3 4 5 6 7 1 8 2 9 JULY 2016 THE 36 ANNUAL RESIDENT & ALUMNI DAY Saturday, June 11, 2016 TH MAY 2016 AUGUST 2015 JULY 2015 26 5 12 19 SEPTEMBER 2015 T. Boone Pickens Biomedical Building UT Southwestern Medical Center Dallas, Texas 2016-2016 ACADEMIC CALENDAR T. Boone Pickens Biomedical Building UT Southwestern Medical Center Dallas, Texas 1 2 3 4 6 7 8 9 10 11 13 14 15 16 17 18 20 21 22 23 24 25 27 28 29 30 Saturday, June 11, 2016 1 2 3 4 5 6 7 8 10 11 12 13 14 15 17 18 19 20 21 22 24 25 26 27 28 29 31 ANNUAL RESIDENT & ALUMNI DAY 9 16 23 30 Someone from our office will be in touch with you. The 36th UT Southwestern Medical Center Residency Class of 1994 Professor of Ophthalmology, Pathology, Neurological Surgery, and Neurology and Neurotherapeutics UT Southwestern Medical Center Dallas, TX Saturday, June 11, 2016 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 ADA STATEMENT o Please check this box if you require assistance because of a disability to make this program accessible to you. DECEMBER 2015 A $25 handling fee will be deducted from cancellation refunds. Refund requests must be received by mail or fax prior to May 28, 2016. No refunds will be made thereafter. Professor and Chair of Ophthalmology The David Bruton, Jr. Chair in Ophthalmology UT Southwestern Medical Center Dallas, TX NOVEMBER 2015 R. NICK HOGAN, M.D., PH.D. ANNUAL RESIDENT & ALUMNI DAY The 36th OCTOBER 2015 REFUND POLICY Delafield-Rodgers Professor of Ophthalmology Chair, Department of Ophthalmology President, New York Eye and Ear Infirmary of Mount Sinai Icahn School of Medicine at Mount Sinai New York, NY JAMES P. MCCULLEY, M.D., FACS, FRCOPHTH(UK) Make check payable to: UT Southwestern Department of Ophthalmology Mail completed registration form and check to: Ophthalmology Education Office UT Southwestern Medical Center 5323 Harry Hines Boulevard Dallas, Texas 75390-9057 Professor of Ophthalmology Dr. W. Maxwell Thomas Chair in Ophthalmology Vice Chair, Education Residency Program Director UT Southwestern Medical Center Dallas, TX 7 14 21 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 CHECKS ONLY PLEASE! G UEST F ACULTY JAMES C. TSAI, M.D. 28 Total Amount Due: $ C OURSE D IRECTORS PRESTON H. BLOMQUIST, M.D. 1 2 3 4 5 6 8 9 10 11 12 13 15 16 17 18 19 20 22 23 24 25 26 27 29 30 Non-Members $125 $85 $40 $40 Guest Name: 2 3 9 10 16 17 23 24 30 31 AlumnEye Members $100 $60 $40 $40 1 8 15 22 29 Ophthalmology Education Office 5323 Harry Hines Blvd. Dallas, TX 75390-9057 Please register me for the following ANNUAL RESIDENT & ALUMNI DAY events: 4 5 6 7 11 12 13 14 18 19 20 21 25 26 27 28 MARCH 2016 Not printed or mailed at State expense R EGISTRATION F EE : FEBRUARY 2016 6Time Sensitive 1 2 3 Material 4 5 13 6 36th 7 8 9 10 11 12 The 20 13 14 15 16 17 18 19 27 20 21 22 23 24 25 26 27 28 29 30 31 I NDICATE C REDIT D ESIRED : o AMA o General JANUARY 2016 ANNUAL RESIDENT & ALUMNI DAY E-mail Address 1 2 3 4 5 7 8 9 10 11 12 14 15 16 17 18 19 21 22 23 24 25 26 28 29 Specialty 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 JUNE 2016 Degree APRIL 2016 Zip Code Fax Business Phone Seminar and Awards Dinner Seminar only Awards Dinner only Awards Dinner Guest 7 14 21 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 State o UT Southwestern Alumni c c c c 28 City 1 2 3 4 5 6 8 9 10 11 12 13 15 16 17 18 19 20 22 23 24 25 26 27 29 30 31 Address 1 2 8 9 15 16 22 23 29 30 Name 7 14 21 28 REGISTRATION FORM 3 4 5 6 10 11 12 13 17 18 19 20 24 25 26 27 #RP1606B R ESIDENTS Department of Ophthalmology, UT Southwestern Medical Center 3RD YEAR RESIDENTS 2ND YEAR RESIDENTS 1ST YEAR RESIDENTS KIM LE, M.D. CHRISTOPHER LEE, M.D. XIHUI LIN, M.D. ANDREW MCFARLAND, M.D. SEVERIN POULY, M.D., M.H.A. SATHYADEEPAK RAMESH, M.D. STEVEN REINECKE, M.D. VICTORIA STARKS, M.D. DAVID TRUONG, M.D. MOHAMED GUENENA, M.D. J. MINGYI HUANG, M.D. VLAD MATEI, M.D. SAGAR Y. PATEL, M.D. PETER RIRIE, M.D. ANDREW SIEGEL, M.D. CHRISTINE TAGAYUN, M.D., M.S. WILLIAM WALDROP, M.D. LINDA YANG, M.D. ROBERT BEAULIEU, M.D. BENJAMIN HADEN, M.D. BROCK HANSEN, M.D. COLETTE JACKSON, M.D. GRAHAM KUIZIN, M.D. ANNA KUPCHA, M.D. SHAAM MAHASNEH, M.D. LILIAN NGUYEN, M.D. SAGAR B. PATEL, M.D. Sponsored by: UT Southwestern Department of Ophthalmology and the Office of Continuing Medical Education The 36th ANNUAL RESIDENT & ALUMNI DAY The 36th ANNUAL RESIDENT & ALUMNI DAY AGENDA AGENDA COURSE DIRECTORS PRESTON H. BLOMQUIST, M.D. Professor of Ophthalmology Dr. W. Maxwell Thomas Chair in Ophthalmology Vice Chair, Education Residency Program Director UT Southwestern Medical Center, Dallas, TX JAMES P. MCCULLEY, M.D., FACS, FRCOPHTH(UK) Professor and Chair of Ophthalmology The David Bruton, Jr. Chair in Ophthalmology UT Southwestern Medical Center, Dallas, TX TA R G E T A U D I E N C E This course is designed for all practicing and academic ophthalmologists interested in a comprehensive update on the advances in medical and surgical care of ophthalmic conditions and diseases. PURPOSE AND CONTENT R E G I S T R AT I O N The registration fee (see below) entitles the participant to admission to the conference, continental breakfast, lunch, break refreshments, and all course materials. Please register early. We cannot guarantee course materials on-site to anyone registering later than one week prior to the course. Seminar and Awards Dinner Seminar only Awards Dinner only Awards Dinner Guest E D U C AT I O N A L O B J E C T I V E S UT Southwestern Medical Center T. Boone Pickens Biomedical Building Auditorium 6001 Forest Park Road Dallas, Texas 75235 Dallas Love Field L O C AT I O N . Parking is available in the visitor garage located adjacent to the T. Boone Pickens Biomedical Building. It is entered from 6001 Forest Park Road. The garage elevators will take you to the third floor. Follow the directional signs to the conference room. OF OFF-LABEL USE This course is meant to educate physicians with what is currently in use and what may be available in the future. There may be “off-label” use discussed in the activity. Speakers have been requested to inform the audience when offlabel use is discussed. 8:45 am 9:00 am A C C O M M O D AT I O N S The following nearby hotels are suggested. Please ask for the UT Southwestern rate when making reservations: Renaissance Dallas Hotel 2222 Stemmons Frwy. Dallas, TX 75207 Phone: 214-631-2222 Crowne Plaza Hotel 7050 Stemmons Frwy. Dallas, TX 75247 Phone: 214-630-8500 UT Southwestern is an equal opportunity institution. Complications after Pterygium Excision Sagar Y. Patel, M.D. Mentor – Ronald Mancini, M.D., FACS Critiquer – Mark Mazow, M.D. 10:30 am 10:45 am 11:00 am Risk Factors for Thyroid Eye Disease Progression William Waldrop, M.D. Mentor – Ronald Mancini, M.D., FACS Critiquer – Vipin Kuriachan, M.D. Mathematical Analysis of the Aesthetically Pleasing Eyelid Victoria Starks, M.D. Mentor – Ronald Mancini, M.D., FACS Critiquer – Jorge Corona, M.D. Postoperative Brow Height: Browpexy vs. Endoscopic Brow Lift Christine Tagayun, M.D. Mentor – Ronald Mancini, M.D., FACS Critiquer – Mayli Davis, M.D. Outcomes of Resident-Performed Laser-Assisted vs. Manual Traditional Phacoemulsification Severin Pouly, M.D., MHA Mentor – Chan Nguyen, M.D., Ph.D. Critiquer – Sidney Gicheru, M.D. PRESENTATION OF DISTINGUISHED ALUMNUS AWARD Honoring R. Nick Hogan, M.D., Ph.D. Residency Class of 1994 James P. McCulley, M.D., FACS, FRCOphth(UK) 9:30 am Annual Resident and Alumni Day Speaker Introduction James P. McCulley, M.D., FACS, FRCOphth(UK) Minimizing Refractive Surprise in Resident Cataract Surgery Brock Hansen, M.D. Mentor – Preston H. Blomquist, M.D. Neuroprotection for Glaucoma: Translational and Therapeutic Advances James C. Tsai, M.D. Cyanoacrylate Casting for Skin Graft Stabilization Colette Jackson, M.D. Mentor – Ronald Mancini, M.D., FACS Moderator: Mugen Liu, M.D. 10:00 am Refractive Outcomes in Pediatric Cataract Surgery with Lens Implantation Kim Le, M.D. Mentor – Serena Wang, M.D. Critiquer – Monica Bratton, M.D. Diabetic Teleretina Screening in a Large Urban County Hospital System Lilian Nguyen, M.D. Mentor – Preston H. Blomquist, M.D. Interpretation of OCT Retinal Nerve Fiber Layer in Those with Long Axial Lengths Sagar B. Patel, M.D. Mentor – Jess T. Whitson, M.D. 11:45 am Group Photograph (Faculty, Fellows, and Residents) 12:00 pm Lunch 12:45 pm Poster Viewing (Authors will be at their posters during this time) POSTERIOR SEGMENT Moderator: Jennifer H. Cao, M.D. 1:15 pm Superior Fornix Depth After Conjunctivo-Mullerectomy Surgery Robert Beaulieu, M.D. Mentor – Ronald Mancini, M.D., FACS Break Comparison of the Incidence, Visual Outcomes, and Risk Factors for the Development of Diabetic Retinopathy in Patients with T2DM Presenting to a County Hospital and Private Practice Graham Kuizin, M.D. Mentor – Erwin Puente, M.D., Ph.D. ` Moderator: Zachary M. Robertson, M.D. 3:00 pm Oral Voriconazole Outcomes of Patients with Fungal Chorioretinitis Steven Reinecke, M.D. Mentor – Yu-Guang He, M.D. Critiquer – Patrick Williams, M.D. 3:15 pm The Progression of Hydroxychloroquine Retinopathy After Cessation of Therapy Vlad Matei, M.D. Mentor – Yu-Guang He, M.D. Critiquer – Dwain Fuller, M.D. 3:30 pm Efficacy of Bevacizumab in Vitrectomized vs. Non-Vitrectomized Eyes J. Mingyi Huang, M.D. Mentor – Yu-Guang He, M.D. Critiquer – Gary Fish, M.D. 3:45 pm Anti-VEGF Injections and Glaucoma: What’s the Effect on IOP? Christopher Lee, M.D. Mentor – Jess T. Whitson, M.D. Critiquer – Michelle Butler, M.D. 4:00 pm Comparison of Second Eye Effect of Bevacizumab, Ranibizumab, and Aflibercept Xihui Lin, M.D. Mentor – Yu-Guang He, M.D. Critiquer – Rand Spencer, M.D. 4:15 pm Adjourn Comparing the Results of Using ORA Intraoperatively Shaam Mahasneh, M.D. Mentor – R. Wayne Bowman, M.D. Neovascular Glaucoma Outcomes at Parkland Memorial Hospital Peter Ririe, M.D. Mentor – Chan Nguyen, M.D., Ph.D. Critiquer – Linda Burk, M.D. POSTER PRESENTATIONS – FIRST YEAR RESIDENTS Moderator: Preston H. Blomquist, M.D. 11:15 am Cholesterol Efflux Capacity in Macular Degeneration Anna Kupcha, M.D. Mentor – Rafael Ufret-Vincenty, M.D. 10 Years Review of Ocular Syphilis in Parkland Memorial Hospital Mohamed Guenena, M.D. Mentor – Chan Nguyen, M.D., Ph.D. Critiquer – Johnathan Warminski, M.D. 9:15 am We accommodate people with disabilities. Please call 214-648-3848 for more information, or mark the space indicated on the registration form. To ensure accommodation, please register as soon as possible. UT Southwestern Medical Center is committed to providing programs and activities to all persons regardless of race, color, national origin, religion, sex, age, veteran status, or disability. Microbial Keratitis in Dallas: Public vs. Private Population David Truong, M.D. Mentor – H. Dwight Cavanagh, M.D., Ph.D. Critiquer – Gowri Pachigolla, M.D. 10:15 am The Effect of BAK Containing Drops on the Protein Structure of the Tear Film Benjamin Haden, M.D. Mentors – Jess T. Whitson, M.D., Danielle Robertson, O.D., Ph.D. A D D I T I O N A L I N F O R M AT I O N PROGRAM ACCESSIBILITY DISCUSSION 8:30 am PA R K I N G CONFLICT INTEREST ANTERIOR SEGMENT Moderator: Ronald Mancini, M.D., FACS A $25 handling fee will be deducted from cancellation refunds. Refund requests must be received by mail or fax prior to May 28, 2016. No refunds will be made thereafter. Education Office Department of Ophthalmology Phone: 214-648-3848 • Fax: 214-645-9430 Email: OphthEdu@utsouthwestern.edu OF Welcome and Introduction James P. McCulley, M.D., FACS, FRCOphth(UK) 8:15 am The University of Texas Southwestern Medical Center designates this live activity for a maximum of 6.75 AMA PRA Category 1 Credits ™. Physicians should only claim credit commensurate with the extent of their participation in the activity. All persons in the position to control the content of an education activity are required to disclose all relevant financial relationships in any amount occurring within the past 12 months with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients. A primary mechanism to resolve identified conflicts of interest is a content review that is prior to the activity. 