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April 2018

SPECIAL FEATURE: RANZCO

SPECIAL FEATURE: RANZCO 2018 What’s on in Auckland in May… As well as being home to some of the country’s top restaurants, bars and tourist attractions, Auckland, the city of sails, hosts a plethora of events throughout the year. Here’s our pick of just a few on offer in May for those attending the 2018 RANZCO NZ conference who want to make a little more of their stay. Body Worlds exhibition 23 April to 13 July, the Hilton Hotel https://www.bodyworldsvital.com The highly anticipated and internationally acclaimed original exhibition of real human bodies is being hosted by the same venue as RANZCO NZ 2018, the Hilton Hotel. Visited by more than 45 million people worldwide, the exhibition takes you on an intricate journey of the workings of the human body, through an authentic, visual display of over 150 donated specimens. The human bodies and body parts, donated for the benefit of public education, have gone through a meticulous year-long process of plastination, and Evolve ® Hypromellose 0.3% For Moderate Dry Eye Evolve ® Carmellose 0.5% Evolve ® HA - Sodium Hyaluronate 0.2% Evolve ® Eyelid Wipes For Mild Dry Eye For Severe Dry Eye 14 NEW ZEALAND OPTICS April 2018 For Daily Eyelid Hygiene SWITCH TODAY! Corneal Lens Corporation sales@corneal-lens.co.nz (03) 366 6247 visually demonstrate the complexity, resilience and vulnerability of the human body in distress, disease and optimal health. World of Wine Festival 12-13 May, AUT’s City Campus, opposite Auckland Art Gallery https://theworldofwinefestival.nz/ New Zealand’s newest wine festival, is our first to showcase purely international wines, designed to open Kiwi sauvignon blanc drinkers’ eyes to new producers, wineries, grapes, regions and styles. The Auckland University of Technology’s (AUT’s) Tasting Hall will play host to more than 130 wines from 13 countries and a revolving wine bar. The weekend also includes master classes and special events, such as the Mas Daumas Gassac vertical tasting, when the Southern French winery’s head wine-maker Samuel Guibert, will host a multi-vintage tasting of the company’s legendary Grand Vin Blanc and Rouge wines. Mrs Warren’s Profession 1 – 16 May, ASB Waterfront theatre, Wynyard Quarter https://www.atc.co.nz/aucklandtheatre-company/2017-18/mrs-warrensprofession/ When Vivie discovers that her expensive education was funded by her mother’s earnings from a string of brothels, Vivie’s thoroughly modern worldview is thrown into tumult. Written in 1893, George Bernard Shaw’s play was originally banned by the censors for its subject matter and the hypocrisies it exposed. What continues to shock is how old taboos stay topical and how little things have changed. Celebrated New Zealand theatremaker Eleanor Bishop returns from New York to direct her own version of this rarely-performed classic that takes a Radiant Health & Bausch+Lomb Bausch + Lomb (B+L) is excited to announce the launch of the next generation Stellaris Elite phaco system with ‘adaptive fluidics’. Join us at the Radiant Health and Bausch+Lomb stand at RANZCO NZ where we will be showcasing Stellaris Elite, and find out about other new products B+L will have for 2018, especially in the VR segment. We will also be demonstrating Finevision trifocal and enVista IOLs. Stem cells restore sight Two patients with severe wet AMD, implanted with a speciallyengineered retinal pigment epithelium cells patch, derived from stem cells, have regained their reading vision in a ground-breaking clinical study at Moorfields Eye Hospital in London. The study investigated whether the diseased cells at the back of the patients’ affected eye could be replenished using the stem cell-based patch. The patients were monitored for 12 months and went from not being able to read at all to reading with normal reading glasses. The study, published in Nature Biotech, is a major milestone for the London Project to Cure Blindness, a partnership between Professor Pete Coffey from University College London and Professor Lyndon da Cruz, a Moorfields retinal surgeon. contemporary lens to centuriesold questions of sexuality and empowerment. ‘Let me be myself’ – the story of Anne Frank 9 Feb to 13 May, Auckland Museum http://www.aucklandmuseum.com/ visit/exhibitions/let-me-be-myself Developed by Anne Frank House in Amsterdam, this international exhibition ‘Let Me Be Myself’ explores what life was like for Anne Frank and her family, looks at the events surrounding the Holocaust and the rise of the Nazi Party in Germany and explores identity, prejudice, exclusion and discrimination. Best Comedy Show on Earth 13 May, Sky City https://www.skycityauckland.co.nz/ whats-on/theatre/best-comedyshow-on-earth/ Ten comedians, 100s of jokes and thousands of laughs, get a sneak peak of the Auckland Comedy Fest’s brightest stars and freshest talent in this fast-paced stand-up showcase, billed as having something to suit everyone. Dans le Noir? Dining in the dark Thursday, Friday and Saturday, from 6:30pm to 7:30pm, Rydges Hotel https://www.rydges.com/accommodation/newzealand/auckland/eat-drink/dans-le-noir-rydges/ Presented by Auckland’s Rydges Hotel and the Blind Foundation, Dans le Noir is a unique, sensory dining experience where patrons eat in complete darkness, guided and served by low vision or blind people. More than 1.3 million people have already lived this experience worldwide. Organisers say Swept Source OCT Angiography RA:28042016/CS The internationally-acclaimed ‘Body Worlds’ exhibition also at the Hilton Jennifer Ward-Lealand stars in Mrs Warren’s Profession DRI OCT Triton Plus Multi-Modal Imaging OCT-1Triton First combined anterior and posterior swept source Extremely fast scanning speed DRI 100,000 A/Scans secondSeries Retinal Journal 1021r1.indd 1 Swept Source OCT now with 1050nm OCT invisible wavelengths Angiography penetrates Cataracts and Haemorrhages See. Discover. Explore. Feeder vessels in a CNV with GA OCT Angiography image taken with a Topcon OCT Triton Courtesy OCT of Dr. Angiography Carl Glittenberg, MD image Karl Lansteiner taken Institute with for a Topcon Retinal Research OCT and Triton Imaging Courtesy of Dr. Carl Glittenberg, MD Karl Lansteiner Institute for Retinal Research and Imaging The Topcon Swept Source DRI OCT-1 Triton Series 1 features a 1 micron, 1050nm light source with a scanning speed of 100,000 A Scans/Sec., providing multi-modal fundus imaging.The DRI OCT-1 Model Triton rapidly penetrates all ocular tissue without being obscured by media opacity or NZ hemorrhage. ) 0508 See you DEVICE at AAO Booth (338 3732. 423) sales@device.co.nz www.device.co.nz Color FA FAF OCT-A 1. Not for sale in the US. For more information visit, newsgram.topconmedical.com/tritonangexport DRI OCT-1Trito Swept Source OCT now with OC See. Discover. Exp Feeder vessels in a CNV with GA Auckland plays host to NZ’s first international wine show in May a full immersion in this sensual dining adventure will impress you as a once in a lifetime experience. OCT Ang Courtesy of Dr. Carl Glittenberg, MD Karl Lans The Topcon Swept Source DRI OCT-1 Triton Series 1 source with a scanning speed of 100,000 A Scans/ imaging.The DRI OCT-1 Model Triton rapidly penetrates all ocular tiss media opacity or hemorrhage. See you at AAO Booth 3732. Color FA FAF OCT-A 1. Not for sale in the US. For more information visit, newsgram.topconmedical.com/tritonangexport

ONZ: Ophthalmology with one voice BY MOIRA MCINERNEY, ONZ EXECUTIVE DIRECTOR The board of ONZ is delighted to announce that we have welcomed many new members to the organisation over the last four months. With 85 members, ONZ truly represents the majority of ophthalmologists in New Zealand. This growth in membership is due to two factors, a more visible profile and a wish on behalf of ophthalmology to speak with one voice on current affairs. With this voice, ONZ can unite our ophthalmologists, giving them the tools and techniques to deal with the many commercial issues in their field. This initiative is never more important than now with ophthalmologists facing many challenges in funding in both the private and public sectors. As their central representative body, we are forging relationships with providers and advisors. We are fortunate to have great resources on the board, but more importantly amongst our members. Let us not succumb to the Kiwi “she’ll be right” attitude, evidenced elsewhere, such as Auckland traffic and Hawke’s Bay water, two prime examples of poor leadership and planning. ONZ’s role to represent ophthalmologists and their patients’ interests can already be seen in our lobbying of insurers for the Xen implant, MIGs in general and Ozurdex. We have worked within the board but also had great engagement from Sonya Bennett to move a plan and direction forward, in a coordinated fashion, for funders to come to the party on technology for glaucoma care. Another example, with thanks to Rebecca Stack, is our support and facilitation of the Clinical Leaders Forum on 27 March in Wellington. Plus, there is our Business Forum, ‘The Other Matters’ (see below), which will run just after the RANZCO NZ Branch meeting in May in Auckland. We will be asking members to help us coordinate our efforts over the next few weeks by way of information and thoughts, but also by directing general, non-contract insurance queries to ONZ. This will help ophthalmologists to speak with one voice on behalf of all our members, old and new. We also expect to increase our presence at meetings and via email to let you all know we are now working in a unified fashion to amplify the voice of concerned New Zealand ophthalmologists. ONZ: The Other Matters This year, in an attempt to ensure more members can attend, we will hold our ONZ Business Forum on Saturday 12 May, from 5pm to 7 pm at the Hilton, directly following the RANZCO NZ Branch meeting. Please join us for this event and drinks afterwards. Invites will be issued shortly or see our website for information. Finally, ONZ is helping to find placements for the RANZCO-sponsored ophthalmology leadership programme. If you are interested, or know of someone who is interested, please email us at admin@ophthalmologynz. co.nz. RANZCO to run Foundation The Royal Australian and New Zealand College of Ophthalmologists (RANZCO) has wound up its charitable arm, the Eye Surgeons’ Foundation (ESF) as a separate legal entity and will run its own version, together the administration of its research arm, the Ophthalmic Research Institute of Australia (ORIA) in-house to save costs. The ESF had been operating for 15 years to raise money to support medical research and sustainable development projects across the Asia-Pacific region. “In recent years the pressures of an increasingly competitive charity sector have meant that it has been difficult to build a sustainable fundraising base to meet the costs of a standalone charitable organisation,” said Dr David Andrews, RANZCO CEO. “It was clear, therefore, that changes to the organisational model were required to ensure that the support provided by ESF fundraising could be continued.” The ESF Board decided to wind up ESF on 30 September 2017 and made their final distribution of funds to international development projects. To ensure the ESF legacy continues, however, the majority of its functions are being taken in-house where the running costs can be reduced, said Dr Andrews. New worm found in eye A new species of parasitic nematode has now been identified in three previously healthy, relatively young residents of Saipan, the largest island of the USmanaged Northern Mariana Islands in the Pacific. According to a case report published by the Marianas Eye Institute in the American Journal of Ophthalmology, the three patients, identified over a 20-year period, all had the same unidentified worm in their eyes, causing corneal opacification, conjunctival injection and uveitis. “This is a fascinating series of cases,” said Dr David Khorram, the co-founder and prior ophthalmologist at Marianas Eye Institute. “When the first patient came into us in 1997 with a live worm in their eye, we knew we were seeing something never seen before. We weren’t sure what to do. We tried removing the worm which didn’t work; we tried killing the worm with a laser, but it didn’t die. Finally, with the help of Dr Stephen Gee in Hawaii, a special technique was used to successfully extract the worm.” The first worm was handed to a pathologist for analysis and identification, but was lost, while the second worm to be found (some years later) was removed, but was not intact and could RANZCO is now looking to appoint a new “Foundation committee”, including representatives from its indigenous and international development committees, the ORIA Board and Save Sight Society NZ and RANZCO fellows interested in philanthropy and education, to run an in-house version, which can continue to raise funds for education and research. RANZCO will be able to accept donations from Australian members directly or from New Zealand members through the NZ Branch, though not from the public, except as bequests. The donations will be used to fund early stage research through ORIA, and education programmes. ORIA ORIA will also be administered in-house by RANZCO following the retirement of executive officer Anne Dunn-Snape last year, after 15 years in the role, and a request by ORIA’s board. Unlike the situation with ESF, ORIA remains a separate legal entity, though much of the day-to-day administration will now be run by RANZCO staff, again providing reduced overheads for ORIA and maximising the benefit that can be achieved with the available funds, explained Dr Andrews. The ORIA Board will, however, continue to manage the research organisation and set its direction and strategic priorities. not be successfully analysed or identified. The third and final case was identified in 2008. The worm was removed intact and sent for analysis Intrastromal haze and poorly visible worm inferiorly (circled) and identification to the Armed Forces Institute of Pathology in Washington, DC, and was found to be a completely new parasite. The published case report describes the details of each of the three cases, showing that each worm was an isolated finding, with no other worms found in other parts of the body. All the patients were young and healthy. It is not known how the worm entered the eye, but it is speculated that it was probably introduced through an insect bite and grew within the body, migrating to the cornea, said Dr Khorram. “Although these are the first three reported cases in the world, now that doctors know that a tiny worm can live in the cornea, we are certain that more cases will be found.” Future clinical findings regarding this newly described nematode are needed to further develop understanding of the disease, he added. Imaging ultra-wide without compromise. ZEISS HD Ultra-widefield ZEISS CLARUS 500 Colour. Clarity. Comfort. Designed for a comfortable patient experience, the ZEISS CLARUS 500 is the only fundus imaging system that combines True Colour and highresolution 7 micron images within a 200-degree ultra-wide field of view. Visit www.zeiss.com/clarus // INNOVATION MADE BY ZEISS ZEISS NZ: 0800 334 353 med.au@zeiss.com April 2018 NEW ZEALAND OPTICS 15