Defocus Media Podcast Network: Recent Episodes

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What makes someone want to return to a store? It is rarely just the product. For eye care practices, where healthcare and retail intersect every day, the experience surrounding the product can be just as important.

On 4theRecord, host Tyler Kemp speaks with Lea Wilhelm, owner of The Peacock, a three-location consignment business in Calgary, about building an authentic brand, creating memorable customer experiences, and maintaining consistency as a business grows. Her approach offers several lessons that translate naturally to optical retail.

Topics Covered : Build the Experience Around the CustomerCreate Connection Without the Sales PressureConsistency Matters When a Practice GrowsPersonal Style Can Be More Powerful Than TrendsBuild the Experience Around the CustomerAt The Peacock, clothing is organized by color rather than size or brand. The decision is intentionally visual, but it also encourages customers to explore instead of immediately limiting themselves to what they already know.

The same idea can apply to optical. When frames are primarily presented by brand, patients may gravitate toward familiar names and overlook styles, colors, or shapes that could suit them better.

That creates an opportunity for the optical team to become a guide rather than simply a salesperson. The goal is to understand the patient, introduce possibilities, and make the shopping experience feel personal.

Create Connection Without the Sales PressureFor Wilhelm, customer experience is a non-negotiable—but aggressive selling is not part of it.

“I want them to be greeted, to be seen, to have a pleasant human experience.”

That distinction matters in eye care. Patients may already be navigating recommendations about lenses, coatings, frames, contacts, and other products. When every recommendation feels like an upsell, trust can quickly disappear.

A strong retail experience instead begins with education, authenticity, and giving patients room to make decisions.

Consistency Matters When a Practice GrowsManaging three locations taught Wilhelm another important lesson: a strong brand cannot depend entirely on the owner being present.

She standardized processes and began rotating employees between locations after noticing that customers were receiving different experiences from different teams. The goal was not to eliminate personality, but to establish clear expectations while allowing employees to bring their own style.

Multi-location eye care practices face the same challenge. Patients should recognize the culture and level of service regardless of which location they visit.

Personal Style Can Be More Powerful Than TrendsThe conversation ultimately returns to fashion and personal style. Wilhelm emphasizes quality, longevity, and understanding what makes someone feel confident rather than constantly chasing trends.

That philosophy translates directly to eyewear. The best frame is not necessarily the newest or trendiest option. It is the one that complements the patient’s personal style, fits well, feels authentic, and makes them confident enough to wear it every day.

Great optical retail is not simply about selling eyewear. It is about creating an experience where patients feel understood, confident, and excited about what they choose.

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Christopher Nolan’s The Odyssey has become one of the biggest cinematic events of the year, but for Dr. Jacobi Cleaver, Dr. Jacob Wilson, and Dr. Morgan Jones, the film offered much more than stunning visuals. Their conversation blended mythology, filmmaking, and optometry into an entertaining discussion that revealed why Homer’s ancient story continues to resonate with modern audiences. From debating Odysseus’ leadership to analyzing the Cyclops’ vision, the trio proved that a great movie can spark conversations far beyond the theater.

Topics Covered : Christopher Nolan Gives an Ancient Story a Modern VoiceWas Odysseus Really the Hero?An Optometrist Can’t Ignore the Cyclops’ EyePractical Effects Make the Giants Feel RealAncient Stories Continue to Shape Modern MoviesChristopher Nolan Gives an Ancient Story a Modern VoiceOne of the first creative choices that stood out was Nolan’s decision to open the film with Travis Scott narrating Odysseus’ story. Dr. Jacob Wilson explained that Nolan viewed rap as today’s version of oral storytelling, making Travis Scott the modern equivalent of the ancient bards who originally passed down The Odyssey through spoken word. Rather than feeling out of place, the choice connected thousands of years of storytelling tradition with today’s audiences in a surprisingly natural way.

The group also appreciated that Nolan resisted the temptation to make every line sound like Shakespeare. As Dr. Morgan Jones noted, audiences don’t speak ancient Greek, so using modern dialogue makes the characters feel more authentic instead of forcing outdated speech patterns that wouldn’t have been historically accurate anyway.

Was Odysseus Really the Hero?The biggest debate centered on Odysseus himself.

While many viewers see him as the legendary hero, Dr. Cleaver couldn’t get past one decision: breaking into the Cyclops’ home. From his perspective, Odysseus and his men entered someone else’s house, ate their food, prepared to attack the owner, and then acted surprised when the Cyclops defended himself.

Dr. Jones agreed that Odysseus’ arrogance is a defining part of both the movie and Homer’s original work. Time after time, his pride creates problems that could have been avoided, and the encounter with Polyphemus becomes one of the clearest examples. Even after escaping, Odysseus couldn’t resist firing one last arrow, an unnecessary act that ultimately provoked Poseidon and changed the course of his journey.

Rather than portraying a flawless hero, Nolan presents a brilliant leader whose greatest obstacle is often himself.

An Optometrist Can’t Ignore the Cyclops’ EyeAs the Cyclops appeared on screen, Dr. Morgan Jones immediately began wondering what vision would actually look like with a single vertically positioned eye. Instead of seeing the world rotated vertically, she suggested the Cyclops would likely have dramatically reduced peripheral vision while relying entirely on monocular visual cues.

Dr. Wilson expanded on the idea by explaining how the eye’s oblique muscles stabilize vision, allowing humans to maintain orientation even when the head tilts. Without binocular vision, depth perception would be significantly reduced, making the Cyclops’ ability to accurately grab Odysseus’ soldiers surprisingly impressive.

Then came the injury.

When the burning stake pierced the Cyclops’ eye, the conversation shifted into emergency eye care. Dr. Jones described it as a devastating open-globe injury that would almost certainly result in permanent vision loss, severe infection, and possibly spread into the surrounding tissues. Dr. Wilson agreed that, even with today’s medicine, there would be very little chance of saving the eye after trauma of that magnitude.

Practical Effects Make the Giants Feel RealAnother reason the film feels so immersive is Christopher Nolan’s commitment to practical effects.

Dr. Jones highlighted how the production used performers over seven feet tall alongside much shorter stunt actors and carefully planned camera angles to create the illusion of enormous giants. The technique gave the Laestrygonians remarkable scale without relying heavily on computer-generated imagery.

For Dr. Wilson, this sequence became his favorite part of the movie, especially when experienced in a 4DX theater where vibrating seats, fog, and environmental effects amplified every step of the towering giants.

Ancient Stories Continue to Shape Modern MoviesAs the episode drew to a close, the conversation shifted beyond The Odyssey itself.

Dr. Jones pointed out how many beloved films still borrow themes introduced by Homer thousands of years ago. Movies like Spirited Away explore journeys through supernatural worlds, encounters with gods and mystical beings, and the consequences of human choices—storytelling elements that can all be traced back to The Odyssey and The Iliad.

That realization left the hosts eager to continue exploring the source material, ultimately deciding that one podcast episode simply wasn’t enough. The adventure of Odysseus, they concluded, is far too rich to fit into a single conversation.

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For many optometry students, graduation comes with one of the biggest career decisions they’ll ever make: Should they pursue an optometry residency or enter practice immediately? While starting a career offers immediate financial rewards, an optometry residency can provide advanced clinical training, specialized expertise, and the confidence to manage complex patient care.

In this Defocus Media Podcast, Dr. Darryl Glover sits down with Dr. Whitney Powell to share her journey from optometry school to practicing in an OD/MD referral center, offering practical advice on choosing the right residency, navigating the application process, and aligning training with long-term career goals. Through firsthand experience, she explains how intensive mentorship, high-volume clinical exposure, and collaboration with ophthalmologists helped shape her career and why the right residency can become a launching pad for clinical excellence and exceptional patient care.

Dr. Whitney Powell, OptometristTopics Covered: Why Consider an Optometry Residency?Choosing the Right Residency ProgramWhat Is Life Like During Residency?How Residency Accelerated Her CareerThe Value of CollaborationOptometry Residency vs. Entering Practice: Which Path Builds the Strongest Clinician?Additional ResourcesWhy Consider an Optometry Residency?Dr. Powell knew early in optometry school that she wanted to continue her education beyond graduation. Without prior experience working in an optometry practice, residency offered an opportunity to build confidence, gain advanced clinical experience, and explore the type of practice that best fit her career goals.

Rather than focusing on the temporary financial sacrifice, she viewed residency as an investment in her future. The experience ultimately opened doors that would not have been available otherwise, particularly in ocular disease and collaborative OD/MD practice.

Choosing the Right Residency ProgramOne of the most valuable pieces of advice from the conversation was to start with your long-term career goals.

Instead of choosing a residency based on location or reputation alone, Dr. Powell recommends asking:

• What type of patients do you want to treat?
• What practice setting do you see yourself in?
• Which residency will challenge you the most?

After completing an externship at an OD/MD referral center, she realized that collaborative medical eye care was exactly where she wanted to practice. That experience guided every residency application she submitted and ultimately positioned her for the career she enjoys today.

What Is Life Like During Residency?Residency is demanding, but it provides an unmatched level of clinical exposure.

Dr. Powell described long days filled with postoperative care, surgical consultations, glaucoma management, cataract evaluations, and complex ocular disease. Working alongside experienced optometrists and ophthalmologists meant seeing a high volume of diverse cases while receiving continuous mentorship.

That combination of repetition and supervision helped her develop clinical confidence much faster than traditional practice alone.

As she explained, residency provides the “reps” that prepare new doctors to manage busy clinics efficiently while delivering high-quality patient care.

How Residency Accelerated Her CareerFollowing residency, Dr. Powell immediately secured a position in the same type of OD/MD referral center she had trained for.

She credits residency not only for expanding her clinical skills but also for helping build professional relationships that led directly to employment opportunities. The concentrated patient exposure has often been compared to gaining three to five years of traditional clinical experience in a single year.

Today she manages complex ocular disease, works closely with surgeons, and helps patients throughout their surgical journey—all because residency prepared her for that level of care.

The Value of CollaborationRather than viewing optometrists and ophthalmologists as competitors, Dr. Powell believes they complement one another. By trusting each other’s expertise, both providers deliver more comprehensive care while ensuring patients receive the right treatment at the right time.

For students interested in medical optometry, residency can provide an ideal pathway into these collaborative practice environments.

Optometry Residency vs. Entering Practice: Which Path Builds the Strongest Clinician?An optometry residency is not the right path for every graduate, but for those pursuing advanced clinical skills, specialty care, or collaborative practice, it can be a career-defining investment.

As Dr. Powell emphasized, the ultimate goal is simple: become the best clinician possible so you can better serve your patients. Sometimes, taking one extra year to grow can create opportunities that shape an entire career.

**"Focus on how it's going to help you in your future and your career and really set you up for your success." - Dr. Whitney Powell** Additional ResourcesInterested in learning more about the optometry residency journey? Explore these trusted resources:

• Optometry Residency Match (ORMatch): Official residency application and match process
• Association of Schools and Colleges of Optometry (ASCO): Residency information, timelines, and guidance for optometry students

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Artificial intelligence is rapidly becoming part of everyday life, from chatbots to autonomous vehicles. In this episode of the OD’ing on Movies Podcast, filmmakers Erin Aineand Kyle Valle discuss their newest micro-horror series, Autonomous, a suspenseful story that explores what happens when technology becomes something we trust without question. Along the way, they reveal how a simple idea evolved into an innovative production that feels both futuristic and surprisingly believable.

Turning Today’s Technology Into Tomorrow’s NightmareWhat makes Autonomous especially compelling is how close its premise feels to reality. Rather than imagining distant science fiction, the filmmakers built the story around technology that already exists. Research for the project even included riding in real autonomous vehicles to understand the experience firsthand.

Kyle Valle described how unsettling it became watching a vehicle make decisions without a human behind the wheel. Small moments—like watching the steering wheel move on its own or seeing the car cautiously creep into traffic—created genuine anxiety that ultimately influenced the film’s realism.

That authenticity gives the horror its power. Viewers can easily imagine themselves sitting in the same back seat.

Independent Filmmaking at Its BestOne of the most impressive aspects of the conversation is learning how such a polished production came together with a remarkably small crew.

Scenes were filmed inside actual autonomous vehicles whenever possible. When access became difficult, the team recreated the vehicle inside a studio using a matching Jaguar, blue screens, intricate lighting setups, and carefully choreographed practical effects. Every movement—from simulated traffic to subtle vehicle motion—had to be synchronized to convince viewers they were traveling through real city streets.

The result demonstrates what creativity and preparation can accomplish without the resources of a major Hollywood studio.

The Real Message Isn’t About AIWhile Autonomous delivers plenty of suspense, its deeper message centers on control rather than technology itself.

Kyle Valle explains that the mysterious entity within the story represents a larger question: Who controls artificial intelligence? Instead of fearing the software alone, the film asks audiences to consider the people—or organizations—guiding these increasingly powerful systems.

As AI becomes more integrated into daily life, convenience often outweighs caution. The conversation explores how people willingly share location data, trust automated systems, and gradually surrender control without fully considering the long-term consequences.

Rather than providing definitive answers, Autonomous encourages viewers to think critically about where technology is leading society.

Building Momentum One Project at a TimeThe discussion also highlights the determination required to succeed as independent filmmakers.

After completing Zombie Con, Erin Aine and Kyle Valle quickly partnered with Screamify to produce Autonomous. From initial conversations to production, the project moved from concept to filming in only a matter of months. They are already preparing multiple new films, including It’s Watching, while simultaneously developing educational children’s programming.

Their willingness to continually create demonstrates that success often comes from consistently producing quality work rather than waiting for perfect circumstances.

Final ThoughtsAutonomous is more than a horror series. It serves as a timely reflection on artificial intelligence, automation, and humanity’s growing dependence on technology. By combining relatable characters, realistic production techniques, and thought-provoking themes, Erin Aine and Kyle Valle have created a story that feels increasingly relevant as autonomous technology becomes part of everyday life.

For anyone interested in independent filmmaking, AI, or suspense that feels uncomfortably plausible, Autonomous offers a compelling reminder that sometimes the scariest stories are the ones closest to reality.

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Why do some independent optometry practices continue to thrive while others struggle with staffing shortages, burnout, and stagnant growth? According to Dr. Kurt Steele, the answer has far less to do with marketing or business metrics than most practice owners think. The real driver of growth in optometry practice is culture.

After spending more than three decades building a rural Tennessee practice from approximately $300,000 in annual revenue to more than $4 million, Dr. Steele has discovered that lasting success begins by investing in people before profits. His philosophy challenges conventional practice management advice, arguing that exceptional patient experiences are created by empowered, well-trained teams—not by doctors trying to do everything themselves.

In this conversation with Dr. Darryl Glover, Dr. Steele shares practical leadership strategies that helped transform his practice, including how to create a culture employees never want to leave, why continuous training outperforms one-time onboarding, and how meaningful KPIs should support—not replace—great leadership.

The Blueprint Behind We’re Not Selling, We’re WinningThe conversation centers around the same philosophy that inspired Dr. Steele’s bestselling book, We’re Not Selling, We’re Winning. Written as the guide he wishes he had when he entered private practice more than 30 years ago, the book provides a practical roadmap for independent optometrists who want to build thriving businesses without sacrificing their quality of life. Throughout the podcast, Dr. Steele emphasizes that the systems described in the book were developed through decades of real-world experience growing a rural Tennessee practice from approximately $300,000 to more than $4 million in annual revenue while creating a workplace where employees genuinely enjoy coming to work.

We’re Not Selling, We’re Winning offers the practical strategies behind Dr. Kurt Steele’s remarkable journeyThe message is particularly timely as the number of independently owned optometry practices has declined from nearly 75% of the profession to fewer than half. Rather than encouraging doctors to sell their practices, Dr. Steele argues that independent ownership remains one of optometry’s greatest strengths when supported by effective leadership, intentional culture, measurable business systems, and continuous team development. His book serves as a blueprint for helping practice owners grow confidently while preserving the future of independent optometry. As he shares throughout the podcast, when independent practices succeed, everyone benefits—the doctors, their teams, their patients, and the profession as a whole.

Put Your Team Before Your MetricsOne of Dr. Steele’s biggest lessons came early in his career. Instead of trying to minimize payroll, he chose to invest in his employees through better compensation, expanded responsibilities, and continuous development. That decision allowed him to spend more time where he created the most value, caring for patients.

His philosophy is simple: patients are best served when the team feels valued first. Rather than viewing staff as an expense, practice owners should see them as the engine that powers every patient interaction. A motivated, confident team creates better experiences, improves efficiency, and ultimately fuels long-term practice growth.

Build a Culture People Want to Stay InStaffing remains one of the greatest challenges facing independent optometry, but Dr. Steele believes retention starts with culture, not compensation alone.

He encourages practice owners to regularly ask their teams three important questions:

• What are we doing well?
• What is preventing us from being even better?
• What would make this a career instead of just a job?

These conversations create ownership and give employees a voice in improving the practice. When team members feel heard, trained, and appreciated, they become invested in delivering an exceptional patient experience.

Training Never StopsDr. Steele compares team development to professional sports. Elite athletes never stop practicing, and eye care teams shouldn’t either.

Many practices train employees once during onboarding and assume they’ll retain everything for years. Instead, he recommends ongoing education, cross-training, and regular coaching sessions. Continuous learning not only strengthens clinical operations but also keeps employees engaged and confident in their roles.

Investing in education is often far less expensive than replacing talented team members.

Let KPIs Guide Better DecisionsOnce culture is established, meaningful KPIs become powerful management tools rather than numbers on a report.

Dr. Steele emphasizes tracking metrics that directly influence profitability, including occupancy costs, staffing expenses, frame inventory, and daily revenue. More importantly, he explains that these numbers should drive decisions—not simply be reviewed after the fact.

Every practice is unique, however. Benchmarks should always be interpreted within the context of a practice’s patient demographics, geographic location, and business model instead of chasing national averages that may not apply.

Why Independent Optometry Still MattersAs consolidation continues throughout healthcare, Dr. Steele remains passionate about preserving independent optometry. Independent practices often have greater flexibility to support their communities, invest in their teams, and make decisions that prioritize patients rather than corporate objectives.

He believes leadership is ultimately what separates thriving practices from struggling ones. Doctors who develop strong teams, establish accountability, and create an empowering workplace give themselves the opportunity to focus on what they do best—providing outstanding patient care while building a sustainable business.

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For nearly five decades, Alain Mikli has challenged the eyewear industry to think beyond function. In a conversation with Tarrence Lackran on EyeConversations, the legendary designer reflected on building one of the most influential eyewear brands in history, proving that success comes from originality, persistence, and an unwavering commitment to craftsmanship not simply following trends.

Success Doesn’t Happen OvernightWhen Alain Mikli launched his brand at just 23 years old, success was anything but immediate. After studying to become an optician, he quickly realized there was little room for another traditional eyewear company. Rather than compete with established manufacturers, he chose a completely different path.

For three years, he attended Vision Expo and international optical fairs without selling a single frame. Buyers admired the designs, tried them on, and complimented them—but consistently believed they were impossible to sell.

Everything changed after an editorial feature in American Vogue showcased his eyewear through legendary photographer Helmut Newton. Almost overnight, the U.S. market embraced his vision, leading to the launch of his American business and the beginning of a global brand.

Being Different Became His Greatest Competitive AdvantageInstead of trying to convince the optical industry to accept his ideas, Mikli focused on expressing his own vision.

He introduced asymmetrical frame designs at a time when most eyewear was conservative and purely functional. His philosophy was simple: ordinary products rarely attract attention.

As he explained:

“Nobody looks at normal people. You need to have an attitude, you need to have a look, you need to think differently.”

Alain Mikli

That willingness to be provocative transformed eyewear from a medical necessity into a fashion statement, influencing countless independent designers who followed.

Fashion Elevated Eyewear Into ArtMikli’s collaborations helped redefine what eyewear could represent.

Working alongside iconic fashion houses and designers including Chanel, Donna Karan, Issey Miyake, Claude Montana, and Chantal Thomass, his frames became runway accessories rather than afterthoughts. Celebrities such as Grace Jones, Elton John, Andy Warhol, and Kanye West embraced his work, yet Mikli never relied on celebrity endorsements as a marketing strategy.

Instead, he viewed those relationships as creative partnerships built on mutual respect rather than commercial promotion.

Craftsmanship Still MattersAlthough Mikli is celebrated for bold aesthetics, he believes exceptional eyewear begins with comfort and engineering.

Drawing on his background as an optician, he explained that nearly 80% of his design process focuses on improving fit and wearability. His goal is for patients to forget they are even wearing their frames.

He also expressed concern that modern eyewear manufacturing often prioritizes appearance over quality, arguing that beautiful design loses its value if the product is uncomfortable or poorly constructed.

For Mikli, true craftsmanship requires understanding every detail—from materials and hinges to production techniques and long-term durability.

A New Mission: Teaching the Next GenerationAfter selling his company to Luxottica, Mikli stepped away from the industry before eventually returning in a very different role.

Today, his greatest ambition is no longer building the biggest brand. Instead, he wants to preserve the knowledge behind exceptional eyewear design.

Working within Luxottica, he is helping develop an internal educational program dedicated to teaching future designers and engineers about craftsmanship, innovation, manufacturing, and the true purpose of an optical frame.

His mission extends beyond creating products—it focuses on protecting the future of the eyewear industry itself.

Final ThoughtsAlain Mikli’s story is far more than the history of an iconic eyewear brand. It is a reminder that innovation begins with the courage to be different, persistence through failure, and an unwavering commitment to quality.

Nearly 50 years after launching his company, Mikli continues to shape the future of eyewear—not by chasing trends, but by investing in people, sharing knowledge, and inspiring the next generation of creators.

As eye care professionals continue balancing fashion, function, and patient experience, his philosophy remains as relevant today as it was when he first challenged the industry to think differently.

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For years, many optometrists viewed myopia management as a service reserved for specialty clinics or private practices with advanced technology. Today, that mindset is changing. In this Defocus Media conversation, Dr. Jennifer Lyerly sits down with Dr. Robert Africano and Dr. Janelle Sventek to demonstrate that successful myopia management can be implemented in corporate optometry, academia, and virtually any clinical setting.

Through real patient experiences, practical communication strategies, and lessons learned from everyday practice, they show that slowing myopia progression doesn’t require a perfect practice—it simply requires a commitment to starting. Whether you’re looking to launch a myopia management program or refine your current approach, this discussion offers actionable insights that can immediately improve patient care and practice growth.

In Partnership with CooperVision

Table of ContentsWhat is Myopia Management? Why Every Optometrist Should Offer Myopia ManagementBuilding Myopia Management Into Any PracticeHow to Talk to Parents With Confidence about Myopia ManagementYou Don’t Need Axial Length to Get Started with Myopia ControlOvercoming the Biggest Myopia Management BarriersThe Future of Myopia Management Starts With One PatientWhat is Myopia Management? Myopia management is the proactive treatment of childhood myopia using evidence-based therapies designed to slow eye growth, reduce prescription progression, and lower the lifetime risk of vision-threatening eye disease.

Why Every Optometrist Should Offer Myopia ManagementDr. Robert Africano believes the conversation should no longer be about whether doctors should offer myopia management—it should be about why they wouldn’t. Caring for children means looking beyond today’s prescription and focusing on protecting lifelong vision. Dr. Jennifer Lyerly echoed that perspective, explaining that today’s FDA-approved treatment options allow optometrists to shift from simply correcting vision to practicing preventive eye care.

Progressive myopia increases the risk of retinal detachment, glaucoma, and myopic maculopathy later in life. Instead of waiting for prescriptions to worsen every year, optometrists now have the opportunity to intervene earlier and potentially change a child’s visual future.

Building Myopia Management Into Any PracticeOne of the biggest myths discussed was that successful myopia management requires expensive equipment or a specialty clinic.

Drawing from his experience within a large corporate network, Dr. Robert Africano explained how standardized protocols, educational resources, and doctor training made implementation seamless across multiple locations. Meanwhile, Dr. Janelle Sventek described how introducing pediatric care and myopia management helped grow a private practice before transitioning into academia, where she now teaches future optometrists how to successfully implement these services in practice.

Their experiences reinforce an important message: successful myopia management starts with commitment—not practice type.

How to Talk to Parents With Confidence about Myopia ManagementMany doctors hesitate because they worry conversations about myopia management will be complicated or time-consuming. However, simple, relatable language can help families understand why slowing myopia progression matters and what treatment options are available.

Simplifying the discussion transformed **Dr. Robert Africano’s** success with families. Using language inspired by Dr. Justin Kwan, Dr. Africano explains, **“Your child’s eye is growing too long too quickly, and it’s getting weaker.”** That simple statement helps parents understand that myopia is much more than needing stronger glasses every year. From there, he introduces proven treatment options, including CooperVision’s MiSight® 1 day, an FDA-approved daily disposable contact lens designed to slow myopia progression in children.

Dr. Jennifer Lyerly also encourages doctors to normalize the conversation by reminding parents that eye care has evolved. Rather than accepting stronger prescriptions year after year, clinicians now have FDA-approved options that can help slow myopia progression. She emphasizes that families should understand their choices and have the opportunity to select the approach that best fits their child.

Meanwhile, Dr. Janelle Sventek recommends giving parents time to process the information, providing educational materials, and following up after the visit. She has found that removing pressure while remaining accessible for questions can improve long-term treatment acceptance. The goal is not to force an immediate decision, but to help families understand that effective myopia management options exist and support them as they determine the best path forward.

You Don’t Need Axial Length to Get Started with Myopia ControlOne of the most practical lessons came from the discussion surrounding axial length.

Although biometers provide valuable objective data, Dr. Janelle Sventek emphasized that they should never become a barrier to offering treatment. Before entering academia, she successfully managed myopia in private practice without axial length measurements by carefully monitoring refractive progression.

Dr. Robert Africano agreed, noting that his corporate practice also relies primarily on refraction rather than axial length while still delivering successful patient outcomes. The message for clinicians is reassuring: don’t wait for perfect technology before helping your first patient.

Overcoming the Biggest Myopia Management BarriersFinancial conversations, chair time, and confidence remain common reasons many optometrists hesitate to begin offering myopia management. Yet these barriers often become easier to navigate when doctors focus on their responsibility to educate families and recommend appropriate treatment options.

Dr. Robert Africano admitted that discussing cost initially made him uncomfortable. Over time, he realized his responsibility was to recommend the best clinical option and allow families to make informed decisions. Presenting MiSight 1 day as a daily investment rather than focusing only on the total annual expense also helped parents better understand the value of myopia control and its potential long-term impact.

Sharing a valuable lesson from her own experience, Dr. Jennifer Lyerly recalled that early in her career, she measured success by whether parents accepted treatment. Today, she defines success differently: making sure every eligible family understands that myopia management options exist. That mindset shift created more authentic conversations and stronger relationships with patients.

For clinicians concerned about introducing myopia management, the takeaway is simple: the doctor’s role is not to make the decision for the family. It is to clearly explain why myopia progression matters, discuss evidence-based options such as MiSight 1 day, and give parents the information they need to make a confident decision for their child.

The Future of Myopia Management Starts With One PatientFor Dr. Janelle Sventek, one of the greatest rewards now comes from teaching optometry students how to confidently implement myopia management in practice. Many students already understand the science; their biggest questions revolve around implementation, business models, and patient communication.

Likewise, Dr. Robert Africano enjoys watching skeptical externs become believers after seeing real patients whose prescriptions remain stable over time. He also shared the story of a father and son who had gone from practice to practice looking for a way to address the child’s progressing myopia. Dr. Africano introduced the family to MiSight 1 day, giving them a myopia management option at a time when the father felt there was little that could be done. These real-world experiences show how one patient can build a doctor’s confidence in myopia management and reinforce the value of putting evidence-based treatment into practice.

Whether practicing in corporate optometry, academia, or private practice, every doctor can begin with a single patient. As confidence grows, so does the impact on families and communities.

The future of optometry will not be defined by where doctors practice—it will be defined by their willingness to embrace evidence-based myopia management, introduce families to options such as MiSight 1 day, and improve children’s vision for decades to come.

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The Leonardo Learning Platform is transforming the way eye care practices educate, develop, and empower their teams, and Dr. Fayiz Mahgoub, Senior Manager of Learning and Development at Leonardo, believes that continuous learning is one of the most important investments a practice can make. During his conversation with Dr. Darryl Glover on the Defocus Media Podcast, Dr. Mahgoub shares how structured education, leadership development, and role-specific training are helping practices improve staff retention, strengthen leadership, elevate the patient experience, and prepare for the future of eye care.

Dr. Fayiz Mahgoub, Senior Manager of Learning and Development at Leonardo Building a successful eye care practice requires more than clinical expertise—it requires a team that is confident, knowledgeable, and committed to delivering an exceptional patient experience. As technology advances, patient expectations rise, and the responsibilities of every team member continue to expand, investing in staff development has become one of the most important drivers of long-term practice growth.

In Partnership with EssilorLuxottica

Topics Covered: What Is the Leonardo Learning Platform?Why Continuous Learning Is Essential for Eye Care PracticesHow Better Team Training Improves the Patient ExperienceHow Leonardo Supports Every Role in an Eye Care PracticeContinuous Learning Supports Long-Term Practice GrowthFinal ThoughtsWhat Is the Leonardo Learning Platform?The Leonardo Learning Platform is a global education platform designed specifically for the eye care and eyewear industry. Since its launch in 2021, Leonardo has provided expert-curated education covering vision care, practice management, people development, leadership, and product knowledge through flexible learning pathways tailored to different professional roles. Today, the platform has delivered more than 15 million hours of education, welcomed over 44 million platform visits across more than 100 countries, and offers certificate programs and scientific education designed to support lifelong learning throughout the eye care profession.

