Eye to AAOS A PUBLICATION OF THE ASIAN AMERICAN OPTOMETRIC SOCIETY Volume 5, Issue 4: Eye to AAOS
Winter 2013
President’s Message: Dr. Shawn Yamamoto Happy Holidays! Time for binge diets followed by massive overeating, careless spending and being thankful for what we have. It’s that time of year where we all start to look back at the year we’ve had and what we plan to accomplish for the upcoming year. I know I am thankful for all the hard work and accomplishments this board has put in for this year. We had about 16 hours of free CE events for the year along with some great raffle prizes that helped us raise almost $4,000 for the Blind Children’s Learning Center. Not only did we have these chari-
table, educational events, but we tried to make them as fun and interesting as possible for our members. We hope you enjoyed the food trucks after the events where members got to hang around a little bit and just eat and socialize; the Dave & Buster’s venue; and the Clipper/Thunder game, which was a good one. So, Jeff, Kenny, Andy, John, Christie, Ray, Jason, Cindy, Michelle, Kristal, Stayce, Long, Aaron, Greg and Mark and Judy, thank you from the bottom of my heart for volunteering your time and dedication. Jeff, who will be the president next year and who I know will do an excellent job,
will be in good hands with this group. Lastly, we hope that you all can make it out to our install banquet at the Long Beach Aquarium. It should be another great event. Normally, this is just a social event but as requested by most members, UPCOMING EVENTS: we are going to try and add **************** some CE hours. So, come enjoy private access to the Long DON’T MISS THE AAOS Beach Aquarium and learn a 2014 NSTALLATION BANQUET little optometry and of course AT THE AQUARIUM OF THE eat and drink merrily. PACIFIC! My New Year’s resolution, aside from shedding a few SATURDAY pounds, is to make this AAOS JANUARY 11, 2014 golf tournament happen one way or the other. See you RSVP NOW there! DETAILS INSIDE
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Inside this issue: RECAP OF THE 2013 TAKAO SHISHINO SYMPO-
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SIUM
OUR NEW YEAR’S RESOLUTIONS
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MACULAR DYSTROPHIES BY DR. LIAO OF RETINA- VITREOUS ASSOCIATES
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VOLUNTEER OPPORTUNITIES TZU CHI VISION MOBLILE CLINIC SPONSORS
VISIT OUR WEBSITE! WWW.AAOSOCIETY.ORG
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AAOS PLATINUM SPONSOR
AAOS Board Directory PRESIDENT: Shawn Yamamoto, O.D. 562.595.5662 yamay33@gmail.com
FINANCE: Kenny Fukuda, O.D. 714.403.1395 kfukudaod@gmail.com
WESTERN UNIVERSITY LIASON: Ray Maeda, O.D., FAAO 909.706.3851 rmaeda@western.edu
TRUSTEES (cont.):
PRESIDENT ELECT: Jeff Nishi, O.D. 818.243.1300 Jeffreynishi.od@gmail.com
EDUC. & RESEARCH John Lee, O.D., FAAO 714.992.7837 jlee@scco.edu
SOCIAL MEDIA DIRECTOR: Jason Lam, O.D. 805.870.5261 jlamod@gmail.com
Long Tran, O.D., FAAO 949.929.8129 drlongtran@gmail.com
IMMED. PAST PRESIDENT: Kristal Kawamoto, O.D. 818.642.3803 k_kawamoto15@ yahoo.com
MEMBERSHIP Cindy Wang, O.D. 626.441.5300 cindywangod@ yahoo.com
ADMINISTRATIVE ASST: Michelle Okabe mishokabe555@yahoo.com
SOCIAL EVENTS: Andy Kongsakul, O.D. 818.774.2020 akongsakul@gmail.com
PUBLICATIONS Christie Chan, O.D., FAAO 714.992.4737 cchan2020@yahoo.com
TRUSTEES: Greg Kame, O.D., FAAO 213.628.7419 drkame@aol.com
Stacey Gin, O.D., FAAO 714.308.5036 stacygin@gmail.com
Judy Tong, O.D., FAAO 714.343.9044 jtong@scco.edu Mark Sawamura, O.D., FAAO 714.449.7407 msawamura@scco.edu Aaron Sako, O.D. 949.586.8200 aaronsako@yahoo.com
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2013 Takao Shishino Education Symposium year, you would have accumulated 15 hours of continuing education. We’re already planning for next year with new One hundred and twenty five of you speakers and new topics. Not only that, joined us for our annual Takao Shishino we’re starting off the year with 2 hours Educational Symposium on August 18th of CE at our installation banquet includat the Sheraton Cerritos Hotel to hear topics including pharmacology, glaucoma ing valuable information on billing and and keratoconus. We had great speak- coding. This will propel us to providing you with, hopefully, 17 hours of CE next ers and as always, great turnout from year. We are hopeful we can do that. our members. Hi everyone,
