STATE OF THE COLLEGE 2 O 1 5 CREATING A LEGACY OF LEADERSHIP
TABLE OF CONTENTS LETTER FROM THE PRESIDENT ......................................5 EDUCATION .............................................................7 PATIENT CARE ........................................................ 17 RESEARCH............................................................. 25 ALUMNI ................................................................ 33 COMMUNITY .......................................................... 35 CONTRIBUTORS ...................................................... 38 FINANCIALS .......................................................... 41 www.sunyopt.edu Facebook/sunyopt Youtube/sunyoptometry @sunyopt www.linkedin.com/company/suny-college-of-optometry 3
“We have to embrace the responsibility of anticipating the future and preparing our students for that eventuality. We really cannot aford to react to the environment after things occur.” — DR. DAVID A. HEATH, President [The quotes highlighted in this report come from a discussion about critical issues in optometry. To listen to the full discussion, visit 2015annualreport.sunyopt.edu ] 4
LETTER FROM THE PRESIDENT Like any institution, we understand that our value is largely measured by the impact that we make in our community and beyond. This important message has been reinforced recently by the State University of New York Board of Trustees and Chancellor Nancy Zimpher and her administration who have identifed fve key areas that SUNY will use its collective strength to address over the course of the next fve years as part of the system’s strategic plan, the Power of SUNY 2020. They include: • Increasing access to SUNY institutions across all segments of the population. • Helping students focus on the completion of their educational programs. • Aiding students in the achievement of post-graduate success. • Promoting inquiry, or faculty and student scholarship, across the SUNY system. • Working toward greater social and economic engagement with each institution’s community. The SUNY College of Optometry is an enthusiastic supporter of this process and our own current strategic plan, Creating a Legacy of Leadership, aligns well with the performance improvement plan, known as SUNY Excels, that the University has created to measure the success of the Power of SUNY 2020 going forward. From our enrollment management plan that carefully dovetails a workforce analysis assessing the future need for eye care in New York State; to our commitment to providing resources that help our students and alumni achieve success in their careers; to our drive to increase our impact through collaborative research across the SUNY system; to our investment in technology that will improve and enhance the learning environment of our students; to the exceptional care that we provide to tens of thousands of New Yorkers each year. As we work to do our part in support of this critical system-wide initiative, SUNY Optometry is also helping to solidify our own position as a leader for generations to come. Our community-wide efforts are building on our legacy of achievement in training leaders in health care, advancing the knowledge and understanding of vision science, driving improvements in patient care delivery and providing exceptional care for increasing numbers of people across our community. This report not only measures the progress that we have made over the past year, it also addresses many of the key issues and challenges that we face in that journey. You can learn more about our SUNY Excels campus Performance Improvement Plan (PIP) in this report, or visit www.sunyopt.edu/pip Thank you for your continued support over the past year. David A. Heath, OD, EdM President 5
“Early in their training we teach our students procedures, but always in the context of patient care, emphasizing the use of these procedures to diagnose and treat.” —DR. DAVID TROILO, Vice President and Dean for Academic Affairs 6
E D U C A T I N SUNY EXCELS AND THE PATH TO 2020 Last year, the State University of New York Board of Trustees and administration approved SUNY Excels as the University’s performance system and the catalyst for strategic direction over the next fve years. As a result, each SUNY institution has developed its own unique performance improvement plan designed to advance the fve primary goals that SUNY Excels is looking to improve: Access, Completion, Achievement, Inquiry and Engagement. SUNY Optometry’s current strategic plan, A Legacy of Leadership, supports these goals well and the College’s performance plan, which was recently approved by University administration, refects the ways in which the institution’s strategic initiatives support the SUNY Excels objectives. For example, the College’s carefully developed enrollment management plan, including the continued enrollment of a highly qualifed and diverse student body, will improve access and completion while meeting the future eye care needs of New Yorkers. The expanding number of training opportunities within the broader health care system will support achievement and engagement. The continued development of synergistic research activities at the College, as well as growth in the MS, PhD and residency programs will address access, completion, achievement and inquiry. SUNY Optometry’s performance plan identifes clear goals and key metrics, along with critical investment strategies, to achieve success. Through targeted and strategic investment in educational, research and patient care missions, SUNY Optometry will maintain its leadership position while expanding the positive impact that the institution makes on the health and quality of life of the people of New York. In the coming months and years, the College will track its success in achieving these critical goals. 7