These resources provide the foundation for the conversation between Dr. Darryl Glover and Dr. Fayiz Mahgoub, Senior Manager of Learning and Development at Leonardo. Rather than simply discussing another online education platform, Dr. Mahgoub explains how Leonardo is helping practices transform team education through structured learning, leadership development, and role-specific training. Throughout the discussion, he demonstrates why continuous education has become essential for improving staff retention, reducing burnout, strengthening leadership, and creating a culture of excellence that ultimately enhances the patient experience.

Why Continuous Learning Is Essential for Eye Care PracticesContinuous learning is no longer optional—it is essential.

Eye care is evolving rapidly through new technologies, clinical research, treatment options, and changing patient expectations. Practices that invest in ongoing education position themselves to adapt more quickly while delivering more consistent care.

Dr. Mahgoub explains that education should never end after onboarding. Instead, practices should foster a culture where learning becomes part of everyday work. This mindset not only strengthens clinical knowledge but also increases employee confidence, improves engagement, and helps teams embrace change with greater consistency.

For patients, the benefits are equally significant. Better-trained employees communicate more effectively, anticipate patient needs, and contribute to a smoother, more personalized healthcare experience.

How Better Team Training Improves the Patient ExperienceExceptional patient experiences begin long before the doctor enters the exam room.

From scheduling an appointment to checking in, completing pretesting, selecting eyewear, and following through with treatment recommendations, every interaction shapes a patient’s perception of the practice. Dr. Mahgoub emphasizes that each team member plays an important role in creating consistency throughout that journey.

When employees understand both their individual responsibilities and the overall patient experience, communication improves, workflows become more efficient, and patients develop greater trust in the practice.

Investing in team education ultimately becomes an investment in patient satisfaction.

How Leonardo Supports Every Role in an Eye Care PracticeOne of the greatest strengths of the Leonardo Learning Platform is that it recognizes successful practices are built by entire teams—not just doctors.

Dr. Mahgoub explains that Leonardo provides customized educational pathways for virtually every role within an eye care practice. Rather than offering the same curriculum to every employee, the platform delivers role-specific education that enables each individual to grow professionally while contributing to the organization’s overall success.

Leonardo supports learning for:

• Optometrists and ophthalmologists through continuing education, clinical updates, leadership development, and evidence-based learning.
• Practice owners and managers with education focused on leadership, business operations, communication, and practice management.
• Technicians and clinical staff through diagnostic training, workflow optimization, patient communication, and clinical efficiency.
• Opticians by expanding expertise in lenses, products, dispensing strategies, and patient education.
• Front desk professionals and patient coordinators through customer service, scheduling, insurance workflows, and creating outstanding first impressions.
• Future leaders with structured leadership and people-development programs that prepare employees for management roles.

This comprehensive approach creates consistency across the entire patient journey. Every interaction—from the first phone call to the final follow-up—is supported by team members who understand how their role contributes to exceptional patient care.

As Dr. Mahgoub explains, investing in education is ultimately an investment in people. When every employee continues learning, practices become more efficient, employees become more engaged, and patients receive a better overall experience.

Leadership Development Creates Stronger PracticesLeonardo extends beyond clinical education by helping practices develop future leaders.

Dr. Mahgoub discusses leadership development as a critical component of sustainable practice growth. The platform includes resources covering communication, emotional intelligence, management principles, business operations, and leadership strategies designed to help professionals grow throughout their careers.

Developing leaders from within creates healthier workplace cultures, improves employee engagement, and strengthens retention. Instead of simply filling management positions, practices can intentionally cultivate leaders who inspire teams, drive innovation, and maintain high standards of patient care.

Continuous Learning Supports Long-Term Practice GrowthPractice growth rarely happens by accident.

Successful organizations intentionally invest in people, leadership, and standardized systems that support long-term excellence. Dr. Mahgoub explains that platforms like Leonardo simplify onboarding, encourage continuous professional development, and provide practices with scalable educational resources that grow alongside the organization.

As practices expand, standardized education becomes even more valuable. New employees can integrate more quickly, experienced team members continue developing new skills, and leaders gain tools that create consistency across multiple locations.

Ultimately, practices that prioritize learning are better equipped to adapt to industry change while delivering exceptional patient care.

Final ThoughtsThe Leonardo Learning Platform represents more than an online education system—it reflects a philosophy that places continuous learning at the center of practice success.

As Dr. Fayiz Mahgoub explains, investing in structured education, leadership development, and role-specific learning empowers every member of the eye care team to perform at a higher level. The result is stronger workplace culture, improved patient experiences, greater operational consistency, and sustainable practice growth.

The future of eye care will not be defined solely by advances in technology or clinical innovation. It will be shaped by practices that invest in their people, embrace lifelong learning, and empower every team member to contribute to exceptional patient care.

Exceptional practices are built by exceptional teams. If you’re ready to strengthen your team’s education, leadership, and patient experience, start by listening to the full conversation with Dr. Fayiz Mahgoub on the Defocus Media Podcast Network.

As mentioned during the podcast, take the Leonardo Practice Maturity Assessment to evaluate where your practice stands today and identify opportunities to enhance staff development, leadership, operational efficiency, and patient care. The assessment provides valuable insights to help your practice build a stronger foundation for long-term success.

Continuous learning isn’t just an investment in education—it’s an investment in your people, your patients, and the future of your practice.

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For Dr. Ansel Johnson, a 40-year career in optometry has never been defined solely by prescriptions, practice ownership, or professional titles. His journey reflects something much larger: the power of representation, lifelong learning, community service, and using eye care as a gateway to better overall health.

Speaking with Dr. Adam Ramsey on the Play Chess Not Checkers Podcast, Dr. Johnson shared how an early interest in science and people evolved into a career that continues to influence patients, students, and the profession.

Choosing Optometry as a Path to OpportunityDr. Johnson originally planned to pursue medicine. While attending Illinois Wesleyan University, however, he discovered optometry through a classmate and began looking more closely at the profession.

The combination immediately appealed to him. Optometry offered the opportunity to become a doctor, own a business, and create a more direct path into practice. He was also struck by the profession’s lack of diversity. At the time, he recalls there being an estimated 400 African American optometrists among approximately 28,000 practitioners.

Rather than viewing that disparity only as an obstacle, he saw an opportunity to make an impact.

That mindset would shape the rest of his career.

Building a Practice That Sees the Whole PatientAfter graduating from the New England College of Optometry, Dr. Johnson built a career grounded in clinical care and community connection. His practice serves a large Spanish-speaking population, and he uses Spanish daily to gather histories, communicate with patients, and build trust.

His approach also extends far beyond the eyes.

After his own journey with Type 2 diabetes, Dr. Johnson became deeply involved in diabetes education and lifestyle coaching. He believes optometrists are uniquely positioned to help patients understand the connection between ocular findings and systemic health.

With a significant portion of the population living with diabetes or prediabetes, he sees eye care as an opportunity to connect the dots. His goal is for patients to view the optometrist as the “quarterback” of their eye care—someone who understands the whole patient and guides them through the healthcare system when additional care is needed.

Why Representation and Relationships MatterDr. Johnson’s leadership has extended into advisory boards, professional organizations, mentoring, and industry opportunities. Yet he emphasizes that opportunities often begin with visibility and relationships.

Showing up at major professional meetings, building genuine connections, and delivering excellent work can open doors that may not appear immediately. For Dr. Johnson, representation is not simply about being present. It is about bringing different life experiences and perspectives into rooms where important decisions are made.

His philosophy is equally clear when working with industry: integrity comes first. He is selective about the organizations and products he supports because credibility cannot be separated from trust.

The Next Chapter Is About Giving BackToday, Dr. Johnson’s practice serves as an externship site for multiple optometry schools. He wants future doctors to understand how patients actually use their vision—not simply how to write a prescription.

His nonprofit work is also expanding access to eye examinations, diabetes education, low vision resources, and transportation support for patients who may otherwise struggle to receive care.

After four decades in optometry, Dr. Johnson is not focused on retirement. He is focused on impact.

His career offers a powerful reminder for eye care professionals: success is not only about building a practice. It is about building relationships, creating opportunities, serving communities, and leaving the profession stronger for the next generation.

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The million-dollar question in eye care is simple: How do you scale an optometry practice without losing what made it successful in the first place? Jamie Rosin helped grow Rosin Eye Care from four locations to more than 50, but his biggest lessons did not come from expansion alone. They came from mistakes, overlooked opportunities, better questions, and learning how to turn everyday behaviors into repeatable systems.

In this conversation with Dr. Darryl Glover, Jamie Rosin pulls back the curtain on what truly drives optometry practice growth—from coaching teams and improving the patient journey to building stronger partnerships and staying curious enough to keep evolving.

His message is clear: before adding more locations, leaders may need to take a closer look at the opportunity already sitting inside their practice.

Jamie Rosin, Business OwnerTopic Covered: Build the Eye Care Practice Before Expanding ItCoach the Behaviors That Drive Better Results in Eye CareCreate Patient Experiences People Remember in Eye CareStrong Leaders Stay Close to the WorkCuriosity May Be the Ultimate Growth StrategyBuild the Eye Care Practice Before Expanding ItBefore adding locations, practice owners should understand whether their current business is performing at its full potential.

Rosin learned this by examining the number of patients who completed an eye exam but left without purchasing eyewear or moving into another appropriate service. At first, the focus was on the metric itself. Over time, however, he realized that repeatedly talking about a number does not change it.

The real opportunity was identifying the behaviors behind the results.

By improving the systems already in place within the practice, Rosin said an eight-location business generating approximately $8 million could ultimately operate as a $14 million business. The opportunity was already there; the practice simply was not yet performing at its full potential.

That experience shaped one of his most important lessons about scaling: before opening another location, practice owners should first optimize the one they already have.

Coach the Behaviors That Drive Better Results in Eye CareOnce leaders understand where the opportunities exist, the next step is to identify what the strongest team members are doing differently.

Rosin explained that most practices have significant performance differences between their best and lowest performers. One doctor may deliver a seamless handoff to the optical team, while another struggles. One optician may naturally ask better questions, create stronger connections, or guide patients more effectively.

Instead of simply demanding better numbers, leaders should observe their strongest performers and identify the behaviors that make them successful. Those behaviors can then be coached across the rest of the team.

“If you wanna change behavior, the key ingredient to changing behavior is one thing… Feedback.” Rosin recommends recognizing positive progress publicly while providing constructive feedback privately. Daily huddles can also reinforce goals, highlight effective behaviors, and keep the team focused on the actions that lead to better outcomes.

Create Patient Experiences People Remember in Eye CareA patient may visit an optometry practice only once every year or two, while team members repeat the same processes every day. What feels routine to the staff may feel unfamiliar, confusing, or even stressful to the patient.

Rosin shared a simple example of a patient being told to sit in “booth number five” even though the booths were not visibly numbered. To the employee, the instruction made perfect sense. To the patient, it did not.

That moment illustrates why practices must learn to experience their systems through the patient’s eyes.

Rosin explained that how patients are greeted, how the doctor welcomes them, and how the visit ends can have an outsized impact on satisfaction. The goal is not to make every moment extraordinary. It is to identify the moments that matter most and intentionally make them better.

Strong Leaders Stay Close to the WorkCreating consistent behaviors and memorable patient experiences requires leaders who remain connected to daily operations.

Rosin cautioned against managing a practice only through spreadsheets. Financial data matters, but effective leaders also need to understand their people, observe what is happening inside the practice, and recognize where the patient experience may be breaking down.

Strong managers know who is performing well, where team members need support, and what obstacles are preventing the practice from reaching its goals. They also establish clear expectations and define the non-negotiable behaviors that shape the culture.

Curiosity May Be the Ultimate Growth StrategyFor Rosin, sustainable growth also requires leaders to keep learning.

Optometry practice owners should learn from peers who understand eye care, but they should also look outside the profession. Restaurants, hotels, dental practices, and other businesses may offer ideas that can improve communication, service, and the overall patient journey.

The future of optometry practice growth will not be built by a single person with all the answers. It will come from leaders who remain curious, collaborate with others, develop their teams, and continuously improve the systems already in front of them.

Before scaling the number of locations, scale the behaviors, relationships, and patient experiences that made the practice worth growing in the first place.

Want to dive deeper? Jamie Rosin will be expanding on these strategies at the EyeCare Boss Conference, taking place September 18–20 in Cleveland, Ohio. Designed for optometrists and practice leaders, the event will provide practical frameworks for building scalable systems, improving leadership, enhancing the patient experience, and accelerating optometry practice growth. If you’re serious about building or scaling an eye care practice, this is an opportunity to learn directly from one of the profession’s most experienced practice growth experts. Register today!

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When horror meets humanity, and eye care meets empathy, you get something special. In this Reel Eyes Podcast episode, Dr. Jacobi Cleaver and Dr. Jacob Wilson explore the haunting Australian film Bring Her Back, directed by twins Dani and Michael Philippou. Known for their breakout hit Talk to Me, the Philippou brothers craft another deeply unsettling yet thought-provoking story that weaves together horror, symbolism, and the resilience of the human spirit.

But what makes this episode stand out isn’t just the movie’s chilling narrative—it’s the heartfelt discussion around representation and the remarkable performance of Sora Wong, a visually impaired actress living with coloboma and microphthalmia, who portrays the film’s young heroine, Piper.

Topics Covered The Intersection of Horror and HumanityThe Storyline Behind Bring Her BackAuthentic Representation in Film Optometry Meets Pop Culture: Coloboma and MicrophthalmiaReal-Life Lessons for Eye Care ProfessionalsSeeing Beyond the ScreenThe Intersection of Horror and HumanityThe Reel Eyes Podcast exists where film analysis meets clinical insight, allowing optometrists to view pop culture through a new lens—literally. In Bring Her Back, Dr. Cleaver and Dr. Wilson dissect a horror film that offers far more than jump scares. Beneath its dark atmosphere lies an exploration of trauma, family bonds, and disability representation—subjects that resonate deeply within healthcare.

As Dr. Cleaver notes, “It gave us more than a typical horror movie—beyond the slash and gore, it had depth, backstory, and a message.”

The Storyline Behind Bring Her BackWithout spoiling too much, Bring Her Back centers on two orphaned siblings—Andy and his visually impaired sister, Piper—who are taken in by a foster mother with sinister secrets. The story dives into grief, manipulation, and resilience while blending supernatural rituals with raw human emotion.

Dr. Wilson describes it best: “This was one of the few horror films where creativity was unmatched—it reminded me why I love this genre.”

From disturbing rituals and familial dysfunction to one of the most unnerving scenes involving Piper’s blindness being weaponized by her abuser, the movie’s emotional intensity leaves viewers shaken—and deeply reflective.

Authentic Representation in FilmWhat truly elevates Bring Her Back is its casting choice. The lead actress, Sora Wong, isn’t just acting—she’s living the experience of visual impairment. Born with coloboma and microphthalmia, Wong’s authenticity brings a rare and powerful realism to the screen.

Dr. Cleaver highlights, “Hollywood can emulate anything, but the subtleties in her performance—the way one eye wandered, the way she moved—those are real. That’s lived experience.”

Her story is just as inspiring as her performance. With no acting background, Wong’s mother found an open casting call on Facebook for a visually impaired young female. Sora auditioned, landed the role, and transformed a Facebook scroll into a breakout acting debut.

Optometry Meets Pop Culture: Coloboma and MicrophthalmiaFor eye care professionals, Bring Her Back opens an important conversation about congenital eye conditions.

• Coloboma occurs when the embryonic fissure fails to close completely, often resulting in a “keyhole” appearance of the iris or optic nerve.
• Microphthalmia refers to an underdeveloped eye, often smaller than normal, with reduced visual function.

Dr. Wilson explains, “These are developmental conditions where the eyes don’t fully form during gestation. There’s no surgical fix—so it’s about helping patients maximize the vision they do have.”

Both doctors emphasized how these patients often display exceptional adaptability, creativity, and optimism despite limited vision.

Real-Life Lessons for Eye Care ProfessionalsWhile the film’s darkness is fictional, its lessons are not. The discussion transitions seamlessly from cinematic horror to real-world hope as Dr. Cleaver shares a patient story:

A woman who lost her vision later in life sought training at a Texas rehabilitation center that helps visually impaired adults regain independence through orientation, braille literacy, and mobility training. “She called me after enrolling,” Dr. Cleaver shared. “She thanked me with tears in her eyes, and it nearly brought tears to mine.” For clinicians, this underscores an essential truth:

“Some of what we do is inside the exam room, but most of what we do happens outside of it.” Optometrists are often the first step in connecting patients with low vision resources, mental health support, and independence training programs. As Dr. Wilson reminds listeners, “We can’t fix everything—but we can guide our patients to the right people. That’s part of our job.”

Seeing Beyond the ScreenIn the end, Bring Her Back is about more than horror, it’s about overcoming darkness, both literal and figurative. The Reel Eyes Podcast turns a disturbing film into an uplifting conversation about resilience, advocacy, and representation for patients living with visual impairments. For Dr. Cleaver and Dr. Wilson, the takeaway is clear:

“As long as there are movies to watch and eyes to see, we’ll keep merging these two worlds—optometry and film.”

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Essential oils for eye health are drawing renewed interest among clinicians who treat migraine, ocular surface disease, and stress-related visual complaints. In this episode, neuro-ophthalmologist Rudrani Banik, M.D. speaks with Jodi Sternoff Cohen, founder of Vibrant Blue Oils, about how targeted blends and delivery methods may support the autonomic nervous system, brain function, and—indirectly—patient-reported visual comfort. The discussion explores vagus nerve stimulation, aromatherapy for migraine, topical application away from the eye, and reflex-point strategies clinicians may consider educating patients about.

Topics Covered Understanding the Clinical ContextEssential Oils, Autonomics, and Vagus Nerve StimulationAromatherapy for Migraine: Practical Tips in ClinicTopical Use: What to Avoid Near the Eyes and What to Recommend InsteadReflex Points and Lymphatic Flow: Translating Concepts for PatientsCase-Informed Perspectives: Stress, Fatigue, and the Parasympathetic ShiftUnderstanding the Clinical ContextEssential oils for eye health most often arise in migraine, eyelid hygiene, and stress-sensitive visual symptoms. Start with how essential oils are used (inhalation vs. topical), where they should not be used (never in or on the eye), and why autonomic balance matters when visual complaints are amplified by stress or poor sleep.

Lead with mechanism and safety. Tie potential benefits to patient-reported outcomes—headache relief, relaxation, better adherence to non-pharmacologic strategies—without overpromising disease modification.

Essential Oils, Autonomics, and Vagus Nerve StimulationCohen centers on restoring balance between sympathetic “fight-or-flight” and parasympathetic states. External vagus nerve stimulation points (behind the ear along the mastoid) and stimulatory oils (e.g., clove paired with lime) applied on the neck—not near the eye—are presented as a low-barrier way to encourage parasympathetic tone. Device-based stimulation for migraine also exists; oils can be positioned as a topical, wellness-oriented option.

In-practice tip: When patients ask about vagus nerve stimulation, educate: location = behind the earlobe on the mastoid; method = tiny, diluted amount of an appropriate oil; message = adjunctive wellness support, not a substitute for medical treatment.

Aromatherapy for Migraine: Practical Tips in ClinicDr. Banik highlights aromatherapy for migraine as a reasonable self-care tool, especially via inhalation, which reaches the limbic system quickly. Blends with lavender, peppermint, or frankincense may help some patients—through cooling, distraction, and perceived vasodilatory effects—while acknowledging that headache root causes vary (e.g., lymph stagnation or gallbladder meridian triggers).

Actionable guidance:

• Recommend inhalation first (waft from bottle, cotton pad, or wearable locket).
• For topical neck/temple use, insist on dilution and avoid ocular exposure.
• Document education as supportive care alongside evidence-based migraine management.

Topical Use: What to Avoid Near the Eyes and What to Recommend InsteadEssential oils for eye health must never be placed in the eye or directly on the eyelids. Point patients to pre-soaked, purpose-made eyelid pads (e.g., tea tree oil–based options) for Demodex-associated blepharitis and lid margin inflammation.

Chairside phrases:

• “Do not apply essential oils in or on your eyes.”
• “For lid hygiene, use only purpose-made lid wipes designed for ocular use.”
• “If irritation occurs, stop and contact our office.”

Reflex Points and Lymphatic Flow: Translating Concepts for PatientsReflex points (feet/hands/navel) offer alternative sites for topical oils while keeping them away from the ocular surface. Gentle topical approaches along the neck may also support comfort where lymphatic congestion is suspected.

Communication tip: Present reflex-point use as a wellness option that may support relaxation and symptom perception—clearly adjunctive to standard care.

Case-Informed Perspectives: Stress, Fatigue, and the Parasympathetic ShiftPatients with stress-sensitive visual complaints (migraine, light sensitivity, dry eye symptoms exacerbated by anxiety) often benefit from a repeatable relaxation routine. This is where vagus nerve stimulation education and aromatherapy for migraine fit—clear instructions, conservative dosing, and firm safety rules.

One-minute at-home protocol (non-ocular):

1. Choose a single well-tolerated oil (e.g., lavender for inhalation).
2. Inhale for 30–60 seconds before bed or at headache onset.
3. If using topically on neck/temples, dilute; keep hands away from eyes.
4. Wash hands after application; never apply on eyelids or lashes.

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In this episode of Play Chess, Not Checkers, Dr. Adam Ramsey sits down with Dr. Ashley Tucker to explore how a first-generation college student became a nationally recognized optometrist, built a thriving specialty contact lens clinic, and navigated partnerships, speaking, and family life. Along the way, she shares practical insights on myopia management (including orthokeratology), when to pursue an optometry residency, and how credibility designations (like FSLS) can support, but not define, a career.

Topics Covered Building a career with purposeIf you build it, they will come—two ways it worksBread-and-butter before subspecialtyResidency vs. the long path with the right mentorFellowship (FSLS) for credibility and visibilityPartnerships: timing, trust, and decision-makingBuilding a career with purposeFrom North Louisiana to New Orleans to Florida, Dr. Tucker’s story traces a path shaped by family moves, a supportive community, and one pivotal mentor. As a first-generation college graduate, she explored multiple medical professions before meeting an optometrist in her church group at the University of Florida. That exposure—seeing happiness and quality of life up close—sparked her professional direction and ultimately led to work, shadowing, and clarity on the future.

If you build it, they will come—two ways it worksDr. Tucker describes two parallel growth stories:

• Specialty contact lenses (sclerals, hybrids, RGPs): There was no subspecialty service when she joined—she built it, and referrals followed.
• Myopia management/orthokeratology: The practice already had many pediatric patients, so this service accelerated quickly.

Implementation tips for practices:

• Decide whether you’ll seed demand (launch first, market hard) or harness existing flow (start where the patient base already is).
• Commit to outreach: optometrists, ophthalmologists (especially cornea), and pediatricians—consistent, proactive referrals drive momentum.
• Track and reinvest: once cases start coming, build clinical systems and education that scale.

Bread-and-butter before subspecialtyDr. Tucker underscores that she spent years in primary care—annual exams, daily disposables, progressive lenses—before narrowing her schedule. It took time (about a decade in practice) to earn the option to choose her case mix.

Residency vs. the long path with the right mentorFor Dr. Tucker, a residency was a career catapult—she left feeling ready for complex cornea and advanced lens fitting on day one. Still, she stresses there are two valid routes:

• Residency track: Compressed learning, confidence, and volume in one intense year.
• Apprenticeship/mentor track: A longer timeline, but achievable with deliberate learning, wet labs, and steady case exposure.

Guidance for students: Choose based on your learning style, finances, and access to mentorship; both roads lead to expertise with commitment.

Fellowship (FSLS) for credibility and visibilityDr. Tucker holds a Fellowship from the Scleral Lens Education Society (FSLS)—not a time-bound training year, but a recognition earned through case reports and presentations. She values:

• Visibility on expert directories
• A differentiator in competitive markets
• Personal alignment with high standards

Partnerships: timing, trust, and decision-makingDr. Tucker became the third partner in a practice that grew into a large, multi-doctor clinic. She weighed starting cold versus buying into a profitable, values-aligned team—and chose investment in what she had already built. For governance, her group’s voting structure allows any two partners to outvote one, which works because the partners are values-aligned and intentional about the “business marriage.”

Playbook for doctors considering ownership:

• Reflect on fit: solo builder or collaborative owner?
• Expect to contribute sweat equity before equity.
• Establish clear voting and capital rules.
• Choose partners as carefully as you would choose long-term clinical equipment.

Dr. Ashley Tucker’s journey shows how specialty contact lenses and myopia management can be built deliberately, through exposure to inspiring role models, disciplined skill-building (residency or mentorship), and thoughtful business structures. Her message to clinicians is clear: pair long-view strategy with consistent outreach, protect your bread-and-butter as you grow, and align your career decisions with the life you want

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Key Takeaways* Saving early and consistently creates a foundation for both personal and practice success. * Owners must measure true profitability by paying themselves fairly and keeping clean books. * Long-term planning, from insurance coverage to succession strategies, protects both the practice and the families who depend on it.

Adam Cmejla, CFP® is a CERTIFIED FINANCIAL PLANNEROptometry practice finances are often the deciding factor between a thriving clinic and one that merely sustains itself. In this Defocus Media conversation, Dr. Darryl Glover welcomes financial planner and podcast host Adam Cmejla to unpack the seven most common financial mistakes optometrists make, especially from the business owner’s lens. The discussion blends owner-specific guidance with advice any associate can apply, focusing on actionable steps that build resilient, profitable practices without getting lost in hype or complexity.

The throughline is simple: plan early, measure what matters, and protect the income engine that powers your life and team. Along the way, the episode challenges assumptions about “top line” worship, tax-driven purchasing, and trendy “passive income” detours reminding owners that consistent execution beats clever strategies almost every time.

Table of ContentsKey Takeaways1: Save Sooner Than You Think2: Profitability: Pay Yourself Fairly (and Measure It)3: Succession Planning Starts Now4: Insure Your Greatest Asset: Your Income5: Know Your Balance Sheet (Before Buyers Do)6: Don’t Let the Tax Tail Wag the Debt Dog7: Spend Less Time Chasing Pennies, More Time Earning Dollars8: Keep Investing Simple (and Sensible)1: Save Sooner Than You ThinkThe first mistake is waiting too long to build savings habits. Owners often burn their early thirties and beyond buying or launching a practice, which delays consistent saving just as life becomes more complex. The compounding engine needs one finite input, time. Every year you delay forces larger future contributions to catch up, right when personal and business expenses tend to spike.

**Put it into practice** Automate a baseline monthly transfer to a diversified brokerage account before “leftover” spending. Tie increases to milestones such as every 10 percent revenue gain equals plus one percent owner savings. Teach your team the same mindset to normalize financial wellness across the clinic. Takeaway → Start small, start now, and protect compounding time owner or associate.

2: Profitability: Pay Yourself Fairly (and Measure It)Owners wear two hats, clinician and shareholder. Many “mask” profitability by underpaying themselves for clinician work, inflating what looks like a healthy bottom line. Ask: What would I pay an outside optometrist for my exact clinical schedule plus benefits such as malpractice, CE, retirement match, paid leave? Book that as a real expense. The remainder is true owner return for taking business risk.

**Put it into practice** Calculate a market-rate OD comp for your hours and benefits. Recast your P&L with that figure and track Net Operating Income (NOI) separately. Review monthly: “What gets measured gets managed and improves.” Takeaway → You don’t want to “own a job.” Pay clinician-you fairly and manage owner returns accordingly.

3: Succession Planning Starts NowEvery owner exits on your terms or someone else’s. A light-touch valuation every two to three years keeps you grounded in the predictability of future cash flows, which ultimately drives sale value. Life happens, injury, disability, or a career shift, so don’t wait to understand what you own.

**Put it into practice** Keep clean books and an updated KPI dashboard. Build a simple 3–5 year capital plan so buyers see stable cash flows, not swings. Document processes such as scheduling templates, handoffs, ordering, because buyers pay for systems. Takeaway → Treat valuation as a vital sign and check it periodically to guide decisions long before a sale.

4: Insure Your Greatest Asset: Your IncomeThe most powerful wealth-building tool isn’t the “perfect ETF” it’s your income. For owners, that’s the combined value of clinical work and equity cash flow. Protect it. Own-occupation disability insurance tailored to optometry and adequate level term life insurance are the baseline. The goal isn’t to carry coverage forever, it’s to stay insured until your balance sheet makes you effectively self-insured.

**Put it into practice** Work with an independent broker to shop multiple carriers. Align benefit periods and elimination periods with your emergency reserves. Re-evaluate coverage after major life or business changes. Takeaway → Insurance isn’t flashy, but a disability or untimely loss can derail decades of planning.

5: Know Your Balance Sheet (Before Buyers Do)Owners often keep a decent P&L but a messy balance sheet. Debt, owner draws, and basis adjustments if misbooked confuse lenders and buyers and can shrink net proceeds at exit. In asset sales, you sell assets, not liabilities; your debt is still yours on closing day.

**Put it into practice** Have an optometry-savvy bookkeeper clean historical entries and reconcile debt schedules. Produce a monthly owner’s equity roll-forward and debt amortization calendar. Stress-test sale scenarios: offer minus debt payoff minus broker fees minus taxes equals your real number. Takeaway → Clean balance sheets build buyer confidence and protect your net, not just your gross.

6: Don’t Let the Tax Tail Wag the Debt DogBuying equipment only to reduce this year’s taxes is a classic trap. If it doesn’t move clinical capacity, quality, or pricing power, you’re trading today’s tax relief for tomorrow’s depreciation recapture and extra leverage right before a sale.

