POPULARITY
Scleral buckling is a common surgical procedure for the repair of rhegmatogenous retinal detachment. The association between scleral buckling and angle-closure glaucoma is well-documented. However,the influence of scleral buckling on the development and progression of open-angle glaucoma is less well understood. Dr. Lori Provencher interviews Dr. Arthur J. Sit on the effect of scleral buckle surgery on ocular biomechanics and aqueous humor dynamics from his Ophthalmology Glaucoma article, “The Effect of Scleral Buckle Surgery on Tonographic Outflow Facility, Positional Intraocular Pressure, and Ocular Biomechanics.” The Effect of Scleral Buckle Surgery on Tonographic Outflow Facility, Positional Intraocular Pressure, and Ocular Biomechanics. Lyons, Lance J. et al. Ophthalmology Glaucoma, Volume 7, Issue 1, 1 – 7. The Ophthalmology-family of journals is now on Instagram. Follow @aaojournal for clinical images, research articles, news, editorials, podcasts, and more!
Dr. Meenal Agarwal, a distinguished optometrist, leads the Pickering Town Centre Optometric Clinic. Her academic excellence is evident from her graduation on the Dean's Honour List in 2008 from the University of Waterloo with a Doctor of Optometry degree. Her expertise was further honed during an internship at Parkland Health and Hospital in Dallas, Texas, where she gained substantial experience in managing ocular diseases, low vision, and contact lens care. Her skill in low vision clinical care earned her the William Feinbloom Low Vision Award in 2008, a recognition that was highlighted in the September/October 2008 issue of “Women in Optometry” magazine. Beyond her clinic, Dr. Agarwal actively engages with her community and professional circles, continually updating her knowledge to enhance patient care. As a dedicated member of the Ontario Association of Optometrists (OAO), she champions the importance of comprehensive eye exams and is devoted to advancing eye care. Her professional interests are diverse and specialized. As the former Clinical Director at TLC Laser Eye Centers in Toronto, she developed a keen interest in Laser Vision Correction/Lasik. Additionally, she is adept in complex contact lens fittings, including Rigid Gas Permeable and Scleral lenses. #drmeenalagarwal #optometrist #eyeexams #livewithcdp #talkshow #radio #host #chrispomay #barrycullenchevrolet
As someone with dry eyes, you can ask yourself, are contact lenses a good idea? Dr. Cremers goes over the pros & cons.
Torn between math and medicine as an undergrad, Shalu Pal shadowed 10 different types of doctors to figure out which one was truly happy but didn't find the joy she was seeking. Then, she walked into her optometrist's office and heard laughter coming from patients, staff and doctor. At that point, she knew she had found her path forward. After optometry school in Southern California, Dr. Shalu Pal first specialized in specialty lenses at her residency in Oklahoma, which led to expanding her interests to dry eye disease, ocular aesthetics, and myopia management. Today, she focuses on her “why” of happiness as the owner of a thriving practice in Toronto, Canada, by fostering a warm, joyous environment for her staff and patients. Discover her strategies for building a robust clinic with the best doctors in each specialty focused on improving the lives of their patients. The doctors dive into current treatments for mastering myopia management as well as upcoming technologies in the pipeline. Dr. Pal also enjoys sharing her love for optometry with students, new grads and her colleagues through lecturing and co-editing the Mastering Myopia newsletter. Eye Give a Damn hosted by Dr. Joseph Allen is produced by FluoreSCENE Media.For more information on Dr. Joseph Allen visit https://doctoreyehealth.com/Visit https://odcommunity.com/ to learn more about FluoreSCENE Media.
Drs. Pradeep Prasad and Yoshihiro Yonekawa join to share their experienced tips and tricks for beginning scleral bucklers, from surgical techniques to implant choice to post-operative follow-up.Relevant Financial Disclosures: NoneYou can claim CME credits for prior episodes via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
This month, Jackie Garlich, OD, FAAO, and Leslie O'Dell, OD, FAAO, are joined by Anith Pillai, OD, FSLS, FIAOMC, to discuss the nuances of sceral lens fitting. Dr. Pillai shares his experiences running a specialty contact lens clinic, including navigating the conversation about scleral lenses with patients, managing the initial adjustment period, handling tricky cases, billing, and what he wishes he knew from the start.
https://www.vancethompsonvision.com/doctors/brooke-messerhttps://doctoreyehealth.com/ Eye Give a Damn hosted by Dr. Joseph Allen is produced by FluoreSCENE Media.For more information on Dr. Joseph Allen visit https://doctoreyehealth.com/Visit https://odcommunity.com/ to learn more about FluoreSCENE Media.
About Dr. Caitlin Morrison:Dr. Morrison is the owner of In Focus: Specialty Contact Lens & Vision Solutions, a private practice in Scottsdale, Arizona that specializes in contact lenses for advanced ocular conditions and comprehensive care for difficult visual cases.After graduating from the New England College of Optometry in Boston, Dr. Morrison completed a Cornea & Contact Lens Residency at SUNY College of Optometry in New York City. She is a Fellow of the American Academy of Optometry (FAAO), a Fellow of the Scleral Lens Society (FSLS), and the recipient of both the Bert C. and Lydia M Corwin Contact Lens Award and the Johnson & Johnson Award for Excellence in Contact Lens Patient care.Prior to moving back to her home state of Arizona, Dr. Morrison worked in the cornea department of New York Eye and Ear Infirmary of Mount Sinai in Manhattan specializing in corneal diseases and complications. She is inspired by her patients who have overcome many visual obstacles and are motivated to regain quality vision once again.
