MIAMI — Ophthalmologists should consider themselves first responders for patients experiencing stroke, according to a presenter.
At Sunshine Eye & Retina, Priya Vakharia, MD, discussed the eye care specialist’s role when faced with this scenario.
“Patients with central retinal artery occlusions (CRAO) present to our office and ... your office,” she said. It is important to know that the management of strokes has changed.
This condition is the most common cause of disability in U.S. adults and the fifth leading cause of death, Vakharia said. There are approximately 795,000 strokes each year

MIAMI — Ophthalmologists need to understand types of ptosis to identify and treat the condition, according to a speaker at Sunshine Eye & Retina.
According to Jennifer Murdock, MD, a number of factors lead to ptosis, and not all ptosis needs to be corrected.
It is important to distinguish between dermatochalasis, blepharoptosis, brow ptosis or a possible combination.
“Identifying the type of ptosis is your first and foremost concern when these patients come to your office,” she said. “Look at best management options and consider special disease comorbidities.”
According to Murdock,

NEW ORLEANS — Although partial knee arthroplasty for anteromedial arthritis had higher reoperation rates, results presented here showed it had higher range of motion and patient satisfaction compared with total knee arthroplasty.
“If you see a patient who has anteromedial arthritis, they have predominantly arthritis of the medial compartment with an intact ACL and a pretty normal feeling knee with good range of motion, both partial and total knee replacement are good options and reasonable options,” Craig J. Della Valle, MD, chief of adult reconstruction and the Aaron G.

MIAMI — The precise diagnosis of eyelid malposition drives surgical and treatment success, according to a speaker at Sunshine Eye & Retina.
Chad Zatezalo, MD, said there are several classifications of lid malposition.
One malposition is entropion. Zatezalo said this can be classified as involutional, spastic, cicatricial or congenital.
“When you’re evaluating for the entropion, you want to use the snap technique,” he said. “There are two vectors that are disrupted. You have the lateral, or the horizontal, and the vertical vector. So, the key to fixing these is balancing those vectors and

Valproate use during pregnancy appeared to raise the risk for neurodevelopmental disorders in children, according to a study in BMJ, which is in line with previously described neurotoxic effects of the drug.
Other antiseizure medications had no such associations. However, some possible signals for adverse effects with drugs like zonisamide and oxcarbazepine will require further monitoring, according to Loreen Straub, MD, MS, an instructor at Harvard Medical School.
The findings “were a mix of reassuring and cautionary,” Straub told Healio.
“For practicing neurologists, I think

COPENHAGEN, DENMARK — AI may calculate PD-L1 scores for non-small cell lung cancer more accurately than manual assessment, results of an analysis presented at European Lung Cancer Congress showed.
A comparison of pathologist- and AI-derived PD-L1 scores showed AI to be “at least as good as manual, and in some cases better,” Fred R. Hirsch, MD, PhD, professor of medicine and pathology and executive director of the Center of Excellence for Thoracic Oncology at Mount Sinai Tisch Cancer Center, told Healio.
“The overall goal for me as a doctor, and for all doctors, is to be sure that we offer the

Most workers in the U.S. reported dealing with dry eyes, headaches and other symptoms related to using digital screens at work, according to VSP Vision Care.
Symptoms of digital eyestrain were reported in a survey by 71% of desk workers and 59% of non-desk workers. The survey, conducted by Workplace Intelligence, included 800 human resource and benefits leaders and 1,200 full-time employees in the U.S., both desk based and non-desk based.
The findings come as screen time continues to increase, drawing attention to the potential ocular health effects.
Desk workers said they spent an average of

An international consensus study published in JAMA Dermatology established definitions for vitiligo severity and relapse, moving beyond body surface area and depigmentation to also factor in psychosocial symptoms and patient experiences.
“The recent approval of topical JAK inhibitors for the treatment of vitiligo marks a pivotal moment,” Viktoria Eleftheriadou, MD, PhD, honorary associate professor of medicine and health at the University of Birmingham, and colleagues wrote. “However, the absence of widely accepted definitions for severity and relapse poses challenges for clinicians, health