The Medical Contact Lens and Ocular Surface Association

MCLOSA The Ocular Surface Society
16th Annual Scientific Meeting - Abstract Submission Form
20th November 2009, Royal College of Obstetricians and Gynaecologists

The presenting and submitting authors (if different) must either be an existing MCLOSA Member, or become a MCLOSA Member by the time of the Meeting.

All fields marked with a red asterisk (*) are required and must be completed

SUBMISSION DEADLINE 5PM BST on 18th September 2009


Name and Address for Correspondence:
* First Name:
* Last Name:
* Address Line 1:
Address Line 2:
Address Line 3:
Address Line 4:
* Postcode:
* Phone:	Fax:	* Email:

* Name of Presenter:

* Title of Paper:

* Authors:

* Affiliations:

* Abstract:

(250 words maximum) If abstract exceeds word limit, it will be returned to the presenting author for editing. Please prepare your abstract using a word processor (eg Microsoft Word) and spell check your document before pasting into the following section.

Answer All Three Questions (tick boxes where appropriate)

* 1. Funding Sources:

* 2. Commercial Disclosure:

* 3. Has this study been sponsored by a pharmaceutical company?

Yes

No

If yes: give details:

NOTE: a declaration must be made with your first slide or clearly on your poster

CASE PRESENTATIONS ONLY: It is the presenter's responsibility to obtain patient consent before submission of this abstract.

I confirm that written patient consent has been given:

Presenter's Name:

Date:

Your abstract must be written in a form suitable for publication. Phrases such as 'the results will be discussed' are not acceptable and data must be provided. Do not include references and define all abbreviations. Papers are selected by closed ballot on a points basis. Abstracts are selected for their interest to the meeting, they are not peer reviewed before presentation, and MCLOSA takes no responsibility for endorsing their content. If your abstract has been accepted, we will require you to submit a copy of it either in a power point or a pdf format 2 weeks before the date of the meeting. All abstracts will be made available in the MCLOSA website (members only area) from the date of the meeting.