Ultimate O.D. Nugget - The Most Important Brand: YOU In this week's nugget it's all about what it means to "brand" yourself. There's a difference between selling and branding. Branding is when you are the person that comes to mind when someone needs what you do! Is your name (brand) synonymous with dry eyes? Myopia management? Scleral lenses? Pediatrics? Decide what you want your brand to be and start building it! Join in the fun and subscribe to the podcast to keep up with all the great content coming down the pipe! For exclusive content, be sure to register your email on our website and I will be sending out newsletters and other great bonuses as we go. I love getting feedback, questions, suggestions, etc. so contact me at www.theultimateod.com, on social media (click here for -> Twitter, Instagram, Facebook) OR, just shoot me an email at drlillie@theultimateod.com and I'd be happy to chat!
We have a special episode this week as Valley Contax's operations director Rob Ahern provides an inside look at the manufacturing process. Understand what it takes to manufacture a scleral lens and how the product and process have changed over the years. Discover what new technology is coming and how Valley Contax constantly improves its processes to ensure they deliver the highest quality contact lens. SOURCESRob Ahern: LinkedInRob Ahern: Valley ContaxValley ContaxGaudi LensGSLSCLMAOVITZ xwaveTry Not to Blink Podcast is powered by Valley Contax
December is scleral lens month on TN2B. Join Jimmy and Roya as they share tips on getting started with scleral lenses with the initial lens selection, patient insertion, ordering the lens from the manufacturer, and the patient's first dispensing appointment. Stay tuned all month for more great episodes on scleral lenses. SOURCESPepsiDopesickThe SwimmersValley ContaxBoost Program
In this second half of a discussion on secondary IOLs, Drs. Brenton Finklea and Fasika Woreta rejoin the show to talk about the benefits and risks of scleral-fixated and scleral-sutured IOLs, and surgical techniques for improving their safety and effectiveness. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts.
Dr. J. Fernando Arevalo discusses results of an international multicenter study that compared surgical success rates of vitrectomy vs vitrectomy + scleral buckle to repair retinal detachments due to giant retinal tears. The study collected 200 patients data over a 12 year period. Referenced article: Ong SS, Ahmed I, Gonzales A, Al-Fakhri AS, Al-Subaie HF, Al-Qhatani FS, Alsulaiman SM, Mura M, Maia M, Kondo Kuroiwa DA, Maia NT, Berrocal MH, Wu L, Zas M, Francos JP, Cubero-Parra JM, Arsiwala LT, Handa JT, Arevalo JF. Vitrectomy versus Vitrectomy with Scleral Buckling in the Treatment of Giant Retinal Tear Related Retinal Detachments: An International Multicenter Study. Ophthalmol Retina. 2022 Jul;6(7):595-606. doi: 10.1016/j.oret.2022.03.004. Epub 2022 Mar 15. PMID: 35304304.
SCLERA The sclera accounts for approximately 93% of the outer coat of the eye. Anteriorly, it is continuous with the cornea at the corneoscleral junction (see Fig. 42.1). It is punctured by a number of foramina containing nerves and blood vessels, most notably the optic foramen, which lies 3 mm medial to the midline and 1 mm below the horizontal, and houses the optic nerve. Smaller openings contain anterior ciliary arteries that penetrate anteriorly, vortex veins that cross the sclera equatorially, and the long and short ciliary nerves and arteries that enter posteriorly. There is considerable individual variation in scleral dimensions. The sclera is thickest at the posterior pole (approximately 1 mm) and decreases anteriorly, reaching a minimum equatorially at about half this thickness. It also thins approaching the optic nerve. The sclera is thinner when the eye is elongated in myopia. The external surface of the sclera is covered by a delicate episcleral lamina of loose fibrovascular tissue, which contains sparse blood vessels and is in contact with the inner surface of the fascial sheath of the eyeball. Anteriorly, the external scleral surface is covered by conjunctiva, which is reflected on to it from the posterior surfaces of the eyelids. The scleral internal surface adjacent to the choroid is attached to it by a delicate fibrous layer, the suprachoroid lamina, which contains numerous fibroblasts and melanocytes. Anteriorly, the inner sclera is attached to the ciliary body by the lamina supraciliaris. Posteriorly, the sclera is pierced by the optic nerve. Here, the outer half of the sclera turns back to become continuous with the dura mater, while the inner half is modified to form a perforated plate, the lamina cribrosa sclerae. The optic nerve fascicles pass through these minute orifices, while the central retinal artery and vein pass through a larger, central aperture. The lamina cribrosa sclerae is the weakest part of the sclera and bulges outwards (a cupped disc) when intraocular pressure is raised chronically, as in glaucoma. Like the cornea, the scleral stroma is composed mainly of densely packed collagen embedded in a matrix of proteoglycans, which are mixed with occasional elastic fibres and fibroblasts. However, in contrast to the cornea, scleral collagen fibrils show a large variation in diameter and spacing, and the lamellae branch and interlace extensively. This arrangement of fibres results in increased light scatter, which is responsible for the opaque, dull-white appearance of the sclera, and also imparts a high tensile strength to the sclera to resist the pull of the extraocular muscles and contain the intraocular pressure. Collagen fibre bundles are arranged circumferentially around the optic disc and the orifices of the lamina cribrosa. The fibres of the tendons of the recti intersect scleral fibres at right angles at their attachments, and then interlace deeper in the sclera. Collagen fibres of the scleral spur are orientated in a circular fashion, and there is an increased incidence of elastic fibres here (Figs 42.2–42.3A). Although the sclera acts as a conduit for blood vessels, scleral vessels are few and mainly disposed in the episcleral lamina, especially close to the limbus. Its nerve supply is surprisingly rich, accounting for the intense pain associated with scleral inflammation (Watson and Young 2004). Scleral development is under active regulation to ensure an eye of the correct axial length to produce a focused image (Wallman and Winawer 2004). Filtration angle and aqueous drainage Aqueous humour is produced by the ciliary epithelium; it passes through the pupil and circulates within the anterior chamber, supplying the avascular cornea and lens with nutrients and removing metabolic waste products. It drains from the eye mainly through the trabecular meshwork into the canal of Schlemm.