Five hours of continuing education credits were awarded to those who attended. A hot breakfast was provided and if you stayed for lunch after, the Koji truck dropped by and provided a nice end to our event. As usual, we raffled off some nice prizes. 100% of the proceeds went to charity. If you attended all of our events this
I truly believe this is one of the greatest benefits of being a member of AAOS as our membership dues have remained the same for the past few years. So I hope that you all get a chance to thank our sponsors who partially fund our events to keep our CE free for members. Here are some photos from our Takao Shishino Education Symposium. I hope to see you at a future CE. J.Lee
Volume 5, Issue 4: Eye to AAOS
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The Board Members Make New Year’s Resolutions Social Media Director: Dr. Jason Lam I have been lucky this year as I was able to keep my New Year’s resolution. In the spirit of making a New Year’s resolution that I can keep, I vow this next year will be my most physical-
ly active year. I will venture into the is, of course, if I have enough money to forest, ride the waves, jump out of do so, which on an optometry budget is moving object, ride on two wheels probably a stretch. down the coast, and just go out and experience what life has to offer. This
Finance: Dr. Kenneth Fukuda My New Year ‘s Resolution? I propose have in life. Life is too short to work and I’m especially appreciative that to be more appreciative of what I have too hard and not give recognition to UCLA has made it 2 years in a row in life. Family, friends and all else I the things that really matter in life! Oh, over USC! :o)
Membership Director: Dr. Cindy Wang Seasons Greetings, everyone! Hope you're enjoying the holidays so far. Like many, I always look forward to this time of year when we all slow down and spend time with those we love. It's also a reminder to reflect on
the past year and look forward to what the new year has in store. I have always been mindful of making resolutions each year, and every year the overlying theme is the same: to be open to where God leads, but to place
as a priority the people who surround me. One of these days, I'll have a new resolution, but for now, this will be it for 2014. Happy Holidays!
Trustee: Dr. Mark Sawamura My New Year’s resolution: Learn a new ing. OK. Let’s look that up…. word every day. Day one: Twerk.. ….Alright…..time to come up with a
new resolution…...
Education and Research Chair: Dr. John Lee My New Year’s resolution: Remember my New Year’s resolution on January 2. I have a tendency to forget and not do it. Plus, it’s probably not attainable. I guess this time, I will try to be more organized and less chaotic. Probably not going to happen. How about, slowing down and appreciating what life has to offer...until you get stopped at every red light and slowing down just sucks. Should I eat healthier? I should have a smoothie everyday with something green in it like kale or spinach in that Vitamix I bought from QVC , in place of a meal. Or play with that new Keurig Vue I bought also from QVC. Or stop playing Plant Ver-
sus Zombies 2. Or finally run that half marathon at Disneyland. Or see a movie before it hits network television. Or learn Spanish. Or learn to play the piano again. Fix things around the house… like finally throwing away that empty box that has been sitting in my garage for ten years. Read a journal article so I know what the AREDS 2 formula is. Finally writing that rock opera, screenplay, and book of poetry I said I would finish by age 20. Get a master’s degree. Have an element named after me. Discover a new form of life. Travel to exotic lands like Tustin and Costa Mesa. Eat at the new Din Tai Fung at the Americana or South Coast
Plaza. Try new foods. Read a book...any book. Meet new people. Drink less coffee and soda. Eat less...a lot less. Be smarter and nicer. Remember people’s birthdays...or at least their names when I see them. Be more positive and hope the new Star Wars and Avengers movie don’t suck...oh wait, that’s 2015... Learn to choose produce properly. Or write so much no one else can write about their resolution. Or fill up all this space for my wife who is the newsletter editor for AAOS so she wouldn’t have to write anything. Maybe I should learn a new word every day… Let’s start with Twer… Happy New Year!
