POPULARITY
Are you ready to elevate your orthodontic practice while sidestepping legal pitfalls? Curious about harnessing AI ethically or managing patient challenges with confidence? Dive into this episode of The Golden Age of Orthodontics with hosts Dr. Leon Klempner and Amy Epstein, joined by Trey Lawrence, CEO of the AAO. We explore essential strategies for today's orthodontists: navigating the complexities of social media to avoid HIPAA violations, crafting airtight informed consent processes to shield against malpractice, and responding to negative reviews without escalating risks. Trey shares critical advice for new grads on spotting contract red flags, like misleading non-compete clauses, and offers best practices for dismissing disruptive patients while protecting your staff and practice. Plus, we tackle the ethical and legal questions surrounding AI's growing role in diagnosis, treatment planning, and marketing. There's never been a better time to be an orthodontist—tune in to stay informed and thrive!IN THIS EPISODE: (00:00) Protecting your practice isn't optional, it's essential(07:27) Discussion of being an introvert and the impact that has on professionals(12:35) Common legal blind spots for orthodontists are HIPAA violations and Social Media Litigation(17:38) Trey Lawrence advises new grads or young associates on interviewing and job offers(20:39) HIPAA laws on negative reviews, malpractice and informed consent(30:38) Should you dismiss a patient, and if so, what is the best practice(35:52) What legal and ethical questions should orthodontists consider regarding AIKEY TAKEAWAYS: Orthodontists often overlook HIPAA violations on social media, such as disclosing patient information without consent, like naming patients or showing them in posts without proper authorization.Young orthodontists should avoid mislabeled independent contractor agreements and unclear non-compete clauses, especially in multi-location practices, and seek affordable legal review before signing.Avoid defending yourself online to prevent HIPAA violations; instead, use a curated response like, "There's been a misunderstanding, please contact our office," to begin an offline conversation.Ensure informed consent involves direct doctor-patient interaction or at least an offer to discuss with the doctor, and document this process to strengthen legal defense against malpractice claims.RESOURCE LINKSPeople + Practice - Website Leon - EmailAmy - EmailPeople + Practice - EmailAAO - WebsiteTrey Lawrence - The Orthattorney - InstagramGUEST BIO: The AAO is thrilled to announce Trey Lawrence's appointment as its new Chief Executive Officer, effective March 1, 2024. Mr. Lawrence, a proven executive at the AAO, has successfully led the association's advocacy and legal efforts and is poised to lead the organization to its next chapter of growth and innovation. “Trey Lawrence was a clear choice, and we are thrilled to have him take on the role as CEO,” said Myron Guymon, DDS, MS, AAO President. “We are confident that he is the...
In today's episode, we drop into the still, pulsing void of Transcendental Meditation. That's right—mantras, Maharishi, and the vibrational highways of the inner cosmos. But in true AAO fashion, we can't just Om and go home. We veer off the meditation cushion to share a few ghost stories, then take a soft right turn into Jokesville, USA. And heads up—this is part one of a two-part journey into TM. In this episode, we introduce the practice and explore what drew each of us to it. Part two will document the results after a full month of daily practice. Will we transcend—or just trend-scend?
Drs. Safa Rahmani, Jesse Sengillo, and Kat Talcott join for a journal club episode. Faricimab Switch Study (https://www.ophthalmologyretina.org/article/S2468-6530(25)00124-1/abstract) Gender Differences in Communication (https://www.ajo.com/article/S0002-9394(25)00133-3/fulltext) PE Acquisitions and Industry Payments (https://jamanetwork.com/journals/jamaophthalmology/article-abstract/2830815) Sustainability and Cataract Surgery (https://www.aaojournal.org/article/S0161-6420(25)00135-6/abstract) Relevant Financial Disclosures: Dr. Sridhar is a consultant for Genentech and Regeneron. You can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
Today's episode, we dive headfirst into the lesser-known concept of Loosh. That's right—energy farming, emotional harvesting, inter-dimensional snack food… whatever you want to call it, we're going there. From Robert Monroe's wild astral adventures to the increasingly popular theory that Earth is one big cosmic Loosh buffet, we explore the idea that maybe—just maybe—your existential dread is someone else's amuse-bouche... or as we like to call it, amuse-loosh. And of course, in classic AAO fashion, we spiral into adjacent rabbit holes: Archons, The Matrix, manifestation, initiatory dreams, and all sorts of other tasty tangents to keep the Loosh flowing strong enough to reach even the most distant inter-dimensional interlocutor.