8 VIRTUAL REALITY SIMULATION LABORATORY Last fall, SUNY Optometry introduced the frst phase of a state-of-the-art, virtual reality simulation laboratory that will provide students at the College with a unique and impactful new way to hone their critical diagnostic skills. The initial launch of the lab includes eight training simulators—six binocular indirect ophthalmoscopes and two direct ophthalmoscopes—that use an integrated, augmented reality technology to provide a highly realistic, three-dimensional experience for retinal examinations. The simulators will provide frst and second year OD students the opportunity to examine a wide range of realistic, clinically relevant cases prior to doing so on patients. They will also be used to hone the skills of third and fourth year OD students, as well as residents and, potentially, practicing optometrists. Each simulation experience is summarized and performance data is stored in a database that will allow faculty members to further examine and analyze students’ diagnostic abilities over a period time. An important goal of the simulators is to support the integration of the psychomotor and cognitive skills that are required of optometry students as they progress forward in the OD program and—beyond that—are required as clinicians. The simulators contain numerous examples of relevant retinal and vitreous pathologies, ranging from macular degeneration and hereditary and diabetic disorders, to tumors in the chorioretinal complex. Case descriptions and clinical records of the virtual patients are also provided. The new simulation laboratory is part of a growing commitment that the College has made toward increasing the opportunities it provides for its students to build their clinical skills utilizing the most up-to-date tools available. “This technology provides an excellent way for students to practice diffcult skills and get immediate feedback that can be easily monitored,” Dr. David Troilo, vice president and dean for Academic Affairs said about the simulation lab. “The advanced modules introduce students earlier to a variety of disease states that they can observe in high fdelity simulations that will help prepare them better for actual clinical patient care.” The virtual reality simulation lab in action 8
” ” ” ” “ — ” PROGRAM OFFERS STUDENTS EXPOSURE TO THE BUSINESS OF HEALTH CARE Michael Wallerich, a third year OD student at SUNY Optometry, is one of several students at the College who has taken advantage of a unique program that provides them with advanced knowledge of the business of health care. Wallerich’s interest in optometry and the ophthalmic industry began while he was Michael Wallerich is an OD still in high school and he started working in the eyecare center at Shopko, a retail student working on his MBA chain that operates stores throughout the Midwest. After several years there Wallerich gained an understanding of the business of optometry—from the clinical to the retail and beyond—and his interest was piqued. “I’ve spent a lot of time around the health care industry in general and I’ve always been interested in the clinical side of things as well as in research,” Wallerich said. “But I’ve also become really interested in the business aspects of health care as well and I recognize the importance of it as I pursue my career. In 2013, SUNY Optometry signed an agreement with SUNY Empire State College to jointly develop and deliver a frst-of-its-kind program among schools and colleges of optometry. The Advanced Graduate Certifcate in Optometry Business Management, an 18-credit, six-course program, is also fully applicable to the MBA program offered by Empire State. The program was specifcally designed to provide OD students at the College with the opportunity to expand their knowledge of business practices and theory as a way of complimenting their optometric education and, because the portion of the program that is taught by Empire State is done entirely online, it also provides fexibility for busy OD students. In the fast-moving, ever-changing health care environment, the need for practitioners to learn and understand the business of health care has become an indisputable fact. Students are catching on to this reality. In fact, SUNY Optometry’s program was developed as a direct response to the increased level of interest from students, not only within optometry, but throughout the various health care professions. Shortly after he arrived at the College in August 2013, Wallerich learned about the program and enrolled. While the extra workload hasn’t always been easy to balance with his optometric responsibilities, the fexibility of the program has helped him develop a suitable schedule for his studies. His drive to learn as much as he possibly can has been a strong motivator as well. In fact, Wallerich recently decided to enroll in the full MBA program at Empire State. “I’m really looking to gain as much as I can from my experiences at SUNY Optometry, he said. “I’m active in the New York State Optometric Association and I participate in other activities on campus as well. I see the MBA as part of the learning process that I’m engaged in while I’m here and it’s been enormously rewarding so far. Wallerich has found his interaction with other students in the program to be helpful, particularly because many of them have come to the program from a variety of different backgrounds and experiences. As a result, they regularly offer different perspectives on the issues being addressed. “Optometry is in an exciting place within health care right now,” Wallerich said. “And it’s important for those of us within optometry to understand as much as we can about health care and the world around it so that we can help lead our profession forward. Wallerich also recognizes that what he learns in his business courses now will help him later on when he’s delivering care to patients. As a practitioner, I believe that the more you know about the business side of health care, the better doctor you will be,” he said. “Not only will this knowledge help doctors understand the big picture more fully how the system works from broad and varied perspectives—but it could also help them get into leadership positions where they could effect change within the system itself. That’s something that’s very exciting to me. 9
’ ’ ’ H IGHL IGHT Vision Walk 2015 Students Kathleen Abarr and Rima Bakhru received the 2015 Chancellor s Award for Student Excellence Dr. Julia Appel and Dr. Mark Rosenfeld received the Mr. Louie Bacosa receives the 2015 Chancellor s Chancellor s Award for Excellence in Teaching and Award for Excellence in Professional Services Scholarship respectively from President Heath. 10
S (left to right) Commencement speaker, Dr. Neil Calman, honorary degree recipients , Dr. John Dowling and Mr. Daniel Biederman with President Heath Dr. Diane Adamczyk received the American Class of 2017 White Coat Ceremony Optometric Assocational’s President’s Award for Distinguished Service to Optometry Dr. Steven Schwartz (right) received the Michael G. At commencement, former faculty member and administrator at the College, Dr. Michael Harris Family Award for Excellence in Optometric Heiberger (left), was awarded the Presidential Medallion and Mr. Richard Feinbloom, who Education from the American Optometric has spent decades supporting the College and the Optometric Center of New York, was Foundation awarded the Benjamin Franklin Award. 11
