AAOS newsletter-Spring 2015

Eye to AAOS
A PUBLICATION OF THE ASIAN AMERICAN OPTOMETRIC SOCIETY
Volume 6, Issue 1: Eye to AAOS
President’s Message: Dr. Kenny Fukuda
Our Spring Symposium was another
success! We had our biggest turn-out
ever! For those of you that joined us,
thank you for helping to make the
event a success. For those of you that
couldn’t make it, please be sure to join
us at one of our future events. A huge
THANK YOU goes out to all of our
Sponsors that gave up their Sunday to
support our organization and make it
possible for us to put on our events.
Congratulations to the big winners of
our raffle prizes! We were able to
raise a little more than $1200 for our
charity this year, the Blind Children’s
Learning Center. Thank you to all that
contributed!
SCCO at Marshall B. Ketchum
University and
Western University of Health
Sciences, College of Optometry, and the
Summer Symposium on August
30th at the Sheraton in Cerritos. Both events will have
five hours of CE included. Please mark
your calendars!
We are also tentatively trying to arrange for the Las Vegas Extravaganza scheduled for the Friday, October
The Clipper game was a great expe- 23 through Sunday, October 25.
rience! Thank you again to Jason Lam, However, we REALLY need to have
O.D., for organizing the event! We
more interest in the event. So far, we
were able to hi-five the Clippers as
have a grand total of 7 people interthey ran through the tunnel to the
ested in the event. Please contact one
court. It is amazing how monstrously
of the board members for more inforhuge those basketball players are
mation.
when you are standing right next to
them. Even the “small guys”, like Chris I look forward to seeing everyone at
Paul and JJ Redick, seemed like they our upcoming events. Happy Easter!
towered over us. Although Houston
Enjoy March Madness and the Final
won the game, it was still exciting and Four!
fun to watch!
“A woman’s mind is cleaner than a
The next couple of events we are
man’s: she changes it more often.” –
working on are the Senior Honors Ban- Oliver Herford
quet on May 17th at the Dave & Busters at the Block in Orange, where we “TTFN” – Tigger
celebrate the graduating seniors from
Kenny Fukuda, O.D.
Blind Children’s
Learning Center
Has been selected as our
charity of the year. All of
the raffle proceeds from
our events will go to this
non-profit organization.
This non-profit has been
preparing children with
visual impairments for a life
of independence through
early intervention, education and parental support
for over 50 years. Please
visit their website to find
out more about this great
organization!
www.blindkids.org
Don’t forget the 2015
May Honors Banquet at:
Information Inside!
INSIDE THIS ISSUE:
SPRING SYMPOSIUM RECAP
2
MEET THE AAOS TRUSTEES
4-5
DIRECTORY OF BOARD
MEMBERS
MEET THE AAOS STUDENT
LIAISONS
5
6-7
ARTICLE: CURRENT CONCEPTS OF PVDS
9
CLINICIAN’S CORNER
10
AAOS MEMBERSHIP APPLI-
11
CATION
Volume 6, Issue 1: Eye to AAOS
Page 2
Spring Symposium 2015
AAOS hosted our annual Spring Symposium on March 29, 2015 with 5 hours
of continuing education at the Sheraton Cerritos. Over one hundred and fifty
members attended this year for our biggest turn-out yet! Coastal Vision provided the first three speakers of the day. Dan Tran, MD spoke on the newer
technologies for refractive surgery followed by Betsy Tran, MD covering medical and surgical treatments of glaucoma. Lisa Garbutt, MD covered the differential diagnoses and management of the “red eye.” Western University of
Health Sciences provided two of our speakers for the day as well. Naida Jakirlic, OD spoke on understanding and comparing different neuroimaging techniques in the optometric setting. Pinakin Davey, OD covered pseudoexfoliation syndrome and glaucoma. The raffle also provided some amazing prizes
and a great contribution to our charity this year, The Blind Children’s Learning
Center. Continuing our tradition, the In N Out Food Truck, provided by the
AAOS, at the end of the symposium delivered a delicious outdoor lunch to relax and let loose after a long day of learning!
RAFFLE WINNERS
Nordstrom
$100 Gift Cards: Ernest Lee, O.D. and
Shelley Fukunaga, O.D.