Topics covered include complications after vitreoretinal procedures, including scleral buckling and macular peeling, and management of dislocated intraocular lenses.
In this episode Jimmy and Roya go over all the scleral lens basics you need to know about in order to become a successful scleral lens fitter, including Valley Contax Custom Lens Immersion Program, the Custom Stable and more...SOURCESAMDVabysmo20/20 GlanceGeneric RestasisGeneric CombiganCustom StableCLIP ProgramBoostGas Permeable Lens Institute Scleral Lens Education Society
This is the fifth episode in the BCLA CLEAR series. Scleral lenses were the first type of contact lens to restore vision and protect the ocular surface. With the advent of rigid corneal lenses in the middle of the twentieth century and soft lenses in the 1970's, the use of scleral lenses diminished; in recent times there has been a resurgence in their use driven by advances in manufacturing and ocular imaging technology. Scleral lenses are often the only viable form of contact lens wear across a range of clinical indications and can potentially delay the need for corneal surgery. This report provides a brief historical review of scleral lenses and a detailed account of contemporary scleral lens practice including common indications and recommended terminology. Recent research on ocular surface shape is presented, in addition to a comprehensive account of modern scleral lens fitting and on-eye evaluation. A range of optical and physiological challenges associated with scleral lenses are presented, including options for the clinical management of a range of ocular conditions. Future applications which take advantage of the stability of scleral lenses are also discussed. In summary, this report presents evidence-based recommendations to optimise patient outcomes in modern scleral lens practice. Dr Eef van der Worp discusses some of the key findings of this paper with Dr Melissa Barnett. Eef van der Worp is an educator and researcher. He now runs his own research & education consultancy 'Eye-Contact-Lens' based in Amsterdam (NL). He is on the education committee for a number of international conferences, including the Global Specialty Lens Symposium (GSLS) in the US and the Dutch Contact Lens Conference (NCC) and Dutch Optometric Society meeting (OVN). He is a board member of the BCLA journal Contact Lens & Anterior Eye. Eef is adjunct assistant Professor at Pacific University College of Optometry (Oregon, USA), and adjunct Professor at the University of Montreal University College of Optometry (CA) and he is lecturing extensively worldwide and is a guest lecturer at a number of Universities in the US and Europe. Dr. Barnett is a principal optometrist at the University of California, Davis Eye Center in Sacramento and Davis, California. She is an internationally recognized key opinion leader, specializing in dry eye disease and specialty contact lenses. She is a Fellow of the American Academy of Optometry, a Fellow of the British Contact Lens Association and serves on multiple Boards. Dr. Barnett is Past President of The Scleral Lens Education Society. BCLA CLEAR is an initiative that has drawn together thousands of research papers on many different aspects of contact lenses into one place. The findings were published in, Contact Lens and Anterior Eye, the BCLA's scientific journal, in April 2021 under ten reports. BCLA CLEAR was facilitated by the BCLA, with financial support by way of Educational Grants for collaboration, publication and dissemination provided by Alcon and CooperVision.
The Journal RETINA is devoted exclusively to diseases of the retina and vitreous. These podcasts are intended to bring to its listeners summaries of selected articles published in the current issue of this internationally acclaimed journal.
Dr. Efrem Mandelcorn from the University of Toronto talks about 3 different surgical techniques that he's published in 3 different articles: 1. Macular hydodissection for challenging macular holes: Felfeli T, Mandelcorn ED. MACULAR HOLE HYDRODISSECTION: Surgical Technique for the Treatment of Persistent, Chronic, and Large Macular Holes. Retina. 2019 Apr;39(4):743-752. doi: 10.1097/IAE.0000000000002013. PMID: 29303907. 2. Scleral needling for closure of sclerotomies: Felfeli T, Altomare F, Mandelcorn ED. SUTURELESS CLOSURE OF 23- AND 25-GAUGE LEAKING SCLEROTOMIES WITH THE SCLERAL NEEDLING TECHNIQUE. Retina. 2020 May;40(5):838-844. doi: 10.1097/IAE.0000000000002484. PMID: 30821730. Link to the Scleral Needling technique 3. Pre-operative gas for repair of retinal detachment: Felfeli T, Mandelcorn MS, Trussart R, Mandelcorn ED. Preoperative Gas for Pars Plana Vitrectomy: A Surgical Technique for Repair of Rhegmatogenous Retinal Detachments with Multiple, Large or Inferior Breaks. Retin Cases Brief Rep. 2021 Oct 1. doi: 10.1097/ICB.0000000000001197. Epub ahead of print. PMID: 34652305. AAO 1-minute video
About Dr. Jason Jedlicka:Dr Jedlicka is an Associate Professor at Indiana University School of Optometry, and the Director of the Cornea and Contact Lens Service. He is a Diplomate in the American Academy of Optometry's Cornea, Contact Lens, and Refractive Technologies Section, a past President of the Scleral Lens Education Society, and a Fellow and board member of the Contact Lens Society of America. He is the developer of the Zenlens family of scleral lenses and is a consultant to Bausch and Lomb. He is the 2021 recipient of the GPLI GP practitioner of the year.LinkedIn:https://www.linkedin.com/in/jason-jedlicka-230a876/
Jimmy and Roya chat with Dr Josh Lotoczky about "Living on the Edge", in depth scleral research, and yes the real question.... when to fill the tank??SOURCESCuring RP with Gene TherapyOptogenetics2020 GlanceDr Josh Lotoczky: Ferris State UniversityDr Josh LotoczkyVision Research InstituteScleral Lens Fitting CardLivin on the EdgeScleral Lens Tips for SuccessOVITZ Ares Lens
