Introducing the role of OCT and OCTA in neurology and neurophthalmology
On the 8th December 2018 over 350 ophthalmologists and neurologists participated in Bucharest at an intensive neurophthalmology course by dr. Catalina Dumitrescu and the Royal Club of Romanian Doctors with the purpose to update the information in this subspeciality, strengthen the relationship between the ophthalmologist and the neurologist and present the importance of OCT and OCTA in both neurology and neurophthalmology.
We were honored by the presence of most outstanding neurologists: Prof.Dr. Ovidiu Bajenaru -member of romanian academy, Conf. Dr. Sorin Tuta - VP Romanian Stroke Society, from Paris international renown lecturer Prof. Dr. Mihaela Bustuchina, two of the most respected pediatric neurologists: President of Pediatric Neurology Society - Phd dr. Carmen Burloiu and Conf. dr. Catrinel Iliescu and imaging was at its highest level with
dr. Mariana Coman - excellence in pediatric imaging, dr. Emilia Diaconu - reference doctor for adult imaging and brilliant Cristina Diaconita who usually gives the diagnosis before the patient exit de MRI room. dr. Catalina Dumitrescu presented a paper on the importance of OCT and OCTA in neurologic pathology as Alzheimer - OCTA could detect changes early and differentiate between mild cognitive impairment from Alzheimer, migraine with aura -where OCTA opens the discussion about the cardiovascular and neurovascular risk in these patients, Wilson disease -where OCT could help in early diagnosis and correlation between the ocular OCT changes with MRI changes, Susac syndrome -where OCT could help the difficult differential diagnosis with MS and OCTA could help in monitoring treatment and evolution, Pituitary adenoma which could be detected by OCT before visual field changes and even in non compressive adenomas, also the role of OCTA in differentiating the inflammatory and ischemic causes in acute optic nerve edema, the importance of diagnosis and monitoring papilledema and the important differential diagnosis of papilledema from optic nerve drusen or bilateral vitreomacular traction, not forgetting the demonstration of retrograde transynaptic degeneration by OCT which supported the previous anatomo-pathological findings.
There were well renown ophthalmologists: dr. Adrian Gavanescu - most brilliant ophthalmic surgeon, dr. Adrian Burloiu - specialized in neurophthalmology and pediatric ophthalmology, dr. Bianca Laslau which is top 2 best oculoplastic surgeons in our country ,but also has a special interest in neurophthalmology and our President of romanian pediatric society Phd dr. Andreea Ciubotaru; Dr.Ioana Gobej - ophthalmology (internationally trained) and dr. Ionut Gobej (internationally trained and respected neurosurgeon) who founded NeuroHope clinic which is specialized in neurosciences and neurosurgery; Phd dr. Alexandra Vrapciu - wonderful university lecturer and admired ophthalmologist, dr. Roxana David- one of the the most experienced in neurophthalmology, dr.Oana Andrei our first romanian FEBO strabismus, dr.Madalina Iliescu- ophthalmic surgeon,but also exceptional diagnostician , Phd dr. Ruxandra Tudosescu who had the privilege of short observership with prof. dr. Gordon Plant, Phd dr. Stefan Oprea -ophthalmic surgeon ,but also brilliant diagnostician and young ,but promising dr. Ioana Paula Grecu.
We had the honour to attend presentations from one of the most loved and respected strabismology professors prof. dr. Cristina Vladutiu, but also the outstanding VP European Strabismus Association, dr. Daniela Cioplean whose curriculum vitae is as thick as an Balzac novel and make us proud for being a Romanian ophthalmologist admired and respected all over the world.
President of Romanian neurogenetics society: dr.Magdalena Budisteanu and from oncologic Institute: dr.Codruta Comsa and conf. dr.Monica Dragomir were present also.
Internationally renown Prof.Dr.Irene Gottlob Irene and Prof. Dr. Cris Constantinescu presented amazing papers on the importance of OCT and OCTA in neurology and neurophthalmology; needless to say that many papers included a discussion about OCT and OCTA, especially a superb paper on optic neuropathies by Phd dr. Sinziana Istrate - maybe the most loved Romanian ophthalmologist from bright and opened mind and renown enormous heart.
We had the support from SIFI company and I want to mention the wonderful Hotel Novotel Bucharest which was a wonderful host preparing food the the Romanian orthodox fast and dishes for all other normal or special diets, precious fresh deserts and friendly atmosphere. The end of the course had an emotional moment because we awarded dr. Ioan Paul Grecu the diploma for exceptional mentor because he had trained clinically and surgically all his fellows, generation after generation.
The audience seemed amazed so from now on we expect a strong collaboration between ophthalmologists, neurologists and pediatric neurologist in cases where OCT and OCTA will help the diagnosis, monitoring and assessment of prognosis.
This was the third course by dr. Catalina Dumitrescu on the role of OCT and OCTA organized in 2018 in Bucharest and all of us OCT aficionados do hope that the importance of this two ocular imaging techniques will be more and more utilized clinically not only by ophthalmologists ,but also neurologists, pediatric neurologists, endocrinologists and other specialties.