Ophthalmology off the Grid by Eyetube

Cathleen McCabe, MD, and Brent Saunders, chairman and CEO of Bausch + Lomb, join the podcast to break down details of the recent voluntary recall of enVista Aspire, enVista Envy, and certain enVista monofocal IOLs. Hosts Blake Williamson, MD, MPH, and Gary Wörtz, MD, invite discussion on how the Bausch + Lomb team identified an issue, prioritized patient safety, and dove into the data to bring this innovative technology back to patients as quickly and safely as possible.

John Berdahl, MD, joins Blake Williamson, MD, MPH, and Gary Wörtz, MD, to share insights into the journey of turning an idea into a product. Dr. Berdahl highlights his experience with the research and development of pressure-equalizing goggles, a nonsurgical, nonpharmacological treatment to lower IOP by creating a small vacuum to relieve pressure on the optic nerve. He describes the positives and negatives of the journey to launch a product, including funding, FDA trials, and beyond.

Blake Williamson, MD, MPH, and Gary Wörtz, MD, invite Inder Paul Singh, MD, to the podcast to discuss the technology and innovation he uses in his practice, focusing on laser floater removal. Dr. Singh reviews 1-Step vitreous removal technology (Vista Ophthalmics) for treating symptomatic floaters and how it has revolutionized his practice and provided great outcomes for his patients. He also reviews experiences with MIGS technologies that have improved his practice. 

William Wiley, MD, joins Blake Williamson, MD, MPH, and Gary Wörtz, MD, to share his early experience with the VisuMax 800 (Carl Zeiss Meditec) for SMILE. The three surgeons also share experiences with other technologies and highlight the importance of embracing the learning curve to lead the way as an early adopter in ophthalmology. 

Blake Williamson, MD, MPH, and Gary Wörtz, MD, invite William Plauché, MD, to review a presentation he recently delivered at the Caribbean Eye Meeting about his experience with PanOptix (Alcon), enVista Envy (Bausch + Lomb), and Tecnis Odyssey (Johnson & Johnson Vision) IOLs. The presentation compared similar amounts of patients and determined nuances between the three different kinds of lenses. Dr. Plauché also shares his experiences and his process for IOL selection.

This year, the theme of our podcast will feature discussions of foundational equipment and emerging technology in ophthalmology. In the first episode of 2025, Roger Zaldivar, MD, MBA, joins Gary Wörtz, MD, to discuss the ICL Guru project and how its complex algorithm integrates with ultrasound biomicroscopy platforms. Dr. Zaldivar shares his experience with ICL surgery, and how he leveraged that expertise to help improve sizing methodology and patient selection.

Rounding out this season's theme of ‘Surgical Horror Stories,' Jeffrey Whitsett, MD, joins Blake Williamson, MD, MPH, and Gary Wörtz, MD, to discuss his approach to managing the disappointment of poor surgical outcomes. He also shares a case example in which he encountered a complication during combination MIGS and cataract surgery, which resulted in a significant vitreous hemorrhage.. Drs. Whitsett, Williamson, and Wörtz also review the best ways to navigate potential horror stories in the business side of building a practice.

Gary Wörtz, MD, and Blake Williamson, MD, MPH, invite Nicole Fram, MD, to share a surgical horror story in which a patient experienced light arcs, starbursts, and halos after silicone IOL implantation. Dr. Fram describes her approach to IOL exchange using a Collamer lens with a larger optic to manage the positive dysphotopsias. She reviews the complications she encountered during the procedure, including iris prolapse and iridodialysis, and describes her strategies for managing stressful surgical events.

For the Halloween episode of this season's surgical horror stories, Cathleen McCabe, MD, joins Gary Wörtz, MD, and Blake Williamson, MD, MPH, to share two uniquely challenging cases. In the first case, Dr. McCabe describes the time she performed cataract surgery on a kyphotic patient who was unable to lie on his back for the procedure. She explains her approach to positioning the patient and how she managed an additional unexpected complication. In the second story, Dr. McCabe discusses a patient with a difficult psychological history.

Sebastian Heersink, MD, joins to contribute to this season's theme of surgical horror stories. He talks with Blake Williamson, MD, MPH, and Gary Wörtz, MD, about his experience performing cataract surgery on his father and former guest of the podcast, Marnix Heersink, MD. Dr. Sebastian Heersink recounts how he managed the stress of operating on a family member, and how he approached a less-than-perfect result when the lens was slightly decentered on postop day 1, avoiding a potential horror story. He also discusses how he calms unhappy patients by validating their concerns and putting them at ease before surgery.

