ICO Annual Conference 2018
The Irish College of Ophthalmologists Annual Conference will be held in the Kilkenny Convention Centre from Wednesday 16th to the 18th May.
The Conference is the highlight of our annual calendar and provides an opportunity for eye doctors from across the country to gather to hear about the latest clinical and scientific updates and development of the specialty.
2018 marks an important year for the specialty as we celebrate the 100th Anniversary of the formation of the first ophthalmological society in Ireland, the IOS, in 1918, which was the forerunner to the ICO. The programme will include a symposium looking at The Changing Face and Future of Ophthalmology as we mark this important milestone.
Symposia on Neuro-ophthalmology, and Uveitis will also feature on this year's conference programme.
The Annual Mooney Lecture will be delivered by Dr Cynthia Bradford, former President of the American Academy of Ophthalmology (AAO) and Professor of Ophthalmology at the Dean McGee Eye Institute/Department of Ophthalmology of the University of Oklahoma Health Sciences Center on the 'The Challenge of Cataract Surgery' highlighting the complexity of cataract surgery and the high rate of success due the skill and training of surgeons in the sub specialty.
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Combined iStent Insertion and Phacoemulsification: The Mater Experience
The Role of Hypoxia on LOXL1 Expression in Pseudoexfoliation Glaucoma
Secondary Glaucoma and Visual Axis Opacification in Aphakic and Pseudophakic Patients Following Congenital Cataract Surgery: A 26-Year Longitudinal Case Series
Short Term Experience with Xen Glaucoma Implant
The Impact of Anterior Uveitis on Patients: a 5 Year Prognosis from the DUET Study
Orbital Lymphoma in an Irish Cohort from 2008 to 2018
Surgical Outcomes Following Medial Rectus Re-advancement for Consecutive Exotropia
Practice Trends in Management of Unilateral Congenital Cataract in Britain and Ireland
ICO/Novartis Eye Research Bursary Winner 2017 - 2018
Attenuating Fibrosis in the Aged Lamina Cribrosa: The Role of Epigenetics, Mechanotransduction and Biomimetic Modelling
European Society of Ophthalmology (SOE) Lecture 2018
Intraocular Lymphoma Masquerading as Uveitis
Local Therapies and Isolated Ocular Disease in Uveitis
Biologics and Systemic Disease in Uveitis
Ergonomics & Injury Prevention in Ophthalmics
Winning Friends and Influencing People: Giving Constructive Feedback that Doesn’t Offend
Quality of Life in Uveal Melanoma Patients – an Irish Perspective
Accurate Genetic Diagnosis Impacts the Management of Inherited Retinal Degeneration Pedigrees in Ireland
Ozurdex: The University Hospital Waterford Experience
The Role of the Inflammasome in a Model of Dry Age-Related Macular Degeneration
Evaluation of Real-Life Clinical Outcomes of Treat-and-Extend Regimen for Wet Age-Related Macular Degeneration
Vitreous Loss as a Complication of Trainee Performed Cataract Surgery: The Use of a Pre-Operative Scoring System for the Selection of Appropriate Cases to be Performed by Trainees
Sulphur Hexafluoride Gas (SF6) as a Tamponading Agent in Retinal Detachment Surgery
Vitreous Biopsies: Indications, Results and Patient Outcomes in University Hospital Galway, 2010-2016
National Waiting Times for Treatment of Patients with AMD
Bone Marrow-Derived Cell Recruitment to the Neurosensory Retina and Retinal Pigment Epithelial Cell Layer following Subthreshold Retinal Phototherapy
Improved Optic Nerve and Visual Function Following Panmacular Subthreshold Diode Micropulse Laser (SDM) for Glaucomatous Optic Neuropathy
Breakfast Symposium Supported by Allergan
100 Years of Ophthalmic Societies in Ireland; Whither the Next 100 Years?
2018 marks the 100th anniversary of the founding of the Irish Ophthalmological Society, the fore runner of the Irish College of Ophthalmologists. The centenary provides an opportune time for the College to briefly reflect on how practice and training both within the specialty and in the wider context of health care delivery has evolved to where we are now and most importantly to consider what the direction of travel will be over the coming years and how we want to determine the direction.
When the IOS was founded Ireland's political structures were in turmoil. One hundred years later our political institutions are settled but our health service is viewed by many to be in turmoil. Is that a fair analysis and if so how should we prepare ourselves for the future? What aspects of practice should we seek to influence and control to ensure that the progress of the last century is matched by progress over the next?
