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Day 01 full schedule

June 17, 2019

Opening lecture: K.B. Woo Memorial Lecture

The prevalence of myopia is especially high reaching 80% in Asian urban regions and there is also an increasing trend among Caucasian countries. High myopia has long term retinal and ocular health consequences that affect quality of life and is now considered a global public health issue. This presentation provides an overview of the variety of myopia control strategies using optical devices or pharmaceuticals in attempts to slow myopia progression in children. A number of clinical trials adopting the principle of incorporating myopic defocus in simultaneous vision to achieve myopia control have been found to be effective; their outcomes in myopia control will be reviewed. With the increasing prevalence of myopia and existing evidence for interventions to slow myopia progression, practice guidelines for myopia management will be suggested.

Carly Lam

Speaker: Carly Lam

The Rise of Disruptive Technologies and Innovations in Healthcare

There is an increasing use of technology in healthcare including in eye care services. The use of technology as means to improve care and increase efficiency of services is rising and this session will explore the different technology that is available in eye care at each stage and what this means for clinical practice.

PRIYA MORJARIA

Speaker: Priya Morjaria

Contact lens options in presbyopia - managing expectations and increasing success

There is little doubt that as a group, presbyopic patients represent a considerable contact lens opportunity especially if they are already contact lens wearers. With regard to the latter, the vast majority (about 93%) of 35-55-year-old contact lens wearers retain their commitment to contact lenses as their preferred mode of vision correction as they transition to being presbyopic. Although a majority of contact lens practitioners recognize that potential market with 59% concluding that fitting more presbyopes is the best means of growing their practices, the reality is far less convincing. Today’s presbyopes maintain their active lifestyles longer, and many are seeking more convenient, style-conscious alternatives to spectacles for their vision correction at all distances. A variety of contact lens correction options, both stock and custom products, are now available for that group. Correcting presbyopia with contact lenses can be both rewarding and challenging. The nature and significance of presbyopia itself needs to be explained clearly to the patient before proceeding to detail their correction options (i.e. contact lenses, spectacles, or a combination of both) along with detailing the advantages and disadvantages of each. Once contact lenses are chosen, the contact lens-relevant aspects of presbyopia need to be presented. By far the most important aspect of the whole process is practitioner management of the wearer’s expectations. Failure to manage that aspect of the prescribing and supply process is to probably head down the path of failure. The contact lens industry has made major strides in refining lens design and some complex products and well-researched fitting guides are offered to help make the process simpler for all concerned. Unfortunately, the dominance of simultaneous vision soft contact lens products (hydrogel and SiHy) has both helped and hindered progress towards the ultimate presbyopic contact lens options. Helped because the process of fitting is well evolved and hindered because simultaneous vision is not ideal. The ideal still evades us but it is probable that a translating soft lens would go a long way towards achieving a better visual outcome at near and distance.

Lewis Williams

Speaker: Lewis Williams

Dealing with adverse events in contact lens practice: managing complications

This lecture will discuss corneal and conjunctival complications related to non-compliance with the proper wear and care of soft contact lenses. The focus will be on red eyes as they are still a common complication leading to lens wear discontinuation in especially the younger (18-25 year old) population. The most common non-compliant activities, and how to manage them with an in-depth questionnaire will be discussed.

2012_GinaSorbaraphoto[1]

Speaker: Luigina Sorbara

Workshop 1: Binocular vision – clinical skills and effective practice

This workshop aims to review essential binocular vision clinical skills and will review how to incorporate basic accommodation and binocular vision assessment into routine practice. The Workshop will review tests of eye alignment and ocular motility as well as tests of accommodation and fusion. The workshop will discuss recording of test outcomes and key findings for diagnosis of binocular vision anomalies and management plan. With the skills learnt in the workshop practitioners will be able to identify those accommodation and binocular vision disorders that can be successfully treated within routine practice and distinguish binocular vision disorders that need referral for surgical intervention. The skills will assist practitioners propose and implement management strategies, evaluate and revise management plans and communicate the diagnoses and management plans to patients.