SUNY OPTOMETRY HELPS TO EXPAND EYE AND VISION CARE IN SOUTH AFRICA The global presence of the SUNY College of Optometry, which has been steadily expanding, now extends into Africa. In 2015, the College entered into a partnership with the University of KwaZulu-Natal (UKZN) in South Africa to assist that institution’s Department of Optometry in training South African optometrists in the use of therapeutic drugs. As a result of an expansion in the scope of practice in South Africa, the nation’s 3,000 practicing optometrist require additional training in order to be licensed to prescribe ocular therapeutics for their patients. UKZN is the frst institution in the nation to offer such training. SUNY Optometry’s specifc expertise in this area was a major draw for UKZN and one of the reasons they were eager to move ahead with the partnership. As the scope of practice for optometrists expands in South Africa, educational institutions there are looking to benchmark their optometry programs against North American programs, which are considered by many to be the gold standard of optometric education worldwide. Ms. Vanessa Moodley, academic leader and senior lecturer in the Department of Optometry at UKZN, has worked closely with the College, including Dr. Richard Madonna, director of Continuing Education, to initiate and develop the program which is taught by Dr. Madonna as well as SUNY Optometry’s director of Residency Education, Dr. Diane Adamczyk and Department of Biological and Vision Sciences faculty members, Dr. David Krumholz and Dr. Ann Beaton. In addition to providing the training for the use of therapeutic drugs, SUNY Optometry has discussed the potential of further collaboration with UKZN on a patient care initiative in the greater KwaZulu-Natal province, a region that is in dire need for greater access to eye and vision care. The College’s work in South Africa, and additional efforts around the globe, have been led by the Offce of Student Affairs and International Programs, which continues to pursue opportunities that beneft SUNY Optometry’s mission, advance the profession and compliment the work of collaborating institutions. 12
LOBBY BEGINS MAJOR UPGRADE As part of its ongoing effort to invest in and improve campus infrastructure, SUNY Optometry began a $5.5 million renovation project on the frst foor of its building. Once completed later this year, the redesigned lobby, which includes two recently renovated classrooms, will feature a warmer and more accessible environment as well as an art gallery maintained by SUNY Purchase College’s Neuberger Museum of Art. SUNY Chancellor Nancy Zimpher with President Heath and Capital Projects Coordinator Sudeep Lamichhane. A NETWORK OF CARE While the University Eye Center, with its multiple services and 70,000 patient visits each year, provides SUNY Optometry’s students with a signifcant range of clinical experiences, it represents just one component of the College’s vast and varied network of clinical relationships. An emphasis is being placed on developing collaborative clinical relationships with hospitals such as Woodhull Medical Center, EZRA Medical Center, Gouverneur Health Medical Center, East New York Diagnostic and Treatment Center as well as Veterans Administration, military hospitals and beyond. These institutions provide students with valuable opportunities to work alongside a variety of different health care providers in team-based settings, caring for patients with a variety of conditions. Additionally, the College’s clinical relationships with school and community-based organizations such as the Bowery Mission and The Door provide students with even richer and more unique experiences. In all, the College has more than 50 clinical affliations across North America—as well as in China and India—representing a broad cross section of clinical opportunities designed to expose students to the depth and breadth of what the modern health care delivery system has to offer. “With health care reform placing a greater emphasis on team-based care and effciency, the range of experiences available to our students—particularly in interprofessional settings—is becoming increasingly important,” said Dr. Richard Madonna, chair of the Department of Clinical Education. “Our network of clinical affliations is a critical element in our ability to prepare our students for the future practice of optometry.” Gouverneur Health. 13
• • • • • • • • • • • • • • • • • • • • • • • • • • • • SUNY NATIONAL SUNY OPTOMETRY BY THE NUMBERS Entering GPAs by School per Year Each thin line represents a school or college of optometry. 3.8 DEBT ($) GPA 3.7 3.6 SUNY 3.5 3.4 3.3 3.2 3.1 3.0 2.9 2.8 NATIONAL 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 ENTERING YEAR Entering OAT Total Science Scores by School Per Year 380 360 340 320 300 280 SUNY NATIONAL OAT T S 260 • 2004 • 2005 • 2006 • 2007 • • • 2008 2009 2010 ENTERING YEAR • 2011 • 2012 • 2013 • 2014 • 2015 Optometry School Indebtedness of Students who Took out Loans by School 200,000 Includes new programs (not shown on graph). 180,000 160,000 NATIONAL PROGRAM 140,000 AVERAGE 120,000 SUNY 100,000 80,000 60,000 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 YEAR OF GRADUATION Percentage of Candidates who Passed all NBEO Parts at Graduation 100 SUNY 98 96 94 92 90 88 86 NATIONAL DEBT ($) 84 2011 2012 2013 2014 2015 YEAR OF GRADUATION 14
CSTEP PROGRAM RENEWED AND EXPANDED The Collegiate Science and Technology Entry Program (CSTEP), a New York State initiative designed to increase the number of students from under-represented groups pursuing careers in mathematics, science, technology and health-related felds, is expanding at SUNY Optometry thanks to a renewal of the program grant through 2020. The grant, which will provide over $575,000 in support for the College’s CSTEP programs, is expected to serve about 300 students over the course of the fve-year grant, approximately 60 each year. “This was a competitive process and we’re thrilled to have had our CSTEP grant renewed for another fve years,” Dr. Guilherme Albieri, acting vice president for Student Affairs and International Programs said. “The program has been very successful for us and we’re excited to be able to expand our offerings as a result of this grant renewal.” SUNY Optometry offers two internship programs for undergraduate CSTEP students each year, one in the spring and one in the winter. Under the new grant, those internship programs will expand from 12 to 15 students each. In 2012, the College also began offering an eight-week, creditbearing optometry course each summer called “Introduction to Vision and Optometry” at no cost to participants. This course, which is considered to be a pre-frst year optometry preparation course taught by SUNY Optometry faculty, will expand to 30 students from 24. The new CSTEP grant will also allow the College to offer a new “Optometry Summit” program. This half-day event will be designed to give CSTEP students the latest information on preparing for the Optometry Admissions Test, as well as other admissions insights and optometry career outlook tools. The program has proven successful. The College admitted six former CSTEP students into its Class of 2018 OD program, an increase of 100% over the previous three years. “CSTEP has allowed SUNY Optometry to expose so many students to the optometric feld who may not have otherwise known much about it,” President Heath said. “And it’s so gratifying to see that many of these students are now going on to enter optometry school.” The College is one of 44 New York State institutions of higher education that offers CSTEP programs. 15