The speakers in the symposium will look to the present and future of ophthalmology and give their view on the areas of best focus in a system of ever increasing demand and complexity.
Patient Safety & Quality of Care - the role of Clinical Leaders in Under - Resourced Environments
Physician Wellness - Caring for the Care Givers
Doctor/Management Relationship - Trends and Perspective from the NHS
Educating our Doctors for tomorrow – Regulation, Resilience and Reward
Ophthalmic Practice in the Next Generation – What Will That Be
Eckardt Temporary Keratoprosthesis Insertion for Pars Plana Vitrectomy in a Blood-Stained Cornea
Four Muscle Tenotomy Surgery for Improvement of Vision in Congenital Nystagmus – the Difference Between Driving and Not Driving
Corneal Neurotisation: An Irish First
How the Tear Film can Affect the Ocular Surface and the Perception of Vision
Predisposing Risk Factors, Clinical and Microbiological Characteristics of Moraxella Keratitis
Alcohol Delamination of the Corneal Epithelium for Recurrent Corneal Erosion Syndrome
A Retrospective Analysis of Patients with Ocular Graft Versus Host Disease Requiring Autologous Serum Drops
Influence of Phakic Intraocular Lens Implantation on Endothelial Cell Count and Optical Coherence Tomography Measurements after a Minimum of 4 Years Follow-Up
Repair of Globe Rupture and Penetrating Globe Injuries in University Hospital Galway: A 24 Month Retrospective Review
Short Presentation from a Selection of the Highest Scoring Posters ICO Conference 2018
Mooney Lecture 2018
The Challenge of Cataract Surgery
Medical Ophthalmologists Workshop - Macular OCT
Chair: Dr Fiona Kearns, Chair Medical Ophthalmologists Committee, ICO
Mr Mark Cahill
Dr Susan Kelly
Announcement of Winner of Scope Travel Bursary 2018
Update from 2017 Recipient of Scope Travel Bursary
1.Eye Movement Disorders and Nystagmus
2.Writing and Publishing Papers
Irish College of Ophthalmologists Annual General Meeting
Interactive Neuro-ophthalmology Workshop
Psychogenic Disorders in Neuro-Ophthalmology: Beware the Pitfalls
Shut Your Eyes and See
Unusual Visual Symptoms, Hallucinations, Illusions, Entopic Phenomena, Visual Snow, Ghosts, etc.
Neuro Ophthalmology Short Paper Presentations
Visual Snow – A Case Series
Review of the clinical presentation and relation between CSF opening pressure and loss of visual function in patients with Idiopathic Intracranial Hypertension (IIH) at University Hospital Waterford
A Retrospective Analysis of Orbital Radiotherapy in Thyroid Eye Disease
Genotype-Phenotype correlations of patients given a diagnosis of congenital stationary night blindness. (How stationary is congenital stationary night blindness?)
Clinical Audit – What are the Medical Council Requirements and How Can I Make it Meaningful & Relevant to my Practice?
Hydroxychloroquine and Chloroquine Retinopathy: Audit on Referrals to a Tertiary Ophthalmic Centre and Recommendations for Future Referrals
An Audit of Visual Field Monitoring of Idiopathic Intracranial Hypertension in Sligo University Hospital and Letterkenny General Hospital
Five-Year Audit of IOL Exchanges at the Royal Victoria Eye and Ear Hospital
Evaluation of Outpatient Referrals to the Ophthalmology Department, University Hospital Limerick; A Look to the Future
Announcement of ICO Medal Winners 2018
ICO Annual Conference 2018 Posters
Long Term Quality of Life and Surgical Outcome After Strabismus Surgery in Patients with Graves’Orbitopathy
A Case of Abducens Nerve Palsy in Spontaneous Intracranial Hypotension
The Role of the αvβ3 Integrin in Lamina Cribrosa Cells and the Possible Role in Glaucoma Pathogenesis
A Case Series of Swept Source OCTs: Optic Nerve Head Drusen vs Papilloedema
Review of the Vitreoretinal Service at University Hospital Waterford
Optical Coherence Tomography Derived Measurements of Retinal Nerve Fibre Layer Thickness in Optic Neuritis vs Non-Optic Neuritis Eyes
B Ó Tuama
Comparison of Results from National Diabetic Retinal Screening Programme with Slit Lamp Examination in Patients Referred to Tertiary Centre, Galway University Hospital (GUH)
Lamina Cribrosa Cell Bioenergetics in Glaucoma: Role of Glycolysis and Glutaminolysis
Investigating the Lamina Cribrosa: Development of a Novel Biomimetic Model of the Lamina Cribrosa Region for Glaucoma Research
An Audit of the Geographic Locations of Patient Visits to the Orthoptic Department - University Hospital Galway
Ocular Manifestations of Sexually Transmitted Diseases in the Emergency Department
Transient Receptor Potential Channels TRPC1 and TRPC6 Regulate Lamina Cribrosa Cell Extracellular Matrix Gene Transcription and Proliferation
Correlation Between Clinical Profiles and Histopathological Findings of Temporal Artery Biopsy
Is it a Flat Nevus OR a Melanoma!