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Macular Dystrophies David S. Liao, MD, PhD
When one thinks of macular disease, age-related macular degeneration often comes to mind due to the sheer number of patients who are affected. However, a number of other disease processes can produce similar findings. Familiarity with their different presentations can be useful in making the correct diagnosis and in counseling patients. Specifically, this article will discuss Stargardt disease, Best disease, and adult vitelliform dystrophy. Stargardt disease Stargardt disease is an inherited form of macular degeneration. In contrast to age-related macular degeneration, Stargardt disease is typically diagnosed in teens or young adults. Patients commonly complain of blurred central vision. Visual acuities range from 20/50 to 20/200. On examination, a hallmark of the disease is accumulation of pisciform flecks, which appear similar to drusen, within the posterior pole. When the flecks are more widely distributed, the term fundus flavimaculatus may be used. As the disease progresses, patches of central atrophy may coalesce to give a beaten bronze appearance to the macula. While early changes can be difficult to detect by ophthalmoscopy, ancillary testing is often useful in establishing a diagnosis. On fluorescein angiography, the normal pattern of choroidal vessels may be blocked, leading to a so-called “dark choroid.� In addition, there may be an abnormal fundus autofluorescence, with hypofluorescence in the macula. Stargardt disease is usually inherited in an autosomal recessive manner. The prevalence of the disease ranges from 1 in 8,000 to 1 in 10,000. An autosomal dominant inheritance pattern is rare. The most common mutation is in the ABCA4 gene, for which commercial genetic testing is available. Currently, there are no proven treatments for Stargardt disease, although stem cell transplantation and gene therapy are being investigated. Because of the abnormal cellular metabolism that occurs in this disease, high dose vitamin A supplementation is not recommended. Best disease Best disease is another inherited macular dystrophy, but occurs less commonly than Stargardt disease. Furthermore, Best disease usually presents in childhood as opposed to young adulthood and is inherited in an autosomal
dominant fashion. On dilated fundus exam, the characteristic lesion is a large, yellow, yolk-like elevation occurring in the macula of both eyes. In this stage of the disease, visual acuity is typically well preserved. As the disease progresses, the vitelliform lesion may disintegrate, leaving an area of scarring or atrophy in the macula and visual acuity in the 20/200 range. Definitive diagnosis can be made using an electrooculogram, which tests for the abnormal retinal pigment epithelium function found in Best disease. While there is also no treatment available for this disease, genetic testing for mutations in the bestrophin (VMD2) gene is available. Late complications of the disease include the possibility of choroidal neovascularization. Adult vitelliform dystrophy Adult vitelliform dystrophy presents as a smaller, yolk-like lesion in the macula of both eyes, often resembling an accumulation of large, central drusen. Usually seen in middle aged adults, it shows a variable pattern of genetic inheritance. Vision loss is mild to moderate, with acuities near 20/70. As the disease progresses, flattening of the vitelliform lesion may occur, leading to areas of geographic atrophy. In contrast to Best disease, electro-oculographic results will be relatively normal. Genetic testing for mutations in the RDS/ peripherin gene is available. While no specific treatment other than visual aids is required, choroidal neovascularization occurs rarely later in the disease. In summary, Stargardt disease, Best disease, and adult vitelliform dystrophy represent a spectrum of inherited macular dystrophies that share similar characteristics. However, careful notation of the age of onset, the pattern of inheritance, and type of lesion present will lead to more accurate diagnosis and treatment.
