Houston Methodist 14th Annual Symposium on Enhancing Geriatric Understanding and Education (SEGUE) 2026

SEGUE 2026 focuses on headache syndromes and eye care in older adults. Directed by Andrew G. Lee, the June 13 Houston Methodist symposium connects ophthalmic and neuro-ophthalmic cases with vision rehabilitation, pain management, and the needs of patients with multiple conditions. The listed recordings include discussions of giant cell arteritis, intracranial hypertension, scleritis, trigeminal neuralgia, acute angle closure, and headache in later life. Other presentations address occupational and optometric rehabilitation and the business context of ophthalmology. The program is relevant to ophthalmologists, geriatric clinicians, neurologists, therapists, and professionals supporting visual function and independence in older patients.

Learning Objectives

• Describe glaucoma issues in the elderly, including compliance issues with therapy specific to elderly, avoiding polypharmacy and enhancing short-term and long-term compliance.
• Discuss medical and ophthalmic surgical issues in the elderly, including when and when not to operate, consent issues, and falls and fractures in the postoperative period.
• Describe age-related macular degeneration issues, including management and new treatments, the role of vitamin therapy, and the need for low vision services.

Topics

• 01 Symposium Welcome
• 02 Giant Cell Arteritis vs Cancer – Evaluating Headache, Jaw Claudication, and Diplopia in a Complex Patient
• 03 Occupational Therapy Vision Rehabilitation – Optimizing Functional Vision and Quality of Life
• 04 Vision Rehabilitation in the Elderly – Strategies to Improve Functional Vision and Independence
• 05 Idiopathic Intracranial Hypertension After Venous Sinus Stenting – Recognizing Chronic Headache From Stent Thrombosis
• 06 Rheumatoid Arthritis–Associated Scleritis – Distinguishing Ocular Inflammation From Pharmacologic Anisocoria
• 07 Trigeminal Neuralgia After Radiofrequency Ablation – Recognizing and Managing Anesthesia Dolorosa
• 08 Giant Cell Arteritis With Acute Vision Loss – Recognizing Choroidal Ischemia and Avoiding Misdiagnosis
• 09 Acute Angle Closure Glaucoma – Recognizing Red Flags and Managing an Ophthalmic Emergency
• 10 Private Equity in Ophthalmology – How Practice Consolidation Is Reshaping Eye Care
• 11 Headache in Older Adults – Diagnosing and Managing Occipital Nerve–Mediated Pain
• 12 Papilledema in Hemodialysis – Diagnosing AV Graft Thrombosis Causing Intracranial Hypertension

Faculty and Presentations

• Symposium Welcome — Andrew G. Lee, MD
• OT Vision Rehab In The Elderly — Danese Zander, OTR
• OD Vision Rehab In The Elderly — Bhavani Iyer, OD
• Case Presentation — Garvin Davis, MD
• Presentation — Amy Coburn, MD
• Lunch Keynote: Private Equity in Ophthalmology — Edward J. Kroger, MD, JD, MBA
• Headache In Elderly — Pamela Blake, MD

The original live activity listed five AMA credits, five nursing contact hours, and 3.5 hours in medical ethics or professional responsibility. These credits and live or virtual participation benefits are not included with store files. The recording list is retained separately from the broader live-event agenda.