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P A T I E N T A R E LIDUVINA MARTINEZ-GONZALEZ NAMED VICE PRESIDENT FOR CLINICAL ADMINISTRATION Ms. Liduvina Martinez-Gonzalez assumed the role of vice president for clinical administration and executive director of the University Eye Center last July. Ms. Martinez-Gonzalez’s appointment followed a national search which began in 2014 when it was announced that Dr. Richard Soden would move into the newly created position of director of health care development. Ms. Martinez-Gonzalez had served as the UEC’s chief operating offcer since 2006 and has more than 25 years of experience in health care management. In addition to her role as COO, Ms. Martinez-Gonzalez served as associate director for clinical administration (1992 – 2006) and as assistant director for clinical administration (1990 – 1992) at the UEC. Before joining the College, Ms. Martinez-Gonzalez worked for the New York Health and Hospitals Corporation, the organization that operates the public hospitals and clinics in New York City, at the Morrisania Neighborhood Family Care Center in the Bronx. She received her MS in Public Health in 1987 from the University of Massachusetts and her BA from Mount Holyoke College in 1984. “Liduvina has tremendous experience and insight,” President Heath said. “With her in this role I am confdent that the University Eye Center will be in excellent hands as we move forward.” “I have great affnity for the University Eye Center and SUNY Optometry,” Ms. MartinezGonzalez said. “I’m grateful for the opportunity to lead the UEC and I’m looking forward to engaging our entire community as we move the clinic forward.” Last summer, Ms. Martinez-Gonzalez was named to Vision Monday’s 2015 “Most Infuential Women in Optical” list. “The UEC is investing in the latest information technology to enhance our clinical information systems, promote research studies and improve our patients’ health care outcomes and experiences.” —MS. LIDUVINA MARTINEZ-GONZALEZ, Vice President for Clinical Administration 17
Dr. Wong with OD student Elizabeth Yusupov ‘PRACTICE OF TODAY’ HELPING PREPARE FOR TOMORROW Technology has always played a vital role in the delivery of health care. For generations, new tools have been developed that have continuously and signifcantly enhanced health care providers’ abilities to diagnose and treat conditions. These developments, in turn, have vastly improved both the experiences and the outcomes for patients. While the importance of technology in providing quality health care is indisputable, the practical implementation of new technologies into health care delivery is rarely easy. In fact, it’s a process that can often be fraught with fear and diffculty. For an educational institution like SUNY Optometry, there is also the additional challenge of trying to prepare doctors for practice in an unknowable future where the only certainly is that future doctors will need to be able to embrace new technologies and practices—whatever they may be—in order to care for their patients. This is no simple task but Dr. Thomas A. Wong, SUNY Optometry’s director of new technologies, is up for the challenge. “We’re at a time in our history when new innovations in health care are growing exponentially and it is the obligation of every optometrist to stay current in order to do what’s best for their patients,” Dr. Wong said. In this role, Dr. Wong will manage what is known as “The Practice of Today,” a unit within the College’s University Eye Center. “My vision is to engage patients, students and residents as well as faculty members in creating a model unit for eye care delivery,” Dr. Wong said. “We are looking to set new standards in patient care, and ultimately improve patient outcomes.” “The Practice of Today,” which began thanks to an initial investment from Marco Opthalmic and its foundation, will begin by analyzing current examination and testing sequences. This will allow the new unit to work toward understanding how best to redesign future eye exam processes and how to optimally utilize new and emerging technologies. It will involve gathering data from student interns, faculty and patients, as well as creating discussion and focus groups. “We want all of our constituents to play an active role in this process,” Dr. Wong said. The ultimate focus of the College’s new technology unit is to provide the best possible care for patients and to prepare students and residents to deliver that care. “Many emerging technologies are inevitable,” Dr. Wong said. “But often we are not prepared for them to happen. This new unit is designed to help us all become better prepared for new innovations as they develop.” By exposing students to new technologies as well as new strategies for care delivery, Dr. Wong hopes that the new unit will help them succeed down the road. “I strongly believe that one way to develop good clinical thinking in our students is to take them out of their comfort zone and introduce them to new techniques and new technologies,” he said. “[Students] are learning how to utilize new technologies to make the exam more efcient. They spend less time with the patient but still provide the same great care with the same outcomes.” —DR. ERICA SCHULMAN, Assistant Clinical Professor 18
