Ocular Surface Disease: Pathophysiology, Evaluation, Management with Topical Agents, and Neuromodulation
Complimentary
Live Virtual Webinar:
Saturday, March 8, 2025: 10:00 AM ET, 9:00 AM CT, 8:00 AM MT, and 7:00 AM PT
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Program Description
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This program will provide up-to-date, evidence-based information on pathophysiology, evaluation, topical agents, and neuromodulation in managing OSD. The activity will focus on:
- Pathophysiology – Normal ocular surface physiology, including the role of the lacrimal functional unit in stimulating the lacrimal gland, meibomian glands, and goblet cells.
- Risk factors for OSD – Contact lens wear, ocular surgery, extensive digital device use, and eye makeup.
- Evaluation – Symptom questionnaires, tear breakup time, tear volume assessment, and ocular surface staining
- Management of OSD with Artificial Tears – Artificial tear formulations and benefits in managing different dry eye sub-types
- Active and inactive ingredients, including the role of inactive ingredients in optimizing delivery and retention time.
- Preserved vs preservative-free (unit dose vs multi-dose dispensing methods)
- Lipid-enhanced vs. non-lipid-enhanced.
- The efficacy and safety profile of short-term and chronic treatment options for inflammatory dry eye.
- Neuromodulation in OSD – Neural network that monitors the ocular surface environment and regulates tear secretion.
- Afferent sensory fibers in the nasal mucosa and ocular surface (nicotinic muscarinic receptors and TRP receptors).
- Efferent parasympathetic pathways and targets (lacrimal gland, meibomian glands, and goblet cells.
- Neurotrophic Keratopathy (NK) – Clinically, stage 1 NK is similar to moderate-to-severe dry eye disease (DED) or many other epitheliopathies
- Cenegermin is a recombinant human nerve growth factor (rh-NGF) that supports corneal reinnervation.
Agenda
• Overview of the pathophysiology, risk factor, and evaluation of ocular surface disease (OSD) – Sarah B. Sunshine, MD
• Discuss the data on artificial tear formulations and neuromodulation in managing OSD – TBD
Intended Audience
Ophthalmologists, optometrists, and advanced practice providers (physician assistants and nurse practitioners) who manage patients with ocular surface disease
Commercial Supporter
Supported by an unrestricted educational grant from Dompé US Inc.
Learning Objectives
- Summarize the pathophysiology, risk factor, and evaluation of ocular surface disease
- Interpret data on artificial tear formulations and neuromodulation in managing ocular surface disease
Accredited Providers
Amedco and MedNet have collaborated to design and execute this activity.

Joint Accreditation Statement
In support of improving patient care, this activity has been planned and implemented by Amedco LLC and MedNet. Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Amedco Joint Accreditation #4008163.
Physicians (ACCME) Credit Designation
Amedco LLC designates this live activity for a maximum of 1.25 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Optometrists Credit
This activity, COPE Activity Number 130237, is accredited by COPE for continuing education for optometrists.
MedNet designates this activity for a maximum of 1.25 COPE credits.
Additional Credit Information
Physician Assistants
PAs may claim a maximum of 1.25 Category 1 credits for completing this activity. NCCPA accepts AMA PRA Category 1 CreditTM from organizations accredited by ACCME or a recognized state medical society.
Nurse Practitioners
The American Association of Nurse Practitioners (AANP) recognizes the Accreditation Council for Continuing Medical Education (ACCME) and the American Nurses Credentialing Center (ANCC) as approved accreditors and allow reciprocity for AANPCP continuing education credit. 1.25 hours.
Disclosures of Relationships with Ineligible Companies Policy
In accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education, all faculty, planning committee members, and other individuals, who are in a position to control content, are required to disclose all relationships with ineligible companies* (commercial interests) within the last 24 months. All educational materials are reviewed for fair balance, scientific objectivity, and levels of evidence. The ACCME requires us to disqualify from involvement in the planning and implementation of accredited continuing education any individuals (1) who refuse to provide this information or (2) whose conflicts of interests cannot be mitigated.
Planners’ and Managers’ Disclosures
All relevant relationships have been reviewed and mitigated.
Off-Label Disclosure Statement
Faculty members are required to inform the audience when they are discussing off-label, unapproved uses of devices and drugs. Physicians should consult full prescribing information before using any product mentioned during this educational activity.
Faculty

Sarah B. Sunshine, MD
Assistant Professor
Ophthalmology, University of Maryland and Greenebaum Comprehensive Cancer
Baltimore, MD
Instructions/Technical Requirements
Hardware: An internet-enabled computer, smartphone, tablet, or other mobile device with audio and internet capabilities.
Software: Installation of software like Zoom may be necessary.
Cost
There are no fees for participating and receiving CME and COPE credit for this activity.
Contact
Brian Waggoner
Program Manager
MedNet
brianw@mmhus.net
EVENT Summary
Dates
Saturday, March 8, 2025, 10:00 AM ET, 9:00 AM CT, 8:00 AM MT, and 7:00 AM PT
Location
Virtual
Target Audience
Ophthalmologists, optometrists, and advanced practice providers (physician assistants and nurse practitioners) who manage patients with ocular surface disease
Format
Zoom Webinar
Credits
1.25 / AMA PRA Category 1 Credit(s)TM
1.25 / COPE CE Credits
Cost
Complimentary
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