7:55 am 8:00 am Maple Avenue C REDIT D ESIGNATION Registration and Continental Breakfast Cedar Springs The University of Texas Southwestern Medical Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. 7:30 am The Department of Ophthalmology and/or The Office of Continuing Medical Education reserves the right to limit registration and cancel courses, no less than one week prior to the course, should circumstances deem this necessary. REFUND POLICY A C C R E D I TA T I O N Non-Members $125 $85 $40 $40 C A N C E L L AT I O N P O L I C Y The purpose of this program is to allow participants a comprehensive day of updated material in the ophthalmology field. This includes rare and unusual cases which might otherwise not be seen, reports on results of current and new surgical procedures, technologies and treatment modalities which could be incorporated into practices, and comprehensive reviews of other ophthalmologic topics germane to the every day practice of ophthalmology. Upon conclusion of this course, participants should be able to link the educational objectives to Core Competencies (Patient Care, Medical Knowledge, Professionalism, and Quality Improvement): n Prescribe appropriate empirical coverage and diagnostic testing based on risk factors n List the causes of eyelid dysfunction and describe approaches to repair for each n Incorporate new techniques for improvement in refractive cataract surgery n Recognize and diagnose ocular syphilis n Evaluate outcomes of secondary glaucoma treatments n Recognize the effect and optimal therapeutic timing for optic neuropathies and toxic retinopathy n Differentiate efficacy between anti-VEGF injections and monitor the adverse effects AlumnEye Members $100 $60 $40 $40 S A T U R D AY , J U N E 1 1 , 2 0 1 6 1:30 pm 1:45 pm 2:00 pm 2:15 pm 2:35 pm Combined Pars Plana Vitrectomy and Glaucoma Shunt Placement at UTSW and Children's Health: A Review Andrew McFarland, M.D. Mentor – Yu-Guang He, M.D. Critiquer – Larry Puthenparambil, M.D. Incidence of Glaucoma after Rhegmatogenous Retinal Detachment, Associated Risk Factors, and Outcomes Andrew Siegel, M.D. Mentor – Jess T. Whitson, M.D. Critiquer – Unni Nair, M.D. Prostaglandins in Thyroid-Associated Ophthalmopathy Sathyadeepak Ramesh, M.D. Mentor – Ronald Mancini, M.D., FACS Critiquer – Michelle Nguyen, M.D. JOIN US for an evening celebration honoring our Distinguished Alumnus, graduating Residents and Fellows, and our outstanding Volunteer Clinical Faculty! ❖ UT Southwestern Medical Center T. Boone Pickens Biomedical Building 14th Floor Dining Room Optic Nerve Sheath Fenestration for Advanced Pseudotumor Cerebri Linda Yang, M.D. Mentor – Ronald Mancini, M.D., FACS Critiquer – James Merritt, M.D. Reception 6:00 pm – 7:00 pm Break Dinner 7:00 pm – 8:00 pm Recognition and Awards Ceremony 8:00 pm – 9:00 pm Glaucoma Drainage Implant Trials: An Update – James C. Tsai, M.D. (Indicate your attendance on Registration Form) The 36th ANNUAL RESIDENT & ALUMNI DAY The 36th ANNUAL RESIDENT & ALUMNI DAY AGENDA AGENDA COURSE DIRECTORS PRESTON H. BLOMQUIST, M.D. Professor of Ophthalmology Dr. W. Maxwell Thomas Chair in Ophthalmology Vice Chair, Education Residency Program Director UT Southwestern Medical Center, Dallas, TX JAMES P. MCCULLEY, M.D., FACS, FRCOPHTH(UK) Professor and Chair of Ophthalmology The David Bruton, Jr. Chair in Ophthalmology UT Southwestern Medical Center, Dallas, TX TA R G E T A U D I E N C E This course is designed for all practicing and academic ophthalmologists interested in a comprehensive update on the advances in medical and surgical care of ophthalmic conditions and diseases. PURPOSE AND CONTENT R E G I S T R AT I O N The registration fee (see below) entitles the participant to admission to the conference, continental breakfast, lunch, break refreshments, and all course materials. Please register early. We cannot guarantee course materials on-site to anyone registering later than one week prior to the course. Seminar and Awards Dinner Seminar only Awards Dinner only Awards Dinner Guest E D U C AT I O N A L O B J E C T I V E S UT Southwestern Medical Center T. Boone Pickens Biomedical Building Auditorium 6001 Forest Park Road Dallas, Texas 75235 Dallas Love Field L O C AT I O N . Parking is available in the visitor garage located adjacent to the T. Boone Pickens Biomedical Building. It is entered from 6001 Forest Park Road. The garage elevators will take you to the third floor. Follow the directional signs to the conference room. OF OFF-LABEL USE This course is meant to educate physicians with what is currently in use and what may be available in the future. There may be “off-label” use discussed in the activity. Speakers have been requested to inform the audience when offlabel use is discussed. 