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2017 Annual Meeting - Faculty Biographies and Slides

Gary Cass - Hands-On Eye Block Workshop with Pig Eyes & Cadaver Heads

Gary D. Cass, MD is the medical director and anesthesiologist at the Tampa Eye and Specialty Surgery Center. This is a freestanding ambulatory surgery center where approximately 4,500 eye surgeries are performed a year. Involved clinically in the daily operation of this facility, Dr. Cass performs all anesthesia services.

Dr. Cass is certified by the American Board of Anesthesiology, and attended medical school at the University of Colorado. He received his residency training at the University of Chicago and the University of Miami. Gary has been active in the OAS for many years, having served as president and program director in 2000 and 2007.

Dr. Cass has authored several publications in the field of Ophthalmic Anesthesia including papers on the use of 2-chloroprocaine for peribulbar blocks, and choices of local anesthetics for ocular anesthesia.

Zhuang T. Fang, M.D. - Eye Injury Associated with Surgery and Anesthesia 

Zhuang T. Fang, M.D., MSPH, clinical professor at the David Geffen School of Medicine at UCLA. Dr. Fang obtained his medical degree from Guangzhou Medical College, China, and MSPH degree from UCLA. He completed his residency in anesthesiology at UCLA in 2000 and has been a faculty member since in the Department of Anesthesiology and Perioperative Medicine at UCLA.

Dr. Fang is specialized in ambulatory and ophthalmic anesthesia. He has been the associate director of Jules Stein Eye Institute Operating Rooms since 2005. Dr. Fang developed a novel technique of the mixture of propofol, narcotics and lidocaine in a 6-2-2 ml ratio, for monitoring anesthesia care (MAC), which was proved to be effective and safe. He published a paper for the technique in the Clinical Journal of Anesthesia in 2006. He also gave a lecture, titled “Monitoring Anesthesia Care in Ophthalmic Surgery” in 2011, and “Deep Extubation in Ophthalmic Surgery” in 2013, during the Ophthalmic Anesthesia Society (OAS) annual Meeting. His research areas include the mechanism of respiratory depression with propofol and etomidate, the effects of cross-tolerance of alcohol and anesthetics in respiratory depression, postoperative complications after ophthalmic surgery. His research results have been presented in the annual meetings of the American Society of Anesthesiologists, International Neurosciences Conference and the Ophthalmic Anesthesia Society (OAS). Dr. Fang has been the board member of the OAS since 2011. He is currently the vice president and president-elect of the OAS.

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Gregory Fox, M.D. - Update on Hemorrhagic Occlusive Retinal Vasculitis (HORN)

Dr. Fox studied at the University of Michigan Medical School and completed his ophthalmology residency at Bascom Palmer Eye Institute/The University of Miami School of Medicine in 1991. He has worked for Retina Associates, P.A. at a number of their locations in Kansas and Missouri since 1999.

Eric Fry - Cataract Surgery: The Good, the Bad, and the Ugly!

I grew up in Garden City, KS and attended the University of Kansas for undergrad where I got my degree in Cellular Biology. I then attended the University of Kansas School of Medicine where I earned my MD. I did my internship in Internal Medicine where I won the Most Outstanding Resident Teacher Award for which I was particularly honored because the medical students vote for the recipient. Ophthalmology residency was also at the University of Kansas where I received the Allen Riley Most Outstanding Resident award. Following Ophthalmology residency, I did a one-year fellowship in Oculoplastic and Reconstructive surgery in Denver. Before joining my father in practice, I traveled to India to study advanced cataract surgery at the prestigious Amar Agarwal Eye Hospital. I joined my father, Luther Fry, MD, and his partner Bill Clifford, MD in 2008 at Fry Eye Associates. I live in Garden City with my wife Jena and three lovely children Trevor, Jace and Chelsea.

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Randolf Harvey, CRNA - The Peri/Retrobulbar Block: Utilizing the Geometrical Approach - A Shifting Paradigm

Mr. Harvey graduated from Duke University Medical Center School of Nurse Anesthesia in August of 1980. He has enjoyed a multifaced anesthesia career; combining both a hospital and an ASC-based practice with a special focus on Ophthalmic Anesthesia. Mr. Harvey has lectured extensively on ophthalmic anesthesia since 1987. He was one of the founding members of the Ophthalmic Anesthesia Society, serving the organization as a scientific board member, secretary, and co-chair of the 2014 Annual Meeting. Mr. Harvey was the original author/contributor to the chapter on ophthalmic anesthesia in the textbook Nurse Anesthesia published in 1997, 2001, 2010, 2014 and 2018.

