Lectures

The part I love most about lecturing is seeing the ‘aha!’ moment on a student’s face, or the ‘oooh, interesting’ look on a colleague’s face. Sharing the knowledge and imbuing nerdy passion in colleagues and the next generation of optometrists is very important to me. My lectures are primarily on topics of myopia control, orthokeratology, binocular vision fundamentals and contact lenses. My lectures always contain a lot of images, which I like to think makes them more interesting when presented, but could make some points a little harder to grasp when read from a computer screen without the benefit of verbal explanation. Feel free to download as few or as many as you’d like, and if you have any questions, please email me: kate@gjo.com.au.


The impact of myopia management on Optometry

Presented at:

  • Cornea and Contact Lens Society of Australia QLD ‘Good Morning Myopia’, February 2017, Brisbane, Australia
  • Brien Holden Lecture Series – July 2016, Sydney, Australia

The practitioner has a challenge in translating research into practice, and this lecture details the clinical imperative for myopia control; practitioner attitudes and practices in myopia control across the world; a reimagined view of myopia control from a public health and innovation perspective; and a roadmap for optometry to be on the frontline of clinical myopia control, including available online resources.
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Near binocular vision in orthokeratology lens wearing children – a retrospective analysis (Poster)

Presented at:

  • Asia-ARVO, February 2017, Brisbane, Australia

This is the first peer reviewed published data from my PhD work on OrthoK and binocular vision (BV) – a longitudinal, retrospective study comparing BV in single vision spectacles at baseline, to BV after a variable period of OK wear in 30 myopic children. I found an exophoric shift, improved divergence (base-in fusional reserves), improved accommodative accuracy (a lower lag) and no detrimental effect on convergence (base-out fusional reserves). These findings have relevance to visual acceptance of OK in paediatric myopes, as well as indicating a mechanism of OK’s demonstrated propensity for myopia control.
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Best practice myopia management (2016 update)

Presented at:

  • BCLA Asia Conference – September 2016, Hong Kong (in part)
  • Brien Holden Lecture Series – July 2016, Sydney, Australia – as ‘Impact of myopia management on Optometry’ and ‘Setting up your myopia control clinic’
  • Cornea and Contact Lens Society of Australia VIC Branch Meeting – July 2016, Melbourne

This one hour lecture is expanded and updated to include latest research on myopia control, including recently published atropine studies and the global myopia management attitudes and strategies survey. It also provides specific advice on soft contact lens myopia control and safety in paediatric contact lens wear.

This lecture borrows from ‘Myopia Management in Clinical Practice’ which is a more intensive literature review of myopia control research, and how each theory of myopia progression can be altered by spectacles or contact lens prescribing. It also includes some slides from ‘Risk/benefit analysis of CLs for myopia control’ which establishes a clear case for considering of lifetime risk of myopic pathology in balance with contact lens complication risk, along with comparison of modalities for myopia control and communication tools. All three lectures together provide a comprehensive review of the scientific and clinical aspects of myopia control.

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OrthoK and Binocular Vision – OSO Scholarship Research

Presented at:

  • Orthokeratology Society of Oceania Conference, September 2016, Gold Coast, Australia

OK’s propensity for myopia control is well understood but its mechanism is only partially clear. The optical changes induced by OK – changes in peripheral refraction and spherical aberration – are likely to have some effect on accommodation and vergence function, which is important to understand both from a myopia control and visual comfort perspective. This lecture details my PhD research investigating OK and binocular vision in paediatric and young adult myopes. I’d like to thank the OSO again for supporting my research.
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Hot topics in paediatrics / Paediatrics A to Z

Presented at:

  • Optometry WA Graduate Group (OWAGG) lectures – August 2016, Perth, Australia
  • West Australian Vision Education – August 2016, Perth, Australia (abridged version)

Myopia control, contact lenses for kids, vision and learning, screen time vs green time; these topics are garnering interest in the popular media so it’s vital that we can address concerns of our patients and their parents with an evidence based approach. This 30 minute lecture describes the evidence base surrounding myopia control, paediatric contact lens wear, the relationship between vision and learning skills and the influence of environment on childhood visual development.
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A clinical approach to dry eye

Presented at:

  • BCLA Asia Conference – September 2016, Hong Kong (in part)

Dry eye management is of particular importance to the contact lens practitioner in ensuring patient comfort, however increasing numbers of non contact lens wearing patients are presenting with dry eye symptoms. Gone are the days when one drop solved them all – a systematic approach to diagnosis and management of dry eye syndrome is now possible using new technologies. In this lecture, scientific review and practical experience detail a clinical approach to dry eye diagnosis and management.
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Hot topics in paediatrics / Paediatrics A to Z

Presented at:

  • Optometry WA Graduate Group (OWAGG) lectures – August 2016, Perth, Australia
  • West Australian Vision Education – August 2016, Perth, Australia (abridged version)

Myopia control, contact lenses for kids, vision and learning, screen time vs green time; these topics are garnering interest in the popular media so it’s vital that we can address concerns of our patients and their parents with an evidence based approach. This 30 minute lecture describes the evidence base surrounding myopia control, paediatric contact lens wear, the relationship between vision and learning skills and the influence of environment on childhood visual development.

