FALL 2016

the

Observer

www.omnieyeservices.com
485 Route 1 South, Bldg. A
Iselin, New Jersey 08830

extending the power of your practice

CATARACT RETINAL DISEASE LASIK GLAUCOMA OCULOPASTIC PEDIATRIC NEURO EYE DISEASES

Continuing Education Offerings 2016 -2017

Danielle Strauss, M.D.

(subject to change)

Rochelle Park

New York

New Jersey

7:30 am to 9:30 am

7:30 am to 9:30 am: 6 pm to 8 pm:

Mike Veliky, O.D. &

Burton Wisotsky, M.D. September 16, 2016
TBA - October 14, 2016
TBA - November 4, 2016
Shanda Ross, O.D. January 13, 2016
Joseph Napolitano, M.D. February 24, 2016
TBA - March 10, 2016
TBA - April 7, 2016

Danielle Strauss, M.D. October 7, 2016

TBA - November 4, 2016
Elana Rosenberg, M.D. December 2, 2016
Katherine Mastrota, O.D.
January 6, 2017
February 3, 2017
Lisa Ortenzio, O.D. March 3, 2017

George Veliky, O.D. Iselin, November 16, 2016

Nazreen Esack, O.D. Parsippany, November 2, 2016
Allison LaFata, O.D. & Shanda Ross, O.D. -

Clarity
7:00 am to 9:00 am:
Grand Rounds CE
January 24, 2017
May 9, 2017

West Orange, November 21, 2016

Nasreen Esack, O.D. Parsippany, February 1, 2017
George Veliky, O.D. Iselin, May 17, 2017
Allison LaFata, O.D. West Orange, May 1, 2017

Each CE runs for 2 hours with complementary COPE credits provided and a delicious meal.
To REGISTER please visit our website www.omnieyeservices.com/od/news-and-events/education/
Contact Ann Lacey (732) 510-2545 or email ann-l@omnieyeservices.com with any questions.
You can find up-to-date CE information on our Facebook Page, facebook.com/OmniEyeServices. Here, you can
also join our emailing list to be the first to know information regarding lectures, Symposiums and other Omni Events.

OMNI OFFICES
ISELIN

ROCHELLE PARK

NEW YORK

BROOKLYN

485 Route 1 South, Bldg. A

Iselin, NJ 08830
(732) 730-0400 phone (732) 602-0749 fax

218 Route 17 North

Rochelle Park, NJ 07662
(201) 368-2444 phone (201) 368-0254 fax

20 East 46th Street, Penthouse

New York, NY 10017
(212) 353-0030 phone (212) 353-0083 fax

1585 Pitkin Ave.

Brooklyn, NY 11212
(718) 345-3004 phone (718) 495-3655 fax

George W. Veliky, O.D.

Center Director

Michael Veliky, O.D.

Center Director

Lisa Ortenzio, O.D.

Center Director

PARSIPPANNY
2200 Rte. 10 West, Suite 102
Parsippany, NJ 07054
(973) 538-7400 phone (973) 538-3007 fax
Nazreen Esack, O.D.
Center Director

WEST ORANGE

CLARITY/TLC

475 Prospect Avenue

475 Prospect Avenue
West Orange, NJ 07052
West Orange, NJ 07052
(973) 325-6734 phone (973) 325-6738 fax (973) 325-3475 phone (973) 325-3478 fax
Allison LaFata, O.D.
Center Director

Shanda Ross, O.D.

