Navigation Links
Treating ROP in tiny preemies; better glaucoma follow-up in urban clinic
Date:10/25/2009

SAN FRANCISCO Highlights of today's Scientific Program of the 2009 American Academy of Ophthalmology (AAO) - Pan-American Association of Ophthalmology (PAAO) Joint Meeting include: John T. Flynn, MD, Columbia University School of Medicine, discussing the ever-tougher challenges Eye M.D.s face in caring for the vision of the tiniest premature babies; and a report by Bradford W. Lee, MD, Stanford University School of Medicine, on barriers to glaucoma follow-up as perceived by patients in an urban, culturally diverse clinic.

The AAO-PAAO meeting is in session October 24 through 27 at the Moscone Center, San Francisco, CA. As the largest, most comprehensive ophthalmic education conference in the world, it offers United States and international Eye M.D.s more than 2,000 scientifically-based, peer-reviewed presentations, including instruction courses, skills transfer labs, "Breakfast with the Experts" roundtables and 900 research papers and posters.

Saving Sight in Tiny Babies: the Past, Present and Future of ROP Treatment

Due to astonishing progress in neonatal medicine, younger and smaller babies than ever before are being saved: they often weight less than one pound and may be born 10 to 14 weeks early. Paradoxically, this medical progress has generated new healthcare challenges, including retinopathy of prematurity (ROP) a potentially blinding disease. ROP is more likely to occur in such tiny infants and to be severe and hard to treat successfully even with laser therapy, today's method of choice. In a key lecture at today's Pediatric Ophthalmology symposium John T. Flynn, MD, Columbia University School of Medicine, relates the history of ROP to today's escalating treatment challenges and the search for new solutions.

From the 1970s onward, pediatric ophthalmologists have been increasingly able to reduce or cure ROP by adapting treatments developed for adult diabetic retinopathy. In the extremely premature infants saved today, though, all treatment parameters are more difficult and vulnerable to failure.

"It is time for pediatric ophthalmologists to reassess how best to screen and treat their smallest, frailest patients," said Dr. Flynn.

Since 1942, when the use of medically pure oxygen was introduced, doctors have been able to save many more premature babies. But the treatment has also contributed to an epidemic of ROP-related blindness and vision loss in the US and other countries that provide neonatal intensive care. ROP vision loss occurs due to abnormal growth and function of blood vessels that nourish the retina, the light-sensitive area in the back of the eye where images are formed for relay to the brain's visual cortex.

Long Wait Times, Interpreter Problems Impact Care, Glaucoma Clinic Patients Say

In the first study of its kind in the US, researchers asked San Francisco General Hospital (SFGH) glaucoma clinic patients about their reasons for missing follow-up appointments with their ophthalmologists. Poor glaucoma follow-up is a widespread problemespecially among medically underserved groupsthat leads to unnecessary vision loss. The study also investigated whether barriers were linked to ethnicity. Bradford W. Lee, MD, Stanford University School of Medicine, led the joint project by Stanford and University of California, San Francisco, Department of Ophthalmology.

"Many eye care professionals assume these patients skip appointments because of financial problems, insurance issues, or lack of understanding of the need for follow-up care," said Dr. Lee, "but our results show other factors are more important, and that barriers vary somewhat with patient ethnicity."

The most vexing issues were long clinic wait times and appointment-scheduling difficulties, according to the 152 SFGH clinic patients surveyed from August 2008 to January 2009. Seventy-five percent of patients cited long wait times as a significant barrier. And even though SFGH provides medical interpreting services, 37 percent of Latino-ethnicity and 32 percent of Asian-ethnicity patients cited language and interpreter issues as significant barriers. The researchers say new strategies to streamline appointment procedures for non-English speaking patients, and resolving wait time and interpreter issues should be top priorities for SFGH and similar glaucoma clinics.


'/>"/>

Contact: Mary Wade
mwade@aao.org
510-725-5677
American Academy of Ophthalmology
Source:Eurekalert

Related medicine news :

1. Stematix™ Obtains Exclusive License to Regenexx™ Stem Cell Procedure Treating Musculoskeletal Diseases in Latin America
2. Remuda Ranch, Nations Leading Eating Disorder Treatment Center, Finds an Increase in Treating Twins With Eating Disorders
3. Stereotactic radiosurgery preferred method of treating cancer patients with brain metastases
4. ACPM recommends primary care have systems in place for screening and treating depression
5. BUSM researchers identify better laser for treating facial spider veins
6. Inventive combination of research approaches identifies new target for treating leukemia
7. Particle Beam Radiation Therapy Promising But Unproven for Treating Cancer
8. Treating Childhood Leukemia With Fewer Side Effects
9. Treating Workers Mental Woes May Boost Productivity
10. California Dental Association to Showcase Critical Role of Dentists in Identifying and Treating Sleep Disorders
11. Relapse of Infections is the Most Challenging Aspect of Treating Clostridium Difficile Infections in the Hospital Setting
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... As a ... Magna Cum Laude and his M.D from the David Geffen School of Medicine at ... returned to Los Angeles to complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars ...
(Date:6/24/2016)... Angeles, CA (PRWEB) , ... June 24, 2016 , ... ... surgery procedures that most people are unfamiliar with. The article goes on to state ... procedures, but also many of these less common operations such as calf and cheek ...
(Date:6/24/2016)... ... June 24, 2016 , ... The Pulmonary ... Dallas that it will receive two significant new grants to support its work ... marked its 25th anniversary by recognizing patients, medical professionals and scientists for their ...
(Date:6/24/2016)... ... June 24, 2016 , ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain ... for a minimum wage raise to $12 an hour by 2020 and then adjusting it ... the lost value of the minimum wage, assure the wage floor does not erode again, ...
(Date:6/24/2016)... ... June 24, 2016 , ... Puradigm® & Innovative Solutions ... initiated cultivation and processing operations at its production facility, and opened its first ... is the manufacturer of a complete system of proactive air and surface purification ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... 2016 Roche (SIX: RO, ROG; OTCQX: RHHBY) ... Elecsys BRAHMS PCT (procalcitonin) assay as a dedicated testing ... With this clearance, Roche is the first IVD company ... for sepsis risk assessment and management. PCT ... PCT levels in blood can aid clinicians in assessing ...
(Date:6/23/2016)... , , , WHEN: ... , , , , LOCATION: , , , Online, with ... , EXPERT PANELISTS:  , , , Frost & Sullivan,s Global Vice ... Senior Industry Analyst, Divyaa Ravishankar and Unmesh Lal, Program Manager , ... industry is witnessing an exceptional era. Several new demand spaces, such ...
(Date:6/23/2016)... -- The vast majority of dialysis patients currently receive ... usually 3 times a week, with treatment times averaging ... equipment preparation and wait time.  This regimen can be ... who are elderly and frail.  Many elderly dialysis patients ... for some duration of time. Residents in ...
Breaking Medicine Technology: