Eye Disorders - Government of New York

Eye Disorders

Effective: May 02, 2022

NYS WCB MTG ¨C 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 ¨C 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 ¨C 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 ¨C 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 ¨C 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 ¨C Eye Disorders 5

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