NCRC Sept. 19, 2020 with NCSEPS

In conjunction with NCSEPS yearly meeting, NC Retina Club ran the Retina Case Conference from 12:30pm to 3:30pm.

This was a great meeting with fascinating cases and sparkling discussions. Our one medical student was the first to use the polling function twice in a talk, a first! He also managed to generate quite some discussion about VMT. We all appreciated the work that all the presenters did to present cases as all of the cases were interesting to say the least. No real hiccups in the technology and the meeting ran rather smoothly on Zoom. The “Chat” function served as a text based Comment and Q&A function without interrupting the speaker. I must thank Lejla for running the meeting, Omar and Raj for coming up with great questions, comments and insights to keep the discussions going well. Three hours ran past quickly indicating the level of interest and almost all attendees (~30) stayed to the end. This gives me great hope that this format really works to communicate and is very convenient for all. 
Our next meeting will be January 9, 2021 at 12:30pm on Zoom hosted by Raj as some form of lockdown will probably still be in effect. 

For those that could not make it to our meeting, we did enabled viewing of the uncut video on Vimeo. Please use the contact page here to let me know how you enjoyed the meeting. Below is a wonderful summary of the presentations.
Enjoy it, see you next time! Sincerely Peter


2020 NC Retina Meeting Summary

Dr. Durga Borkar shared a beautiful surgical video of PVR detachment repair with special discussion of ILM peeling and the intravitreal methotrexate (MTX) protocol for recurrent PVR prevention, for which patients are eligible for an ongoing Phase III Aldeyra GUARD Trial at the Duke Eye Center for patients with traumatic retinal detachment after ruptured globe repair and recurrent retinal detachment with at least 3 o’clock hours of PVR. The trial includes MTX treatment and non-injection control arm as an adjunct to standard surgical repair. For more information or patient referral, contact Clinical Research Nurse, Cindy Skalak, RN, COT at cindy.skalak@duke.edu or office919-684-5246 or cell 919-943-3778.

Dr. Alice Zhang shared a fascinating case and literature review of dislocation of scleral sutured intraocular lens due to MX60 eyelet fracture, leading to an insightful discussion of the relative strengths of materials of different types of secondary intraocular lenses.

Drs. Danny Olson and Suze Michalak shared great cases of retinal findings including hyperviscosity and exudative retinal detachments secondary to systemic hematologic malignancy, with fascinating discussion of intraocular and systemic management options.

Dr. Steve Ryder shared very timely insights on his pearls for patient selection and optimal technique for pneumatic retinopexy using a gas bubble and laser retinopexy, which has become especially relevant in the COVID era.  

Justin Ma, MS shared a case of vitreomacular traction syndrome in a neurosurgeon, inspiring great discussion about medical and surgical options for vitreomacular traction, including observation. An ongoing retrospective study under Dr. Sharon Fekrat’s leadership at the Duke Eye Center may yield insights in the future. 

Dr. Effie Rahman shared a great case of intravitreal methotrexate injection as an adjuvant for management of ARNcomplicated by retinal detachment. 

Dr. Sophie Cai shared surgical management and literature review related to atypical Mycobacteria infection from chronically exposed scleral buckle, with interesting discussion of whether betadine or antibiotic irrigation of the buckle at the time of surgery may have superior antiseptic properties.

Dr. Oscar Kuruvilla shared a mystery case of photopsiasassociated with bilateral peripapillary bony spicule changes with vascular attenuation and extensive abnormalities on autofluorescence and fluorescein angiography, with great discussion of the white-dot syndrome and autoimmune retinopathy differential diagnosis spectrum. 

Drs. Henry Feng and Omar Punjabi shared great cases of syphilis retinitis with associated inflammation masquerading as an ARN-like syndrome and syphilis posterior placoid chorioretinitis, stimulating discussion of mystery syphilis cases from other faculty. 

Dr. Katherine Baker shared a fascinating case of surgical management of retinal capillary hemangioma causing vitreous hemorrhage and exudative retinal detachment, with great discussion of the importance of completely relieving vitreous traction over the tumor intraoperatively and comparative literature on treatment options for VHL and retinal capillary hemangiomas.


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