Microsoft word - fall 2010-11 electives, updated.doc

Fall Electives Course Manual
Academic Year 2010-2011

Selecting Your Electives
This manual contains elective course descriptions, an overview of the elective course
track assignments, and the assigned credit hours for each course. Please review all of the
material both for your level of interest and your scheduling availability. This manual
contains the days and times for the fall term only. Course descriptions are shown for the
spring term for planning purposes, however the days and times for the spring schedule
have not yet been finalized. An updated spring electives manual will be published prior
to the start of the spring term. Remember that your availability due to scheduling of lab
and clinic assignments is likely to change from term to term.
Prior to selecting an elective for the fall term, make sure that you check your lab,
seminar, and clinical assignments so you know the times you may choose to take an
elective. You may not select an elective course that is in conflict with any of your
other assignments. You may only select elective courses that are not in session during
any of the times you are assigned elsewhere. It is your responsibility to check for your
availability while taking into consideration travel time if you happen to be off campus.

Required Number of Credits
You are required to complete 2.0 credits of electives courses during the fall term and a
total of 4.0 credit hours of elective courses over the course of the year. If your schedule
permits it and space in the course is available, you may take more than 4.0 credit hours in
total, combining the summer, fall, and spring terms. You may take more than one
elective course if space in the course is available. However, you will have to submit an
add/drop form for the second course after the results of the lottery are posted.
Enrollment Process
Enrollment for elective courses will be handled through the NECO Registrar’s Office. If
you have any questions with regard to the enrollment process, please contact Cindy Soper
in the NECO Registrar’s Office before you submit your form. Enrollment is for the fall
only. After reviewing the course descriptions in this manual, please fill in on the
electronic form the course and section number [ex: ELC61701-01] of the course(s) that
you want to take in order of preference. The course that you really want to take should
be listed in the number one box. You should only fill out and submit the online form
once. If you have any problems with this form, please contact the registrar’s office. You
need to review the instructions before you fill out the electronic form.
You cannot register for an elective course that conflicts in any way with your other
courses, labs, or clinic assignments. Instructors cannot give you permission to miss any
part of their course/lab/clinic assignment to accommodate an elective course or vice
versa. You should submit your form only once by noon on August 6, 2010, after the
lab/clinic switch deadline.

To register for a course, click on the U.R.L. provided in the email from Catherine Berce,
titled “Fall Term Electives Registration.” For details on the enrollment process, please
see the online registration page: http://www.neco.edu/students/registrar/electives.html .
Elective courses are chosen by lottery so please pay attention to the instructions on
the form. All late forms will be handled after the initial lottery depending on the
available seats versus the number of students requesting the course. If you want a second
course or did not meet the first deadline, you must complete the forms by the second
posting deadline below.
Elective Notification and Add/Drop Deadline
Class list postings will be available only on site at the registrar’s office. You will need to
come in person or ask a classmate to review it.
 First Deadline: August 6, 2010, by Noon  Second Deadline: August 25, 2010, by Noon  Final Deadline September 17, 2010, by Noon Final Posting: September 24, 2010, by 3 PM
Exemptions
Students enrolled in the Master of Science degree program are not required to take
elective courses, but should register the same as other students if they would like to take a
course.

Course Title: Binocular Vision: Beyond the Basics
Course Number:
ELC63001-01
Credits: 2.0
Total Hours:
Instructor: Richard C. Laudon, O.D.
Meeting Details: Wednesday, 10:00 a.m.-noon, Conference Room 1
(424 Beacon Street, 2nd floor)
9/8, 9/15, 9/22, 9/29, 10/6, 10/13, 10/27, 11/3, 11/10, 12/1
Track Emphasis Classification: Special Populations
Term: Fall

Course Description:
This course will present a problem solving approach to dealing with complicated
binocular dysfunctions. The participants will learn HOW to develop an appropriate
testing battery and an effective therapeutic approach. Case studies will be utilized to
allow students to follow each patient from their initial examination through their actual
therapy program. The cases will include the management of both children and adults,
who have been referred by a primary care practitioner for care.
Course Goals:
1. Student will be able to diagnose and recommend an appropriate treatment strategy 2. Students will be able to implement an effective home based training regimen for most binocular, accommodative and/or ocular motor dysfunctions. 3. Students will be able to discuss treatment options from vision therapy to a surgical consultation with a patient and/or parent. 4. Students will be able to make an appropriate referral or successfully manage these types of cases within their own office setting. Course Objectives:
1. Students will be more confident in their ability to deal with common binocular 2. Students will become more comfortable with any patient, who presents with significant visual related symptomotology, which is secondary to a functional etiology. 3. Students will be able to determine which auxiliary tests are needed in order to confirm the diagnosis of a binocular, accommodative and or/ocular motor dysfunction. 4. Students will be able to counsel a patient and/or parent regarding their treatment options, which can range from lens therapy to vision therapy to surgery. 5. Students will be able to design and implement a home based training regimen for Grading Policy: Pass / Fail
Means of Grade Determination:
Students’ grades will be based on class attendance, class participation and an
examination. They will also be required to undergo a comprehensive binocular vision
evaluation at the Commonwealth Practice and undergo a modified vision therapy
program.
Course Hours per Week: Lecture, 1.25 per week
Enrollment Information: Maximum number of students: 20
Brief description of the ways in which this proposed course differs from material
that is currently provided in the curriculum:
The course will utilize actual cases from our clinical files. This approach will make
students more aware of the prevalence of these types of problems within an optometric
practice. The current curriculum presents a superficial view of these concepts.
Brief description of the ways in which this proposed course meets the following
criteria:
 Beyond entry level Students need to develop confidence in their ability to deal with binocular dysfunctions. Most fourth year students have limited knowledge in this area of optometric care. Many students have learned vision therapy techniques but are unable to develop an effective therapy program.  Emphasizing critical thinking skills Course will focus on case analysis. Through the use of a proper case history and an appropriate testing regimen, students should be competent to diagnosis, to treat and/or to refer these needy patients rather than ignoring them in clinical practice.  Supporting the competencies of the NECO graduate With the national emphasis on early vision screening and proper treatment of the school-aged child, students need to become more aware of all of their optometric options. An over-emphasis on refractive error will not meet the needs of our future generations.
Course Outline:
Vision Therapy Visual Hygiene Referral No intervention 4. Additional Testing Battery- Optional or Mandatory Accommodative amplitudes Accommodative facility Near point retinoscopy C. Ocular Motor Sequence Developmental Eye Movement Test Book retinoscopy Vision Therapy – programming and management Common Strabismus and/or Amblyopia Cases Course Title:
Clinical Ocular Disease Cases in Primary Care: Posterior
Segment and Glaucoma
Course Number: ELC61706: TWO sections
Credits: 2.5
Total Hours: 24
Instructor: Matthew J. Garston, OD
Meeting Details:
Section 1: Tuesday, 1:00-3:15 p.m., Conference Room 1
(424 Beacon Street, 2nd floor)
9/7, 9/14, 9/21, 10/5, 10/12, 10/26, 11/2, 11/9, 11/16, Section 2: Thursday, 6:00-8:15 p.m., Conference Room 1
(424 Beacon Street, 2nd floor)
9/9, 9/16, 9/23, 10/7, 10/14, 10/28, 11/4, 11/11, 11/18,
Track Emphasis Classification: Primary Care
Term: Fall

Course Description: This elective is structured around an informal interactive
discussion of conditions frequently encountered in a primary care
optometry/ophthalmology HMO practice. Emphasis is placed on presenting cases that
reinforce diagnosis and management. Over 150 cases will be presented (about 6 cases per
class hour). Excellent photos, complete case histories, treatment, and follow-up photos
make up the base for this course.
Course Goals:
1. To improve the clinicians ability to relate the complaints to the clinical findings 2. To make the 3rd year student more comfortable with the diagnosis and management of various common posterior segment problems. 3. To enhance the 3rd year ocular disease course by presenting actual cases.
Course Objectives:
1. Understand the natural history of optic nerve damage from glaucoma and the relationship of the rim tissue loss to the location of the field defect. 2. Have a more complete grasp of retinal problems in relation to the symptoms, findings, need for surgery, surgery risks, that relate to the following: retinal breaks, retinal detachment, PVD, macular degeneration, macular edema from various conditions, and retinal artery and vein occlusions. 3. To improve the 3rd year students ability with the Binocular Indirect Scope and 4. To understand the value of posterior scleral depression. 5. Be more comfortable with uveitis management. 6. Understand the use and interpretation of modern imaging techniques. Grading Policy: Letter Grade
Means of Grade Determination:
quizzes and participation in class discussions
Course Hours per Week: Lecture, 2 hours/week
Enrollment Information: Maximum number of students: 20
Brief description of the ways in which this proposed course differs from material
that is currently provided in the curriculum:
In this course, 150 actual cases are presented in an interactive style, which is different
from other courses currently offered.
Brief description of the ways in which this proposed course meets the following
criteria:
 Beyond entry level: Some previous ocular disease courses/experience is  Emphasizing critical thinking skills: Course features interactive discussion of cases, requiring critical thinking and reasoning.  Supporting the 2010 competencies of the NECO graduate: Course develops better concept and grasp of diagnosis and management from practical “hands on” case discussions.
Course Outline: Each meeting is 2 class hours—(10 – 12 cases)

1. Flashes, Spots, and Floaters----- Is it an emergency ?? 2. BIO and Scleral Depression pearls (and video) 3. Retinal Artery & Vein Occlusions, 4. 30 minute quiz, Retinal Breaks (some with stereo views) 5. Retinal Breaks, Retinal Detachment, Retinal Reattachment 6. Macular Disorders: Epiretinal membranes, Pseudoholes, True Macular Holes, 7. Macular Disorders: Macular Degeneration, Diabetic Macular Edema 8. 30 minute quiz, Glaucomatous vs. Physiological cupping, High-tech Imaging 9. Open Angle Glaucoma (with associated field loss & stereo views of cupping) 10. Sub-acute and Acute Angle closure glaucoma, Common Secondary Glaucomas. 11. Ophthalmic Misadventures (including my own), Clinically Important Rare
Course Title: Computer Based Training (CBT): Macular Dystrophies
*The ODDT elective runs in a Windows environment. It is best
if you have access to a Windows based PC in order to take this
elective. Some students have used Parallels software on their
Macs to create an virtual PC environment, but Windows must also
be installed. So in order to use MAC OS, both Parallels and
Windows will need to be installed on your computer. This is not
recommended but it should work. Otherwise the ODDT program
is not Mac compatible.*
Course Number:
ELC67009
Credits: 1.5
Total Hours:
20-40 hours self-study, 1 hour online tutorial
Instructors: William E. Sleight, O.D.
Meeting Details: TBD
Enrollment Max: 30
Tract Emphasis Classification: Advanced Medical Management
Term: Fall/Spring
Course Description:
Ocular Disease Diagnostic Tutor (ODDT) A unique interactive computer based training
program designed for in-depth self study of a mixture of uncommon and unusual macular
diseases.
Course Goals:
 Students will learn to recognize and name assorted macular dystrophies  Students will be able to correctly apply appropriate clinical pathologic terminology as part of the pathway to the correct diagnosis of assorted macular dystrophies  Student will retain encyclopedic knowledge of assorted macular dystrophies
Course Objectives:
 Students begin with a series of interactive nomenclature exercises  Students progress through a series of diagnostic cases which require application of terminology learned in nomenclature exercises  Students complete a series of reasoning cases which require mastery of nomenclature and the ability to demonstrate the correct diagnostic cognitive pathway to arrive at a diagnosis  Student learn encyclopedic knowledge by completing a series of content oriented interactive quizzes with “open book” and “closed book” testing paradigms.
Grading Policy: Pass/Fail

Means of Grade Determination:
Completion of scored exercises including Nomenclature exercises, Diagnostic Case,
Quizzes, and Reasoning cases

