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I. optometrijskoj konferenciji srednje i jugoistočne Europe
Znanstvena i stručna međunarodna konferencija u području optike, optometrije i oftalmologije
OCCSEE 2012
OBAVIJEST I POZIV ZA SUDJELOVANJE
Opatija, Hrvatska, 1. – 3. lipnja 2012.

S poštovanjem,

Predsjednik znanstvenog odbora: prof. Božo Vojniković, M. D., Ph.D. (Croatia)
Potpredsjednik znanstvenog odbora: assoc. prof. MUDr. Svatopluk Synek, CSc. (Czech Republic)
Potpredsjednik znanstvenog odbora: predavač Matjaž Mihelčič, M.Sc. (Slovenia)
Predsjednik organizacijskog odbora: prof. Ivan Toth, M.Sc. (Croatia)
Potpredsjednik organizacijskog odbora: predavač Alen Stranjik, mag.ing.aeronaut. (Croatia)
Tajnica konferencije: Kristina Mihić, bacc.ing.opt. (Croatia)

Veleučilište Velika Gorica
Zagrebačka cesta 5
10410 Velika Gorica
HRVATSKA

Tel: +385 1 6224 653

Mobitel: +385 98 161 30 58

Fax: +385 1 6251 301

e-mail: optometry@vvg.hr

www.vvg.hr/optometry

WHITE IN THE RETINA How Scanning Laser Ophthalmoscopy assists to define precisely the origin of the finding and refines your referral

Presenter: Lindner Petra

Many white findings in the retina are hard to analyze and define.

In an interactive workshop the participants will learn, how Scanning Laser Technology with IR (785nm) and Green (532nm) laser helps to make the right decision.

The two laser show different layers of the retina and present sharp images. Knowing the anatomy of the retina the participants will be able to describe where the finding is, and what it looks like. They will learn about differential diagnoses and get hints and help on how to decide about their accurate decision.

What is the characteristic of a choroidal nevus compared to soft drusen? How can you distinguish between cotton wool spots and myelinated nerve fibers? What is the difference between a „Bergmeisterpapilla“and an atrophic area around the optic nerve head? These and many more examples of white findings in the retina will be discussed.

After talking about the finding and its origin, we will then discuss further recommendations and conclusions for the participants as Optometrists. Does the customer have to see an Ophthalmologist – and if so: how quick do you have to refer your customer?

Ortho-Keratology – Fitting - Pro and Contra

Presenter: Gustav Poltner

How to adapt quickly and safely to the correct Ortho-Keratology lens? Lists and form papers are out and calculating and simulating the right contact lens has become relatively easy, with the support of computer software. However, it gets interesting, if the customer starts with it and if not everything is as great as expected. So what?

This workshop will focus on the fitting methods and the troubleshooting so that you can quickly get a good result.

Especially with the myopia control, it is important to learn the right way to deal with the children, so that they are motivated to really wear this type of contact lenses.

Interpretation and Documentation of Fundus Camera Images

Presenter: Dietze Holgar

In this workshop, you will be introduced to the principles of fundus camera image interpretation of normal and abnormal eyes. You will learn common signs and variants of the normal and abnormal fundus as well as common techniques and abbreviations for the corresponding record keeping. In the hands-on part, a series of fundus images with normal or abnormal conditions will be shown for discussion and exercise.

The contact lens business – How is it different from and how can it be combined with the spectacle one

Presenter: Shweizer Helmer

There are some fundamental differences between the contact lens (CL) and the spectacle (SPEC) business.
For most eye care professionals (ECPs) in Europe, their main business (turnover) is in SPECs.
It is thus no surprise that they treat the CL business similar to the SPEC one and do not consider the differences.

One aspect in which the businesses are different is the capital needed to be invested into stock.

Another one is the time spend to serve a customer. Next comes the repurchase frequency, the add on sales, the customer loyalty etc. This presentation looks at all these aspect, some in more detail.