About Dr. Elise Kramer:Dr. Elise Kramer is a residency-trained optometrist in Miami FL who specializes in ocular surface disease and regular and specialty contact lens fitting.Her Doctorate degree was awarded in Optometry from the Université de Montréal in 2012 where she received a grant from the Scholarship Program of the Québec Ministry of Education for short-term university studies outside of Québec. Receipt of this scholarship award is based on academic performance. In the summer of her second year, she participated in a humanitarian mission in Laayoune, Morocco where she helped hundreds of impoverished people by giving them free eye examinations and glasses corresponding as closely as possible to their prescription.During her fourth year, she completed her internship in ocular disease at the Eye Centers of South Florida and went on to complete her residency at the Miami VA Medical Center. Her time there included training at the Bascom Palmer Eye Institute, the nation's top eye hospital. After her residency, Dr. Kramer became a fellow of the Scleral Lens Education Society (SLS) and now serves as the Public Education Chair for the SLS. Dr. Kramer is a member of the American Optometric Association (AOA), the British Contact Lens Association (BCLA), the International Association of Contact Lens Educators (IACLE) and a Fellow of the American Academy of Optometry (AAO). She is also the Delegate of International Relations for the Italian Association of Scleral Lenses (AILeS). Dr. Kramer has published several important articles and reviews and is participates in clinical research trials. She enjoys lecturing all around the world in several different languages about ocular surface disease and specialty lenses. She strives to assist each patient with quality and advanced eye care whether he or she requires a basic eye exam or specialized eye or vision care.“My practice has been devoted to the restoring quality vision and ocular comfort to those patients who have been affected by keratoconus, refractive surgical complications (ex: LASIK), corneal transplant surgery, eye trauma, chronic dry eyes, corneal dystrophies and degenerations and many others. Most of my patients who have suffered from vision loss are now wearing custom made contact lenses I have designed using advanced technology. The results are outstanding.”Where to find her:Dr. Kramer's IG to https://www.instagram.com/drelisekramer/Private Practice: Miami Contact Lens Institute:http://www.miamicontactlens.com/ Resource:http://medcraveonline.com/AOVS/AOVS-02-00046.pdf
You can now claim CME credits via the AAO website. Visit https://www.aao.org/browse-multimedia?filter=Audi
Dr. Maria Walker shares with us about the latest in Scleral Lens on today's episode of The OI Show. About Dr. Maria Walker:Dr. Maria Walker graduated from The New England College of Optometry with an OD/MS degree in 2013 and completed a Residency in Cornea & Contact Lenses at Pacific University in Portland, OR. She then joined the clinical faculty at the University of Houston College of Optometry and is currently part-time faculty while also completing her PhD, studying the effects of scleral lenses on the ocular surface. Dr. Walker lectures domestically and internationally on scleral lenses and is involved in several research projects at the Ocular Surface Institute and Texas Eye Research and Technology Center at the University of Houston. She has won several awards related to contact lenses and research, and is a fellow of the American Academy of Optometry, a fellow and the current President of the Scleral Lens Education Society, and an advisory board member of the Gas Permeable Lens Institute.
About Dr. Woo:Dr. Woo is an adjunct professor at Midwestern University. Dr. Woo enjoys lecturing around the world on the subject of contact lenses and anterior segment ocular disease. Dr. Woo owns the Contact Lens Institute of Nevada, a clinic dedicated entirely to custom contact lenses. The Contact Lens Institute offers revolutionary technology such as the EyePrintProsthetic and sMap scleral topography to assist in complex clinical cases. In her spare time, Dr. Woo is an avid wine collector and is a Level 2 WSET Sommelier. More About Dr. Woo:Here are some links:www.clinevada.comwww.drstephaniewoo.comwoou.orgSocial media:@drstephaniewooHere is a free PDF that I created for doctors who want some tips on how to start a specialty practice.Here is the 8 week coaching programed I referenced
Today's episode we are joined with Dr. Karen Carrasquillo to discuss about Myopia Management with Scleral Lenses plus many more!About Dr. Karen Carrasquillo:Dr. Karen G. Carrasquillo is Vice President of Clinical and Professional Affairs at BostonSight. In addition, she is an adjunct clinical professor at the New England College of Optometry, an adjunct clinical professor at the school of optometry, MCPHS University, Advisory Board member for the Gas Permeable Lens Institute (GPLI), Fellow of the American Academy of Optometry (FAAO), Fellow of the Educational Society of Scleral Lenses (FSLS), and Fellow of the British Contact Lens Association (FBCLA). She is the founder and Program Chair of FitAcademy, an educational retreat for Cornea and Contact Lens Residents, and is also a planning committee member for the International Congress of Scleral Contacts (ICSC) Meeting and Global Ophthalmic Women (GLOW) meeting.She is also the author of numerous publications on the therapeutic use of scleral lenses and prosthetic replacement of the eye surface system (PROSE) and is also the author of several patents.Prior to completing her doctorate degree in Optometry and her residency in Cornea and Contact Lenses, she completed a PhD in Chemistry at the University of Puerto Rico and a postdoctoral fellowship in ophthalmological research from the Massachusetts Eye and Ear, Harvard Medical School, in Boston, MA.
