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Ask and ye shall receive - RNFL thinning 101 / Understanding Epiretinal Membranes & Important OCT Features

Date: 1/05/2024 (AEST)

Venue: Ground Floor, Boundary Court, 55 Little Edward St, Spring Hill, QLD, 4000

Provider: Queensland Eye & Retina Specialists

Contact: Emi Cheng, [E] emic@qers.com.au, [P] (07) 3555 5960

Activity Outline

This activity will be an in-person presentation at Queensland Eye & retina Specialists. The presenters of the night are Dr Dr Rajan S Patheja and Dr Nirosha Paramanathan.

Dr Rajan S Patheja will discuss epiretinal membranes and their important features on OCT, making the topic more understandable and approachable for referring optometrists. 

The key topics covered in the initial presentation and discussion will be; a clinical overview, relevant anatomy and pathogenesis, causes of epiretinal membranes, important OCT features, OCT staging and prognostication, a discussion of when to refer. There will be time for questions from the audience.

The second part of the activity will include a brief discussion of the surgical process including an actual surgical video of epiretinal membrane peeling. This will be followed by 15 rapid-fire clinical cases and OCTs with differing causes and pathologies.

The last part of the activity will comprise 10 multiple choice questions to consolidate the knowledge gained.

This will be an informative evening and will help referring optometrists to better understand the differences between the various types and grades of epiretinal membranes. This will be beneficial when they see such patients in their own practice and wish to educate patients prior to referral onwards to ophthalmology services.

Dr Nirosha Paramanathan will cover interpretation of OCT retinal nerve fibre layer thinning. She will explore how to differentiate between causes of the same.

Learning Objectives

  • Elaborate on what is meant by a ‘epiretinal membrane' and briefly discuss the understood pathogenesis with relation to the microanatomy of the macula
  • Understand the signs and symptoms of epiretinal membrane
  • Describe the causes of epiretinal membrane
  • Be able to identify the important OCT features of epiretinal membranes with relation to severity, staging and prognosis for operative success
  • Have an understanding of the Govetto Staging system for epiretinal membranes
  • Know when to refer to an ophthalmologist
  • Understand importance of a preoperative consent discussion and setting patient expectations.
  • Have a brief understanding of the surgery required to peel epiretinal membranes
  • Have had the opportunity to observe a surgical video of epiretinal membrane peeling.
  • Have had the opportunity to discuss 15 rapid-fire, real cases of epiretinal membrane patients
  • Understand the principles OCT RNFL interpretation
  • Become proficient in interpreting OCT RNFL thinning
  • Be able to correlate patterns of thinning with corresponding diagnoses
  • Know who to refer and how quickly

Max CPD hours awarded: 2.75

Session Information

Name
Ask and ye shall receive - RNFL thinning 101
Clinical?
Yes
Interactive?
Yes
Therapeutic?
No
Duration of CPD Session/Module
1
Duration of CPD Session/Module inclusive of Assessment Component
1.25
Name
Understanding Epiretinal Membranes & Important OCT Features
Clinical?
Yes
Interactive?
No
Therapeutic?
No
Duration of CPD Session/Module
1
Duration of CPD Session/Module inclusive of Assessment Component
1.5

Acknowledgement of Country

In the spirit of reconciliation Optometry Australia acknowledges the Traditional Custodians of country throughout Australia and their connections to land, sea and community. We pay our respects to their Elders past and present and extend that respect to all Aboriginal and Torres Strait Islander peoples today.