8:45 am 9:00 am A C C O M M O D AT I O N S The following nearby hotels are suggested. Please ask for the UT Southwestern rate when making reservations: Renaissance Dallas Hotel 2222 Stemmons Frwy. Dallas, TX 75207 Phone: 214-631-2222 Crowne Plaza Hotel 7050 Stemmons Frwy. Dallas, TX 75247 Phone: 214-630-8500 UT Southwestern is an equal opportunity institution. Complications after Pterygium Excision Sagar Y. Patel, M.D. Mentor – Ronald Mancini, M.D., FACS Critiquer – Mark Mazow, M.D. 10:30 am 10:45 am 11:00 am Risk Factors for Thyroid Eye Disease Progression William Waldrop, M.D. Mentor – Ronald Mancini, M.D., FACS Critiquer – Vipin Kuriachan, M.D. Mathematical Analysis of the Aesthetically Pleasing Eyelid Victoria Starks, M.D. Mentor – Ronald Mancini, M.D., FACS Critiquer – Jorge Corona, M.D. Postoperative Brow Height: Browpexy vs. Endoscopic Brow Lift Christine Tagayun, M.D. Mentor – Ronald Mancini, M.D., FACS Critiquer – Mayli Davis, M.D. Outcomes of Resident-Performed Laser-Assisted vs. Manual Traditional Phacoemulsification Severin Pouly, M.D., MHA Mentor – Chan Nguyen, M.D., Ph.D. Critiquer – Sidney Gicheru, M.D. PRESENTATION OF DISTINGUISHED ALUMNUS AWARD Honoring R. Nick Hogan, M.D., Ph.D. Residency Class of 1994 James P. McCulley, M.D., FACS, FRCOphth(UK) 9:30 am Annual Resident and Alumni Day Speaker Introduction James P. McCulley, M.D., FACS, FRCOphth(UK) Minimizing Refractive Surprise in Resident Cataract Surgery Brock Hansen, M.D. Mentor – Preston H. Blomquist, M.D. Neuroprotection for Glaucoma: Translational and Therapeutic Advances James C. Tsai, M.D. Cyanoacrylate Casting for Skin Graft Stabilization Colette Jackson, M.D. Mentor – Ronald Mancini, M.D., FACS Moderator: Mugen Liu, M.D. 10:00 am Refractive Outcomes in Pediatric Cataract Surgery with Lens Implantation Kim Le, M.D. Mentor – Serena Wang, M.D. Critiquer – Monica Bratton, M.D. Diabetic Teleretina Screening in a Large Urban County Hospital System Lilian Nguyen, M.D. Mentor – Preston H. Blomquist, M.D. Interpretation of OCT Retinal Nerve Fiber Layer in Those with Long Axial Lengths Sagar B. Patel, M.D. Mentor – Jess T. Whitson, M.D. 11:45 am Group Photograph (Faculty, Fellows, and Residents) 12:00 pm Lunch 12:45 pm Poster Viewing (Authors will be at their posters during this time) POSTERIOR SEGMENT Moderator: Jennifer H. Cao, M.D. 1:15 pm Superior Fornix Depth After Conjunctivo-Mullerectomy Surgery Robert Beaulieu, M.D. Mentor – Ronald Mancini, M.D., FACS Break Comparison of the Incidence, Visual Outcomes, and Risk Factors for the Development of Diabetic Retinopathy in Patients with T2DM Presenting to a County Hospital and Private Practice Graham Kuizin, M.D. Mentor – Erwin Puente, M.D., Ph.D. ` Moderator: Zachary M. Robertson, M.D. 3:00 pm Oral Voriconazole Outcomes of Patients with Fungal Chorioretinitis Steven Reinecke, M.D. Mentor – Yu-Guang He, M.D. Critiquer – Patrick Williams, M.D. 3:15 pm The Progression of Hydroxychloroquine Retinopathy After Cessation of Therapy Vlad Matei, M.D. Mentor – Yu-Guang He, M.D. Critiquer – Dwain Fuller, M.D. 3:30 pm Efficacy of Bevacizumab in Vitrectomized vs. Non-Vitrectomized Eyes J. Mingyi Huang, M.D. Mentor – Yu-Guang He, M.D. Critiquer – Gary Fish, M.D. 3:45 pm Anti-VEGF Injections and Glaucoma: What’s the Effect on IOP? Christopher Lee, M.D. Mentor – Jess T. Whitson, M.D. Critiquer – Michelle Butler, M.D. 4:00 pm Comparison of Second Eye Effect of Bevacizumab, Ranibizumab, and Aflibercept Xihui Lin, M.D. Mentor – Yu-Guang He, M.D. Critiquer – Rand Spencer, M.D. 4:15 pm Adjourn Comparing the Results of Using ORA Intraoperatively Shaam Mahasneh, M.D. Mentor – R. Wayne Bowman, M.D. Neovascular Glaucoma Outcomes at Parkland Memorial Hospital Peter Ririe, M.D. Mentor – Chan Nguyen, M.D., Ph.D. Critiquer – Linda Burk, M.D. POSTER PRESENTATIONS – FIRST YEAR RESIDENTS Moderator: Preston H. Blomquist, M.D. 11:15 am Cholesterol Efflux Capacity in Macular Degeneration Anna Kupcha, M.D. Mentor – Rafael Ufret-Vincenty, M.D. 10 Years Review of Ocular Syphilis in Parkland Memorial Hospital Mohamed Guenena, M.D. Mentor – Chan Nguyen, M.D., Ph.D. Critiquer – Johnathan Warminski, M.D. 9:15 am We accommodate people with disabilities. Please call 214-648-3848 for more information, or mark the space indicated on the registration form. To ensure accommodation, please register as soon as possible. UT Southwestern Medical Center is committed to providing programs and activities to all persons regardless of race, color, national origin, religion, sex, age, veteran status, or disability. Microbial Keratitis in Dallas: Public vs. Private Population David Truong, M.D. Mentor – H. Dwight Cavanagh, M.D., Ph.D. Critiquer – Gowri Pachigolla, M.D. 10:15 am The Effect of BAK Containing Drops on the Protein Structure of the Tear Film Benjamin Haden, M.D. Mentors – Jess T. Whitson, M.D., Danielle Robertson, O.D., Ph.D. A D D I T I O N A L I N F O R M AT I O N PROGRAM ACCESSIBILITY DISCUSSION 8:30 am PA R K I N G CONFLICT INTEREST ANTERIOR SEGMENT Moderator: Ronald Mancini, M.D., FACS A $25 handling fee will be deducted from cancellation refunds. Refund requests must be received by mail or fax prior to May 28, 2016. No refunds will be made thereafter. Education Office Department of Ophthalmology Phone: 214-648-3848 • Fax: 214-645-9430 Email: OphthEdu@utsouthwestern.edu OF Welcome and Introduction James P. McCulley, M.D., FACS, FRCOphth(UK) 8:15 am The University of Texas Southwestern Medical Center designates this live activity for a maximum of 6.75 AMA PRA Category 1 Credits ™. Physicians should only claim credit commensurate with the extent of their participation in the activity. All persons in the position to control the content of an education activity are required to disclose all relevant financial relationships in any amount occurring within the past 12 months with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients. A primary mechanism to resolve identified conflicts of interest is a content review that is prior to the activity. 