board of optometry - meeting materials · 2017-06-08 · lasik myths . lasik surgeons would not ....
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0 OPToMifikY
BUSINESS, CONSUMER SERVICES, AND HOUSING AGENCY EDMUND G. BROWN JR., GOVERNOR
Continuing Education Course Approval Checklist
Title:
Provider Name:
☐Completed ApplicationOpen to all Optometrists? ☐Yes ☐NoMaintain Record Agreement?☐Yes ☐No
☐Correct Application Fee
☐Detailed Course Summary
☐Detailed Course Outline
☐PowerPoint and/or other Presentation Materials
☐Advertising (optional)
☐CV for EACH Course Instructor
☐License Verification for Each Course InstructorDisciplinary History? ☐Yes ☐No
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OPKEKLUTypewritten Text
OPKEKLUTypewritten TextLetter of Public Reprimand attached
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ASIAN AMERICAN OPTOMETRIC SOCIETY
PRESENTS
2017 Spring Educati·on Symposium
Sheraton Cerritos Hotel - 12725 Center Ct Dr S, Cerritos, CA 90703
Sunday,April2,2017
5 HOURS OF CONTINUING EDUCATION
Agenda:
· 8:00am - 8:10am WelcomeAndy Kongsakul, O.D.
President, AAOS
10 LASIK Myth Busters8:10am -9:00am SMILE - Small Incision Lenticule Ex
traction
(1 HourCE)
Tom Tooma, MD, NVision Eye Centers
9:00am- 9:20am Break
(20 min)
Topography Guided LASIK9:20am - 11 :00am Franklin Lusby, MD,-NVision Eye Ce
nters(2 Hours CE)
Choosing Premium Lenses in Highly Aberrated Corneas
Understanding New Extended Depth of Focus IOLs
Sheri Rowen, MD, NVision Eye Centers
, 11:00pm- 11:20pm Break
(20 min)
An Introduction to Fundus Auto-Fluorescence (FAF)
11:20am -12:10pm Raman Bhakhri, OD, Marshall B Ket
chum University
(1 Hour CE) ·
Updates on Hydroxychloroquine Retinpathy
12:10pm -1:00pm Tina Zheng, OD, Marshall B Ketchum
University
(1 Hour CE) ·
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GOVERNOR EDMUND G. BROWN JR.
BUSINESS, CONSUMER SERVICES, AND HOUSING AGENCY
STATE BOARD OF OPTOMETRY
..-2450 DEL PASO ROAD, SUITE 105, SACRAMENTO, CA 95834
p·(916) 575-7170 F (916) im>-7292 www.optori:ietry.ca.gov
f2 SO
Pursuant to California Code of Regulations (CCR) § 1536, the Board will approve continuing education (CE) courses after
receiving the applicable fee, the requested information below and it has been determined that the course meets criteria
·
. specified in CCR§ 1536(9).
In addition to the information requested below, please attach a copy of the course schedule, a detailed course outline an
d
presentation materials (e.g., PowerPoint presentation). Applications must be submitted 45 days prior to the course·
presentation date. Please type or print clearly.
Course Presentation Date C) IO,. . ~Course Title O' ·r:,-/V' - ,/1~ J\v-._ _J
i
---j 10 LASIK Myth Busters
Course Provider Contact Information
Provider Name
Lee Howard·John (Middle)(Last)(First)
Provider Mailing Address
Fullerton State CA Zip 92831Street 2575 Yorba Lind
a Bl'ij City
Provider Email [email protected]
Will the· proposed cours_e be open to all California licensed optometrists? ~YES ONO
-··po you agree to maintain and furnish to the Board and/or
attending licensee such records ~YES ONO
9f course content and attendance as the Board requires, for a period of at least three years
.from the date of course presentation?
Course Instructor Information
. Please provide the information below and attach the curriculum vitae for each instructor or lecturer involved in the cours
e.
e reauested .miormaf10n on a seoarate sheet of paper.. If th . . t t . the course, pIease prov,. d e there are more ms rue ors m
; Jnstructor Name
ToomaTom (Middle)·(Last)(First)
Physician and SurgeondLicense TypeLicense Number 42262
Email Address tom.tooma@nvisioncenters.'ftPhone Number (949) 274-4652
enalty of perjury under the laws of the State of California that all the information submitted on ,
ny accompanying attachments submitted is true and correct.