**Put it into practice** Approve CAPEX only when it expands billable services, shortens cycle time, or improves case acceptance. Preferably two of three. Require a simple ROI brief for any purchase over $5,000. Forecast tax with and without the purchase; choose the better business outcome, not the lowest short-term tax bill. Takeaway → Don’t let the tax tail wag the debt dog. Buy for ROI, not for write-offs.

7: Spend Less Time Chasing Pennies, More Time Earning DollarsYou can only cut to zero, but revenue is uncapped. Many owners spend hours shaving basis points that net less than one percent of revenue while leaving growth levers untouched. These include schedule density, fee architecture, clinical scope such as dry eye or myopia management, capture rate, and second-pair strategy.

**Put it into practice** Audit schedule utilization and standardize visit types. Calibrate fees and payer mix quarterly and test packaged pricing for premium services. Train the team on doctor-to-optician handoffs and scripted education. Takeaway → Control costs, yes, but prioritize the levers that move the top line and margin.

8: Keep Investing Simple (and Sensible)“Passive income” trends can distract owners from the most passive asset of all: a diversified brokerage account fed by consistent contributions. Real estate can fit, but lead with your why, your time constraints, and portfolio design, not social media momentum or tax angles.

**Put it into practice** Document an Investment Policy Statement with goals, risk, allocation, and rebalancing rules. Automate monthly funding and rebalance on schedule, not headlines. If you add real estate, ensure it complements rather than over-concentrates risk exposure. Takeaway → Boring is beautiful. Simple, rules-based investing compounds while you focus on patient care.

Optometry practice finances improve when owners plan, measure, and protect. Start saving now, unmask true profitability, value your practice periodically, insure your income, clean the balance sheet, deploy debt only for ROI, prioritize revenue levers, and keep investments simple. Next best step: build your sounding board, an advisor, mentor, or mastermind who knows your context and helps filter good ideas into great decisions.

Subscribe to Defocus Media for more practice-building conversations, explore our companion resources on practice management, or contact us to collaborate on content that helps the profession thrive.

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The Depth Perception Podcast team creates a practical optometry student guide designed for every stage of school. This conversation walks through the journey from first year to fourth year, sharing honest advice on study habits, exams, clinic skills, and rotations. The hosts also discuss the importance of community, resilience, and adapting study styles to succeed in an intense curriculum. Their collective experiences provide the most valuable optometry school tips for navigating the path toward graduation and beyond.

Topics Covered First Year: Reset the Mindset and Build Your BaseSecond Year: Systems, Skills, and Mental HealthThird Year: Clinic Ramps Up and Part 1 BoardsFourth Year: Rotations, Part 2/3, and Career StepsRotation Strategy: Dating Your Future PracticeBoards Preparation: Learn It, Don’t Cram ICommunity & Well-Being: Find Your PeopleFirst Year: Reset the Mindset and Build Your BaseThe first year is about approaching school with no expectations and being ready to learn. Reviewing material daily instead of cramming before exams helps prevent overload. Students are encouraged to make their early clinical skills second nature so equipment use becomes automatic later on.

Equally important is finding a support network. Having peers to lean on during the highs and lows of school helps maintain perspective and motivation. Failures are part of the process and do not determine the kind of doctor someone will become. And one tip stands out clearly: avoid studying before school begins—rest while you can, because the next four years will be study-heavy.

Second Year: Systems, Skills, and Mental HealthSecond year brings an intense course load, with disease content layered on top of optics and neuro. Strong time management becomes critical, as multiple subjects must be studied in parallel.

This is also the year when clinical skills should be sharpened. Being comfortable with slit lamp and BIO is essential, so that future clinical work focuses on diagnosis rather than mechanics.

Many students experience challenges with mental health during this stage. Friend groups may change, but true connections will remain. Building balance outside the classroom helps maintain stability during this demanding time.

Third Year: Clinic Ramps Up and Part 1 BoardsThird year is often the turning point. Clinical exposure increases, lecture hours decrease, and students begin to feel like doctors in training. The workload, however, is different—students often feel “clinic tired” but must still carve out time for boards preparation.

Some recommend starting Part 1 studying during the summer before third year, while others begin later. The key is knowing personal learning style and sticking to a realistic timeline. Using clinic experiences to reinforce weaker subjects from earlier years helps ensure that knowledge sticks.

Fourth Year: Rotations, Part 2/3, and Career StepsFourth year is about independence and pacing. Each student moves at their own speed with boards, licensing, and job applications. There is no single right timeline.

Rotations provide both challenge and clarity. They give students opportunities to experience different practice models, from VA and IHS clinics to private practices, and help determine long-term fit. Networking through rotations and conferences is critical for future job prospects.

Confidence begins to solidify in fourth year. Students step into the doctor role, sharpen clinical decision-making, and learn to balance mentorship with independence.

Rotation Strategy: Dating Your Future PracticeRotations act as trial runs. Students are encouraged to think of them as opportunities to “date” different practice models. Choosing sites based on clinical goals, financial feasibility, and mentorship potential ensures both growth and practicality.

Medical-heavy sites early on provide valuable preparation for Part 2 boards, while varied settings expose students to the realities of different practice types. Reading reviews from other students can help ensure a good match.

Boards Preparation: Learn It, Don’t Cram I“Study to learn. Don’t study to pass the test.” The panel underscores this point repeatedly. Boards preparation works best when linked to real clinical cases, allowing concepts to stick for long-term use in practice.

Start dates vary depending on learning style, but comprehension should always be the goal. Spaced review is more effective than cramming, and mastery of fundamentals will carry through every part of boards.

Community & Well-Being: Find Your PeoplePeers are central to the journey. Students lean on classmates during exam stress, failed courses, and repeat years. Repeating a year is not a mark of failure; it often strengthens clinical ability and deepens understanding.

Well-being matters as much as academics. Protecting time for personal interests and activities outside of school helps maintain balance. Knowing your “why” and surrounding yourself with the right people creates resilience.

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Key Takeaways What is GA? Geographic Atrophy is the advanced stage of dry age-related macular degeneration (AMD) that causes irreversible central vision loss. Understanding what is GA is the first step to recognizing its impact on patients’ independence. * What is GA progression? GA progression refers to the steady enlargement of atrophic lesions over time. Monitoring with OCT, FAF, and NIR helps eye care professionals track GA progression and determine when referral is needed. * IZERVAY injection offers new hope.* Patients frequently ask what is IZERVAY, what is IZERVAY used for, how does an IZERVAY eye injection work, and what about IZERVAY cost. Izervay is the first FDA-approved therapy to slow GA progression, shifting the management of AMD into a proactive phase.

Dr. Chris Lievens, Host of The 4-Eyed ProfessorWhen patients hear the term AMD, they often think of the “wet” form of the disease and assume that the “dry” form is safer. But eye care professionals know that the advanced stage of dry AMD, called Geographic Atrophy (GA), is anything but safe. The most common questions today are simple but critical: What is GA? What is GA progression? These two questions frame every clinical conversation because GA is both common in aging populations and devastating to vision.

GA is now recognized as a major cause of blindness worldwide, and with an aging population, the number of affected patients is expected to rise sharply. Even more concerning is GA progression, the process where areas of atrophy steadily expand, robbing patients of functional central vision. Until recently, clinicians had little to offer beyond lifestyle recommendations and low vision support. But with new treatments such as the IZERVAY injection, patients finally have options to slow down the disease.

In this episode of the Four-Eyed Professor podcast, Dr. Chris Lievens and Dr. Jessica Steen discussed how to recognize GA, how to monitor its progression, and how to guide patients through treatment discussions. Optometrists are increasingly asked not only what IZERVAY is and what it is used for, but also practical questions about how an IZERVAY eye injection works and what patients should expect.

Table of ContentsKey TakeawaysWhat is Geographic Atrophy?What is GA Progression?Imaging Geographic Atrophy ProgressionReferral Timing in Geographic AtrophyIZERVAY: Treatment and Cost ConsiderationsSupporting Patients and FamiliesWhat is Geographic Atrophy?Geographic Atrophy (GA) is the late stage of dry age-related macular degeneration (AMD). It is defined by irreversible loss of retinal pigment epithelium (RPE) cells and the overlying photoreceptors within the macula. This leads to well-demarcated patches of atrophy that can be identified on fundus examination and confirmed with imaging. Unlike wet AMD, GA does not involve abnormal blood vessel growth or fluid leakage. However, the impact on vision can be just as severe.

Patients with GA often describe missing spots or blank areas in their vision, blurred or distorted central vision, and increasing difficulty with reading or recognizing faces. As the lesions expand, daily tasks such as driving, shopping, and independent living become more challenging. The disease does not typically affect peripheral vision until later, but central vision loss can be devastating even in the early stages. Without intervention, GA is relentlessly progressive. Knowing what is GA is not simply an academic exercise—it is the foundation for early detection and patient education, helping individuals understand the seriousness of their diagnosis.

What is GA Progression?GA progression refers to the enlargement of areas of atrophy over time. Once GA begins, progression is inevitable, though the rate varies significantly among patients. Lesions that start near the fovea or that are multifocal often expand more quickly, leading to earlier loss of central vision. Certain imaging findings are strongly predictive of faster GA progression. Hyperautofluorescent rings on fundus autofluorescence indicate metabolically stressed areas that are likely to enlarge soon. On OCT, biomarkers such as drusen regression, sub-RPE illumination, and choroidal hypertransmission—the so-called barcode sign—signal active disease. Subretinal drusenoid deposits and reticular pseudodrusen are additional indicators of aggressive disease.

Clinically, understanding what is GA progression allows optometrists to make timely referrals and counsel patients realistically about their visual future. For patients, seeing progression mapped out on serial imaging can be eye-opening. It transforms an invisible disease into something measurable, and it emphasizes the importance of proactive care. With treatments like the IZERVAY injection now available, detecting progression early has never been more valuable.

Imaging Geographic Atrophy ProgressionAdvanced imaging is essential to define both what is GA and what is GA progression. OCT is the cornerstone of GA diagnosis and monitoring. By carefully reviewing B-scans, clinicians can identify RPE loss, photoreceptor thinning, and outer retinal atrophy. Quantitative metrics, such as drusen volume or lesion size, help track changes over time. Near-infrared reflectance imaging highlights early GA as brighter patches, often before clinical exam findings are apparent. Fundus autofluorescence provides unique insights into lesion borders, showing hyperautofluorescent rims that predict faster expansion. Widefield retinal imaging can capture multifocal lesions across the posterior pole, and multimodal imaging integrates these tools for the most complete picture.

For optometrists, consistent use of these technologies transforms subjective assessment into objective documentation. It allows them to answer what is GA progression not only in words but with clear visual evidence that can be shown to patients and families.

Referral Timing in Geographic AtrophyReferral decisions should always be guided by both the presence of GA and the pace of progression. Evidence of GA progression—whether qualitative or quantitative—should trigger a referral to a retina specialist. Aligning with local retina practices ensures that patients are evaluated at the right time for treatment options such as the IZERVAY eye injection. Importantly, the threshold for referral has shifted. In the past, optometrists may have waited until vision loss was profound. Today, earlier referral is preferred to preserve as much vision as possible. Patients themselves are increasingly knowledgeable, and many ask directly about IZERVAY. Erring on the side of early referral ensures patients are not left wondering whether they missed their chance for therapy.

IZERVAY: Treatment and Cost ConsiderationsWhat is IZERVAY? Izervay is the first FDA-approved therapy for Geographic Atrophy secondary to AMD. What is IZERVAY used for? Its purpose is to slow GA progression, reducing the rate at which lesions enlarge and preserving functional vision for longer. IZERVAY is delivered as an intravitreal injection—commonly called an IZERVAY eye injection—administered by a retina specialist. Treatments are typically given every month or every other month, and long-term adherence is necessary for effectiveness.

IZERVAY cost is a frequent question from patients and families. While exact costs vary depending on insurance, coverage, and practice setting, patients often seek clarity upfront. Cost should be addressed as part of the broader treatment conversation, even though final financial details are typically managed by the retina clinic. Patient assistance programs may also help improve affordability and access.

**Take-home:** The role of the optometrist is to identify what GA is, track what is GA progression, and guide patients toward retina specialists for IZERVAY injection therapy when appropriate—while preparing them for patient-centered discussions around IZERVAY cost. Supporting Patients and FamiliesExplaining what is GA and what is GA progression can be emotionally challenging. Many patients fear blindness and are overwhelmed when they hear the diagnosis. It is important to frame the conversation carefully: GA cannot be cured, but its progression can now be slowed with therapies like IZERVAY. Reassuring patients that proactive care makes a difference gives them a sense of control. Clinicians should also emphasize lifestyle modifications such as AREDS supplementation, adherence to a Mediterranean diet, smoking cessation, and regular exercise. These steps complement clinical care and empower patients to participate in their management. Early referral to low vision services is equally critical. Even before vision loss becomes severe, patients can benefit from training, magnification devices, and environmental modifications that preserve independence. Families should be included in every step, as they are often key to supporting adherence to treatment schedules and lifestyle recommendations.

Understanding what is GA and what is GA progression is now central to optometric care. With diagnostic imaging, structured monitoring, timely referral, and new treatments such as the IZERVAY injection, eye care professionals have more tools than ever to slow vision loss and improve patient outcomes. The message to patients is clear: GA is serious, but it is no longer untreatable. Optometrists should standardize GA protocols, align with retina specialists, and be prepared to answer patient questions about what IZERVAY is, its uses, how IZERVAY eye injections work, and what to expect regarding IZERVAY costs. By doing so, they can give patients both clarity and hope in the face of a challenging diagnosis.

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Key Takeaways* Clarify your goals and values to ensure your job aligns with what truly matters * Leverage the power of compounding in finances, relationships, and career growth * Adopt the right mindset to carry discipline and purpose beyond graduation

Dr. Jasdeep Son, CEO and Founder of Eye Spy TalentLanding the right optometry job or eyecare job can be one of the most important decisions in shaping a doctor’s career and personal fulfillment. Dr. Darryl Glover sat down with Dr. Jasdeep Soni, optometrist, recruiter, and co-host of the Depth Perception Podcast, to uncover the top 3 tips on finding a job in optometry.

For every optometry student preparing to graduate, and for new doctors navigating their first career decisions, these insights provide a practical framework to align career moves with purpose, growth, and happiness.

For every optometry student preparing to graduate, and for young doctors navigating their first job decisions, this conversation delivers practical, experience-driven advice. Dr. Soni’s unique career journey—spanning OD-MD practices, corporate optometry, moonlighting roles, and his current work with Costco and his recruiting company Eye Spy Talent—makes him an ideal voice to guide others through this process. His three strategies provide clarity, direction, and confidence for anyone seeking alignment between their job and their personal purpose.

Table of ContentsKey Takeaways1. Clarify Your Goals and Values2. Leverage the Power of Compounding3. Adopt the Right Mindset1. Clarify Your Goals and ValuesThe first of the top 3 tips on finding a job in optometry is to write down your career goals and values, then prioritize them. Dr. Jasdeep advises taking a journal and listing what matters most: income, loan repayment, retirement planning, flexibility, mentorship, or even specific practice modalities such as OD-MD or corporate optometry.

This step is crucial because many optometry students and new graduates make decisions based on what others say is important. Some hear that they should avoid corporate positions, while others are told to only practice in certain cities. But as Dr. Jasdeep emphasized, “Happiness is more complicated than just doing what everybody else is doing.”

When doctors identify what they truly value, the right opportunities often appear in unexpected places. A practice in a smaller community may offer flexibility and culture that outweighs a higher-paying but less fulfilling role in a big city. For new graduates, aligning career moves with personal priorities ensures long-term satisfaction rather than short-term validation.

2. Leverage the Power of CompoundingThe second of the top 3 tips on finding a job in optometry is to understand and apply the principle of compounding. Dr. Jasdeep encourages new graduates to view their first five years after school as the foundation for the rest of their careers. Effort invested early—whether in financial planning, practice building, or relationship development—multiplies exponentially over time.

For an optometry student transitioning into practice, this might mean contributing to retirement accounts as soon as possible, investing in continuing education, or intentionally networking with mentors. The habits formed now will shape financial health, career growth, and professional reputation for decades.

Dr. Glover expanded this principle beyond finances: “What can really compound and make you stand out in your community is the compounding of kindness, empathy, and compassion.” Over time, consistent care builds patient trust and loyalty, leading to referrals, community recognition, and lasting impact.

Compounding is not just about money; it’s about building momentum in every part of life. For young doctors, this means making intentional choices today that will amplify their careers tomorrow.

3. Adopt the Right MindsetThe final piece of the top 3 tips on finding a job in optometry is mindset. Many new graduates believe the hard work ends once they leave school, but in reality, that same discipline and drive can transform their careers and lives.

Dr. Jasdeep challenges doctors to apply their optometry school mindset—the dedication, resilience, and problem-solving skills—to all areas of life. Whether starting a practice, buying a home, or planning for personal milestones, the same determination used to pass boards can create success beyond the clinic.

Dr. Glover agreed, emphasizing that mindset shapes both professional and personal outcomes. He explained how aligning his personal purpose of “creating happiness through the art of vision” with his organization’s mission to help patients live their best lives has made work feel effortless. When purpose and mindset meet, success becomes sustainable.

For every optometry student preparing to launch their career, this lesson is invaluable: the right mindset is the compass that guides decisions, builds resilience, and ensures growth even in the face of challenges.

The conversation with Dr. Jasdeep Soni provided a clear roadmap for new graduates and every optometry student entering the profession. His top 3 tips on finding a job in optometry—clarifying values, leveraging compounding, and adopting the right mindset—are timeless principles that apply across every career stage.

Through his work with Eye Spy Talent, Dr. Jasdeep continues to help optometrists identify opportunities that align with their personal and professional goals. By aligning job decisions with values, investing early in growth, and maintaining a disciplined mindset, eye care professionals can build careers that are financially rewarding, personally fulfilling, and built to last.

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• Vision Therapy Simplified: Dr. Reese explains strabismus and exotropia in clear, relatable terms, comparing therapy to physical therapy for the eyes.
• Real-World Clinical Cases: From pediatric exotropia to angle recession glaucoma risk, the doctors highlight how everyday patient encounters connect to larger teaching moments.
• Optometry Meets Film: Movie themes spark conversations about diabetes, stroke risk, UV protection, and the importance of residencies in shaping clinical expertise.

The Reel Eyes Podcast is back with a twist! Hosts Dr. Jacobi Cleaver and Dr. Jacob Wilson sit down with special guest Dr. Josh Reese, a recent graduate of the Arizona College of Optometry now completing his residency in Portland, Oregon, to review Freakier Friday, a family comedy with more than a few eye-opening lessons. True to form, the doctors connect pop culture with clinical pearls, making this episode a blend of movie fun and optometric insights.

Table of ContentsResidency Insights with Dr. ReeseClinical Case ConnectionsMovie Review: Freakier FridayThe Value of Residency TrainingResidency Insights with Dr. ReeseDr. Reese shares his steep learning curve in residency, working in vision rehab, pediatrics, and neuro-optometry. His case of a young patient with V-pattern exotropia sets the stage for a discussion on strabismus, explained simply: “Exotropia means the eyes like to turn outward. A V-pattern means the eyes behave differently when looking up versus down.”

He likens vision therapy to physical therapy for the eyes, helping children learn how to coordinate eye movements through structured play and exercises. Both co-hosts praised his ability to break down complex concepts for parents and patients alike.

Clinical Case ConnectionsThe conversation moves beyond residency as the doctors each share recent cases:

• Angle Recession after Trauma: Dr. Wilson describes a patient with elevated intraocular pressure after blunt trauma, raising the risk for secondary glaucoma.
• Chronic Dry Eye and Autoimmune Disease: Dr. Cleaver presents a challenging case that uncovered possible Sjögren’s syndrome, reinforcing the importance of interdisciplinary care with rheumatology.
• Stroke and Vision Loss: Both guests stress how optometrists can play a critical role in detecting systemic disease, with Dr. Reese highlighting how strokes may cause sudden, painless vision loss.

These real-world scenarios reinforce the podcast’s mission: weaving optometry education seamlessly into entertainment.

Movie Review: Freakier FridayIn this sequel to the 2003 hit, Lindsay Lohan returns as Anna, now a single mom, alongside Jamie Lee Curtis as Tess. The plot centers on family, blended relationships, and—of course—another unexpected body swap.

The Reel Eyes crew highlight moments where optometry sneaks into the storyline:

• Transition Lenses: A humorous jab at transitions sparks a spirited defense of modern lens technology and a nod to Transitions Academy.
• Pre-Diabetes and Donuts: A scene with donut overload leads into a discussion about diabetes and its ocular complications.
• Stroke Warning Signs: A joke about “having a stroke” segues into a deeper dive on hypertension and its ocular consequences.
• UV Protection: Sunglasses featured in the film remind the doctors of the importance of protecting against ocular surface disease and cataracts.

The blend of medical commentary with pop culture keeps the review engaging while offering clinical teaching points for eye care professionals.

The Value of Residency TrainingFor optometry students considering the next step, Dr. Reese provides candid advice: residency is like “another year of school on steroids.” The intensity helps clinicians internalize specialty care, whether pediatrics, neuro, or vision rehab—and provides confidence in managing complex cases. Both hosts emphasize residencies as invaluable for career growth, while acknowledging they are a personal choice

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• Optometry as a Calling: Dr. Janelle Davision shares her journey from aspiring pediatrician to discovering optometry as a fulfilling career that balanced family, service, and professional growth.
• Building Beyond the Lane: From founding her nonprofit S.C.O.R.E. to launching Paradeyem Software and opening a standalone dry eye clinic, Dr. Davision shows the power of vision, innovation, and persistence.
• Representation & Proactivity: Both Dr. Davision and Dr. Adam Ramsey highlight the need for optometrists to be more proactive in mentoring students and showing the lifestyle rewards of the profession.

In this episode of Play Chess Not Checkers, hostDr. Adam Ramsey sits down with Dr. Janelle Davision, a multifaceted optometrist, entrepreneur, and leader. The conversation dives into her inspiring journey into optometry, her passion for patient care and innovation, and the importance of representation in medicine. From humble beginnings to leading initiatives that shape the future of the profession, Dr. Davision offers lessons for eye care professionals on balancing purpose, passion, and progress.

Topics Covered Discovering OptometryRepresentation and ProactivityBuilding S.C.O.R.E.Paradeyem SoftwareA Dedicated Dry Eye ClinicLeadership and InfluenceLooking AheadDiscovering OptometryDr. Davision originally envisioned a career in pediatrics, but the long years of medical school made her question that path. A conversation with her optometrist shifted everything. “She said, you ever thought about optometry? It’s a great field. You can do all of those things and a lot less schooling.” From that moment, Dr. Davision pursued optometry with determination.

Her shadowing experience with Dr. Jette Johnson, who was balancing teaching, practice ownership, and family life, provided the model she needed. It showed that she could pursue her career ambitions while still creating space for family and service.

Representation and ProactivityDr. Ramsey emphasized how crucial it is for students to see examples of successful optometrists. “If we don’t show that, the only thing those students see as success is basketball, football, or entertainment.” Dr. Davision agreed, stressing that many young people never hear about optometry until late in their education.

Her message: optometrists must be proactive in mentorship, whether through career days, internships, or everyday patient conversations. “Sometimes you think too much where you paralyze yourself and miss opportunities,” she shared, noting how exposure at a young age can shape career decisions.

Building S.C.O.R.E.In 2017, Dr. Davision co-founded S.C.O.R.E., a grassroots nonprofit with her sister, a dentist. Their goal: expose underrepresented students to health careers, provide mentorship, and build confidence. Students in S.C.O.R.E. not only shadowed in clinical settings but also developed oratorical skills, time management, and resilience.

The impact has been powerful. One alum used her S.C.O.R.E. experience as a talking point in her Harvard interview. Many others gained exposure to optometry and dentistry they may have never otherwise considered. Dr. Ramsey challenged the industry directly: “We need to support SCORE. Don’t stand on the sidelines.”

Paradeyem SoftwareInnovation is another part of Dr. Davision’s journey. She created Paradeyem Software to improve accuracy, packaging, and patient experience in optical sales. What started as an Excel tool built with her husband has grown into a system used in nearly 100 offices.

The software reduces calculation errors, streamlines insurance packaging, and creates a “good, better, best” buying system. As she explained, “Errors eat into patient trust. With Paradigm, my office no longer has to call back patients for miscalculations.”

A Dedicated Dry Eye ClinicDr. Davision also opened a standalone dry eye clinic, driven by her passion for ocular surface disease. “I realized I couldn’t be everything for everybody anymore. I really enjoy ocular surface disease, and I wanted to dedicate a space just for that.”

The response has been overwhelming—her clinic is booked out months in advance. Patients value the focused care, education, and attention that comes with a specialized environment. This decision reflects her broader philosophy: focus on what you love, and excellence will follow.

Leadership and InfluenceBeyond practice, Dr. Davision has served on the IDOC board, lectured nationally and internationally, and become a respected voice in eye care innovation. While she enjoys writing and podcasts, she admits her favorite medium is lecturing: “I like being authentic, bringing something different to the stage, and meeting doctors from all over the world.”

Her ability to balance patient care, nonprofit leadership, entrepreneurship, and speaking showcases the multifaceted opportunities available in optometry.

Looking AheadWhen asked where she sees herself in ten years, Dr. Davision was clear: retirement at 55, with new doors open for motivational speaking or other passions. “Optometry is what I do. It’s not who I am.” Her advice for professionals: stop overthinking and trust your skills. “Sometimes you think too much where you paralyze yourself. If you’re confident you can do the job, you’ll figure it out.”

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• Oakley Meta HSTN glasses and the Oakley Meta Vanguard introduce AI-driven eyewear for both lifestyle and athletic performance.
• Lens versatility includes Oakley Meta transition lenses, polarized options, and Oakley Meta glasses prescription availability for patient customization.
• The Oakley Performance Meta AI Glasses deliver 9+ hour battery life, Garmin/Strava integration, and inclusive fit—making them a must-have in every practice.

The future of eyewear is here, and it’s called Oakley Meta. In a recent Defocus Media podcast, Dr. Darryl Glover sat down with Declan Lonergan, Director at EssilorLuxottica, to discuss the groundbreaking integration of artificial intelligence into Oakley’s latest eyewear collection. This technology doesn’t just look good—it’s designed to enhance performance, lifestyle, and everyday functionality for both athletes and casual wearers. With options ranging from Oakley Meta HSTN glasses to the high-performance Oakley Meta Vanguard and Oakley Performance Meta AI Glasses, there is truly something for everyone.

Oakley Meta HSTN Glasses: Lifestyle Meets AIThe Oakley Meta HSTN glasses are inspired by New York City’s culture, youth, and energy. They represent the fusion of lifestyle fashion with next-generation AI technology. With extended battery life, upgraded speakers, and a high-quality camera, these Oakley Meta glasses make a bold statement while remaining lightweight and comfortable. Available in multiple lens options, including Oakley Meta transition lenses and polarized tints, the HSTN provides flexibility for indoor and outdoor use. For patients interested in customization, practices can also highlight Oakley Meta glasses prescription availability, ensuring both style and vision correction needs are met.

Oakley Meta Vanguard: High-Performance AI GlassesFor athletes and active individuals, the Oakley Meta Vanguard delivers the first high-performance Oakley Meta AI glasses built for speed, endurance, and versatility. Launched at Meta Connect, this frame includes nine-plus hours of battery life, customizable nose pads, and a wide vertical field of view to accommodate athletes across sports like cycling, running, and hiking. Seamless integration with Garmin and Strava means wearers can track, record, and stream activities directly through their Oakley Meta Vanguard glasses. As Declan Lonergan highlighted, inclusivity was a key design focus, making the Vanguard a comfortable fit for nearly every patient who walks into a practice. For those seeking the pinnacle of athletic-focused technology, the Oakley Performance Meta AI Glasses provide an unmatched combination of function, comfort, and innovation.

Technology and Lens Options That Stand OutThe Oakley Meta glasses collection offers a wide variety of lens options, from polarized to Oakley Meta transition lenses that adapt seamlessly between indoor and outdoor environments. Patients can also choose bold marketing frames, classic black polarized lenses, or clear designs that reveal the inner AI mechanics. With Oakley Meta glasses prescription capabilities, practices can extend these benefits to patients who require vision correction. Whether it’s lifestyle-focused frames like the HSTN, performance-driven eyewear like the Oakley Meta Vanguard, or advanced sport options such as the Oakley Performance Meta AI Glasses, this lineup ensures there is a solution for every patient.

Why Eye Care Professionals Should Pay Attention To Oakley MetaAs Dr. Glover emphasized, failing to offer Oakley Meta glasses in practice is a missed opportunity. Patients increasingly expect technology that enhances their professional, personal, and athletic lives. From Oakley Meta HSTN glasses for everyday wearers to the Oakley Meta Vanguard and Oakley Performance Meta AI Glasses for serious athletes, this collection empowers optometrists to deliver personalized, innovative solutions. Eye care professionals can showcase both fashion and function by offering Oakley Meta glasses prescription options alongside AI-enhanced features. This combination sets practices apart and positions them as leaders in wearable technology.

Oakley Meta is more than a frame—it’s a complete redefinition of what eyewear can offer. From stylish Oakley Meta HSTN glasses with Oakley Meta transition lenses to performance-focused options like the Oakley Meta Vanguard and Oakley Performance Meta AI Glasses, the collection blends technology, comfort, and inclusivity. Eye care professionals who integrate Oakley Meta glasses into their practice can meet patient demand, elevate clinical offerings, and reinforce their reputation for innovation. Whether for lifestyle, sport, or prescription needs, Oakley Meta is the future of eyewear.