FitBit:
Janet Mach, O.D.
Keurig:
Eileen Chang, O.D.
iPad Air:
Ben Marumoto, O.D.
AAOS Platinum Sponsor
AAOS Platinum Sponsor
Volume 6, Issue 1: Eye to AAOS
Page 4
Meet Our AAOS Trustees - New Year Traditions
Kristal Kawamoto, O.D.
The end of the year is always a very busy and pleasantly stressful time of year for me. With that said, I like
to ease into each new year on a calm and collected foot. I've heard it is an Asian tradition to clean your
home. Well, I'm Asian! I like the idea of starting with a fresh & clean surrounding. My new year is usually
spent relaxing and eating good food with loved ones in my spic n' span home!
Dr. Kristal Kawamoto is thrilled to be returning for her 8th year on the AAOS board. A member since 2007,
she has served as AAOS's 3rd & 4th year liaison, New Graduate Membership Chair, Social Chair, & President. She graduated from SCCO with honors. Dr. Kawamoto currently practices in a busy private practice
with 3 other optometrists in Torrance, CA. When she's not busy at work, Dr. Kawamoto enjoys the great outdoors: snowboarding,
biking, camping, or some beach volleyball. She also loves cooking up a storm with friends and fulfilling her greatest passion: traveling the world.
Greg Kame, O.D., F.A.A.O.
New Year's Day is one of my favorite holidays. We have a big feast at my mom's house with our family and
friends. I love all the traditional Japanese food (Osechi) my mom makes that day: Ozoni, Gobo, Kazunoko, Kuromame, etc. Actually, she spends several days preparing the food along with my aunties, younger brother and his
wife. We spend the entire day eating, drinking sake, and watching football (hoping to win our football pools).
Dr. Greg Kame has served on the AAOS board for over 15 years. Some of the board positions he has
served: Student Liaison, Membership Chairman, Publications Chairman, President, and currently as a Trustee. He
graduated from the SCCO in 1999. He is an Administrator of the San Gabriel Valley Vision Source Network. He has served on the
board of directors for the Alumni Association at SCCO for many years. Dr. Kame has also served on the California State Board of
Optometry, an appointed position by the Governor of California. Dr. Greg Kame is the CEO of the Los Angeles EyeCare Optometry Group, a large private optometric practice, that has served the Downtown Los Angeles Little Tokyo community since 1921. Dr.
Kame enjoys playing basketball and golf. But, his greatest joy comes from spending time with his family: wife, Anna (SCCO Class
of 2000), 3 daughters, Katie, Brooklyn, and Avery, and his son, Lucas.
Aaron Sako, O.D.
My family does hybrid traditional Osechi (Japanese feast) for New Year’s Day. My mom-in-law hosts and
provides the explanation for each of the different foods she makes. My favorite is the sake with Gold Flakes
for good luck? Not sure this one is real, but I sure could always use good luck. Sometimes we visit other JA
friends doing the same thing, like Mrs. Kame's house. She creates a super huge feast and my buddy Greg is
there to host and toast with more sake. Is there a pattern here? The last few years, my family and I have
gone to Mammoth to ski, which is quickly becoming the new tradition.
Dr. Aaron M. Sako joined the AAOS board in 2004. Over the years, he has served as the Newsletter Chair, Treasurer and President. He earned his doctorate of optometry at Nova Southeastern University in South Florida graduating with honors in 2000. He is
a general partner at the La Paz Optometric Center in Laguna Hills, where he practices. He is currently an active member of the
Mission Viejo Rotary Club. Dr. Sako resides in Ladera Ranch with his wife Mako and their three children Skylar, Payton, and son
Colby.
Stacey Gin, O.D., F.A.A.O.
Jeff and I are foodies, so it only makes sense that we celebrate the New Year with delicious food! We're lucky to
be able to celebrate January 1st with Jeff's side of the family, where we have ozone along with many other traditional Japanese dishes. We also celebrate Chinese New Year with my side of the family. One of my favorite dishes is a vegetarian platter that brings good luck, good health and prosperity. Whatever your traditions may be, we
wish you a very Happy New Year!