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OrthoK for all ages

Presented at:

  • Sveriges Kontaktlinsforening (Swedish Contact Lens Conference), Stockholm 2015

Orthokeratology (OrthoK) is gaining popularity around the world given its convincing scientific results for myopia control. This 45 minute lecture details the foundation science of OrthoK; discusses practitioner attitudes along with advantages and limitations of fitting to children and adults; considerations for adult OrthoK including its function in presbyopia; and safety in comparison to other contact lens modalities. Clinical case studies and topographical outcomes are combined with published scientific data to illustrate patient selection pathways for the practitioner.

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Multifocal Musings

Presented at:

  • Peer education evening sponsored by Coopervision – September 2015, Brisbane, Australia

This 45 minute lecture covers an understanding of current practitioner prescribing habits for presbyopes in Australia and overseas; the optical fundamentals of multifocal lenses and how this influences visual outcomes; clinical tips for patient selection and achieving optimum vision and comfort; and an understanding of advanced use of multifocal contact lenses such as torics, pre-presbyopes and for myopia control.

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Risk / benefit analysis of CLs for myopia control – can we afford to do nothing?

Presented at:

  • Sveriges Kontaktlinsforening (Swedish Contact Lens Conference), Stockholm 2015 (in part)
  • British Contact Lens Association annual conference – May 2015, Liverpool, England

This one hour lecture was prepared for the British Contact Lens Association conference in Liverpool, May 2015, for their Myopia Management Day. I was thrilled to share the stage with Ian Flitcroft, whose seminal myopia paper published in 2012 was the inspiration for the analyses I present here on the risks of future myopic pathology with increasing levels of myopia compared to the immediate risks of fitting contact lenses for myopia control. This lecture includes the story of Sarah and Avi, two children who start their myopia journey both at R&L -1.00 at age 7, but end up with very different risk profiles in adulthood because of how their myopia was managed as children.

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Beyond acuity – contact lenses and binocular vision

Presented at:

  • British Contact Lens Association annual conference – May 2015, Liverpool, England

This one hour lecture details my two system approach to binocular vision, which you can find further detailed in the lecture Binocular Vision – easier than you think. In this current lecture I go on to describe the optical and oculomotor differences between specs and contact lenses for myopic and hyperopic wearers; how OrthoK and multifocal contact lenses alter BV and their link to myopia control; and finally clinical cases of using multifocal contact lenses for non-presbyopes and novel uses of contact lenses for managing intractable diplopia in adults.

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Myopia Management in Clinical Practice

Presented at:

  • BCLA Asia Conference – September 2016, Hong Kong (in part)
  • Sveriges Kontaktlinsforening (Swedish Contact Lens Conference), Stockholm 2015 (in part)
  • New Zealand Association of Optometrists Conference – October 2014, Auckland (expanded into two lectures: Myopia Control – the full review and Best Practice Myopia Management)
  • British Contact Lens Association annual conference – June 2014, Birmingham, England
  • American Academy of Optometry annual conference – October 2013, Seattle, USA

The growing incidence of paediatric myopia worldwide necessitates a thorough understanding of the scientific literature and its translation to clinical practice. This one hour lecture combines scientific evidence with clinical experience and communication tools to outline best practice myopia management.

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Myopia control with spectacles

Presented at:

  • Cornea and Contact Lens Society of Australia QLD branch meeting – May 2013, Brisbane, Australia

This short and sweet, twenty minute lecture details the scientific evidence and clinical conundrums of using spectacles for myopia control.

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Fitting kids with OrthoK for myopia control – the pro’s and con’s

Presented at:

  • British Contact Lens Association annual conference – June 2011, Manchester, England

This lecture hones in on OrthoK, which is the most promising and proven modality in the literature for myopia control.

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Binocular Vision – easier than you think

Presented at:

  • Optometry WA Graduate Group (OWAGG) lectures – August 2015, Perth, Australia (in part)
  • New Zealand Association of Optometrists Conference – October 2014, Auckland. (Small amendments)
  • Southern Regional Congress – June 2013, Melbourne, Australia

This 90 minute lecture details my two system approach to binocular vision assessment, diagnosis and management along with illustrating cases. I’ve also described use of horizontal and vertical prism in treatment of convergence insufficiency and fourth nerve palsy; binocular vision and contact lenses; and why BV matters – for clinical problem solving, learning difficulties and myopia control.