Arsham Sheybani, MD, joins the podcast to continue this season's theme of surgical horror stories. He shares a case example with Blake Williamson, MD, MPH, and Gary Wörtz, MD, in which he performed lensectomy in the eye of a 60-year-old woman who presented with angle-closure glaucoma and very high IOP. Following routine phacoemulsification, the anterior chamber began to shallow, eventually resulting in suprachoroidal hemorrhage. Dr. Sheybani also shares advice for communicating with patients about difficult, unfortunate outcomes.

Continuing this season's theme of surgical horror stories, Neda Shamie, MD, joins Gary Wörtz, MD, to share an experience from early in her career when she faced an unexpected complication. While performing penetrating keratoplasty on a well-known patient, Dr. Shamie encountered an expulsive hemorrhage. She highlights the value of mentorship in these situations and having a trusted colleague to help shape one's approach to stressful complications during surgery. She also emphasizes the importance of learning from these situations and gaining new surgical skills.

William Trattler, MD, joins Blake Williamson, MD, MPH, and Gary Wörtz, MD, to share a story in which a referring optometrist's family member presented with dark brunescent cataracts in both eyes. He describes his initial approach and technique for managing these advanced cataracts, including the unexpected complication of a dropped lens and capsular bag tear in the first eye. Weeks after referring the patient to a retina specialist for an eventual good outcome, Dr. Trattler began surgery on the second eye, only to encounter a similar complication.

Paul Walton, MD, continues the discussion with Blake Williamson, MD, MPH, and Gary Wörtz, MD, on approaches to anesthesia and nuances to manage potentially difficult patients during cataract and refractive surgery. Dr. Walton shares pearls to ensure a smooth day in the operating room, mitigating potential ophthalmology ‘horror stories.'

Paul Walton, MD, joins Blake Williamson, MD, MPH, and Gary Wörtz, MD, to share concepts to help cataract and refractive surgeons avoid horror stories in the OR. He says the goal should always be to have a “boring” day, emphasizing the importance of communication and understanding with patients. The surgeons also detail their approaches to anesthesia and how to best comfort patients before, during, or after surgery.

Nathan M. Radcliffe, MD, joins Blake Williamson, MD, MPH, and Gary Wörtz, MD, to share his experiences managing complex patients with advanced-stage glaucoma. He shares a specific case of an 83-year-old man with a cataract and exfoliation glaucoma with an IOP of 56 mm Hg. Dr. Radcliffe walks through how he managed complications he encountered during the combined cataract and glaucoma surgery, including vitreous prolapse and suprachoroidal hemorrhage. The surgeons also discuss how to educate and counsel patients with advanced-stage disease to help them understand realistic surgical outcomes.

John Doane, MD, joins Blake Williamson, MD, MPH, and Gary Wörtz, MD, to share his experiences for this season's theme of “Horror Stories” in cataract and refractive surgery. Dr. Doane reviews a few examples from his career in which he had to manage uniquely challenging situations and discusses what he learned from them. Listen to gain insights into his experiences using early surgical technology and how he approached challenges with observers fainting in the OR.

Blake Williamson, MD, MPH, and Gary Wörtz, MD, kick off the latest season of Ophthalmology off the Grid. This season focuses on the subject of ‘Horror Stories,' where surgeons will highlight their toughest, most complicated surgical cases and how they managed them. In this episode, Drs. Williamson and Wörtz start the discussion by sharing their own uniquely challenging cases. Learn how Dr. Williamson managed an inflammatory complication following ICL implantation, and how Dr. Wörtz approached a challenging case of suspected horror fusionis.

Blake Williamson, MD, MPH, and Gary Wörtz, MD, invite Matt Jensen to round out the year of episodes dedicated to building a business and brand in ophthalmology. Jensen shares insights he gained early in his marketing career, highlighting how he adapted to variabilities in different markets and learned to grow the business at home. The trio also discusses the value of having strong, trusted partners in business when expanding into new markets, and Jensen emphasizes the importance of maintaining a consistent company culture during that expansion. To learn more about Matt Jensen's expertise, visit https://mattjensenmarketing.com/ or https://matt-jensen.com/.

Cathleen McCabe, MD, joins Blake Williamson, MD, MPH, and Gary Wörtz, MD, to discuss the challenges of moving across the country from an existing practice and referral network and starting in a new state. She shares insights into the dynamics of changing ownership and having a clear outline for the type of practice to join. Drs. McCabe, Williamson, and Wörtz further discuss the pros and cons of different business models and pearls for making decisions and taking risks with business in ophthalmology.