Dr. Stacey Gin received her doctor of optometry degree at SCCO where she graduated with honors. She also completed a residency in Primary Eye Care at the Veterans Administration in San Diego. Dr. Gin was named, Young Optometrist of the
Year by the COA and has won Best Optometrist in Glendale as well as serving as President for the Glendale Optometric Society. She
has been recognized by Vision Monday as one of "The 50 Most Influential Women in Optical." She has served the AAOS board as
the President and Past President. Dr. Gin serves on the membership committee for Glendale Kiwanis and board of directors for Glendale Healthy Kids. When she is not working, she enjoys fishing, golfing, yoga and pilates.
Volume 6, Issue 1: Eye to AAOS
Page 5
Meet Our AAOS Trustees - Favorite AAOS Moment
Mark Sawamura, O.D., F.A.A.O.
I have a mochi maker. I know it is cheating but it beats pounding on rice for a couple of hours by myself. So wherever I go, I bring it along and make sure I have some fresh homemade mochi to eat on New Year’s day. I throw it in
the oven until it puffs up and gets crunchy and then dump some sugar and shoyu on it. That is my New Year’s tradition.
Dr. Mark Sawamura is currently an Associate Professor at SCCO at MBKU. He is a 1991 graduate of the SCCO
and has been a full time faculty member since 1994. Dr. Sawamura serves as the Chief of the Jarnagin Primary
Care Center as well as attending faculty in the Ocular Disease and Special Testing Service at the University Eye Center at Fullerton.
Dr. Sawamura has served on the Board of the AAOS since 1999 in the capacity of Chair of Education and Research, then President
and then on the Board of Trustees. When he is not working, he likes to spend time with his wife, Judy Tong and their two Samoyeds, Sweet Pea and Macky up in Mammoth.
Judy Tong, O.D., F.A.A.O.
Judy Tong, O.D., F.A.A.O. has been a member of the Asian American Optometric Society since 1990 and has served
this organization in the capacity of membership chair, president, past-president, and currently as a trustee. Dr. Tong
graduated from SCCO in 1991. She then completed a residency in Primary Care at the Pennsylvania College of
Optometry from 1991-92. She eventually returned to her alma mater, SCCO, where she is presently on staff. Her
personal interests are in raising her Samoyeds and in animal rescue.
Shawn Yamamoto, O.D.
Dr. Shawn Yamamoto joined the AAOS Board in 2008. After realizing his dream of the PGA tour was not coming to fruition, Dr. Yamamoto decided to pursue a different career, which lead to the path of optometry. Dr.
Yamamoto received his Doctor of Optometry degree from SUNY College of Optometry. He was raised in Hacienda Heights and graduated from the University of California, Riverside. Dr. Yamamoto is currently a partner
with the Long Beach Optometric Group, Inc. He is also a member of the COA, AOA and the San Gabriel Valley
Optometric Society. He and his wife reside in Fullerton. In his free time, he likes to golf and play basketball.
He still has hopes of the Senior PGA tour in the future.
Upcoming Events
Announcements
May Honors Banquet 2015—May 17, 2015
Takao Shishino Symposium—August 30, 2015
If you have any community news or announcements you would
like to share, please email me: [email protected]!
Directory of Board Members
PRESIDENT:
Kenny Fukuda, O.D.
714.403.1395
[email protected]
FINANCE:
Christie Chan, O.D., FAAO
714.992.4737
[email protected]
PRESIDENT-ELECT:
Jason Lam, O.D.
805.870.5261
[email protected]
EDUC. & RESEARCH
John Lee, O.D., FAAO
714.992.7837
[email protected]
IMMED. PAST PRES.:
Jeff Nishi, O.D.
818.243.1300
[email protected]
COMM./ADMIN. ASST:
Michelle Okabe, O.D.
562.531.2020
[email protected]
SOCIAL EVENTS:
Andy Kongsakul, O.D.
818.774.2020
[email protected]
WESTERN UNIV. LIASON:
Ray Maeda, O.D., FAAO
909.706.3851
[email protected]
SOCIAL MEDIA DIRECTOR
Celeste Pinkham, O.D.
[email protected]
Judy Tong, O.D., FAAO
714.343.9044
[email protected]
MEMBERSHIP
Anne Lee, O.D.