Overall, CLs can be a good business and most likely, the combined one is the best. In the end, it does not matter how much money is made by one transaction with one customer, at one time it is about the life cycle value and the opportunity to satisfy all the vision correction solutions a patient may benefit from.

The services provided around the fitting and the after-care of contact lenses, should be properly charged for and thus enhance the CL business performance.

Evidence Based Clinical Decision-Making in Optometric Care

Presenter: Mellisa Vitek
Facilitator: Janice Scharre

While most healthcare providers embrace the belief that evidence-based clinical decision-making leads to better patient outcomes, many, including optometrists, provide healthcare that lags behind the current scientific literature. Optometrists often have difficulty finding, appraising and/or applying current best evidence. Participants in this hands-on workshop will work in small groups. A specific patient scenario will be provided and each group will be asked to formulate and categorize an answerable clinical question. Groups will then search the literature and share with the large group their search experiences. A specific article will then be provided to each group and they will work through the critical appraisal of that article. Critical appraisal results will be shared with the large group for discussion. The small groups will then apply the results of that article to the patient scenario. Finally, the small groups will, once again, share their work with the large group for discussion.

Investigating the Effect of Facial and Head Structure on Binocular Balance and Cortical Integration

Presenter: Jonathan Shapiro

The bone structure of the face and skull affects the positioning of the orbit of the eye.
An asymmetric positioning of the orbits affects the platform on which the binocular system is established. As the skull develops, throughout life, this platform is changing.
This directly affects the binocular balance and the ability to integrate the visual pathways in the cortex. Treatment of imbalances by traditional methods may not be appropriate.
The workshop presents the case for understanding facial and skull structure.
Patients will be presented, with variations in facial and skull structures, to demonstrate the effect on the binocular vision. The workshop will present methods of examination and suggest treatments. The participants will be encouraged to perform an examination and suggest how they would treat the problems found.

PRACTICAL CONTACT LENS FITTING – USEFUL TIPS AND TRICKS

This presentation will help practitioners and dispensing opticians handle the cases with the contact lens wearers. Practitioners who do not regularly fit contact lenses are often convinced that it is too complicated and too much time needed for a proper fit. It is true that according to a study by the University of Waterloo (Canada) in 2013, the discontinuation rate of contact lens wearers is between 26 and 40%. Not having the lenses fit, you also lost the other 60% of the others that are willing to wear contacts.

Through the practical solutions and tricks the lecture will help practitioners to demonstrate an understanding of the options, choices and management of the adaptation issues of contact lenses. Every practitioner has an individual that claims contact lens insertion is impossible or can not be handled. The intolerances, clumsy fingers and being afraid of touching the surface of the eyes, are often heard in the practice. Aa a practitioner you need to make it work, because the client decides to choose you because they think you are professional and trustworthy. Successful rate of contact lens wearing depends on various factors: motivation, effort put in the learning and adapting, hygiene, obedience and visual expectations. Discomfort and dryness are nowadays the initial reason for stopping or reducing the usage of contact lenses. Learning objectives of this lecture will try to improve the communication with contact lens patients from initial fitting onwards to ensure that they understand the benefits and limitations of different lens types so ensure compliance and retention of wearers. The consultation and the dialogue between the practitioner and patient has a few important goals:

To establish if a candidate is suitable for CL correction
To identify the optimal CL correction
To discuss reasonable expectations of the visual performance
To educate a patient about the safety and the care system
To discuss the aftercare and the importance of the follow-ups

Impact of fitting on progressive lenses adaptation

The prescription of progressive lenses requires a very acurate mesurement of certain parameters on wearers face. If f one of those parameters is taken incorectly, it can have a huge effect on adaptation time of a wearer. Therefore it is realy important to be able to tak ethose mesurements correctly and acuratley, even if more then one person is empoyed int he practice. This workshop will be focused on one or more ways of taking mesurements so everyone can be sure to take correct mesurement every time. First part of workshop will be theoretical and second one will be practical with people taking mesures themselves.

