NEWSLETTER - FALL 2002
Highlights
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| Dr. Fine with Dr. Mehta
and his wife after receiving his gold medal. |
Dr. Fine, who has a long-standing position on the faculty at the
Oregon Health and Science Universitys Casey Eye Institute, has
been honored by being elevated to the position of a full Clinical
Professor. The dean of the medical school indicated that this unusual
honor was bestowed on Dr. Fine because of his long history of teaching
residents, while participating in educational endeavors under the
auspices of the Oregon Health and Science University. The honor also
reflects the high esteem with which Dr. Fine is held among his peers
in ophthalmology worldwide.
Dr. Fine was also recently named one of the twelve Modern Day
Visionaries for the 20th Anniversary Issues of Ocular Surgery
News. Dr. Fine was cited for his numerous innovations in surgical
technique, the designing of multiple surgical instruments and his
participation in the evolution of modern cataract and refractive surgery
technology. He was also recognized for the enthusiasm with which he
teaches on an ongoing basis in the United States and internationally.
I was fortunate to be present when Dr. Fine received a Gold Medal
from the International Academy for the Advancement of Ophthalmology
in Mumbai, India, with the designation of Ophthalmologist of the Millennium.
In the ceremony in which the Gold Medal was bestowed by the Honorable
Shri Vilasrao Deshmukh Chief Minister, Government of Maharashtra,
Dr. Fine was described as a living legend who has contributed
enormously to surgical instrumentation, surgical techniques and the
evolution of technology, as well as teaching and demonstrating surgery
internationally. We are all very proud of Dr. Fine! [ top ]
Oregon Eye Associates (OEA) and Oregon Eye Surgery Center (OESC)
were featured in the Member Spotlight column of the Fall
2002 issue of Outlook, the newsletter of the Outpatient Ophthalmic
Surgery Society (OOSS). The column focused on the history and development
of OEA and OESC, and outlined the unique operations of a world-class
practice in a small town. Dr. Fine provided the newsletter with
technical and logistical information, and helped to define a facility
that boasts four practices, nine physicians and 120 medical personnel.
OEA is a business that provides public relations, management and administration
to the surgery center, diagnostic lab, optical shop and four separate
practices. The practices operate in a spirit of friendly competition,
and bring cutting-edge investigational technology to OESC. OESC, with
three operating rooms, has become world renowned for its excellent,
technically savvy staff, and for the unparalleled patient care that
it provides. Patients come to Eugene from all over the United States
and abroad to obtain the latest advances in cataract and refractive
surgery, and to experience technology that we can offer years ahead
of being made available to the general public. We are delighted that
our practice and the surgery center were highlighted by OOSS for the
technology and advances that we provide, and we look forward to maintaining
the excellent reputation that weve generated worldwide. [ top ]
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| Mark Packer, M.D |
Progress in ophthalmology has depended upon
the perseverance of many individuals, including inventors, surgeons
and patients. Charles Kelman, the inventor of our modern method of
cataract surgery, suffered ostracism and ridicule from many ophthalmologists.
The American Academy of Ophthalmology, the official voice of ophthalmologists
throughout the United States, considered his innovation dangerous
and foolhardy. Nevertheless, he persisted, and eventually developed
a safe and efficient procedure that provided more rapid recovery and
better outcomes for cataract patients. Similarly, adoption of the
intraocular lens (IOL) implant took many years. Harold Ridley, an
Englishman who was eventually knighted by Queen Elizabeth, faced severe
criticism for his innovation of implanting a lens in the eye after
removing the cataract. My fathers decision not to have the implant
reflected the controversy it engendered at that time. Some early IOLs
did cause complications, and patients required further surgery to
recover their eyesight. However, IOLs approved for use in the United
States today have met strict standards, and are uniformly safe and
effective.
The American Society of Cataract and Refractive Surgery (ASCRS)
was founded to provide a forum for rigorous study and constructive
criticism of surgical innovations. Its annual scientific symposium,
peer-reviewed scholarly journal and educational publications provide
critical information for ophthalmologists. As technology has advanced,
ASCRS has successfully met the challenge of education.
This year the Executive Committee of ASCRS selected me to serve
as Councillor to the American Academy of Ophthalmology. The position
carries a three-year term, beginning in 2003. My duties will include
keeping open lines of communication, developing policy initiatives
to improve patient care and reporting on significant advances in
the field. I will serve as a liaison between ASCRS, an organization
at the forefront of innovation, and the Academy. I hope to help
ophthalmologists in the United States and around the world keep
up to speed with the exciting developments in our field.
Councillors to the American Academy of Ophthalmology include representatives
from each state and subspecialty society. New ideas and creative
approaches often begin with Council members. These are crafted into
resolutions, which the Council then submits to the Trustee responsible
for a specific area, such as education or policy. I attended my
first Council meeting in Orlando, Florida, this October, and came
away inspired to expand my quest for improved surgical technology
and techniques. Today we have formed a productive partnership, working
with industry, science and government to develop and refine the
tools we need to give the gift of sight to you, our patients.
