Allergan Latin American Research Incentive Award in Cornea
in conjunction with
The Pan-American Cornea Society and Pan-American Research Day
May 2, 2015
January 2014
A pioneer initiative by Allergan to create an exclusive award for Latin America, with the objective of recognizing
and awarding investigators for their research work aimed at increasing the diagnosis of Cornea and External
Diseases, assessing its risk factors, and improving its control in the region.
Submission deadline - April 1, 2015
Submit all requested materials to https://www.hightail.com/u/PAAO-PAOF. Write "Allergan PanCornea Award
Submission" in the subject line. The winning papers will be presented at the Pan-American Research Day on May
2, 2015.
Award
As an ophthalmology partner, Allergan aims to foster scientific research in Cornea in Latin America. Papers will
be evaluated by a jury panel composed of recognized specialists in the field from PanCornea.
One (1) paper will be selected for the Award in risk factors, diagnosis or pathophysiology of Cornea and External
Diseases.
 Award .......... US$5,000
Timeline
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Deadline - Submission of Papers ................ April 1, 2015
Judging ........................................ April 1 - April 11, 2015
Award Ceremony ..................... 5:30 pm on May 2, 2015
Eligibility
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Scientific papers or posters accepted for ARVO 2015
Candidates shall have earned a Medical degree by the deadline for submitting studies
The first author will be the representative of the paper in the event it wins an award
The first author should be from Latin America and be affiliated with a Latin American institution. The
study, however, may be done in other centers.
An additional point will be added to the final score for studies performed in Latin American institutions.
Submission Criteria
Papers to be submitted shall comply with all the following requisites:
1. Submission form duly filled out and signed (personal data, address, information about the paper)
2. Digital photo of the author (taken within the past year), in either 3x4 or 5x7 format
3. Letter of acknowledgment issued by each member of the study recognizing the main author of the
paper, for purposes of receiving the reward
4. Statement declaring that the paper has not been published
5. Resume/CV of the main author
6. Copy of the main author's diploma
7. Abstract, containing: title, authors, descriptive summary and conclusions. Size: 1 page. In English
8. Text, containing: title, authors, introduction, methods, results, discussion/comments, conclusions and
references (*). In English.
Submit all materials to https://www.hightail.com/u/PAAO-PAOF, with “Allergan PanCornea Award Submission”
in the subject line.
* Standard size complying with the standard defined by the organizing committee (8.5x11, 1 inch margins,
double spaced). Follow the publishing instructions of the American Journal of Ophthalmology.
Evaluation Criteria
The evaluation of papers will follow a specific breakdown that will be reviewed by each member of the jury
panel.
 Evaluation breakdown
o Clinical contribution .......... 40%
o Originality .......................... 40%
o Discussion .......................... 20%
 Scores for each item in the evaluation breakdown will be attributed according to a 0-10 point scale,
where 10 represents the maximum score. An additional point will be added to those studies performed
in Latin America institutions.
 The final score will compromise the simple average of all scores attributed by each member on the jury
panel to the paper.
Judging
Victor L. Perez MD (USA), Committee Coordinator and President of the Pan-American Cornea Society
(PanCornea) and Juan Carlos Abad MD (Argentina), Vice President of PanCornea.
 All scores will be shared among the jury members prior to divulging the respective winners.
 The jury panel has absolute power in deciding the award winners.
 Only the names of the award-winning papers will be divulged. The scores obtained by the papers,
whether award-winning or not, will not be divulged.
 Allergan has no role in the selection or judging of winners.
Award Ceremony
The winners will participate in the scientific program of the Pan-American Research Day, presenting their
papers. The winners will participate in the Awards Ceremony that will take place at 5:30 pm on Saturday May 2,
2015 at the SHERATON DENVER DOWNTOWN Hotel, Denver, Colorado USA, one day prior to ARVO 2015.
Pan-American Ophthalmological Foundation
2015 Allergan Latin American Research Incentive Award in Cornea
Application Form
Receipt Deadline: April 1, 2015
Type all Information
PAAO ID:
(please contact PAAO Office if you don’t know your membership ID number)
Name of Applicant/Main Author:
First Name, Middle Initial, Last Name (s)
Degree(s)
MD, PhD
Mailing Address:
City:
State/Providence:
Country:
Zip:
Office Phone: (
)
Fax Number: (
Home Phone: (
)
Birth Date:
/
mm
Email:
ARVO Acceptance/Event code:
Title of work accepted for presentation at ARVO:
Abstract (same as appears on ARVO webpage)
Citizenship:
)
/
dd
yyyy
Pan-American Ophthalmological Foundation
2015 Allergan Latin American Research Incentive Award in Cornea
Application Form
Receipt Deadline: April 1, 2015
APPLICATION MATERIALS:
1. Submission form duly filled out and signed (personal data, address, information about the
paper)
2. Digital photo of the author (taken within the past year), in either 3x4 or 5x7 format
3. Letter of acknowledgment issued by each member of the study recognizing the main author of
the paper, for purposes of receiving the reward
4. Statement declaring that the paper has not been published
5. Resume/CV of the main author
6. Copy of the main author's diploma
7. Abstract, containing: title, authors, descriptive summary and conclusions. Size: 1 page. In
English
8. Text, containing: title, authors, introduction, methods, results, discussion/comments, conclusions
and references (*). In English.
Submit all materials to https://www.hightail.com/u/PAAO-PAOF, with “Allergan PanCornea Award
Submission” in the subject line.
* Standard size complying with the standard defined by the organizing committee (8.5x11, 1 inch
margins, double spaced). Follow the publishing instructions of the American Journal of Ophthalmology.
APPLICANT AGREEMENT
I have read and accepted the above terms and responsibilities for the Allergan Latin American Research
Incentive Award in Cornea.
(A) I understand that noncompliance will be grounds for termination of the award.
(B) I assume entire responsibility and hereby agree to protect, indemnify, defend, and save the PanAmerican Ophthalmological Foundation (PAOF) and the Pan-American Association of Ophthalmology
(PAAO) and their employees and agents, harmless against all claims, losses and damages to persons or
property, governmental charges, or fines and attorney’s fees arising out of or caused by my participation
in the Allergan Latin American Research Incentive Award in Cornea program.
Applicant’s Signature:
Date
Disclaimer: Employees of the Pan-American Association of Ophthalmology (PAAO), Pan-American Ophthalmological Foundation (PAOF), members of the PAAO Executive Committee, members of the PAOF Board of Directors, their
immediate family members and members of the same household, whether related or not, are not eligible to apply for scholarship/fellowship funding. All scholarships are subject to federal laws and regulations and are void where prohibited
by law or regulation. Applicants agree to abide by the terms of these official rules and by decisions of the Review Committee which are final and binding on all matters pertaining to the scholarship/fellowship. The PAAO & PAOF reserve the
right to disqualify any applicant that they determine, in their sole discretion, to be ineligible to participate in the scholarship/fellowship program. Individuals who have previously received scholarship/fellowship funding are ineligible to apply
for additional scholarships/fellowships/funding.