[email protected]
Mark Sawamura, O.D., FAAO
714.449.7407
[email protected]
TRUSTEES:
Greg Kame, O.D., FAAO
213.628.7419
[email protected]
Aaron Sako, O.D.
949.586.8200
[email protected]
Stacey Gin, O.D., FAAO
818.243.1300
[email protected]
Kristal Kawamoto, O.D.
818.642.3803
[email protected]
Shawn Yamamoto, O.D.
562.595.5662
[email protected]
Volume 6, Issue 1: Eye to AAOS
Page 6
Meet our 2015 Student Liaisons
Jeff Chen - 3rd Year Western Univ. Student Liaison
Currently attending Western University of Health Sciences, College of Optometry. Raised in Diamond Bar,
CA and attended Los Altos High School (Hacienda Heights, CA). Graduated from the University of Notre
Dame in South Bend, IN in 2011 with a BS in Science-Business. Played golf for the Fighting Irish on a
scholarship for 4 years, earning the Monogram and was co-captain senior year. Enjoys participating in
community vision screenings as well as traveling worldwide to provide vision care (Honduras 2012, Vietnam 2013). Looking forward to becoming involved with the AAOS as a graduate. Other interests include golf, staying active, hiking, traveling, football, and being a “foodie”.
Tanya Lau - 3rd Year SCCO Student Liaison
Hello! My name is Tanya Lau and I am currently a third year student at SCCO at Marshall B. Ketchum University. I was born and raised in the beautiful city of San Francisco. I received my Bachelor’s degrees in
Molecular Biology and Psychology from the University of California, Santa Cruz. I enjoy spending time outdoors hiking, playing softball and volleyball, and snowboarding during the wintertime. I also enjoy walks
with my English bulldog, Stuwee, and teaching him how to skateboard. I was Vice President of the Private
Practice Club and Department of Community Health at SCCO. I am really excited to work with AAOS and
learn more about professional optometry. I look forward to future AAOS events and meeting you!
Elaine Ramos - 3rd year SCCO Student Liaison
Hi! My name is Elaine Ramos and I am a third year student at SCCO at MBKU. I grew up in Cerritos
and received my B.S. in biodiversity, ecology and conservation biology at Cal State Fullerton. Though
I’ve stayed local for most of my college and graduate school years, I really love traveling. One day
when boards and proficiencies are a distant memory, I will hike Machu Picchu! Some of my favorite past
times are finding delicious new restaurants, hiking, going to Disneyland, and running. I am currently
training for the half-marathon at Disneyland! I am a student ambassador at SCCO and love attending
COA and local optometric society events where I’ve met several AAOS members.
Jenny Tran - 3rd Year Western Univ. Student Liaison
Jenny is a third year student at Western University of Health Sciences, College of Optometry. She was
born and raised in Los Angeles, CA. She attended UCLA after receiving the Blue and Gold Scholarship.
She graduated in 2011 with a Bachelor of Science degree in Psychobiology. She served as Secretary for
the Student Government Association and the Optometry Liaison for the Pomona Homeless Outreach Program. She is very involved with community service and has participated in health screenings, including the
Special Olympics and the Coachella Valley Clinic. She has been to Fiji with the Volunteer Optometric Services to Humanity (VOSH) Club to provide free vision care to those in need there. In her free time, she likes to engage
in outdoor activities such as hiking, kayaking, parasailing, and ziplining. She is very excited and looking forward to being involved with the AAOS.
Michael Tran - 2nd Year SCCO Student Liaison
Michael Tran was born and raised in Southern California. He attended the University of California, Los Angeles and graduated in 2013 with a Bachelors of Science in Integrative Biology and Physiology. He is currently a second year student at SCCO and has been involved with the class cabinet, Beta Sigma Kappa,
and has served as a student ambassador for SCCO. In his free time, he likes to travel, take photos, play
tennis, and go to Disneyland.
Erin Tomiyama - 2nd Year SCCO Student Liaison
Erin is currently at 2nd year optometry student at SCCO. She graduated from UCLA with a B.S. in Psychobiology. At UCLA, Erin served as President of the Pre-Optometry Society and volunteered at the West LA VA
Hospital. Erin is currently serving as the Department of Education Chair on the Student Association Board at
MBKU and is a member of Beta Sigma Kappa Honor Society. She also holds a work study position with Dr.