NEW SYSTEM STREAMLINES CARE DELIVERY AND IMPROVES COMMUNICATION IN UNIVERSITY EYE CENTER As it prepares for the future, the University Eye Center has invested over a million dollars to develop a series of electronic solutions that will enable the clinic to manage its patient care activities more effciently. The new system, which came online June 1, includes a new electronic health records system that allows health information to be seamlessly and securely shared between health care providers. It also includes systems that facilitate electronic prescribing and billing for patients. Soon, an improved scheduling system and a secure portal will be brought online to provide enhanced communication between doctors and staff and patients. The new system will also enable the UEC to provide patients and practitioners with robust reports much more effciently. In most cases, a patient visit summary can be generated on the same day of their visit. “The UEC is investing in the latest information technology to enhance our clinical information systems, promote research studies and improve our patients’ health care outcomes and experiences,” said Ms. Liduvina Martinez-Gonzalez, vice president for Clinical Administration and executive director of the University Eye Center. “Accordingly, NextGen, a leader in the health information technology industry, is providing our organization with an integrated solution to securely document and access information as well as streamline our clinical and operational functions.” In addition to the electronic health record system as well as the prescribing, billing and scheduling elements, it also includes an optical management system. Once the system is fully operational it will improve collaboration and enhance coordination between providers. The new system was critical to the ICD-10 transition last October and it is compatible to Meaningful Use Objectives and Physician Quality Reporting Initiatives. It will help to improve care for patients by focusing on their outcomes as well as by providing such things as electronic prescriptions and improved and more effcient communication. The second phase of the project, which will be completed in 2016, will include the implementation of a patient portal and a picture archiving and communications system (PACS). The patient portal will create a secure avenue for communication between patients and their providers and the PACS system will enable the providers to manage patient and diagnostic data in a centralized manner. In addition, advanced analytical software will enhance the care that is provided to patients with glaucoma. “This is an exciting time for the University Eye Center as we work together to bring the latest technology to support and advance our mission to continually improve the care that we deliver to our patients,” Ms. Martinez-Gonzalez said. 19
SPORTS AND PERFORMANCE VISION CENTER OPENS The Sports and Performance Vision Center (SPVC), a state-of-the art facility directed by one of the foremost authorities on sports vision, opened its doors at the University Eye Center last summer. Dr. Daniel M. Laby, an ophthalmologist with more than two decades of experience enhancing and improving the vision of professional and elite athletes, is the center’s director and holds an appointment of associate clinical professor in the Vision Rehabilitation Service. “I am very excited and appreciative of the opportunity to develop the Sports and Performance Vision Center at SUNY Optometry,” Dr. Laby said. “New York is the center of the sporting world and the College is at the center of optometric care. This is a perfect storm that will undoubtedly lead to success.” Dr. David Troilo, vice president and dean for Academic Affairs, said that the College is “very happy to be welcoming such an accomplished clinician and academic as Dr. Laby into our community. Sports vision is a burgeoning area in eye care and we’re very pleased to have him here to build what we expect will be an important element of our educational and clinical activities at the College.” Sports vision involves developing and implementing evaluation and training techniques that are specifcally designed to improve the visual abilities of an athlete. Sports vision specialists often look to improve skills such as eye-hand coordination, dynamic visual acuity, peripheral awareness, focusing and visual reaction time in addition to the basic functions of visual acuity and contrast sensitivity as well as binocular vision. The feld has grown exponentially in recent years, with many professional sports teams now regularly employing sports vision specialists as part of their training and medical staffs. “We’re very pleased to welcome Dr. Laby and look forward to the work that he’ll be doing in our new Sports and Performance Vision Center,” said Dr. Daniella Rutner, the University Eye Center’s acting chief of Vision Rehabilitation Services. “People are becoming increasingly savvy and aware of the vast range of specialized visual skills required for improving function and success at their respective occupation, sport, or hobby. Vision is so much more than just ‘sight’ and sports and performance vision is one of the ways in which this point is being effectively illustrated.” 20
DIRECTOR OF HEALTH CARE DEVELOPMENT On July 1, 2015, Dr. Richard Soden became the College’s frst director of health care development. With the creation of this unique new position, SUNY Optometry took a proactive approach toward integrating its patient care facilities, including the University Eye Center, and its students, more fully into the greater health care systems of New York City and beyond. The implementation of the Affordable Care Act represented an ideal moment to develop this new role that is designed to focus specifcally on building and nurturing key relationships for the institution. “As we all know, our health care system is in the midst of very rapid change,” President Heath said. “And we felt that having somebody working to create partnerships with hospitals and other health care organizations that refect the full integration of optometry into the health care system was imperative at this moment.” In addition to building clinical relationships and increasing access to eye and vision care to more people in its community, SUNY Optometry is also looking to develop relationships with organizations that will provide interprofessional opportunities for its students and additional support for its robust research programs. Dr. Soden joined SUNY Optometry in 1980 after completing a residency program in rehabilitative optometry at the Northport VA Medical Center. In addition to his work at the College, he continued at the Northport VA as the associate chief of optometry. He was also a partner in a private practice on Long Island. In 2005, he returned to SUNY as the associate director of managed care. He later became vice president for clinical affairs and director of the University Eye Center. Dr. Soden is a past president of the New York State Optometric Association and regularly lectures nationally and internationally on a variety of issues. “Dr. Soden is nationally recognized for his expertise on our evolving health care system, and I believe that our organization will beneft immensely with him serving as our director of health care development,” President Heath said. “The Afordable Care Act really set the stage for dramatic change in health care.” —DR. RICHARD SODEN, Director of Health Care Development 21