Geographic Distribution of Ophthalmic Surgical Procedures Carried out at University Hospital Waterford over a 12-month period
The Wait for Cataract Surgery: Low Cost Interventions to Enhance Service Delivery in Elective Cataract Surgery
A Comparison of the Workload of Focal Macular Laser and Pan-Retinal Photocoagulation Pre- and Post- the Establishment of National Diabetic Retinal Screening Programme in Cork University Hospital
Impact of a National Diabetic Retinopathy Programme on Vitrectomy Rates for Diabetic Eye Disease in a Regional Treatment Centre.
An Audit of Referrals to the Medical Retina Service at St Vincent’s University Hospital
Misinterpretation of Toric Biometry Leading to Incorrect Intraocular Lens Implantation
Impact of the National Diabetic Retinopathy Screening Service (NDRS) on the Workload of the General Eye Clinic in a Regional Treatment Centre
A Novel Surgical Method for the Treatment of Mild to Moderate Involutional Lower Lid Ectropion with Medial Involvement
Hydroxychloroquine screening practices in Irish Ophthalmology clinics
Intravitreal Anti-Vascular Growth Factor For macular edema secondary to Retinal Arterial Macroaneurysm (RAM).
More than Meets the Eye
Localised amyloidosis of the conjunctiva secondary to hypogammaglobulinaemia
A Ni Mhealoid
Prevalence of retinal tears and/or retinal detachments requiring surgical intervention after intravitreal injection - 3-year audit in RVEEH
Dr Cynthia Bradford
Dr Bradford is Professor of Ophthalmology at the Dean A.McGee Eye Institute/Department of Ophthalmology at the University of Oklahoma Health Sciences Center in Oklahoma City.
Dr Bradford served as the American Academy of Ophthalmology President in 2017. Her clinical focus is in cataract and intraocular implant lens surgery, with special interests in complicated cataract surgeries, such as after trauma or prior ocular surgery; she has extensive experience performing cataract surgery on patients with prior retinal and glaucoma surgeries, or after refractive surgeries such as RK, PRK or LASIK.
Dr Bradford has been active in teaching throughout her career. She has authored modules and books to teach ophthalmology to medical students and primary care physicians. She is past executive editor for the American Academy of Ophthalmology's Basic Ophthalmology, which is an introduction to ophthalmology for medical students in America and has been translated into many languages for use throughout the world.
She is the coordinator for medical student and primary care resident education in ophthalmology at Oklahoma University. For over 20 years, she has taught the University of Oklahoma ophthalmology residents to perform cataract surgery. She participates in clinical research involving cataract surgery.
Mr Michael Burdon
Mr Michael Burdon is a consultant ophthalmologist with an interest in neuro-ophthalmology at the Queen Elizabeth Hospital, Birmingham. He underwent subspecialty training in Brisbane, St Thomas’ Hospital, Moorfields Eye Hospital, and the National Hospital for Neurology and Neurosurgery.
Mr Burdon was chair of the RCOphth Scientific Committee and remains chair of the British Isles Neuro-Ophthalmology Club. He has an established reputation as a teacher of neuro-ophthalmology, speaking at numerous national and international meetings, and co-authoring “The Neuro-Ophthalmology Survival Guide” with Anthony Pane and Neil Miller and has extensive experience in the diagnosis and management (including surgical correction) of adult motility disorders. His main research interests are papilloedema and idiopathic intracranial hypertension.
Mr Burdon took over as President of The Royal College of Ophthalmologists on 24 May 2017. He is committed to RCOphth maintaining the high standards of education, training and assessment to ensure that the development and delivery of world-class eye care for all patients is at the heart of the ophthalmology profession.
Professor Patrick Lavin
Dr Lavin joined the faculty at Vanderbilt University Medical Center, Nashville, Tennessee in 1983 as assistant professor in the Department of Neurology and Ophthalmology where he helped start up the neuro-ophthalmology division. He was promoted to associate professor in 1989, and professor in 2001 - a position he still holds. Lavin has also served as director of the Ocular Motility Laboratory and director of the Transcranial Doppler Laboratory.