On this episode, we have Dr. Daddi Fadel shares about the important key factors to Scleral Lens Success. About Dr. Daddi Fadel:Daddi Fadel DOptom, FSLS, FBCLA, FAAO, is a contact lens designer, a Pioneer of modern lens designs, and a specialist in contact lenses for irregular cornea, scleral lenses, myopia control, and orthokeratology. She speaks five languages; Arabic, French, English, Italian, and Greek. She studied optometry at Istituto Superiore di Scienze Optometriche (ISSO) in Rome (1998-2001), a four-year course achieved in three years with honors. She started to lecture and publish from her first year of Optometry school. She has 20 years' experience in optometry and specialty contact lenses. She runs an optometric practice specializing in contact lenses in Italy where she personally designs and fits special customized contact lenses. She is internationally recognized as a key opinion leader, who has several peer-reviewed publications in the area of specialty contact lenses and is a speaker in national and international symposia. Daddi Fadel and Dr. Melissa Barnett are authors of the “Clinical Guide for Scleral Lens Success”. Daddi Fadel is the author of the book “Scleral Lens Complications: Their Recognition, Etiology, and Management”. She is a certified and approved advanced speaker to conduct NCLE approved courses. She is the first Certified EyePrint Practitioner outside the USA and Canada. Fadel is Fellow of the Scleral Lens Education Society (SLS), British Contact Lens Association (BCLA), and American Academy of Optometry (AAO). She is the Founder and Immediate Past President of Accademia Italiana Lenti Sclerali (AILeS), Co-founder and President of Euro & Austral-Asia Scleral Lens Academy (EASLA), Council of the International Society of Contact Lens Specialists (ISCLS), Global Ambassador of the BCLA, member of the GPLI Advisory Board, member of the medical advisory board of the International Keratoconus Academy (IKA), Program & Education Chair of The Summit of Specialty Contacts (SSC) and of the Global Ophthalmic Women (GLOW), Board Member of the International Forum for Scleral Lens Research (IFSLR) and of the International Congress of Scleral Contact (ICSC), Clinical Advisor of Myopia Care, International Relations Chair of the Scleral Lens Education Society (SLS), and Member of the International Association of Contact Lens Educator (IACLE). Where to find Dr. Fadel:https://daddifadel.com/homeResources Mentioned: https://sclerallens.org/https://www.gpli.info/
This week special guest host, Dr. David Zacks, professor at the Kellogg Eye Center at the University of Michigan, and vitreoretinal surgery fellowship director answers questions about basic strategies to repair retinal detachments, and when/why to use a scleral buckle.
When do I need scleral lenses to treat my dry eyes? Link: https://rankingmastery.com/edit_questions.asp?action=info&id=1284&a=9005&p= Answer is: It helps to stabilize your tear film and maintain the integrity of your ocular health. Scleral lenses are a great option for patients who want contact lenses but have dry eyes. Watch on Video: https://www.youtube.com/watch?v=ZuWYnkWV0s0 We hope you learned something of value from this video. To reach Dr. Diana with Ella Eyes directly goto: https://ellaeyes.com or email them at: drdgno@yahoo.com Do you want to get discovered on the web like all or our Guests RankingMastery Podcast Go to the RankingMastery website at https://rankingmastery.com
Hear how the adaption of scleral lenses in Italy parallels that of the U.S. experience in this unique conversation between Daddi Fadel, DOptom, FSLS, FBCLA, FAAO, and Melissa Barnett, OD, FAAO, FSLS, FBCLA. Hear their plans for an in-person Global Ophthalmic Women (GLOW) conference in Spain as a way to empower and encourage women in societies throughout the world. Want to be added to the GLOW Facebook page? Request permission from the administrators here.
Dr. Melissa Barnett and Dr. Tom Arnold chat with guest Simone Visser, OD, PhD, FSLS. They discuss a range of topics, from studying abroad, to the relationship between optometry and ophthalmology in the Netherlands, to what Dr. Visser has planned for future studies. Dr. Visser also explains the developmental process of the Visser scleral lens and how it differs from any other scleral lens.
How To Stay Motivated in 2021 - E25 Highlights in this episode: 3 Ways To Stay Motivated in 2021 (00:53) Office Talk: Adventures in Scleral-land (11:10) Cold Start: Find a Mentor (22:10) With a new year comes the infamous "resolutions". You've all seen it and have most likely fallen victim yourself to a "goal" or "resolution" that you did not see through. In this episode I lay out exactly how to take these goals, dreams, aspirations and keep your motivation up to complete them long after the initial "planning high" is gone. Let's make 2021 a growth year my friends! (00:53) In this segment, I am going through updates in all the fun niches of my office. We will talk about scleral lenses and where I'm at with that as well as how my myopia management practice is progressing as the months tick by. Lot's of ground covered and I'm excited for what lies ahead! (11:10) For the cold start segment today I have a little story for you and we talk about how important it is to find a mentor. Work smarter not harder my friends. (22:10) Join in the fun and subscribe to the podcast to keep up with all the great content coming down the pipe! For exclusive content, be sure to register your email on our website and I will be sending out newsletters and other great bonuses as we go. I love getting feedback, questions, suggestions, etc. so contact me at www.theultimateod.com, on social media (click here for -> Twitter, Instagram, Facebook) OR, just shoot me an email at drlillie@theultimateod.com and I'd be happy to chat!
This episode provides a great overview of how to fit and assess scleral contact lenses. We discuss strategic ways to evaluate a scleral lens and a few of the common complications that can arise with them. Join us in learning more about this hot topic in the specialty contact lens world!
We sit down with Dr. Andrea Lasby, who has extensive knowledge and clinical experience with specialty contact lenses. After obtaining her optometric degree, Dr. Lasby completed an ocular disease and specialty contact lens residency in Oklahoma and became a fellow of the Scleral Lens Education Society in addition to the American Academy of Optometry. She is also the co-founder of the Canadian Contact Lens Academy. We ask Dr. Lasby questions on implementing scleral lenses into a practice for the first time, including how to set exam and lens fees, choosing the most appropriate lens company, and what type of patients to fit lenses in as a beginner. --- Support this podcast: https://anchor.fm/foureyesoptom/support
Meet Dr. Donald Ezekiel, who now resides in Australia. Dr. Ezekiel is a true trailblazer in scleral lens development. The scleral lens industry would not have been possible without the innovation and insight of a handful of visionary pioneers such as Dr. Ezekiel in the late 20th century. We are thrilled and honored to be able to speak with one of those pioneers on the inaugural broadcast of GlobalEyes.