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Beyond acuity with contact lenses

Presented at:

  • Australia Vision Convention – April 2013, Gold Coast, Australia
  • Presented in a modified form to Fifth Year QUT Optometry students in 2013

This one hour lecture extends contact lens prescribing beyond simply correcting acuity, by combining clinical case studies and literature review. Covering all CL modalities, prescribing for paediatric and adult binocular vision conditions are explored, along with therapeutic uses and alternative considerations for adaptation issues in the new wearer.

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The FUNdamentals of paediatric practice

Presented at:

  • Fourth Year QUT Optometry student lecture (2012, 2013, 2014)

This 60-90 minute lecture details my two system approach to binocular vision assessment, diagnosis and management along with illustrating cases. Emphasis is also put on binocular vision and learning, contact lens fitting for kids and tips for paediatric practice.

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Corneal topography fundamentals and OrthoK fitting (co-presentation with Dr Paul Gifford)

Presented at:

  • Orthokeratology Society of Oceania Congress, 2010 and 2012, Gold Coast, Australia
  • British Contact Lens Association Conference – 2010, Birmingham, England
  • American Academy of Optometry annual conference – 2011, Boston, USA

This 90-120 minute lecture / workshop is an introductory session to OrthoK fitting and management. It details the fundamentals of capture and analysis of corneal topography for fitting; different lens design systems; the foundation science of OrthoK; and a vast array of topographical and outcomes all illustrated using real cases from clinical practice.

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RGP fundamentals

Presented at:

  • Vietnam National Institute of Ophthalmology – 2014, Vietnam
  • International Cornea and Contact Lens Congress – 2012, Sydney, Australia

This lecture is 60-90 minutes and overs RGP lens designs, fitting fundamentals and nomenclature, lens fit appearances and outcomes, toric RGP calculations, fitting using sag and eccentricity, the process of fitting, and management including lens depositing and replacement.

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Indications for fitting medical contact lenses

Presented at:

  • Small group workshop for the Vietnam National Institute of Ophthalmology – 2014, Hanoi, Vietnam

This small group workshop covers the following indications – refractive, irregular corneae, paediatric and other indications such as bandage lens use and for sensorimotor and binocular vision disorders. At 46 slides it would be an hour long lecture, but was longer in Hanoi as Vietnamese Optometrist Minh Anh Tran tirelessly translated my every word for her colleagues!

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Corneal topography and anterior OCT for RGP fitting

Presented at:

  • Small group workshop for the Vietnam National Institute of Ophthalmology – 2014, Hanoi, Vietnam

This is a shorter lecture of 22 slides detailing topography image capture and metrics, use of OCT for miniscleral lens fitting and fundamental theory behind miniscleral lens design.

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RGP’s from small to large

Presented at:

  • Small group workshop for the Vietnam National Institute of Ophthalmology – 2014, Hanoi, Vietnam

This lecture covers spherical and aspheric RGP lens design for standard fits using examples, eccentricity fitting, and miniscleral lens design and fitting including the Smith Technique for estimating anterior chamber depth. It has a lot of content and focuses on several lens designs I use regularly from Capricornia Contact Lens Laboratory – namely the ModCon, KBA, EpiCon and KATT lens designs.

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Contact lens marketing

Presented at:

  • British Contact Lens Association annual conference – June 2014, Birmingham, England

The mindset for paediatric fitting confidence and success Eye care practitioners can be reluctance to fit children and teens with contact lenses due to safety, compliance, legal or cost concerns. Are these legitimate concerns or outdated notions? The first step to contact lens marketing, particularly for paediatric patients, is ensuring a proactive, fully informed practitioner mindset. Rather than how to fit, this 30 minute session provides the why.

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Red eyes made easy

Presented at:

  • Optometry WA Graduate Group (OWAGG) lectures – August 2016, Perth, Australia (as ‘Therapeutics Top 5’)
  • Optometry WA Graduate Group (OWAGG) lectures – August 2015, Perth, Australia (in part)
  • Optometrists Association of Australia NSW/ACT Super Sunday Conference – 2012, Sydney, Australia

This lecture uses several clinical cases to illustrate the diagnostic challenge of the red eye – whether bacterial, viral, allergic, inflammatory or due to other causes. Each section includes a diagnostic decision tree and clinical pearls.

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Ocular allergy – nothing to sneeze at

Presented at:

  • Optometrists Association of Australia NSW/ACT Super Sunday Conference – 2012, Sydney, Australia

This 45 minute lecture delves into the fundamentals of the allergy process and details diagnosis and management of SAC, PAC, CLPC/GPC, VKC and AKC, including case studies.

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