SUNY OPTOMETRY BEGINS COLLABORATION WITH THE DOOR The College’s growing network of collaborators in New York City is getting even bigger. Last September, SUNY Optometry began providing comprehensive eye care services during weekly rotations at The Door, a 43-year-old organization in lower Manhattan that provides a range of innovative services for young people. Helping 10,000 individuals each year, The Door, in addition to health care services, also provides education, counseling, career development, legal assistance, supportive housing, recreational activities and more. Two fully-equipped examination rooms have been set up at the organization’s Broome Street location where SUNY Optometry’s Dr. Shandor Zelenger and two OD students will provide comprehensive care. “We’re very excited about working with The Door,” Dr. Richard Soden, SUNY Optometry’s director of health care development said. “They’re a great organization doing really wonderful things in our city and we’re proud to be providing eye and vision care services to the young people they serve.” “We are thrilled to be partnering with SUNY Optometry to add vision services to our Adolescent Health Center,” said Ms. Julie Shapiro, executive director of The Door. “There is growing evidence that low-income youth are less likely to have access to eye care services. As one of only two health clinics in New York City devoted solely to adolescent health, and the only one located in a comprehensive youth center, our partnership will immediately address this unmet need.” “SUNY Optometry’s commitment to serving New York City is incredible,” added Ms. Renee McConey, director of The Door’s Adolescent Health Center. “The staff at SUNY Optometry have been fantastic partners and are enthusiastic about collaborating with community-based organizations.” This new partnership is part of a growing commitment that SUNY Optometry has made toward serving the New York City community. In 2013, the College began working with the Bowery Mission and now provides care at two of the Mission’s locations in Manhattan. In addition, the College provides care to hundreds of individuals each year who are unable to leave their homes in Queens, Manhattan and now in the Bronx, through its long-standing Homebound Program. 22
The University Eye Center has launched a marketing campaign called “Experience More” which is designed to illustrate the variety of ways in which the doctors and staff of the UEC impact people’s lives. See the campaign at www.experiencemore.nyc FY 07-08 FY 08-09 FY 09-10 FY 10-11 FY 11-12 FY 12-13 FY 13-14 FY 14-15 Community Service by Year Referral Center 300 12,000 250 10,000 NUMBER PATIENT ENCOUNTERS 50 2,000 0 0 200 8,000 150 6,000 100 4,000 FISCAL YEAR FY 07-08 FY 08-09 FY 09-10 FY 10-11 FY 11-12 FY 12-13 FY 13-14 FY 14-15 23 VISION SCREENINGS SUPPORT GROUPS COMMUNITY LECTURES/EVENTS
Dr. Stewart Bloomfeld “[Myopia] is a very important health problem, and with this research, we’ll have much more information about its causes that could ultimately help us ofer actual treatments.” —DR. STEWART BLOOMFIELD, Associate Dean for Graduate Studies and Research 24
R E S E A R H SUNY RESEARCH TEAM TARGETS MYOPIA Myopia—or nearsightedness—comes from the Greek myops, literally meaning “closing the eyes.” Myopic also has a metaphorical usage in English that connotes shortsightedness or lacking understanding—a defnition that may describe the prevailing treatment of myopia. Fortunately, thanks to funding from the SUNY Brain Network of Excellence, a multidisciplinary team of SUNY researchers is working to help open our eyes to a new understanding of what drives myopia’s onset and progression, with a goal of uncovering new treatments for this widespread eye disease. The team working on this research is led by Dr. Stewart Bloomfeld, SUNY Optometry’s associate dean for graduate studies and research. He is joined by fellow SUNY Optometry researchers, Dr. Jose-Manuel Alonso, a SUNY distinguished professor, and Dr. David Troilo, vice president and dean for academic affairs at the College. The other members of the research team include Dr. Eduardo Solessio, assistant professor of ophthalmology and neuroscience and physiology at SUNY Upstate Medical University and Dr. Gary Matthews, professor of neurobiology and behavior at Stony Brook University. Myopia is a highly pervasive medical condition, affecting 42 percent of adults in the US and more than 80 percent of young adults in Asia. It’s also a disease that’s on the rise. Currently, 1.4 billion people globally suffer from myopia, and that number is projected to rise to 2.4 billion by 2050. Yet to date it has been managed only symptomatically with prescription glasses, contact lenses or laser surgery, which do not prevent myopia’s progression over time. Numerous studies suggest that the increased incidence of myopia may be due in part to lower exposure to natural light, a theory that is supported by higher myopia rates in North America and Asia than in South America and Africa, where people spend much more time outdoors on average. “We know that our eyes weren’t created to be indoors all the time,” says Dr. Bloomfeld. “When we spend too much time indoors, we don’t get enough of the kind of light our eyes need.” Dr. Bloomfeld cautions that myopia should not be viewed a harmless nuisance, but rather as a serious condition—because it increases a person’s risk of vision-threatening eye diseases like glaucoma and cataracts. Given myopia’s huge impact and potential implications, it may seem surprising that more effort hasn’t been put into better understanding myopia’s causes and potential treatments. ••• continued on page 26 25
Dr. Bloomfeld says that myopia has not been adequately studied, but that the funding from SUNY Brain could lead to important advances that could beneft billions of people around the world. “This is a very important health problem, and with this research, we’ll have much more information about myopia’s causes that could ultimately help us offer actual treatments.” To study both what brings myopia on and what makes it worse, the SUNY team will be looking at multiple environmental and genetic risk factors for myopia, developing innovative animal models using zebrafsh and mice. These species lend themselves to quick genetic changes, allowing for accelerated fndings. Depending on the results of the study, Dr. Bloomfeld says, the team might work on a wearable electronic device that would help track “illuminance,” or a person’s exposure to the kind of light necessary for healthy eye development. If they are able to isolate the genetic marker responsible for myopia, the study may even lead to research on gene therapy. While myopia may have multiple genetic causes, the team believes that a protein called Connexin 36 could be a prime suspect. With the help of lab mice that have Connexin 36 “knocked out,” the SUNY team hopes to learn a lot about how this protein may impact myopia. “We’re raising some mice in low light to compare how myopia develops in mice with and without Connexin 36,” Dr. Bloomfeld explains. “Once we have completed this study, we’ll have a much better idea of the causes.” Then, he says, the team will be in a position to start work on wearable monitors and other kinds of treatments. Asked whether this research will beneft adults who have more advanced myopia, Dr. Bloomfeld says it’s too early to tell. But certainly the work of this team will shed new light on how nearsightedness might be treated—or even prevented—in the future, perhaps stemming the tide of increasing cases of myopia worldwide. The College has additional research efforts related to myopia, including the Infocus clinical study that is testing myopia control in children and faculty member, Dr. Alexandra Benavente-Perez’s research on the mechanisms of myopia development. APPLICANTS ACCEPTED ENROLLED Growth in PhD Program Applications 30 25 20 15 10 5 0 NUMBER 26 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
SUNY PROFESSORS COLLABORATE TO BUILD A BETTER BRAIN PROBE The National Institutes of Health calls it America’s next moonshot: a revolutionary, historic effort to view the human brain’s 86 billion neurons in action and transform our understanding of how we think, move and perceive the world around us. Last year, in its frst round of applications, the NIH’s Brain Research through Advancing Innovative Neurotechnologies (BRAIN) awarded $46 million in grants, and when the winners of the second round are announced, SUNY College of Optometry Professor Jose-Manuel Alonso and SUNY Polytechnic Institute Professor of Nanoscale Engineering Ji Ung Lee hope their names will be on the list. For Alonso, it’s a logical next step after more than twenty years of studying how the brain processes visual stimuli. From the Universidade de Santiago de Compostela to the Universidad Autónoma de Madrid, Rockefeller University, the University of Connecticut and now SUNY Optometry, he’s focused on two main structures early in the visual pathway: the thalamus, which is sometimes described as a “switchboard” that relays information to the cerebral cortex, and the primary visual cortex, one of the best-mapped, most well-understood areas of the brain. “Vision offers this wonderful window to understand how the brain works,” says Dr. Alonso, who ultimately hopes the probes will help lead to the next generation of neuroprostheses. “We have been using multi-electrode arrays for decades, and we have learned more about the visual brain than any other sensory brain structure. Now, with the new BRAIN initiative, there are funds available for physiologists and engineers to talk to one another, to work together, and to help us do what we have wanted to do for so long.” REFERRALS BY UEC REFERRALS BY OTHERS Referrals to Clinical Vision Research Center Primary Positions of PhD Alumni* 160 30% 140 NUMBER PATIENT ENCOUNTERS 100 80 60 40 20 0 WINTER 120 20% SPRING FALL SUMMER 10% WINTER SUMMER FALL SPRING 0 Professor Associate Assistant Research Resident Physician Optometrist 2013 2014 2015 Professor Professor Scientist (Clinical) (Clinical) (Clinical) *Based on the alumni survey conducted in May, 2015. Surveys were sent to about 35 PhD alumni with 8 responses (23%). 27
STUDY TO TEST LIGHT DEPRIVATION AS TREATMENT FOR AMBLYOPIA IN ADULTS What would you be willing to do to fnd a treatment for a persistent vision problem? Dr. Ben Backus, an associate professor at SUNY Optometry, is hoping that adults with amblyopia will be willing to spend ten days in total darkness. Dr. Backus is the principle investigator in a National Institutes of Health-funded study that is looking to use light deprivation as a way to tackle an often incurable condition in adults. Amblyopia, or lazy eye, is a common visual disorder in which a person has poor vision in one eye due to an asymmetry in the quality of visual input from the two eyes. The poor vision—which can range from slightly degraded vision to almost complete blindness—cannot be fxed with corrective lenses because the defcit induces changes in the vision centers of the brain. Typically amblyopia develops during early childhood as a result of the brain forming a poor connection to one eye. In children, amblyopia is often treated by covering the good eye with a patch and forcing the brain to improve how it works with the bad eye. As children age, however, the brain becomes less malleable making patching a less viable treatment option. As a result, amblyopia is nearly impossible to treat in adults using this conventional method. Dr. Backus’s study, which is being done in collaboration with Dr. Elizabeth Quinlan of the University of Maryland as well as SUNY Optometry’s Dr. Cristina Llerena and Dr. Jose-Manuel Alonso, could offer hope for adults who suffer from amblyopia, as well as potentially open new doors for treatment of other conditions such as traumatic brain injury. “Our primary goal is to determine whether or not we can retrain the adult visual system by depriving it of input for an extended period, and then restoring that input,” Dr. Backus said. “But, if we fnd that ‘dark treatment’ is effective in treating amblyopia, it could also potentially open the door to a variety of other conditions that could be improved if the brain can be made more plastic in adults.” At the heart of the study is a 10-day sequestration period during which subjects will live in complete darkness. This will be followed by binocular vision training that, if successful, could pioneer the use of visual deprivation to improve the success of therapies for treating adult amblyopia. For the ‘dark treatment’ the study will use an apartment in Brooklyn that has been specifcally set up to 28