2/14/2017
DateSignat Form CE-01, Rev. 5/16
'.;
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SUMMARY-10 LASIK Myth Busters
Tom Tooma, MD
There are a lot of misconceptions regarding LASIK, whether in the lay media or advice given in
professional settings like doctor's offices. Some of these misconceptions are positive, over-promisin
g
what the technology can do while other can be negative, causing undue hesitation, apprehension an
d
erroneous information. Other misconceptions are just wrong. This lecture will review the current
technolo"gies of LASIK and reveal .the 10 most commonly heard myths regarding refractive surgery to
dispel them; The purpose of this lecture is to provide professionals with the best literature and
information to better educate our patients about refractive surgery through established research and
experience.
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NVISl~t;>N--EYE CENTERS-
Presenter-Tom Tooma, MD
Course Title -10 LASIK MYTH BUSTERS
Course Outline
LASIK MYTHS
LASIK SURGEONS WOULD NOT HAVE LASIK
YOU SHOULD NOT HAVE IT DONE, YOU ARE GOING TO GET PREGNANT ONE DAY
INCREASES THE RISK OF HALOS.AND GLARE
SAFETY AND EFFICACY HAVE NOT IMPROVED -IYOU WILL NEED GLASSES ANYWAY
LASIK MYTHS.
EXPENSIVE
YOUR EYES ARE NOT STABLE
LONG TERM EFFECTS ARE NOT KNOWN
DRY EYE IS EXTREMELY COMMON AFTER LASIK
·CTL ARE SAFER THAN LASIK
MYTH NUMBER 1 LASIK SURGEONS WOULD NOT HAVE LASIK ON THEIR OWN EYES
REFRACTIVE SURGEONS HAVING LASIK
SX MORE LIKELY -65%
95% OPERATED ON THEIR OWN FAMILY MEMBER
MYTH NUMBER 2 .
YOU SHOULD NOT HAVE IT DONE, YOU ARE GOING TO GET PREGNANT ONE DAY
MYTH NUMBER 3
LASIK INCREASES THE RISK OF HALOS AND GLARE
3 Month Uncorrected Visual Acuity Outcomes
No enhancements performed
3 Month Acuity and Refractive Safety Outcomes
A Lot Of Difficulty With or Inability to Perform Usual Activities Due to Visual Symptoms
Subjects Developing New Dry Eye Symptoms (OSDICategories) at 3 Months
Overa II Satisfaction With Present Vision
MYTH NUMBER 4
· SAFETY+ EFFICACY HAVE NOT IMPROVED OVER TIME
75 Enterprise, Suite 200, Aliso Viejo, CA 92656
p: 949.274.4652 • f: 949.509.4898 • e: [email protected] • w: www.nvisioncenters.com
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NVISl~O>N--EYE CENTERS -
FDA Approves Summit Laser for PRK
The Evolution of LASIK
FDA VISX Trial Results:
1.0-6.0 Diopters Myopia
58.3% 20/20 or better
93.8% 20/40 or better
9.8% deviated from intended treatment by >1 D
Majority of complications flap related
FDA Summit Trial Results:
1.5-7.0 Diopters Myopia
6.8% of eyes lost 2 or more lines of BCVA
Ablation decentration Ill
Ablation decentration 111
LVC Problem 111 LVC Solution
PRK corneal haze 111
LVC Problem 111 LVC Solution
Flap complications 111
Glare and halo 111
LVC Problem 111 LVC Solution.
· Ectasia 111
LVC Problem 111 LVC Solution
Dry eye · 111
LASIK- MY OUTCOMES
98.1% UCVA 20/20 WITH PRIMARY LASIK- MYOPIA UP TO -12.00D /2\ND ASTIGMATISM UP TO 6.0D
99% 20/20 WITH BOTH EYES OPEN
PO.ST OP MEAN SE -0.08 +/- 0.24
POST OP MEAN CYL 0.17 +/- 0.21
0.3% WITH S.E. ERROR >lD \
MEAN DISTANCE VA 20/17.4 +/- 0.6 LINES
75 Enterprise, Suite 200, Aliso Viejo, CA 92656
p: 949.274.4652 • f: 949.509.4898 • e: [email protected] • w: www.nvisioncenters.com
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--EYE CENTERS-
MYTH NUMBER 5
YOU WILL NEED GLASSES ANYWAY
PRESBYOPIA SOLUTIONS
LASIK MONO-VISION
KAMRA INLAY
DYSFUNTIONAL LENS EXCHANGE
MYTH NUMBER 6
EXPENSIVE
GOOD LIFETIME INVESTMENT
PRICE PARITY WITH CTL LL
EASY FINANCING
MYTH NU_MBER 7
YOUR EYES ARE NOT STABLE.
