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PHARMACOLOGICAL PRESBYOPIA TREATMENT CONSENSUS STATEMENT: CLINICAL RECOMMENDATIONS FOR TODAY’S PRESBYOPIA PATIENT

By: Richard Lindstrom, MD; John P. Berdahl, MD; Derek N. Cunningham, OD, FAAO; Ian Benjamin Gaddie, OD, FAAO; Preeya K. Gupta, MD; Edward J. Holland, MD; Paul M. Karpecki, OD, FAAO; Cecelia Koetting, OD, FAAO; Sheri Rowen, MD; Jack L. Schaeffer, OD, FAAO; Gina M. Wesley, OD, MD, FAAO; Darrell E. White, MD; Elizabeth Yeu, MD

This course has expired. You can still review the content but course credit is no longer available.

Supplement Credits: 1.5

This continuing medical education (CME/CE) activity captures content from two roundtable discussions.

ACTIVITY DESCRIPTION
This supplement, captured from a delphi panel of expert key opinion leaders, provides consensus recommendations related to defining, diagnosing, and pharmacologically treating presbyopia.

This certified CME/CE activity is designed for optometrists and ophthalmologists who care for patients with presbyopia.

Expiration Date: Sunday, June 18, 2023
Release Date: June 18, 2021

Learning Objectives

Upon completion of this activity, the participant should be able to:

  • Define the ideal presbyopia patient for pharmacological treatment, including age ranges, refractive error levels, key demographics, and other clinical and socioeconomic parameters
  • Determine how to diagnose the pre-cataract presbyopia patient
  • Compare and contrast the advantages and disadvantages of the various pharmacological presbyopia treatments, including efficacy, safety, and functionality
  • Identify best practices on how to identify, communicate and educate the patient

Accreditation and Designation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Evolve Medical Education LLC (Evolve), and The Fundingsland Group. Evolve is accredited by the ACCME to provide continuing medical education for physicians.

Evolve designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Sponsored by:
Evolve is an approved COPE administrator. COPE Approved for 1.5 credit hours for optometrists.
Course Approval: 73004-AS
Activity Approval: 121991

Participation Method

In order to obtain credit, proceed through the program, complete the post-test, evaluation and submit for credit.

Course Viewing Requirements

Supported Browsers:
Internet Explorer 11 for Windows
Edge (recent versions; Chromium-based) for Windows
Google Chrome (recent versions) for Windows, Mac OS, iOS, Android, or Linux
Mozilla Firefox (recent versions) for Windows, Mac OS, iOS, Android, or Linux
Safari (recent versions) for Mac OSX, or iOS

Hardware Requirements:
4GB+ RAM
Recommended internet speed 5Mbps+

Faculty and Disclosures

Richard Lindstrom, MD

Program Director
Founder and Attending Surgeon
Minnesota Eye Consultants
Minneapolis, MN

John P. Berdahl, MD

Vance Thompson Vision 
Associate Professor of Ophthalmology
Sanford School of Medicine
Cataract, Refractive, Glaucoma and Corneal Surgeon
Sioux Falls, South Dakota

Derek N. Cunningham, OD, FAAO

Co-Founder and President
Sports Vision Pros LLC
Director of Optometry and Clinical Research
Dell Laser Consultants
Austin, TX

Ian Benjamin Gaddie, OD, FAAO

Owner and Director
Gaddie Eye Centers
Louisville, Kentucky

Preeya K. Gupta, MD

Founder and Director of Triangle Eye Consultants

Wake Forest and Cary, North Carolina

Edward J. Holland, MD

Professor of Ophthalmology
University of Cincinnati
Director of the Cornea Service
Cincinnati Eye institute
Cincinnati, Ohio

Paul M. Karpecki, OD, FAAO

Director of Cornea and External Disease
Kentucky Eye Institute
Lexington, Kentucky
Associate Professor
College of Optometry
University of Pikeville
Pikeville, Kentucky