block out all light. Subjects will not be able to use objects that emit even the faintest light, including cellphones and electric tooth brushes. Participants will have meals prepared for them, as well as plenty of opportunities to listen to music, engage in discussion and activities as well as exercise to keep their spirits up. Dr. Backus and Mr. Morgan Williams, a research technician, both underwent fve days of light deprivation in 2012 to test the feasibility of the study. While they encountered some challenges living in total darkness, they both found the experience to be far less daunting than anticipated. “We called ourselves ‘scotonauts,’ since ‘scoto’ is the Greek word for darkness,” Backus said. “In the dark some common tasks like eating and dialing phone numbers created some interesting challenges,” Williams said. “But the experience was surprisingly relaxing and not scary at all, not even with the hallucinations.” It turns out that putting oneself into total darkness can cause vivid hallucinations after a day or two—Dr. Backus saw landscapes, interior scenes and building facades in great detail. The hallucinations are a positive sign, according to Dr. Quinlan, because they may refect enhanced excitability in networks of visual neurons. While the concept of living in the dark for 10 days may seem unusual, it isn’t without precedent. So-called “darkness retreat facilities” exist throughout Europe and some schools of Tibetan Buddhism practice “dark retreats” that can last for days, months or even years. Most importantly for the purposes of this study, visual deprivation has been shown to reactivate plasticity and promote the recovery from amblyopia in animal models including rodents and cats. The study also represents a unique clinical application for basic research and will provide an opportunity for close collaboration with the College’s Clinical Vision Research Center. Dr. Backus (left) and Mr. Williams after emerging from fve days of light deprivation in 2012. 29
Dr. Jenelle Mallios THE CLINICAL VISION RESEARCH CENTER SERVES THE SUNY COMMUNITY AND BEYOND Since it offcially began operation in early 2013, the Clinical Vision Research Center (CVRC) has made a profound and lasting impact, both internally at the College and externally within the community. From helping train eight clinical faculty members and educate a dozen OD students in the principles and practices of clinical research, to providing over 800 New Yorkers with therapies and treatments—unavailable at outside practices—at no cost to them, the CVRC has shown itself to be a full manifestation of SUNY Optometry’s multifaceted mission, bringing together education, research, patient care and community all in one place. “We’ve got a great team of faculty, students, staff and partners at the CVRC,” Dr. Kathryn Richdale, its director, said. “We’re very proud of the fact that the work that we’ve done with our partners has helped to advance eye and vision care but we’re equally proud of the fact that we’ve trained faculty and students and that we’ve positively affected the lives of so many people in our community.” The CVRC’s unique contributions go further still. Dr. Richdale is helping to lead a system-wide effort designed to enhance clinical research throughout the State University of New York, a testament to the work that the Center has done over a short period of time. There’s much more still to be done, however. “SUNY is uniquely positioned to be a leader in eye and vision research,” Dr. Richdale said. “And the CVRC is uniquely positioned to bring this research directly to people who can beneft from it, so we’re constantly working to strengthen our team and to expand into new areas in order to develop better treatments for our patients.” 30
Dr. Danielle Iacono 31
Smart lens Dr. Rappon 32
A L M N I ALUMNUS TAKES LEADING ROLE IN ‘SMART LENS’ PROJECT When health care and technology intersect, exciting advances in patient care often follow. And SUNY Optometry alumnus, Dr. Joe Rappon, happens to be right in the middle of what could be a ground-breaking collaboration that might have the potential to help millions of people manage a chronic, often deadly, disease more effectively. Dr. Rappon, who received both his OD and MS degrees from the College in 2000, serves as a global program head at Alcon Research and is currently working on a unique collaborative effort between his company and Google. Novartis, the parent company of Alcon, announced in 2014 that it had entered into an agreement with Google [x], a team of engineers that works to utilize technology to solve major problems and improve lives. Some Google [x] projects include a self-driving car that they hope will reduce traffc-related deaths, as well as a rural internet access program powered by balloons. The project has since been shifted to Google Life Sciences which is part of Google’s newly independent subsidiary called Alphabet. Diabetes, which affects close to 400 million people—and growing—worldwide, often causes those who have it to live with a variety of painful and disruptive daily routines for managing their glucose levels. Diabetics often have to wear glucose monitors embedded beneath their skin or endure regular fnger-pricks in order to take blood tests. As a result of these annoyances, many people check their glucose levels less often than they should, raising their risk of developing dangerous complications associated with uncontrolled blood sugar, including a variety of eye-related issues that could lead to blindness. Researchers have spent years looking for alternative, less invasive, methods for measuring glucose levels in the body, including through analysis of sweat, saliva, urine or tears. The Google Life Sciences team has developed what they call a “smart contact lens,” which uses a tiny wireless microchip to measure glucose in the wearer’s tears. Their hope is that this technology will eventually be used to help diabetics manage their disease better and in a less-invasive manner. This is where Alcon—and Dr. Rappon—come in. The company is using its existing experience and expertise in eye care, as well as in clinical development and evaluation and the commercialization of contact and intraocular lenses, to move the smart lens forward and, eventually, bring it to consumers. In addition to its potential use in diabetics, Alcon also hopes to adapt the smart lens technology to potentially help people with presbyopia or cataracts. Dr. Rappon’s work focuses on the overall project leadership aspect of the smart lens project, but his interest in research stretches back to his years at the College. “I’ve found throughout my career that the educational foundation that I received at SUNY Optometry—everything from vision science, to optics to ocular disease—has served me well,” Dr. Rappon said. “From when I was working with patients early on in my career to when I moved into research and clinical development later on, what I learned has been a real foundation for me.” Dr. Rappon is enthusiastic about working on a project that has the potential to help so many people, and could have even broader implications in the future. “Working with this technology provides the opportunity to be on the cutting-edge of something that could potentially be paradigm-shifting for health care and that is undoubtedly exciting.” 33
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