In 1991, he originated and developed a hands-on workshop, utilizing his orbital eye simulator, for anesthesia practitioners to establish expertise in ophthalmic blocks. This biannual program is in its 26th year of continuous service. In 2008, his abstract "A Geometrical Method Applied to an Orbital Block" was accepted and presented as the OAS annual meeting.

In 2011, he co-produced with Dr. Eduardo D'Agostino a teaching video for ophthalmic blocks, "A Safe and Effective Peri-Retrobulbar Block Technique", which was accepted into the American Academy of Ophthalmology's Network One website in November 2013.

In 2016, he was the recipient of the 31st Annual Alice Magaw Outstanding Clinical Anesthesia Practitioner of the Year, awarded by the American Association of Nurse Anesthetists. The award recognizes the recipient as a person who has made an important contribution to the advancement of nurse anesthesia practice.

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Robert Langston - Smart Oxygen Recovery System

Bob is a Staff CRNA who has practiced in area hospitals in Salt Lake City for over 25 years.

He graduated in 1983 from the University of Utah with a Bachelors of Science in Nursing. In 1990, Bob graduated from the University of Mary/ University of North Dakota with a Masters in Nurse Anesthesia. He is a member of the AANA, UANA, and Anesthesia Patient Safety Foundation.

For many years Bob served in the Utah National Guard and the United States Army Reserve, serving in Texas, Europe, and Central America. He retired in 2002 with the rank of Captain.

Bob was a volunteer for the 2002 Winter Olympics in Salt Lake City. In his spare time, Bob is an avid Fly-fisherman and enjoys many outdoor activities in the nearby Wasatch mountains of Utah.

David Markoff, M.D. - Cataract Surgery: From Less Drops to Drop-Less

Dr. Markoff received an undergraduate degree in Chemistry from Southern Adventist University. He attended medical school and did his Ophthalmology residency at Loma Linda University. Upon completion of his residency he joined Mountain Eye Associates in Clyde, NC where he has practiced for the last 24 years and currently serves as senior partner and president.

Dr. Markoff has served as chief of staff at Haywood regional medical center and as president of the North Carolina Society of Eye Physicians and Surgeons and the Ophthalmic Anesthesia Society. He has also served as an instructor for the phacoemulsification and LRI wet labs at the annual ASCRS meetng.

He met his wife Tricia in Loma Linda where she received a doctorate in Public Health. They have 3 children, and enjoy spending time hiking and water and snow skiing together. Dr. Markoff also enjoys serving and performing surgery in the developing world. He has a special interest in Bolivia, which he has been visiting annually since 1996.

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Athir Morad, M.D. - Respiratory Depression and Consideration for Monitoring Following Ophthalmic Surgery

Dr. Athir Morad is an assistant professor of Anesthesiology/Critical Care Medicine and Neurology at the Johns Hopkins University School of Medicine. He joined the Johns Hopkins faculty in 2008.

Dr. Morad graduated from Georgetown University as a Howard Hughes undergraduate research scholar. After earning his M.D. from the University of Virginia, he completed his internship at Inova Fairfax Hospital and residency in Anesthesiology at the Johns Hopkins Hospital. He completed his fellowship training in Surgical Critical Care and Neurocritical Care at the Johns Hopkins Hospital in 2008.

His research focuses on the perioperative management of pain in patients undergoing neurosurgery. He has completed two randomized controlled trials on the efficacy of patient controlled analgesia (PCA) in patients following craniotomy. Current research interests include the safety of opioid administration following craniotomy using end-tidal CO2 detection, and the effect of opioid analgesia on sleep architecture following major spine surgery.

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Paul Munden, M.D. - Anesthetic Considerations in Glaucoma Surgery 

Dr. Munden served in the US Navy  as a nuclear trained submarine officer after college. He then attended medical school at Texas Tech University then residency at Iowa. This was followed by his glaucoma fellowship in Miami at Bascom Palmer returning to faculty position at Iowa for 5 years. Then he began his own private practice in Amarillo, Texas for 16 years until kids graduated. Recently, Dr. Munden has returned to academics at University of Kansas in 2013, worked at the Oklahoma City VA Health System doing clinical work and teaches Dean McGee Eye Institute/University of Oklahoma residents.

He is married, has 4 children, and enjoys flying and fly fishing.

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Lindsey Nelson, M.D. -  Non-Narcotic Perioperative Analgesia: A New Optic for the Ophthalmic Anesthesiologist 

Dr. Lindsey Nelson completed his medical school at University of Minnesota and his anesthesiology training at the University of Cincinnati. He began his extensive career in transitional clinical research as a medical student while working with Dr. David E. R. Sutherland in the field of cellular and whole organ transplantation. During residency and as a young faculty in the Department of Anesthesiology at the University of Cincinnati, he developed an interest perioperative throughput improvement processes. This interest led to more extensive quality/cost analytics with an emphasis on perioperative pain management while working at the world-renowned Steadman-Philippon Clinic in Vail, CO. He was then brought in as the Chief Quality Officer for Medstream Anesthesia Solutions, where he oversees the development of effective real-time health informatics and the development of opioid-sparing perioperative protocols for nearly 500 clinical providers. When not working, he still enjoys spending time in the outdoors which began while growing up in his native Minnesota.