"Be aware of the risk in the first place" Connect With Our SponsorsGreyFinch - https://greyfinch.com/jillallen/MyOrthoVA - https://www.myorthova.com/get-startedSmileSuite - http://getsmilesuite.com/ Summary In this conversation, Trey Lawrence, CEO of the American Association of Orthodontists (AAO), discusses his role and the importance of advocacy in orthodontics. He highlights the legal risks associated with social media use among orthodontists, particularly regarding HIPAA compliance and FTC regulations. The conversation also touches on the impact of AI in orthodontics and the ongoing tech transformation at the AAO to improve communication and efficiency. In this conversation, Trey Lawrence discusses the transformative changes being implemented at the AAO, focusing on personalized member experiences through AI, enhancing social media presence, and exciting developments for the upcoming AAO 2025. He emphasizes the importance of community engagement and the need for effective communication strategies to better serve members. The discussion also touches on industry challenges and the potential impact of AI on orthodontics. Connect With Our Guest American Association of Orthodontists - https://aaoinfo.org/ Takeaways Trey Lawrence is the CEO of the AAO, emphasizing advocacy.Advocacy is crucial for orthodontists and their members.Social media poses legal risks for orthodontists, especially regarding HIPAA.Awareness of legal risks is the first step for orthodontists.FTC regulations apply to orthodontic advertising and endorsements.Disclosure of incentives for reviews is necessary for compliance.AI is transforming the efficiency of orthodontic practices.The AAO is undergoing a tech transformation to improve member communication.Data centralization is key for leveraging AI in orthodontics.Effective communication is essential for member engagement. AI will personalize member interactions significantly.Social media presence needs a major overhaul.AAO 2025 will focus on community and networking.Personalized experiences will help members navigate resources.The organization is defined by its members, not just its structure.AI solutions are becoming more accessible for practices.Maintaining personal connections in orthodontics is crucial.The upcoming annual session promises to be highly engaging.Community engagement is essential for member satisfaction.Addressing student loan debt is a priority for future orthodontists.Chapters 00:00 Introduction to Trey Lawrence and AAO Leadership02:54 The Importance of Advocacy in Orthodontics06:04 Navigating Social Media and Legal Risks09:00 Understanding FTC Regulations and Compliance11:50 The Role of AI in Orthodontics and AAO14:57 Tech Transformation at the AAO24:11 Personalized Member Experience through AI27:17 Enhancing Social Media Presence34:36 Exciting Developments for AAO 202537:15 Engaging with the Community Are you ready to start a practice of your own? Do you need a fresh set of eyes or some advice in your existing practice? Reach out to me- www.practiceresults.com. If you like what we are doing here on Hey Docs! and want to hear more of this awesome content, give us a 5-star Rating on your preferred listening platform and subscribe to our show so you never miss an episode. New episodes drop every Thursday! Episode Credits: Hosted by Jill AllenProduced by Jordann KillionAudio Engineering by Garrett Lucero
Drs. Avni Finn and Jordan Deaner join the program to share clinical pearls and thoughts from the 2025 Vit-Buckle Society Annual Meeting.Relevant Financial Disclosures: NoneYou can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
Send us a textAbout Dr. Mila IoussifovaDr. Mila Ioussifova graduated with honors from the New England College of Optometry and completed a residency program in community health and ocular disease in Boston, MA. She is a fellow of the American Academy of Optometry and is on the leadership team of the Anterior Segment Section of the AAO. Dr. Mila served as an adjunct clinical faculty at the Pacific University College of Optometry and was an examiner for the National Board of Examiners in Optometry. She is involved with her state association and advocacy efforts, and she is the Director of Education for the Oregon Optometric Physicians Association. Dr. Mila is a Board-Certified Nutrition Specialist and is a fellow of the Ocular Wellness and Nutrition Society. Dr. Mila owns a private practice in Portland, OR, with special interests in advanced dry eye treatments, nutritional counseling, and aesthetic services.