The competitive business environment and the wellspring of human
ingenuity continue to exhibit positive synergy in the development
of new technology for eye care. From laser systems for measurement
of the structures of the eye, to minimally invasive ultrasonic surgical
extraction techniques, to intraocular lenses designed to focus light
the way our eyes do in our youth, undreamed of possibilities have
become reality. I feel incredibly fortunate to be able to provide
this wonderful new technology to you, often years before it is available
anywhere else. Our ongoing efforts to improve vision have met with
great success and will continue to allow benefits for our patients
in the foreseeable future. [ top ]
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| Richard S. Hoffman,
M.D. |
Botox (Botulinum Toxin Type A) is a protein
complex produced by the bacterium Clostridium botulinum. It contains
the same toxin that causes food poisoning, yet it has been used for
years to treat various medical conditions. When used in a medical
setting as an injectable form of sterile, purified botulinum toxin,
small doses block the release of a chemical called acetylcholine from
nerve cells that cause muscle contraction, and temporary muscle paralysis
results. By interfering with the contraction of certain muscles, various
medical disorders can successfully be treated with injections of Botox.
Botox was first approved by the FDA in 1989 to treat two eye muscle
disorders: uncontrollable blinking (blepharospasm) and misaligned
eyes (strabismus). In 2000 the toxin was approved to treat a neurological
disorder, known as cervical dystonia, which causes severe neck and
shoulder contractions. As an unusual side effect of the eye disorder
treatment, doctors observed that Botox improved the vertical frown
lines between the eyebrows that tend to make people look tired or
angry. In April 2002, the FDA granted approval to use the drug for
this cosmetic condition, and injections are now frequently being
used to reduce the crows feet wrinkles around
the outer portion of the eyes. Botox injections have also been found
to help reduce the wide-open eye appearance in individuals
with thyroid eye disease.
Botox injections take 3-5 days to take effect. They will usually
last for only 3-6 months and then need to be repeated for continued
effect. Insurance will cover the use of Botox for medical purposes
only and not for the cosmetic reduction of wrinkles and facial furrows.
[ top ]
For
the last fifty-two years I have held a vigil in search of medical advances
that would free me from the bondage of extremely poor vision. While
searching, I finally found a website of an intriguing team of doctors
in Eugene, Oregon. There was a sincerity, determination and dedication
in the website that was missing from the countless others that I had
visited. The physician and practice profile on the site seemed to speak
to me with more than just hype, and I decided to take the challenge
of scheduling a free screening just to see how confident they would
be after evaluating my poor peepers. My wife and I rearranged our busy
work schedules to make the 130 mile one way trek to Eugene, hoping that
it would be a small investment for a great reward.
Tony, the Refractive Coordinator, made me feel like I
was his first and only patient, which set a precedent that the entire
staff lived up to as well. Dr. Packer examined my screening results,
and listened carefully to my visual desires. He then explained what
he could do to meet my expectations. I looked forward to my refractive
lens exchange surgery with new found hope and anticipation. My healing
began then, even before I had my surgery.
I had my surgeries over the course of one week. The efficiency and friendly
care of my doctors staff continued in the Oregon Eye Surgery Center,
where I felt comfortable and confident. I had absolutely no fear of
turning over my most precious sense to their care. There were many personal
touches employed by the staff that seemed to be a natural process of
this phenomenal team.
The results of my surgeries have wildly exceeded my expectations.
I used to have to use contact lenses and glasses just to read my computer
screen - not any more! I experience my greatest visual goal every morning
when I wake up and see my beautiful wife clearly. I look forward to
my follow-up visits, and all 260 miles, because I now feel that I have
a whole team of friends at Drs. Fine, Hoffman and Packer and the Oregon
Eye Surgery Center. [ top ]
I
have spent forty-three years wearing corrective lenses, either glasses
or contacts, and this year I thought I would treat myself to the
special birthday present of new eyesight. After having LASIK performed
by Dr. Richard Hoffman, I feel as if I have been given the gift
of a new life, not just new vision. I have wondered for years what
it would be like to see without wearing glasses, and now I know
what I have been missing.
As I walked my dog last night, I felt that words seemed inadequate
to thank Dr. Hoffman for being able to see the leaves of trees,
and the texture of their bark, underneath windswept clouds that
painted the sky pink and purple. I was finally able to see the blades
of grass being blown flat by the wind. I now ecstatically tell everyone
I meet about the LASIK performed on my eyes, and how it has changed
my life. When they see the joy that I feel with my new vision, the
next thing that I tell them is to talk to Dr. Hoffman!
[ top ]
What
a difference in my life! I feel like I have a new lease on sight
after my refractive lens exchange. Dr. Fine and his staff were
excellent! I knew that I was in the right place after one call
to their office. They answered all of my questions readily.
I was surprised at their breadth of knowledge about refractive
surgery, and it certainly was a refreshing change from the other
offices that I had called who had fumbled around with vague
answers to my inquiries.
My reading and distance vision is wonderful now! I can go
to work in my job as an electrician and plumber and see small
wires in odd places that I had missed before. I dont have
to worry anymore about dust obscuring my glasses when I climb
through ceilings, and I dont get stiff from having to
crane my neck as I work in tight quarters trying to get my glasses
within trifocal and bifocal range. As a result, my whole body
health is much better now. I cant think of anything better
that Ive done for myself than my Refractive Lens Exchange.
Now that I am at home and seeing beautifully, I would like to
take this opportunity to thank all of the wonderful people at
Drs. Fine, Hoffman and Packer and the Oregon Eye Surgery Center
for their care. [ top ]
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