Retina Vitreous Associates Office Locations in Pasadena, Torrance, Los Angeles, Beverly Hills, North Hollywood and Santa Clarita Centralized Appointment Phone Number:
AAOS PLATINUM SPONSORS
AAOS Member, Dr. Lin Volunteers at Tzu Chi Outreach Season’s Greetings! During this busy holiday season full of warmth and happiness shared amongst friends and loved ones, let us not forget about those who are less fortunate. I would like to take this opportunity to discuss how you can use your valuable skill set to make an enormous difference in the lives of many in need. On November 18, 2013, Dr. Christie Chan and I had the privilege to be the first optometrists to volunteer on the Tzu Chi Vision Mobile clinic. At 7 o’clock in the morning, we carpooled to Lytle Creek Elementary in San Bernardino where patients without medical insurance or with low income were waiting hours in line to seek medical, dental, vision and Chinese medicine care. We were anxious because we didn’t know what to expect or the number of patients we would be examining. We were equipped with 2 exam rooms on the vision mobile clinic; one with a full lane equipped with a phoropter and slit lamp, the other has a computerized autorefractor, lensometer, and phorop-
ter. Once patients were seen and glasses prescribed, they were sent to the dispensing area for readers or single vision glasses can be fabricated in the lab if stock lenses were available. Prescriptions were written for those who didn’t have glasses made. Those with pathology were sent to local optometrists or ophthalmologists. We saw a total of 35 patients. We dispensed numerous readers and made 11 pairs of glasses. I know that made a difference in a girl’s life when I saw her face lit up when she put on a pair of -1.00 DS glasses that I prescribed. By the time we got home, it was around 5 o’clock. It was a full day’s work but it was a rewarding experience. Now I would like to invite you, your staff or your family to come and join Tzu Chi Mobile Vision Clinic to reach out to those who are in need of vision service. Know that a moment of your time can make a world of difference in someone’s life. Please email me or Norman Yang if
you have any questions or are interested in volunteering in future events. Warmest wishes to you and your family this holiday season and for all the best this coming New Year. Lina Lin OD, AAOS member, Tzu Chi volunteer mencheh@hotmail.com, Norman Yang (Tzu Chi outreach coordinator) norman_yang@us.tzuchi.org tcnormany@yahoo.com Office:626-636-8700 ext. 142 About Tzu Chi Buddhist Tzu Chi Foundation in the U.S. is a registered non-profit 501(c)(3) organization in California. In 1989, the first office in the U.S. was established in Alhambra, California. Since then, more than 80 offices and facilities have been established with over 100,000 donors and volunteers in the U.S. working to make a difference in their local communities.
Asian American Optometric Society 2014 Installation Banquet ! Date Changed to Jan 11th!
! Date Changed to Jan 11th!
! Date Changed to Jan 11th! ! Date Changed to Jan 11th! Aquarium of the Pacific 100 Aquarium Way Long Beach, CA 90802
Saturday, January 11th, 2014 !! The Aquarium will be closed exclusively for AAOS!! This private and in#mate event is not to be missed! Doors open at 7:00 PM. Dinner & CE starts at 7:30PM 2 hour CE with Billing & Coding lecture Please enjoy the exhibits following dinner and lecture Complementary Parking courtesy of AAOS 7:00pm 7:30pm 9:00pm 9:30pm-11:00pm
Agenda Doors open Dinner & CE Lecture - Dan Tran, M.D. “Co-Management of Cataracts, Glaucoma & other procedures” Installa#on of New Board & Raffle Prizes Exhibit open to A<endees
COST: $50 for AAOS members, $75 for Guests, $25 for students RSVP by Friday, Jan 3rd. 2014 Please email: akongsakul@gmail.com to RSVP or for any ques#ons. RSVP also at our website: www.aaosociety.org
2014 Membership Application Form (January 1, 2014—December 31, 2014)
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Make checks payable to: Asian American Optometric Society Please Mail To:
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Annual Membership Fee Scale If you graduated in: 2013 (1st year) Membership is FREE nd 2012 (2 year) Only $25 2011 and before
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“The purpose of the Asian American Optometric A PUBLICATION OF THE ASIAN AMERICAN OPTOMETRIC SOCIETY
Society is to promote and maintain a social, cultural, scientific, and educational interchange of information and experiences between the members”
To learn more about AAOS events please visit us at our website:
www.aaosociety.org HELP US TO GO GREEN!!! Please notify me at cchan2020@yahoo.com to receive your full-color newsletters by email
Asian American Optometric Society 308 East Broadway Glendale, CA 91205