Scott Olitsky, M.D. - Pediatric Ophthalmology & Adult Strabismus Surgery

Scott Olitsky attended Bowdoin College for college and then obtained his MD from Jefferson Medical College in Philadelphia. He then did his residency in ophthalmology at The State University of New York at Buffalo followed by a fellowship in pediatric ophthalmology at Wills Eye Hospital. Currently he is the section chief of ophthalmology at Children’s Mercy Hospital and Professor of Ophthalmology at The University of Missouri in Kansas City. Dr. Olitsky has written a number of textbooks in pediatric ophthalmology and has traveled to a number of countries to teach and lecture throughout his career.

Dr. Howard Palte - You be the Judge: Interesting Cases & Hands-On Eye Block Workshop with Pig Eyes & Cadaver Heads

Dr. Palte completed his undergraduate medical training at the University of Cape Town and an anesthesiology residency at The University of Witwatersrand, Johannesburg, South Africa. Following a fourteen-year spell in private practice in Johannesburg he transferred to the United States where he joined the Department of Anesthesiology at the University of Miami. He is an Associate Professor of Anesthesiology and director of regional anesthesia for ophthalmic and orthopedic surgery at Bascom Palmer Eye Institute. His primary interests include ophthalmic, regional and ambulatory anesthesia. He has numerous publications that address safety issues surrounding the use of ultrasound in medicine, particularly the eye. His current research includes projects that examine the benefits of ultrasound-guided eye blocks, systemic complications associated with ophthalmic surgery, and patient outcomes after eye surgery.

Michael Phelps - Propofol 'Sedation': Is it Mad, Bad, and Dangerous to Know?

Michael Phelps received his MD degree from Temple University, and subsequently completed his residency in anesthesiology at Johns Hopkins, where he has been on the clinical faculty for over 8 years. His interests in anesthesiology include total intravenous anesthesia and pharmacokinetics, airway management, and non-OR anesthesia, and is the Director of Non-OR Anesthesia at Johns Hopkins. He regularly provides clinical education for anesthesiology residents and nurse anesthetist students. He also frequents the Wilmer Eye Center where he provides anesthesia for ophthalmological procedures.

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Richard Rivers, M.D - Hands-On Eye Block Workshop with Pig Eyes & Cadaver Heads

Dr. Richard J. Rivers is an associate professor of anesthesiology and critical care medicine and ophthalmology at the Johns Hopkins University School of Medicine. His area of clinical expertise is ophthalmological anesthesia. He serves as chief of anesthesia at the Wilmer Eye Institute at Johns Hopkins.

Dr. Rivers received his bachelor’s degree in chemical engineering from Clarkson University and his medical degree from the University of Toledo College of Medicine. He was a transitional resident at the University of Toledo Hospital before performing an anesthesiology research fellowship and a residency in anesthesiology at the University of Virginia Health Sciences Center. Dr. Rivers then completed a Ph.D. in physiology at the University of Virginia Health Sciences Center.

Prior to joining Johns Hopkins, Dr. Rivers was on faculty at the University of Rochester and then became chief of anesthesia at Lattimore Surgical Center in Rochester. He joined the Johns Hopkins faculty as chief of Anesthesia in 2002 and completed an M.B.A. at Johns Hopkins Carey Business School in 2009.

Dr. Rivers’ primary research interest is vascular communication and the regulation of blood flow.

He is past president of the Ophthalmic Anesthesia Society and is a member of many professional organizations including the Maryland Society of Anesthesiologists, the International Anesthesia Research Society and the American Society of Anesthesiologists.

Tina Roberts, R.N. - Tips and Tricks: Time-Saving Techniques

Tina has over 30 years nursing experience, with 12 years of Federal & State regulatory oversight.

As Compliance Director, she works to design, develop, and prepare Ambulatory Surgery Centers for initial accreditation, reaccreditations, and licensure of new and existing centers. In addition, she provides ongoing support for centers with a subscription website that keeps Clinical Managers/Administrators current with regulations, forms, P&P’s, and Infection Control.

She has successfully assisted over 30 ASC’s in obtaining licensure, CMS accreditation and/or CMS deemed status (JC, AAAHC), and reaccreditations.