Sawamura in the clinic on campus as a technician. Erin is looking forward to getting current students involved in AAOS and excited about joining the society!
Kayla Ueda - 2nd Year SCCO Student Liaison
Page 7
Kayla Ueda is from Culver City, California. She graduated with honors from University of California, San
Diego and received her Bachelor of Science degree in Biology with a minor in Psychology. She is an optometry student at Southern California College of Optometry at MBKU. She enjoys serving as one of the
current SCCO student liaisons for AAOS. She is also active in various school organizations as the current
Vice President of the Private Practice Club, SCCO student ambassador, and Beta Sigma Kappa student
tutor. When she is not busy with school she likes to cook, dance, play taiko drums, explore new restaurants, and spend
time with her family and friends.
Christie Wong - 2nd Year Western Univ. Student Liaison
Christie Wong is a second year optometry student at Western University. She was born and raised in Honolulu, Hawaii. She attended UC Irvine, where she acted as Fundraiser Chair for U See Eye’s Pre-Optometry
Club. She graduated in 2012, with a Bachelor of Science degree in Biological Sciences. Christie enjoys being involved with the optometric community and has recently participated in COA’s Legislative Day acting as
an advocate for the profession. She is also a Student Fellow of the American Academy of Optometry as
well as an active member of the Lion’s Club. During her free time, she enjoys cooking, hiking, and spending
time with her friends. She hopes to one day move back to Hawaii and open her own private practice.
Alyssa Yamamoto - 2nd Year Western Univ. Student Liaison
Alyssa Yamamoto is a second year student at Western University, College of Optometry. She was born and
raised in Fresno, CA and graduated from UCLA in 2012 with a Bachelor of Science degree in Integrative
Biology and Physiology. She is currently serving as Secretary for the American Optometric Student Association (AOSA), is a Student Fellow of the American Academy of Optometry, and is one of her class Externship
Liaisons. Alyssa enjoys participating in community vision screenings as a member of WesternU Lions Clubs.
This summer, she is also going on a medical mission trip to Fiji with the Volunteer Optometric Services to Humanity (VOSH) Club to provide vision care to the local community. In her free time, she likes to spend time with friends
and family along with exploring the LA area to find fun things to do and new places to eat! She is very excited for this
opportunity and is looking forward to her involvement with the AAOS.
AAOS Platinum Sponsor
nvisioncenters.com
More than 1600 Eye Doctors in California and Nevada choose LASIK with NVISION for their patients, and there are many reasons why:
Unparalleled Level of Surgeon Experience NVISION surgeons are some of the most experienced in the world, having performed over 250,000 LASIK procedures. Often the first to test new technologies, our surgeons are clinical investigators and educators.
Lifetime Commitment NVISION offers the VISION FOR LIFE™ program, a nationwide lifetime commitment to qualified patients.
With VISION FOR LIFE™, if you need a vision correction enhancement procedure at some point in the future, we will provide it at little
or no additional cost.
Advanced Technology Not only does NVISION offer the latest in bladeless laser technology with Ziemer Crystal Line LDV ™,
Intralase™ and wavefront technologies, we are also the only
LASIK center in Southern California to offer AGDS™ – Avellino
DNA testing. Avellino testing helps us determine if LASIK is a
safe procedure for you, or if you are better suited for a different
vision correction option.
Affordability Here at NVISION we make LASIK affordable
through flexible payment plans and financing options, starting
from $0 Down, 0% Financing for 24 months, or payment plans
starting at $99 a month.
The Eye Doctors‘ #1 Choice® At NVISION we pride ourselves
on being the Eye Doctors’ #1 choice. We work hand-in-hand with
your eye doctor to follow your vision care and results for life.
2015 Spring Honors Banquet
LEARN. EAT. PLAY.
Sunday, May 17th, 2015
9:00am
5 hours CE & Lunch Buffet
The Showroom at Dave & Buster’s
The Block at Orange
20 City Blvd W #1
Orange, CA 92868
AAOS members & Students = FREE
Non-AAOS members = $60.00
Registration starts at 8:30 AM.