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Imagine offering your patients not only crystal-clear vision but also enhanced hearing, all in one sleek, stylish pair of glasses. In this special episode of Defocus Media, hosted live at Vision Expo, Dr. Darryl Glover is joined by industry experts Sherri Ann and Nish Sharma to introduce Nuance Audio, a revolutionary technology that seamlessly integrates hearing assistance into stylish eyewear. With its potential to address mild to moderate hearing loss, this cutting-edge solution offers a discreet alternative to traditional hearing aids, opening up new possibilities for eye care professionals to enhance patient care. Together, they dive into how Nuance Audio’s innovative features, from real-time noise reduction to smartphone control, can transform both vision and hearing for millions of patients.

One of the most exciting features is real-time noise reduction, which Dr. Glover highlights as a game changer: “This technology filters out the background noise, allowing users to focus on conversations, even in busy environments like restaurants.” In addition, direction-based audio control ensures patients can focus on the most important sounds around them. As explained by Nish Sharma, “When you’re looking at someone, the glasses amplify the sound in that direction, while reducing the noise from other areas, making conversations clear and focused.”

Another innovation is the all-around mode, which “provides lower amplification of surrounding noise, but still enhances the main conversation,” adds Sharma. This mode ensures patients are not overwhelmed by noise but can still hear important sounds in dynamic settings. For added convenience, all of these settings can be adjusted through a smartphone app, offering users full control of their hearing experience.

Beyond functionality, the glasses are designed to look and feel high-end. “It’s giving luxury, it’s giving problem-solver,” says Dr. Glover, emphasizing the luxury eyewear design that ensures patients feel confident while wearing them. The multifunctional use of combining vision correction with advanced hearing assistance also elevates the overall sensory experience for patients.

For optometrists, Nuance Audio provides an in-store demo unit that allows them to showcase the benefits in real-time. As Sharma explains, “Eye care professionals can demonstrate the benefits of Nuance eyeglasses in their practices, simulating noisy environments like restaurants, so patients understand how it works firsthand.”

With features like real-time noise reduction, direction-based control, and all-around mode, Nuance Audio is more than just eyewear—it’s a holistic tool that addresses both vision and hearing needs. Dr. Glover encourages optometrists to adopt this innovation: “We are the gatekeepers of healthcare, and with technologies like Nuance Audio, we can truly elevate our care to the next level.”

Key Functions Integrated Hearing Assistance: Discreetly built into eyewear to address mild to moderate hearing loss without the stigma of traditional hearing aids.

Real-Time Noise Reduction: Filters out background noise, allowing users to focus on conversations in noisy environments.

Direction-Based Audio Control: The technology adjusts based on where the user is looking, amplifying sounds from that direction while reducing peripheral noise.

All-Around Mode: Provides lower amplification of surrounding noise while still enhancing the main conversation, allowing for broader hearing support in dynamic settings.

Smartphone App Control: A user-friendly app allows patients to easily adjust the hearing settings and functionality through their smartphone.

Luxury Eyewear Design: The glasses are designed to look stylish and high-end, ensuring patients feel confident wearing them.

In-Store Demo Unit: Eye care professionals can demonstrate the benefits of Nuance Audio to patients in a controlled environment, simulating noisy settings like restaurants.

Multifunctional Use: Combines vision correction with advanced hearing assistance, offering a holistic sensory experience for patients.

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In a world where we often take our vision for granted, understanding the intricate connections between our eyes and overall health is more important than ever. Welcome to “The Eye-Q Podcast,” hosted by Dr. Rudrani Banik, a leading integrative neuro-ophthalmologist. This podcast delves into the fascinating connections between the brain and the eye, exploring a holistic approach to eye health and vision preservation. Dr. Banik’s expertise in both traditional neuro-ophthalmology and integrative medicine gives her a unique perspective on how we can protect our vision through nutrition, lifestyle modifications, and preventative strategies.

In this episode, Dr. Banik highlights the importance of “ocular nutrition” and how we can go beyond the conventional wisdom of eating carrots for healthy eyes. Let’s dive into her insights.

The Vision Behind The Eye-Q PodcastDr. Banik’s podcast aims to elevate the public’s understanding of vision and brain health, particularly through the lens of neuro-ophthalmology. With topics ranging from migraines to optic neuritis, Dr. Banik’s episodes promise a deep dive into both the medical and holistic aspects of eye care. Her emphasis on integrative and functional medicine sets the tone for a unique exploration of how various body systems, including the cardiovascular and immune systems, impact eye health.

Dispelling the Myth of CarrotsOne of the most enduring myths about eye health is the belief that carrots are the ultimate food for vision. While carrots are beneficial due to their beta-carotene content, they are not the sole nutrient-rich food necessary for maintaining eye health. Dr. Banik’s book, Beyond Carrots: Best Foods for Eye Health A to Z, and its companion cookbook, explore a wide range of foods that support eye health, highlighting the need for a diverse diet rich in over 30 essential nutrients.

*Ocular Nutrition: The EssentialsDr. Banik emphasizes that a wide range of nutrients is crucial for vision health. In her book, Beyond Carrots: Best Foods for Eye Health A to Z*, she explores the many foods that contribute to keeping our eyes healthy and functioning well. While carrots provide beta-carotene, other key nutrients include lutein, zeaxanthin, omega-3 fatty acids, vitamin C, vitamin E, and zinc, among others.

A few key foods she highlights for ocular nutrition include:

• Leafy Greens like spinach and kale (high in lutein and zeaxanthin)
• Fatty Fish like salmon and sardines (rich in omega-3 fatty acids)
• Citrus Fruits such as oranges and lemons (high in vitamin C)
• Nuts and Seeds like almonds and chia seeds (packed with vitamin E and omega-3s)

The Four Eye-Healthy StrategiesDr. Banik outlines four core strategies that can guide anyone seeking to improve their vision health through nutrition:

1. Eat a Plant-Rich Diet

A diet rich in vegetables, fruits, nuts, seeds, and whole grains is essential for maintaining eye health. Dr. Banik points out that while you don’t need to become vegan, the majority of your diet should consist of plant-based foods. These are packed with antioxidants, vitamins, and minerals that protect against oxidative stress, which is a major contributor to age-related eye diseases like macular degeneration.

2. Eat the Rainbow

The phrase “eat the rainbow” refers to including a variety of colorful fruits and vegetables in your diet. Each color represents a different nutrient profile:

• Reds (tomatoes, red peppers) are high in lycopene.
• Oranges and Yellows (carrots, squash) provide beta-carotene and vitamin C.
• Greens (spinach, broccoli) are rich in lutein and zeaxanthin.
• Blues and Purples (blueberries, eggplant) contain powerful antioxidants called anthocyanins.

Dr. Banik encourages aiming for 21 different colors in your meals each week, ensuring nutritional diversity and making meals more enjoyable.

3. Avoid the SAD Diet

The Standard American Diet (SAD) is high in processed foods, refined sugars, and unhealthy fats—all of which contribute to inflammation and oxidative stress, leading to poor eye health. Dr. Banik suggests limiting processed foods and focusing on whole, nutrient-dense foods instead.

Refined sugars and unhealthy fats found in fast food, sugary snacks, and processed meals can increase the risk of chronic eye conditions such as dry eye, diabetic retinopathy, and macular degeneration. Replacing these with complex carbohydrates and healthy fats from fish, nuts, and seeds can significantly boost eye health.

4. Support Your Gut Health

Emerging research suggests that the gut microbiome—home to trillions of bacteria—plays a critical role in eye health. A healthy gut can help prevent inflammation that might affect the eyes. Dr. Banik recommends including probiotic-rich foods like yogurt, kefir, and fermented vegetables to support a healthy microbiome. Additionally, prebiotics, found in foods like garlic, onions, and bananas, help nourish the good bacteria in your gut.

Real-World Application: The Green Smoothie FormulaDr. Banik shares her go-to eye-health green smoothie recipe for those looking for an easy way to implement these strategies. This smoothie provides a quick and delicious way to consume five servings of nutrient-packed foods in one meal:

Ingredients:

• 3 to 4 cups of leafy greens (spinach, kale, or arugula)
• 1 cup of mixed berries (blueberries, blackberries, or strawberries)
• Two tablespoons of seeds (chia, flax, or hemp seeds)
• ¼ cup of nuts (pistachios, walnuts, or almonds)
• Your choice of milk (dairy or plant-based)

Blend these ingredients, and you’ll have a nutrient-rich smoothie that supports your eyes and overall health.

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In today’s ever-evolving field of eye care, leadership plays a crucial role in shaping clinical outcomes and the entire direction of the profession.

Alessandro Baronti, Eye Care LeaderIn this episode, we explore the dynamics of leadership and career growth in the eye care field, featuring insights from Alessandro Baronti, a veteran of the optical industry with over three decades of experience working with global brands like Luxottica, The De Rigo Group, and Marcolin. Baronti’s leadership journey is marked by his authentic approach, passion for mentorship, and ability to inspire transformative change. Through his lens, we’ll explore how leadership in eye care can drive innovation, improve patient care, and shape the future of eye health.

What’s Covered: The Power of Impactful Leadership in Eye CareCareer Shifts and Leadership GrowthThe Nature of Criticism and SpeculationThe Toll of Leadership: Navigating Mental and Emotional StrainThe Power of Impactful Leadership in Eye CareIn his article, The Dual Faces of Leadership: Impact and Speculation, Alessandro Baronti emphasizes the significance of impactful leadership in eye care. Leadership, at its core, is about influence and impact. In the eye care industry, impactful leadership extends beyond clinical skills; it requires visionary thinking, courage, empathy, and resilience. Eye care professionals lead patients to better vision, but the profession also demands leadership in advancing practices, mentoring future generations, and improving healthcare systems.

Key insights from Alessandro Baronti’s article:

1. Visionary Thinking: Great optometry leaders must be visionary thinkers. This could also mean championing diversity, equity, inclusion, and belonging (DEIB) initiatives to ensure that all communities have access to high-quality eye care. Leaders who think big and are unafraid to innovate often set themselves apart.
2. Empathy and Influence: Successful leaders build trust by leading with empathy. This is particularly important in healthcare, where patient care and team dynamics are crucial. Baronti highlights that leadership is not just about giving directions but empowering others.”To be a great leader, you must touch people’s hearts before you ask for their hand,” he says, drawing from his mentorship with renowned leadership expert John Maxwell.
3. Resilience in Adversity: Leadership in optometry often means facing complex challenges. Baronti notes, “You learn more when you face adversity than when you’re simply riding on autopilot.” Bouncing back from setbacks, whether a business challenge or a complex patient case, is crucial for long-term success. The healthcare industry is fraught with challenges, from regulatory changes to market competition, and leaders must be equipped to navigate these complexities.

Career Shifts and Leadership GrowthEye care leaders often experience significant career shifts throughout their professional journeys, which play a pivotal role in their leadership growth. Moving from clinical roles to business ownership, corporate positions, or even advocacy can redefine one’s leadership style and approach.

For instance, Darryl Glover’s career evolution from practicing optometrist to co-founder of Black EyeCare Perspective has broadened his leadership scope. “As an optometrist, you are a leader in the exam lane, but when you take on roles outside of it, such as advocating for diversity or leading media platforms, your leadership impact multiplies,” Glover explains. His leadership journey is a testament to how career shifts can enhance leadership capabilities and open new avenues for making a difference.

Optometrists who transition into leadership roles must adapt to new challenges. Baronti recounts his own journey from entry-level positions to becoming a president at various optical companies. “You can’t be afraid to surround yourself with people better than you,” he advises. Leadership is not about having all the answers but about building strong teams that bring diverse skills to the table.

Baronti’s story resonates with many eye care professionals who find themselves taking on leadership roles unexpectedly or as part of their career progression. Whether it’s managing a practice, leading a team of opticians, or steering an organization, these career shifts demand new leadership skills, including delegation, strategic thinking, and the ability to inspire others.

The Nature of Criticism and SpeculationLeadership often involves scrutiny and criticism. In his article “The Dual Faces of Leadership: Impact and Speculation,” Baronti acknowledges that leaders, particularly those in high-profile roles, must handle criticism with grace and professionalism. Criticism can come from patients, staff, or even competitors, but how a leader responds to it can either reinforce or damage their credibility.

Criticism often comes from various sources, including envy, fear of change, or misunderstandings. For healthcare leaders such as optometrists, public scrutiny can also come from patients, staff, or competitors.

The key to overcoming criticism lies in emotional intelligence and self-awareness. Leaders must be able to discern between constructive feedback and unwarranted criticism. “When you face speculation or criticism, pause, evaluate, and decide how to move forward. Sometimes, the best course of action is to acknowledge the feedback and adapt; other times, it’s about standing firm in your decisions,” Baronti advises.

Baronti shares a powerful lesson from his leadership experience, recounting a situation where a policy decision at his company led to widespread criticism. Instead of ignoring the backlash, he took full responsibility and publicly reversed the policy. “Humility is the hallmark of a great leader,” Baronti says. His decision to admit fault and correct course not only restored trust with his customers but also strengthened his leadership credibility.

The Toll of Leadership: Navigating Mental and Emotional StrainLeadership comes with its own set of emotional and mental challenges. The pressure to perform, the responsibility for others’ success, and the constant scrutiny can take a toll on even the most seasoned leaders. In optometry, where patient outcomes directly impact lives, the stakes are even higher.

“Being a leader means you’re under a microscope,” Glover notes. “Every decision you make, every action you take is magnified, and sometimes that can be overwhelming.” The mental and emotional strain of leadership is something many optometrists experience, especially those running their own practices or managing large teams.

One way to cope with this strain is by building a strong support system. Baronti advises, “Surround yourself with people who can offer perspective and support.” Whether it’s a trusted colleague, a mentor, or even family members, having people to turn to during difficult times is essential for maintaining emotional balance.

Leaders must also practice self-care and set boundaries. Optometrists, in particular, are prone to burnout due to the demands of patient care and practice management. Baronti emphasizes the importance of taking time for oneself, whether it’s through hobbies, exercise, or simply disconnecting from work. “You can’t pour from an empty cup,” he says. “To lead others effectively, you need to take care of yourself first.”

More Insights from Alessandro Barronti Here.

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As the healthcare landscape continues to evolve, one of the most significant advancements in eye care has been the rise of mobile optometry services, mainly through partnerships with government agencies and non-profit organizations. Dr. Karen Slate, founder of Clean Slate Vision, LLC, which operates mobile optometry services across Delaware, has been at the forefront of this movement, ensuring underserved populations receive the vision care they need. These collaborations have opened doors to vulnerable communities, ensuring access to essential eye care where otherwise might not have been possible.

Mobile eye care services have emerged as a direct response to challenges faced by seniors, low-income families, and veterans with disabilities, who often struggle to access traditional eye care. Thanks to partnerships with government and non-profit organizations, mobile clinics like Dr. Slate’s offer comprehensive services, including eye exams, prescription glasses, and preventive eye health education, ensuring care reaches those in need, regardless of socioeconomic status.

What’s Covered:Partnering with Non-Profits and Government OrganizationsGovernment Contracts: A Pathway to Expand ServicesReal-World Examples: Case Studies in ActionFinancial Viability: Can It Be Lucrative?Breaking Into the Field: Tips for OptometristsThe Future of Mobile Eye CarePartnering with Non-Profits and Government OrganizationsPartnering with non-profit and government organizations can be a game-changer for optometrists looking to serve underprivileged communities. These collaborations create a sustainable model for delivering care, ensuring resources such as funding, equipment, and personnel are available to reach those in need.

Vision to Learn, a non-profit dedicated to providing mobile vision services to children, and Nemours SeniorCare, which serves senior citizens living below the poverty line, are just two of the many programs that Clean Slate Vision partners with to deliver care in Delaware. These partnerships are critical to providing no-cost exams and eyewear to populations that may otherwise be left without.

Dr. Slate says “When we collaborate with government agencies, we can extend our services to include comprehensive care, such as cataract surgeries and follow-ups, which would not be possible without their involvement.” These partnerships allow optometrists to tap into a network of healthcare professionals, community organizations, and even transportation services, ensuring that patients receive holistic care that addresses medical and logistical needs.

Government Contracts: A Pathway to Expand ServicesSecuring government contracts can significantly broaden an optometrist’s services, especially for underprivileged communities. For example, Clean Slate Vision provides disability exams for veterans through a government contract. This work often allows optometrists to see complex cases and play an essential role in the healthcare system, acting as gatekeepers for vision-related disability assessments.

Third-party healthcare companies or recruitment agencies facilitate the process of obtaining these contracts. They handle the logistics of matching optometrists with government needs, simplifying the process and allowing providers to focus on patient care rather than paperwork.

“These contracts not only provide a steady stream of work but also offer opportunities to serve those who have given so much to our country, like veterans,” explains Dr. Slate. “It’s incredibly fulfilling, both professionally and personally, to know that we’re helping improve their lives.”

Real-World Examples: Case Studies in ActionOne example of the impact of mobile eye care can be seen in Clean Slate Vision’s work with Vision to Learn. This program brings a fully-equipped mobile eye clinic to schools, where children receive no-cost exams and glasses. For many children, this is the first time they’ve ever had their eyes checked.

Take the case of a 7-year-old boy in Wilmington, Delaware. Struggling in school, he was frequently labeled as a “slow learner.” After a visit from Vision to Learn, it was discovered that he had significant vision problems that had gone undiagnosed. After receiving glasses, his academic performance and confidence improved dramatically.

Similarly, Clean Slate Vision’s partnership with Nemours SeniorCare serves senior citizens who earn less than $23,000 a year. By providing no-cost eye exams and glasses, the program helps seniors maintain independence, manage chronic conditions like diabetes, and improve overall well-being.

Financial Viability: Can It Be Lucrative?Many optometrists are drawn to mobile eye care because of its profound impact on the community. However, the question remains: is it financially sustainable? The answer is yes, but with careful planning.

Government contracts and non-profit partnerships often provide funding to cover the cost of equipment, staff, and supplies. Optometrists may need to establish their practice as an LLC to manage these contracts, as most are 1099 positions. This structure allows optometrists to run their services as a business, ensuring financial sustainability while providing critical care.

It’s not just about making a living; it’s about creating a model where you can do good and still have financial security. With the right contracts and partnerships, you can make a significant impact while also paying the bills.” Dr. Slate. Breaking Into the Field: Tips for OptometristsThe key for optometrists interested in pursuing mobile eye care and government partnerships is networking and research. Platforms like LinkedIn can be a goldmine for finding contracts and opportunities with non-profits. Additionally, joining organizations like the Association of Clinicians for the Underserved can provide access to job postings and networking opportunities.

“Don’t be afraid to put yourself out there,” advises Dr. Slate. “The more you connect with people and let them know what you’re passionate about, the more opportunities will come your way.” The Future of Mobile Eye CareThe future of mobile eye care lies in its ability to adapt and grow with the community’s changing needs. By continuing to partner with government agencies and non-profits, optometrists can ensure that no one is left behind when receiving essential eye care.

"At the end of the day, it's about making a difference," says Dr. Slate. "If we can reach one more child struggling in school or one more senior who can regain their independence, then we’ve done our job.” As optometry continues to evolve, mobile eye care, backed by government partnerships, is set to play a crucial role in ensuring equitable access to vision services. For optometrists looking to expand their practice meaningfully, this path offers professional fulfillment and the opportunity to make a lasting impact. Learn more about mobile optometry here.

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Alexander S. Barsam, MD, MBA, NC ENT at DukeIn the dynamic field of eye care, staying at the forefront of medical advancements is crucial for ensuring patients receive the best possible treatments. Glaucoma, a progressive and often silent disease, is one of the most challenging conditions eye care professionals manage. With the rise in glaucoma cases, particularly as the population ages, it becomes increasingly important for optometrists and ophthalmologists to work together to provide seamless, comprehensive care. This article delves into advanced surgical and medical treatments in glaucoma management, drawing insights from Dr. Darryl Glover and his podcast discussion with Dr. Alexander Barsam, a comprehensive ophthalmologist and glaucoma expert.

What’s Covered:Understanding Glaucoma: A Silent ThreatDrops vs. Surgical Interventions: A Shift in Treatment PhilosophySelective Laser Trabeculoplasty (SLT)Micro-Invasive Glaucoma Surgery (MIGS): Bridging the GapSetting the Stage for Glaucoma Surgery: Partnering with Glaucoma ExpertsUnderstanding Glaucoma: A Silent ThreatGlaucoma is often called the “silent thief of sight” because it can progress without noticeable symptoms until significant vision loss occurs. The condition is characterized by damage to the optic nerve, primarily due to elevated intraocular pressure (IOP). Early detection and intervention are critical to preserving vision, but many patients remain undiagnosed until the disease is in its advanced stages. As Dr. Glover highlights, “I’m blown away by how many patients walk into my door with severe glaucoma.” This underscores the need for increased awareness and better diagnostic tools to catch the disease earlier, ideally before irreversible damage.

Drops vs. Surgical Interventions: A Shift in Treatment PhilosophyTraditional Management:

• Topical medications like prostaglandins and beta-blockers have historically been the first line of treatment for glaucoma.
• These medications effectively lower intraocular pressure (IOP) but come with challenges. Patients often struggle with side effects such as ocular surface irritation, redness, and the burden of adhering to a daily regimen.
• Compliance remains a significant hurdle, with studies showing that adherence rates for once-daily drops hover around 70%, similar to more complex regimens from decades ago. This stagnation in compliance highlights the need for better treatment options that address both efficacy and patient quality of life.

Emerging Approach:

• In response to these challenges, eye care professionals are shifting towards more proactive and interventional treatments. This approach includes surgical options that intervene earlier in the disease process, reducing dependence on drops.
• Dr. Alexander Barsam emphasizes the benefits of this shift, stating, “SLT offers a way to restore the natural drainage system of the eye,” making it a valuable alternative or complement to traditional medical management.

Selective Laser Trabeculoplasty (SLT)Selective Laser Trabeculoplasty (SLT) is a less invasive option that has gained prominence as both a first-line treatment and a complementary option to drops. Dr. Barsam explains that SLT offers a way to “restore the natural drainage system of the eye” by improving outflow through the trabecular meshwork. It’s a minimally invasive procedure with a favorable safety profile, making it an attractive option for patients who struggle with drop compliance or experience adverse effects.

SLT can be an effective first-line treatment, and many glaucoma specialists are now offering it alongside the more traditional option of topical medications. Dr. Barsam shares that “SLT provides a chance to intervene earlier in the disease process without waiting for the more invasive surgeries.”

One challenge with SLT is managing patient expectations. Some patients believe that once they have the procedure, they no longer need to worry about glaucoma. Dr. Glover points out, “When patients come back and say, ‘I got the laser, so I don’t need to worry anymore,’ it’s important to clarify that glaucoma is a lifelong condition that requires continuous monitoring.

This shift from drops to surgical interventions like SLT marks a new era in glaucoma care, focusing on improving patient outcomes and quality of life while addressing the limitations of traditional medical management.

Micro-Invasive Glaucoma Surgery (MIGS): Bridging the GapMicro-invasive glaucoma Surgery (MIGS) represents a significant advancement in glaucoma treatment. It offers a middle ground between medication and more invasive surgeries like trabeculectomy or tube shunt procedures. MIGS procedures involve using tiny stents or devices to improve fluid outflow and reduce IOP with fewer risks and a faster recovery time compared to traditional glaucoma surgeries.

MIGS is often performed with cataract surgery, offering a dual benefit for patients with both conditions. Dr. Barsam emphasizes that “MIGS provides an option to intervene during cataract surgery, allowing us to lower pressure without adding more medications.”

For optometrists, understanding the indications for MIGS is critical when referring patients to glaucoma specialists. Knowing when to recommend surgical intervention versus continuing with medications can be pivotal in the patient’s long-term outcome. Dr. Barsam advises that the key is “early intervention and setting realistic expectations about what MIGS can and cannot achieve.”

Setting the Stage for Glaucoma Surgery: Partnering with Glaucoma ExpertsThe relationship between optometrists and ophthalmologists is crucial in managing glaucoma. Transitioning from medical management to surgical intervention requires careful coordination to ensure patients feel supported throughout their treatment journey. Dr. Glover highlights the importance of provider communication: “Teamwork makes the dream work. If we can start together, the transfer of trust from optometrist to ophthalmologist can be life-changing.”

For new graduates or optometrists just starting their careers, understanding when to refer a patient for surgery can be daunting. Dr. Barsam recommends keeping an open line of communication with glaucoma specialists to determine the best course of action based on the patient’s disease severity and response to treatment. “We’re here to support our optometry partners and help guide patients through the decision-making process,” he says.

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Eye health is often approached from a purely physical standpoint. Patients receive prescriptions for glasses or undergo surgeries to correct their vision. But what if we could also tap into the mind to heal visual issues? Dr. Vitu Ban’s groundbreaking work suggests that emotions and vision are deeply interconnected, and healing might involve more than just a physical fix.

What’s Covered :The Connection Between Vision and EmotionDr. Vi Tu Banh’s, V2 MethodA 5-step approach to Dr. Vi tu Bahn’s V2 Method:1. Holistic Assessment2. Prism Therapy Application3. Neuroplasticity Activation4. Emotional and Physical Grounding5. Ongoing Monitoring and AdjustmentThe Connection Between Vision and EmotionThe eyes are often referred to as the windows to the soul. Emotionally charged situations can affect how we see the world—literally. Stress, anxiety, and trauma can alter vision, leading to issues such as headaches, double vision, and discomfort. Dr. Ban has found that patients who have suffered physical injuries often carry emotional trauma that manifests in their visual system. Addressing these emotional layers has led to astonishing results in improving not just their vision but their overall well-being.

For instance, trauma survivors may hold tension in their bodies that disrupts their visual system. Emotional states like fear or distress can exacerbate or create conditions like strabismus (eye misalignment) or convergence insufficiency, making it difficult for individuals to focus on near objects or coordinate their eyes. These emotional and psychological barriers block traditional vision correction methods.

Dr. Vi Tu Banh’s, V2 MethodThe V2 Method is a holistic vision therapy approach developed by Dr. Vi Tu Banh . It integrates prism lenses, neuroplasticity, and emotional healing to address vision issues caused by physical trauma or emotional stress. The “V” stands for Vision or Victory, symbolizing the goal of achieving optimal visual function and well-being, while the “2” represents the synergy between emotional and physical health.

This method helps patients achieve both physical and emotional grounding, leading to long-term vision improvement. As Dr. Bahn puts it, “The person directs the motion, which directs the brain to get to a different pathway. Once they renew, they don’t need [the prisms] anymore.”

One case that highlights the power of this method involved a woman who had walked with her head tilted for 15 years due to double vision, following a severe cheerleading accident. After traditional surgeries failed her, Dr. Ban introduced prism therapy, and the results were immediate. Not only did her vision improve, but her posture corrected itself as if her body had released years of pent-up tension.The prism lenses, however, are not meant to be a long-term solution. Instead, they serve as a temporary training tool to rewire the brain, using neuroplasticity—the brain’s ability to adapt and form new connections. Patients eventually no longer need the prisms as their brains learn to process visual information correctly.

A 5-step approach to Dr. Vi tu Bahn’s V2 Method:1. Holistic Assessment* Begin with a comprehensive evaluation of the patient’s physical and emotional health, identifying any trauma or stress that may be affecting their vision. This includes understanding their emotional state and any past injuries (e.g., concussion, trauma).

1. Prism Therapy Application* Use specialized prism lenses to temporarily correct visual imbalances. The prisms help stabilize the patient’s vision and body posture, allowing the brain to start adjusting. This process addresses both physical and emotional aspects of the vision problem.

2. Neuroplasticity Activation* Encourage the brain to rewire itself through neuroplasticity. The prisms act as a training tool, guiding the brain to process visual information correctly. Over time, this leads to lasting improvements in vision without the need for continuous prism use.

3. Emotional and Physical Grounding* Focus on “grounding” the patient emotionally and physically. The prisms provide a sense of stability, helping the patient feel more balanced both visually and in their physical posture, while also addressing underlying emotional factors.

4. Ongoing Monitoring and Adjustment* Follow up with regular assessments to ensure the brain is adapting properly. Adjust the prism strength and direction as needed. Over time, the patient should become less dependent on the prisms as their brain and body find balance, leading to long-term vision improvement.

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Geographic Atrophy, a late-stage form of age-related macular degeneration (AMD), has become an increasingly prevalent topic in retinal care, particularly as advancements in diagnostic technologies and treatments evolve. While wet AMD has long been a primary focus in optometric and ophthalmologic practice, Geographic Atrophy’s rapid progression and significant impact on vision warrant attention and awareness. In this article, featuring insights from expert guests Dr. James Fanelli and Dr. Roya Attar, we will explore the nature of Geographic Atrophy, its diagnosis, patient education, and current treatment options, offering eye care professionals actionable insights to serve their patients better.

In Partnership with Heidelberg Engineering

Key Talking PointsUnderstanding Geographic AtrophyEarly Identification and Diagnosis For Geographic AtrophyRisk Factors and Patient HistoryCurrent Treatment Options For Geographic AtrophyThe Role of Patient EducationLooking to the Future: Emerging TherapiesKey Takeaways for Eye Care ProfessionalsUnderstanding Geographic AtrophyGeographic Atrophy refers to the irreversible degeneration of retinal pigment epithelial (RPE) cells and the photoreceptors they support, leading to permanent vision loss. Geographic Atrophy is a form of “dry” AMD, though it’s often distinguished from early dry AMD due to its severity. As Dr. Chris Lievens mentioned in a recent discussion, Geographic Atrophy was historically grouped into the broader category of dry AMD, leading many clinicians to underestimate its destructive potential. The reality is Geographic Atrophy can cause severe vision impairment, even if it doesn’t progress to the “wet” or neovascular form of AMD.