Enrollment Information: Maximum number of students: 30
Course Hours per Week: Self-study, 20-40 hours
Brief description of the ways in which this proposed course differs from material
that is currently provided in the curriculum:
The ODDT program is a unique innovative approach to compute based learning. It is
highly interactive with activity designed to determine the pathway to a diagnoses or
answer to a problem vs text and graphic paging.
Brief description of the ways in which this proposed course meets the following
criteria:

 Beyond entry level: The material covered is not dealt in depth in the traditional
disease tract, so it covers new material to a large extent. Some basic material is covered as it is necessary for differential diagnosis.  Emphasizing critical thinking skills: The entire concept is designed around the
ability to apply differential thinking and recognition of differences between similar clinical presentations.  Supporting the attributes of the NECO graduate: It will broaden our graduates
diagnostic acumen and knowledge base. Students will learn to confidently diagnoses conditions which they will rarely see.
Course Outline:
Macular Dystrophies
Choroidal Dystrophies
Gyrate Atrophy, Choroideremia, Central Areolar Choroidal Dystrophy Cone Rod Dystrophies
Progressive CRDs are discussed as a group of disorders Dominant Drusen
Malattia leventinese, Doynes hereditary retinal degeneration, North Carolina Macular Dystrophy, Sorsby fundus dystrophy Flecked Retinopathy
Stargardt's / Fundus Flavimaculatus, Kandori Flecked retina, Benign Hereditary Flecked retina, Familial Flecked retina with night blindness Crystalline Retinopathy
Talc, Tamoxifen, Canthaxanthine, Bietti's crystalline retinopathy, cystinosis, oxalosis Macular Toxicity
Pattern Dystrophy
Butterfly dystrophy, adult onset foveomacular dystrophy, fundus flavimaculatus-like dystrophy, fundus pulverulentus, and reticular dystrophy Pigmentary Retinopathy
Punctate Retinopathy
Retinitis punctate albescens, fundus albipunctatus, cuticular drusen Vitelliform Retinopathy
Best's disease, Adult vitelliform macular dystrophy
Course Title: Ocular and Oculosystemic Disease in the V.A. Hospital Setting
Course Number: ELC67103-01
Credits: 2.0
Total Hours: 20
Instructor(s): Team taught: Cases and lectures presented by N.E.C.O.
associated V.A. optometric staff members; Kevin Toolin, O.D.,
coordinator
Meeting Details: Friday, 10:00 a.m.-noon, Chen Conference Room 9/10, 9/17, 9/24, 10/1, 10/8, 10/29, 11/5, 11/12, 12/3, 12/10
Enrollment Max: 20
Track Emphasis Classification: Advanced Medical Management, Primary Care
Term: Fall
Course Description:
This course is a series of cases followed by in-depth discussion and analysis of the
diagnosis and management of the ocular and systemic diseases presented. Cases are
selected based on their unique characteristics, and potential interest to students who will
be rotating through the VA setting. Covered topics will include the use and interpretation
of advanced ocular imaging, lab studies, radiological studies, and diagnostic ultrasound.
Course Goals:
1. Students will become familiar with the diagnosis, treatment, and management of challenging ocular and oculosystemic diseases. 2. Students will be better prepared to deal with the complex and compelling patients seen in the setting of the VA hospitals.
Course Objectives:
1. Students will give indications for the requisition of advanced diagnostic 2. Students will differentiate normal from abnormal diagnostic test results. 3. Students will be able to form an accurate differential diagnosis of ocular and oculosystemic disease based on a comprehensive case presentation. 4. The student will specify proper treatment, management, and follow-up of presented systemic and oculosystemic diseases.
Grading Policy: Pass/Fail
Means of Grade Determination: reading assignments/midterm/final
Course Hours per Week: Lecture, 2 hours/week
Enrollment Information: Maximum number of students: 20
Brief description of the ways in which this proposed course differs from material
that is currently provided in the curriculum:
The course emphasizes the use and the interpretation of advanced diagnostic tests
including HRT, OCT, ultrasound, radiology, and blood work. Many cases include
systemic disease and may differ from other case based courses offered by the school by
also including anterior segment cases.

Brief description of the ways in which this proposed course meets the following
criteria:
 Beyond entry level Deals with complex diagnostic testing and interpretation of these tests, touched on more briefly in other courses.  Emphasizing critical thinking skills Focuses on proper differential diagnosis of complex ocular and systemic findings.  Supporting the competencies of the NECO graduate Advances the ability of the optometrist to be involved in the global care of the optometric patient, and to work in a multidisciplinary setting. Course Outline:
The course will consist of a variety of cases from the VA Health Care System presented
to the students. These cases will often go beyond disease that is limited to ocular or visual
manifestations and consequences. Each case will have one or more aspect that begs an
investigation that goes beyond a complete ocular examination.
Students will be educated in the use and interpretation of laboratory testing, radiological
testing (including X-ray, CT and MRI), ultrasound (including ocular/orbital B-scan and
carotid studies), and advanced ocular imaging techniques. They will be guided to form a
proper differential diagnosis as well as a proper management and treatment plan.
Course Title: Retina Grand Rounds:
Critical Decisions and Risk Factors in Medical Retina
Course Number:
ELC67102-01
Credits: 2.0
Total Hours:
Instructor: Anthony Cavallerano, O.D.
Meeting Details: Wednesdays, 4:00-7:30 p.m., Lecture Hall 3

Track Emphasis Classification: Advanced Medical Management, Primary Care
Term: Fall

Course Description:
This course considers the differential diagnosis, natural history, and primary care
management of acquired vitreoretinal, choroidal, and retinal disorders and presents an
overview of emerging trends in the diagnosis and treatment of a variety of retinal
conditions including retinal vascular disease, acquired macular disease, choroidal and
retinal inflammatory conditions, pigmented abnormalities, posterior segment trauma
and retinal breaks and detachment. Case studies are the cornerstone of this program and
the interactive format and case studies challenge the participant in differential diagnosis
of posterior segment disorders. Emphasis is placed on expanding clinical decision
making skills in the diagnosis, treatment, and management of vitreoretinal and choroidal
disease.
Course Objectives:
At the conclusion of this lecture the participant will:
 Understand risk factors for a diverse array of retinal and choroidal disorders  Identify and recognize the significance of important retinal lesions  Increase understanding and be able to apply clinical practice guidelines in the management and co-management of retinal disease in a primary care setting  Be able to confidently co-manage patients with retinal and choroidal disease  Possess the tools necessary to provide patient education, advice and counseling in
Grading Policy: Pass/Fail
Means of Grade Determination:
Student participation, active involvement in case discussions, and case presentation
submitted at the end of the program.
Course Hours per Week: Lecture/Seminar, 2 hours/week
Enrollment Information: Maximum number of students: 20
Course Outline:

I. Introduction and overview
A. Retinal structure and anatomy B. Retinal circulation C. Tissue response D. Vascular response A. Direct fundus observation B. Fluorescein angiography C. Ultrasonography D. Advanced imaging techniques Treatment of posterior segment disorders A. Medical management B. Laser therapy C. Surgical intervention D. Emerging trends in the treatment of posterior segment disorders A. Age-related changes B. Pigmentary disturbances a. AMD b. POHS c. Miscellaneous/ idiopathic causes d. Characteristics e. Clinical features f. Symptoms g. Differential diagnosis of causes h. Primary care management i. Treatment/laser protocols A. Review of laser principles B. Medical management C. Emerging treatment modalities B. Macular hole C. Cystoid macular edema D. Idiopathic central serous choroidopathy E. Retinal pigment epithelial detachment F. Retinal pigment epitheliopathy A. Venous occlusion B. Arterial occlusion C. Hypertensive retinopathy A. Risk factors for RD B. Classification of RD C. Lesions disposing to retinal breaks D. Treatment of retinal breaks and detachment Retinal and choroidal inflammatory disease Congenital hypertrophic retinal pigment hypertrophy Spring 2010-2011 Elective Course Offerings
Spring course listings will be updated prior to the spring term. Enrollment information
and instructions will be provided at that time as well as dates and meeting times for the
spring elective courses. There may be some changes in the course offerings due to
scheduling and faculty availability.

Course Title: Advanced Contact Lenses
Course Number:
ELC62001-01
Credits: 2.5
Total Hours:
18 hours lecture, 15 hours lab
Instructors: Paul White, O.D., and Ron Watanabe, O.D.
Meeting Details: TBD
Enrollment Max: 20
Track Emphasis Classification: Refractive Care
Term: Spring

Course Description:
This course presents advanced contact lens and corneal science topics in a seminar and
laboratory grand rounds format. Course topics build on the material covered in the
required Contact Lens course to provide the student with a more substantial
understanding of specialized topics. This course is highly recommended for those
students who plan to pursue post-graduate residency training or specialty practice in
contact lenses.
Course Goals:
Students will develop a more substantial theoretical and practical understanding of
specialized contact lens topics that are not covered or only briefly touched upon in the
required Contact Lens course. The instructors hope to stimulate student interest in the
specialty contact lens area to promote advanced learning and to help identify those
students who have the desire and aptitude to enter into post-graduate residency programs
in Cornea and Contact Lenses or specialty contact lens practice.
Course Objectives:
 Students will gain insight into the intricacies of fitting rigid gas permeable contact lenses via lecture and a visit to a local manufacturing laboratory  Students will gain knowledge and expertise in the fitting and management of soft and rigid toric lenses, soft and rigid multifocal lenses, and extended wear lenses.  Students will gain a better understanding of the complexities of fitting the keratoconus patient with contact lenses.  Students will gain experience and be certified in the fitting of accelerated orthokeratology lenses (Paragon CRT Certification).  Students will gain knowledge on the special approach needed to fit pediatric  Students will gain knowledge on specialized fitting designs, such as scleral lenses,  Students will gain insight into current contact lens research, including the processes required to bring new products to market.
Final Exam: 5/5/08
Grading Policy: Letter Grade
Means of Grade Determination: Midterm and Final exams
Course Hours Per Week: 6, 3-hour lectures; 5, 3-hour labs
Enrollment Information: Maximum number of students: 20

Brief description of the ways in which this proposed course differs from material
that is currently provided in the curriculum:
The required Contact Lens course presents “entry level” information to all students so
that they are able to enter into general contact lens practice upon graduation. This
Advanced Contact Lens course picks up where the required course left off and goes into
information and details beyond that which is considered “entry level.” Experts other than
the regular course instructors present topics not covered in the main course to provide a
new perspective on these topics. In addition, the hands-on workshop sessions on these
topics are not done or are only cursory in nature in the required course. Also, they
incorporate real patients, which is not done in the required course. The CRT certification
is also not provided to all students, and is a special benefit to those wanting to provide
this service to their patients in the future.
Brief description of the ways in which this proposed course meets the following
criteria:
o The required Contact Lens course presents topics that are considered “entry level” for all graduating optometry students. The Advanced Contact Lens course presents “specialty” topics that are either not covered or only briefly touched upon in the required course. In addition, advanced information on ocular surface diseases that is not covered in the required course is presented by expert guest lecturers. Finally, hands-on experience with specialty contact lens designs that are primarily used by contact lens specialists is provided.  Emphasizing critical thinking skills o Due to the small class size, the lectures will be in seminar format to encourage an interchange of ideas and concepts between the lecturers and students. These small group discussions will stress critical analysis of the lecture topics. o Workshop sessions require preparation through study of course material, followed by interactive sessions requiring independent thinking to determine the best approach to case management for each patient. o Discussion sessions and case studies require students to analyze their patient experiences to solidify didactic knowledge in a clinical setting.  Supporting the 2010 competencies of the NECO graduate o Knowledgeable in visual, ocular and systemic care
 Students will gain experience with normal and abnormal corneal conditions to help them understand the normal range of clinical findings  Students will learn the underlying principles of contact lenses in  Students will learn the underlying pathophysiological processes of ocular surface diseases along with their management options o Skillful in clinical techniques
 Students will develop skill in diagnosing corneal conditions, such as keratoconus, during grand rounds sessions  Students will develop skill in fitting and prescribing specialty  Students will learn the benefits and limitations of contact lenses for o Skillful in organizing, integrating and applying knowledge
 Through the combination of lecture discussions and hands-on sessions, students will be able to apply didactic information to patient care setting, including contact lens fitting and follow-up and ocular surface disease diagnosis and management. o Professional and ethical
 By understanding the processes for FDA approval and research using human subjects, students will gain a solid perspective on the ethics of clinical research and clinical practice.  Students will learn how specialty contact lens practice fits into the broader scheme of health care and usually requires working with other professionals to take care of the patient’s total needs. Course Title:
Clinical Ocular Disease Cases in Primary Care, Anterior
Segment
Course Number:
ELC61705-01
Credits: 2.5
Total Hours:
Instructor: Matthew J. Garston, O.D.
Meeting Details:

Track Emphasis Classification: Primary Care
Term: Spring

Course Description:
This elective is structured around an informal interactive discussion of conditions
frequently encountered in a primary care optometry/ophthalmology H.M.O. practice.
Emphasis is placed on presenting cases that reinforce diagnosis and management. Over
150 cases will be presented (about 6 cases per class hour). Excellent photos, complete
case histories, treatment, and follow-up photos make up the base for this course.
Course Goals:
1. To improve the clinicians ability to relate the complaints to the clinical findings. 2. To make the 3rd year student more comfortable with the diagnosis and management of various common anterior segment problems. 3. To enhance the 3rd year ocular disease course by presenting actual cases.
Course Objectives:
1. Be better at identifying and managing anterior segment problems from trauma or contact lens use, including the use of bandage contact lenses. 2. Have a better grasp of diagnosing and treating viral and adnoviral eye problems including: Herpes Simplex, Herpes Zoster, and E.K.C. 3. Be more comfortable diagnosing and treating Anterior Uveitis. 4. Understand the newer approaches to the management of Ocular Surface Disease and dry eye. 5. Be comfortable with prescribing for various types of conjunctivitis and keratitis, including what to do if your first treatment was not effective. 6. Have a better understanding of cataract types, cataract surgery and late complications, optometric co-management of the patient after surgery.
Grading Policy: Letter Grade
Means of Grade Determination: Quizzes and participation in class discussions
Course Hours per Week: Lecture, 2 hours/week
Enrollment Information: Maximum number of students: 20
Brief description of the ways in which this proposed course differs from material
that is currently provided in the curriculum:
This course features 150 actual cases presented in an interactive style, which is unlike
any other course currently offered.
Brief description of the ways in which this proposed course meets the following
criteria:
 Is beyond entry level
Some previous ocular disease courses/experience is required.  Emphasizes critical thinking skills
Course features interactive discussion of cases, which involves critical thinking and reasoning.  Provides students with new or improved clinical skills and/or knowledge
Provides student with better concept and grasp of diagnosis and management from
practical “hands on” case discussions.

Course Outline: Each meeting is 2 class hours (with 10 – 12 cases)

1. Ocular Surface Disorders including dry eyes- (Dysfunctional Tear Syndrome), 2. Conjunctivitis: Allergic, Bacterial, and Viral 3. Contact Lens Complications 4. Corneal ulcers: initial treatment and follow-up, 30 minute quiz 5. Ocular Trauma: Abrasions, Foreign Bodies, Hyphema 6. The Use of Bandage Contact Lenses for Corneal Abrasions, and 7. Recurrent Corneal Erosions 8. Viral Diseases and Look-alikes, 9. Uveitis----- Anterior, Intermediate, or Posterior ? 10. Refractive Surgery Complications, Co-management Pearls, 11. Patient Selection Guidelines, 30 minute quiz, 12. Refractive Surgery—What’s new ?? (videos of Phakic I.O.L. use in refractive surgery—Anterior Angle, Iris Clip, Posterior Chamber Position) 13. Systemic Problems & the Eye, Ocular Effects of Systemic Drugs and Topical 14. Ocular Drugs 15. Red Eye Potpourri 16. Final Exam (all inclusive) Course Title: Computer Based Training (CBT): Retinal Disease

*The ODDT elective runs in a Windows environment. It is
best if you have access to a Windows based PC in order to take
this elective. Some students have used Parallels software on their
Macs to create an virtual PC environment, but Windows must also
be installed. So in order to use MAC OS, both Parallels and
Windows will need to be installed on your computer. This is not
recommended but it should work. Otherwise the ODDT program
is not Mac compatible.*
Course Number:
ELC67007
Credits: 1.5
Total Hours:
30 hours self-study, 1 hour online tutorial
Instructors: William E. Sleight, O.D.
Meeting Details: TBD
Enrollment Max: 30
Tract Emphasis Classification: Advanced Medical Management
Term: Fall, Spring
Course Description: Ocular Disease Diagnostic Tutor (ODDT): A unique interactive
computer based training program designed for in-depth self study of a mixture of
uncommon and unusual retinal diseases. This course can be taken concurrently with
CBT: Corneal Disease.
Course Goals:
1. Students will learn to recognize and name assorted retinal pathologies 2. Students will be able to correctly apply appropriate clinical pathologic terminology as part of the pathway to the correct diagnosis of assorted retinal conditions 3. Student will retain encyclopedic knowledge of assorted retinal conditions
Course Objectives:
1. Students begin with a series of interactive nomenclature exercises 2. Students progress through a series of diagnostic cases which require application of terminology learned in nomenclature exercises 3. Students complete a series of reasoning cases which require mastery of nomenclature and the ability to demonstrate the correct diagnostic cognitive pathway to arrive at a diagnosis 4. Student learn encyclopedic knowledge by completing a series of content oriented interactive quizzes with “open book” and “closed book” testing paradigms.
Grading Policy: Pass/Fail
Means of Grade Determination:
1. Homework 2. Quizzes 3. Pre and post exams 4. 2 hours of seminar (online)
Enrollment Information: Maximum number of students: 30
Course Hours: Small Group, 2 hours; self-study, 15 to 20 hours
Brief description of the ways in which this proposed course differs from material
that is currently provided in the curriculum:
The ODDT program is a unique innovative approach to compute based learning. It is
highly interactive with activity designed to determine the pathway to a diagnoses or
answer to a problem vs text and graphic paging.
Brief description of the ways in which this proposed course meets the following
criteria:

 Beyond entry level: The material covered is not dealt in depth in the traditional
disease tract, so it covers new material to a large extent. Some basic material is covered as it is necessary for differential diagnosis.  Emphasizing critical thinking skills: The entire concept is designed around the
ability to apply differential thinking and recognition of differences between similar clinical presentations  Supporting the attributes of the NECO graduate: It will broaden our graduates
diagnostic acumen and knowledge base. Students will learn to confidently diagnose conditions which they will rarely see.
Course Outline:
Note: The ODDT program is currently in use by 4th year students as part of an evaluation
phase related to the FIPSE grant which funded the development of the project. This
elective is to offer 3rd year students the opportunity to use the program and to garner
information as to at what point in the curriculum the content and methodology of this
program seem most beneficial.
Retinal Module
Retinal Streaks
Angioid streaks, lacquer cracks, choroidal rupture Angioid streaks, lacquer cracks, choroidal rupture Angioid streaks, lacquer cracks Topic file support and interactive quizzes Angioid streaks, lacquer cracks, choroidal rupture Roseate Lesions
Branch retinal vein occlusion, diabetic retinopathy, posterior vitreous detachment, central retinal vein occlusion, diabetic retinopathy, hypertension Ocular ischemic syndrome, branch retinal vein occlusion, diabetic retinopathy, posterior vitreous detachment, central retinal vein occlusion, diabetic retinopathy, hypertension Topic file support and interactive quizzes Ocular ischemic syndrome, branch retinal vein occlusion, diabetic retinopathy, posterior vitreous detachment, central retinal vein occlusion, diabetic retinopathy, hypertension Elevated Lesions
Scleral buckle, retinal detachment, retinoschisis, exudative RD, dialysis, WWOP Scleral buckle, retinal detachment, retinoschisis, exudative RD, dialysis, WWOP Topic file support and interactive quizzes Scleral buckle, retinal detachment, retinoschisis, exudative RD, dialysis, WWOP Exudative disorders
Coat’s disease, von Hipple-Lindau, retinal macroaneurysm, exudative BRVO, exudative RD, HTN Coat’s disease, von Hipple-Lindau, retinal macroaneurysm Reasoning cases Topic file support and interactive quizzes Coat’s disease, von Hipple-Lindau, retinal macroaneurysm, exudative BRVO, exudative RD, HTN Course Title: Computer Based Training (CBT): Corneal Disease

*The ODDT elective runs in a Windows environment. It is
best if you have access to a Windows based PC in order to take
this elective. Some students have used Parallels software on their
Macs to create an virtual PC environment, but Windows must also
be installed. So in order to use MAC OS, both Parallels and
Windows will need to be installed on your computer. This is not
recommended but it should work. Otherwise the ODDT program
is not Mac compatible.*
Course Number:
ELC67006
Credits: 1.0
Total Hours:
15-20 hours self-study, 1 hour online tutorial
Instructors: William E. Sleight, O.D.
Meeting Details: TBD
Enrollment Max: 30
Tract Emphasis Classification: Advanced Medical Management
Term: Fall, Spring
Course Description: Ocular Disease Diagnostic Tutor (ODDT) A unique interactive
computer based training program designed for in-depth self study of a mixture of
uncommon and unusual corneal diseases. This course can be taken concurrently with
CBT: Retinal Disease.
Course Goals:
1. Students will learn to recognize and name assorted corneal pathologies 2. Students will be able to correctly apply appropriate clinical pathologic terminology as part of the pathway to the correct diagnosis of assorted corneal conditions. 3. Student will retain encyclopedic knowledge of assorted corneal conditions.
Course Objectives:
1. Students begin with a series of interactive nomenclature exercises 2. Students progress through a series of diagnostic cases which require application of terminology learned in nomenclature exercises 3. Students complete a series of reasoning cases which require mastery of nomenclature and the ability to demonstrate the correct diagnostic cognitive pathway to arrive at a diagnosis 4. Student learn encyclopedic knowledge by completing a series of content oriented interactive quizzes with “open book” and “closed book” testing paradigms.
Grading Policy: Pass/Fail
Means of Grade Determination:
1. Homework 2. Quizzes 3. Pre and post exams
Enrollment Information: Maximum number of students: 30
Course Hours: Small Group, 2 hours; self-study, 15 to 20 hours
Brief description of the ways in which this proposed course differs from material
that is currently provided in the curriculum:
The ODDT program is a unique innovative approach to compute based learning. It is
highly interactive with activity designed to determine the pathway to a diagnoses or
answer to a problem vs text and graphic paging.
Brief description of the ways in which this proposed course meets the following
criteria:
 Beyond entry level: The material covered is not dealt in depth in the traditional
disease tract, so it covers new material to a large extent. Some basic material is covered as it is necessary for differential diagnosis.  Emphasizing critical thinking skills: The entire concept is designed around the
ability to apply differential thinking and recognition of differences between similar clinical presentations  Supporting the attributes of the NECO graduate: It will broaden our graduates
diagnostic acumen and knowledge base. Students will learn to confidently diagnose conditions which they will rarely see.
Course Outline:
Note: The ODDT program is currently in use by 4th year students as part of an evaluation
phase related to the FIPSE grant which funded the development of the project. This
elective is to offer 3rd year students the opportunity to use the program and to garner
information as to at what point in the curriculum the content and methodology of this
program seem most beneficial.
Corneal Module
Limbal thinning
Furrow degeneration, Dellen, Pellucid Marginal Degeneration, Rheumatoid furrow, Systemic Lupus Furrow Degeneration, Terrien’s Marginal Degeneration Terrien’s Marginal Degeneration, Pellucid Marginal Degeneration, Dellin, Peripheral Ulcerative Keratitis, Systemic Lupus Erythematosus Topic file support and interactive quizzes Furrow degeneration, Dellen, Pellucid Marginal Degeneration, Rheumatoid furrow, Systemic Lupus Furrow Degeneration, Terrien’s Marginal Degeneration Limbal Inflammation
Atopic keratoconjunctivitis, Vernal Keratoconjunctivitis, Superior Limbic Keratoconjunctivitis, Phlyctenulosis, Mooren’s Ulcer, Terrien’s Marginal Inflammation, Sterile Marginal Infiltrates, Roseacea keratitis, Peripheral Ulcerative Keratitis (RA, PAN, WG, SLE) CL-SLK, VKC, Rosacea, Sterile Marginal Infiltrates, Phlyctenulosis, Pingueculitis Topic file support and interactive quizzes Atopic keratoconjunctivitis, Vernal Keratoconjunctivitis, Superior Limbic Keratoconjunctivitis, Phlyctenulosis, Mooren’s Ulcer, Terrien’s Marginal Inflammation, Sterile Marginal Infiltrates, Roseacea keratitis, Peripheral Ulcerative Keratitis (RA, PAN, WG, SLE) Corneal Nebula and Macula
Pseudophakic Bullous Keratopathy, Fuch’s Corneal Dystrophy, Corneal Macula, EBMD, Reis-Buckler Dystrophy, Lattice Dystrophy, Granular Dystrophy, Macular Dystrophy, Posterior Polymorphous Dystrophy Fuch’s Corneal Dystrophy, EBMD, Reis-Buckler Dystrophy, Lattice Dystrophy, Granular Dystrophy, Macular Dystrophy, Posterior Polymorphous Dystrophy Topic file support and interactive quizzes Pseudophakic Bullous Keratopathy, Fuch’s Corneal Dystrophy, Corneal Macula, EBMD, Reis-Buckler Dystrophy, Lattice Dystrophy, Granular Dystrophy, Macular Dystrophy, Posterior Polymorphous Dystrophy, Recurrent Corneal Erosion Epithelial abnormalities
Pseudodendritic keratopathy, Filamentary Keratopathy, Dendritic Keratopathy, Vernal Plaque, Neurotrophic Keratopathy, RCE, HZ-Pseudodendritic keratopathy, Filamentary Keratopathy, HS-Dendritic Keratopathy, Metaherpetic keratitis, Interstitial Keratitis, Topic file support and interactive quizzes Herpes Simplex, Herpes Zoster, Pseudodendritic keratopathy, Interstitial keratitis, Filamentary Keratopathy, RCE and Corneal Dystrophies Course Title: Computer Based Training (CBT): Macular Dystrophies
*The ODDT elective runs in a Windows environment. It is
best if you have access to a Windows based PC in order to take
this elective. Some students have used Parallels software on their
Macs to create an virtual PC environment, but Windows must also
be installed. So in order to use MAC OS, both Parallels and
Windows will need to be installed on your computer. This is not
recommended but it should work. Otherwise the ODDT program
is not Mac compatible.*
Course Number:
ELC67009
Credits: 1.5
Total Hours:
20-40 hours self-study, 1 hour online tutorial
Instructors: William E. Sleight, O.D.
Meeting Details: TBD
Enrollment Max: 30
Tract Emphasis Classification: Advanced Medical Management
Term: Fall/Spring
Course Description:
Ocular Disease Diagnostic Tutor (ODDT) A unique interactive computer based training
program designed for in-depth self study of a mixture of uncommon and unusual macular
diseases.
Course Goals:
4. Students will learn to recognize and name assorted macular dystrophies 5. Students will be able to correctly apply appropriate clinical pathologic terminology as part of the pathway to the correct diagnosis of assorted macular dystrophies 6. Student will retain encyclopedic knowledge of assorted macular dystrophies
Course Objectives:
5. Students begin with a series of interactive nomenclature exercises 6. Students progress through a series of diagnostic cases which require application of terminology learned in nomenclature exercises 7. Students complete a series of reasoning cases which require mastery of nomenclature and the ability to demonstrate the correct diagnostic cognitive pathway to arrive at a diagnosis 8. Student learn encyclopedic knowledge by completing a series of content oriented interactive quizzes with “open book” and “closed book” testing paradigms.
Grading Policy: Pass/Fail

Means of Grade Determination:
5. Completion of scored exercises including Nomenclature exercises, Diagnostic
Enrollment Information: Maximum number of students: 30
Course Hours per Week: Self-study, 20-40 hours
Brief description of the ways in which this proposed course differs from material
that is currently provided in the curriculum:
The ODDT program is a unique innovative approach to compute based learning. It is
highly interactive with activity designed to determine the pathway to a diagnoses or
answer to a problem vs text and graphic paging.
Brief description of the ways in which this proposed course meets the following
criteria:

 Beyond entry level: The material covered is not dealt in depth in the traditional
disease tract, so it covers new material to a large extent. Some basic material is covered as it is necessary for differential diagnosis.  Emphasizing critical thinking skills: The entire concept is designed around the
ability to apply differential thinking and recognition of differences between similar clinical presentations  Supporting the attributes of the NECO graduate: It will broaden our graduates
diagnostic acumen and knowledge base. Students will learn to confidently diagnoses conditions which they will rarely see.
Course Outline:

Macular Dystrophies
Choroidal Dystrophies
Gyrate Atrophy, Choroideremia, Central Areolar Choroidal Dystrophy Cone Rod Dystrophies
Progressive CRDs are discussed as a group of disorders Dominant Drusen
Malattia leventinese, Doynes hereditary retinal degeneration, North Carolina Macular Dystrophy, Sorsby fundus dystrophy Flecked Retinopathy
Stargardt's / Fundus Flavimaculatus, Kandori Flecked retina, Benign Hereditary Flecked retina, Familial Flecked retina with night blindness Crystalline Retinopathy
Talc, Tamoxifen, Canthaxanthine, Bietti's crystalline retinopathy, cystinosis, oxalosis Macular Toxicity
Pattern Dystrophy
Butterfly dystrophy, adult onset foveomacular dystrophy, fundus flavimaculatus-like dystrophy, fundus pulverulentus, and reticular dystrophy Pigmentary Retinopathy
Punctate Retinopathy
Retinitis punctate albescens, fundus albipunctatus, cuticular drusen Vitelliform Retinopathy
Best's disease, Adult vitelliform macular dystrophy Computer Based Training (CBT): Uveitis
*The ODDT elective runs in a Windows environment. It is
best if you have access to a Windows based PC in order to take
this elective. Some students have used Parallels software on their
Macs to create an virtual PC environment, but Windows must also
be installed. So in order to use MAC OS, both Parallels and
Windows will need to be installed on your computer. This is not
recommended but it should work. Otherwise the ODDT program
is not Mac compatible.*
Course Number:
ELC67008-01
Credits: 2.0
Total Hours:
30-50 hours self-study, 1 hour online tutorial
Instructors: William E. Sleight, O.D.
Meeting Details: TBD
Enrollment Max: 30
Tract Emphasis Classification: Advanced Medical Management
Term: Fall, Spring
Course Description:
Ocular Disease Diagnostic Tutor (ODDT) A unique interactive computer based training
program designed for in-depth self study of a mixture of uncommon and unusual retinal
diseases.
Course Goals:
7. Students will learn to recognize and name assorted retinal pathologies 8. Students will be able to correctly apply appropriate clinical pathologic terminology as part of the pathway to the correct diagnosis of assorted retinal conditions 9. Student will retain encyclopedic knowledge of assorted retinal conditions
Course Objectives:
9. Students begin with a series of interactive nomenclature exercises 10. Students progress through a series of diagnostic cases which require application of terminology learned in nomenclature exercises 11. Students complete a series of reasoning cases which require mastery of nomenclature and the ability to demonstrate the correct diagnostic cognitive pathway to arrive at a diagnosis 12. Student learn encyclopedic knowledge by completing a series of content oriented interactive quizzes with “open book” and “closed book” testing paradigms.
Grading Policy: Pass/Fail
Means of Grade Determination:
6. Completion of scored exercises including Nomenclature exercises, Diagnostic
Enrollment Information: Maximum number of students: 30
Course Hours per Week: Self-study, 30 to 50 hours
Brief description of the ways in which this proposed course differs from material
that is currently provided in the curriculum:
The ODDT program is a unique innovative approach to compute based learning. It is
highly interactive with activity designed to determine the pathway to a diagnoses or
answer to a problem vs text and graphic paging.
Brief description of the ways in which this proposed course meets the following
criteria:

 Beyond entry level: The material covered is not dealt in depth in the traditional
disease tract, so it covers new material to a large extent. Some basic material is covered as it is necessary for differential diagnosis.  Emphasizing critical thinking skills: The entire concept is designed around the
ability to apply differential thinking and recognition of differences between similar clinical presentations  Supporting the attributes of the NEWENCO graduate: It will broaden our
graduates diagnostic acumen and knowledge base. Students will learn to confidently diagnoses conditions which they will rarely see. Uveitis Module
Retinitis
CMV, ARN, MPNR, PORN, HIV, Bechet's, Syhililis, Lyme Vasculitis
SLE, Sarcoid, TB, Behcets, Eales, NIFBA, IFBA Choroiditis
Sarcoid, Birdshot, Serpiginous, VKH, TB, CSD, MC-PIC-DSF, POHS Neuroretinitis
CSD, Sarcoid, Toxoplasmosis, Toxocariasis, Syphilis Course Title: Modes of Optometric Practice
Course Number:
ELC65009
Credits: 1.5
Total Hours:
Instructor: David Mills, O.D., M.B.A.
Meeting Details: TBD
Enrollment Max: 25

Track Emphasis Classification: Business / Management
Term: Spring

Course Description: During the Ophthalmic Business and Management Policy course
in their OD3 year, students receive guidance in practicing primary care optometry in
different venues and in melding specialty services into a primary care optometric
practice. This course examines, in depth, the analytical process of determining how other
modes of practice can be sustained from a financial standpoint.
In conjunction with the NECO Alumni Association, we will identify guest lecturers who
have developed a successful “specialized” mode of optometric practice including low
vision, pediatrics, contact lenses, ocular disease, and commercial. Each practitioner will
describe the personal, professional and business choices that he/she made in arriving at
the type of practice he/she currently espouses. Following each presentation, Dr. Mills
will lead a discussion session that encourages the students to use the principles they have
learned in OBMP to pose questions and offer comments to the guest speaker.
Course Goals:
1. To provide the students with a better understanding of the different modes of 2. To provide the students with the critical analysis framework in which they can begin to plan their future optometric career
Course Objectives:
On completion of the course the student will be able to:
1. Describe different modes of optometric practice 2. Summarize, using the framework of Strength, Weakness, Opportunity and Threat (SWOT) analysis, the advantages and challenges faced by each practice modality
Grading Policy: Letter Grade
Means of Grade Determination:
Upon completion of the course, each student will be required to submit a written synopsis
and critical analysis of both the materials covered by each lecturer and the discussion
period. Due to the interactive nature of this course, attendance will be mandatory.
However, for students who are unable to attend a particular session, individual
considerations will be made available to obtain the missed course material.
Course hours per week: 17 hours of lecture
Enrollment Information: Maximum number of students: 25
Brief description of the ways in which this proposed course differs from material
that is currently provided in the curriculum:
This course will allow the students to interact with optometric practitioners that have
built “successful” specialty practices. It will provide the framework for critical analysis
of each presented mode of practice.
Brief description of the ways in which this proposed course meets the following
criteria:

 Emphasizing critical thinking skills  Supporting the attributes of the NECO graduate This course compliments the mentoring experience the student receives while visiting practices and goes beyond the general overview of different practice modes that is presented in the Ophthalmic Business and Management Policy class. In order for the student to hold a meaningful dialogue with the guest lecturers, certain core material needs to be presented. This material is part of the curriculum of the OBMP class. Therefore, this elective will not begin until AFTER the week 5 lecture in the OBMP class. The lectures will be provided with a critical analysis outline which will help assure that the student receives the necessary information to perform a SWOT analysis. During the discussion period following each presentation, the students will be engaged in the interactive analysis of the particular practice mode being presented.
Course Outline:
Week 1:
Overview of the program and class requirements Guest Lecturers and Discussion Period (one mode per week)

Source: https://www.neco.edu/educational-programs/CURRENT/Fall%202010-11%20electives,%20updated.pdf