Cole Eye Institute - Cleveland Clinic

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Vision First Program: Free Screenings for Public School Children A pioneering collaboration between the Cole Eye Institute, the Cleveland Browns and the Cleveland Municipal School District helps bring free vision screenings to kindergarten and first-grade pupils on the Vision First van. The program was conceived by the mayor of Cleveland and Dr. Hilel Lewis, Chairman of the Cole Eye Institute, to identify early, current and treat pediatric eye diseases in children attending the Cleveland Public Schools. In 2007, the Cleveland Browns became the Vision First van’s sponsor, helping expand the six-year-old Vision First program’s offerings to include free glasses for children who need them and visits from players to get students excited about wearing glasses and encourage them to invest time in their studies. Each year, the program screens more than 6,000 children at 88 elementary schools. The Vision First van is staffed by Elias I. Traboulsi, MD, head of pediatric ophthalmology at the Cole Eye Institute, program medical director, Heather Cimino, OD, and Rhonda Wilson, an ophthalmic technician. Together, they assess the need for glasses as well as test depth perception, the ability to use both eyes fully, color perception and eye muscle strength on each student whose parents return a signed permission slip. The van is fully equipped to perform complete eye exams – and because the program is designed for young children, it features a system that lets the staff use letters, numbers and even pictures in the exam. Video cartoons are another kid-friendly tool used, and plenty of stickers are handed out as rewards. This program is important because childhood vision problems, such as amblyopia, are treatable if caught early enough – but can damage vision permanently if left untreated. Also, the earlier students who need glasses get them, the sooner they can start doing better in school. 2007 Key Statistics Total Clinic Visits 147,003 Total Surgical Procedures 7,717 Total Surgeries 5,016 Total Cataract Procedures 2,543 Total Cornea Procedures 252 Total Glaucoma Procedures 303 Total Retina Procedures 3,464 Total Oncology Procedures 1,091 Total Oculoplastic Procedures 1,395 Total Strabismus Procedures 474 Total Refractive Procedures 1,541 Total Laser Procedures 1,368 Total Intraocular Drug Therapies 1,907 Outcomes 2007 6
Cataract Surgery 7 Complications during Cataract Surgery Cataract surgery is the most commonly performed surgical procedure in ophthalmology, thus representing a significant proportion of the operations performed at the Cole Eye Institute. From January 2006 through September 2007, a total of 2,412 cataract extraction surgeries were performed. Many of these surgeries were completed as part of a combined surgical procedure in conjunction with cornea, glaucoma or retinal surgeries, the results of which are included in those sections of this report. In this section, the results of cataract surgeries performed as a single procedure are described. N = 2,412 Complications during Cataract Surgery 10000 8000 6000 4000 2000 0 Postoperative Complications 1.5% Posterior Capsule Tear 0.8% Zonular Dialysis 0.1% Iris Trauma 97.6% None Intraoperative complications of cataract surgery were uncommon, occurring in only 2.4 percent of patients. The most common complication was a loss of lens capsule integrity due to either a rupture of the posterior capsule or zonular dialysis, with or without prolapse of vitreous into the anterior segment. N = 1,644 1.6% Cystoid Macular Edema 0.4% Epiretinal Membrane 0.1% Retinal Detachment 0.1% Vitreous Hemorrhage 97.8% None Postoperative complications were also rare, occurring in 2.2 percent of patients. Cystoid macular edema was the most common complication; it was observed in 1.6 percent of patients. Other postoperative complications included epiretinal membrane, retinal detachment and vitreous hemorrhage. Reoperation for one or more of these complications was required in 0.4 percent of patients. Cole Eye Institute
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Page 5 and 6: what’s inside Chairman’s Letter
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Page 19 and 20: Ocular Oncology Surgery A melanoma
Page 21 and 22: Refractive Surgery 100 Outcomes 80
Page 23 and 24: Vitreoretinal Surgery 60 50 The vit
Page 25 and 26: An analysis of intraoperative compl
Page 27 and 28: Surgical Outcome for Adults N=151 1
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Page 31 and 32: Advanced Corneal Imaging Sheds Ligh
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Cole Eye Institute - Cleveland Clinic

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