Meet Dr. Donald Ezekiel, who now resides in Australia. Dr. Ezekiel is a true trailblazer in scleral lens development. The scleral lens industry would not have been possible without the innovation and insight of a handful of visionary pioneers such as Dr. Ezekiel in the late 20th century. We are thrilled and honored to be able to speak with one of those pioneers on the inaugural broadcast of GlobalEyes.
Financial Disclosures: Dr. Sridhar is a consultant for Alcon, Dorc, Oxurion, and Regeneron. Dr. Kuriyan receives grant funding from Second Sight and Genentech/Roche and is a consultant for Alimera Sciences, Allergan, Bausch Health, Genentech/Roche, Novartis, Regeneron. Dr. Read is a consultant for Genentech. Dr. Williams has no disclosures.
The latest episode of The MOD Pod brings you three more articles from the May/June of Modern Optometry. Hear Ryan McKinnis, OD, FAAO, FSLS, talk about managing ocular trauma with scleral lenses. Christopher Lopez, OD, shares some tips he and his co-author, Marcus Noyes, OD, FAAO, FSLS, put together for fitting children with specialty contact lenses. In the last story of the episode, Lori L. Grover, OD, PhD, offers important takeaways about the COVID-19 pandemic from public health evidence.
The latest episode of The MOD Pod brings you three more articles from the May/June of Modern Optometry. Hear Ryan McKinnis, OD, FAAO, FSLS, talk about managing ocular trauma with scleral lenses. Christopher Lopez, OD, shares some tips he and his co-author, Marcus Noyes, OD, FAAO, FSLS, put together for fitting children with specialty contact lenses. In the last story of the episode, Lori L. Grover, OD, PhD, offers important takeaways about the COVID-19 pandemic from public health evidence.
In this episode of WebinarXtra, Daniel talks to Katie Harrop MCOptom - Professional Services Director for No7 Contact Lenses - about the use of scleral lenses as an alternative to commonly fitted contact lenses. Katie answers all those questions you were itching to ask during her webinar but didn't get the time to. Members can watch a recording of the webinar and earn one non-interactive CET point until 17 December 2020 at https://learning.college-optometrists.org/course/view.php?id=226 --- Send in a voice message: https://anchor.fm/collegeofoptometrists/message
Unsure of when to use scleral lenses for dry eye? Not sure where to start? Hosts Leslie and Jackie talk with guest Melissa Barnett, OD, FAAO, FSLS, FBCLA, about the benefits and challenges of fitting these lenses in patients with various ocular surface conditions.
Unsure of when to use scleral lenses for dry eye? Not sure where to start? Hosts Leslie and Jackie talk with guest Melissa Barnett, OD, FAAO, FSLS, FBCLA, about the benefits and challenges of fitting these lenses in patients with various ocular surface conditions.
Learn how to preserve and grow your contact lens patient base with advice from practice owner Dana Salgado, OD (1:57). James Deom, OD, MPH, FAAO, offers scleral lens troubleshooting tips (7:45), and Mile Brujic, OD, FAAO, describes how his practice changed over the course of roughly 30 days due to the coronavirus (12:03), while Nicole Harris, OD, shares some of the lessons she's learned during her optometric residency (19:35). As an added bonus, listen to the audio version of MOD's Up Close column (24:50), which poses various questions to different optometric physicians. In this episode we learn more about Jacob Lang, OD, FAAO, Dipl ABO.
Learn how to preserve and grow your contact lens patient base with advice from practice owner Dana Salgado, OD (1:57). James Deom, OD, MPH, FAAO, offers scleral lens troubleshooting tips (7:45), and Mile Brujic, OD, FAAO, describes how his practice changed over the course of roughly 30 days due to the coronavirus (12:03), while Nicole Harris, OD, shares some of the lessons she's learned during her optometric residency (19:35). As an added bonus, listen to the audio version of MOD's Up Close column (24:50), which poses various questions to different optometric physicians. In this episode we learn more about Jacob Lang, OD, FAAO, Dipl ABO.
In this episode Dr. Steven Suh interviews Dr. Katie Wulff, an optometrist, about a specialty gas-permeable contact lens called scleral lenses. Some people have abnormal corneal curvatures and irregularities which make it difficult for them to see even with glasses or soft contact lenses. Stephen Curry, an NBA star with the Golden State Warriors, wears scleral lenses because of his corneal condition called keratoconus. Rigid gas-permeable contacts (RGP) and scleral contact lenses have a smooth, spherical, and hard surface which will neutralize these irregular “hills and valleys” on one’s cornea. The reason soft contact lenses do not work as well is because they “mold” onto these corneas and do not vault over them, thus replicating the abnormal curvature. Regular RGPs can be helpful in many cases but they have limitations. Scleral lenses do not sit on the cornea like RGPs but sit on the white part of the eye (sclera) so they are usually more comfortable. Scleral contact lenses can help maximize vision in patients with these corneal conditions:KeratoconusPellucid marginal degenerationEctasia (abnormal corneal warpage and thinning) after LASIK surgeryCorneal scarringSevere dry eyesAfter corneal transplantsCorneal irregularities after radial keratotomy (RK)Scleral lenses are much larger than standard rigid gas-permeable and soft lenses. Since they are customized for each patient’s eye, several visits are needed to ensure that the lens is fitting properly. Inserting these lenses onto the cornea may be much more difficult than other types of contacts. Because of their potential to restore sight in many of these patients, these specialty lenses can help delay or avoid the need for corneal cross-linking or corneal transplantation.Here is another article on scleral lenses.To find out more about Dr. Katie Wulff and her practice, go to Comprehensive EyeCare of Central Ohio’s website or Facebook page.This is intended for informational and educational purposes only, and nothing in this podcast/blog is to be considered as recommending or rendering medical advice or treatment to a specific patient. Please consult your eye care specialist for proper diagnosis and treatment of any eye conditions that you may have.