Cecelia Koetting, OD, FAAO

Optometrist
Virginia Eye Consultants
Norfolk, Virginia

Sheri Rowen, MD

NVISION Eye Centers
Medical and Research Director
Newport Beach, California

Jack L. Schaeffer, OD, FAAO

Past President and Founder
Chief of Optometry
Schaeffer Eye Center
Birmingham, AL

Gina M. Wesley, OD, MD, FAAO

Optometrist
Complete Eye Care of Medina
Medina, Minnesota

Darrell E. White, MD

President and CEO
SkyVision Center
Westlake, Ohio

Elizabeth Yeu, MD

Virginia Eye Consultants
Medical Director, CVP Mid-Atlantic
Cornea, Cataract, External Disease, and Refractive Surgery
Assistant Professor, Department of Ophthalmology
Eastern Virginia Medical School
Norfolk, VA
 

DISCLOSURE POLICY
It is the policy of Evolve that faculty and other individuals who are in the position to control the content of this activity disclose any real or apparent conflicts of interest relating to the topics of this educational activity. Evolve has full policies in place that will identify and mitigate all conflicts of interest prior to this educational activity.

The following faculty/staff members have the following financial relationships with commercial interests:

Richard Lindstrom, MD, has had a financial agreement or affiliation during the past year with the following commercial interests in the form of Consultant: Acufocus, Aerie Pharmaceuticals, Alcon Vision, Allegro, Bausch Health, Johnson & Johnson Vision, Kala Pharmaceuticals, Imprimis, Surface Ophthamics, Novartis, and Ocular Therapeutix.

John P. Berdahl, MD, has had a financial agreement or affiliation during the past year with the following commercial interests in the form of Consultant: Aerie, Aerpio, Alcon, Allergan, Avedro, Aurea Medical, Bausch + Lomb, Carl Zeiss Meditec, CorneaGen, Dakota Lions Eye Bank, Equinox, Expert Opinion, Glaukos, Gore, Imprimis, iRenix, Iacta Pharmaceuticals, Johnson & Johnson Vision, Kala Pharmaceuticals, Kedalion, MELT Pharmaceuticals, MicroOptx, New World Medical, Ocular Surgical Data, Ocular Therapeutix, Omega Ophthalmic, Orasis, Oyster Point, RxSight, Sight Sciences, Surface Inc., Tarsus, Tear Clear, Vertex Ventures, ViaLase, Vittamed, Vance Thompson Vision, and Visionary Ventures. Speaker’s Bureau: Alcon, Allergan, and Glaukos. Stock/Shareholder: Carl Zeiss Meditec, CorneaGen, Equinox, Expert Opinion, Ocular Surgical Data, Omega Ophthalmic, Surface Inc, and Vance Thompson Vision. 

Derek N. Cunningham, OD, FAAO, has had a financial agreement or affiliation during the past year with the following commercial interests in the form of Consultant: Alcon Vision, Bausch + Lomb, Blephex, Eyevance, Johnson & Johnson Vision, Kala Pharmaceuticals, Novartis, Ocular Therapeutix, Orasis, and Sight Sciences.

Ian Benjamin Gaddie, OD, FAAO, has had a financial agreement or affiliation during the past year with the following commercial interests in the form of Consultant: Allergan and Orasis. Speaker’s Bureau: Aerie Pharmaceuticals, Allergan, and Bausch + Lomb. Stock/Shareholder: Orasis.

Preeya K. Gupta, MD, has no financial agreements with commercial interests.