Drs. Kovacs and Starr join for the latest gimmick the retina world is going wild for: how do you manage this retinal detachment scenario?Relevant Financial Disclosures: NoneYou can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
Drs. Akshay Thomas and Priya Vakharia join to preview the April 2025 edition of Retinal Physician, focusing on current and future therapies for neovascular AMD.Relevant Financial Disclosures: Dr. Sridhar has consulted for Genentech, Regeneron, and Eyepoint. Dr. Vakharia has consulted for Regeneron, Ocular Therapeutix, and Eyepoint.You can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
Today's episode we take a collective walk down memory lane to discuss all things “Mall”. From Dawn of the Dead to orange Julius, from Nate's job at a mall arcade to today's obsession with backrooms and liminal spaces, we leave no fake plastic stone unturned. Also in typical AAO form we spend a decent amount of time randomly talking about manifestation, black holes, Tom Campbell, Simulation Theory, Chat GPT learning to remote view, and more!Find us at: www.aaopodcast.com
Dr. Drew Carey speaks with Dr. Tongalp H. Tezel on his study comparing patients with nonarteritic ischemic optic neuropathy (NAION) with healthy non-NAION patients with crowded discs and noncrowded optic discs. From his Ophthalmology article, “Vitreopapillary Findings in Nonarteritic Ischemic Optic Neuropathy versus Healthy Eyes.” Vitreopapillary Findings in Nonarteritic Ischemic Optic Neuropathy versus Healthy Eyes. Hondur, Ahmet M. et al. Ophthalmology, Volume 132, Issue 3, 327 – 334 CALL FOR ABSTRACTS! Now accepting paper, poster, and video submissions through April 8. Imagine presenting at AAO 2025; learn more and submit yours at aao.org/pod25
Dr. Pete Campbell of the Casey Eye Institute joins to discuss applications of artificial intelligence for screening of retinopathy of prematurity. Relevant Financial Disclosures: Dr. Campbell is co-founder and CEO of Siloam Vision, which is commercializing UWF-OCT, UWF-SLO and AI for ROP.You can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
Dr. Edmund Tsui is joined by Dr. Majda Hadziahmetovic to discuss her meta-analysis and systematic review investigating the effectiveness of systemic and local treatments in slowing autoimmune retinopathy progression. From the Ophthalmology Science article, “Clinical Outcomes of Therapeutic Interventions for Autoimmune Retinopathy: A Meta-analysis and Systematic Review.” Clinical Outcomes of Therapeutic Interventions for Autoimmune Retinopathy: A Meta-analysis and Systematic Review. Kapoor, Ishani et al. Ophthalmology Science, Volume 5, Issue 1. CALL FOR ABSTRACTS! Now accepting paper, poster, and video submissions through April 8. Imagine presenting at AAO 2025; learn more and submit yours at aao.org/pod25
Drs. Rebecca Soares, Akshay Thomas, and Sarwar Zahid join the podcast for a journal club discussion covering three recent articles in major ophthalmology journals.Macula-Off Retinal Detachment Prognostic Factors (https://journals.lww.com/retinajournal/abstract/9900/preoperative_and_early_postoperative_factors.944.aspx)Progression to PDR from NPDR after Cataract Surgery (https://www.aaojournal.org/article/S0161-6420(25)00125-3/abstract)Sexual Harassment in Ophthalmology (https://jamanetwork.com/journals/jamaophthalmology/article-abstract/2830480)Relevant Financial Disclosures: NoneYou can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
Some of the most informative and entertaining calls from this week's AAO.
Drs. Katherine Talcott and Akshay Thomas join to discuss the March 2025 edition of Retinal Physician focusing on dry age-related macular degeneration, including photobiomodulation, complement inhibition, and deep learning for imaging.Relevant Financial Disclosures: Dr. Sridhar has consulted for Apellis.You can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
Some of the most informative and entertaining calls from this week's AAO, including one from Port Vila.
Drs. Kruti Dajee, Andrew Hsia, and Nadeem Vaidya join the program to discuss solo retina practice in 2025.Disclosures: None relevantYou can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
Dr. Jay Duker joins the program to discuss his transition from chair of an ophthalmology department to President & CEO of Eyepoint Pharmaceuticals.Disclosures: Dr. Duker is President & CEO of Eyepoint Pharmaceuticals. Dr. Sridhar has consulted for Eyepoint Pharmaceuticals.You can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
Dr. David Boyer joins the podcast to discuss the Lumithera Valeda (photobiomodulation) FDA approval and what it means for retina specialists and patients.Relevant Financial Disclosures: Dr. Boyer received research funding as a clinical trial site for Lumithera.You can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
Drs. Kat Talcott, Akshay Thomas, and Sarwar Zahid join the podcast for a journal club discussion covering three recent articles in major ophthalmology journals.Pneumatic Retinopexy IRIS Registry (https://www.ophthalmologyretina.org/article/S2468-6530(24)00526-8/fulltext)Macular Perfusion in Stable PDR (https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2826881)Female Speaker Introductions (https://www.ajo.com/article/S0002-9394(24)00522-1/fulltext)Relevant Financial Disclosures: Dr. Sridhar has consulted for Alcon.You can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
“We do not accept the weaknesses of out appliances as absolutes, but rather we adjust out treatment mechanics to account for them Mazyar Moshiri, “If you are not willing you use elastics – you are not able to get finishing like braces” Mazyar Moshiri “We cannot have a reasonable discussion of efficacy and accuracy until we study the appliance as orthodontic clinicians, and not as scientists Mazyar Moshiri Join me for the first summary of 2025, exploring finishing with clear aligners. Mazyar Moshiri explores overcorrection with aligners, when they should be used and his protocol. It was a lecture from last year's AAO winter meeting.. This episode consists of overcorrection methods of 4 malocclusions: deep bite, anterior openbite, class 3, and expansion. Maz also shares his pearls on what to watch out for when using clear aligners with overcorrection. EXTRAS: Mazyar Moshiri has kindly given permission for the summary slide of his overcorrection protocol to be included in the podcast notes, please see the podcast website https://orthoinsummary.com/ Overcorrection Deep bite - achieve AOB Over-intrusion lower incisors to achieve a 50-100% of total movement predicted Favourable if proclaining teeth, unfavourable if retroclining Use of attachments on premolars, note the hierarchy of attachment design places anchorage for anterior intrusion 5th, “Drs have to doctor the Clincheck”. Anterior openbite Posterior intrusion – overcorrect with occlusal bite blocks class 3 triangular elastics canine and premolars Force down on posterior bite blocks May require controlled relapse following overcorrection, done in refinement NOTE – aligners continuous force system, reciprocal extrusion of anterior teeth is expected Class 3 case Retract lower incisors with retromolar tads and 6 Oz 3'16th Side effect – increase in curve of spee – similar to retraction on a NiTi wire, aligner is not stiff enough to resist Correction in refinement with anterior intrusion to eliminate premature contacts, DO NOT EXTRUDE POSTERIOR TEETH, as aetilogy is anterior iatrogenic extrusion Expansion Overcorrection of 1-2 mm, greater the further posterior Attachments, plan buccal attachments +/- palatal attachments, to account for likely buccal tipping, ensuring buccal root torque and preventing palatal cusp dropping Tip: for palatal cusp dropping place occlusal attachment on the palatal cusp to prevent extrusion during expansion Caution – if already in buccal version, consider limited correction
Drs. Safa Rahmani and Sarwar Zahid join the podcast to preview the January 2025 edition of Retinal Physician, found online at http://www.retinalphysician.com.Relevant Financial Disclosures: Dr. Sridhar has consulted for Genentech and Regeneron.You can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