EYES BECOME STABLE AT AN EARLY STAGE
75% BY AGE 15
91% BY AGE 18
95% BY AGE 21 I''
98% BY AGE25
MYTH NUMBER 8
LONG TERM EFFECTS ARE NOT KNOWN
X
Cosmetic Procedures and Patient Satisfaction Rates
LASIK FACTS
LASIK IS THE SAFEST ELECTIVE PROCEDURE WITH THE HIGHEST PATIENT SATISFACTION IN THE WORLD TODAY
MYTH NUMBER 9
DRY EYE IS EXTREMELY COMMON AFTER LASIK
LASIK FACTS
DRY EYE TYPICALLY RESOLVES .
NO DRY EYE PRE OP= NONE POST-OP
DRY EYE POST-OP= DRY EYE PRE-OP
Tear Lab ·
lnflammaDry
MMP~9
LipiView
Gland Imaging
75 Enterprise, Suite 200, Aliso Viejo, CA 92656
p: 949.274.4652 • f: 949.509.4898 • e: [email protected] • w: www.nvisioncenters.com
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NVISl
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--EYECENTERS-
·sTREAM OF INCOME
LASIK VS CTL.
CONTACT LENS ECONOMICS
OFFERING LASIK IS IN.YOUR BEST INTEREST, AND IN YOUR PATIENT'S BEST INTEREST
40 MILLION CONTACT LENS WEARERS IN THE U.S.
. Wavelight® EX500 Excimer Laser
The Future: Better Technology
The Future: Better Technology
LASIK 2016
CONCLUSIONS
LASIK Publications and Public Interest
Is LASIK Worth Saving?
The Facts, Fiction and Future
In spite of LASIK's long clinical and historical presence, misconceptions re'garding the risks and benefits of this
procedure persist, eroding_ both the reputation of the procedure and of those in the field that remain its
unwavering supporters.
The aim of this lecture is to explore the myths and realities of the LASIK procedure using an evidenced-based
approach and to evaluate upcoming advancements.
LASIK- 2016
The Facts, Fiction and Future
MISCONCEPTIONS REGARDING RISKS AND BENEFITS
EVIDENCE BASED APPROACH
LASIK-2016
conclusions
LASIK IS THE SAFEST, most successful and most studied elective procedure in the world.
LASIK has the highest patient satisfaction rate of any elective procedure.. ·
LASIK results have continually improved as technology and surgical techniques advance and preoperative
diagnostic screening and patient selection become more refined.
Refractive Surgery 1985
Loss of >2 lines in 3%
90% prediction interval 4.42D
Hyperopic shifts in 40-50%
Loss of >2 lines in 3%
Hyperopic shifts in 40-50%
FDA Kremer Trial: First LASIK Study
Complications occurred in approximately 5% of cases
Complication rates can be greatly reduced as the surgical team gains experience .
75 Enterprise, Suite 200, Aliso Viejo, CA 92656
p: 949.274.4652 • f: 949.509.4898 • e: [email protected] • w: www.nvisioncenters.com
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NV IS 1~c;>N--EYECENTERS-
lntraoperative complications, 3.1% to 0.7%
4. 7% of eyes lost 2 or more lines of BCVA
LASIK Complications:
Foundation Established
Complications of LASIK higher in patients with over 7 D myopia ·
Patients being treated with LASIK for up to 25 diopters of myopia
Selecting the Right Patient and Treatment
Patients with large pupils had more quality of vision symptoms in the early postoperative period, but no
correlation was observed 6 months after surgery.
There is a significant transient loss of corneal s·ensation following LASIK
Corneal sensation improves to preoperative levels at 6 months following surgery
Dry eye signs and symptoms statistically return to normal at 6 months following surgery
FDA Public Hearing
140 complaints to the FDA after ov~r 10 million procedures
Anti-LASIK activists wished to ban the procedure
Public testimony included personal stories of depression, suicide or suicidal ideation, and other psychological
problems
Dry Eye Rates
Pre- & Post-Operative
LASIK Myth #1:
Physicians Would Not Have LASIK on Their Own Eyes
LASIK Fact:
Physicians have among the highest prevalence of having undergone LASIK of any occupation
Lasik surgeons are 4X more likely to have Lasik than the general population
LASIK Myth #2:
The Long Term Effects of LASIK are Not Known
LASIK Fact:
LASIK has over a 20 year track record
Long term studies have shown refractive stability and safety
LASIK Myth #3:
Contact Lenses are Safer
Than LASIK
LASIK Fact:
Daily wear contact lenses are likely less safe than LASIK when worn for 30 years
Extended wear contact lenses are definitely less safe than LASIK when worn for 30 years
LASIK Myth #4:
LASIK Increases the Risk of Glare and Halo Compared to Glasses
75 Enterprise, Suite 200, Aliso Viejo, CA 92656
p: 949.274.4652 • f: 949.509.4898 • e: [email protected] • w: www.nvisioncenters.com
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NVISl~t;>N--EYE CENTERS-
LASIK Fact:
Modern LASIK improves glare and halo for the majority of patients
There are a minority of patients who will develop glare and halo that did not have symptoms preoperatively
The Future: Better Technology
Advanced wavefront technology
1200 data points
5 times more resolution than current technology
Advanced wavefront ablations
93.4% UCVA 20/20
79.0% UCVA 20/16
14.0% gained 1 or more lines of BCVA
98.5% patient satisfaction
Is LASIK Worth Saving? Yes!