Derek Sakata, M.D. - Smart Oxygen Delivery System

Dr. Sakata is a professor and the Vice Chair of Anesthesiology at the University of Utah. He currently holds a Leland O. and Avanelle W. Learned Endowed Professorship in Anesthesiology. He is Director of Anesthesia services for the John Moran Eye Center and holds an adjunct associate professorship of ophthalmology. He further has an adjunct associate professorship of bioengineering. He presently is founder and Executive Medical Director of the CRNA Care Team at the University of Utah. He also is founder of Anecare LLC and Dynasthetics LLC and is currently the Chief Medical Director for Dynasthetics LLC.

Dr. Sakata received his Bachelor of Science degree in electrical and computer engineering from the University of California, Irvine and his medical degree from Loma Linda University, Loma Linda, CA. Further, he completed an internship at Arrowhead Regional Medical Center, Colton, CA and a residency in anesthesiology at the University of Utah School of Medicine in Salt Lake City, UT. He served as chief resident in his final year of residency at which time he decided to continue as faculty at the University of Utah.

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Dave Stange, CRNA - Pro/Con Debate: Anesthesia Provides Both Sedation and Ophthalmic Block?

David Stange CRNA is currently Clinical Director of the Baylor Scott & White Ophthalmic Surgery Center in Sherman, Texas. He is the owner of GPS Anesthesia, a CRNA based group, which provides anesthesia coverage to general surgery centers. As a seasoned health care professional, of over 30 years, Dave has set up multiple hospital and ASC based anesthesia departments. His experience is with CRNA only practices and Care Team only practices. In the ophthalmic world David directs a fast passed high volume surgery center for 4 eye surgeons. Combined they perform over 4,500 cases a year. David has personally done over 35,000 ophthalmic blocks though out his career.

Jochen Steppan, M.D. - Cardiac Disease and Implications of Ophthalmic Surgery

Dr. Jochen Steppan is an assistant professor of anesthesiology and critical care medicine at the Johns Hopkins University School of Medicine. He serves as the Director for Perioperative Medicine, High Risk Cardiovascular Disease. Clinically, he specializes in pediatric and adult cardiothoracic anesthesiology, as well as in patients with complex cardiovascular disease presenting for noncardiac surgery. His research focus is twofold, 1) clinical: the improvement of care for patients with congenital heart disease and pulmonary hypertension, 2) basic vascular biology: to elicit the underlying mechanisms involved in vascular stiffening, an important predictor of aging associated cardio-vascular morbidity.

Dr. Steppan completed his M.D. at the Ruprecht-Karls University in Heidelberg, Germany, where he also wrote his medical thesis in physiology. He conducted residencies in anesthesiology at the University Hospital of Heidelberg and the Johns Hopkins University School of Medicine. Additionally, he completed fellowships in adult cardiothoracic anesthesiology and pediatric cardiac anesthesiology at Johns Hopkinsrol.

Dr. Steppan is a member of the American Heart Association, the International Anesthesia Research Society, the American Society of Anesthesiologists, and the Society for Cardiovascular Anesthesiologists. He holds several patents, has published extensively, and has won multiple awards for his research. He is certified by the American Board of Anesthesiology, holds the European Diploma in Anesthesiology (DESA), is an Editor for the Journal of Cardiothoracic and Vascular Anesthesia, and successfully took the Examination of Special Competence in Advanced Perioperative Transesophageal Echocardiography.

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Tina Tran, M.D. - Ask the Society

Dr. Tran is an assistant professor of anesthesia and critical care medicine at Johns Hopkins University. She obtained her Masters in the anatomy and physiology department at the Medical College of Virginia, where she stayed to complete her MD degree. She completed her anesthesiology residency at Johns Hopkins University where she stayed on as faculty, working primarily in the Wilmer Eye Center as well as the labor and delivery unit.

Dr. Tran is currently an assistant program director, focusing on educational improvements for the residents. She is part of a research group to study the use of simulation and medical equipment to enhance education and medical care in low resource countries. She lives in the suburbs of Baltimore Maryland with her husband and son, and enjoys traveling in her spare time.

William Wiley, M.D. - Hustead Memorial Lecture: Use of MKO Melt in Ophthalmic Surgery

William Wiley, M.D. had pioneered many eye procedures in the Northeast Ohio area. He was the first Cleveland physician to implant the Tecnis aspheric and ReZoom Multifocal Intraocular lenses available for cataract surgery. Dr. Wiley was also among the first physicians in the country to implant the Crystalens accommodative intraocular lens also available for cataract surgery. To date, Dr. Wiley has performed over 10,000 cataract and refractive surgical procedures.

He is a true Doctor’s doctor in that over the past 4 years he has performed over 100 surgeries on physicians and their family members. In addition, he is the Assistant Clinical Professor of Ophthalmology, University Hospitals/Case Western University. Dr. Wiley currently resides with his wife and family in the suburbs of Cleveland, Ohio.

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