Today, I want to talk to you about something I recently posted in the OrthoPreneurs Facebook group: love languages.You've probably heard me talk about it before, especially if you've seen me speak at Summit or AAO.When it comes to teams, I always talk about love languages because it's amazing how we orthodontists, even though we're smart people, can miss the mark when it comes to our teams.I see it all the time with these year-end parties. Everyone loves to post on social media about taking their team to the fanciest spa in town or throwing a huge lunch and showering them with gifts.But here's the news flash: not everyone loves that stuff.Some people might love them, but others would prefer something different. A one-on-one conversation, a thoughtful gift, or quality time spent together.The key is to be thoughtful and emotionally intelligent to understand how your team members feel loved and appreciated.So, how can you learn your team's love languages? Tune in to this 5-minute Friday episode to learn more!Key TakeawaysIntro (00:00)Love languages and their importance (00:29)Challenges with one-size-fits-all gestures like parties (01:08)Identifying team members' individual love languages (02:23)Practical examples of tailoring appreciation methods (02:57)Using tools like the "Love Languages at Work Quiz." (03:41)How emotional intelligence enhances leadership (05:07)Additional Resources - Register for the OrthoPreneurs Summit 2025: http://opsummit2025.com/- For more information, visit: https://orthopreneurs.com/- Join our FREE Facebook group here: https://www.facebook.com/groups/OrthoPreneurs
Drs. Dolly Chang and Daniel Chao join the program to discuss the biggest differences in working in industry as an ophthalmologist versus normal clinical practice.Relevant Financial Disclosures: NoneYou can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
Dr. NJ Manoharan joins the podcast to discuss working in a county hospital system as a retinal surgeon.Relevant Financial Disclosures: NoneYou can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
Claire Kalia JD joins to discuss the basic terminology and mechanics of private equity transactions, especially as it pertains to medicine and ophthalmology.Relevant Financial Disclosures: NoneYou can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
Join Dr. Mile Brujic on the OI Show as he delves into the intricate world of neuropathic ocular pain with expert guest, Dr. Kaleb Abbott. As an optometrist and assistant professor at the University of Colorado School of Medicine, Dr. Abbott specializes in complex ocular surface diseases. Together, they uncover the nuances of neuropathic dry eye, a condition challenging to diagnose and treat.Key Highlights:Understanding neuropathic ocular pain: When symptoms outweigh signs.Insights into diagnostic tools like in vivo confocal microscopy and the role of proparacaine testing.Practical approaches to differentiate peripheral and central neuropathic pain.Off-label treatments, including varenicline nasal spray and its potential in trigeminal nerve modulation.Strategies for co-managing patients with neurologists and pain specialists.Dr. Abbott shares actionable tips to help eye care professionals manage these complex cases, improve patient outcomes, and explore emerging therapies.Tune in to learn cutting-edge insights into managing neuropathic pain in practice! Subscribe to the OI Show for more expert-driven episodes, and don't forget to share this episode with colleagues passionate about advancing patient care.About Kaleb Abbott Is an optometrist and assistant professor of ophthalmology at the University of Colorado School of Medicine. He is faculty in both the Dry Eye Clinic and the Center for Ocular Inflammation where he specializes in complex ocular surface disease and participates in clinical trials/research pertaining to ocular surface disease. In addition to his clinical and research duties, he is on the board of directors for the Ocular Wellness and Nutrition Society; Vice Chair of the Nutrition, Disease Prevention, and Wellness SIG for AAO; on the advisory council for the Academic Medical Center Optometry AAO SIG; and on the editorial advisory board for Optometry360. He will be graduating from the AAO Flom Leadership Academy at AAO 2024. In 2024, he became host of the Dry Eye and Ocular Surface Disease section of the Clinical Podcast Series through the American Academy of Optometry Foundation. In 2019, Kaleb co-founded a start-up company called SunSnap Kids which took 1st place in the inaugural Bright Ideas Pitch Competition in 2022 and 3rd place in the Optometry Innovation Awards in 2023. Recently he sold the majority of this company to focus more on his clinical and research responsibilities at the University of Colorado. When not seeing patients, conducting research, or working on SunSnap Kids, Dr. Abbott lectures on ocular surface disease, writes articles, and is a medical reviewer for multiple medical journals including The Ocular Surface and Optometry and Vision Science. He resides in Denver, CO with his wife, daughter, and newborn twins.
