatis |
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3:15pm-3:45pm |
Afternoon Tea |
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3:45pm-4:45pm |
Dr. Keith Pine |
Artificial Eyes |
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4:45pm-5:15pm |
Ms. Frankie Manson |
Complaints & Advocacy |
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Evening Function |
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Saturday 19th October 2013 |
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8:30am-9:30am |
Prof. Michael Kalloniatis |
Application Of Optical Coherence Tomography (Oct) In Diseases Of The Retina And Optic Nerve |
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9:30am-10:30am |
Dr. Keith Small |
Clinical History In Visual Disease |
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10:30am-11:00am |
Morning Tea |
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11:00am-12:00pm |
Dr. Keith Small |
Vitreo-retinal Cases |
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12:00pm-1:00pm |
AGM |
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1:00pm-2:15pm |
Lunch |
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2:15pm-3:15pm |
Prof. Michael Kalloniatis |
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3:15pm-3:45pm |
Afternoon Tea |
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3:45pm-4:15pm |
Mr. Philip Turnbull |
Emmetropisation: From Sea Side To The Clinic |
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4:15pm-4:45pm |
Mr Richard Johnson |
Research Project |
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Evening Function Annual Conference Dinner |
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Sunday 20th October 2013 |
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9:00am-10:30am |
Prof. Algis Vingrys |
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10:30am-11:00am |
Morning Tea |
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11:00am-12:00pm |
Dr. Diane Kenwright |
What Is That Lump? |
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12:00pm-12:30pm |
Mr. Arijit Chakraborty |
Visual Development Of Children Born With Neonatal And Pre-natal Developmental Risk Factors |
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12:30pm-1:30pm |
Prof. Algis Vingrys |
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Speakers at the Wellington 2013 conference
Prof. Algis Vingrys
Department of Optometry and Vision Sciences at University of Melbourne.
Expertise in Eye Disease especially: age-related maculopathy (AMD, ARMD); glaucoma; diabetes. Algis will be presenting; Clinical decision making in borderline glaucoma cases and the issues to consider for early detection of ALL forms of glaucoma. Evidence based protocols to provide a directed interventional approach for managing ocular inflammation. Glaucoma Therapeusis: a local perspective.
Prof. Michael Kalloniatis
In 1991 Prof. Kalloniatis established neuroanatomical and visual psychophysics laboratories. In 2001 he headed DOVS until 2009, when he moved to Sydney to take up the role as Director for the Centre for Eye Health and Professor at the School of Optometry and Vision Science at (UNSW). With expertise in retinal anatomy and neurochemistry, Prof. Kalloniatis has maintained clinical practice throughout his career and is a highly experienced optometrist with a range of academic and research experience.
Dr. Keith Small
Keith Small is a busy vitreo-retinal surgeon and general ophthalmologist at Wellington Hospital and in private practice at the Terrace Eye Centre. Since 1998 Dr Small has been actively involved with vitreo-retinal diseases including complex retinal detachment, surgical macular disease and advanced diabetic retinopathy. He will be speaking on the Clinical History in Visual Diseases and presenting vitreo-retinal cases
Dr. Diane Kenwright
Currently Senior Lecturer in Obstsetrics and Gynaecology, University of Otago, Wellington. From 2001-06 Diane headed the Department of Anatomic Pathology at Wellington Hospital and teaches Postgraduate: Pathology, Ophthalmology, Surgery, Radiology, Obstetrics and Gynaecology to registrars, locally, nationally and internationally.
Dr. Keith Pine
Keith’s career has been a blend of dental and ocular prosthetics, and business management as he created a construction company in the 1980’s and Geddes Dental Group (now Lumino the Dentists), Australasia’s largest private dental practice in the 1990’s. He now specialises exclusively in ocular prosthetics through the New Zealand Artificial Eye Service and is interested in researching and publishing in this area.
