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Experts InSight

American Academy of Ophthalmologywww.aao.org
Practical, topical conversations with experts across the spectrum of ophthalmology. Subscribe for the latest information, evidence-based practice standards, and innovations in eye care, from the American Academy of Ophthalmology.
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Episodes

Retinal Artery Occlusions: To tPA or Not to tPA?

With increasing awareness that a retinal artery occlusion (RAO) is a type of stroke, ophthalmologists must be able to plan the next steps of care when an RAO is identified on exam. Drs. Amanda Henderson and Michael Carper join host Dr. Amanda Redfern to guide us through their recommendations and various tricky scenarios, notably whether or not to advise use of tissue plasminogen activator (tPA). For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts ....

May 17, 202436 min

AI in Ophthalmology: LLMs and ChatGPT

How do ChatGPT and other large language models (LLMs) work, and how might ophthalmologists harness their power for use in clinical practice? Drs. Peter Campbell and Travis Redd join host Dr. Amanda Redfern to discuss the advent of generative AI and its current and future implications for the practice of ophthalmology. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts .

May 02, 202433 min

The History of Ophthalmology

Dr. Chris Leffler, pediatric ophthalmologist and medical historian, joins host Dr. Andrew Pouw to discuss his study of the history of ophthalmology, ranging from the origin and use of the term "glaucoma," to the evolution of cataract surgery from antiquity to the modern era. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts .

Apr 18, 202429 min

Surgical Anxiety and Performance in Ophthalmology

Drs. Annie Wishna and Royce Chen join host Dr. Jay Sridhar to discuss their experiences teaching trainees with surgical anxiety. Throughout the episode, our guests share their personal anecdotes, measures to overcome surgical anxiety, and how to foster a culture that supports psychological improvement. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts .

Apr 05, 202438 min

Harnessing the Power of Social Media for the Ophthalmologist

Drs. Rupa Wong and Dagny Zhu join host Dr. Amanda Redfern to share their experience and expertise using social media to successfully promote their ophthalmic practices and enhance their professional careers. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts .

Mar 21, 202439 min

Ocular Side Effects of Checkpoint Inhibitors

Drs. Meghan Berkenstock, Stella Kim, and Lauren Dalvin join the show again to teach us about immune checkpoint inhibitors: game changers in oncology, but with a host of ocular side effects. All eye providers will be seeing more patients on this class of medication, and our panel teaches us what to look for and how to manage it. Additional resources: the National Comprehensive Cancer Network offers a suite of clinical practice guidelines to help clinicians manage immunotherapy ocular adverse even...

Mar 08, 202434 min

Socioeonomic Determinants of Corneal Health

Drs. Fasika Woreta and Ekjyot Gill join host Dr. Jay Sridhar to discuss the literature and their experiences surrounding socioeconomic determinants of corneal pathology, and how social risk factors impact access to necessary corneal treatment and surgery. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts .

Feb 22, 202430 min

The Lasker Award for Optical Coherence Tomography

Dr. David Huang joins the show to share his story of developing optical coherence tomography (OCT), for which he, Dr. James Fujimoto, and Eric Swanson won the National Medal of Technology, the highest award for innovators in the United States, as well as the 2023 Lasker–DeBakey Clinical Medical Research Award , often called "America's Nobel Prize." For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts ....

Feb 09, 202437 min

Private Equity Ownership and Hospital Adverse Events

Host Dr. Jay Sridhar invites Drs. Sneha Kannan and Zirui Song to discuss their research group's recent publication in JAMA analyzing the association between private equity ownership and the rate of hospital adverse events, and what the results could indicate for ophthalmologists and other physicians. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts .

Jan 26, 202440 min

Virtual Reality and Visual Field Testing

Host Dr. Andrew Pouw and Dr. Chris Johnson, a leading authority on visual field research, discuss the advent of virtual reality (VR) visual field perimetry, its advantages over conventional bowl perimetry, and how this new diagnostic technology will impact the care for patients with glaucoma. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts .

Jan 12, 202427 min

Ergonomics in the Clinic and Operating Room

Recent surveys have shown that a majority of ophthalmologists report musculoskeletal pain in the neck, back, and shoulders. Those who regularly use surgical loupes or perform clinical exams that induce neck flexion—such as when examining for retinopathy of prematurity (ROP)—may be at even higher risk for chronic pain and disability. In today’s episode, Drs. Donny Suh and Safeer Siddicky discuss ergonomics in both the clinic and operating room, and how posture, behavior, and simple ergonomic modi...

Dec 28, 202331 min

Oculoplastics Diagnoses You Can’t Miss

Drs. Natalie Homer and Andrea Tooley share some major can’t-miss diagnoses in the lids and orbit that carry significant morbidity and mortality, including sebaceous cell carcinoma, orbital tumors, and infectious processes such as mucormycosis and necrotizing fasciitis. Strategies for imaging, histopathology, and management are also discussed. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts .

Dec 14, 202343 min

The Whole-Eye Transplant

A surgical team from NYU Langone Health recently made history when it performed the world's first whole-eye and partial-face transplant in a patient who survived a high-voltage electrical accident. In today's episode, host Dr. Ben Young welcomes Dr. Vaidehi Dedania, a retina specialist and the primary ophthalmologist involved in the case, to discuss the surgery, the patient's progress, and the potential future for similar surgeries. For all episodes or to claim CME credit for selected episodes, ...

Nov 30, 202314 min

State Law and Early Eye Drop Refills

Adhering to an eye drop regimen can be difficult—especially for elderly patients with glaucoma. Those same patients often face an unexpected additional barrier to care when they run out of their medication and are denied early refills by a pharmacy or coverage by their insurance carrier. In today’s episode, Dr. Kevin McKinney talks about how his own advocacy efforts at the state level helped protect early eye drop refills in Oregon. He advises what other US clinicians can do to advocate for thei...

Nov 17, 202323 min

Altitude and Retinal Surgery

How do you advise patients who need an intraocular tamponade but also plan to travel into areas of high altitude or by air? When should the surgeon opt for silicone oil instead of gas or air? Drs. Sarah Read and Jack Stringham share their experiences and pearls for managing retinal surgery in these challenging cases. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts .

Nov 02, 202330 min

The Ophthalmologist's Guide to Guide Dogs

Where do guide dogs come from? How are they trained, and how do they functionally support patients with visual impairment or blindness? What steps should you follow to "prescribe" a guide dog? Which patients qualify, and how much does it cost? In today’s episode, host Dr. Ben Young invites Jake Koch and his dog Forli from Guide Dogs for the Blind to share everything the ophthalmologist needs to know about guide dogs. Learn more about the services offered by Guide Dogs for the Blind . For all epi...

Oct 19, 202356 min

Ocular Side Effects of Antibody-Drug Conjugates

Antibody-drug conjugates (ADCs) are new chemotherapeutic agents that can cause significant ocular side effects. Drs. Meghan Berkenstock, Lauren Dalvin, and Stella Kim review this new class of drugs and how they can affect the eye, providing essential tips for what to look for, when to screen, and how to treat the side effects. Prescribing information mentioned in this episode: Elahere (mirvetuximab soravtansine-gynx) Tivdak (tisotumab vedotin-tftv) For all episodes or to claim CME credit for sel...

Oct 06, 202329 min

Modern Approaches to Diagnosing and Treating Retinoblastoma

Drs. Maura Di Nicola and Basil Williams sit down with host Dr. Jay Sridhar to review how retinoblastoma treatments have evolved, including discussion of intra-arterial and intravitreal chemotherapy and liquid biopsy using aqueous humor samples. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts .

Sep 22, 202333 min

Ophthalmic Clinical Documentation and the Electronic Health Record

Dr. Mike Chiang, Dr. Michael Boland, and Kent Mathewson join host Dr. Andrew Pouw to discuss the current state of clinical documentation in ophthalmology, the future of the electronic health record (EHR), the use of scribes, and legal considerations for documentation. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts .

Sep 07, 202344 min

What to Expect When Expecting... in IIH

Drs. Julie Falardeau and Mike Lee discuss guidelines and pearls for the management of idiopathic intracranial hypertension (IIH) during pregnancy and childbirth. They share how pregnancy shifts the evaluation and management of the initial diagnosis of IIH and how it can affect patients who already have a history of the disease. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts .

Aug 24, 202332 min

Update on Intravitreal Injectable Drugs and Dry AMD Treatments

Drs. M. Ali Khan, Ajay Kuriyan, and Sarah Read join host Jay Sridhar to discuss recent developments in intravitreal injectable drugs, including 8-mg aflibercept not initially approved by the FDA, the upcoming PDUFA date for on-label bevacizumab, and approaching injections for dry age-related macular degeneration (AMD). For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts .

Aug 10, 202341 min

Medicare's MIGS Mistake

In June 2023, the regional Medicare Administrative Contractors (MACs) almost uniformly introduced draft policy language indicating cessation of coverage for many minimally invasive glaucoma surgery (MIGS) procedures, including goniotomy and cyclophotocoagulation. In today's episode, host Andrew Pouw is joined by Dr. Alan Robin, the first executive vice president of the American Glaucoma Society, and Dr. Pradeep Ramulu, chief of the Glaucoma Division at the Johns Hopkins Wilmer Eye Institute, to ...

Jul 27, 202339 min

Functional Approach to Functional Vision Loss

Drs. Anita Kohli and Imran Jivraj discuss the evaluation and management of patients with functional vision loss, also known as nonorganic or nonphysiologic visual loss, a phenomenon in which exam findings do not support an underlying organic etiology. Drs. Kohli and Jivraj offer pearls for how to handle both adult and pediatric patients. Functional vision loss can be challenging to identify and manage, and it's important to diagnose correctly as multiple studies have shown that there can be an a...

Jul 13, 202347 min

Drug-Resistant Corneal Infections Linked to Artificial Tears

Cornea specialist Dr. Travis Redd discusses the recent outbreak of extensively drug-resistant corneal infections associated with artificial tears and that has led to cases of permanent vision loss and death. Dr. Redd also reviews the challenges and risks of multi-use eye drop bottles. Since January 2023, the CDC, FDA, and state and local health departments have been investigating a multistate outbreak involving a rare, drug-resistant strain of Pseudomonas aeruginosa bacteria. As a result, the CD...

Jun 29, 202316 min

Genetic Testing for the Ophthalmologist

Ophthalmic genetic counselor Molly Marra and Dr. Lesley Everett discuss the pearls and pitfalls of genetic testing, especially in cases of suspected inherited retinal dystrophy. As discussed in the episode, the National Society of Genetic Counselors offers great tools to find genetic counselors who can advise you and your patients in the diagnostic journey. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts ....

Jun 15, 202339 min

Novel Approaches to Infectious Keratitis

Dr. Guillermo Amescua joins host Jay Sridhar to discuss novel approaches to infectious keratitis, including surgical approaches and corneal cross-linking. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts .

Jun 02, 202329 min

Updates in Retinopathy of Prematurity (ROP)

Drs. Michael Chiang, R. V. Paul Chan, and J. Peter Campbell, members of the Imaging and Informatics in Retinopathy of Prematurity (i-ROP) Research Consortium, discuss the latest advances in ROP screening, treatment, and management. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts .

May 18, 202337 min

Botox! What Is It Good For?

Since its medical discovery, botulinum toxin (Botox) has found increasing use in ophthalmic practice. Drs. Natalie Homer and Andrea Tooley review the common cosmetic and functional uses of Botox, as well newer applications beyond the treatment of strabismus and facial spasms. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts .

May 04, 202327 min

Glaucoma: When to Escalate or Refer

Though most people with glaucoma manage well with an eye drop or two and retain their functional vision, a subgroup of glaucoma patients worsen catastrophically over time. Is it possible to identify which group your glaucoma patients will be in? And when should the comprehensive ophthalmologist consider escalation or referral to a glaucoma specialist? Drs. Aakriti Shukla and Sean Rivera join host Andrew Pouw to look at the data and discuss strategies that work across various practice settings an...

Apr 20, 202344 min

Physician Side Gigs, Wellness, and Burnout with Dr. Nisha Mehta

Dr. Nisha Mehta, founder of the social media groups Physician Side Gigs and Physician Community, joins to discuss the state of physician burnout in 2023 and how side gigs outside of medicine can offer freedom and improved wellness. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts .

Apr 06, 202337 min
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