Ann Webber

Speaker: Ann Webber

Workshop 2: Academic Leadership Quality Assurance (for educators)

The United Nations Sustainable Development Goal 4 strives for inclusive and equitable quality education. Quality education is a crucial element in our aim to fight the scourge of blindness and vision impairment and to promote population well-being within our respective countries. Optometry education programmes are obliged to ensure that they produce graduates that are highly competent and possess the skills and knowledge relevant for the context within which they will work. Integral to the development and delivery of a successful and sustainable optometry programme is the demonstration that the programme quality is of a high standard with evidence of measurable, well-defined quality assurance (QA) and social accountability (SA) policies and practices. These must be evident across all education, research and service activities. This workshop will introduce educators to the SOCIALLY ACCOUNTABLE QUALITY ASSURANCE FRAMEWORK FOR OPTOMETRIC EDUCATION (SAQAFOE). All aspects of an optometry education programme are defined within the framework. The participatory workshop format will enable academic leaders and faculty to engage from the perspectives of their respective programme contexts.

Vanessa Moodley

Speaker: Vanessa Moodley

Workshop 3: Proactive Contact Lens Practice to Improve your Business (for practitioners)

Contact lenses (CLs) have evolved significantly in terms of materials, designs, wear modality, care products and systems. However, this development does not seem to have proportionally translated into growth of CL market. The importance of proactive CL recommendation and counselling by practitioners in increasing the number of patients fitted with CLs has been established. Yet, CLs as mode of vision correction is not discussed regularly during a typical eye examination. Also, practitioners proposing an upgrade of currently worn CLs is questionable. In addition, fitting soft lenses in commercial setup poses different challenges than in academic or hospital set up.

Speaker: Nilesh Thite and Lakshmi Shinde

The Increasing Diabetes Epidemic in the Asia Pacific

Main objective To present the epidemiology of type 2 diabetes and its complications in the ASEAN Region Specific objectives 1. To compare the epidemiology of type 2 diabetes in the ASEAN Region compared to global statistics 2. To characterise the Asian diabetic vs. other races 3. To present the current state of Type 2 Diabetics in the Philippines 4. To present current programmes related to the control and prevention of type 2 diabetes in the country

Mia Fojas

Speaker: Mia Fojas

The Role of Optometry in Diabetes

Diabetes can have significant impact on patients’ vision and visual function. This presentation will review stages of diabetic retinopathy to highlight when timely referral for potential sight threatening conditions is advisable, based on current international guidelines. Non-retinal complications of diabetes will also be reviewed. The role of optometrists in the care of patients with diabetes will be discussed.

PeterHendicottPhoto

Speaker: Peter Hendicott

Changing the role of Optometry in the Hospital and Community

TBA

Duratul Hussin

Speaker: Duratul Hussin

Incorporating the TFOS Dry Eye Workshop II outcomes into clinical practice

Dry eye disease (DED) is the most common condition presenting to primary eye care providers in everyday practice. In 2017, members of the Tear Film and Ocular Surface Society’s (TFOS) International Dry Eye Workshop (DEWS) published a series of consensus papers describing the fundamental aspects of DED. Over the last decade, the ability to both diagnose and manage DED has progressed enormously, enhancing the services that eye care practitioners can offer to their patients who have this form of ocular surface disease. As a Chair of the Diagnostic Methodology report and one of the harmonisers, Prof Wolffsohn will highlight the key clinical findings of the report in terms of: what is dry eye? (Definition and Classification); who is affected? (Epidemiology); why does it occur? (Pathophysiology); when is it diagnosed as dry eye? (Diagnostic Methodology); and how do we manage it? (Management and Therapy)

James Wolffsohn

Speaker: James Wolffsohn

Alcon - Lubricants, Are they a Necessity?

Dry eye occurs in almost 50% of the population, and practitioners mostly recommend patients to instill eye lubricants to provide relief. Lubricants are the first line of management in any form of dry eye disease. But with the variety of eye lubricants in the market, are they all equally effective? When do we prescribe a certain lubricant over another? Why do we have non-preserved lubricants in the market? When do we use preserve and non-preserve lubricants. This course will discuss the intrinsic characteristic found in lubricants and how a practitioner can align his prescribing choice according to what is seen on the ocular surface and the type of dry eye the patient has.