LASIK IS THE SAFEST, most successful and most studied elective procedure in the world.
LASIK has the highest pati.ent satisfaction rate of any elective procedure.
LASIK results have continually improved as technology and surgical techniques advance and preoperative
diagnostic screening and patient selection become more refined.
Moving Forward
Our goal is continued improvement of patient satisfaction and 100% of patients seeing the same or better
·following LASIK than prior to surgery.
We need to embrace patients who are dissatisfied with their vision following LASIK and never allow them to feel
abandoned.
We need to provide a better informed consent to our patients particularly those with psychiatric disease.
We need to continue to invest resources into improving the safety and efficacy of laser vision correction.
In Conclusion
The golden age of laser vision correction is today and tomorrow looks even brighter.
We should be proud of what we have accomplished.
We should never be satisfied.
75 Enterprise, Suite 200, Aliso Viejo, CA 92656 ·
p: 949,274.4652 • f: 949.509.4898 • e: [email protected] • w: www.miisioncenters.com
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Dr. Tom· Tooma Medical Director NVISION Laser Eye Centers
Dr. Tooma has performed more than 100,000 LASIK procedures and believes that laser vision correction at NVISION is as safe as it can be. In fact, he has performed LASIK surgery on hundreds of doctors, including 250 eye doctors. That's why NVISION and Dr. Tooma are The Eye Doctors' :tl:1 Choice for their eyes and their patients' eyes. Dr. Tooma believes that the combination of experience and technology gives NVISIONS's patients the highest possible likelihood cit achieving 20/20. or better vision through LASIK procedures.
A pioneer in the world of LASIK surgery, Dr. Tooma has been a principal investigator in the field of laser vision correction since 1993. He helped several excimer laser manufacturers ol;>tain FDA approvals .for their lasers in. the United States .. He holds the record for many firsts: he was the first doctor in California to perform LASIK surgery and was the first to perform custom Wavefront-guided LASIK. He was also the first in the U.S. to use the FemtoSecond Laser (lntraLase FS30 - bladeless all laser LASIK), which is safer and more precise than a traditional blade.
In 2010, Dr. Tooma purchased TLC's interest in the 8 Southern California locations and formed NVISION Laser Eye Centers. At NVISION, Dr. Tooma provides his patients with a lifetime commitment, giving them the assurance that if they need any enhancement surgeries .in the future, they can be performed at any NVISION center, for life and at no cost.
Dr. Toor'na received his M.D. from Loma Linda University School of Medicine, where he also completed his internship in internal medicine and residency in ophthalmology. He completed his fellowship in Corneal and Refractive Surgery at the Emory University Department of Ophthalmology in Atlanta, Georgia. He has been board certified in ophthalmology for more than 25 years.
For Dr. Tooma, helping patients achieve their vision goals is his pc1ssion. "I feel privileged and blessed to participate in what is a life-changing experience for my patients,!' he said. ·
In his spare time, Dr. Tooma has served on medical teaching missions to Romania, Bulgaria, China and Fiji, helping teach local ophthalmology doctors new surgical techniques. In 2008, he and his wife, Marta Tooma, D.D.S., founded the Mission at Natuvu Creek in Fiji. The Mission serves the 250,000 people living on the island, with medical, dental and eye care provided by visiting physicians, including the Toomas.