Center Director

Approach to the Patient with

High or Pathological Myopia

BROOKLYN

High myopia, which is defined as refractive error equal to or higher than -5.00 D is
increasing in incidence worldwide. The term pathological myopia, refers to myopic eyes
that manifest degenerative changes. Multiple population based studies, such as the Blue
Mountain Eye Study from Australia, and the Handan Eye Study conducted in China have
reported the prevalence of high myopia to be between 2.1-3.7%, and between 1.0-1.7% for
pathologic myopia. Pathological myopia is a potentially blinding, bilateral disease, which
may manifest as pathology of the macula, peripheral retina, or optic nerve. It is critical to be
aware of the findings associated with pathological myopia. In this issue of The Observer,
we will review some of the characteristic funduscopic changes that can be seen in high or
pathological myopia.
Lattice degeneration is a vitreo-retinal interface abnormality and is a common finding in the
retinal periphery of all myopes. It is typically a bilateral disorder, and it tends to run in
families. On funduscopic examination, one may find horizontal areas of retinal thinning
anywhere from the equatorial zone to the oral zone, with overlying condensed vitreous.
Histologically, lattice degeneration represents thinning of the inner retinal layers, with an
overlying adherent, liquefied pocket of vitreous. Lattice may be associated with atrophic
holes in the retina. Population based studies show that untreated lattice, with or without
atrophic holes, has a 1% chance of causing a retinal detachment. Thus, lattice is generally
not treated prophylactically with laser retinopexy. Lattice occurs in between 6-10% of the
general population, but 20-30% of eyes with rhegmatogenous retinal detachments have
lattice degeneration somewhere in the retina. Risk factors that may influence us to
prophylactically treat lattice include, lattice with symptoms of flashes and floaters,
pathological myopia, history of a retinal detachment in the fellow eye, the presence of a
horseshoe tear in that eye, or aphakia.

IN THIS ISSUE
Approach to Patient with
High or Pathological Myopia
Danielle Strauss, M.D.
Beyond the Office and the
Operating Room
Omni Welcomes its New
Residents!
Dr. Chris Quinn elected and
installed as the President
Elect of the American
Optometric Association

406 15th St., Suite M1A

Brooklyn, NY 11215
(718) 832-2020 phone (718) 832-3379 fax

www.omnieyeservices.com

Beyond the Office and the Operating Room

Dr. Joseph Napolitano and Dr. Burton
Wisotsky have been teaming up to bring
critical eye care to premature babies for
almost ten years at the Joseph M. Sanzari
Childrens Hospital in Hackensack, New
Jersey. Reaching out to these most
vulnerable babies before they leave the
hospital is the only way to properly care for
those at risk for Retinopathy of Prematurity
(ROP). Dr. Napolitano has been examining
these most vulnerable infants on a weekly
basis to diagnose those with severe ROP at
the highest risk for retinal detachment and
visual loss. Dr. Wisotsky is then brought to the nursery on a timely
basis to apply the needed laser treatments. Their combined
expertise has resulted in good anatomic and visual outcomes for
these babies. The beautiful former premature twins pictured here
both had ROP severe enough to require laser treatments of their
eyes before they were ready to leave the NICU. They are now
slightly over one year old and their growth and overall
development is going very well. To watch them grow and develop
normal vision is a very unique and rewarding part of what we do at
Omni Eye Services.

OMNI WELCOMES ITS NEW RESIDENTS!

All of us here at Omni would like to welcome our four new
optometric residents for the 2016/2017 academic year. Although
they just recently joined our group on July 1, 2016 they have
already impressed our staff and your patients with their abilities.
Because of your continued support, Omni is pleased to have the
opportunity to take part in the education of the next generation of
Optometrists!
Keep an eye on our Facebook page as we highlight each Resident.
Kimberley M.
Ovittore:
Pennsylvania
College of
Optometry at
Salus University

Muhammad
Shahbakht:
University of the
Incarnate WordRosenberg School
of Optometry

Jennifer
Vincente:
The New
England College
of Optometry

Mason W.
Munn:
The New England
College of
Optometry

Approach to the Patient with High or

Pathological Myopia

Danielle Strauss, M.D.

continued from page 1

Staphyloma is one of the most

common findings in
pathological myopia.
Staphyloma refers to an antero
-posterior stretching of the
globe which creates an
outpouching, and localized
severe thinning of the retina,
RPE and sclera. This may occur in many locations
throughout the fundus. Most commonly, staphylomata occur
in posterior pole, and may involve the peripapillary area.
Staphylomata in the posterior pole may cause myopic
macular traction, and are generally associated with worse
visual prognosis. On dilated funduscopic examination, you
may notice a sloping of the posterior pole that begins
adjacent to the nerve. Staphylomata can be best appreciated
on B-scan of the eye. OCT of the posterior pole will also
show a sloping in the macula. Currently, there is no known
cure for myopic staphylomata, however collagen crosslinking and scleral reinforcement have been suggested as
possible treatments in extreme cases.
There is a linear relationship between the severity of a
patients posterior staphyloma, with the presence of myopic
maculopathy. Lacquer cracks, chorioretinal atrophy and
myopic choroidal neovascularization become more common
with increasing axial length and peripapillary changes of the
disc. Lacquer cracks are spontaneous ruptures of the elastic
lamina in Bruchs membrane. They appear as yellowish
linear or ovoid lesions, and may emanate from the optic
nerve or can be located in the macula. Often, lacquer cracks
can be difficult to find on funduscopic examination.
Indocyanine green angiography is the best imaging tool for
evaluation of lacquer cracks, especially in their early stages.
They appear as hypofluorescent lesions on late phase ICG.
In summary, high myopia and pathological myopia are
common conditions that are becoming more prevalent in the
general population. Early detection of pathological changes
in the retina is critical in these patients. Therefore, careful
funduscopic examination is warranted. They need to be
monitored on a serial basis for progression of disease, and
for potentially sight threatening sequelae of myopia.

