Eye Disorders - Government of New York
嚜激ye Disorders
Effective: May 02, 2022
NYS WCB MTG 每 TBI / 1
Contributors
The NYS Workers* Compensation Board would like to thank the members of the New York
Workers* Compensation Board Medical Advisory Committee (MAC). The MAC served as
the Board*s advisory body to adapt the American College of Occupational and
Environmental Medicine (ACOEM) Practice Guidelines to a New York version of the Medical
Treatment Guidelines (MTG). In this capacity, the MAC provided valuable input and made
recommendations to help guide the final version of these Guidelines. With full consensus
reached on many topics, and a careful review of any dissenting opinions on others, the
Board established the final product.
Medical Advisory Committee
Joseph Canovas, Esq.
Special Counsel
New York State AFL-CIO
Kevin Chaisson, OD
Optometrist, Cornerstone Eye Associates
Rochester, NY
Kenneth B. Chapman, MD
Director Pain Medicine, SIUH Northwell Health Systems
Assistant Clinical Professor, NYU Langone Medical Center
Adjunct Assistant Professor, Hofstra Medical School
Robert Goldberg, DO
Attending Physician 每 Department of Rehabilitation, Beth Israel Hospital and Medical
Center of NYC
Professor of Physical Medicine and Rehabilitation and Health Policy
Clinical Associate Professor of Rehabilitation Medicine, New York Medical College
Clinical Professor of Rehabilitation Medicine, Philadelphia College of Osteopathic
Medicine
Member Council on Medical Education of the American Medical Association
Frank Kerbein, SPHR
Director, Center for Human Resources
The Business Council of New York State, Inc.
Winston C. Kwa, MD MPH
Medical Director, Mount Sinai Selikoff Centers for Occupational Health-Mid-Hudson Valley
Associate Professor, Mount Sinai School of Medicine
Naveen, Mysore, PhD, MD
Assistant Professor, Department of Ophthalmology
University of Rochester Medical Center
Joseph Pachman, MD, PhD, MBA, MPH
Licensed Psychologist and Physician
Board Certified in Occupational Medicine
Fellow in ACOEM
NYS WCB MTG 每 Eye Disorders 2
Vice President and National Medical Director, Liberty Mutual
Regina Smolyak, MD
Associate Professor of Ophthalmology
University of Rochester
James A. Tacci, MD, JD, MPH (FACOEM, FACPM)
Medical Director and Executive Medical Policy Director
New York State Workers* Compensation Board
Edward C. Tanner, MD,
Chair, Department of Orthopaedics at Rochester General Hospital
Past President, New York State Society of Orthopaedic Surgeons (NYSSOS)
Member, American Academy of Orthopaedic Surgeons (AAOS)
Member, American Association of Hip and Knee Surgeons (AAHKS)
ACOEM Contributors to Eye Disorders
Editor-in-Chief:
Kurt T. Hegmann, MD, MPH, FACOEM, FACP
Evidence-based Practice Eye Panel Chair:
Bernard R. Blais, MD, FAAO, FACOEM, FACS
Evidence-based Practice Eye Panel Members:
Panel members represent expertise in ophthalmology, optometry, occupational medicine,
medical toxicology (preventive medicine), and law. Identities are blinded for external peerreview.
Methodology Committee Consultant:
Kurt T. Hegmann, MD, MPH, FACOEM, FACP
Research Conducted By:
Kurt T. Hegmann, MD, MPH, FACOEM, FACP
Jeremy J. Biggs, MD MSPH
Kristine Hegmann, MSPH, CIC
Matthew A. Hughes, MD, MPH
Matthew S. Thiese, PhD, MSPH
Ulrike Ott, PhD, MSPH
Atim C. Effiong, MPH
Brenden Ronna
Leslie Cepeda Echeverria
Dillon Fix
Austen James Knudson
Jeremiah Lafayette Dortch
Zachary Cooper Arnold
Alzina Koric
Ninoska De Jesus
Katherine Anne Schwei
Louise Juliet
NYS WCB MTG 每 Eye Disorders 3
Specialty Society and Society Representative Listing:
ACOEM acknowledges the following organizations and their representatives who served
as reviewers of the ※Eye Disorders Guideline.§ Their contributions are greatly appreciated.
By listing the following individuals or organizations, it does not infer that these individuals
or organizations support or endorse the eye treatment guidelines developed by ACOEM.
An additional organization wished to remain anonymous.
American Association of Occupational Health Nurses
Kim Olszewski, DNP, CRNP, COHN-S/CM, FAAOHN
American College of Emergency Physicians
Charles J. Gerardo, MD, MHS
Richard D. Shih, MD
NYS WCB MTG 每 Eye Disorders 4
Table of Contents
A.
General Guideline Principles ...................................................................................... 8
A.1
Medical Care ................................................................................................... 8
A.2
Rendering Of Medical Services........................................................................ 8
A.3
Positive Patient Response ............................................................................... 8
A.4
Re-Evaluate Treatment .................................................................................... 8
A.5
Education......................................................................................................... 8
A.6
Acuity............................................................................................................... 9
A.7
Initial Evaluation............................................................................................... 9
A.8
Diagnostic Time Frames .................................................................................. 9
A.9
Treatment Time Frames .................................................................................. 9
A.10 Delayed Recovery ........................................................................................... 9
A.11 Active Interventions ....................................................................................... 10
A.12 Active Therapeutic Exercise Program ............................................................ 10
A.13 Diagnostic Imaging And Testing Procedures ................................................. 10
A.14 Surgical Interventions .................................................................................... 11
A.15 Pre-Authorization ........................................................................................... 11
A.16 Psychological/Psychiatric Evaluations ........................................................... 11
A.17 Personality/Psychological/Psychosocial Intervention ..................................... 12
A.18 Functional Capacity Evaluation (FCE) ........................................................... 13
A.19 Return To Work ............................................................................................. 13
A.20 Job Site Evaluation ........................................................................................ 14
A.21 Guideline Recommendations And Medical Evidence ..................................... 14
A.22 Experimental/Investigational Treatment ......................................................... 14
A.23 Injured Workers As Patients........................................................................... 14
A.24 Scope Of Practice .......................................................................................... 15
B.
C.
Introduction to Eye Disorders ................................................................................... 16
B.1
Definitions ...................................................................................................... 17
B.2
Risk and Causation........................................................................................ 17
B.3
General Approach and Principles .................................................................. 17
Initial Care ............................................................................................................ 18
C.1
Presenting Symptoms .................................................................................... 18
NYS WCB MTG 每 Eye Disorders 5
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