Romeo Dela Cruz

Speaker: Romeo C. Dela Cruz

Evidence-Based Practice in Optometry Practice

Lecture: This lecture will review methods to encourage lifelong learning as an optometrist. By reviewing the literature and learning how to critically appraise papers, the learner will be able to decipher papers that will provide answers to questions that come up when examining a patient. Tools to find sources of literature research and to appraise literature will be discussed. Workshop: The workshop will move the optometrist from the clinical setting where a question arises regarding the care of their patient to the in-office computer where they will conduct searches to find an appropriate study to aid in the management of their patient. Attendees will be given a paper to critically appraise and present to the group.

2012_GinaSorbaraphoto[1]

Speaker: Luigina Sorbara

Legislating for enhanced professional scope of practice and Case study: South Africa - Legislating Optometry towards a Therapeutic Profession

Optometry is defined by the World Council of Optometry as “a healthcare profession that is autonomous, educated, and regulated (licensed/registered), and optometrists are the primary healthcare practitioners of the eye and visual system who provide comprehensive eye and vision care, which includes refraction and dispensing, detection/diagnosis and management of disease in the eye, and the rehabilitation of conditions of the visual system“. Many countries across the globe still do not provide comprehensive care and optometrists continue to strive to achieve the World Council for Optometry Level 4 competency which includes the use of ocular therapeutic medication. The road to ocular therapeutics is often challenging and this session will include a case study that addresses the opportunities and challenges towards gaining the scope expansion with the necessary Ocular Therapeutics Licensure.

Vanessa Moodley

Speaker: Vanessa Moodley

WCO Symposium: Progressing the development of eyecare and optometry - leadership in action

This session will feature a number of short presentations outlining how projects to advance both eye care and optometry have been developed as case examples of professional leadership and advocacy in action. Presenters will discuss the rationale behind their projects, and the outcomes that were achieved. Dr Scott Mundle, President, World Council of Optometry (WCO), will also update congress participants about current activity of the WCO.

Speaker: Scott Mundle, Duratul Hussin, Victoria Law, 1TBD

Alcon Workshop: Getting Into the Right Mind: Establish Lifetime CL Wearers

As optometrists, it is quite often that we talk to parents about their child needing to wear contact lenses. Parents are skeptical if their children can be responsible in handling their contact lenses. Our role as eye doctors is to educate the parents that with proper guidance and the right contact lenses, kids are capable to have a safe and healthy contact lens wear. What’s the right age to start wearing contact lens? How difficult it is for kids to learn how to use them? Can a child wear them part-time? Real life experiences will be discussed as well as the type of approach an eye care practitioner should take to have that reassuring conversation with the parents which will lead to a successful contact lens wear.

Jeanette Romualdez-Oo

Speaker: Jeanette Romualdez-Oo

IACLE Workshop: Blended Learning (for educators only)

Blended learning is a formal education program in which a student learns at least in part through delivery of content and instruction via digital and online media with some element of student control over time, place, path, or pace.

Speakers: Lakshmi Shinde and Cheni Lee

Myopia: A Public health Tsunami in waiting that demands a multifaceted response

Globally, myopia is the leading cause of distance refractive error and is expected to affect 50% of the world’s population by 2050. The prevalence of myopia has been documented in many countries around the world, however, the most significant statistics revealed that in several Asian countries the prevalence of myopia is over 80%. In those with high myopia the potentially blinding pathologies like myopic macular degeneration, glaucoma and retinal detachment, pose a huge challenge for eye care services. The potential loss in educational opportunities, and reduced quality of life, due to myopia exacerbates the burden. : Urgent intervention is needed if we are to stem the tide of what is a public health Tsunami in awaiting. This should include investment in technological advancement through research and product development. Key areas of focus should be spectacle lenses, contact lenses and drug interventions. Health Promotion to ensure that behavioural change is affected in so far as time outdoors as well as time that children spend on digital devices. Strategies to create access through human resource development and clinical services will need to be expanded to meet the greater volume of refractive error patients. We need to recognise the need to invest in the education of practitioners as myopia control demands new skills and approaches. Appropriate school screening programmes that support early intervention and are linked to accessible and affordable refraction and corrective services becomes imperative. Optometry needs to lead in these efforts. This presentation will address the current status of myopia and myopia control as well as the future response that is needed.