The Secret of Multifocal Fitting

The presentation is about multifocal fittings and how to succeed by picking the ideal type of customer, distinguishing between presbyopia patients who are suitable and patients who are not very suitable for multifocal contact lenses. When comes to the fitting process a study conducted in Danish Contact Lens Institute demonstrates the importance of examining for the dominant eye (motoric/sensoric) and to apply the proper use of “flippers.” The presentation also touches on aspects of patient communication that may help securing a successful multifocal fitting.

Ectasia Screening and Fast Screening Report

The advantage of the Scheimpflug principle over conventional topography systems is the additional detection of the posterior surface of the cornea. This allows the investigator to detect early ectasias. Furthermore, scans of the entire anterior segment of the eye including anterior chamber and lens can be taken enabeling the examiner to screen for narrow angle glaucoma and cataract. Participants will practice Scheimpflug scans and learn how to look for ectasia by means of the Belin-Ambrósio module. Additionally, we will use the Fast Screening Report to detect changes in corneal topography, pachymetry and anterior chamber configuration.

Workshop 12a

Workshop 13a

Workshop 10b

Workshop 06b

Workshop 11b

Workshop 12b

Workshop 13b

Workshop 14

Workshop 08b

Workshop 09b

Author’s name:	Felix Fischl, B.Sc.
Affiliation(s):	Fischl Optometrie
Country:	Germany
Co-presenter’s name:	Kristina Mihic, bacc.ing.opt.
Affiliation(s):	University of Applied Sciences Velika Gorica
Country:	Croatia
Title of Workshop:	Slit Lamp Flow
Key words:	slit lamp, flow, slit lamp techniques
Number of participants:	max. 10
Language:	English
Abstract: The Slitlamp biomicroscope is the most versatile tool used in the assessment of ocular health. The primary use of this instrument is the investigation of the adnexa and the anterior eye. Therefore, it is very important to know about different techniques for observation and an efficient, systematic way to perform these in your daily praxis, to detect abnormalities or changes in your patient’s eyes. Goals of this course: acquire different illumination techniques understand how to observe certain structures be able to find abnormalities in the anterior eye perform an efficient, systematic slit lamp flow
Target audience: Opticians Optometrists Students of optometry Ophthalmologists

Author’s name:	Petr Veselý
Affiliation(s):	Department of Optometry and Orthoptics, Medical Faculty, Masaryk University, Kamenice 5, 625 00 Brno
Country:	Czech Republic
Co-presenter’s name:	Svatopluk Synek
Affiliation(s):	Department of Optometry and Orthoptics, Medical Faculty, Masaryk University, Kamenice 5, 625 00 Brno
Country:	Czech Republic
Title of Workshop:	Analysis of Color Vision with Farnsworth Munsell 100 Hue Test
Key words:	Color visión, color vision defects, protanopia, deuteranopia, tritanopia
Number of participants:	15
Language:	English
Abstract: Before practical workshop the basic information about physiology and pathology of the color vision (CV) is explained. Basically color vision defects (CVD) are divided into two groups – inborn and acquired. Acquired vision defects can show other serious disease of visual system. This is the reason why color vision defects examination is so important in ophthalmology and optometry examination. After that the basic methods for color vision defects examination will be shown and explained. In our department we usually use Lanthony test (LT) for quick examination of color vision defects and Farnsworth Munsell 100 Hue test (FM100). Farnsworth Munsell 100 Hue test is a very exact method for determining the type of color vision defects. After theoretical part the participants can try to perform color vision defects examination or can be examined as patients.
Target audience: Opticians Optometrists Students of optometry Ophthalmologists

Author’s name:	Dr John Siderov
Affiliation(s):	Vision and Hearing Sciences, Anglia Ruskin University, Cambridge
Country:	UK
Title of Workshop:	TOP TIPS for Testing Children’s Vision
Key words:	Paediatric vision, children
Number of participants:	50
Language:	English
Abstract: The aim of this workshop is to enable participants to improve their approach to the optometric examination of children. The workshop will describe effective approaches for assessing vision and visual function in children with the emphasis on the pre-school child. Topics will include assessment of visual acuity, static and cycloplegic refraction, sensory and motor alignment and key principles in management of common eye problems in young children. Participants will have the chance to review different tests used in assessing children’s vision and to ask questions.
Target audience: Opticians Optometrists Students of optometry Ophthalmologists

Author’s name:	Davor Mihaljević
Affiliation(s):	Essilor Optika d.o.o.
Country:	Croatia
Title of Workshop:	Nanotechnology in Progressive Lens Production
Key words:	Progressive lenses, nanotechnology, non-compromised vision
Number of participants:	30
Language:	English
Abstract: Since the invention of progressive lenses in 1959, by Mr. Bernard Maintenaz, the dream of every progressive lens producer has been to develop a progressive lens with no compromise. Current technology did not allow this dream to become true. But thanks to new breakthrough in technology, this compromise has now been broken and new era in progressive lenses has begun.
Target audience: Opticians Optometrists Students of optometry

Author’s name:	Prof. Dr. Hans-Jürgen Grein
Affiliation(s):	University of Applied Sciences Lübeck / Fielmann Akademie Schloss Plön
Country:	Germany
Co-presenter’s name:	Dipl.-Ing.(FH) Gustav Pöltner
Affiliation(s):	University of Applied Sciences Velika Gorica (HR), fhg Innsbruck(A), htl-Kolleg Hall i. Tirol (A), CL-Miller-Innsbruck(A)
Country:	Austria
Title of Workshop:	Screening of Visual Functions
Key words:	screening, visual functions, optometric examination
Number of participants:	16
Language:	English
Abstract: Comprehensive optometric examination includes screening of visual functions. Ocular motility, horizontal and vertical sakkades, binocular function, pupil reaction and visual field are important aspects of vision. Easy-to-perform tests can reveal a number of crucial visual disorders. We will demonstrate the screening procedures that are simple, inexpensive and not time-consuming.
Target audience: Opticians Optometrists Students of optometry

Author’s name:	Sebastian Marx
Affiliation(s):	JENVIS Research c/o Ernst Abbe University
Country:	Germany
Title of Workshop:	Contact Lens Care
Key words:	Lens care products, contact lenses, microbiology
Number of participants:	100
Language:	English
Abstract: Lens care is an essential part of successful contact lens care which is often underestimated by patients but also practitioners. The workshop will focus on the requirements which lens care products need to fulfill, a closer look at the ingredients and the latest study results considering the influence of wetting agents regarding the tear film stability. Every participant needs to bring 3 used contact lens cases to the workshop for the experimental part of the session.
Target audience: Opticians Optometrists Students of optometry Ophthalmologists

Author’s name:	Benjamin Schäfer
Affiliation(s):	Aalen University
Country:	Switzerland
Co-presenter’s name:	Michal Krasňanský
Affiliation(s):	Optika Jana Krasňanská
Country:	Slovakia
Co-presenter’s name:	Kristina Mihić
Affiliation(s):	University of Applied Sciences Velika Gorica, Aalen University
Country:	Croatia
Title of Workshop:	Optic Nerve Head (ONH) Diagramming
Key words:	Optic nerve head, cup, c/d ratio, rim
Number of participants:	15
Language:	English
Abstract: Goals and Objectives: Optic nerve head evaluation should be an integral part of the examination on all patients and every fundus should be documented step by step. Physiological cup, neuroretinal rim and overall shape of the ONH are important. Also, the side by side comparison (mirror eye image) is an important step. To identify the disc/cup margin and disc shape variations is the basis to evaluate the cup to disc ratio (c/d – ratio). The goal of the course is to: improve/enhance observations skills review technique of optic nerve head evaluation review diagrammatic representation of optic nerve recognize optic nerve variation/changes and cup-to-disc evaluation build confidence and encourage continued and ongoing ophthalmoscopic evaluation of optic nerve in your practice
Target audience: Students of optometry

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