Dr Lavin completed Fellowship training in Neuro-ophthalmology at the Case Western Reserve University, Cleveland and in Parkinson's Disease Research, at Charing Cross Hospital, London.
His clinical interests include acute and chronic optic neuropathies, eye movement disorders, nystagmus, neuro-otology, and headache. Dr. Lavin’s clinical research efforts center on eye movement disorders, nystagmus, metabolic disorders affecting the visual system, and MR imaging in patients with optic neuropathies.
Dr Lavin was one of the first to publish the association of cerebral white matter lesions in patients presenting with demyelinating optic neuritis, and the first to describe the MRI changes in nonketotic hyperglycemic hemianopia.
Currently his research interest is in utilizing advanced imaging techniques to study the pathological aspects of anterior visual pathway disorders and to utilize the findings to improve patient care. He collaborates with Dr. Seth Smith who is studying the radiological evolution of optic neuritis using chemical exchange saturation transfer in spectroscopic imaging and a qMT method that he designed to characterize the evolution of myelin damage after an attack of optic neuritis.
Dr Millicent Stone
Dr Millicent Stone is a Consultant Rheumatologist. She trained in Ireland and Canada and worked as a Consultant in Toronto, Canada for several years before returning to work in the UK as a Consultant. Dr Stone is involved in research having trained as an Epidemiologist in Canada to understand how diseases affect people with arthritis. She set up a combined Rheumatology Uveitis Clinic with the Department of Ophthalmology at St Michael’s Hospital in Toronto and conducted research on the prevalence of inflammatory back pain in a uveitis cohort.
In 2005 Dr Stone was recruited to the role of Director of the Spondyloarthropathy Programme at the Royal National Hospital for Rheumatic Diseases and was appointed a Clinical Reader, Department of Pharmacy and Pharmacology at the University of Bath.
In 2014 Dr Stone was recruited to her current role as Consultant Rheumatologist, Department of Ophthalmology Guys and St Thomas Hospital to create a program to support patients with inflammatory eye diseases who require immunosuppressant drugs, the first of its kind in UK . This is a unique role which brings together her expertise in biologic agents, clinical outcomes, rheumatology and her interest in medical ophthalmology.
Dr Stone is a peer reviewer for a number of journals and was been awarded a grant by the Friends of Moorfields Eye Hospital for £100,000 to develop a multi-disciplinary care programme for inflammatory ocular disease between Moorfields Eye Hospital and St Thomas’. She is also a member of the London Inflammatory Ocular Network and the Medical Director of the North Wing Treatment Biologics Unit at St Thomas’ Hospital, the first dedicated biologics unit for eye patients in UK which she set up and runs.
Dr Stone’s subspecialty interest is in scleritis. She is currently assembling a cohort of scleritis patients and looking at serological predictors of onset and disease severity, specifically isotypes of anti-CCP antibodies.
Dr. Philip Crowley
Dr. Philip Crowley, National Director of Quality Improvement is a doctor who trained as a GP and worked for five years in Nicaragua. He worked in the NHS to tackle health inequalities. He also trained in public health medicine and has worked with the IPH, and the ICGP on refugee and asylum seeker health. Philip worked for 6 years as Deputy Chief Medical Officer with the DoH, he continues to work as a GP part-time.
Dr Eva Doherty
Dr Eva Doherty is a practising clinical psychologist who is also Director of the Human Factors in Patient Safety (HFPS) training, research and assessment programme at the Royal College of Surgeons in Ireland (RCSI). The HFPS training is a mandatory component of the postgraduate professional training for surgical, emergency medicine and ophthalmology trainees. Eva also leads the academic MSc in Human Factors in Patient Safety which is an inter-professional programme. The HFPS training provides interactive workshops for trainees and more recently for consultants on topics which include medical error, risk management, communication, teamwork, conflict resolution, decision-making, disclosure, emotional intelligence, crisis management, stress management, professionalism and leadership. Eva’s recent publications and research interests include the topics of communication skills, personality factors and medical training, emotional intelligence and professional medical competencies as well as the assessment of improvements and the provision of remediation in communication competencies following training.
Ms Michelle McNeill
Michelle McNeill is a Senior Physiotherapist working in Occupational Health Unit, Letterkenny, Co. Donegal. Her job roles include provision of Physiotherapy assessment and treatment for staff attending Occupational Health.