Drs. Ajay Kuriyan and Dr. Will Parke rejoin Jay for a fourth round of Masterpiece Retina discussion of classic retinal surgery articles. Articles discussed are listed below:Cryotherapy Release of RPE (https://pubmed.ncbi.nlm.nih.gov/3797834/)Gas and Intraocular Pressure (https://pubmed.ncbi.nlm.nih.gov/2326014/)Vortex Vein Remodeling with Buckling (https://pubmed.ncbi.nlm.nih.gov/10682972/)Demisting of Intraocular Lens During Surgery (https://pubmed.ncbi.nlm.nih.gov/10768342/)B-Scan Ultrasonography and Gas (https://pubmed.ncbi.nlm.nih.gov/17592241/)Infusion Stabilizer (https://pubmed.ncbi.nlm.nih.gov/20361231/)Relevant Financial Disclosures: NoneYou can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
Join me for a look at CBCT and its use in the diagnosis of the transverse problem, and if it offers the solution to the debated topic. The podcast is based on a lecture by Chun Hsi Chung at this year's AAO and appraises established methods of assessment, the Curve of Wilson and the WALA ridge line through the lens of a CBCT, as well as how to use a CBCT to assess the maxilla and mandible, which although revealed an ideal measurement, may not be telling the full story. What is ideal? inclination Curve of Wilson – CBCT study Vertical distance buccal and lingual cusp, 1mm vertical difference Buccal inclination upper 5 degrees Alkhatib 2017 Lingual inclination lower 12 degrees Alkhatib 2017 Andrews WALA ridge 2000 Bucco-lingual distance from crown ( FA point) to the most prominent portion of mandibular buccal alveolar bone (coincident with mucogingival junction) Hypothesised teeth over the basal bone , Glass 2019 1st molar = 2mm Ideal mandibular intermolar width FA – FA = WALA-WALA distance minus 4mm Normal width CBCT CBCT age 13 N = 79 Miner 2012 Maxilla slightly smaller mid point molar root on lingual bone -1.22 +/- 2.91mm CBCT Age 22.7 years Koo 2017 Measure CoR furcation 1st molar Mx – Mn = -0.39+/- 1.87mm CBCT 56 adults normal occlusion Lee 2022 PENN STUDY Buccal – buccal on crestal bone, furcation, 6s Lingual – lingual crestal furcation 6s Reliable reading on lingual aspect – buccal shelf bone prevents reliable readings Maxilla narrower than mandible -1 +/- 3mm Previous literature Tamburrino 2010 describes 5mm cortical plate level of furcation buccal aspect, however Lee 2022 showed for males 1.1mm +/- 4.5mm and 1.6mm +/- 2.9mm Without cbct can transverse diagnosis occur? Models = lingual surface at furcation level (4mm vertical below gingival margin) maxillary width slightly narrower than mandible -2+/- 3mm Issue with CBCT for diagnosis Standard Deviation is large = +/- 3mm, range from -4mm-+2mm falls into SD Issue with study model transverse analysis from 4mm at the gingiva Not validated
Better Edge : A Northwestern Medicine podcast for physicians
Surendra Basti, MD, Manjot K. Gill, MD, and Angelo P. Tanna, MD, share what you need to know from AAO 2024.
Drs. Avni Finn and Sarwar Zahid join the podcast to preview the November 2024 edition of Retinal Physician, found online at http://www.retinalphysician.com.Relevant Financial Disclosures: NoneYou can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
About Dr. Julie Rodman Is the Chief of the Broward Eye Care Institute in Fort Lauderdale, FL and aProfessor of Optometry at Nova Southeastern University. She also is the Instructor of Recordfor Posterior Segment Disease at the College. Her research interests include OCT/OCTA andVitreoretinal Disease. Dr. Rodman has authored over thirty publications with an emphasis onretinal disease. She recently published “Optical Coherence Tomography Atlas: A Case StudyApproach”, the first reference book on this topic written by an optometrist. Dr. Rodman is amember of the AOA, AAO, FOA, and ORS. She has been the recipient of numerous teachingawards, was recognized as a Primary Care Optometry News “Top 300” Optometrists and“Newsweek Best Optometrists of 2023”.
Join me for a summary looking into the increasingly popular topic of paediatric obstructive sleep apnoea, a review of orthodontic treatments available, and how effective they are in this growing field of both medicine and dentistry. This episode is a summary of Alberto Capriglio's lecture from the AAO and Carlos Flores Mir's lecture at the IOF earlier this year. OSA - Defined upper airway dysfunction causing complete or partial airway obstruction during sleep Sleep = Slow wave sleep – constructive phase of sleep (recuperation of the mind) · Growth hormones secreted · Glial cells within brain restored · Cortical synapses increase in number – Moberget 2019 Outcomes to paediatric patients of SDB: (AASM) · delays in development, Poor academic performance, Aggressive behaviour, attention- deficit/hyperactivity disorder, , emotional problems in adolescence First line medical treatment – adenotonsillectomy · 40% residual OSA Effect palatal expansion 1. Roof the mouth = base of the nose - Increase in nasal airway volume - Reduction in OSA, if obstruction in naso-pharynx, 2. Short term reduction in OSA (not cure AASM) a. 20% improvement in AHI, 85% of cases Villa 2015 b. 15% got worse by 20% c. 57.5% residual AHI greater than 