Kovin Naidoo

Speaker: Kovin Naidoo

Trends in Myopia Management Attitudes and Strategies

Myopia is a global public health issue, however, no consensus on an appropriate, safe, and effective management strategy has yet been reached. This is presumably because the relative efficacy of the various myopia control options currently available are regarded as ambiguous by clinicians. Consequently, uncertainty on the effective management of myopia has resulted. A global cross-sectional survey was conducted, updating one published in 2015, to better understand how well myopia is managed in everyday practice around the globe and how this is changing with new treatment information.

James Wolffsohn

Speaker: James Wolffsohn

Update on Ortho-K and 0.01% Atropine

TBA

Pauline Cho

Speaker: Pauline Cho

OPTOMETRY-OPHTHALMOLOGY COLLABORATIVE MANAGEMENT IN MYOPIA

This course will discuss the various ways by which an optometrist and an ophthalmologist can successfully co-manage cases in myopia and strabismus, showing synergism in both functional and organic assessment of vision and the eye, and the clinical and/or surgical management that resolves all aspects of the eye’s condition.

delmundo

Speaker: Jade Del Mundo and Cynthia del Mundo

A new dawn in myopia control: The evidence behind light exposure

A number of recent studies report that the time children spend engaged in outdoor activities, is negatively associated with their risk of myopia. Both cross-sectional and longitudinal studies indicate that greater time spent outdoors is associated with a significantly lower myopia prevalence and reduced risk of onset of myopia in childhood. Although some studies report significant associations between myopia progression and outdoor activity, this is not a consistent finding across all longitudinal studies. This presentation will examine recent experiments investigating the potential influence of light exposure in the regulation of eye growth and myopia.

Vincent 2018

Speaker: Stephen Vincent

Visual optics, eye growth and myopia control

This presentation will examine experimental data from various animal models of refractive error development and how well these results translate to the human visual system with an emphasis on imposed optical defocus (including changes in axial length and choroidal thickness, the time course of ocular changes, and region specific changes within the eye). The changes in the optics of the eye during orthokeratology and multifocal soft contact lens wear will also be examined, particularly changes in higher order aberrations, and how these optical changes may regulate eye growth.

Vincent 2018

Speaker: Stephen Vincent

Panel Discussion on Myopia Management: Sharing of Best Practices and Treatment Protocols

TBA

Speaker: James Wolffsohn, Pauline Cho, Jade Del Mundo, Stephen Vincent, David Neilson

Contact Lens Options in Myopia Control

This lecture will describe current optical mechanisms that will slow the progression of myopia. It will review concepts of orthokeratology and soft lens reverse geometry designs. Success rates will be examined with each modality. Customising current orthokeratology lens designs to improve their efficacy for myopia control will be discussed.

2012_GinaSorbaraphoto[1]

Speaker: Luigina Sorbara

Myopia Management: Turning Theory into Practice

TBA

Print Ready Neilson Eyecare-123

Speaker: David Neilson

Technology in education (for educators)