7:55 am 8:00 am Maple Avenue C REDIT D ESIGNATION Registration and Continental Breakfast Cedar Springs The University of Texas Southwestern Medical Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. 7:30 am The Department of Ophthalmology and/or The Office of Continuing Medical Education reserves the right to limit registration and cancel courses, no less than one week prior to the course, should circumstances deem this necessary. REFUND POLICY A C C R E D I TA T I O N Non-Members $125 $85 $40 $40 C A N C E L L AT I O N P O L I C Y The purpose of this program is to allow participants a comprehensive day of updated material in the ophthalmology field. This includes rare and unusual cases which might otherwise not be seen, reports on results of current and new surgical procedures, technologies and treatment modalities which could be incorporated into practices, and comprehensive reviews of other ophthalmologic topics germane to the every day practice of ophthalmology. Upon conclusion of this course, participants should be able to link the educational objectives to Core Competencies (Patient Care, Medical Knowledge, Professionalism, and Quality Improvement): n Prescribe appropriate empirical coverage and diagnostic testing based on risk factors n List the causes of eyelid dysfunction and describe approaches to repair for each n Incorporate new techniques for improvement in refractive cataract surgery n Recognize and diagnose ocular syphilis n Evaluate outcomes of secondary glaucoma treatments n Recognize the effect and optimal therapeutic timing for optic neuropathies and toxic retinopathy n Differentiate efficacy between anti-VEGF injections and monitor the adverse effects AlumnEye Members $100 $60 $40 $40 S A T U R D AY , J U N E 1 1 , 2 0 1 6 1:30 pm 1:45 pm 2:00 pm 2:15 pm 2:35 pm Combined Pars Plana Vitrectomy and Glaucoma Shunt Placement at UTSW and Children's Health: A Review Andrew McFarland, M.D. Mentor – Yu-Guang He, M.D. Critiquer – Larry Puthenparambil, M.D. Incidence of Glaucoma after Rhegmatogenous Retinal Detachment, Associated Risk Factors, and Outcomes Andrew Siegel, M.D. Mentor – Jess T. Whitson, M.D. Critiquer – Unni Nair, M.D. Prostaglandins in Thyroid-Associated Ophthalmopathy Sathyadeepak Ramesh, M.D. Mentor – Ronald Mancini, M.D., FACS Critiquer – Michelle Nguyen, M.D. JOIN US for an evening celebration honoring our Distinguished Alumnus, graduating Residents and Fellows, and our outstanding Volunteer Clinical Faculty! ❖ UT Southwestern Medical Center T. Boone Pickens Biomedical Building 14th Floor Dining Room Optic Nerve Sheath Fenestration for Advanced Pseudotumor Cerebri Linda Yang, M.D. Mentor – Ronald Mancini, M.D., FACS Critiquer – James Merritt, M.D. Reception 6:00 pm – 7:00 pm Break Dinner 7:00 pm – 8:00 pm Recognition and Awards Ceremony 8:00 pm – 9:00 pm Glaucoma Drainage Implant Trials: An Update – James C. Tsai, M.D. (Indicate your attendance on Registration Form) The 36th ANNUAL RESIDENT & ALUMNI DAY The 36th ANNUAL RESIDENT & ALUMNI DAY AGENDA AGENDA COURSE DIRECTORS PRESTON H. BLOMQUIST, M.D. Professor of Ophthalmology Dr. W. Maxwell Thomas Chair in Ophthalmology Vice Chair, Education Residency Program Director UT Southwestern Medical Center, Dallas, TX JAMES P. MCCULLEY, M.D., FACS, FRCOPHTH(UK) Professor and Chair of Ophthalmology The David Bruton, Jr. Chair in Ophthalmology UT Southwestern Medical Center, Dallas, TX TA R G E T A U D I E N C E This course is designed for all practicing and academic ophthalmologists interested in a comprehensive update on the advances in medical and surgical care of ophthalmic conditions and diseases. PURPOSE AND CONTENT R E G I S T R AT I O N The registration fee (see below) entitles the participant to admission to the conference, continental breakfast, lunch, break refreshments, and all course materials. Please register early. We cannot guarantee course materials on-site to anyone registering later than one week prior to the course. Seminar and Awards Dinner Seminar only Awards Dinner only Awards Dinner Guest E D U C AT I O N A L O B J E C T I V E S UT Southwestern Medical Center T. Boone Pickens Biomedical Building Auditorium 6001 Forest Park Road Dallas, Texas 75235 Dallas Love Field L O C AT I O N . Parking is available in the visitor garage located adjacent to the T. Boone Pickens Biomedical Building. It is entered from 6001 Forest Park Road. The garage elevators will take you to the third floor. Follow the directional signs to the conference room. OF OFF-LABEL USE This course is meant to educate physicians with what is currently in use and what may be available in the future. There may be “off-label” use discussed in the activity. Speakers have been requested to inform the audience when offlabel use is discussed. 