: 1-877-91-NVISION I NVISIONCenters.com e D O O O •. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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http:NVISIONCenters.com
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Education
1975 B.S. in Biochemistry, Magna Cum Laude, Loma Linda University
1979 M.D., Loma Linda University School of Medicine
Professional Training
1980 Internship in internal medicine, Loma Linda University Medical Center
1983 Completed a residency in ophthalmology; Loma Linda University
Department of Ophthalmology
Fellowships
1984 Fellow in Corneal Surgery &External Disease, Emory University Department of Ophthalmology, Atlanta, GA
Board Certification
1984 American Board of Ophthalmology
Professional Affiliations
• American Society of Cataract & Refractive Surgery
• International Society of Refractive Surgery
• Castroviejo Corneal So_ciety
• American Academy of Ophthalmology
• And many others
University & Hospital Positions
• Chief, Department of Ophthalmology, Loma Linda University Community Hospital
• Director of Cornea Service, Department of Ophthalmology, Loma Linda University
• Director of Refractive Surgery, Department of Ophthalmology, Loma Linda University
1-877-91-NVISION NVISIONCenters.comJ
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--·-EYE CENTERS-
Medical Doctor Curriculum Vitae As of July 17, 2015
Thomas Tooma, MD
Dr. Tooma has performed more than 100,000 LASIK procedures and believes that laser vision correction at NVISION is as safe as it can be. In fact, he has performed LASIK surgery on hundreds of doctors, including 250 eye doctors. That's why NVISION and Dr. Tooma are The Eye Doctors' #1 Choice for their eyes and their patients' eyes. Dr. Tooma believes that the combination ofexperience and technology gives NVISIONS's patients the highest possible likelihood of achieving 20/20 or better vision through LASIK procedures.
A pioneer in the world of LASIK surgery, Dr. Tooma has been a principal investigator in the field oflaser vision correction since 1993. He helped several excimer laser manufacturers obtain FDA approvals for their lasers in the United States. He holds the record for many firsts: he was the first doctor in California to perform LASIK surgery and was the first to perform custom Wavefront-guided LASIK. He was also the first in the U.S. to use the FemtoSecond Laser (IntraLase FS30 - bladeless all laser LASIK), which is safer and more precise than a traditional blade.
In 2010, Dr. Tooma purchased TLC's interest in the 8 Southern California locations and formed NVISION Laser Eye Centers. At NVISION, Dr. Tooma provides his patients with a lifetime commitment, giving them the assurance that if they need any enhancement surgeries in the future, they can be performed at any NVISION center, for life and at no cost.
Dr. Tooma received his M.D. from Loma Linda University School of Medicine, where he also completed his internship in internal medicine and residency in ophthalmology. He completed his fellowship in Corneal and Refractive Surgery at the Emory University Department of Ophthalmology in Atlanta, Georgia. He has been board certified in ophthalmology for more than 25 years.
For Dr: Tooma, helping patients achieve their vision goals is his passion. "I feel privileged and blessed to participate in what is a life-changing experience for my patients," he said.
In his spare time, Dr. Tooma has served on medical teaching missions to Romania, Bulgaria, China and Fiji, helping teach local ophthalmology doctors new surgical techniques. In 2008, he and his wife, Marta Too ma, D.D.S., founded .the Mission at N atuvu Creek in Fiji. The
. Mission serves the 250,000 people living on the island, with medical, dental and eye care provided by visiting physicians, including the Toomas.
75 Enterprise, Suite 200, Aliso Viejo, CA 92656 p: 949.274.4652 • f: 949.509.4858 • e: [email protected] • w: www.nvisioncenters.com
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http:www.nvisioncenters.commailto:[email protected]
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STATE AND CONSI 11'11:I{ SL:RVJCJ:S AGIACY- D1!p11rtme11r ofC011.111111l'r Affairs \!{:\OLD SCII\\ARZFNEGGEK G'ol'emor
MEDJCAL BOARD OF CALIFORNIA
Executive Office
January31. 2011
Tom S. Tooma, M.D. 3501 S. Jamboree Road, Suite 1100 Newport Beach, CA 92660
RE: Physician's and Surgeon's Certificate No. G 42262
Case No. 04-2008-195312
Public Letter of Reprimand
An investigation by the Medical Board of California revealed you failed to document a pre
operative examination and develop a surgical plan before meeting with a patient.
These actions constitute a violation of Business and Professions Code 2266.
Pursuant to the authority of the California Business and Professions Code section 2233, you are /,
hereby issµed1bis,,.Public Letter of Reprimand by the Medical Board of California., / I / -· ,._,r// /,,/// .. · '/
I '-L l,,,//>/:·_/ /
I' _ .. ,,;/
Linda K. Wl_}itn""ey
Executive Director
2005 Evergreen Street, Suite 1200, Sacramento, CA 95815-3831 40
• (916) 263-2520 • FAX (916) 263-2473 • www.mbc.ca.gov
Structure BookmarksAnnotAnnotAnnotAnnotAnnotAnnot
Text1: 2017 Spring Education Symposium - 10 LASIK Myth BustersText2: Marshall B. Ketchum University c/o Dr. John Lee