Eric D. Donnenfeld, MD, joins this episode to speak with Gary Wörtz, MD, and Blake Williamson, MD, MPH, about his experience building his practice and working with industry. He shares insights into how he grew from a small private practice by constantly adapting to a dynamic specialty. Dr. Donnenfeld stresses the value of resisting stagnation, and he explains why it is crucial to incorporate new technologies and treatments as one's business expands. He also shares successes and failures from throughout his career and his predictions for the future of ophthalmology.

Tom Tooma, MD, founder, owner, and medical director for NVISION, joins Gary Wörtz, MD, and Blake Williamson, MD, MPH, to continue this season's topic of building a business and brand in ophthalmology. Dr. Tooma shares insights into his early days of building his refractive surgery practice, touching on the risks taken and lessons learned over the years. He further shares advice for surgeons to navigate the financial intricacies of running a successful practice and describes the current philosophy of his business.

Marnix Heersink, MD, joins Gary Wörtz, MD, and Blake Williamson, MD, MPH, and shares his experiences and philosophy behind building his business in ophthalmology, philanthropy, and more. Dr. Heersink breaks down his career path, from his first practice to his growth in business ventures beyond medicine. He shares advice for young physicians just getting started in practice, and comments on his outlook for the future of ophthalmology.

Joseph Gira, MD, joins Blake Williamson, MD, MPH, and Gary Wörtz, MD, to share his experience with building and growing a business in ophthalmology. He outlines his career history, commenting on his skills for working and collaborating with other doctors and the benefits of working with optometry as a backbone for success. Dr. Gira also describes his experience working in private equity, sharing potential pitfalls and successes for younger surgeons to consider.

Farrell “Toby” Tyson, MD, FACS, joins the podcast to speak with Blake Williamson, MD, MPH, and Gary Wörtz, MD, about the lessons he has learned from expanding his practice. Dr. Tyson shares critical elements to success in expansion, including the value of location visibility, the pros and cons of having an optical shop, and strategies to manage cash flow, drive more revenue, and attract top talent.

In the next installment of how to build a business in ophthalmology, Blake Williamson, MD, MPH, and Gary Wörtz, MD, speak with Rupa Wong, MD, about her experience building her personal brand and business through social media. Dr. Wong shares insights into evaluating how to invest in one's social media marketing efforts and gives advice for creating engaging, authentic content that resonates with a specific target audience. She also shares tips for launching and building a successful private practice and discusses learning experiences, tips for networking, and more.

Blake Williamson, MD, MPH, and Gary Wörtz, MD, continue this season's theme of how to grow a business and welcome Brent Saunders, chairman and CEO of Bausch + Lomb, to discuss his experiences in ophthalmology. Mr. Saunders touches on how he defines business success, emphasizing the value of having a great mentor and encouraging young ophthalmologists not to shy away from taking risks. 

In this special live episode, recorded during the YoungMD Connect Live meeting in Austin, Blake Williamson, MD, MPH, and Gary Wörtz, MD, sit down with Shannon Wong, MD, to discuss his leadership philosophy and how he models his practice. Dr. Wong describes challenges he has faced regarding his practice and explains how he overcame them, citing how to learn from mistakes and grow the business by building a team of experts.

Blake Williamson, MD, MPH, and Gary Wörtz, MD, invite friend and mentor James Loden, MD, to the podcast to discuss his experience building his practice and brand. Dr. Loden shares insights for young surgeons by explaining the best decisions to grow his business and potential pitfalls to avoid. The three physicians further discuss how to discover opportunities for expanding a business and determining how it aligns with one's personal career goals.

Blake Williamson, MD, MPH, begins the first episode of the 2023 season of Ophthalmology off the Grid by bringing back the podfather himself—Gary Wörtz, MD—as co-host. The theme for the 2023 season examines the business side of ophthalmology. Drs. Williamson and Wörtz share insights as practice owners and discuss the key questions one should address when building a brand.

Blake Williamson, MD, MPH, is joined by Jorawer Singh, MD; Jeffrey Whitman, MD; William Rabourn; and John Blanck to further discuss the intricacies of owning an ambulatory surgery center (ASC). In this episode, Dr. Whitman shares his experience as an ophthalmologist who has found success with an ASC and selling shares to younger partners. Dr. Singh addresses several challenges young ophthalmologists can face when buying into an ASC. Finally, consultants William Rabourn and John Blanck share insights into how to overcome these challenges.