www.omnieyeservices.com

Dr. Chris Quinn was elected and installed as

the President - Elect of the American
Optometric Association
Michael Veliky, O.D.

OMNI STAFF

At Optometrys Meeting 2016 in Boston, our own Dr. Chris Quinn was elected
and installed as the President - Elect of the American Optometric Association.
Dr. Quinn has been actively promoting Optometry on a local, state, and federal
level for many years, and was a driving force in the 1992 passage of our
Therapeutic Optometry Legislation. Dr. Quinn also helped to spearhead of
passage of our 2006 Orals Legislation, and has been an influence and active
participant in every legislative initiative in New Jersey for the past thirty years.
He has been involved in every level of the New Jersey Society of Optometric
Physicians since opening Omni in New Jersey in 1986. Its fair to say that Dr.
Quinn is one of the few true pioneers of optometry in New Jersey.

Christopher J, Quinn, O.D., F.A.A.O.

President
Specialists

Glaucoma & Cataract Surgery

Douglas K. Grayson, M.D., F.A.C.S.
Medical Director
Elana Rosenberg, M.D.
Jeffrey Spitzer, M.D.

Retina & Vitreous Surgery

On a more personal note, Dr. Quinn has also been a tremendous mentor to
me. When he accepted my application to be a resident at Omni in 1992, little did
I know the optometric world that I was about to enter. He made it very clear
from day one that being an optometrist has two roles: first to provide great
patient care to the best of your ability, and second to provide service back to
your profession. I was brought along as Dr. Quinns guest to NJSOP Legislative
meetings as a resident, because thats what youre supposed to do, and that
mentality has never left me. I have now gone through many of the same roles in
the NJSOP structure as Dr. Quinn, including two years as NJSOP President and
the current Chair of the Legislative Committee. The real testament to Dr.
Quinns influence can be seen in the fact that two other Omni residents, in later
years, also became so involved in helping our profession that they too became
NJSOP President: Dr. Bill Marcolini, and our current President, Dr. George
Veliky. In addition, there were many former Residents who served or still serve
the NJSOP on a Local Society or NJSOP Committee/Board of Director
level. Dr. Quinns passion for optometry is infectious, and we here in New
Jersey have all benefitted from it for many years. On a side note, Claritys Dr.
Edward Harmer also served as President from 2014-2015.

Dr. Quinn will begin his one-year term as AOA President at Optometrys
meeting 2017 in Washington D.C. We hope that you will make plans to join
your colleagues and celebrate Dr. Quinns inauguration. Based on our
experiences at home in New Jersey, I think its safe to say that Optometry on a
national level will be in more than capable hands with Dr. Quinn as our
President.

Burton J. Wisotsky, M.D.

Medical Director-NJ
Danielle Strauss, M.D.
Medical Director-NY

Oculopastic & Reconstructive

Surgery
James P. Milite, M.D.NJ
Elizabeth Maher, M.D.NY

Corneal Disease & Refractive

Surgery
Martin L. Fox, M.D., F.A.C.S.
Mitchell Vogel, M.D., F.A.C.S.

Pediatric Ophthalmology,
Strabismus & Adult Motility
Disorder Surgery
Joseph D. Napolitano, M.D.

Marketing Director
Ann Lacey, RN
732-510-2545

Let Omni Eye Services

help ensure your future
as the primary eye care
provider.

Congratulations to
ERICA TRENTACOSTE
Marketing Coordinator

on the birth of her second child

Addison Faye

8 lbs 1 oz
20 inches
Tuesday, August 9, 2016

THE OBSERVER

FALL 2016