“One of the most alarming aspects of Geographic Atrophy is its rapid progression and the devastating visual loss it can cause,” notes Dr. James Fanelli, a seasoned practitioner specializing in retinal diseases. “Patients may start with minimal symptoms, but once the disease reaches the fovea, their vision is significantly compromised.”

Early Identification and Diagnosis For Geographic AtrophyIdentifying Geographic Atrophy early is critical for preventing its progression and protecting patients’ vision. Clinical diagnosis usually begins with a thorough fundus examination, complemented by advanced imaging techniques such as Optical Coherence Tomography (OCT) and fundus autofluorescence (FAF).

Dr. Fanelli emphasizes the importance of recognizing Geographic Atrophy in its early stages: “In the early stages, you may notice subtle changes such as small areas of RPE atrophy. These areas, best visualized in vivo using a slit lamp, will appear as depigmented patches, with choroidal structures becoming more visible.”

While OCT is a widely used tool, Heidelberg Engineering’s fundus autofluorescence (FAF) technology plays a pivotal role in detecting Geographic Atrophy. FAF allows for the visualization of lipofuscin, a byproduct of the RPE’s metabolic processes. Areas of hyperautofluorescence indicate stressed RPE cells that are still functional but are likely to atrophy over time, while areas of hypoautofluorescence indicate regions where the RPE has already degenerated.

“As eye care professionals, it’s crucial to employ FAF as part of our diagnostic protocol for Geographic Atrophy patients,” adds Dr. Roya Attar, Associate Professor at the University of Mississippi Medical Center. “FAF not only helps us assess the extent of RPE atrophy but also serves as a powerful patient education tool. Patients can visually see the progression of their disease, which often leads to better adherence to follow-up care.”

Risk Factors and Patient HistoryAs with most retinal diseases, early detection is not only dependent on imaging but also on a thorough patient history. Key risk factors for Geographic Atrophy include:

• Age: The likelihood of developing Geographic Atrophy increases significantly after the age of 60.
• Genetics: A family history of AMD increases the risk of Geographic Atrophy.
• Smoking: Smoking is a well-established modifiable risk factor for both wet and dry forms of AMD, including Geographic Atrophy.
• Vascular Conditions: Conditions such as hypertension and diabetes are associated with an increased risk of Geographic Atrophy progression.

"Looking at patient history is crucial in predicting how rapidly the disease will progress," Dr. Attar explains. "Patients with larger Geographic Atrophy lesions, or those who already have advanced AMD in the fellow eye, are at greater risk of rapid progression." Current Treatment Options For Geographic AtrophyHistorically, dry AMD, including Geographic Atrophy, had limited treatment options, especially compared to the extensive therapies available for wet AMD. However, the landscape has shifted with the development of new therapies that specifically target Geographic Atrophy.

In 2023, two complement inhibitors received FDA approval for the treatment of Geographic Atrophy: Pegcetacoplan (Empaveli) and Avacincaptad Pegol (Izervay). Both medications target the complement cascade, a key component of the immune system that, when overactivated, can lead to tissue damage in diseases like Geographic Atrophy.

• Pegcetacoplan is administered via intravitreal injections every 25–60 days and has been shown to slow the progression of Geographic Atrophy by inhibiting C3, a key protein in the complement system.
• Avacincaptad Pegol targets C5, another component of the complement system, and is administered every 28 days via intravitreal injection.

While these treatments do not restore lost vision, they offer hope in slowing the progression of Geographic Atrophy, particularly in patients whose atrophy is nearing the fovea, where it can severely impair central vision.

“These treatments have finally given us tools to intervene in Geographic Atrophy,” says Dr. Fanelli. “However, it’s important to select the right candidates for treatment. Patients whose Geographic Atrophy is progressing towards the fovea are prime candidates, as we want to preserve their central vision for as long as possible.”

The Role of Patient EducationOne of the most challenging aspects of managing Geographic Atrophy is patient education. Unlike wet AMD, where vision loss is often sudden and dramatic, Geographic Atrophy can progress slowly, leading patients to underestimate its severity. As eye care professionals, it’s essential to communicate the importance of regular monitoring and early treatment.

Dr. Attar highlights the importance of functional testing: “Visual acuity alone isn’t enough to assess the impact of Geographic Atrophy. Patients may still see 20/20, but their contrast sensitivity or reading speed could be declining. Functional tests like these help patients understand that even if their vision seems ‘fine,’ their disease is progressing.”

Using imaging, especially FAF, as a visual aid during consultations can help patients grasp the seriousness of their condition. “Patients often make more informed decisions when they can see the disease for themselves,” Dr. Attar explains.

Looking to the Future: Emerging TherapiesWhile the approval of complement inhibitors marks a significant step forward, the future of Geographic Atrophy treatment may include more diverse approaches, such as gene therapy and stem cell treatments. Clinical trials are underway to explore these therapies’ potential to not only halt geographical atrophy progression but also potentially restore lost vision.

“In the next decade, I believe we’ll see even more advancements in Geographic Atrophy treatment,” says Dr. Lievens. “As research into the complement system and other pathways continues, we may find earlier intervention strategies that offer better outcomes for our patients.”

Key Takeaways for Eye Care Professionals1. Early Detection is Crucial: Use a combination of fundoscopy, OCT, and FAF to diagnose Geographic Atrophy in its early stages. FAF is particularly useful for visualizing hyperautofluorescent areas that indicate stressed, but still viable, RPE cells. 2. Patient Education is Key: Help patients understand the progressive nature of Geographic Atrophy by showing them their imaging results and conducting functional tests. This can increase adherence to treatment and follow-up appointments. 3. Complement Inhibitors are a Game-Changer: While these treatments won’t restore vision, they offer a way to slow the progression of Geographic Atrophy, particularly in patients whose atrophy is nearing the fovea. 4. Monitor Risk Factors: Older age, smoking, genetics, and vascular conditions all increase the risk of Geographic Atrophy. Be vigilant in monitoring patients with these risk factors for signs of progression. 5. The Future is Bright: Gene therapies, stem cell treatments, and additional complement inhibitors are all on the horizon, offering hope for more effective treatments for Geographic Atrophy in the near future.

As Dr. Fanelli wisely said, “We have the license to drive the healthcare bus.” Geographic Atrophy may be a formidable opponent, but with new technologies and treatments, optometrists are in a prime position to lead the way in preserving vision and improving patient outcomes.

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Presbyopia, an age-related condition affecting the eye’s ability to focus on near objects, has long posed a challenge for patients and eye care professionals. With the advent of pharmacological solutions, new opportunities have arisen to manage this common issue beyond traditional corrective lenses and surgery. In a recent episode of the Defocus Media podcast, Dr. Darryl Glover and Dr. Jennifer Lyerly explored the potential of a new presbyopia treatment in development, aceclidine, with their guest, Dr. Marc Odrich, a seasoned expert in ophthalmology. The conversation delved into the science behind aceclidine, its advantages over existing treatments like pilocarpine, and its potential to revolutionize presbyopia management.

In Partnership with with LENZ THERAPEUTICS

Key Topics:The Challenges of Existing Presbyopia TreatmentsAceclidine: A Pupil-Selective ApproachReal-World Applications and Patient OutcomesThe Importance of a Preservative-Free FormulationAceclidine vs. Pilocarpine: A Comparative PerspectiveLooking Ahead: The Future of Presbyopia TreatmentConclusion: Embracing Innovation in Eye CareThe Challenges of Existing Presbyopia TreatmentsThe discussion began with an acknowledgment of the current landscape of presbyopia treatment. Pilocarpine, the first presbyopia-correcting eyedrop, generated significant excitement upon its release. However, many eye care professionals, including Dr. Lyerly, expressed disappointment with its performance. Pilocarpine works by stimulating the ciliary muscle to induce miosis, creating a small pupil size that enhances depth of focus. While this mechanism can temporarily improve near vision, it often comes at the cost of distance vision, as pilocarpine can induce myopia (nearsightedness).

Dr. Odrich pointed out that this myopic shift, along with the short duration of action of pilocarpine, limited its usefulness for many patients. “Imagine telling a 58-year-old patient that while a drop can improve their near vision, it might worsen their distance vision and require them to get new glasses,” Dr. Odrich explained. “That’s a tough sell, especially when the drop needs to be reapplied every three to four hours.”

These limitations highlighted the need for a better solution—one that could enhance near vision without compromising distance vision or requiring frequent dosing. This need set the stage for the introduction of aceclidine, a novel presbyopia treatment in development by LENZ Therapeutics.

Aceclidine: A Pupil-Selective ApproachAceclidine represents a significant advancement in the pharmacological treatment of presbyopia, primarily due to its pupil-selective mechanism. Unlike pilocarpine, which affects the ciliary muscle, aceclidine works by selectively constricting the pupil without inducing a myopic shift. This is achieved through what Dr. Odrich described as “pupil-selective, ciliary-sparing” action. By reducing the pupil size to less than two millimeters, aceclidine creates a “pinhole effect” that enhances depth of focus, allowing patients to see clearly at both near and far distances.

One of the key potential advantages of aceclidine is its ability to improve both near and distance vision without the side effects commonly associated with pilocarpine. Dr. Odrich emphasized this point, noting that aceclidine does not significantly affect the ciliary muscle, thereby avoiding the myopia-inducing effects seen with pilocarpine. “We see a minimal impact on the ciliary muscle with aceclidine, which is crucial for maintaining distance vision while improving near vision,” he said.

Real-World Applications and Patient OutcomesThe podcast discussion also touched on the real-world applications of aceclidine, particularly its clinical trial population which included patients who have undergone refractive surgery such as LASIK or PRK. These patients, who may have enjoyed excellent distance vision post-surgery, often find presbyopia to be a frustrating development as they age. Aceclidine has the potential to offer a non-invasive solution that can restore their ability to see clearly at all distances without the need for additional corrective lenses.

Dr. Odrich shared insights from clinical trials involving aceclidine, highlighting its potential to deliver significant improvements in vision for a broad range of patients. In one study, over 70% of participants experienced a three-line gain in near vision three hours after using aceclidine, with minimal impact on distance vision. “It’s remarkable to see how well aceclidine works, especially for older presbyopes who have the most to gain,” Dr. Odrich noted.

These outcomes are particularly encouraging for eye care professionals who seek to offer their patients effective, non-surgical solutions for presbyopia. Dr. Glover and Dr. Lyerly both expressed enthusiasm about the potential of aceclidine to enhance patient care, especially for those who have been disappointed by existing treatments. “We’re at the dawn of a new era in presbyopia management,” Dr. Odrich remarked, reflecting the optimism shared by his colleagues.

The Importance of a Preservative-Free FormulationAnother significant aspect of aceclidine discussed in the podcast is its preservative-free formulation. Preservatives like benzalkonium chloride (BAK) are commonly used in eyedrops to prolong shelf life, but they can cause ocular surface toxicity with long-term use. This is particularly concerning for patients who may use presbyopia drops daily over many years.

LENZ Therapeutics addressed this issue by developing aceclidine without preservatives, given the potential chronic use, if approved. Dr. Lyerly, who regularly treats patients with ocular surface disease, emphasized the importance of this innovation. “A preservative-free formulation is critical for ensuring that patients can use aceclidine long-term without damaging the ocular surface,” she explained. “This is especially important for patients who are already dealing with conditions like dry eye or limbal stem cell deficiency.”

The decision to create a preservative-free drop was a deliberate one, informed by the clinical experience of Dr. Odrich and his colleagues.

"We wanted to ensure that aceclidine could be used safely over many years, so we formulated it without BAK," Dr. Odrich said. "This is a key differentiator that sets aceclidine apart from other treatments." Aceclidine vs. Pilocarpine: A Comparative PerspectiveThroughout the podcast, the hosts and their guest drew comparisons between aceclidine and pilocarpine, highlighting the advantages of the newer treatment. While pilocarpine served as a valuable first step in the development of presbyopia-correcting eyedrops, its limitations have become increasingly apparent. These include its short duration of action, the need for frequent dosing, and the potential for inducing myopia.

In contrast, aceclidine in its clinical trial demonstrated a longer duration of action, with effects lasting up to ten hours after a single dose. This extended duration reduces the need for frequent reapplication, making it more convenient for patients to use throughout the day. Additionally, aceclidine’s minimal impact on the ciliary muscle means that patients did not experience the myopic shift associated with pilocarpine, preserving their distance vision.

Dr. Odrich also pointed out that aceclidine was well-tolerated by patients in the clinical trial, with mild side effects such as temporary dimming of vision due to the small pupil size. However, he noted that these side effects were generally mild and resolved quickly. “Patients reported some mild stinging and dimness, but these effects were transient and did not deter them from using the drop,” he said.

Looking Ahead: The Future of Presbyopia TreatmentAs the conversation drew to a close, the hosts and Dr. Odrich looked ahead to the future of presbyopia treatment. With aceclidine expected to enter the market as early as the second half of 2025, pending FDA review and approval, they expressed excitement about the possibilities it holds for improving patient outcomes and expanding the range of options available to eye care professionals.

Dr. Lyerly highlighted the importance of staying informed about new treatments and preparing to integrate them into clinical practice. “As eye care professionals, we need to be ready to offer our patients the best possible solutions,” she said. “Aceclidine represents a significant advancement, and it’s up to us to educate our patients about this exciting new option.”

Dr. Glover echoed this sentiment, emphasizing the need for eye care professionals to be proactive in discussing new treatments with their patients.

Dr. Darryl Glover, Optometrist, at LENZ Therapeutics Photoshoot "It’s all about setting our patients up for success," he said. "By staying ahead of the curve and being knowledgeable about the latest advancements, we can ensure that our patients receive the highest standard of care." Conclusion: Embracing Innovation in Eye CareThe Defocus Media podcast episode featuring Dr. Marc Odrich offered a comprehensive look at aceclidine which is in development for the treatment of presbyopia and its emerging potential for presbyopes. Through an in-depth discussion of its mechanism of action, real-world applications, and advantages over existing treatments, the hosts and their guest highlighted the potential of this new eyedrop to transform presbyopia management.

As the field of eye care continues to evolve, innovations like aceclidine will play a crucial role in shaping the future of patient care. For eye care professionals, staying informed about these developments and being prepared to integrate them into practice is essential for providing the best possible outcomes for patients. With aceclidine on the horizon, the future of presbyopia treatment looks brighter than ever.

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The healthcare landscape is constantly evolving, and within it, the field of eye care must continuously strive for clinical excellence, unmatched patient care, and innovation. These objectives are essential for advancing the profession and making a broader impact on the healthcare system. The New England College of Optometry (NECO) is at the forefront of these efforts, spearheading initiatives like the Industry Collaborative to bring together academia, industry, and media to address these challenges. In the latest episode of Defocus Media, Dr. Darryl Glover hosts Dr. Howard Purcell and Dr. Gary Chu as they dive into how the industry can come together to elevate the profession and make a significant impact on the broader healthcare system.

Industry CollaborativeKey Topics:The Significance of Industry Partnerships in Eye CareAddressing Health Equity in Eye CareFostering Collaboration Between Academia, Industry, and Media in Eye CareThe Role of Technology and Innovation in Optometry EducationThe Impact of the Industry Collaborative on Eye CareThe Significance of Industry Partnerships in Eye CareOne of the core themes of the Industry Collaborative is the power of partnerships in advancing the eye care profession. Optometry plays a crucial role in the healthcare system, serving as a gateway through which many health issues are first detected and addressed. The depth of care provided by optometrists, from the time spent with patients to the insights gained through eye examinations, positions the profession uniquely within the broader healthcare landscape.

The Industry Collaborative began as an initiative to bridge the gap between academia and industry, fostering a better understanding of each sector’s challenges and opportunities. The collaborative aims to enhance the profession’s effectiveness by aligning these two critical components. The collaboration also emphasizes the need to address health equity, particularly in underserved areas with limited access to eye care.

As Dr. Howard Purcell, President of NECO, emphasized "Without coming together, we can’t accomplish the things we need to. Partnerships are key. We need the resources that others have, and we need to have that dialogue" Addressing Health Equity in Eye CareHealth equity is a central focus of the Industry Collaborative, with NECO leading efforts to address disparities in eye care. The distribution of healthcare services, including eye care, is uneven, with many communities lacking adequate access to optometrists. The collaborative seeks to bring attention to these “healthcare deserts” and work towards solutions that ensure all individuals have access to quality eye care.

NECO’s long-standing relationships with community health centers have been instrumental in this effort, allowing the institution to advocate for eye care as an integral part of overall health. The collaborative’s focus on health equity also involves addressing the broader healthcare system’s tendency to overlook eye care, despite its critical importance in daily life and overall well-being.

Dr. Gary Chu, Vice President of Professional Affairs at NECO, highlighted this point: "Eye care is often forgotten in the broader healthcare conversation, and we need to change that. We need to be advocates for our patients, especially those in underserved areas.” Fostering Collaboration Between Academia, Industry, and Media in Eye CareA key objective of the Industry Collaborative is to encourage open communication and collaboration between academia, industry, and media. Historically, these sectors have operated in silos, leading to missed opportunities for synergy. The collaborative aims to break down these barriers, facilitating discussions that are often uncomfortable but necessary for progress.

The Industry Collaborative creates a platform for addressing key issues such as healthcare access, scope of practice, and technology integration in education by bringing together leaders from various sectors. These discussions are essential for identifying and implementing solutions to advance the profession and improve patient outcomes.

Dr. Purcell noted the importance of these conversations: “There’s always been sort of this church and state between industry and academia, and there needs to be some separation. But without coming together, we can’t achieve our goals.”

The Role of Technology and Innovation in Optometry EducationInnovation is another critical focus of the Industry Collaborative, particularly in education. As technology continues to evolve, so must the methods used to educate future optometrists. This year’s collaborative features a conversation with John Katzman, a pioneer in online education and a thought leader in integrating artificial intelligence (AI) into educational practices.

Including AI and other technologies in optometry, education is seen as a way to enhance the learning experience and better prepare students for the challenges they will face in practice. NECO has embraced this approach, integrating technology into its curriculum to ensure students have the skills and knowledge needed to excel in a rapidly changing field.

The Impact of the Industry Collaborative on Eye CareNow in its fourth year, the Industry Collaborative has made significant strides in fostering dialogue and driving change within the eye care profession. The initiative has resulted in valuable partnerships with organizations across various sectors, including behavioral health, dentistry, and children’s health. These partnerships have led to new approaches to care and education that are helping to address some of the most pressing challenges facing the profession today.

The collaborative’s success is a testament to the importance of continued collaboration and partnership. By bringing together the resources and expertise of different sectors, the collaborative is able to tackle complex issues that no single entity could address alone. This approach is crucial for advancing the profession and ensuring that it remains responsive to the needs of patients and communities.

The Industry Collaborative represents a powerful model for how partnerships between academia, industry, and media can drive meaningful change in eye care. By fostering open, honest conversations and embracing innovation, the collaborative is helping to push the profession forward and address some of the most pressing issues facing the industry today.

The collaborative is a reminder that the eye care profession’s challenges are not insurmountable. With the right partnerships and a commitment to innovation and equity, the profession can continue advancing, improving patient outcomes and the overall healthcare system. As the Industry Collaborative continues to grow and evolve, it will undoubtedly play a key role in shaping the future of eye care. To learn more and register today, click here.

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As sustainability takes center stage across industries, the optometry field is increasingly under the spotlight for its environmental impact, particularly in the use of contact lenses. This pressing issue was the focus of a recent episode of the 2020 Podcast, where Dr. Harbir Sian engaged in a thought-provoking conversation with Dr. Evelyn Lo, president of the BC Doctors of Optometry. Set against the breathtaking backdrop of Bali, Indonesia, the episode explored how optometry can lead the charge in reducing its environmental footprint while simultaneously promoting healthier communities worldwide.

The Significance of Sustainability in OptometryThe conversation began with Dr. Sian highlighting the growing focus on sustainability within the eye care industry, particularly in the context of contact lens manufacturing and usage. The waste generated by daily disposables and the overall carbon footprint of contact lenses have raised concerns among both practitioners and patients.

Dr. Lo emphasized that while sustainability is often associated with environmental impact, it extends beyond that. “When we’re talking about sustainability, we’re not just talking about the environment,” Dr. Lo explained. “If there’s a healthy planet, there are going to be healthy people and healthy communities. These elements are interconnected, and the greatest benefit comes when they are addressed together.”

CooperVision’s Commitment to SustainabilityA significant part of the episode focused on CooperVision’s sustainability initiatives, particularly their partnership with Plastic Bank, a social enterprise that aims to reduce plastic waste while improving the lives of those who collect it. Dr. Lo and Dr. Sian discussed their hands-on experience in Bali, where they participated in activities such as cleaning up mangroves, learning about the plastic collection process, and interacting with local communities involved in these efforts.

Dr. Lo praised CooperVision’s holistic approach, which not only focuses on reducing environmental impact but also on social responsibility. “It’s not just about picking trash out of the ocean,” Dr. Lo noted. “It’s about supporting the communities who are on the front lines of these sustainability efforts. This partnership is a great example of how corporate initiatives can have a far-reaching positive impact.”

The Environmental Impact of Contact LensesOne of the key takeaways from the episode was the discussion around the environmental impact of different types of contact lenses. A common assumption is that daily disposable lenses are more harmful to the environment due to the sheer volume of waste they generate compared to monthly lenses. However, Dr. Lo challenged this notion by discussing the broader carbon footprint involved in the production, packaging, and transportation of monthly lenses, including the solutions required for their maintenance.

“When you factor in the carbon footprint of producing and transporting solutions for monthly lenses, the environmental impact may not be as different as we might think,” Dr. Lo explained. This perspective underscores the importance of considering the full lifecycle of products when assessing their environmental impact.

Raising Awareness and EducationAs the president of the BC Doctors of Optometry, Dr. Lo is in a unique position to influence the profession’s approach to sustainability. She highlighted the need for increased awareness and education among both practitioners and patients. “We need to do a better job of educating our patients on how to properly dispose of their contact lenses,” she said. “Around 20 percent of patients still throw their contact lenses down the drain, which can lead to the creation of microplastics that end up in our oceans and eventually in our food chain.”

Dr. Lo also mentioned that the BC Doctors of Optometry are actively working on initiatives to promote sustainability within the profession. This includes evaluating partnerships and collaborations with companies that share a commitment to sustainability.

The Broader Implications of SustainabilityThe episode concluded with Dr. Lo reiterating the broader implications of sustainability within optometry. She emphasized that sustainable practices are not just about reducing waste but also about ensuring the health and well-being of communities. “Social responsibility is key,” she stated. “When we prioritize sustainability, we are not only protecting the environment but also supporting the communities that depend on it.”

Dr. Sian echoed this sentiment, noting that the work being done by CooperVision and other industry leaders sets a powerful example for the entire profession. By embracing sustainability, optometry can contribute to a healthier planet and healthier communities.

As Dr. Lo aptly put it, “If we can do all of this together in harmony, that’s when we’re going to find the greatest benefit for everybody.” The episode serves as a reminder that sustainability is not just a buzzword but a vital consideration for the future of optometry and the health of our world.

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Penny Rose Optical stands out as a beacon of creativity, resilience, and authentic entrepreneurship in a rapidly evolving world of eyewear. For those deeply entrenched in the eye care industry—optometrists, opticians, and independent eyewear designers—Penny Rose is more than just a brand; it’s a story of passion, community, and an unwavering commitment to excellence.

Founded by Orlando Fernandez, Penny Rose Optical represents a unique blend of independent eyewear that captures the essence of Miami’s vibrant culture. In this blog, we delve into Penny Rose Optical’s inspiring journey, the challenges and triumphs of building an independent eyewear brand, and the powerful lessons that every eye care professional can learn from this remarkable story.

Orlando Fernandez, Founder and Owner of Penny Rose OpticalWhat’s Covered: The Birth of a Dream: From Little Havana to the WorldNavigating the Independent Eyewear LandscapeThe Power of Visualization and CommunityDesigning for Everyone: Inclusivity in Independent EyewearThe Art of Marketing: Building a Brand That ResonatesThe Penny Rose Optical ImpactThe Birth of a Dream: From Little Havana to the WorldOrlando Fernandez’s journey into independent eyewear began 15 years ago in the heart of Little Havana, Miami. Born and raised in a community rich in culture and history, Orlando’s path was anything but straightforward. His dream of creating Penny Rose Optical was a long-held vision, one that kept him awake at night and drove him to put in the legwork necessary to make it a reality.

“I’ve always been very involved in sports—football, jujitsu, wrestling—and that experience shaped my mental state to succeed in the eyewear business,” Orlando shares. This mental toughness, honed through years of athletic discipline, became the foundation upon which Penny Rose Optical was built.

The name "Penny Rose" itself is deeply personal. It is a tribute to Orlando's daughter, Penelope Rose, and reflects his commitment to creating a legacy that will endure for generations. "I have a real baby in real life, and then my eyewear company is my second baby. I'm here, you know, rocking both of my babies," Orlando proudly states. Navigating the Independent Eyewear LandscapeThe independent eyewear industry has seen significant changes over the years. As Dr. Darryl Glover, host of Defocus Media’s podcast, notes, “I’ve seen a lot of designers come and go. The game and the playing field have changed.” Orlando’s entry into this competitive market was not without its challenges. He recalls the difficulty of finding manufacturers in the United States and the determination it took to keep pushing forward.

“When I started my journey about six, seven years ago, there were only a handful of manufacturers that produced eyewear in the USA,” Orlando explains. Despite the challenges, he remained undeterred, driven by a belief that the time for independent eyewear had arrived. “If there’s an opportunity to get into eyewear, the time is now,” he emphasizes.

Orlando’s approach to building Penny Rose Optical was rooted in a deep understanding of his community and the market. He knew that success in independent eyewear required more than just great designs; it demanded a connection with the people who would wear his frames. This connection was forged through relentless effort, taking his prototypes to the streets, gathering feedback, and constantly refining his products based on real-world input.

The Power of Visualization and CommunityOne key element of Orlando’s success has been his ability to visualize his goals and break them down into actionable steps. “I always made a big goal, but I broke it down into five sections,” he explains. This systematic approach allowed him to navigate the inevitable ups and downs of entrepreneurship with confidence.

Orlando’s commitment to the community is another cornerstone of Penny Rose Optical’s success. From the beginning, he involved his local community in developing his brand, gathering feedback from people in the streets of Miami and ensuring that his designs resonated with those who mattered most.

“At the end of the day, it took a village,” Orlando reflects. “It wasn’t all me. I had a lot of feedback, a lot of support from the community. And that was the first way of knowing if I had a winning frame or a losing frame.”

Designing for Everyone: Inclusivity in Independent EyewearOne of Penny Rose Optical’s standout features is its commitment to inclusivity. Orlando has gone to great lengths to ensure that his frames cater to a diverse range of face shapes and sizes, particularly those often underrepresented in the eyewear industry.

"Working for these eyewear companies, I felt like there were a lot of people that weren't represented when it comes to face shapes and sizing," Orlando says. To address this, Penny Rose Optical will soon offer frames in multiple sizes, allowing customers to choose from small, medium, and large options, with customizable temple sizes as well. "We're going to try to make sure we target everyone in the market," Orlando affirms. This commitment to inclusivity is not just about accommodating different physical needs; it's about creating eyewear that truly reflects the diverse communities it serves. The Art of Marketing: Building a Brand That ResonatesMarketing has played a crucial role in Penny Rose Optical’s success. Orlando’s approach to marketing is as innovative as his designs, blending online and offline strategies to create a powerful brand presence.

“We all get scared with social media and marketing, but as a creative, it’s very important to just publish your stuff,” Orlando advises. His willingness to put his work out there, despite the fear of criticism, has been instrumental in building a strong online following.

But it doesn’t stop there. Orlando took his marketing efforts offline in a big way by creating Penny Rose Optical’s flagship store—a tiny house on wheels located in Miami’s vibrant Wynwood district. This unique setup saves on overhead costs and allows Orlando to bring his brand directly to the people, wherever they may be.

Penny Rose Optical Tiny StoreThe tiny house is more than just a store; it symbolizes the innovative spirit that drives Penny Rose Optical. “We built a tiny house store on wheels with a hitch on the back, and I can roll around the city to post up and sell my brand,” Orlando explains. This creative solution has garnered attention and solidified Penny Rose Optical’s reputation as a brand that thinks outside the box.

The Penny Rose Optical ImpactPenny Rose Optical is not just a brand; it’s a testament to the power of vision, perseverance, and community. For eye care professionals, independent eyewear designers, and opticians, Orlando Fernandez’s journey offers invaluable lessons in entrepreneurship, creativity, and the importance of staying true to one’s roots.

As Penny Rose Optical grows, it remains a shining example of what can be achieved when passion meets purpose. Whether you’re looking to bring Penny Rose frames into your practice or simply seeking inspiration for your entrepreneurial journey, one thing is clear: Penny Rose Optical is a name that will resonate for years.

To learn more about Penny Rose Optical and explore their unique designs, visit Penny Rose Optical and follow them on social media at @pennyroseoptical. Join the community, be part of the legacy, and experience the difference of truly independent eyewear.

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In eye care, the title of Master Optician is not just a designation; it is a testament to a professional’s mastery, dedication, and influence in the field. Among the few who hold this prestigious title, Phernell Walker stands as a beacon of excellence and innovation. With a career spanning over three decades, Walker has not only redefined the role of an optician but has also made a lasting impact on the industry through his groundbreaking work, including his renowned textbook Pure Optics and his recognition as one of the top opticians in the world.

