Moderator: Satoshi Kashii, M.D., Ph.D.
The Walsh-in-Asia that characterizes the Asian Neuro-Ophthalmology Society (ASNOS) meeting is a unique clinicopathologic case presentation conference in the style of the Frank B. Walsh Society Meeting*. It was introduced as a joint session of the 2006 ASNOS and International Neuro-Ophthalmology Society (INOS) meetings in Tokyo and has been carried out at every ASNOS meeting.
The session is characterized by the unique audience-participation format of a clinico-pathologic conference (CPC). The case presentation begins with the case description in which the history and examination findings are presented without revealing the critical diagnostic testing or diagnosis. The audience is invited to recommend further diagnostic testing then to speculate as to the diagnosis. Dr. Claro Ison Jr, a neuroradiologist from Cardinal Santos MRI Center, Philippines, comments on the neuroimaging findings. Dr. Edwin Munoz, a neuro-pathologist from Asian Hospital and Medical Center, Philippines, discusses the pathologic findings from both the gross and histopathology standpoint. The presenter then reveals the answer and discusses the relevance of the case. Drs. Munoz and Ison both leading experts in the fields will take part in the case discussion to make the final judgement on the diagnosis and summarize teaching points.
This session is designed to present this unique CPC format to the audience to promote and advance the quality and diagnostic acumen in the field of neuro-ophthalmological disease. Audience participation is encouraged.
At the conclusion of this program, participants should be able to: 1) recognize the varied presentations of neuro-ophthalmic disease; 2) correlate the anatomic localization and histopathologic appearance with the clinical presentations; 3) effectively use radiologic procedures in diagnosis; 4) recognize both the value and limitations of neuropathology; and 5) discuss newly described diseases and their connection to neuro-ophthalmology.
* The Frank B. Walsh Society Meeting:
The Frank B. Wash Society had held annual CPC meetings on neuro-ophthalmological disorders in North-America since 1969. It was merged with North-American Neuro-Ophthalmology Society (NANOS) in 1992 and the Frank Walsh Sessions have been held at annual meetings of the NANOS since then. The session is characterized by the unique audience-participation format that is very open with people not afraid to ask a question or to expose areas of their own ignorance. Unique cases such as Frank Walsh’s supranuclear ophthalmoplegia due to Whipple’s disease, Ralph Sawyer’s cancer-associated retinopathy, Neil Miller and Mary Hotchkiss’ autopsy cases on Duane’s syndrome, were all presented first at the Frank Walsh meetings. The audience saw and heard the cutting edge of neuro-ophthalmology one or two years before it made the literature (Knox D. J Clin Neuroophthalmol. 1993;13:281-7).