8:45 am 9:00 am A C C O M M O D AT I O N S The following nearby hotels are suggested. Please ask for the UT Southwestern rate when making reservations: Renaissance Dallas Hotel 2222 Stemmons Frwy. Dallas, TX 75207 Phone: 214-631-2222 Crowne Plaza Hotel 7050 Stemmons Frwy. Dallas, TX 75247 Phone: 214-630-8500 UT Southwestern is an equal opportunity institution. Complications after Pterygium Excision Sagar Y. Patel, M.D. Mentor – Ronald Mancini, M.D., FACS Critiquer – Mark Mazow, M.D. 10:30 am 10:45 am 11:00 am Risk Factors for Thyroid Eye Disease Progression William Waldrop, M.D. Mentor – Ronald Mancini, M.D., FACS Critiquer – Vipin Kuriachan, M.D. Mathematical Analysis of the Aesthetically Pleasing Eyelid Victoria Starks, M.D. Mentor – Ronald Mancini, M.D., FACS Critiquer – Jorge Corona, M.D. Postoperative Brow Height: Browpexy vs. Endoscopic Brow Lift Christine Tagayun, M.D. Mentor – Ronald Mancini, M.D., FACS Critiquer – Mayli Davis, M.D. Outcomes of Resident-Performed Laser-Assisted vs. Manual Traditional Phacoemulsification Severin Pouly, M.D., MHA Mentor – Chan Nguyen, M.D., Ph.D. Critiquer – Sidney Gicheru, M.D. PRESENTATION OF DISTINGUISHED ALUMNUS AWARD Honoring R. Nick Hogan, M.D., Ph.D. Residency Class of 1994 James P. McCulley, M.D., FACS, FRCOphth(UK) 9:30 am Annual Resident and Alumni Day Speaker Introduction James P. McCulley, M.D., FACS, FRCOphth(UK) Minimizing Refractive Surprise in Resident Cataract Surgery Brock Hansen, M.D. Mentor – Preston H. Blomquist, M.D. Neuroprotection for Glaucoma: Translational and Therapeutic Advances James C. Tsai, M.D. Cyanoacrylate Casting for Skin Graft Stabilization Colette Jackson, M.D. Mentor – Ronald Mancini, M.D., FACS Moderator: Mugen Liu, M.D. 10:00 am Refractive Outcomes in Pediatric Cataract Surgery with Lens Implantation Kim Le, M.D. Mentor – Serena Wang, M.D. Critiquer – Monica Bratton, M.D. Diabetic Teleretina Screening in a Large Urban County Hospital System Lilian Nguyen, M.D. Mentor – Preston H. Blomquist, M.D. Interpretation of OCT Retinal Nerve Fiber Layer in Those with Long Axial Lengths Sagar B. Patel, M.D. Mentor – Jess T. Whitson, M.D. 11:45 am Group Photograph (Faculty, Fellows, and Residents) 12:00 pm Lunch 12:45 pm Poster Viewing (Authors will be at their posters during this time) POSTERIOR SEGMENT Moderator: Jennifer H. Cao, M.D. 1:15 pm Superior Fornix Depth After Conjunctivo-Mullerectomy Surgery Robert Beaulieu, M.D. Mentor – Ronald Mancini, M.D., FACS Break Comparison of the Incidence, Visual Outcomes, and Risk Factors for the Development of Diabetic Retinopathy in Patients with T2DM Presenting to a County Hospital and Private Practice Graham Kuizin, M.D. Mentor – Erwin Puente, M.D., Ph.D. ` Moderator: Zachary M. Robertson, M.D. 3:00 pm Oral Voriconazole Outcomes of Patients with Fungal Chorioretinitis Steven Reinecke, M.D. Mentor – Yu-Guang He, M.D. Critiquer – Patrick Williams, M.D. 3:15 pm The Progression of Hydroxychloroquine Retinopathy After Cessation of Therapy Vlad Matei, M.D. Mentor – Yu-Guang He, M.D. Critiquer – Dwain Fuller, M.D. 3:30 pm Efficacy of Bevacizumab in Vitrectomized vs. Non-Vitrectomized Eyes J. Mingyi Huang, M.D. Mentor – Yu-Guang He, M.D. Critiquer – Gary Fish, M.D. 3:45 pm Anti-VEGF Injections and Glaucoma: What’s the Effect on IOP? Christopher Lee, M.D. Mentor – Jess T. Whitson, M.D. Critiquer – Michelle Butler, M.D. 4:00 pm Comparison of Second Eye Effect of Bevacizumab, Ranibizumab, and Aflibercept Xihui Lin, M.D. Mentor – Yu-Guang He, M.D. Critiquer – Rand Spencer, M.D. 4:15 pm Adjourn Comparing the Results of Using ORA Intraoperatively Shaam Mahasneh, M.D. Mentor – R. Wayne Bowman, M.D. Neovascular Glaucoma Outcomes at Parkland Memorial Hospital Peter Ririe, M.D. Mentor – Chan Nguyen, M.D., Ph.D. Critiquer – Linda Burk, M.D. POSTER PRESENTATIONS – FIRST YEAR RESIDENTS Moderator: Preston H. Blomquist, M.D. 11:15 am Cholesterol Efflux Capacity in Macular Degeneration Anna Kupcha, M.D. Mentor – Rafael Ufret-Vincenty, M.D. 10 Years Review of Ocular Syphilis in Parkland Memorial Hospital Mohamed Guenena, M.D. Mentor – Chan Nguyen, M.D., Ph.D. Critiquer – Johnathan Warminski, M.D. 9:15 am We accommodate people with disabilities. Please call 214-648-3848 for more information, or mark the space indicated on the registration form. To ensure accommodation, please register as soon as possible. UT Southwestern Medical Center is committed to providing programs and activities to all persons regardless of race, color, national origin, religion, sex, age, veteran status, or disability. Microbial Keratitis in Dallas: Public vs. Private Population David Truong, M.D. Mentor – H. Dwight Cavanagh, M.D., Ph.D. Critiquer – Gowri Pachigolla, M.D. 10:15 am The Effect of BAK Containing Drops on the Protein Structure of the Tear Film Benjamin Haden, M.D. Mentors – Jess T. Whitson, M.D., Danielle Robertson, O.D., Ph.D. A D D I T I O N A L I N F O R M AT I O N PROGRAM ACCESSIBILITY DISCUSSION 8:30 am PA R K I N G CONFLICT INTEREST ANTERIOR SEGMENT Moderator: Ronald Mancini, M.D., FACS A $25 handling fee will be deducted from cancellation refunds. Refund requests must be received by mail or fax prior to May 28, 2016. No refunds will be made thereafter. Education Office Department of Ophthalmology Phone: 214-648-3848 • Fax: 214-645-9430 Email: OphthEdu@utsouthwestern.edu OF Welcome and Introduction James P. McCulley, M.D., FACS, FRCOphth(UK) 8:15 am The University of Texas Southwestern Medical Center designates this live activity for a maximum of 6.75 AMA PRA Category 1 Credits ™. Physicians should only claim credit commensurate with the extent of their participation in the activity. All persons in the position to control the content of an education activity are required to disclose all relevant financial relationships in any amount occurring within the past 12 months with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients. A primary mechanism to resolve identified conflicts of interest is a content review that is prior to the activity. 7:55 am 8:00 am Maple Avenue C REDIT D ESIGNATION Registration and Continental Breakfast Cedar Springs The University of Texas Southwestern Medical Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. 7:30 am The Department of Ophthalmology and/or The Office of Continuing Medical Education reserves the right to limit registration and cancel courses, no less than one week prior to the course, should circumstances deem this necessary. REFUND POLICY A C C R E D I TA T I O N Non-Members $125 $85 $40 $40 C A N C E L L AT I O N P O L I C Y The purpose of this program is to allow participants a comprehensive day of updated material in the ophthalmology field. This includes rare and unusual cases which might otherwise not be seen, reports on results of current and new surgical procedures, technologies and treatment modalities which could be incorporated into practices, and comprehensive reviews of other ophthalmologic topics germane to the every day practice of ophthalmology. Upon conclusion of this course, participants should be able to link the educational objectives to Core Competencies (Patient Care, Medical Knowledge, Professionalism, and Quality Improvement): n Prescribe appropriate empirical coverage and diagnostic testing based on risk factors n List the causes of eyelid dysfunction and describe approaches to repair for each n Incorporate new techniques for improvement in refractive cataract surgery n Recognize and diagnose ocular syphilis n Evaluate outcomes of secondary glaucoma treatments n Recognize the effect and optimal therapeutic timing for optic neuropathies and toxic retinopathy n Differentiate efficacy between anti-VEGF injections and monitor the adverse effects AlumnEye Members $100 $60 $40 $40 S A T U R D AY , J U N E 1 1 , 2 0 1 6 1:30 pm 1:45 pm 2:00 pm 2:15 pm 2:35 pm Combined Pars Plana Vitrectomy and Glaucoma Shunt Placement at UTSW and Children's Health: A Review Andrew McFarland, M.D. Mentor – Yu-Guang He, M.D. Critiquer – Larry Puthenparambil, M.D. Incidence of Glaucoma after Rhegmatogenous Retinal Detachment, Associated Risk Factors, and Outcomes Andrew Siegel, M.D. Mentor – Jess T. Whitson, M.D. Critiquer – Unni Nair, M.D. Prostaglandins in Thyroid-Associated Ophthalmopathy Sathyadeepak Ramesh, M.D. Mentor – Ronald Mancini, M.D., FACS Critiquer – Michelle Nguyen, M.D. JOIN US for an evening celebration honoring our Distinguished Alumnus, graduating Residents and Fellows, and our outstanding Volunteer Clinical Faculty! ❖ UT Southwestern Medical Center T. Boone Pickens Biomedical Building 14th Floor Dining Room Optic Nerve Sheath Fenestration for Advanced Pseudotumor Cerebri Linda Yang, M.D. Mentor – Ronald Mancini, M.D., FACS Critiquer – James Merritt, M.D. Reception 6:00 pm – 7:00 pm Break Dinner 7:00 pm – 8:00 pm Recognition and Awards Ceremony 8:00 pm – 9:00 pm Glaucoma Drainage Implant Trials: An Update – James C. Tsai, M.D. (Indicate your attendance on Registration Form) 3 4 5 6 7 1 8 2 9 JULY 2016 THE 36 ANNUAL RESIDENT & ALUMNI DAY Saturday, June 11, 2016 TH MAY 2016 AUGUST 2015 JULY 2015 26 5 12 19 SEPTEMBER 2015 T. Boone Pickens Biomedical Building UT Southwestern Medical Center Dallas, Texas 2016-2016 ACADEMIC CALENDAR T. Boone Pickens Biomedical Building UT Southwestern Medical Center Dallas, Texas 1 2 3 4 6 7 8 9 10 11 13 14 15 16 17 18 20 21 22 23 24 25 27 28 29 30 Saturday, June 11, 2016 1 2 3 4 5 6 7 8 10 11 12 13 14 15 17 18 19 20 21 22 24 25 26 27 28 29 31 ANNUAL RESIDENT & ALUMNI DAY 9 16 23 30 Someone from our office will be in touch with you. The 36th UT Southwestern Medical Center Residency Class of 1994 Professor of Ophthalmology, Pathology, Neurological Surgery, and Neurology and Neurotherapeutics UT Southwestern Medical Center Dallas, TX Saturday, June 11, 2016 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 ADA STATEMENT o Please check this box if you require assistance because of a disability to make this program accessible to you. DECEMBER 2015 A $25 handling fee will be deducted from cancellation refunds. Refund requests must be received by mail or fax prior to May 28, 2016. No refunds will be made thereafter. Professor and Chair of Ophthalmology The David Bruton, Jr. Chair in Ophthalmology UT Southwestern Medical Center Dallas, TX NOVEMBER 2015 R. NICK HOGAN, M.D., PH.D. ANNUAL RESIDENT & ALUMNI DAY The 36th OCTOBER 2015 REFUND POLICY Delafield-Rodgers Professor of Ophthalmology Chair, Department of Ophthalmology President, New York Eye and Ear Infirmary of Mount Sinai Icahn School of Medicine at Mount Sinai New York, NY JAMES P. MCCULLEY, M.D., FACS, FRCOPHTH(UK) Make check payable to: UT Southwestern Department of Ophthalmology Mail completed registration form and check to: Ophthalmology Education Office UT Southwestern Medical Center 5323 Harry Hines Boulevard Dallas, Texas 75390-9057 Professor of Ophthalmology Dr. W. Maxwell Thomas Chair in Ophthalmology Vice Chair, Education Residency Program Director UT Southwestern Medical Center Dallas, TX 7 14 21 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 CHECKS ONLY PLEASE! G UEST F ACULTY JAMES C. TSAI, M.D. 28 Total Amount Due: $ C OURSE D IRECTORS PRESTON H. BLOMQUIST, M.D. 1 2 3 4 5 6 8 9 10 11 12 13 15 16 17 18 19 20 22 23 24 25 26 27 29 30 Non-Members $125 $85 $40 $40 Guest Name: 2 3 9 10 16 17 23 24 30 31 AlumnEye Members $100 $60 $40 $40 1 8 15 22 29 Ophthalmology Education Office 5323 Harry Hines Blvd. Dallas, TX 75390-9057 Please register me for the following ANNUAL RESIDENT & ALUMNI DAY events: 4 5 6 7 11 12 13 14 18 19 20 21 25 26 27 28 MARCH 2016 Not printed or mailed at State expense R EGISTRATION F EE : FEBRUARY 2016 6Time Sensitive 1 2 3 Material 4 5 13 6 36th 7 8 9 10 11 12 The 20 13 14 15 16 17 18 19 27 20 21 22 23 24 25 26 27 28 29 30 31 I NDICATE C REDIT D ESIRED : o AMA o General JANUARY 2016 ANNUAL RESIDENT & ALUMNI DAY E-mail Address 1 2 3 4 5 7 8 9 10 11 12 14 15 16 17 18 19 21 22 23 24 25 26 28 29 Specialty 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 JUNE 2016 Degree APRIL 2016 Zip Code Fax Business Phone Seminar and Awards Dinner Seminar only Awards Dinner only Awards Dinner Guest 7 14 21 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 State o UT Southwestern Alumni c c c c 28 City 1 2 3 4 5 6 8 9 10 11 12 13 15 16 17 18 19 20 22 23 24 25 26 27 29 30 31 Address 1 2 8 9 15 16 22 23 29 30 Name 7 14 21 28 REGISTRATION FORM 3 4 5 6 10 11 12 13 17 18 19 20 24 25 26 27 #RP1606B R ESIDENTS Department of Ophthalmology, UT Southwestern Medical Center 3RD YEAR RESIDENTS 2ND YEAR RESIDENTS 1ST YEAR RESIDENTS KIM LE, M.D. CHRISTOPHER LEE, M.D. XIHUI LIN, M.D. ANDREW MCFARLAND, M.D. SEVERIN POULY, M.D., M.H.A. SATHYADEEPAK RAMESH, M.D. STEVEN REINECKE, M.D. VICTORIA STARKS, M.D. DAVID TRUONG, M.D. MOHAMED GUENENA, M.D. J. MINGYI HUANG, M.D. VLAD MATEI, M.D. SAGAR Y. PATEL, M.D. PETER RIRIE, M.D. ANDREW SIEGEL, M.D. CHRISTINE TAGAYUN, M.D., M.S. WILLIAM WALDROP, M.D. LINDA YANG, M.D. ROBERT BEAULIEU, M.D. BENJAMIN HADEN, M.D. BROCK HANSEN, M.D. COLETTE JACKSON, M.D. GRAHAM KUIZIN, M.D. ANNA KUPCHA, M.D. SHAAM MAHASNEH, M.D. LILIAN NGUYEN, M.D. SAGAR B. PATEL, M.D. Sponsored by: UT Southwestern Department of Ophthalmology and the Office of Continuing Medical Education 3 4 5 6 7 1 8 2 9 JULY 2016 THE 36 ANNUAL RESIDENT & ALUMNI DAY Saturday, June 11, 2016 TH MAY 2016 AUGUST 2015 JULY 2015 26 5 12 19 SEPTEMBER 2015 T. Boone Pickens Biomedical Building UT Southwestern Medical Center Dallas, Texas 2016-2016 ACADEMIC CALENDAR T. Boone Pickens Biomedical Building UT Southwestern Medical Center Dallas, Texas 1 2 3 4 6 7 8 9 10 11 13 14 15 16 17 18 20 21 22 23 24 25 27 28 29 30 Saturday, June 11, 2016 1 2 3 4 5 6 7 8 10 11 12 13 14 15 17 18 19 20 21 22 24 25 26 27 28 29 31 ANNUAL RESIDENT & ALUMNI DAY 9 16 23 30 Someone from our office will be in touch with you. The 36th UT Southwestern Medical Center Residency Class of 1994 Professor of Ophthalmology, Pathology, Neurological Surgery, and Neurology and Neurotherapeutics UT Southwestern Medical Center Dallas, TX Saturday, June 11, 2016 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 ADA STATEMENT o Please check this box if you require assistance because of a disability to make this program accessible to you. DECEMBER 2015 A $25 handling fee will be deducted from cancellation refunds. Refund requests must be received by mail or fax prior to May 28, 2016. No refunds will be made thereafter. Professor and Chair of Ophthalmology The David Bruton, Jr. Chair in Ophthalmology UT Southwestern Medical Center Dallas, TX NOVEMBER 2015 R. NICK HOGAN, M.D., PH.D. ANNUAL RESIDENT & ALUMNI DAY The 36th OCTOBER 2015 REFUND POLICY Delafield-Rodgers Professor of Ophthalmology Chair, Department of Ophthalmology President, New York Eye and Ear Infirmary of Mount Sinai Icahn School of Medicine at Mount Sinai New York, NY JAMES P. MCCULLEY, M.D., FACS, FRCOPHTH(UK) Make check payable to: UT Southwestern Department of Ophthalmology Mail completed registration form and check to: Ophthalmology Education Office UT Southwestern Medical Center 5323 Harry Hines Boulevard Dallas, Texas 75390-9057 Professor of Ophthalmology Dr. W. Maxwell Thomas Chair in Ophthalmology Vice Chair, Education Residency Program Director UT Southwestern Medical Center Dallas, TX 7 14 21 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 CHECKS ONLY PLEASE! G UEST F ACULTY JAMES C. TSAI, M.D. 28 Total Amount Due: $ C OURSE D IRECTORS PRESTON H. BLOMQUIST, M.D. 1 2 3 4 5 6 8 9 10 11 12 13 15 16 17 18 19 20 22 23 24 25 26 27 29 30 Non-Members $125 $85 $40 $40 Guest Name: 2 3 9 10 16 17 23 24 30 31 AlumnEye Members $100 $60 $40 $40 1 8 15 22 29 Ophthalmology Education Office 5323 Harry Hines Blvd. Dallas, TX 75390-9057 Please register me for the following ANNUAL RESIDENT & ALUMNI DAY events: 4 5 6 7 11 12 13 14 18 19 20 21 25 26 27 28 MARCH 2016 Not printed or mailed at State expense R EGISTRATION F EE : FEBRUARY 2016 6Time Sensitive 1 2 3 Material 4 5 13 6 36th 7 8 9 10 11 12 The 20 13 14 15 16 17 18 19 27 20 21 22 23 24 25 26 27 28 29 30 31 I NDICATE C REDIT D ESIRED : o AMA o General JANUARY 2016 ANNUAL RESIDENT & ALUMNI DAY E-mail Address 1 2 3 4 5 7 8 9 10 11 12 14 15 16 17 18 19 21 22 23 24 25 26 28 29 Specialty 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 JUNE 2016 Degree APRIL 2016 Zip Code Fax Business Phone Seminar and Awards Dinner Seminar only Awards Dinner only Awards Dinner Guest 7 14 21 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 State o UT Southwestern Alumni c c c c 28 City 1 2 3 4 5 6 8 9 10 11 12 13 15 16 17 18 19 20 22 23 24 25 26 27 29 30 31 Address 1 2 8 9 15 16 22 23 29 30 Name 7 14 21 28 REGISTRATION FORM 3 4 5 6 10 11 12 13 17 18 19 20 24 25 26 27 #RP1606B R ESIDENTS Department of Ophthalmology, UT Southwestern Medical Center 3RD YEAR RESIDENTS 2ND YEAR RESIDENTS 1ST YEAR RESIDENTS KIM LE, M.D. CHRISTOPHER LEE, M.D. XIHUI LIN, M.D. ANDREW MCFARLAND, M.D. SEVERIN POULY, M.D., M.H.A. SATHYADEEPAK RAMESH, M.D. STEVEN REINECKE, M.D. VICTORIA STARKS, M.D. DAVID TRUONG, M.D. MOHAMED GUENENA, M.D. J. MINGYI HUANG, M.D. VLAD MATEI, M.D. SAGAR Y. PATEL, M.D. PETER RIRIE, M.D. ANDREW SIEGEL, M.D. CHRISTINE TAGAYUN, M.D., M.S. WILLIAM WALDROP, M.D. LINDA YANG, M.D. ROBERT BEAULIEU, M.D. BENJAMIN HADEN, M.D. BROCK HANSEN, M.D. COLETTE JACKSON, M.D. GRAHAM KUIZIN, M.D. ANNA KUPCHA, M.D. SHAAM MAHASNEH, M.D. LILIAN NGUYEN, M.D. SAGAR B. PATEL, M.D. Sponsored by: UT Southwestern Department of Ophthalmology and the Office of Continuing Medical Education