Phernell Walker, Master Optician, Renowned International Speaker Optometry, Opticianry and Business StrategistWhat’s Covered: A Journey Fueled by PassionThe Path to Becoming a Master OpticianPhernell Walker: A Master Optician Leading by ExampleA Global Ambassador for Eye CareBuilding a Legacy Through Teamwork and Culture in Eye CareA Legacy of Impact and InspirationPure Optics A Journey Fueled by PassionPhernell Walker’s journey into opticianry began 33 years ago, inspired by a deeply personal experience in his youth. Growing up in St. Petersburg, Florida, he formed a bond with his neighbor, May, who was blind. This early encounter with someone who couldn’t see the world around them ignited a lifelong passion in Walker—a passion that would drive him to dedicate his life to eye care.

Walker recalls this formative experience: “When I was a child, May was the first person I knew who was blind. I couldn’t understand how someone with two eyes, just like mine, couldn’t see the vibrant colors of the world. That experience ignited something in me—a desire to help people see.”

This desire led Walker to pursue a career in opticianry, where he quickly realized that his path would be anything but ordinary. Despite the challenges of growing up in the South as a young Black man with limited opportunities, Walker was determined to excel. After serving in the military, he enrolled in Hillsborough Community College’s opticianry program, where his fascination with light, lenses, and optics truly began to take shape.

The Path to Becoming a Master OpticianBecoming a Master Optician is a challenging journey that requires dedication and perseverance. Walker’s path involved several key steps, beginning with formal education and certification. He earned his degree in optics at Hillsborough Community College, which laid the foundation for his understanding of the science behind lenses and vision correction.

He then pursued certification through the American Board of Opticianry (ABO) and the National Contact Lens Examiners (NCLE). These certifications are critical for opticians who want to demonstrate their knowledge and skills in the field. Walker explained, “I became ABO certified, NCLE certified, and then did a three-year apprenticeship on top of that. And then I wrote a master’s thesis and did a master examination and was designated a Master Optician by the American Board of Opticianry.”

Walker’s commitment to his craft culminated in earning the title of Master Optician in 1997. Reflecting on his journey, he said, “I wanted to be the best. Even when people said it was too hard or that I couldn’t do it, I knew that with enough determination, I could achieve anything.”

Phernell Walker: A Master Optician Leading by ExampleAs a Master Optician, Phernell Walker exemplifies the highest standards of the profession. His role extends beyond the technical aspects of opticianry; he is also a leader, educator, and mentor. Walker’s contributions to the field are vast, from authoring Pure Optics, a comprehensive textbook that has become a cornerstone in opticianry education, to his global advocacy for the profession.

Driven by a desire to give back to the profession that had shaped his life, Walker authored the textbook Pure Optics, now in its third edition. This book has become a cornerstone of opticianry education, used in schools and programs across the globe. Pure Optics is more than just a textbook; it is a comprehensive guide that reflects Walker’s deep understanding of optics and his commitment to advancing the field.

The impact of Pure Optics has been far-reaching, even extending to places Walker never expected. One such place is Coffee Creek, a women’s prison, where inmates are using Walker’s book to gain skills in optics and rebuild their lives.

A Global Ambassador for Eye CareWalker’s contributions to opticianry have not gone unnoticed. For two consecutive years (2023 and 2024), he has been nominated by the International Opticians Association as one of the top opticians in the world. This prestigious nomination recognizes his decades of work, his influence in the global optics community, and his role as a trailblazer in the field. As he prepares to travel to Paris, France, for the award ceremony at the renowned Silmo event, Walker reflects on the significance of this recognition.

"When I received the nomination, I was both humbled and energized," Walker admits. "It’s a huge honor, but it also comes with a responsibility to continue leading and pushing the profession forward." This responsibility is something Walker takes seriously. As a champion for education and a strong advocate for a unified definition of opticianry in the United States, he believes that the future of the profession lies in formal and apprenticeship education. His vision is for every optician to have the skills and knowledge necessary to provide exceptional care, regardless of where they start.

“We need a unified definition of opticianry in the U.S.,” Walker emphasizes. “Education is the key to elevating our profession, whether through formal schooling or apprenticeships. It’s not about where you start, but how committed you are to mastering the craft.”

Building a Legacy Through Teamwork and Culture in Eye CareThroughout his illustrious career, Walker has consistently emphasized the importance of teamwork and culture within the workplace. His experience as Vice President of Operations for an optometric chain in Texas taught him that the success of an eye care practice hinges on the collaboration and dedication of the entire team. Walker’s leadership philosophy is grounded in the belief that a well-functioning team is the foundation of exceptional patient care.

“I always tell people, it’s not about having a staff—it’s about having a team,” Walker explains. “When everyone is on the same page, working towards the same goals, that’s when you create an environment where patients receive the best care possible.”

Walker’s commitment to teamwork extends beyond his immediate work environment. He has mentored countless opticians, many of whom have gone on to achieve great success in their own careers. His influence as a mentor is a testament to his belief in the importance of uplifting others and helping them reach their full potential.

“One of my former employees, who started out working at an Olive Garden, is now an optometrist,” Walker shares. “She came to one of my classes years later to thank me for giving her a chance. That’s what it’s all about—helping others see their potential and achieve their dreams.”

A Legacy of Impact and InspirationAs Phernell Walker continues to push the boundaries of what it means to be a Master Optician, his legacy is already firmly established. He has not only elevated the field of opticianry but has also inspired a new generation of eye care professionals. Through his work, mentorship, and unwavering commitment to excellence, Walker has created a path for others to follow that leads to a brighter, clearer future for all.

Phernell Walker’s journey from a young boy inspired by his blind neighbor to a globally recognized Master Optician is a story of resilience, passion, and dedication. His work has elevated the opticianry field and inspired a new generation of eye care professionals. As he continues to push the boundaries of what it means to be a Master Optician, Walker remains committed to his mission of helping others see the world more clearly—both literally and figuratively.

In a world where vision is often taken for granted, Walker’s work is a powerful reminder of the importance of eye care and its profound impact on people’s lives. Whether through his book, lectures, or mentorship, Phernell Walker is a beacon of light in the world of opticianry—an icon whose legacy will continue to inspire for future generations.

Pure Optics For those looking to learn more or purchase Pure Optics, you can find it on pure-optics.com or Amazon. Walker’s story is a testament to the power of perseverance, the importance of education, and the impact one person can have on an entire industry.

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Over the past few years, discussions about diversity, equity, inclusion, and belonging (DEIB) have become increasingly prominent across many industries. In eye care, embracing diversity is a moral responsibility and a strategic benefit that can enhance patient outcomes, foster innovation, and create a more robust and sustainable workforce. This article explores how Transitions Diversity Optical Grants play a crucial role in advancing diversity and outlines the steps the industry can take to build a more inclusive and belonging-centered future.

What’s Covered: The Current Landscape of Diversity in Eye CareThe Importance of Diversity, Equity, Inclusion, and Belonging in Eye CareTransitions Diversity Optical Grants: A Catalyst for ChangeTaking Eye Care to the Next LevelThe Secret Sauce: Collaboration and CommitmentA Diverse Future in Eye CareTransitions Diversity Optical GrantsThe Current Landscape of Diversity in Eye CareThe eye care industry, encompassing opticians, optometrists, and ophthalmologists, plays a crucial role in maintaining public health. However, like many other healthcare fields, the profession has historically struggled with representation. While diversity among the U.S. population continues to grow, the demographic makeup of eye care professionals has not kept pace, resulting in disparities in healthcare delivery.

Efforts to improve diversity within the profession are ongoing, with organizations such as the American Optometric Association (AOA), the Association of Schools and Colleges of Optometry (ASCO), Black EyeCare Perspective (BEP), Latino En Optometry (LEO), and Transitions Optical working to gather more data and implement strategies to enhance diversity. These initiatives aim to ensure that the profession better reflects the population it serves, ultimately leading to improved patient care and outcomes where all patients feel a sense of belonging.

Dr. Essence Johnson, Executive Director of Black EyeCare Perspective, emphasizes the importance of recognizing and addressing these disparities. “When we talk about diversity in eye care, we’re not just discussing numbers. We’re addressing the need for an industry that truly reflects the communities we serve. Representation matters, not only because it fosters trust and understanding but also because it drives innovation, better patient care, and a sense of belonging for everyone.”

The Importance of Diversity, Equity, Inclusion, and Belonging in Eye CareDiversity, equity, inclusion, and belonging (DEIB) are essential components of a thriving, forward-looking eye care industry. Here’s why DEIB matters:

1. Improved Patient Outcomes: Diverse healthcare providers are more likely to understand and address their patients’ unique cultural, linguistic, and social needs. This understanding can lead to more accurate diagnoses, better patient compliance, and improved health outcomes, with patients feeling a greater sense of belonging and trust in their care providers.
2. Innovation and Problem-Solving: Diverse teams bring various perspectives and experiences, fostering innovation and creative problem-solving. In eye care, this can translate to developing new technologies, treatment approaches, and patient care models that make all patients feel included and valued.
3. Workforce Sustainability: As the demand for eye care services grows, it’s essential to cultivate a workforce that reflects the population it serves. By attracting and retaining talent from diverse backgrounds, the industry can ensure a steady supply of skilled professionals who contribute to a culture of belonging.
4. Cultural Competence and Belonging: DEIB efforts help build cultural competence among eye care professionals, enabling them to better understand and respect their patients’ diverse backgrounds. This competence is crucial in providing equitable care, improving patient satisfaction, and fostering a sense of belonging within the patient community.

"Patients feel more comfortable when they're able to have an examination in their own language or with a doctor who understands their culture," she says. "It's about more than just numbers; it's about creating an environment where patients feel seen, heard, understood, and that they belong." Dr. Diana Canto-Sims, Optometrist and co-founder of Latino En Optometry

Transitions Diversity Optical Grants: A Catalyst for ChangeOne of the key players in promoting diversity in the eye care industry is Transitions Optical, a company renowned for its innovative lens technologies. Recognizing the need to foster a more diverse and inclusive eye care community, Transitions Optical has launched several initiatives, including its Diversity and Optical Educational Grant Program.

The Transitions Diversity Optical Grants are designed to support students from underrepresented backgrounds who are pursuing careers in optometry, ophthalmology, and opticianry. By providing financial assistance, these grants help to remove barriers to education and open doors for aspiring eye care professionals who might otherwise be unable to afford the necessary training, ensuring they feel they belong in this field.

In addition to financial support, the grants also promote awareness of the need for diversity, inclusion, and belonging in eye care. They encourage applicants to reflect on the importance of DEIB in their future careers and consider how they can contribute to a more inclusive profession where everyone feels valued.

Dr. Johnson, who has been actively involved with the Transitions Optical Diversity Advisory Board, underscores the importance of such initiatives. “We worked very hard with Transitions to create a grant that touches all of the O’s,” she says. “There are two grants available—each $5,000—for students in ophthalmology or optometry school. And while $1,000 for opticianry students may seem smaller in comparison, it often covers a significant portion, if not all, of their tuition.”

She also emphasizes the need for active participation. “It surprises me that people don’t knock down the door for these scholarship opportunities. If there’s something I wish I had when I was a student, it’s grants like these. We need to encourage students to apply and make use of these resources, so they know they belong in this field.”

Taking Eye Care to the Next LevelSo, how can the eye care industry take its commitment to diversity, equity, inclusion, and belonging to the next level? The answer lies in a multifaceted approach that involves education, mentorship, partnerships, and ongoing advocacy.

1. Education and Awareness: The first step is to increase awareness of the importance of diversity, inclusion, and belonging in eye care. Schools of optometry, ophthalmology, and opticianry should incorporate DEIB education into their curricula, ensuring that all students understand the impact of cultural competence on patient care and the importance of making every patient feel they belong.
2. Mentorship Programs: Mentorship is a powerful tool for nurturing the next generation of diverse eye care professionals. Programs like Black EyeCare Perspective’s “Pre-Optometry Club” and Latino En Optometry’s initiatives provide mentorship and support to students from underrepresented backgrounds, helping them navigate the challenges of pursuing a career in eye care and ensuring they feel a sense of belonging within the profession.

Dr. Canto-Sims reflects on the power of mentorship and representation, sharing a personal experience that highlights the impact of these initiatives. “I had a staff member who initially wanted to be a physical therapist. But after working with us, he realized that optometry was a passion he never knew he had. He went on to graduate and chose to work in his community, serving Spanish-speaking patients—a decision that deeply moved me. It’s stories like these that show how exposure and mentorship can change lives and foster a sense of belonging.”

1. Industry Partnerships: Collaborations between industry leaders, educational institutions, and professional organizations are crucial for advancing diversity, equity, inclusion, and belonging in eye care. Partnerships like those between Transitions Optical, Black EyeCare Perspective, and Latino En Optometry are exemplary models of how the industry can work together to promote DEIB.

"We’ve been on tours, going to colleges and universities, specifically Historically Black Colleges and Universities (HBCUs), and participating in events that introduce students to the profession. These partnerships help us amplify the message of optometry, ophthalmology, and opticianry, bringing career opportunities directly to students and ensuring they know they belong." Dr. Essence Johnson, Optometrist and Executive Director of Black EyeCare Perspective

1. Scholarships and Grants: Financial barriers are among the biggest obstacles to diversity, equity, inclusion, and belonging in the eye care profession. Scholarships and grants, such as those offered by Transitions Optical, provide much-needed financial support to students from underrepresented groups, enabling them to pursue their education and career goals with the confidence that they belong in the field.
2. Advocacy and Policy Change: Advocacy at the institutional and governmental levels is essential for driving systemic change. Eye care professionals and organizations should advocate for policies that promote diversity, inclusion, and belonging in admissions, hiring, and professional development.

The Secret Sauce: Collaboration and CommitmentCollaboration and commitment are the secret sauce to achieving greater diversity, equity, inclusion, and belonging in eye care. It’s not enough for individual organizations or companies to work in isolation; the entire industry must come together to create a more inclusive and equitable future. This means sharing resources, exchanging ideas, and supporting one another’s efforts to promote DEIB.

"It’s not a Black thing, or a Hispanic thing, or a White thing," he says. "It’s about recognizing that we need more optometrists, and to get there, we need to reach out to communities that were never truly exposed to this profession. If we do that, we can attract more people to this incredible field and ensure they feel they belong." Dr. Darryl Glover, Optometrist and Co-Founder of Black EyeCare Perspective

It also requires a long-term commitment to DEIB. Diversity initiatives should not be seen as short-term projects or PR exercises but as ongoing efforts that are integral to the industry’s success. The eye care profession can build a stronger, more resilient future by staying the course and prioritizing diversity, equity, inclusion, and belonging.

A Diverse Future in Eye CareAs the eye care industry looks to the future, one thing is clear: diversity, equity, inclusion, and belonging are not just goals; they are necessities. By embracing DEIB, the profession can improve patient care, foster innovation, and ensure a sustainable workforce. Programs like Transitions Optical’s Diversity and Optical Educational Grant, alongside the initiatives led by organizations such as Black EyeCare Perspective and Latino En Optometry, are vital tools in this effort, helping to break down barriers and pave the way for a more inclusive industry.

Eye care professionals, opticians, optometrists, and ophthalmologists all have a role to play in this journey. By committing to diversity and working together, the industry can take eye care to the next level—one that is more reflective of the diverse population it serves, more innovative in its approach, and more inclusive in its opportunities.

Dr. Johnson and Dr. Canto-Sims both envision a future where the representation gap is significantly narrowed. “For Black EyeCare Perspective, we have our 13 percent promise,” Dr. Johnson shares. “That’s our legacy—to ensure that in our lifetime, we see this become a reality.”

Dr. Canto-Sims echoes this sentiment with her own goal. “Our aim is 20 percent representation for Latino En Optometry within 20 years, and with the continued support of partners like Transitions Optical, we’re on the right path to making that happen.”

Transitions Diversity Optical GrantsTo help increase diverse representation in the optical industry, Transitions, in partnership with its Diversity Advisory Board, is now accepting applications for its inaugural Diversity in Optical educational grant program until September 16, 2024, at 11:59 p.m. ET.

Transitions will award five grants in the amount of $1,000 to applicants who are recent graduates or graduating high school seniors aspiring to attend opticianry school in the U.S. Additionally, two grants for $5,000 will be awarded to Year 1- Year 3 optometry or ophthalmology students attending an accredited U.S. school or college.

Seven grants will be awarded to U.S. based students pursuing careers in the ophthalmology, optometry, or opticianry fields. Winners will be publicly announced in September 2024. Apply Now!

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In the last episode of this three-part series, we explored entrepreneurship, Claudine’s journey, and beauty products. However, today’s focus will be different. Dr. Claudine Courey is a recognized dry eye specialist. With experience in an OD/MD specialty practice, use of cutting-edge technology, and selling dry eye products on her website, EyeDropShop.com, Claudine has an in-depth understanding of the dry eye industry. In the final installment of our series with Thea Pharma Canada, we delve into the world of dry eye to provide valuable insights for every eye care professional, whether you’re just starting out or already an expert. This interview has something for everyone!

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In the rapidly changing landscape of optometry, understanding and negotiating Optometry Employment Contracts can be challenging, whether a new graduate entering the professional world or a seasoned optometrist seeking a career transition. These contracts are not merely about financial compensation; they encompass crucial elements such as the employer-employee relationship, work environment, and cultural alignment. Experts in negotiation within the optometry sector, including renowned professionals like Dr. Christopher Lopez and Dr. Darryl Glover, provide essential guidance in navigating the complexities of these agreements. Their expertise ensures that optometrists can secure contracts that support their professional growth, leading to successful and fulfilling careers in optometry.

Dr. Christopher Lopez: A Leading Expert in Eye Care Contract NegotiationsDr. Christopher Lopez brings a wealth of knowledge and experience in contract negotiations within eye care. With a background that spans clinical practice and career consulting, Dr. Lopez deeply understands the complexities of crafting and reviewing Optometry Employment Contracts. His journey began as a practicing optometrist in Southern California, followed by a relocation to the Midwest, where he continued to refine his expertise.

Dr. Lopez’s passion for career consulting grew from his experiences as a fourth-year optometry student navigating the challenging contract review and negotiation process. Recognizing the lack of formal education on these crucial topics, he became dedicated to helping students, new graduates, and seasoned optometrists set themselves up for career success. As a key member of the ODs on Finance group, Dr. Lopez has provided invaluable guidance to countless professionals, assisting them in understanding the nuances of Optometry Employment Contracts and negotiations.

Key Considerations in Optometry Employment ContractsOptometry Employment Contracts are more than simple agreements on salary. They encompass many factors, including job responsibilities, benefits, working conditions, and expectations from both parties. These contracts are critical documents that can significantly impact your career trajectory and work satisfaction.

Key Elements to Consider1. Clarity and Explicitness: One of the most crucial aspects of Optometry Employment Contracts is their clarity. The contract should explicitly detail all terms and conditions to prevent misunderstandings or disputes down the line. This includes specifics about salary, bonuses, work hours, patient load, and other responsibilities. 2. Compensation Structure: It is vital to understand how you will be compensated. While a base salary is standard, many optometrists also receive bonus incentives based on production or performance metrics. Knowing these details can help gauge whether the offer aligns with your financial expectations and career goals. 3. Benefits Package: Beyond salary, the benefits package is a crucial component of Optometry Employment Contracts. Expected benefits include malpractice insurance, licensure fees, continuing education allowances, paid time off (PTO), and paid holidays. Some employers offer additional perks like association dues, health insurance, and retirement plans.

The Importance of Intangibles in Optometry Employment ContractsWhile tangible aspects like salary and benefits are significant, the intangible elements often play a pivotal role in job satisfaction and career longevity. The workplace culture, mentorship opportunities, and overall work environment can make or break your experience in a new job.

1. Workplace Culture: It’s essential to understand the office dynamics and whether the workplace culture aligns with your values and expectations. Consider whether the practice fosters a supportive and inclusive environment, which can significantly impact your daily work experience.
2. Mentorship and Professional Growth: For many new graduates, the opportunity for mentorship is invaluable. Practices that offer strong mentorship programs can provide new optometrists with guidance and support as they transition into professional practice. This can include clinical mentorship, business advice, and personal development.
3. Work-Life Balance: Optometry Employment Contracts should also reflect a balance that suits your lifestyle and career goals. This includes considerations like work hours, on-call responsibilities, and flexibility for personal needs.

Tips for Negotiating Your Optometry Employment Contract1. Do Your Research: Before entering negotiations, research the typical salary range and benefits in your geographical area and practice setting. This knowledge will empower you to advocate for fair compensation. 2. Ask Questions: Don’t hesitate to ask detailed questions about the contract. Clarify any ambiguous terms and ensure you understand the full scope of your responsibilities and benefits. It’s better to address uncertainties upfront than to face surprises later. 3. Seek Professional Guidance: If you’re unsure about any aspect of the contract, consider consulting with a legal professional or a career consultant specializing in optometry, like Dr. Christopher Lopez. Experts in the field can provide valuable insights and help you navigate complex clauses.

The Perspective of Practice Owners on Optometry Employment ContractsFor practice owners, the goal is to create an appealing offer that attracts and retains top talent while also ensuring the practice’s financial sustainability. It’s a delicate balance between offering competitive compensation and maintaining profitability.

1. Fair Compensation: Practice owners should aim to offer a compensation package that reflects the market rates and the optometrist’s level of experience. This helps attract qualified candidates, fosters loyalty, and reduces turnover.
2. Transparency: Open communication about the practice’s financial situation and expectations can build trust with potential employees. This transparency helps align the practice’s goals with those of the employees.
3. Fostering a Positive Work Environment: A positive workplace culture significantly draws potential employees. Practices prioritizing a supportive and collaborative environment are more likely to attract and retain top talent.

Employer Support for Professional Associations in Optometry Employment ContractsDr. Darryl Glover, an optometrist at MyEyeDr., emphasizes the importance of employer support for professional association fees in Optometry Employment Contracts. He highlights MyEyeDr.’s commitment to covering American Optometric Association (AOA) and state society fees for their doctors, stating, “MyEyeDr. stands out as a leading employer in supporting organized optometry.”

This support ensures that optometrists remain engaged in advocacy, education, and professional development. Such benefits are crucial for optometrists evaluating potential employers, as they reflect a company’s investment in the profession’s advancement and the growth of its employees. MyEyeDr.’s comprehensive support attracts top talent and demonstrates a commitment to the success and well-being of its professionals.

Addressing Gender Disparities in Optometry Employment ContractsDespite progress, gender disparities in compensation and opportunities remain a concern in optometry. Practice owners and employers must address these issues proactively.

1. Equitable Compensation: Ensure that compensation packages are fair and equitable, regardless of gender. This includes equal pay for equal work and opportunities for advancement.
2. Supporting Female Optometrists: With a growing number of female optometrists entering the profession, practices should consider offering support systems such as flexible scheduling, mentorship programs, and leadership opportunities tailored to their needs.

Navigating the complexities of Optometry Employment Contracts requires a comprehensive understanding of tangible and intangible factors. Whether you’re a new graduate, a seasoned optometrist, or a practice owner, the key to a successful negotiation lies in clear communication, thorough research, and a focus on building a mutually beneficial relationship.

By prioritizing both the contractual details and the cultural fit, you can ensure a satisfying and rewarding career in optometry. Remember, Optometry Employment Contracts are not just legal documents but foundational agreements that set the tone for your professional journey. With the expertise of professionals like Dr. Christopher Lopez, you can confidently navigate these negotiations and secure a position that aligns with your goals and values.

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Maintaining healthy postures is often overlooked, leading to discomfort and chronic pain among professionals. Dr. Darryl Glover and Dr. Daniel Simon, delve into this critical issue on Defocus Media’s latest podcast. Dr. Simon, an esteemed ophthalmologist with an educational background from the State University of New York and Eastern Virginia, brings a wealth of knowledge and firsthand experience. Having seen the debilitating effects of poor posture on himself and his colleagues, Dr. Simon is passionate about promoting ergonomic practices to ensure a pain-free, sustainable career for eye care professionals. Join us as we explore practical strategies and insights to combat the common yet preventable issue of posture-related pain in the eye care industry

What’s Covered :The Reality of Posture-Related PainA Personal ConnectionThe Prevalence of Neck PainErgonomic Adjustments in PracticeThe Role of Strengthening and MindfulnessPractical Tips for Immediate ImplementationThe Importance of Regular PracticeThe Reality of Posture-Related PainDr. Glover opened the discussion by highlighting common issues such as “slit lamp neck” and “tech neck,” terms referring to neck pain resulting from prolonged use of the slit lamp and other digital devices. This pain is not exclusive to optometrists and ophthalmologists but extends to technicians and other eye care professionals. The repetitive nature of their work, coupled with poor ergonomic practices, often leads to discomfort and even chronic pain.

A Personal ConnectionDr. Glover and Dr. Simon share a longstanding professional relationship, with Dr. Simon being one of the first to whom Dr. Glover referred patients for cataract surgery. Dr. Simon’s extensive background includes education from the State University of New York and residency at Eastern Virginia. He has seen firsthand the toll that poor posture can take on health care professionals, including himself and his colleagues.

The Prevalence of Neck PainDr. Simon noted that up to 66% of ophthalmologists experience neck pain, a staggering statistic that underscores the need for better ergonomic practices. During his residency, he was particularly struck by a mentor who suffered from cervical disc herniation, which limited her ability to practice. This experience motivated Dr. Simon to prioritize ergonomics in his practice to avoid similar issues.

Ergonomic Adjustments in PracticeOne of the primary adjustments Dr. Simon recommends is proper alignment with the patient’s chair. Ensuring that the doctor’s eyes are at the same level as the patient’s and that the doctor’s chair can slide under the patient’s footrest can significantly reduce the need for leaning and neck extension. Additionally, investing in longer eyepieces for slit lamps can help minimize the strain on the neck.

The Role of Strengthening and MindfulnessBeyond ergonomic equipment adjustments, Dr. Simon emphasized the importance of physical fitness, particularly upper back and core strengthening exercises. Engaging a trainer to develop a targeted exercise routine can make a substantial difference. He also mentioned the benefits of mindfulness and yoga, practices that help reduce stress and promote better posture.

Practical Tips for Immediate ImplementationDr. Simon’s wife, Jill Simon, a certified yoga teacher, provided practical techniques that eye care professionals can incorporate into their daily routines:

1. Breath Control: Taking a moment to pause and breathe can help reset the body and reduce tension. Jill recommended a simple breathing exercise: inhale for a count of three and exhale for a count of six. This extended exhale helps signal the body to relax.
2. Pelvic Tilts: While seated, perform pelvic tilts to find a neutral spine position. This involves tilting the pelvis forward and backward to engage the core and glute muscles, which support the spine.
3. Neck Stretch: To relieve neck tension, place one hand over the head to the opposite ear and gently pull the head towards the shoulder. Let the opposite arm dangle to enhance the stretch. Adjust the chin position to target different areas of the neck.
4. Eagle Arms: This stretch helps open the upper back. Cross the right arm under the left, bringing the elbows together and pressing the backs of the hands together. Lift the elbows to shoulder height and breathe deeply. Repeat on the opposite side.

The Importance of Regular PracticeIntegrating these exercises into daily routines can help prevent the onset of pain and improve overall posture. Dr. Simon also highlighted the value of setting an example for patients. By demonstrating good posture and offering advice on ergonomics, eye care professionals can promote healthier habits in their patients as well.

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In this podcast episode, Dr. Kate Hamm and Dr. Danielle Richardson discuss the important topic of “How to Approach Pregnancy in Eye Care.” They explore how pregnancy can impact eye care, both for patients and professionals in the field. Dr. Richardson stresses the significance of inclusive eye care and provides valuable insights into managing various eye health challenges during pregnancy, such as increased dryness, refractive changes, the most suitable contact lens options, and specific conditions like diabetic retinopathy, which require careful monitoring and personalized treatment.

Additionally, they share valuable strategies for navigating maternity leave as eye care professionals, drawing from Dr. Richardson’s personal experience. Dr. Richardson’s firsthand experience with pregnancy has given her a fresh perspective on eye care, making her more empathetic and attentive to her pregnant patients’ needs. Get ready for an enlightening and comprehensive discussion on balancing the demands of motherhood with a thriving career in optometry.

Sponsored by Johnson & Johnson MedTech

What’s Covered:Understanding and Managing Eye Health During PregnancyManaging Pregnancy in Eye Care with Contact Lenses ACUVUE® OASYS MAX 1-Day OptiBlue Light FilterEmpowering Patients Through EducationNavigating Maternity Leave for Eye Care ProfessionalsUnderstanding and Managing Eye Health During PregnancyThrough her patient care experience as an optometrist, Dr. Danielle Richardson has observed that most pregnant patients experience either blurry vision, changes in refractive error, or dry eyes due to fluctuating hormone levels during pregnancy. While typically temporary, these changes can be uncomfortable and require special attention and care. Understanding these potential issues enables Dr. Richardson to provide better care and address the unique vision needs of her pregnant patients. By offering personalized solutions and empathetic support, she helps her patients navigate these temporary changes and maintain their overall eye health during this critical period.

Additionally, conditions like gestational diabetes or high blood pressure during pregnancy can increase the risk of more severe complications, including diabetic retinopathy or preeclampsia. These conditions can potentially cause retinopathy in the back of the eye, posing significant risks to both the mother’s and baby’s health. Dr. Richardson’s awareness of these risks allows her to monitor her patients more closely and provide early interventions when necessary.