In this episode Dr. Suh interviews Dr. Ken Beckman about all aspects of dry eye disease. They first delve into the common signs and symptoms. Dr. Beckman then discusses the special tests that can be performed at your eye doctor’s office to confirm which type of dry eye disease you may have. Lastly, he does a comprehensive review of the wide-ranging treatments that are available today. Below are links to some more information about topics that are discussed on this episode.Tear osmolarity measures the salt concentration of human tears to aid in the diagnosis of dry eye disease.InflammaDry detects high levels of MMP-9, an inflammatory marker that is consistently elevated in the tears of patients with chronic dry eyes.Lipiscan is a high-definition oil gland imager that allows eye care professionals to assess meibomian gland structureThis is one of the brands of moist heat eye compresses that Dr. Beckman recommends in his office to help patients with evaporative dry eyes – the most common cause of dry eye disease. Lipiflow is a procedure performed in the office that heats and massages the eyelids to improve outflow of the natural oil from the glands that are so vital for a stable tear film layer.This is a nice summary article about the three prescription dry eye medications – cyclosporine-A (Cequa and Restasis) and lifitegrast (Xiidra).Punctal plugs, a quick, in-office procedure covered by insurance, are a nice adjunct to combat dry eyes. Autologous serum drops are eye drops made from a patient’s own blood plasma and serum. Scleral contact lenses can be worn to treat severe dry eyes. This is an old article but still relevant.This is a nice summary article on dry eyes from the American Academy of Ophthalmology Dr. Beckman was one of the lead authors in this landmark, peer-reviewed journal article that changed paradigms about dry eyes.You can find out more about Dr. Beckman and Suh's practice at their website and on Facebook.This is intended for informational and educational purposes only, and nothing in this podcast/blog is to be considered as recommending or rendering medical advice or treatment to a specific patient. Please consult your eye care specialist for proper diagnosis and treatment of any eye conditions that you may have.
Rudy Nuijts talks to Mor Dickman about the development of scleral cross-linking and its safety and efficacy.
You’ve seen Dr. Motamedi’s viral video on ODs on Facebook and in this episode you’ll get to know the doctor behind this heartwarming patient experience. He is a SUNY alumnus class of 2015 and the two of us were often in the same small lab/clinic group. We talk about his path to optometry and did you know that he took the OAT, DAT, and the MCAT tests!? If anyone could accomplish all of that it would be him. And of course we get into the video and patient case of how an empty appointment time slot on a Saturday afternoon completely changed the life of a blind woman by restoring her vision with the magic, and science, of scleral contact lenses. https://www.fox5dc.com/news/visually-impaired-woman-clearly-sees-family-for-the-first-time-in-12-years https://optometriceducation.org/a-trip-to-the-eye-doctor-changes-a-life/ dmvvisioncare.com --- Send in a voice message: https://anchor.fm/newyorkeyedoc/message
Guests: Robert Ang, MD Director of Refractive Surgery Department Asian Eye Institute Makati City, Philippines Kevin Miller, MD Professor and the Kolokotrones Chair in Ophthalmology David Geffen School of Medicine at UCLA Los Angeles
Scleral expert, Dr. Elise Kramer, shares her tips on how to bring this specialty into your practice.
Jay is joined by Dr. Buzz Kreiger from the University of California Los Angeles to discuss scleral buckling pearls and history. Dr. Kreiger has no financial disclosures. Dr. Sridhar has received fees for consulting for Alimera, Alcon, and Thrombogenics.
Dr. Greg Gemoules is back on what is our most important show to date. Everyone needs to listen to this show and share it so we can get the word out to the world and give hope to people that have become hopeless after complications from Lasik surgery. This show was prompted because Jessica Starr a Detroit Meteorologist, 35 years old, married with 2 children 5 and 3 years old committed suicide in December 2018 following complications from Lasik surgery. She committed suicide 1 month after the surgery by hanging. Dr Gemoules finds it very sad because he feels he could have possibly helped her. The official statistics say there is only a 1 % chance of complications with Lasik surgery but the reality is that it is more than 20 %. 12 people have committed suicide and many people that are alive with Lasik complications live in purgatory because they are in so much pain every single day. Investigative reporter Jace Larson wrote a report in January 2019 about the devastating effects. We hear about Nancy Burleson whose son Max also committed suicide after refractive eye surgery. Dr Gemoules tells us how he started his practice in 1984 in Coppell, TX right around when refractive eye surgery was becoming more popular. He started seeing patients with complications and back then couldn’t adequately fix them. Please listen to the touching story of a psychologist who came to him in desperation and Dr. Gemoules instantly fixed his issue. The patient and Dr. Gemoules eyes welled up in tears and at that very moment Dr. G, as he is lovingly called by everyone, knew that this is what he wanted to do for the rest of his life. He is such a kind and humble man, it makes perfect sense that he would devote his life to helping others. He single mindedly pursued this passion and everything else became less important. Listen to all the details on how he figured out and developed the scleral lenses that have helped so many people from all over the world. From 2005 to 2008 he published yearly on his findings and what he was doing with these new scans and got a patent. This started helping people with Lasik complications or any other surgical complications, but these lenses are also a perfect fit for other conditions like Keratoconus or corneal conditions aquired by nature not induced by surgery. Even though this treatment is available in other places, it bothers Dr. G and us that it is not better known. People with Lasik complications go through the 7 stages of grief. Dr. G wants to give everyone with these conditions hope, because he can help them.The Internet is a dark place and when these patients search they most often find hopelessness because their search leads them to lasiksuicide pages instead of pages like Dr. Gemoules website where they can find hope. We have to make a difference and share this podcast, youTube video everywhere so people suffering can regain their life. Dr Gemoules goal is to have people reach out to him so he can tell them “YES WE HAVE HELPED MANY, MANY PEOPLE AND WE WILL HELP YOU. IT IS NOT THE END”The people that have complications usually go back to the Doctor that did the original surgery who then suggests more surgeries. They go in and out of doctor offices and nothing helps them. We need to spread awareness to the whole world. Dr. G is changing lives and we need to get the word out. Dr. G give us a synopsis what happens if you come to see him for the Scleral Contact Lenses. www.laserfitlens.com
