HPD Research Day | February 16, 2018

39 Atrium – Poster 22 12:15-1:15 p.m. Parents of Children With Autism Spectrum Disorder and Their Attitude Towards Silver Diamine Fluride as a Different Treatment Modality for Carious Lesions Kelly Lee Cundy, D.M.D., College of Dental Medicine, Nova Southeastern University Maria A. Levi-Minzi, M.A., College of Arts, Humanities, and Social Sciences, Nova Southeastern University Judith R. Chin, D.D.S., M.S., Professor, College of Dental Medicine, Nova Southeastern University Jennifer D. Chung, LMFT, College of Dental Medicine, Nova Southeastern University Romer Ocanto, D.D.S., Professor, College of Dental Medicine, Nova Southeastern University Stephanie Hall, Mailman Segal Center - Pediatric and Special Needs Dental Clinic, Nova Southeastern University Objective. The purpose of this study is to evaluate attitudes towards Silver Diamine Fluoride (SDF) for carious lesions among parents of patients receiving dental care at Mailman Segal Center for Human Development (MSC) in lieu of alternative treatment approaches. Background. Children with Autism Spectrum Disorder (ASD) face numerous barriers to accessing and receiving quality healthcare. Dental care in particular has been found to be an unmet healthcare need among children with ASD due to poor perceived behavior, and lack of trained dental professionals. Methods. Parents (N=49) of children with ASD being treated at MSC were given information about the uses of SDF. SDF acceptance was measured by mean scale scores on the 20 item SDF feasibility questionnaire; scores for each item range from 0 (low) to 3 (high); higher scores indicate higher levels of SDF acceptance. Results. Most patients were male N=43 (87.8%), visited the dentist at least once a year N=36 (73.4%), and 22.4% (N=11) had a cavity filled. Dental management techniques included oral sedation (N=12, 24.5%) physical restraint (N=10, 18.4%), general anesthesia (N=9, 18.3%), and nitrous oxide (N=4, 8.2%). Mean level of SDF feasibility was moderate (1.3, SD=0.69). SDF was most acceptable for use on baby back teeth (1.90), back teeth if child could not complete filling (1.84), and on back teeth if general anesthesia was required (1.65). Conclusion. Results indicate that parents have moderate levels of SDF acceptance. Moreover, our findings suggest that parents are more comfortable using SDF on back teeth in order to avoid use of general anesthesia. Grants. This study is funded by a grant from the Health Professions Division. Atrium – Poster 23 12:15-1:15 p.m. Peripheral Retinal Hemorrhages - When It's Not Ocular Ischemic Syndrome Marlon J. Demeritt, OD, Assistant Professor, College of Optometry, Nova Southeastern University Samantha Kayser, OD, Resident, College of Optometry, Nova Southeastern University Deborah I. Jessurun, OD-IV, College of Optometry, Nova Southeastern University Introduction. Ocular Ischemic Syndrome (OIS) is usually the initial differential diagnosis when retinal hemorrhages are identified in the midperipheral or peripheral retina. The clinical presentation of OIS includes anterior and posterior segments findings, such as corneal edema, uveitis, hypotony, rubeosis and midperipheral dot and blot hemorrhages. Without anterior segment findings, a diagnosis of OIS is unlikely. Peripheral exudative hemorrhagic chorioretinopathy (PEHCR) is an uncommon, but symmetrical peripheral retinal degeneration that may vary in presentation from peripheral retinal pigment epithelial mottling, subretinal fluid or hemorrhage to vitreous hemorrhages. Case Report. A 79-year old white female presented with complaints of difficulty reading up close and seeing faces at intermediate and far distances. BVA was 4/16 OD, OS. DFE revealed macula geographic atrophy and isolated, midperipheral dot and blot hemorrhages OU. DFE of the periphery revealed a subretinal hemorrhage and scar due to a resolved subretinal hemorrhage OD and pre-retinal hemorrhage and scar due to a resolved subretinal hemorrhage OS. Discussion. Due to the overall clinical picture, we asked the patient to seek consultation with a retinologist for fluoresecein angiography (IVFA), optical coherence tomography (OCT) and to determine if treatment with anti-VEGF agents was deemed necessary. Conclusion. Despite the low prevalence (2,100 people affected each year), clinicians usually suspect OIS when they identify midperipheral and peripheral retinal hemorrhages. PEHCR is a rare, but symmetrical retinal degeneration that may present with isolated subretinal hemorrhages in the peripheral retina. Clinicians should be aware of this rare condition and its unique clinical presentation.