Dr. Richardson’s personal experience with eye-related issues during her pregnancy has further deepened her understanding and empathy for her patients. She dealt with increased dryness during her pregnancy, which was already problematic for her before pregnancy. This persistent dryness was one of the primary reasons she opted for LASIK surgery, as her eyes were too dry to wear contact lenses comfortably. Her firsthand experience with these challenges has made her more attuned to the concerns of her pregnant patients. This allows her to offer more personalized and effective care, drawing on her professional knowledge and personal insights to ensure her patients receive the best possible support and treatment.

Managing Pregnancy in Eye Care with Contact Lenses Dr. Danielle Richardson often recommends ACUVUE® OASYS MAX 1-Day contact lenses for patients experiencing dryness due to their exceptional comfort and flexibility, which is due to the TearStable Technology. These lenses are particularly beneficial for those with significant dryness, allowing for easy removal and replacement. Dr. Richardson emphasizes the importance of daily disposables for managing eye health during pregnancy, as many pregnant women experience dryness and changes in refractive error due to fluctuating hormone levels. ACUVUE® OASYS MAX 1-Day lenses address these issues effectively, making them ideal for expecting mothers.

ACUVUE® OASYS MAX 1-Day OptiBlue Light FilterAdditionally, Dr. Danielle shares the advanced technology in ACUVUE® OASYS MAX 1-Day lenses, which helps reduce light sensitivity and glare, which can be problematic at night or during winter. The embedded OptiBlue Light Filter technology also helps manage glare and light sensitivity, contributing to overall eye comfort and reducing the likelihood of headaches from prolonged screen time.

Dr. Richardson highlights ACUVUE® OASYS MAX 1-Day lenses as a comprehensive solution for patients seeking comfort, flexibility, and advanced technology to address dryness, light sensitivity, and minor refractive changes. She underscores the importance of patient education and access to the best products to enhance overall eye health.

Empowering Patients Through EducationEducation is vital in empowering patients and helping them make informed decisions about their eye health. Dr. Richardson stresses the importance of educating pregnant patients about the potential changes in their vision and the steps they can take to manage these changes effectively. By providing clear and comprehensive information, optometrists can help patients feel more confident and prepared during this critical time.

Dr. Hamm and Dr. Richardson discuss the value of patient education in fostering trust and building strong patient-provider relationships. They highlight the need for open communication and encourage patients to ask questions and express their concerns. This collaborative approach ensures that patients are actively involved in their care and can make decisions that align with their needs and preferences.

*Navigating Maternity Leave for Eye Care Professionals*Dr. Danielle Richardson emphasizes that planning for maternity leave requires meticulous consideration of both personal and financial aspects, particularly for professionals in the eye care industry, such as optometrists, who often work as independent contractors. As an independent contractor, Dr. Richardson highlights the importance of understanding that income is contingent upon hours worked, making it crucial to plan for the financial impact of taking time off. She stresses the need to examine finances thoroughly, whether that involves saving up beforehand or relying on a partner’s parental leave benefits and exploring any available state programs that might help subsidize the costs.

Dr. Richardson notes that planning doesn’t end with the leave itself; it extends to figuring out childcare arrangements upon returning to work. Options like daycare, family support, or hiring a nanny come with their own costs and considerations. The availability and reliability of family support can significantly influence this decision. In Dr. Richardson’s case, the absence of such support means that part-time work and hiring a nanny may become necessary until suitable daycare is secured.

Dr. Richardson acknowledges that maternity leave benefits might be available for those employed by larger corporate entities in the eye care field. However, many optometrists working in private practices may not have this luxury, as their employers often cannot afford to pay them while also covering a replacement. Therefore, understanding and planning for maternity leave costs and logistics are crucial. This includes determining how long one can afford to be away from work and making informed decisions about childcare once they return.

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Dr. Paul Karpecki is one of the most renowned names in optometry. With a distinguished career specializing in dry eye and ocular surface disease, he manages one of North America’s largest dry eye clinics. As the chief clinical editor for Review of Optometry and co-chair for the TFOS Symposium, Dr. Karpecki’s influence is vast. In this episode, he shares his journey to becoming an iconic figure in the field, discussing professional setbacks, personal loss, and the key moments that shaped his path. He explains how adversity led to unexpected opportunities, reshaping his views on success and fulfillment. Dr. Karpecki’s story offers profound insights into resilience, surrender, and the power of faith in challenging times. He also explores advancements in instrumentation, oral medications, and the transformative role of AI in eyecare. Tune in now!

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Dr. Luis Rojas joins us for a discussion on inclusive eye care. Dr. Rojas, who runs practices in both Dallas and San Antonio, Texas, brings a wealth of experience and insight into how we can ensure our eye care services are accessible and welcoming to all.

Partnering with Johnson & Johnson MedTech, Dr. Rojas speaks highly of their commitment to inclusivity and diversity. The company’s initiatives, such as the Prioritize Your Eyes Campaign and the Ability Lens program, align perfectly with his practice’s goals. These programs connect ocular health to overall health and provide free eye exams for needy children. The impact of these initiatives is profound, especially in underserved communities. For example, the Sight for Kids program has served over 48 million children globally, significantly improving access to eye care and early intervention.

In Partnership with Johnson & Johnson MedTech

What’s Covered:Dr. Rojas’ Journey in OptometryUnderstanding Diverse Patient Populations in Eye CareThe Role of Technology in Inclusive CareOvercoming Challenges in Inclusive CareContinuous Education and AdaptabilityDr. Rojas’ Journey in OptometryDr. Luis Rojas began his journey in optometry after graduating in 2015. His career has seen him practice in various locations across Texas, from Dallas to San Antonio, and now in his new office in Bernie, Texas. This diversity in practice settings has given Dr. Rojas a unique perspective on the varying needs of different patient populations. He serves a predominantly blue-collar community in Dallas, while his Bernie office caters to a younger, family-oriented demographic.

Understanding Diverse Patient Populations in Eye CareA significant portion of Dr. Rojas’ patient base is Hispanic, and his bilingual abilities play a crucial role in bridging the gap between cultural and language barriers. This ability to communicate effectively has helped him build trust and loyalty among his patients, often leading to multi-generational families seeking his care.

Dr. Rojas emphasizes the importance of tailoring services to meet the specific needs of different communities. For example, his Dallas office, which has a higher proportion of older patients, focuses more on geriatric eye care. In contrast, his Bernie office sees a younger population, necessitating a focus on pediatric care and myopia management.

The Role of Technology in Inclusive CareTechnology plays a pivotal role in enhancing the inclusivity of eye care. Dr. Rojas highlights the comprehensive portfolio Johnson & Johnson MedTech offers, which includes a range of contact lenses designed to meet various needs. He mentions the ACUVUE® OASYS MAX 1-Day lenses, which have been a game-changer for many of his patients due to their comfort and advanced technology.

For patients with high astigmatism, which is common among Hispanics, having access to lenses that can correct this condition is essential. The technology embedded in these lenses improves vision and provides UV protection, which is crucial for people working outdoors, especially in sunny Texas.

Overcoming Challenges in Inclusive CareProviding inclusive care comes with its own set of challenges. One major issue is the fear and reluctance among some patients, particularly within the Hispanic community, to seek medical help due to financial constraints or fear of discovering health problems. Dr. Rojas stresses the importance of creating a welcoming environment and ensuring all patients feel comfortable and understood.

Hiring bilingual staff is a critical step in this direction. When patients are greeted and assisted by someone who speaks their language, it significantly reduces anxiety and fosters a sense of belonging.

Continuous Education and AdaptabilityTo provide the best care, Dr. Rojas believes in the importance of continuous education. He advises young optometrists to stay curious and keep learning. Whether they read up on new conditions they encounter or attend diverse CE courses, staying updated ensures that they can handle a wide range of cases with confidence.

Dr. Rojas also highlights the significance of inclusivity in education and practice. He mentors Hispanic students, helping them navigate their path into optometry and supporting them throughout their education and early career stages. This mentorship not only aids in diversifying the field but also ensures that future optometrists are well-equipped to provide inclusive care.

Inclusive eye care is not just about providing medical services; it’s about understanding and meeting the unique needs of diverse patient populations. Dr. Luis Rojas’ approach to inclusive care, supported by advanced technology and a commitment to continuous education, is an exemplary model for optometrists everywhere. By creating a welcoming environment, hiring bilingual staff, and partnering with organizations like Johnson & Johnson MedTech, we can ensure everyone can access the eye care they need.

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In this episode, we’re excited to discuss the revolutionary Myopia Collective, a collaboration between CooperVision and the American Optometric Association (AOA) to address the growing myopia epidemic among children. Joining us are three esteemed guests: Dr. Jacquie Bowen, president-elect of the AOA; Dr. Justin Kwan, a leading figure in myopia management at CooperVision; and Dr. Sabrina Gaan, a Myopia Collective change agent. Together, we’ll explore the importance of myopia management, the benefits of joining the Myopia Collective, and practical strategies for integrating myopia management into your practice.

What’s Covered: The Myopia Epidemic: Why It MattersIntroducing the Myopia CollectiveThe Role of Optometrists in Myopia ManagementHow to Discuss Myopia Management The Myopia Collective Change Agent ProgramHow to Join the Myopia CollectiveThe Myopia Epidemic: Why It MattersMyopia, or nearsightedness, has seen a dramatic rise over the past few decades, exacerbated by increased screen time and reduced outdoor activities, especially following the COVID-19 pandemic. As children spend more time on digital devices for both education and entertainment, the prevalence of myopia continues to climb, posing significant long-term risks to eye health. High myopia is associated with serious complications such as retinal detachment, myopic maculopathy, and glaucoma. Therefore, it is crucial for optometrists to not only correct refractive errors but also to implement strategies to slow the progression of myopia in children.

Introducing the Myopia CollectiveThe Myopia Collective is an ambitious initiative designed to bring together optometrists and other healthcare professionals to establish a new standard of care for children with myopia. Dr. Jacquie Bowen, president-elect of the AOA, emphasizes the importance of this mission: “We have an opportunity to change the lives of our youngest patients by embracing myopia management. It’s not just about correcting vision; it’s about protecting their eye health for the future.”

The Role of Optometrists in Myopia ManagementDr. Justin Kwan, a key figure in myopia management at CooperVision, and Dr. Sabrina Gaan, a Myopia Collective change agent, share their insights on why myopia management is essential and how it can be integrated into everyday practice. Both emphasize the importance of starting myopia management as soon as a child shows signs of myopia. Dr. Gaan explains, “The minute a child turns myopic, we need to start discussing myopia management. It’s crucial to address it early to prevent severe progression.”

How to Discuss Myopia Management Many optometrists hesitate to implement myopia management due to a perceived lack of time, resources, or confidence in discussing the science behind it. However, Dr. Kwan points out that the conversation shouldn’t be lengthy or complex. “It’s about making an emotional connection with the parents and explaining that our goal is to protect their child’s vision as they grow,” he says. Simple visual aids and straightforward explanations can make the conversation more accessible and less daunting for practitioners and parents.

The Myopia Collective Change Agent ProgramThe Myopia Collective also features the Change Agent Program, which identifies and supports leaders in myopia management across all 50 states and Washington, D.C. These change agents are equipped with the tools and knowledge to educate their peers, advocate for policy changes, and share best practices. They gather annually for in-person training and collaboration, fostering a community dedicated to advancing myopia management.

Advocacy is a crucial component of the Myopia Collective’s mission. By working with legislators and policymakers, the AOA and CooperVision aim to ensure that myopia management is recognized and supported as a standard of care. Dr. Bowen underscores the importance of policy advocacy: “We need to make sure that policymakers back these efforts and that optometrists are compensated for providing this essential care.”

How to Join the Myopia CollectiveBy becoming a member of the Myopia Collective, optometrists gain access to valuable resources, including educational materials, marketing support, and networking opportunities with fellow practitioners. Members receive regular updates and toolkits designed to streamline the integration of myopia management into their practice. Dr. Bowen highlights the ease of joining: “Visit myopiacollective.org, fill out the form, and you’ll start receiving the benefits of being part of this important initiative.”

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Remote optometry has been a contentious topic for some time. Will remote eyecare services benefit or harm the profession? Could it enable some entities to bypass optometrists?Dr. Mindy Blumberg, owner of two rural optometry practices in British Columbia, faced the challenge of providing services in these locations as the sole doctor. Her solution: remote eyecare.Discover how Dr. Blumberg implemented remote eyecare services in both of her offices and what the process looks like for both the doctor and the patient.

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In the latest episode of his insightful podcast, Dr. Chris Lievens tackles the complexities and misconceptions surrounding red and green indicators. Titled “Red and Green Indicators: A New Perspective on Glaucoma,” this episode offers valuable insights for new and experienced optometrists, optometry students, and anyone interested in optometry. Dr. Andrew Rixon, a VA optometrist with extensive experience in ocular disease management and SPECTRALIS® usage, joins Dr. Lievens.

In Partnership with Heidelberg Engineering

Image is courtesy of Heidelberg EngineeringRed and Green Indicators: A New Perspective on Glaucoma ObjectivesThe Potential Pitfall of Red and Green IndicatorsThe Importance of Examining Raw DataEvaluating Glaucoma PatientsManaging Diagnosed Glaucoma PatientsThe Challenge of Red and Green IndicatorsThe Role of Advanced Imaging Technology in Heidelberg Engineering SPECTRALIS®Case Studies and Practical ApplicationsThe Potential Pitfall of Red and Green IndicatorsThe central theme of the discussion is the potential confusion caused by red and green indicators on scans, which are commonly misunderstood. These indicators suggest abnormality (red) and normalcy (green), but this is not always true. The traditional interpretation of these colors can lead to misdiagnoses if not carefully considered in the broader clinical context. This article aims to highlight the importance of examining scans purposefully to avoid misinterpretations and ensure accurate diagnosis and treatment.

The Importance of Examining Raw DataDr. Rixon emphasizes the significance of looking at raw data and segmentation quality on Heidelberg Engineering SPECTRALIS® OCT scan. He advises focusing on tissue reflectivity and the accuracy of the captured data, moving beyond the basic printouts of early OCTs to more sophisticated analysis. Additionally, he discusses the impact of centration and potential disruptors such as tear film and vitreous in obtaining high-quality scans. This detailed approach ensures that clinicians are not misled by the seemingly straightforward red and green indicators but instead base their diagnoses on a comprehensive scan data analysis.

Evaluating Glaucoma PatientsDr. Rixon shares his approach to evaluating scans for glaucoma patients, whether new or established. He first examines the clinical assessment of the nerve and uses the Heidelberg Engineering SPECTRALIS® OCT as a confirmatory tool. He also looks at the macular data and combines it with the RNFL (retinal nerve fiber layer) data to get a topographically consistent defect indicative of glaucoma. This thorough approach ensures that the clinician has a robust understanding of the patient’s condition before making treatment decisions.

Dr. Rixon’s methodology involves a step-by-step evaluation, starting with assessing the quality of the scan. He looks for segmentation errors and checks for disruptions in the data caused by factors like the tear film or vitreous. He can trust the subsequent analysis by ensuring that the scan data is of high quality. Once the quality is confirmed, he examines the nerve fiber layer and the macular data, looking for consistent patterns that indicate glaucoma.

Managing Diagnosed Glaucoma PatientsThe conversation includes valuable insights on managing patients diagnosed with glaucoma but showing no progression. Dr. Rixon and Dr. Lievens stress the need for a holistic and patient-centric approach. They advocate for a data-driven strategy, using trends over time rather than isolated events to make clinical decisions. This approach is particularly important in glaucoma management, where the disease progresses slowly, and small changes can be significant.

For patients showing no progression, balancing the need for ongoing monitoring with the patient’s quality of life is crucial. Over-treatment can lead to unnecessary side effects and patient anxiety, while under-treatment can allow the disease to progress unchecked. By carefully tracking trends over time and using comprehensive data analysis, clinicians can make informed decisions that optimize patient outcomes.

The Challenge of Red and Green IndicatorsDr. Lievens and Dr. Rixon highlight the critical point of understanding red and green indicators on scans as probabilities rather than definitive diagnoses. They explain that these colors represent statistical likelihoods based on normative databases and do not provide an absolute assessment of the patient’s condition. This understanding requires clinicians to look beyond the colors and interpret the data within the context of each patient’s unique clinical presentation.

Dr. Rixon shares examples of how red and green indicators can be misleading. A scan showing a red area might prompt immediate concern. Still, if the overall data quality is poor or there are segmentation errors, that red area might not indicate true pathology. Conversely, a scan with predominantly green areas might lead to complacency, but subtle data changes could indicate early disease progression that needs to be addressed.

The Role of Advanced Imaging Technology in Heidelberg Engineering SPECTRALIS®Advanced imaging technology like Heidelberg Engineering SPECTRALIS® provides clinicians with powerful tools to analyze and track glaucoma progression. Dr. Lievens and Dr. Rixon discuss the advantages of using this technology to obtain detailed, high-quality images that can be analyzed in-depth. The ability to look at raw data, adjust segmentation, and view changes over time allows for a more accurate and nuanced understanding of each patient’s condition.

They also emphasize the importance of staying updated with the latest advancements in imaging technology and continuously improving one’s skills in data interpretation. This commitment to ongoing education ensures that clinicians can make the best use of the tools available to them and provide the highest level of care to their patients.

Case Studies and Practical ApplicationsThroughout the podcast, Dr. Rixon shares several case studies illustrating the practical application of these principles. He describes scenarios where careful analysis of the raw data from Heidelberg Engineering SPECTRALIS® and understanding the limitations of red and green indicators led to more accurate diagnoses and better patient outcomes. These case studies highlight the importance of a thorough, data-driven approach and provide valuable insights for clinicians looking to improve their practice.

In conclusion, Dr. Lievens and Dr. Rixon urge eye care professionals to use the available technology effectively, confirm the quality of the data, and always consider the broader context of the patient’s condition. By doing so, they can avoid misdiagnoses and provide better patient care.

By understanding the nuances of red and green indicators and employing a thorough, data-driven approach, optometrists can enhance their diagnostic accuracy and improve patient outcomes in the management of glaucoma. This article underscores the importance of looking beyond simplistic interpretations and committing to a comprehensive analysis to ensure the best possible care for patients.

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Improving the healthcare system starts with strengthening the doctor-patient relationship. This podcast explores this concept with Dr. Kara Foster, an optometrist who has mastered the direct care model. This discussion covers transitioning from traditional insurance-based practices to a more personalized, patient-focused approach, offering insights and practical advice for other healthcare professionals.

Dr. Kara Foster, Direct Care Consultant and OptometristBuilding Strong Doctor-Patient Relationship Overview:Who is Dr. Kara Foster?Transition to Direct CareAdding Value to Patient CareDaily Operations and Work-Life BalanceAdvice for Transitioning to Direct CareWho is Dr. Kara Foster?Dr. Kara Foster, originally from Western Pennsylvania, graduated from the New England College of Optometry (NECO) in 2009. After graduation, she moved to North Carolina instead of returning to Pennsylvania. She appreciated the supportive community, excellent patient base, and full-scope optometry opportunities in North Carolina. Dr. Foster opened her practice in 2015, seeking autonomy and the ability to practice optometry that aligns with her values and goals.

Initially, she followed the conventional path of accepting insurance but soon found it unsustainable. The administrative burden and financial constraints imposed by insurance companies were not conducive to the type of practice she envisioned. This realization led her to explore alternatives, ultimately transitioning to a direct care model prioritizing patient relationships and comprehensive care.

Transition to Direct CareTransitioning from an insurance-based practice to a direct care model requires careful planning, clear communication, and extensive staff training. Dr. Foster shared her approach and key steps in making this significant change.

First, she developed a fee schedule based on what she considered fair and sustainable for her practice, independent of insurance reimbursement rates. This fee schedule was designed to be transparent and straightforward, including comprehensive services that patients could easily understand and value.

Clear communication with patients was crucial. Dr. Foster and her team ensured that patients understood the benefits of the direct care model, including personalized attention and the inclusion of additional services, such as screening OCT and fundus photos, at no extra cost. This approach helped patients see the value in direct care despite the higher upfront costs compared to insurance-based practices.

Extensive staff training was another critical component. Dr. Foster trained her team to handle patient inquiries positively and effectively, ensuring that every interaction reinforced the value and benefits of the direct care model. This training included educating staff on the specifics of the fee schedule, the services included, and how to explain the out-of-network reimbursement process to patients.

Adding Value to Patient CareOne of the main advantages of the direct care model is its ability to add significant value to patient care. Dr. Foster’s practice includes several services that enhance the patient experience and provide comprehensive care.

Every patient receives a screening OCT and fundus photo as part of their regular exam. These advanced diagnostic tools help detect early signs of eye disease, allowing for timely intervention and better management of potential issues. By including these services in the standard exam, Dr. Foster ensures that patients receive thorough, high-quality care without the need for additional charges.

Another key aspect of the direct care model is spending more time with each patient. Dr. Foster typically sees one patient per hour, allowing for detailed history taking, comprehensive exams, and personalized recommendations. This extended time with patients improves the quality of care and helps build strong, trusting relationships.

Dr. Foster also emphasizes the importance of explaining everything in detail to patients. During exams, she discusses the findings, shows previous scans for comparison, and educates patients on their eye health. This approach helps patients understand their condition and the value of the care they are receiving, reinforcing their trust and satisfaction with the practice.

Daily Operations and Work-Life BalanceThe direct care model benefits patients and healthcare providers, promoting a healthier work-life balance. Dr. Foster exemplifies this with her practice’s efficient and satisfying operation. Her practice runs from 9:15 AM to 5:00 PM, with early closures on Fridays and no weekend hours, ensuring she can prioritize family time alongside her professional duties.

With a schedule of seeing one patient per hour, Dr. Foster maintains a manageable workload, preventing burnout. Her small, efficient team includes a front desk staff, a full-time optical specialist, and an office manager who assists with optical duties, ensuring smooth operations and attentive patient care.

This positive work environment, free from the burden of excessive patient loads and insurance claims, fosters a supportive and enjoyable workplace for her team. Consequently, happy and satisfied staff enhance the patient experience by providing high-quality care.

Advice for Transitioning to Direct CareFor other healthcare providers considering the transition to a direct care model, Dr. Foster offers several pieces of advice based on her experience:

• Develop a Fee Schedule Plan: Create a fee schedule that reflects the value of your services and is sustainable for your practice, independent of insurance reimbursement rates.
• Understand Local Insurance Reimbursements: Research local insurance reimbursements so you can inform patients how much they might get back if they use out-of-network insurance.
• Communicate Clearly with Patients: Explain the benefits and details of the direct care model to patients positively and informally.
• Train Your Staff Extensively: Ensure your team is well-trained to handle patient inquiries and to explain the direct care model effectively and positively.
• Highlight Added Value: Emphasize the personalized care and additional services included in your practice, such as screening OCT and fundus photos.
• Provide a Positive Patient Experience: Ensure patients feel welcomed and valued from the moment they enter your practice, with personalized attention and care.
• Show Up When Patients Arrive: Be present and attentive when patients arrive, reinforcing the personalized care they will receive.
• Include Value in Your Services: Offer comprehensive services that are already included in the fee to avoid additional charges during the exam.
• Maintain Good Work-Life Balance: Design your practice schedule to support a healthy work-life balance for yourself and your staff.
• Focus on Patient Relationships: Spend more time with each patient to build strong relationships and provide thorough care.

Dr. Foster aims to leave a lasting legacy in optometry by being a trailblazer in independent practice. She hopes to inspire other optometrists to consider alternative models prioritizing patient relationships and comprehensive care over insurance-based constraints.

In addition to her professional goals, Dr. Foster seeks to set an example for women in optometry. She wants to demonstrate that it is possible to run a successful practice while maintaining a fulfilling personal life. By involving her daughters in her practice and showing them the possibilities within the field, she hopes to inspire the next generation of female optometrists.

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The Optometry’s Meeting was abuzz with excitement as eye care professionals gathered to discuss the future of myopia management—Dr. Jennifer Lyerly, alongside Drs. Justin Kwan and Kumar Patel, took center stage to introduce the Myopia Collective powered by AOA and CooperVision®.

“Hello, everybody. We’re here at Optometry’s meeting, and I’m Dr. Jennifer Lyerly. I’m excited to tell you about the new Myopia Collective. I’m joined by Drs. Justin Kwan and Kumar Patel, who will share why this mission is so crucial,” began Dr. Lyerly.

Dr. Justin Kwan, a member of CooperVision for over four years, emphasized the importance of their collective efforts. “I have the honor and privilege to work with three wonderful ODs and our 42,000 colleagues, striving to do the right thing for children with myopia. Implementing myopia control therapies in practice can be daunting, especially for associates who may lack the knowledge or confidence to prescribe these treatments. Educating parents about the importance of myopia management is crucial to prevent future eye diseases.”

Dr. Lyerly echoed this sentiment, highlighting the mission of the Myopia Collective. “Our goal is to rally the profession around a standard of care change. We don’t just correct childhood myopia; we slow its progression. So, Dr. Kwan, how can people get involved?”

Dr. Kwan explained, “An easy way to get involved is by signing up as a member of the Myopia Collective through the AOA website. You can also contact your CooperVision rep or anyone on our team. This joint effort requires more than just a few participants. By increasing our membership, we can integrate myopia management into primary eye care because it’s too significant a problem to remain a specialty.”

When asked about the advantages of joining the Myopia Collective, Dr. Kwan outlined several benefits. “As a member, you’ll receive resources like a quarterly newsletter and a toolbox, particularly during the back-to-school period when appointments surge. You’ll also network with other professionals who commit to this standard of care.”

One notable aspect of the program is the Change Agent initiative. “These representatives lead the way in myopia management, helping other doctors join the cause. We’ve had over 60 members sign up, representing all 50 states and Washington, D.C.,” Dr. Kwan noted.

Dr. Patel, a Change Agent representing Texas, shared his excitement about the initiative. “We’ll work with our Change Agents every month, connecting through a LinkedIn forum to share ideas. In their communities, we want them to be the authority on myopia management, engaging in projects that bring this issue to the forefront.”

Dr. Lyerly emphasized the collective effort required to make a difference. “Optometry’s Meeting is a space for colleagues to discuss myopia control and encourage more practitioners to treat their patients appropriately. However, we must also educate legislators, school systems, nurses, and the broader community. This is a collective myopia project that requires everyone’s involvement.”

The Myopia Collective represents a significant step forward in the fight against childhood myopia. By joining this initiative, eye care professionals can access valuable resources, connect with like-minded colleagues, and lead the charge in their communities. Dr. Lyerly concluded, “This change starts with optometry, but it will take our entire community to spread the knowledge and ensure we can care for more patients in the long run.”

Eye care professionals can easily join the Myopia Collective online, pledging their commitment to a brighter future for children’s eye health. Together, we can make a difference.

Join the Myopia Collective Powered by AOA and CooperVision®Join today and elevate your practice with the Myopia Collective. By becoming a member, you’ll gain access to cutting-edge resources, professional networks, and the support needed to implement effective myopia control strategies. Together, we can revolutionize eye care, improve patient outcomes, and make a lasting impact on children’s vision health.

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In the latest episode of Defocus Media, “The Future of Optometry at Optometry’s Meeting,” Dr. Darryl Glover and Dr. Jennifer Lyerly discuss the exciting advancements and discussions from Optometry’s Meeting 2024. Broadcasting live from the event, the dynamic duo engages with a panel of student leaders and young optometrists shaping the profession’s future.

Dr. Glover and Dr. Lyerly bring their signature energy, exploring topics ranging from artificial intelligence in the classroom to the importance of advocacy and scope expansion. The conversation highlights the diverse paths in optometry, emphasizing the importance of staying open to change and innovation.

Notable guests include Dr. Devin Sasser, Emily Benson, Alicia Melton, and James Chung, each sharing their unique experiences and perspectives on the evolving landscape of eye care. The panel discusses the role of AI, the impact of legislative changes on practice choices, and the significance of building meaningful relationships within the industry.

This episode is a must-listen for eye care professionals and optometry students. It offers valuable insights into the profession’s future and the importance of involvement and advocacy. Be inspired by the passion and dedication of these young leaders as they pave the way for the next generation of optometrists.

Tune in to “Defocus Media” to stay informed and connected with the latest trends and developments in optometry. Don’t miss the vibrant discussions shaping eye care’s future at Optometry’s Meeting 2024.

Table of ContentsThe Impact of AI in Optometric Education and PracticeThe Importance of Advocacy and Scope Expansion for the ProfessionNetworking and Professional Growth StrategiesDiverse Career Paths in Optometry and the Power of PivotingThe Impact of AI in Optometric Education and PracticeAI is revolutionizing optometry, from simplifying complex material for students to enhancing patient care. James Chung shared how tools like ChatGPT can help tailor educational content to individual learning styles and streamline administrative tasks, allowing optometrists to spend more time with patients. AI’s potential to assist in clinical scenarios and patient communication highlights its role as an additive, not disruptive, force in the profession.

The Importance of Advocacy and Scope Expansion for the ProfessionThe conversation also touches on the critical issue of scope expansion. Young optometrists express their desire to practice full-scope optometry and advocate for legislative changes that allow them to utilize their full range of skills. The impact of scope on career decisions and the importance of advocating for such changes at the state level are underscored.

Networking and Professional Growth StrategiesBuilding strong professional networks is essential for career growth in optometry. Emily Benson highlighted the value of connections made during school and through professional organizations like the AOSA. James Chung emphasized how these relationships can open doors to job opportunities and provide valuable support and mentorship. They encouraged students to actively participate in professional events and leverage every interaction as a learning and networking opportunity.

