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Nasolacrimal duct obstruction a common condition in children

The November News You Can Use column in Ocular Surgery News featured Ellen Mitchell, MD. Dr. Mitchell discussed nasolacrimal duct obstruction and various treatment methods. The full article is available on Ocular Surgery News.

1. What symptoms can a patient present with that may indicate a diagnosis of NLDO? 

2.What does the conservative method of treating NLDO include?

3. What are the advantages of waiting for probing and irrigation?

4.What are the available treatment options if symptoms recur ?

Questions or comments can be directed to Dr. Mitchell at EyeCenter@upmc.edu.

Chemotherapy and SABR May Be Promising Treatment for Advanced Pancreatic Cancer

Pancreatic cancer is often diagnosed at a late stage with locally advanced disease making surgery to remove the tumor difficult. A recent study at UPMC CancerCenter, partner with University of Pittsburgh Cancer Institute, evaluated patients treated with a combination of chemotherapy and stereotactic ablative radiation (SABR). With a total of 34 patients in the trial, 31 patients completed chemotherapy. Of those 31 patients, 12 went on to have surgery to remove the tumor. After the surgery, 90 percent of the patients had no local disease.

These findings were recently presented at the 56th Annual American Society for Radiation Oncology (ASTRO) meeting. Watch Kimmen Quan, MD,  radiation oncologist at UPMC, discuss this study.

Various Factors Need to be Considered When Evaluating a Tearing Patient

In the September News You Can Use column in Ocular Surgery News, Jenny Yu, MD, discusses the three causes of tearing and treatment options for each. The full article is available here

1. What are the considerations when evaluating a tearing patient?

2. What procedures are available for removing any obstructions of the drainage system?

3. What role do eyelids play in the drainage of tears and what can be done to correct the positioning?

4. How can ophthalmologists treat patients with no clear anatomical obstruction/or mal-positioned eyelid?

Questions or comments can be directed to Dr. Yu at EyeCenter@upmc.edu.

No consistent measurable gains seen with corticosteroid as adjunct in filtering surgery

In the August News You Can Use column in Ocular Surgery NewsIan Conner, MD, PhD, discusses the use of triamcinolone acetonide in glaucoma surgery . The full article is available here.

1. Historically, how has triamcinolone acetonide been used in ophthalmology?

2. What did the results of the Kahook et all and the Yuki et all studies indicate?

3. What did the Teixeira study, randomizing the injections of triamcinolone indicate?

4. What did the Hogewind study, comparing the use of MMC and intra-Tenon triamcinolone, indicate?

5. Should surgeons alter their current filtering techniques to include triamcinolone acetonide?

Questions for Dr. Conner can be sent to EyeCenter@upmc.edu

Nonsurgical option available for long-standing or sensory strabismus in adults

In the July News You Can Use column in Ocular Surgery News, Lea Ann Lope, DO, discusses using Botox injections as a nonsurgical option for sensory or long-standing strabismus in adults. The full article is available here.

What treatment options are available for patients with or without double vision?

What nonsurgical option is available as an alternative to surgical correction and how is it used?

How is Botox being used as a diagnostic tool?

What patient population is the nonsurgical approach viable for? 

Send any questions to Dr. Lope at EyeCenter@upmc.edu

Several Approaches Available for Vitreoretinal Disease Combined with Cataract

In June’s News You Can Use column in Ocular Surgery News,   Alexander Anetakis, MD, of the UPMC Eye Center, discussed the various approaches availible for treating vitreoretinal disease when combined with cataracts. The full article is available here.
What are the two options for managing cataracts in relation to vitreoretinal disease?

What are the advantages and disadvantages of sequential surgery?

What are the advantages and disadvantages of simultaneous surgery?

What is the third alternative approach you recommend?

Send any questions or comments to Dr. Anetakis at EyeCenter@upmc.edu

Mitral Valve Repair vs. Replacement: Indications and Problem Management

At the 2014 Society of Thoracic Surgeons Annual Meeting, UPMC’s Vinay Badhwar, MD, participated in a roundtable discussion that focused on the treatment of mitral valve disease.

 

Treatment pathways and expert systems expected to improve patient care system-wide

The May  issue of Ocular Surgery News, features an article on incorporating big data into treatment pathways  by Nils Loewen, MD. Dr. Loewen’s full article is available here.

1. Why is there a need to develop an artificial intelligence system to provide individualized treatment recommendations?

2. How can data mining be applied to healthcare?

3. How is the UPMC Eye Center using data mining to treat patients?

Send any questions or comments to Dr. Loewen at EyeCenter@upmc.edu

American Academy of Orthopaedic Surgeons – John Fowler, MD

John Fowler, MD, a hand and upper extremity surgeon at UPMC, recently gave a presentation at the annual meeting of the American Academy of Orthopaedic Surgeons. Dr. Fowler’s presentation compared the use ultra sound and nerve testing in the diagnosis of carpal tunnel.

Hear more from Dr. Fowler.

American Academy of Orthopaedic Surgeons – Christopher Harner, MD

Christopher Harner, MD, medical director of the UPMC Center for Sports Medicine, presented at the American Academy of Orthopaedic Surgeons annual meeting in March. Dr. Harner’s presentation focused on meniscal allograft transplantation, specifically indications, techniques, and outcomes.

Learn more about Dr. Harner’s presentation.

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