Michelle co-ordinates and instructs Manual Handling courses for HSE staff in Donegal.
She has a MSc in Health Ergonomics and carries out workplace visits to advise on ergonomics and injury prevention.
Prof Conor Murphy
Professor Conor Murphy is the Chair and Professor of Ophthalmology at the Royal College of Surgeons in Ireland and a consultant ophthalmic surgeon at the Royal Victoria Eye and Ear Hospital in Dublin. He specialises in uveitis and disorders of the cornea and ocular surface, providing a national referral service in these areas. He has a particular surgical interest in corneal transplantation and cataract surgery. He heads the Ocular Immunology Research Group at RCSI, which focuses on research into the immunology of Sjogren's syndrome-related dry eye disease, corneal transplantation and uveitis. As post-graduate Professor of Ophthalmology, Professor Murphy is also the Chief Examiner of the postgraduate MRCSI and FRCSI examinations in ophthalmology in Ireland.
Mr Dara Kilmartin
Mr Kilmartin is a Consultant Ophthalmic Surgeon, Royal Victoria Eye and Ear Hospital, Beacon Hospital and Blackrock Clinic, Dublin.
His sub specialty is medical and surgical retina.
Dr Rory Murphy
Dr Rory Murphy graduated from University College Dublin, completing his intern year in St Vincent’s University Hospital. He then commenced Ophthalmic Basic Specialist Training, working between Cork University Hospital and the Mater Misericordiae University Hospital, Dublin. In conjunction with his clinical work, Rory is working in the Catherine McCauley Research Centre under the guidance of Professor Colm O’Brien, focusing on novel therapeutic possibilities in the treatment of Glaucoma.
Mr Edward Loane
Mr Edward Loane is a Consultant Ophthalmic Surgeon in the Royal Victoria Eye and Ear Hospital and St. James's Hospital, Dublin.
Mr Loane's sub-specialty interest is strabismus and ocular motility disorders, having completed fellowship training in Liverpool and Leicester.
Dr Fiona Kearns
Dr Fiona Kearns is a Medical Ophthalmologist in Beaumont Hospital .
Dr Kearns practice is in general Ophthalmology with an interest in Neuro Ophthalmology and drug toxicity and has recently established the first hydroxychloroquine screening service.
Mr Mark Cahill
Consultant Ophthalmic Surgeon, Royal Victoria Eye and Ear Hospital, Dublin
Mr. Mark Cahill is a consultant eye surgeon with a special interest in retinal diseases in The Royal Victoria Eye and Ear Hospital and Beacon Hospital. He is also the clinical lead for Global Vision, which provides photography and grading services for Diabetic RetinaScreen, the national diabetic retinopathy screening programme run by the National Screening Service (NSS).
Mr Cahill completed a fellowship in diabetic retinopathy at the Beetham Eye Institute in the Joslin Diabetes Center, a Harvard University hospital in Boston, where he participated in research on novel treatments to prevent vision loss in patients with diabetic eye disease.
Mr Cahill gained further experience in assessing and treating a wide range of eye conditions including age-related macular degeneration, retinal vein occlusions and macular holes following a two year vitreo-retinal fellowship at the Duke University Eye Centre. He worked as a consultant eye surgeon in Duke University Eye Center, before returning to Ireland in 2004.
Mr Cahill specialises in the treatment of patients with retinal diseases, cataract, glaucoma and general ophthalmology.
Dr Susan Kelly
Consultant Medical Ophthalmologist, St Vincent’s Private Hospital, Dublin
Dr Susan Kelly is a graduate of RCSI and commenced training as an Ophthalmologist in the Royal Victoria Eye & Ear Hospital in 2002. She completed her Fellowship training in Bristol Eye Hospital and now practices with a special interest in medical retina at St Vincent’s Public and Private Hospital, Blackrock Clinic and the Royal Victoria Eye and Ear Hospital.
Dr Micheal O'Rourke
Dr Micheal O'Rourke graduated from Trinity College in 2007 and started training in ophthalmology in 2010. He was the BST trainee representative from 2011-2012 and is the current HST representative. This involves organising sponsored training meetings for SpRs, representation and contribution at training committee meetings. He is also the ophthalmology representative on the Irish surgical training group.
He is currently in year 3 of the ophthalmology higher surgical training scheme. In the interim between BST and HST in ophthalmology, he completed a Ph.D in uveitis examining clinical and experimental aspects of anterior uveitis. He is currently completing a Certificate in Health Care Management with Smurfit Business School at UCD.
All photos ©Fáilte Ireland 2018