$10 D&B game card will be given at
the conclusion of the CE
RSVP by Wednesday , May 8th
!!! SEATS ARE LIMITED !!!!
Please email: [email protected] to RSVP OR
Visit our website www.aaosociety.org to register.
Volume 6, Issue 1: Eye to AAOS
Page 9
Current Concepts in PVDs - Daniel D. Esmaili, M.D.
Posterior vitreous detachment (PVD) is a physiologic process that occurs in the majority of people usually over the age of 50. The vitreous is comprised primarily of water, which
accounts for 99% of its volume, and the remaining 1% includes proteinaceous substances
such as collagen fibers as well as hyaluronic and ascorbic acids. The collagen fibers act as a
scaffold to allow the vitreous to maintain a formed shape while providing a means for attachment to the retina. As we age, changes in these fibers cause the vitreous to lose its shape
and eventually separate from the retina.
Over time, the collagen components of the vitreous can aggregate together and are
free to float in the eye. When a PVD develops, the opacities may become more noticeable
or numerous. The vitreous can be difficult to examine clinically since it is an optically clear structure by design.
The classic sign for PVD is the Weiss ring, which represents the separation from the optic nerve.
Since the normal process of PVD development involves the vitreous tugging on the retina until it can
fully separate, this traction can result in photopsias which commonly appear in the peripheral vision, often in
low ambient light. The photopsias typically resolve once the vitreous has fully separated and this can be a
useful clue that the PVD is complete.
PVD is harmless in the vast majority of cases, and symptomatic floaters typically will become less
bothersome over time. In approximately 10% of cases, a PVD may pull a hole or tear in the retina. Tears in
the retina can predispose to retinal detachment in a significant proportion of cases. It is important to recognize that the typical symptoms of a PVD are often similar to a PVD with an associated tear. For this reason, it
is recommended that all patients with the new onset of floaters or flashes have a dilated eye exam. If a retinal tear or detachment is discovered, early treatment can help prevent loss of vision.
Treatment for PVD almost always involves simple observation. More recently, few providers
have experimented with YAG laser to treat vitreous opacities. I would caution that this is not mainstream
therapy at the current time, and I do not advise patients to pursue this option. Another treatment possibility is
vitrectomy surgery. With safety advances in vitrectomy surgery, this is now a potential option for the rare
patient for whom after a reasonable period of observation continues to report extremely bothersome floaters that affect their activities of daily living. For the vast majority of patients this is unnecessary.
When I see a patient with a PVD, I often recommend a follow-up visit in 4-6 weeks to ensure there
are no retinal holes or tears that have developed in the interim. If the other eye does not have a PVD yet, I
will counsel them that a PVD will most likely develop within the next few years, and when it does they need
to be examined. I will also discuss the retinal detachment warning signs in depth. My patients are taught that
the presence of a “curtain” in their peripheral vision requires an urgent examination.
In conclusion, PVD is a natural process with symptoms ranging from no symptoms at all to many floaters with associated photopsias. In the majority of patients, there is no damage to the eye or threat to the vision. A dilated exam is recommended to look for possible holes or tears in the retina, and if these are uncovered, prompt treatment can prevent vision loss.
Retina Vitreous Associates Medical Group
Office Locations in Los Angeles, Beverly Hills, North Hollywood, Torrance,
Santa Clarita, Pasadena and Tarzana
Centralized Appointment Phone Number: 213-483-8810
Website: www.laretina.com
Volume 6, Issue 1: Eye to AAOS
Page 10
Clinician’s Corner (continued from Fall 2014 issue) by Mark Sawamura, O.D., F.A.A.O.
Recap: This was a 32 year old female who presented with intermittent episodes of transient vision loss (similar to a rheostat turning up and down) and headaches. She was recently diagnosed with viral meningitis via MRI and lumbar puncture.
The initial best corrected visual acuities were: OD: 20/60- and 20/200. Internal examination and OCT found the patient
to have bilateral disc edema and sub-retinal/intra-retinal fluid. Viral meningitis, which has no effective medical treatment, will resolve in 7-10 days. We did rule out all other causes such as space occupying mass, hypertension, and venous
sinus thrombosis with diagnostic testing and neuroimaging. Her opening spinal fluid pressure was not measured when samples were initially taken, and the pressure was not re-measured by the neurologist in the ensuing follow-ups. Because she
had a higher body mass index, the recommendation was to go on a low sodium diet to reduce weight and to initiate oral
acetazolamide 500 mg sequels BID PO. We requested that the patient return in 4-6 weeks for follow-up.