In this special collaboration of YoungMD Connect and Survive & Thrive, Blake Williamson, MD, MPH, invited Caroline Watson, MD; Rupa Wong, MD; and financial advisor Victoria Consoles, CFP, EA, to share insights into how to make smart choices with debt and investments in three different career scenarios. Don't miss the information shared during this workshop and learn answers to real-world questions for ophthalmologists to find financial success.

Blake Williamson, MD, MPH, continues the topic from a previous episode about ambulatory surgery centers (ASCs). In this episode, Taylor Strange, DO, discusses his career journey from starting a new practice, increasing surgical volume, and eventually building an ASC as a long-term business strategy. Stephen Sheppard, from Medical Consulting Group, shares insights into the most appropriate road map and timeline for young physicians to anticipate if they are interested in investing in an ASC.

Blake Williamson, MD, MPH, sits down with Priyanka Sood, MD; Sahar Bedrood, MD, PhD; Cristos Ifantides, MD; and Brent Kramer, MD, to compare the differences between private practice and an academic setting. Dr. Sood shares her career experience working in both settings and explains why she found academia to be a better fit. Dr. Bedrood discusses how her personal goals more closely aligned with private practice. Drs. Ifantides and Kramer share how their private practice experiences still involve some aspects of academia, such as performing research and training surgeons.

Blake Williamson, MD, MPH, hosts a new installment of Survive & Thrive with guests Arjan Hura, MD; Usiwoma Abugo, MD; and David Felsted, DO. The panel addresses a key question for surgeons in training and early years of residency: Should you pursue a fellowship? Listen as Drs. Hura, Abugo, and Felsted share their experiences and discuss how they arrived at their decisions based on individual passions and professional goals.

Blake Williamson, MD, MPH, and cohost Michael Patterson, DO, invite Andrew Maller, MBA, COE, from BSM Consulting, to discuss critical information for young surgeons about the potential to buy into an ambulatory surgery center (ASC). The trio shares insights into the value of being business-minded to maintain a successful practice and address common questions to determine opportunities to find a path to ownership.

Blake Williamson, MD, MPH, hosts another installment of Survive & Thrive with guests Brenton Finklea, MD; Rahul Tonk, MD; Camila Albo, MD; and Mike Zein, MD, to share advice for ophthalmology resident applicants as the match approaches. Drs. Albo and Zein share advice as PGY-1 ophthalmology residents who have recently gone through the match process, commenting on what to look for when researching different programs. Drs. Finklea and Tonk share perspectives from the other side of the interview table and touch on how to have a strong, authentic, and memorable interview.

Cohosts Blake Williamson, MD, MPH, and Darrell E. White, MD, invite guest Karl G. Stonecipher, MD, to the podcast to discuss the relationship between his work in ophthalmology and his personal life. The trio of surgeons discusses how to incorporate personal activities into a busy professional schedule and the importance of taking time to focus on family and friends.

Blake Williamson, MD, MPH, hosts another installment of Survive & Thrive with guests John P. Berdahl, MD, and Robert J. Weinstock, MD, to discuss the topic of clinical research in private practice. Drs. Berdahl and Weinstock share pearls and insights for those who have a research interest but are unsure how to get started outside of academia. Listen to learn more about the types of research one can conduct in this setting to help advance the field of ophthalmology.

Darrell E. White, MD, joins Blake Williamson, MD, MPH, as cohost for this episode of Ophthalmology off the Grid. They invite Maria C. Scott, MD, and Lisa K. Feulner, MD, PhD, to share unique experiences with their career paths in ophthalmology. The panel discussion touches on how each surgeon balances personal and professional goals and how their individual goals have evolved over the course of their careers.

This special episode of Ophthalmology off the Grid was screened during the 2022 MillennialEYE Live meeting in Austin, Texas. Andriy Kovalov, MD, PhD, joined Blake Williamson, MD, MPH, from Kyiv, Ukraine, and discussed how he and his family have supported the civil defense efforts of his home country. Dr. Kovalov, with a 40-year established career in ophthalmology, explains how the Russian invasion has caused hospitals to shift from providing routine patient care to emergency services only. He further discusses ongoing challenges with communication and infrastructure as he cares for ocular trauma patients. To support Dr. Kovalov in helping to provide supplies and medical services to the citizens of Ukraine, you can donate to https://www.gofundme.com/f/c5mxd-help-for-ukraine.

Blake Williamson, MD, MPH, and Darrell E. White, MD, welcome guest Preeya K. Gupta, MD, to discuss the benefits and challenges of running a private practice. Dr. Gupta, who recently became a private practitioner, discusses her decision to leave academia, why she decided to take a leap of faith and bet on herself, and the importance of setting expectations when first starting out in private practice.