Advanced technologies enable access to large volumes of complex information anywhere, anytime, as often as desired. It eliminates the learning boundaries of time, place, and/or availability of an educator. The use of images, videos, simulations, AR, and VR enhances the learning process as well as make them more interesting and more effective. Generally, procedures that can be demonstrated in life-like situations are mastered more readily. The ability to pursue certain aspects of the education process as self-paced learning enables all students, regardless of differences in their abilities, to reach the same education milestones in a timely manner. Furthermore, understanding subject matter and becoming proficient in challenging techniques can be achieved with less stress through practice at their own pace. The use of technology also encourages students to explore and experiment, usually without undesirable consequences. Given their extensive exposure to modern technology already, current students should encounter few barriers in their pursuit of technology-based self-learning. Technology already provides a vast platform for student and teacher interaction and the sharing of interesting cases and experimental outcomes, all with significant educational benefits. Other advantages over conventional teaching methods include the reduced use of paper, large data sets occupying minimal space, easy and convenient access, and lower overall cost. Undoubtedly, it is a smarter and better way of learning in today’s fast-paced and diverse world. It is uncommon for students from the smaller Asian and Latin American countries to get access to renowned international faculty due to the prohibitive cost of bringing them to local institutions and/or conferences. IACLE and others have found a solution in the form of web-based, live guest lectures. The objectives of this initiative are to expose students, regardless of their location, to international subject experts as well as to demonstrate to educators, alternative ways of delivering effective lectures. As technology becomes more affordable, more accessible, and evermore pervasive, it is probable that its rôle in education will become unavoidable if not dominant. To realize its potential fully, the human side, students and educators, will need to make adjustments to accommodate the ingression of technology into education. To resist unnecessarily is likely to reduce its potential educational benefits that many are already enjoying. The pace of development should mean that the adjustments required will diminish over time.

Lewis Williams

Speaker: Lewis Williams

Evidence-based practice for better clinical decision making and educational tool

Healthcare practices are changing from expert centered solo-practice to team-based evidence supported practice. Tech-savvy generation of healthcare professionals and even patients are adopting this revolution to ‘better manage’ their health. However, abundance and easy availability of knowledge alone seldom helps in accurate diagnosis and efficient management of health ailments. Choosing the right information, critical thinking, problem solving skills and attitude of patient centered care is the key to successfully manage people’s health. Evidence based practice (EBP) is proven tool to develop these competencies in health care professionals. Therefore, it’s important that our optometry practitioners develop competency in EBP based optometry practice and education. This proposed workshop activity aims to establish EBP for better clinical decision making and adopted as teaching tool in optometry education. The workshop will include blended learning methods, where in you will undergo online courses, access to reading materials and hands on workshop on the 2nd March 2019. This workshop is part funded by ERASMUS PLUS grant awarded project OCULUS (Optometry Curriculum for Life Long Through Erasmus)

Ramesh Ve

Speaker: Ramesh S Ve M Phil

Vision Screening for Children

With an increase in the number of school eye health programmes – there is also a need to ensure that these programmes are standardised and the services being delivered are of good quality. In this session we will explore how to plan for a school eye health programme and the minimum standards that are required. With an insight into the School Eye Health guidelines for low and middle income countries.

PRIYA MORJARIA

Speaker: Priya Morjaria

Amblyopia: Current approaches and research

Amblyopia is a common cause of reduced vision in children. The clinical diagnosis is complicated and requires consideration of the severity of vision loss relative to the characteristics of the disrupting amblyogenic factor. Added to the challenge of a thorough examination of very young children, is the weight of consequence if the amblyogenic factor is not identified and treated appropriately within clinically recommended timeframes. Further, the poor visual function may be a symptom of more sinister underlying pathology impacting the visual pathway. This review presents an evidence based-pragmatic approach to the diagnosis of amblyopia, as a means for guiding best practice for the care of children who present with reduced vision. Evidence based management of amblyopia will be reviewed. A sequential treatment approach will be presented and will include guidelines for refractive error correction in amblyopic children, as well as evidence-based guidelines for patching or atropine penalization.

Ann Webber

Speaker: Ann Webber

Symposium: What’s the Future for Optometry in Asia

Optometry as a profession will be facing a number of challenges going forwards over the imminent future. Current and future developments in technology will influence the way that optometry is practised and eye care is delivered. What we undertake as optometrists in the future may need to be quite different to the way that we practice now. Our roles might be quite different from what they are now. Countries seeking to develop eye care systems including optometric care will need to think about the way eye care delivery in the future needs to be prepared for. Healthcare policy internationally is also changing. Optometry needs to rise to these challenges and opportunities. This symposium will discuss some of these challenges, to prepare optometry in our region for its future challenges.

Speaker: APCO, WCO, TBD

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