NIIOS-USA Symposium Washington 2019 – Future of Ophthalmology: Disruptive concepts to cut health care costs

Practical Approach to Developing a More Sustainable Health Care System


Health care cost containment – now and in the future – is a central, even dominate, societal issue. Over the past decade, health care costs have increased to the point that even middle class families with seemingly adequate insurance coverage are at risk of losing all of their savings, or facing bankruptcy, when confronted with relatively minor accidents or disease treatments. At a national level, these ever-accelerating costs are diverting resources available for many pursuits vital to overall prosperity, welfare and aspirations.

To date, much thought has been given to this issue with little demonstrated progress. Many past efforts have focused on funding disproportionally expensive R&D programs that conceptionally sound plausible and exciting, but have not yielded proven financial benefits at any meaningful scale. Additionally, it is often observed that the insurance industry business model does not consistently relate to the most efficient and effective medical decisions.

In this context, NIIOS-USA is introducing a new line of thinking, with R&D concepts based on simplification and long-term sustainability, rather than hype and glamour. Moreover, since the investment for the medical professional is relatively low, such treatments have been found to be not only more effective and less expensive, but also more quickly adopted. Accordingly, the future of Ophthalmology may lead the way for progress in other medical fields by directly addressing the need to progressively develop sustainable health care.


6:00 p.m. Buffet and reception

Music program: MCMF-Peabody Chamber Orchestra

7:00 p.m. Welcome
7:05 p.m. Introduction music program Dr. John Gottsch, Wilmer Eye Institute, Johns Hopkins
7:10 p.m. Melles – Concertino for Flute No. 2
7:30 p.m. Gottsch – Princess Yurievskaya

Scientific Program – ‘Future of Ophthalmology’: Disruptive concepts to cut health care costs

8:00 p.m. Current Ophthalmology: A poor business model Dr. Jack Parker, NIIOS-USA
8:10 p.m. Philosophy NIIOS-USA treatment concepts Dr. Gerrit Melles, NIIOS-USA
8:20 p.m. Corneal transplantation: the NIIOS approach Dr. Korine van Dijk, NIIOS-USA
8:30 p.m. Cost-Effectiveness analysis of DMEK versus DSAEK in the United States Dr. Allister Gibbons, Bascom Palmer Eye Institute
8:40 p.m. Ophthalmology without the ophthalmologist: Machine learning for disease management Dr. Shameema Sikder, Wilmer Eye Institute,
Johns Hopkins
8:50 p.m. Ophthalmology without hospitals:
Remote ophthalmic diagnostics
Prof. Frank Talke, UCSD
9:00 p.m. Ophthalmology without operating theatre: SurgiCube Mr. Ramón Hilberink, SurgiCube International
9:10 p.m. Discussion
9:25 p.m. Drinks
10:00 p.m. End


The Netherlands Institute for Innovative Ocular Surgery (NIIOS) is based in Rotterdam and recently opened its US office, NIIOS-USA, in San Diego. NIIOS aims to design surgical techniques in the field of ophthalmology. Today, an estimate of 20,000,000 surgeries have been performed using NIIOS technology, and most ophthalmic surgeons are projected to be using at least one NIIOS medical device, drug or technique on a daily basis. This includes using NIIOS developed techniques for cataract or retinal surgery, corneal transplant techniques or logistic improvements like the SurgiCube – designed to perform ‘in-office’ surgeries.