1 - not resolution 3. Caprioglio 2019 long term AHI return to initial scores, from 7 to 5 long term 4. Change in metabolism when combined with Vit D3 a. Vit D3 with RME increases reduction in AHI, sustained long term, Caprioglio 2019 AHI 61.9% Vs 35.5% long term Expansion other outcomes - school performance Bariani 2024 · AJODO – RME improves academic performance – o BEHAVOUR 1 of 8 parameters improved only for academic performance - change small 0.68 o COGNITIVE 1 in 8 improve Mandibular advancement Move mandible forwards and open space behind the tongue – oropharynx · Anatomical – increase size of oropharangeal airway · YAnyAn 2019 mandibular advancement for pOSA systematic review: 1.75 AHI reduction (CI) −2.07, −1.44) – modest change · However long term use required of the paediatric patient Orofacial features in children with obstructive sleep apnea. Fagundes Flores-Mir 2022 o No craniofacial features specific to pOSA – ANB, o However medical diagnosis through polysomnography may under-estimate incidence, o Broader diagnosis such as snoring, may over-estimate OSA AADSM 2024 – consensus statement · Expansion o Prevention: No consensus o Management: No consensus o Cure: Insufficient · Mandibular advancement o Prevention, management, cure – unclear More about OSA? To hear more about OSA, please check out the last interview on orthodontics in interview with Sanjivan Kandasamy, where we had a deep dive into OSA and where we are in our understanding today from the research Interview with Sanjivan Kandasamy on OSA
Drs. Katherine Talcott and Yoshihiro Yonekawa join to discuss four recent publications in major ophthalmology journals.Featured articles:Anti-VEGF or PRP First for PDR (https://jamanetwork.com/journals/jamaophthalmology/article-abstract/2822892)Face Down Positioning for Macular Holes (https://www.aaojournal.org/article/S0161-6420(24)00483-4/fulltext)Management of Post-Cataract Endophthalmitis (https://www.ophthalmologyretina.org/article/S2468-6530(24)00337-3/abstract)PDS Clinical Trial Results (https://www.ophthalmologyretina.org/article/S2468-6530(24)00400-7/fulltext)ReferenceMichels Retinal Detachment (referenced in podcast, https://www.amazon.com/Retinal-Detachment-Ronald-G-Michels/dp/0801634172)Relevant Financial Disclosures: Dr. Sridhar and Dr. Talcott have consulted for Apellis and Iveric.You can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
About Kaleb Abbott Is an optometrist and assistant professor of ophthalmology at the University of Colorado School of Medicine. He is faculty in both the Dry Eye Clinic and the Center for Ocular Inflammation where he specializes in complex ocular surface disease and participates in clinical trials/research pertaining to ocular surface disease. In addition to his clinical and research duties, he is on the board of directors for the Ocular Wellness and Nutrition Society; Vice Chair of the Nutrition, Disease Prevention, and Wellness SIG for AAO; on the advisory council for the Academic Medical Center Optometry AAO SIG; and on the editorial advisory board for Optometry360. He will be graduating from the AAO Flom Leadership Academy at AAO 2024. In 2024, he became host of the Dry Eye and Ocular Surface Disease section of the Clinical Podcast Series through the American Academy of Optometry Foundation. In 2019, Kaleb co-founded a start-up company called SunSnap Kids which took 1st place in the inaugural Bright Ideas Pitch Competition in 2022 and 3rd place in the Optometry Innovation Awards in 2023. Recently he sold the majority of this company to focus more on his clinical and research responsibilities at the University of Colorado. When not seeing patients, conducting research, or working on SunSnap Kids, Dr. Abbott lectures on ocular surface disease, writes articles, and is a medical reviewer for multiple medical journals including The Ocular Surface and Optometry and Vision Science. He resides in Denver, CO with his wife, daughter, and newborn twins.
Episode 445: Endophthalmitis Management Crash Course with Dr. Ajay KuriyanDr. Ajay Kuriyan joins the podcast to offer pearls and strategies for managing endophthalmitis as a retinal specialist.You can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
Does primary trabeculectomy or medical treatment produce better outcomes in terms of quality of life, clinical effectiveness, and safety in patients with advanced glaucoma? Dr. Drew Carey interviews Dr. Anthony J. King on the results of his recent study asking this question published in Ophthalmology, “Evaluating Primary Treatment for People with Advanced Glaucoma: Five-Year Results of the Treatment of Advanced Glaucoma Study.” Evaluating Primary Treatment for People with Advanced Glaucoma. King, Anthony J. King, Anthony et al. Ophthalmology, Volume 131, Issue 7, 759 – 770. Join Ophthalmology's Editor-in-Chief, Russell Van Gelder, as he presents “The Year in Literature: Editor's Choice Highlights From the Ophthalmology Journal Family” in Chicago at AAO 2024 on Sunday October 20, 2024, at 2pm local time in McCormick Place South Building Room S406A. Search “SYM48” in the Mobile Meeting Guide for more information.