We welcome the amazing optometrist Dr. Greg Gemoules who has been our family eye doctor for over 30 years. He is a very humble man and tells us about his upbringing in Illinois and then we find out that he played lead guitar in a rock band that recorded in Nashville and had a few one hit wonders. The band was called North Syde Tree and band members were Greg Gemoules, Donnie Bearup, Kyle Lehning, Greg Carlock, Jim Lowe.Then he tells us of his stint in pharmaceutical sales that did not fulfill him and made him go back to school and found his career in optometry and he is very grateful. Optometry is a 4 year program after undergrad. He moved to Dallas because he wanted to live in a warmer place. Once he found Coppell, Texas he fell in love with it and grew with the community. He has his optometry practice there and his building is a staple of Coppell, Texas. He was the original founder of the Coppell Chamber of Commerce and was just recently honored as the legacy member to his surprise. Dr, Gemoules studied in Vienna in his Senior year of college and tells us that Vienna is his favorite city besides Dallas. He used to walk by the Lipizzaner Horses daily on his way to school. We get to hear about his latest vacation to Austria where he and his wife stayed at the world famous Wirtshaus Steirereck in a rural area of Styria. It is an experience like no other. Celebrity Chefs now offer accommodations and they got to stay in a whole house not just a room. Dr. Gemoules says that it is so beautiful, with walking paths and rolling hills. There is a long waiting list and people need to make reservations early if they plan on this experience. Read here about the flag ship restaurant in Vienna of the world famous Chef https://newfoodcity.de/heinz-reitbauer-interview/?fbclid=IwAR3HVzsZe5uVk9H7FAGQeyJtJ1fXjZeQ0umtsBn4ugEICCvg5nCh5H44y8Q ;This restaurant is always in the top 50 of the top world restaurants and has been in the top 10 twice. Dr. Gemoules and his wife love to explore the fine cuisine of the country they are in. Wiener Schnitzel and Goulash Soup are his 2 favorite Austrian dishes. Gabrielle tells that growing up in the Austrian School system they used to go to the operas, the Royal Winter Palace and the Nazi Concentration Camps as field trips. Marcella tells of the time that she visited the Mauthausen Concentration Camp and how she became obsessed with the history and wanted to know all the details of that time. Dr. Gemoules says that these historical facts should never be forgotten. Gabrielle then shares the story of her grandmother being the owner of the only bomb shelter in her apartment complex during World War II and we learn about having to heat the apartments with coal. We learn about Dr. Gemoules experience at the Salt Lake City Olympic games in 2002 and how his plane was escorted by F16. Very interesting story that you must hear. Then we learn about his mishap in Chamonix Mont Blanc where he broke his foot on top of the mountain and had to be flown to a local hospital by private helicopter to have surgery. He had to cut his trip short after 5 days. Read here about his beautiful place. https://blog.arcteryx.com/chamonix-mont-blanc/?fbclid=IwAR1q1OQZ7nVfw3cVqqYG416_T6PZp3bifOMWdrlznRqkSqMn4oy52wmFd4UWe end the show with our new segment THE QUESTION OF THE DAY. Don’t miss it.
Jimmy and Roya talk with cannabis grower Matt Wyatt, owner of Misty Bear Creek Farm, about the science and industry of marijuana.NOTESAbout CBD Oil: https://www.medicalnewstoday.com/articles/317221.phpCannabis Therapies: https://www.greenstate.com/explained/heres-science-behind-cannabis-therapies-pain-inflammation/Cannabinoids as Novel Anti-inflammatory Drugs: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2828614/
Melissa Barnett, OD, FAAO, FSLS, from Sacramento, California, is a leading authority on scleral lenses. She's the co-author of Contemporary Scleral Lenses: Theory and Application, and here she shares the passion that drove her to fitting scleral lenses—and why she hopes more doctors will, too. Take me back to the Specialty Services cover story package.
Special guest Sheila Morrison OD, Chief of the Contact and Cornea Clinic at University of Houston College of Optometry, joins the podcast to give her insight on scleral lenses.
In this episode our hosts, James Deom OD and Roya Habibi OD, introduce themselves, talk about their backgrounds and where they'll be heading with this podcast series. You'll also hear some funny anecdotes about bad breath and optometric naysayers.
Guest: Muriel M. Schornack, O.D. Mayo Clinic Department of Ophthalmology Rochester, MN
Guest: Muriel M. Schornack, O.D. Mayo Clinic Department of OphthalmologyRochester, MN
Background/Aim: Our purpose was to investigate the anatomic success of scleral buckling surgery for rhegmatogenous retinal detachment. Material and Methods: A total of 524 consecutive patients were retrospectively analysed. Several parameters including the lens status, number of breaks and extent of retinal detachment, preoperative proliferative vitreoretinopathy and refractive errors were examined. The minimum follow-up was 6 months. The primary success rate was defined as anatomic success being stable over a period of at least 6 months after surgery. The secondary success rate was defined as anatomic success after the second intervention if necessary. Besides an analysis over all patients, the patients were grouped according to the severity of the preoperative situation in simple, medium and severe cases. Results: The overall primary anatomic success rate was 84.7% and the secondary success rate 96.4% after 1 initial scleral buckling surgery and 1 additional surgery in case of persisting retinal detachment, and 19.1% of the patients with an initially attached retina after 1 scleral buckling surgery experienced a redetachment in the postoperative course and were successfully treated in 60/85 cases. In phakic patients (n = 359) the primary success rate was 89.7%, whereas in pseudophakic patients (n = 165) a primary success rate of 73.9% was obtained. The primary success was additionally influenced by the extent of the retinal detachment measured in clock hours (p