Edward J. Holland, MD, has had a financial agreement or affiliation during the past year with the following commercial interests in the form of Consultant: Abingworth, Aerie Pharmaceuticals, Akros Pharma, Alcon Vision, Aldeyra Therapeutics, Allegro, Allergan, Azura Ophthalmics, BlephEx, BRIM biotech, Carl Zeiss Meditec, Claris Bio, Corneat, CorneaGen, Dompé, Expert Opinion, Eye Point Pharmaceuticals, Glaukos, Hanall, Invirsa, Kala Pharmaceuticals, Mati Therapeutics, Merck, Novartis NIBR, Novartis, Ocular Therapeutix, Ocuphire, Omeros, Oyster Point Pharma, Precise Bio, Prometic Biotherapeutics, ReGentree, Retear, Senju, Shire, Sight Sciences, Slack, Tarsus, TearLab Research, Vomaris, and W.L. Gore and Associates. Grant/Research Support: Alcon Vision, Mati Therapeutics, Novartis, Omeros, Senju, and Shire. Speaker’s Bureau: Alcon Vision, Novartis, Omeros, Senju, and Shire.

Paul M. Karpecki, OD, FAAO, has had a financial agreement or affiliation during the past year with the following commercial interests in the form of Consultant: Allergan/AbbVie, Eyenovia, Ocuphire, and Orasis. Stock/Shareholder: Ocuphire and Orasis.

Cecelia Koetting, OD, FAAO, has had a financial agreement or affiliation during the past year with the following commercial interests in the form of Consultant: Glaukos, Orasis, and Oyster Point. Speaker’s Bureau: RVL.

Sheri Rowen, MD, has had a financial agreement or affiliation during the past year with the following commercial interests in the form of Consultant and Speaker’s Bureau: Alcon Vision, Allergan, Azura, Bausch + Lomb, and Orasis. Grant/Research Support: Alcon Vision. Share/Stockholder: Orasis.

Jack L. Schaeffer, OD, FAAO, has had a financial agreement or affiliation during the past year with the following commercial interests in the form of Consultant: Allergan, Mati Therapeutics, Orasis, and Visus. Speaker’s Bureau: Alcon Vision, Allergan, Bausch + Lomb, Mati Therapeutics, Novartis, and Precipt. Stock/Shareholder: Mati Therapeutics, Orasis, Precipt, and Tearfilm.

Gina M. Wesley, OD, MD, FAAO, has had a financial agreement or affiliation during the past year with the following commercial interests in the form of Consultant: Bausch + Lomb and Orasis. Grant/Research Support: Alcon Vision, Coopervision, and Johnson & Johnson Vision. Stock/Shareholder: Bausch + Lomb.

Darrell E. White, MD, has had a financial agreement or affiliation during the past year with the following commercial interest in the form of Consultant and Stock/Shareholder: Orasis.

Elizabeth Yeu, MD, has had a financial agreement or affiliation during the past year with the following commercial interests in the form of Consultant: Alcon Vision, Allergan, Avedro, Bausch + Lomb, BioTissue, Beaver Visitec, BlephEx, Bruder, CorneaGen, Dompé, Expert Opinion, EyePoint Pharmaceuticals, Guidepoint, Johnson & Johnson Vision, Kala Pharmaceuticals, LENSAE, Merck, Mynosys, Novartis, Ocular Science, Ocular Therapeutix, Ocusoft, Omeros, Oyster Point Pharma, Science Based Health, Shire, Sight Sciences, Sun Pharma, Surface, Thea, Tarsus, TopCon, TearLab, Visus Therapeutics, and Zeiss. Grant/Research Support: Alcon Vision, BioTissue, Ocular Science, TopCon, and TearLab. Stock/Shareholder: BlephEx, CorneaGen, Melt, Ocular Science, Oyster Point Pharma, and Tarsus.

The staff and planners from Evolve and The Fundingsland Group have no financial relationships with commercial interests. Steve Lenier, writer, and Nisha Mukherjee, MD, peer reviewer, have no financial relationships with commercial interests.

Disclaimer

OFF-LABEL STATEMENT
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The opinions expressed in the educational activity are those of the faculty. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

DISCLAIMER
The views and opinions expressed in this educational activity are those of the faculty and do not necessarily represent the views of Evolve, The Fundingsland Group, Cataract & Refractive Surgery Today, Modern Optometry, or Orasis Pharmaceuticals.

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