Dr. Simon Backhouse
Research Fellow at DOVS Auckland his interests are human myopia; animal models of myopia and emmetropisation; light and refractive development; circadian rhythms and refractive development; the sclera in myopia.
Arijit Chakraborty
Arijit commenced his PhD project within DOVS Auckland looking at the effect of neonatal hypoglycaemia on visual development up to 4.5 years of age. He has been performing vision assessments on our 4.5 year-olds for over a year and will have plenty to include in his presentation about this project.
Philip Turnbull
Director, Myopia Control Clinic at DOVS Auckland, Philip’s Research interests are translational myopia treatments, evolutionary biology, emmetropisation, myopia progression and cephalopod vision.
Richard Johnson
Graduated from DOVS in 1993. Now the principal optometrist at the Ophthalmology Department at Auckland Hospital, Richard has contact lens, paediatric and diabetic/medical retinal clinics. Therapeutically qualified Richard is also a Fellow of the American Academy of Optometry and a visiting lecturer and examiner at the DOVS Clinic. He has extensive experience in the assessment and contact lens management of patients with keratoconus.
Frankie Manson
Has a background in nursing and is now an advocate for Nationwide Health & Disability services.
CPD Credits
New Zealand CPD Accreditation = 11 Clinical Diagnostic and 3.25 General Credits
Prof. Algis Vingrys
Abstract
Glaucoma Suspects – Clinical decision making in borderline cases
Learning objective: You can probably remember the day when an IOP of >21 mmHg was enough to diagnose glaucoma. Likewise, was the time that a cup-to-disc ratio of >0.5 was used as a criterion for disease. But with the fullness of time and better understanding for the disease process it is now recognised that glaucoma is a complex disease that cannot be diagnosed by a single finding. This lecture will consider the issues that need to be considered by a clinician for early detection of ALL forms of glaucoma in their patients.
Evidence based protocols for managing ocular inflammation
Learning objective: The clinical approach to managing patients with Acute Anterior Uveitis can vary between clinicians. However, the clinical evidence gives a very directed interventional approach that will be developed and justified in this presentation.
Glaucoma Therapeusis: a local perspective
Learning objective: This lecture will discuss the management of glaucoma patients in a straight forward and logical manner. It will support the recommendations by evidence taken from clinical trials and supported by evidence derived from observations in basic science.
Prof. Michael Kalloniatis
Abstract
Australian and New Zealand optometrists: glaucoma management (Total: 30 minutes)
With an aging population and increased prevalence of glaucoma, how is the optometric profession placed to manage glaucoma beyond monitoring and detecting? Comparing Australian and New Zealand self reporting confidence levels in entry-level skills provides some interesting findings. Finally, an analysis of outcomes for patients referred to the Centre for Eye Health for a glaucoma assessments identifies some key areas the profession performs well and others where improvements are required.
Glaucoma update – using basic clinical tests and imaging modalities in glaucoma diagnosis
The diagnosis of glaucoma has been revolutionised through the availability of imaging modalities such as the Heidelberg Retinal Topography (HRT), Scanning laser polarimetry (GDx) and newer optic nerve head and optic nerve fiber analysis using Optical Coherence Tomography (OCT). We have analysed different clinical components used by clinicians in making a final glaucoma recommendation and identified both basic test results and imaging modalities that provide the highest contribution. We have also analysed various methods to estimate optic nerve size and provide correction factors to allow clinicians to accurately estimate disc size.
The application of Optical Coherence Tomography (OCT) in diseases of the retina and optic nerve
OCT has become an indispensible instrument to assist ophthalmic clinicians in ocular disease diagnosis. We will review a number of clinical cases to highlight its use in diagnosing retinal disease or optic nerve anomalies. The addition of other clinical data such as electrophysiology and autofluorescence complements the OCT data and allows clinicians to refine diagnosis.
Posterior Eye Grand Rounds
A number of examples will be provided to highlight differential diagnosis for a number of common and some uncommon posterior eye diseases where ocular imaging provided definitive information.
Dr. Keith Small
Abstract
The Clinical History in Visual Disease
- To recognize the importance of the clinical history in appropriately addressing the expectations and needs of the patient with visual disease
- To understand the basic tools for eliciting the history efficiently, effectively and with empathy
- To understand specific tools for checking the validity and relevance of the clinical history
- To look for and use features of the clinical history to tailor the subsequent examination appropriately and to inform the choice of relevant investigations
- To be alert to ‘red flag’ symptoms of imminently sight-threatening or life-threatening disease, to specifically ask about these in the appropriate situations and to react safely and with appropriate urgency when they are found
Vitreo-Retinal Cases
- To gain insight into the range of vitreo-retinal disease occurring in the community
- To gain an improved understanding of the symptoms with which vitreo-retinal conditions present in the community and to recognize those that require urgent management
- To gain an improved understanding of the range of modern vitreo-retinal surgical treatments available
- To understand the importance of appropriate post-operative care and the effect patient compliance with medication and positioning may have on visual outcomes.
- To understand which activities may pose a threat to good visual outcomes and in which situations this is the case
- To gain insight into the challenges of managing vitreo-retinal disease in terms of visual outcomes, patient expectations and the appropriate utilization of resources.
Dr. Diane Kenwright
Abstract
Recent advances in Uveal, conjunctival and lid melanoma
Uveal melanoma is the most common malignant tumour in adults, and skin melanoma the deadliest of skin tumours. While traditional morphologic parameters can statistically predict the likelihood of death due to a melanoma, they are not individualized to each tumour. Recent advances in the understanding of the biology of uveal and skin melanoma have led to genetic tests that can better predict the behavior of individual tumours. Elucidation of the molecular mechanisms underlying malignant melanomas are leading to new treatments for metastatic melanoma. In this presentation the recent research into melanoma is integrated with traditional pathology to give a comprehensive overview of where we are now and likely to go in the future.
What is that lump?
The lids are complex structures with several tissue types lying in close proximity. Both benign and malignant changes in any of these structures can give rise to the “lid lump”.
In this presentation the pathology of lid lumps, including chalazion, cysts, basal cell carcinoma, xanthlasma, sebaceous carcinoma are discussed together with rarer entities that are important to recognize as they can indicate underlying systemic disease.
Dr. Keith Pine
Abstract
A regular complaint of anophthalmic patients is excessive mucoid discharge associated with their prosthetic eyes. This problem has received little attention in the literature and no treatment protocol has been developed to deal with it. Dr Pine’s presentation describes the results of a systematic set of investigations into the response of the socket to prosthetic eye wear. The research data was obtained from surveys of New Zealand prosthetic eye wearers, in-vitro experiments and clinical evaluations and interventions. Mucoid discharge associated with prosthetic eye wear was found to be prevalent in the anophthalmic population of New Zealand and a major concern for prosthetic eye wearers. The finding that the presence of surface deposits on prosthetic eyes facilitates the lubricating function of socket fluids led to the development of a simple three phase model of the response of the socket to prosthetic eye wear and an evidence-based protocol for managing mucoid discharge.
During the presentation, Dr Pine will remind optometrists that for 350 years they fitted glass eyes but now no longer attend to anophthalmic patients and only offer a limited service to patients with disfigured eyes - even though they have huge experience and knowledge of contact lenses which are analogous to prosthetic eyes.
Dr. Simon Backhouse
Abstract
Recent research has suggested that, independent of the amount of time spent in nearwork activities, greater amounts of time spent outdoors lead to a reduction in incidence of myopia. It is believed that this reduction may be due to the increased light levels present outdoors. However, these studies have been conducted using retrospective questionnaires and have not measured the amount of light the participants received. I will present findings from a population of New Zealand school children in whom refractive and light exposure data has been collected.
Mr. Philip Turnbull
Abstract
Emmetropisation: From sea side to the clinic
Learning objectives:
- Appreciate why emmetropisation is required, and not unique to humans.
- Understand the challenges within current emmetropisation research and the need for a simpler model of emmetropisation.
- Consider refractive errors as being errors of emmetropisation.
- Understand how lab research is being translated into real clinical results.
- As a result, myopia progression is now treatable rather than manageable.
Mr. Arijit Chakraborty
Abstract
Currently in New Zealand there are two large-scale multidisciplinary clinical research studies investigating the long-term developmental outcomes of perinatal adverse events. Both neonatal hypoglycaemia and prenatal methamphetamine exposure are developmental risk factors among the New Zealand children. However little is known about the long term visual and cortical development of children subjected to these risk factors except that developmental disorders do affect visual function that utilise the parieto-occipital areas of the brain. In this presentation I will discuss the visual development of these children. I will include the results of standard clinical vision assessments as well as the results of tests of global motion perception (a function of the parieto-occipital area). My presentation will also include the role of vision in visually guided motor functions for these children.
Mr. Richard Johnson
Abstract
This talk will discuss the findings of a clinical Case Series review of 39 patients that presented to the medical retinal clinic at Greenlane Hospital over a 2 year time period with a clinical diagnosis of CSCR. The parameters assessed include demograph, laterality, quantification of the serous fluid at both presentation and discharge, treatment needed for resolution and visual outcomes.
The learning objectives for delegates will include a review of clinical assessment and diagnostic testing for CSCR, differential diagnoses of the condition, options and indications for treatment as well as risk factors for the condition
Ms. Frankie Manson
Abstract
I would like participants to:
- Have a good overview of the Code of Rights in New Zealand
- To be aware of their responsibilities and duties when dealing with complaints
- To understand that advocates are there to assist with resolving complaints in a timely manner
Social Events
Welcome Function - (Thursday Evening 17th) .........Starting at 6.00PM
Macs Function Centre Corner of Taranaki and Cable Streets - Wellington Waterfront
Golf - (Thursday - email admin@nzao.co.nz to register you interest)
Cocktails - Friday in the exhibition room
Conference Dinner - in the conference room
Band & Dancing
Activities & Attractions
Optometry Exhibition
Alcon Vision Care
Ophthalmic Instrument Company
Essilor
Baush + Lomb
Carl Zeiss NZ Ltd
Corneal Lens Corporation
CR Surfacing Laboratories
Designs For Vision
Hoya Lens Australia
Monkey Software
OptiMed NZ Ltd
Accommodation
NZAO has block bookings at the following Hotels. When you register online for conference, you will be taken to the hotel booking links.
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**Rates per night are GST inclusive** |
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Amora Hotel >>
170 Wakefield Street (6 minute walk to Shed 6) |
110-116 Wakefield Street, Wellington (6 minute walk to Shed 6) |
CQ Hotels >> 213 – 223 Cuba Street (16 minute walk to Shed 6) |
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Deluxe Room $210.00 room only $225.00 breakfast inclusive for one All Deluxe Rooms offer views of the city and harbour. Deluxe Rooms are available with either a King or two Double beds. The luxurious marble bathrooms have a separate bath and shower. Breakfast for a guest is $25.00 per person for a full buffet breakfast from the Grill Bar & Restaurant.
Group booking code: Go to the link above - enter your details in the form, print and fax or email directly to the Amora Hotel |
$140 room and full breakfast for 1 or 2 included
Third person $35.00 (includes breakfast)
Standard double room (one queen bed) OR Twin Share Room (one queen & one single bed)
Group booking code: Go to the link above - enter your details in the form print and fax or email directly to the Westplaza Hotel |
BOOK ONLINE with
Comfort Hotel Wellington *** Twin or Double Room $108.00 room only $125.00 breakfast inclusive for one $142.00 breakfast inclusive for two
Quality Hotel Wellington **** Queen or Two Queen Suite $172.00 room only $189.00 breakfast inclusive for one $206.00 breakfast inclusive for two Queen Deluxe Rooms are also available for an additional $40.00 |