At 2 months, the patient returned with visual acuities of OD: 20/20 OS: 20/40.
Her systemic symptoms had significantly resolved but she did note a slight blur in the left eye. Internal examination to
showed significant reduction of the disc edema in both eyes, as well as the retinal hemorrhages and sub-macular fluid.
OCT also verified these findings.
She was maintained on a weight loss program and taken off the oral Diamox. Her headaches and remaining neurologic
symptoms were abated. Of concern was the presence of a subtle area of retinal thickening in the left macula. She returned in 2 months later with acuities of 20/20 and 20/20-.
Papilledema is defined as optic nerve swelling due to increased intracranial pressure (ICP). We need to consider possibilities of conditions that can elevate ICP such as an intracranial mass, intracranial bleed, venous congestion or thrombosis,
infection or inflammation of the meninges, concussion, elevated blood pressure, medications, sleep apnea, endocrine disorders or idiopathic. Our job is to treat this as an emergent condition and identify patient risk factors that may put them at
risk for papilledema. Of note, women with idiopathic intracranial hypertension have a higher prevalence of polycystic
ovary syndrome than the general population. Same day neuro-imaging is preferred to rule out an intracranial mass. MRI
is the preferred imaging test with the potential inclusion of vascular imaging (MRA and MRV). Lumbar puncture with opening pressure and fluid analysis should also be requested. Once the underlying condition is identified, then the patient can
be managed appropriately. Idiopathic intracranial hypertension, once called pseudotumor cerebri, is a diagnosis of exclusion. Patients tend be female, of childbearing age, and have a high BMI. The NORDIC IIH research group has shown a
benefit for low sodium diets, oral Diamox, and weight loss in the management of this condition. Patients should be monitored for vision loss. Chronic disc edema can lead to the development of arcuate field defects, that can become permanent, if the patient experiences axonal loss. In males, always consider sleep apnea, intracranial mass or malignant hypertension. She was maintained on a weight loss program and taken off the oral Diamox. Her headaches and remaining neurologic symptoms were abated. Of concern was the presence of a subtle area of retinal thickening in the left macula. She
returned in 2 months later with acuities of 20/20 and 20/20-.
2015 Membership Application Form
(January 1, 2015—December 31, 2015)
Last Name:
___________ First Name:__________________ Middle Initial:___
Email Address*:
______________________________________
Spouse’s Name (if applicable): __________________________________________________
*your free Eye to AAOS e-newsletter will be sent to this address
No thanks! I prefer to receive my newsletter in the mail
Optometry School Attended: ____________
________________________
Year Graduated: ____________________
Referred By:
____________
__________________
Primary Address and Phone Number: Please circle one OFFICE / HOME
Number & Street Name
(
City
State
Zip Code
)
Phone #
If you would like to make a contribution along with your annual dues
please mark the appropriate line(s) below:
_____
X
AAOS Foundation (New!)
$_________
SCCO Scholarship Fund
$
Annual Membership (see membership scale below)
$
_____
Make checks payable to: Asian American Optometric Society
Please
Mail To:
Anne Lee, O.D.
960 Ackley Street
Monterey Park, CA 91755
Annual Membership Fee Scale
If you graduated in:
2014 (1st year)
Membership is FREE
2013 (2nd year)
Only $25
2012 and before
$85
NEW! use PAYPAL for quick & secure online payment
Visit our website at www.aaosociety.org
*AAOS Application Included Inside*
A PUBLICATION OF
THE ASIAN AMERICAN OPTOMETRIC
SOCIETY
HELP US TO GO GREEN!!!
Please notify me at
[email protected]
to receive your full-color
newsletters by email only.
“The purpose of the Asian American Optometric
Society is to promote and maintain a social, cultural, scientific, and educational interchange of information and experiences between the members”
To learn more about AAOS events
please visit us at our website:
www.aaosociety.org
4245 Howard Ave
Los Alamitos, CA 90720