Drs. Safa Rahmani and Katherine Talcott join the podcast to preview the October 2024 edition of Retinal Physician, found online at http://www.retinalphysician.com. The theme for this issue was clinical trials and anti-VEGF therapy.Relevant Financial Disclosures: Dr. Sridhar has consulted for Eyepoint, Genentech, and Regeneron.You can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
How has ophthalmology medical education changed over time in medical school curriculums? Dr. Edmund Tsui speaks with Drs. Ashish Agar and Sascha Spencer on their review of global trends in medical school ophthalmology education from their Ophthalmology article, “A Systematic Review of Ophthalmology Education in Medical Schools: The Global Decline.” A Systematic Review of Ophthalmology Education in Medical Schools. Spencer, Sascha K.R. et al. Ophthalmology, Volume 131, Issue 7, 855 – 863. Join Ophthalmology's Editor-in-Chief, Russell Van Gelder, as he presents “The Year in Literature: Editor's Choice Highlights From the Ophthalmology Journal Family” in Chicago at AAO 2024 on Sunday October 20, 2024, at 2pm local time in McCormick Place South Building Room S406A. Search “SYM48” in the Mobile Meeting Guide for more information.
Dr. Edward Legodi from South Africa joins the podcast to discuss his educational path, current challenges with providing retina care in Africa, and improving diversity of surgeons in Africa.Relevant Financial Disclosures: NoneYou can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
Drs. Safa Rahmani and Kat Talcott join to discuss four recent major ophthalmology papers.Culture or No Culture for Endophthalmitis (https://ophthalmologyretina.org/article/S2468-6530(24)00338-5/abstract)Risk of Retinal Tear after Cataract Surgery (https://www.aaojournal.org/article/S0161-6420(24)00392-0/abstract)AREDS2 and GA Progression (https://www.aaojournal.org/article/S0161-6420(24)00425-1/abstract)Resident Salary and Benefits (https://jamanetwork.com/journals/jamaophthalmology/article-abstract/2820695#google_vignette)Relevant Financial Disclosures: Dr. Sridhar and Dr. Talcott have consulted for Apellis and Iveric.You can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
Drs. Maura Di Nicola and Basil Williams join to preview the September 2024 edition of Retinal Physician, found online at http://www.retinalphysician.com. The theme for this issue was ocular oncology.Relevant Financial Disclosures: NoneYou can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
Drs. Avni Finn and Basil Williams join the program to talk about some of their personal highlights attending the 2024 American Society of Retinal Specialists Annual Meeting in Stockholm, Sweden.Relevant Financial Disclosures: NoneYou can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
Drs. Sabin Dang and Kat Talcott join to discuss a recent article published by Dr. Dang's team examining the impact of prior authorizations on delivery of treatment in retina practices.Relevant Financial Disclosures: NoneYou can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
Dr. Glaucomflecken (Dr. Will Flanary) and Dr. Basil Williams join for a heartfelt discussion of ophthalmology resident wellness and burnout, depression and suicide in medicine, and strategies at the ground level to address outstanding issues.Relevant Financial Disclosures: NoneYou can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
Drs. Akshay Thomas and Sarwar Zahid join to discuss three recent publications from major ophthalmology journals.IRIS Registry DME Analysis (https://ophthalmologyretina.org/article/S2468-6530(24)00266-5/fulltext)Gas versus Oil for RRDs (https://www.ajo.com/article/S0002-9394(24)00209-5/fulltext)ChatBot Diagnosis of Glaucoma (https://www.ajo.com/article/S0002-9394(24)00225-3/abstract)Relevant Financial Disclosures: NoneYou can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
Dr. Yewande Babalola joins the show to discuss her experiences as a VR Surgeon in Nigeria and what she learned as a travel grant winner to the 2024 Vit-Buckle Society Annual Meeting.Relevant Financial Disclosures: NoneYou can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
Drs. Kat Talcott and Yoshi Yonekawa join to preview the July 2024 edition of Retinal Physician, found online at http://www.retinalphysician.com.Relevant Financial Disclosures: NoneYou can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi