COMMENTARY

Out With the Old, in With the New: The Best of AAO 2013

American Academy of Ophthalmology 2013

Roger F. Steinert, MD; Eric D. Donnenfeld, MD; Richard A. Lewis, MD

Disclosures

November 25, 2013

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In This Article

Wrapping Up the Highlights

Roger F. Steinert, MD: Hello. I'm Dr. Roger Steinert, Director of the Gavin Herbert Eye Institute and Professor and Chair of Ophthalmology at the University of California Irvine. It's my pleasure to welcome you to the Medscape Ophthalmology wrap-up for American Academy of Ophthalmology (AAO) 2013.

I'm joined today in New Orleans by Dr. Eric Donnenfeld, Clinical Professor of Ophthalmology at New York University, and Dr. Richard Lewis, founder of Sacramento Eye Consultants in California.

Dr. Donnenfeld is the current President of the American Society of Cataract and Refractive Surgery (ASCRS) and a specialist in cornea, cataract, and refractive surgery. Dr. Lewis is the incoming President [of ASCRS] starting next April, and an authority in glaucoma. Therefore, we have the 2 people best positioned to give us insights into leading issues in the anterior segment.

I would like to talk about the overall highlights of the meeting in this wrap-up.

Managing the Reams of Patient Data

Dr. Steinert: Rick, let's start with some of the newer diagnostics in glaucoma that you have been hearing about.

Richard A. Lewis, MD: One of the big challenges in glaucoma is the accumulation of data over the course of a patient's lifetime -- visual fields, optical coherence tomography (OCT), pictures, all the various things we collect yearly. It becomes a burden to be able to evaluate this, particularly as we all enter into this world of electronic medical records (EMRs). A couple of companies lately have come up with ways of integrating the diagnostic data seamlessly into your EMRs. A program called FORUM by Zeiss will accumulate all of the data. It doesn't necessarily have to be Zeiss-based diagnostic testing; it will include other tests, all converted into a DICOM software and read back by your EMR so that it will give you the current printouts as well as accumulation of progression analysis. It will help the glaucoma diagnostician in being able to follow his glaucoma patients.

Dr. Steinert: That would be a nice use of electronic records. Did either of you happen to find the magic solution to the black hole of electronic records as far as time in your practice?

Eric D. Donnenfeld, MD: I see it as a necessary evil. We have EMRs, we are using them, and we are getting better at it. I don't think it provides nearly the information that the old-fashioned paper records provide.

Dr. Steinert: Maybe this will be a chance for electronic records to actually start doing something positive.

Dr. Lewis: The promise of being able to reduce cost and save time has not been realized. We have actually added more staff -- scribes to do the entry -- and it takes more time to input the data. I think this will help. It will certainly help in the care of the patient.

Dr. Donnenfeld: It is a work in progress, at best.

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