Diverse Career Paths in Optometry and the Power of PivotingOptometry offers many career paths, from private practice to medical systems and consulting. Dr. Devin Sasser shared his diverse experiences, emphasizing the flexibility within the profession. Alicia Melton discussed the importance of being open to new opportunities and willing to pivot as interests and life circumstances change. This adaptability is critical to finding fulfillment and success in the dynamic field of optometry.

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In this engaging episode of Defocus Media titled “Optimizing Sports Performance: Vision Wellness, Ocular Nutrition, and Contact Lenses with Dr. Gabriela Olivares,” host Dr. Darryl Glover welcomes back Dr. Gabriela Olivares, a celebrated figure in the eye care and fitness communities. The discussion focuses on the essential role of vision in sports and fitness, emphasizing the importance of ocular nutrition for optimal eye health. Dr. Gabriela Olivares shares her expertise on the connection between our consumption and our vision, highlighting the significance of hydration, balanced diets, and proper nutrition in maintaining healthy eyes. She explains how specific nutrients, such as vitamins and minerals, are crucial for eye health and how staying hydrated can alleviate issues like dry eye, enhancing overall visual performance.

Dr. Gabriela Olivares also discusses the importance of selecting the right contact lenses for patients with active lifestyles. She stresses the necessity of treating any underlying ocular conditions before fitting contact lenses to ensure success and patient satisfaction. The conversation covers various scenarios, including fitting athletes and individuals with astigmatism. It explains how advanced contact lens technologies, like those from Johnson & Johnson Vision, can provide stable and clear vision. This episode is a must-listen for eye care professionals seeking to understand the intricate link between vision, nutrition, and fitness and how to effectively communicate these concepts to their patients.

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In the latest episode of the Depth Perception podcast, we explore the critical topic of speaking up in different contexts such as work, negotiations, and advocacy. The discussion underscores the importance of voicing one’s opinions for personal and professional growth, offering practical advice and sharing personal experiences. We delve into negotiation strategies, the power of manifestation, and the necessity for diversity and equality within the profession. Additionally, we address the challenges of speaking up, highlighting the significance of planning and confidence.

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Welcome to an enlightening episode, join Dr. Darryl Glover as he sits down with Dr. Nikki Earich to explore the groundbreaking initiatives of Optometry Giving Sight. From empowering communities with sustainable eye care solutions to the profound impact of correcting refractive errors worldwide, this episode uncovers how a passion for optometry and education is changing lives. Whether you’re an optometry professional or simply curious about the transformative power of vision care, you won’t want to miss this inspiring conversation. Get ready to discover how small actions, like providing a pair of glasses, can make a monumental difference in people’s lives across the globe.

Key Topics :Who is Nikki Earich? Mission and Initiatives of Optometry Giving SightThe Importance of Sustainable Vision CareGlobal and Local Impact ProjectsFunding and Donation InitiativesFinal Thoughts and Contact InformationWho is Nikki Earich? Dr. Darryl Glover:

We talk about changing the game, and you’re really doing that by helping people see day in and day out. But before we get too far, I like to know who I’m talking to. Can you share a bit about yourself, where you’re from, a fun fact, and how you got into your current position? Let’s kick it off, Nikki.

Dr. Nikki Earich:

Sure, thanks for having me. Like many in our industry, I originally wanted to be a rock and roll star. While in law school, I started working at my dad’s optometry practice and loved it—helping patients and picking out glasses. My mom and I decided to open an optical shop next to my dad’s practice when the space became available. My brother joined, and we eventually opened multiple stores, which were later acquired by MyEyeDr.

I continued in the industry, consulting and training other practices. I also ran a nonprofit in the education space in my community. About a year ago, I found this role that combines my passion for optometry and education, focusing on addressing uncorrected refractive error.

Mission and Initiatives of Optometry Giving SightDr. Darryl Glover:

So, let’s break down Optometry Giving Sight. Earlier, I mentioned some alarming stats: 80% of visual impairments globally are preventable, with 90% of those in developing countries, and the number one cause being uncorrected refractive errors. How does Optometry Giving Sight address this issue? You’ve done an incredible job, raising nearly a million dollars through training, establishing clinics, and delivering care. Could you give us an overview of each of these pillars and walk us through what it looks like?

Dr. Nikki Earich:

Absolutely. First, let’s clarify our mission. Optometry Giving Sight is exactly what our name implies: it’s about providing vision care through optometry. We aim to be a vehicle for anyone in the optometry field—whether you’re an OD, a student, an optician, or a company involved in the industry—to contribute to scalable and sustainable programs. These programs focus on education, training, and establishing centers to deliver accessible and equitable eye and vision care to those in need worldwide.

We accomplish this through vision care centers, building optometry schools, and other programs as long as they are optometry-led. This looks different in various parts of the world due to different levels of development and recognition of optometry as a healthcare science. In some countries, establishing a school is a massive, long-term project, so we start with vision centers. These can be set up more quickly, allowing us to train optometric techs and provide immediate, sustainable care to the local population while working towards the larger goal of building optometry schools.

For example, a few years ago, we funded a project for a group of nuns near Mount Kilimanjaro who had been trained to perform eye exams. They needed $5,000 for a new fundus camera, and we were happy to provide it. Similarly, we support projects where optometrists train teachers who can reach remote areas of their communities. The need for vision care is constant and widespread, and we can make a significant impact by training individuals who are eager to help their communities.

We train various professionals, including a new category created in developing nations to meet the demand for leadership among eye care professionals. We collaborate with the World Council of Optometry to develop programs like the Optometry Professional Advocacy Leadership (OPAL) program, which trains leaders to act as advocates and intermediaries between eye care professionals and their governments.

Our efforts have resulted in the establishment of 14 schools or vision centers in 13 countries, including Mozambique, Malawi, Kenya, Vietnam, Nicaragua, Haiti, and Eritrea. These centers not only provide immediate care but also create a ripple effect. Graduates return to teach the next generation, exemplifying sustainable, long-term development.

The Importance of Sustainable Vision CareDr. Darryl Glover:

It’s truly remarkable. The sustainability of your efforts stands out to me. Providing eye exams and glasses is great, but training, educating, and building vision centers and schools that enable communities to take care of themselves—that’s transformative. It improves employment opportunities, quality of life, and overall happiness by simply addressing vision problems. A pair of glasses can make a world of difference.

Dr. Darryl Glover:

It’s not just kind of remarkable; it’s very remarkable. What I love about your approach is the focus on sustainability. It’s great to provide eye exams and give glasses, but a one-and-done job only goes so far. Training, educating, building vision centers and optometry schools, and empowering the community to take care of itself—that makes a world of difference. It creates jobs, improves quality of life, and makes the world a better place by addressing uncorrected refractive error. A simple pair of glasses can have a huge impact.

Dr. Nikki Earich:

It does make a huge difference. Here, we take so much for granted. You can practically go online and refract yourself, order glasses by the dozen, or pick them up quickly. In developing nations, people often don’t even realize they’re not seeing as well as they could. We need to start with the basics. We need to build the infrastructure just to get people in chairs to refract them before we can even talk about managing myopia.

Putting a pair of glasses on someone so a child can see the chalkboard or an adult can work and earn a living is life-changing. In this country, if someone loses their glasses, they can order another pair. But in developing nations, if a person gets their first pair of glasses and then loses or breaks them, they go back to their previous quality of life, which is a huge setback. Missions are important and serve their purpose, especially for those receiving services and for optometry students gaining experience. But a once-a-year mission doesn’t address the ongoing needs of these communities.

Global and Local Impact ProjectsDr. Darryl Glover:

Imagine being minus seven diopters and losing your glasses. Your whole world changes when you get that first pair, and losing them means going back to a diminished quality of life. The sustainable approach—building clinics and schools, training and educating—is touching. It takes a lot of work, resources, funding, and volunteers to make this happen. You’re bringing people from all over the world to make a difference. While there’s a lot of need in our own backyard, like in Raleigh, Durham, North Carolina, where people need glasses and eye care, the work you’re doing globally is truly inspiring.

Dr. Nikki Earich:

Thank you. We do work with partners on projects in North America because there is need here, too, especially in rural parts of the U.S. and Canada. For example, access to care is a big challenge in rural Canada for some indigenous peoples. We’ve funded projects in these areas, as some parts of the U.S. also face conditions similar to developing nations.

We grant about 20 to 24 projects each year, totaling around a million dollars. We’re always aiming to raise more to support these projects. One of our partners, Canadian Vision Care, led by Dr. Alan Jones, does incredible work. He creates innovative, multi-use handheld devices and runs projects in developing nations. He uses shipping containers to create vision centers, equipping them with the necessary tools like slit lamps and fundus cameras. Once landed, he modifies the containers into functioning clinics and trains locals to run them. It’s a win-win, providing practical skills and sustainable care.

Dr. Darryl Glover:

I’d love to see that process from start to finish. Getting all the equipment in there, shipping it, and setting it up sounds like a fascinating journey. It must be a tremendous effort, but incredibly rewarding.

Dr. Nikki Earich:

It is. I can send you pictures. It’s amazing to see it all come together. Dr. Jones and his team do phenomenal work. It’s replicable, meaning we can apply this model in other places, making a lasting impact wherever it’s implemented.

Funding and Donation InitiativesDr. Darryl Glover:

Definitely. Now, Nikki, I want to pivot back to donations and funding. For those listening to the podcast, whether live or on platforms like iTunes or our website, what’s the best way for someone to donate?

Dr. Nikki Earich:

Our website, givingsight.org, is a great resource. In a few weeks, we’ll launch a new initiative called Team OGS—Together Eyecare Achieves Miracles. The idea is that if we all give a little, we can make a big difference. Everyone in this industry, whether an eye doctor or an optician, joined to improve people’s lives through better vision. We can all contribute, even if it’s just a small amount.

We’ll send out welcome kits with various ways to engage your practices or optical shops in supporting us with minimal effort and expense. For instance, you could become a monthly donor, giving $10 monthly. Or your optical dispensary could participate in “Pick a Pair,” donating a percentage of your monthly proceeds.

The Bausch & Lomb TerraCycle One for One Program is a more passive option. Collect blister packs and used contact lenses and send them in for free. TerraCycle then donates them to OGS. Another option is the credit card processing company Chip In, which donates a percentage of its fee to a charity of your choice. We hope you choose Optometry Giving Sight. They even offer a free comparison to see if they can beat your current processing rates.

Dr. Darryl Glover:

I love that.

Dr. Nikki Earich:

The Team OGS Welcome Kit has all these options. You can choose to participate in any or all of them. Our other major fundraiser is the World Sight Day Challenge in September and October. IAPB established World Sight Day on the second Thursday of October, October 10th this year. For 19 years, we’ve encouraged everyone to raise as much money as possible during these months. Practices, doctors, companies, and students all find creative ways to raise funds, whether it’s donating a day’s worth of fees, holding bake sales, or organizing 5K runs.

We want to spread our message within the industry and to patients, educating them on the importance of vision care. Our website is a great place to learn more and see impact stories. And if you’re attending the Academy meeting in November, come visit us at booth 326.

Final Thoughts and Contact InformationDr. Darryl Glover:

So for those wanting to get in touch with you outside of the website and conferences, is there an email or social media contact they can use?

Dr. Nikki Earich:

Sure. My email is nikki.earich@givingsight.org. You can also find me on LinkedIn. I’m always happy to talk to optometrists—they’re my favorite people. My dad was an optometrist, and I genuinely believe they are the kindest group I’ve encountered.

Dr. Darryl Glover:

Well, Nikki, if you could leave one last message for all the listeners and followers out there, what would it be? The floor is yours.

Dr. Nikki Earich:

I’d like to echo your sentiment: when you give sight, you change lives. It makes a world of difference. We’re extraordinarily grateful to those who contribute. Putting a pair of glasses on a child who can then see, or helping someone maintain their dignity and ability to work, or allowing senior citizens to maintain their independence, truly changes lives. If you can help us help others do that, it’s a beautiful thing.

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What happens when an innovative optometrist takes on the world of entrepreneurial challenges? Meet Dhruvin Patel, the visionary founder and CEO of Ocushield. Starting with blue light blocking products, his journey led him from the spotlight of Dragon’s Den to the grandeur of Buckingham Palace, where he was honored by King Charles. In this captivating episode, Dhruvin recounts the highs and lows of building Ocushield and shares insights into their expanding vision solutions. Join us for an inspiring story of perseverance, innovation, and royal recognition.

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Creating a Dry Eye Center involves addressing a common ocular condition. It requires specialized knowledge, advanced equipment, and a collaborative approach. With dry eye disease affecting millions, establishing a dedicated center can significantly enhance patient care and expand your practice. Here’s a streamlined guide to creating a successful Dry Eye Center.

In the latest episode of the Defocus Media Podcast, Dr. Darryl Glover sits down with the remarkable Dr. Kristen Brown, an optometrist and the Chief Operating Officer and Partner of EyeWell, to discuss her innovative approach to building a Dry Eye Center. From her early career in California to her groundbreaking work on the East Coast, Dr. Brown has been at the forefront of dry eye treatment. In this episode, she shares her journey, the challenges she faced, and the strategies she employed to create a successful Dry Eye Center. Dr. Brown’s insights offer valuable guidance for eye care professionals looking to enhance their practice with specialized dry eye care.

With EyeWell, optometrists can refer patients to a state-of-the-art facility with the most advanced technologies. This allows them to help more patients and grow their practices without any new investment. EyeWell enables practitioners to focus on what they love—caring for patients—while leaving regulatory oversight and management hassles to the EyeWell team. This model allows for outsourcing advanced therapeutics without fearing losing patients and growing a dry eye practice through partner referrals.

What’s Covered? The Journey of Dr. Kristen Brown * The Concept and Importance of Co-Management in Eye Care * Overcoming Hurdles in Building a Dry Eye Practice * Expanding the Eyewell Dry Eye Comanagement Model * Learn More About Eyewell: The Power of Advanced Ocular Surface Care The Journey of Dr. Kristen Brown*Dr. Darryl Glover:

So, if you don’t mind sharing one of those, that’d be fantastic. Let’s break it down from the top. What’s the story of Dr. Kristen Brown?

Dr. Kristen Brown:

Sure. Well, I’m a California native. I grew up on the West Coast and attended undergrad and optometry school in Northern California. From there, I thought, “What’s the furthest I can go?” Naturally, I considered the East Coast. So, I headed to the Boston area for residency and spent a year there. I wanted to learn more about ocular disease, but I also wanted an adventure. Moving to the East Coast was about as far as I could go and still be on a coastline.

That brought me to the Boston area a little over 30 years ago. After completing my residency, I thought, “Now what?” I had all this great knowledge and passion for dealing with eye disease. Back then, job opportunities were often found in publications like Optometry Times, delivered in newsprint. I came across a fellowship in ocular disease and thought, “Why not?” I could either stick around or head back to the West Coast. That opportunity set the foundation for my career and shaped how I wanted to practice.

Interestingly, I hadn’t even intended to go to college. I was an athlete, and my coach asked me if I planned to attend college. I wasn’t sure, so she encouraged me, saying, “If you could do this, would you go?” I said, “Sure, sign me up.” My journey made me realize there are many different ways to be smart and follow your interests. I’ve been incredibly fortunate throughout my entire career.

The Concept and Importance of Co-Management in Eye CareDr. Darryl Glover:

I love it. We’re blessed to have you in this amazing profession because you’re doing things that are at the next level. I want to break that down, but I think it’s only right to first talk about how you got into the concept of co-management. This is something discussed in school, but not a lot of time is spent on it. I want to dive deep into this co-management center you’ve created in partnership with iWell. But let’s take it from the beginning. How did co-management come about for you, and why is it important, especially in the context of OD to OMD, optometrists to ophthalmologists? That’s a conversation we need to have to set the foundation here.

Dr. Kristen Brown:

Sure. The term “co-management” gets thrown around often and can have different definitions. What I mean by co-management is collaboration. I think of it as back-and-forth communication. We refer patients for surgery or retina care when it’s beyond our scope, but we often don’t consider what happens next. When does that patient come back? It’s like a handoff without the expectation or coordination of care returning to us as their primary eye care provider.

During my fellowship on the West Coast, it was truly a co-management model. It was a large group of ophthalmologists and optometrists, and we did what we were good at. The surgeons performed surgery, and the optometrists co-managed, communicated, and collaborated with other optometrists who referred patients to us. We acted as liaisons to the center and the surgeons, ensuring that the care and the patient returned to their referring eye doctor.

Often, what’s missing is the follow-through after referral. We refer patients and then move on to the next case. For real co-management to occur, whether between an ophthalmologist and an optometrist or a primary care physician and an optometrist, it’s about communication and prioritizing the relationship. Yes, we will provide excellent care for the patient in our chair, but the priority is maintaining that relationship with the referring doctor.

Overcoming Hurdles in Building a Dry Eye PracticeDr. Darryl Glover:

So if you don’t mind, could you spend a few minutes discussing some of the hurdles you faced? From a high level, I’m thinking about equipment and marketing, and building those relationships, but I’d love for you to share your insights.

Dr. Kristen Brown:

Those are the top three, along with resources. When I think of resources, I think of capital investment. We’ve calculated that launching a comprehensive eye care center takes between $500,000 and $750,000. One of the things we’re committed to is addressing this from every angle. Patients often come in having tried other therapies and are still progressing and frustrated because not all contributors to their problems have been addressed. To tackle this, you must be committed to people, resources, technology, and the biggest one—time.

None of us have extra time. We’re already stretched thin, focusing on areas like myopia management or specialty contact lenses. My colleagues’ biggest challenge when going in this direction is getting started. They might get a device and start treating dry eye, but it’s so complex and multifactorial. It’s not one-size-fits-all. For instance, investing $100,000 in IPL technology is great, but what if the issue isn’t ocular rosacea?

Many patients get put on plugs and doxycycline without knowing if they have inflammation. Committing to address these issues fully is crucial. It’s not just about the capital investment, though that’s significant; it’s about making that commitment. That’s where I see many doctors fall short. They might get one or two things and then stop there. It’s complex and challenging, and I found myself in a similar position five years ago. It’s about constantly learning and understanding and carving out the necessary time.

We simplified things by creating a model focused solely on dry eye therapy. These patients want to be heard and have someone take the time to investigate their specific problems. Evidence-based practice is essential, but it’s tough with today’s reimbursements and managed care challenges. We chose a more efficient route, not dealing with managed care since most dry eye therapies aren’t covered anyway. We help patients with itemized receipts so they can submit to their insurance for reimbursement.

We separate the doctor’s time from the treatment on the device, which helps us navigate some of the red tape. Patients don’t need a referral from a primary care provider, though we do want to co-manage with their eye care provider. Patients can also schedule directly with us.

Expanding the Eyewell Dry Eye Comanagement ModelDr. Darryl Glover:

It’s fantastic that she can hear us. What I’d love to do is figure out if someone wants to partner with you, perhaps franchising this concept. I don’t know if that’s something you’re looking at doing, but if you don’t mind, could you spend a few minutes breaking that down? I know there are many folks interested in taking their dry eye practice to the next level or opening something new but don’t know the blueprint. Could you elaborate on that?

Dr. Kristen Brown:

Absolutely. We are very much interested in scaling the concept. Whether we call it a franchise or otherwise, we want to partner with our optometric colleagues and ophthalmologists in the co-management sense and business practice sense. We’d like to have an Eye Well center in multiple cities. We’re careful in our approach and want to work with the right doctors who can develop and maintain a network.

One of the biggest challenges is that doctors want to get involved in dry eye care but don’t have the patient volume to justify it. If they have relationships, trust, and credibility among their peers in their area, that’s a great starting point. We’re open to having those conversations. For example, a woman from London reached out recently, excited to create an Eye Well model. Whether it’s an Eye Well center or something similar, it’s a business model developed with a lot of expertise over a long time.

We’re not just saying, “Here you go.” We’re developing a training program that should be available for doctors who are interested. It’s not just about treating dry eye but also about building an Eye Well-like entity. We’d like to have Eye Well centers in multiple cities across the U.S. and maybe even in London. The best thing to do is contact us and start a conversation.

Learn More About Eyewell: The Power of Advanced Ocular Surface CareEyewell pioneers a revolutionary approach to treating dry eye, making ocular surface issues easier to diagnose and manage. Utilizing advanced technology, Eyewell provides comprehensive eye care solutions that are accessible and efficient. Their expert team of eye care professionals is dedicated to simplifying the patient experience, removing the barriers of time-consuming processes and medical red tape. Eyewell ensures that eye care has never felt better by offering cutting-edge treatments and personalized care. Discover the Eyewell difference today and experience superior eye health. Click here to learn more.

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Are you ready to revolutionize your healthcare practice, mastering communication in your eye care practice, and elevate your leadership skills? In this episode of Defocus Media, Optometry’s #1 podcast network, Dr. Darryl Glover sits down with Gerard Johnson, a seasoned healthcare manager with 15 years of experience in the industry.

Gerard shares invaluable insights on mastering effective communication in your eye care practice, the pitfalls of micromanagement, and the impact of gossip in the workplace. He also delves into the critical importance of clearly defined roles and responsibilities and the devastating effects of miscommunication in healthcare practice.

Whether you’re a budding manager or a seasoned professional, Gerard’s practical advice and real-world examples will empower you to create a more cohesive, efficient, and positive work environment. Tune in to discover how to lead confidently, delegate effectively, and foster a culture of growth and collaboration in your practice. Don’t miss this opportunity to learn from one of the best in the field and take your leadership skills to the next level!

What’s Covered? Communication in Eye Care * Navigating Microaggressions and Overcoming Micromanagement * The Role of Gossip in Workplace Dynamics * Clarifying Roles and Responsibilities to Prevent Conflict * Tackling Miscommunication for Improved Efficiency Communication in Eye Care*Dr. Darryl Glover: Do you want to take managing your practice to the next level? How do you handle microaggressions? How do you handle conflict? How do you handle communicating with your team so that they give your patients the best care and the best experience ever? Today, on Defocus Media, Optometry’s #1 podcast network, we have the one and only Gerard Johnson.

Dr. Darryl Glover: I’d love for all my listeners and colleagues out there to learn a little more about you. So, if you don’t mind, maybe tell us about your background and how you got into the wonderful world of eye care.

Gerard Johnson: Sure. I’ve been in healthcare management for about 15 years now. I’ve managed everything from small startup practices, like we did with Southpoint years ago, to bringing new practices to new markets, such as Atlanta. I’ve worked as a multi-unit contact lens manager here in Atlanta. I was an ABO and NCLE-certified contact lens optician. So, a little bit of everything. Now, I’ve moved into a different area of healthcare with primary care and urgent care.

I’ve done a bit worldwide, including opening flu vaccine clinics and COVID vaccination clinics when those vaccines first became available. I enjoy healthcare and helping people. Most importantly, I love growing people. That’s why I got into this—to grow people.

Dr. Darryl Glover: Let’s start with the basics of communication regarding how you got to where you are and how our colleagues can do better in any healthcare setting.

Gerard Johnson: The first thing I learned, way back when I first started in leadership, was during a management class. The first thing they taught us was, it’s not what you say, it’s what the other person hears.

Dr. Darryl Glover: Oh, say that again, man. Drop that gem! That was a heavy one, right?

Gerard Johnson: You could have the best intentions in what you say, but that doesn’t mean the other person understands it that way. Being mindful and calculated, having these conversations with yourself before you talk to the other person allows you to be clear and confident in communicating with them. Before you go into a situation where you need to communicate something, I would often sit in my office and play through that conversation. Role-playing with myself.

Dr. Darryl Glover: Is that why I always heard someone talking to themselves in the other room? I thought you might have gone a little, you know, cuckoo at times.

Gerard Johnson: I was going through situations and role-playing the conversations. This is something I want to talk about in high schools. Sometimes, people ask me, “You seem very confident. How is that?” It’s because I had these conversations before I had them.

Dr. Darryl Glover: Yeah, I love that. Especially when you’re having a conversation that’s not very comfortable, right? Take your time. You don’t have to rush into it. Just because you know you need to have the conversation doesn’t mean you should run into it unprepared. Take your time. Go through the pros and cons. What’s the worst-case scenario? What will that doctor say when you tell them they need to speed up a bit? What’s going to be their response? You’ve probably heard it before, so you know what’s coming. Are you prepared for that conversation?

Gerard Johnson: Exactly. Are you prepared to be honest and have those conversations with yourself? I would walk around and talk to myself like a crazy person in my office. For some people, it might help to write it down. Putting pen to paper removes those emotions and makes you pause to think about what you’re saying and writing. Therefore, when you go into that communication, you’re prepared. One of the things I use to prevent micromanaging is what I call my “ROLEs.” Whenever I’m going into a conversation or giving someone a new responsibility, I have a little spreadsheet called ROLE.

Navigating Microaggressions and Overcoming MicromanagementDr. Darryl Glover: Okay, let’s break that down. Let’s jump into microaggressions because it’s a buzzword in today’s society.

Gerard Johnson: Sure. In my case, I was very fortunate to have a very forthright employee. I was new, young, and full of vinegar, trying to do my best. I was doing too much. Often with managers, our insecurities lead us to do too much. We’re always at the front desk, saying, “Let me do that. Let me do this,” when sometimes you just have to sit back. Not necessarily relax, but give your team space. They know what they’re doing. If they don’t, that’s when you take the time to communicate with them. You can’t be overbearing and domineering.

The general consensus for the definition of micromanagement is a top-down level of domineering management where every decision, even the simplest one, goes through you. The problem with that is it stagnates your team, leading to turnover. Your team feels stifled. They don’t feel like they’re learning or growing, so they leave. They either grow within your practice or go somewhere else to grow. You’ll also slow down your efficiency. If every time someone needs to make a simple decision, like which copy paper to order, they’re wasting time waiting for you to make that decision. Be willing to delegate tasks that can be delegated.

Another component is ego. As a leader, ego often gets in the way. You see micromanagers acting out because they’re afraid to lose control. They’re confident in their abilities to manage what’s happening, so they have to be the voice. They block out all competing ideas because they fear they aren’t good enough. You’ll even see it in the way they train people. Sometimes you’ll hear a manager say, “I don’t want them to get their ABO certification because what if they leave?”

Dr. Darryl Glover: I love it, man. I want to take a step back. We’ve been talking about microaggressions, and you mentioned in this article the common behaviors of micromanagers. I want to list a few so that folks can see them in themselves and may want to change or maybe partner with you to consult and learn how to change these behaviors.

• Some behaviors include scrutinizing every action
• Always pushing back deadlines
• Excessively requesting updates
• Never being entirely satisfied with others’ work
• Disputing insignificant details
• Fighting against decision-making autonomy
• Taking pride in correcting others’ mistakes
• Having a “my way or the highway” view.

The Role of Gossip in Workplace DynamicsNumber one is gossip. Number two is ambiguity of roles and responsibilities. Number three is miscommunication. You touched on miscommunication earlier, but I’d like to spend a little time on each of these topics. Let’s start with number one, gossip, because I feel like gossip can kill an office. Gossip can kill your bottom line and drive a doctor insane. So let’s talk about that. How do you manage that?

Gerard Johnson: The first way to manage gossip is to understand that you’re not going to completely eliminate it. Studies show that 90 percent of all employees gossip. It’s going to happen, right? You can tell them not to do it, and they’ll agree, but then they’ll go back and spread gossip anyway. It’s about controlling the gossip. Gossip isn’t necessarily a bad thing; there can be positive gossip. For example, once I was opening a large practice in Atlanta and taking over a practice that wasn’t open on Saturdays. In optometry, Saturdays are money days. People have the day off, they just got paid on Friday, and they’re willing to spend time and money to get their eyes checked.

In that situation, I knew the change was coming, so I started spreading the gossip early. I hinted, “Hey, just something to be mindful of. We might be open on Saturdays soon.” This spread the idea around. Staff members began discussing it among themselves, coming to grips with it, and making decisions. So, when I officially announced, “In two months, we’re going to open on Saturdays,” no one was shocked. They had already heard the gossip and were prepared for the change.

Dr. Darryl Glover: I like that, man. You put a positive spin on gossip.

Clarifying Roles and Responsibilities to Prevent ConflictDr. Darryl Glover: All right, let’s transition to conflict, particularly about roles and responsibilities. When people are a little lost about what they’re supposed to do, how do you handle that?

Gerard Johnson: A lot of times, conflicts arise because two people have a task, and they don’t know who’s responsible for what. This goes back to what I talked about before—utilizing that role spreadsheet. Everyone is fully aware of not only their responsibilities but also how their roles impact others downstream. By communicating how each person fits into the larger purpose of the practice, everyone understands their part in the practice’s success.

So, when a mistake happens, no one points fingers. They understand their expectations for the process and where the breakdown occurred, allowing us to communicate about those breakdowns and address the friction. Also, some people don’t want to take responsibility for the parts they didn’t complete. That’s where conflict arises, with everyone pointing fingers at each other. But if everyone knows and agrees on their responsibilities and the team’s expectations, you eliminate many of those conflicts and the associated friction.

Tackling Miscommunication for Improved EfficiencyDr. Darryl Glover: Got it. And this is also where you can incorporate the ROLE method as well. I love the overlap. Let’s take it home with miscommunication, conflict number three. I know we touched on this briefly, but I want to spend a few minutes getting into the weeds because miscommunication can set you up for complete failure. I want all my colleagues out there to thrive and communicate effectively in their practice. So let’s talk about miscommunication, Gerard.

Gerard Johnson: Many times, especially in my experience working with doctors, they’ve learned their craft, what they went to school for, but they didn’t necessarily learn how to communicate their needs to their staff. This leads to miscommunication where the doctor believes they communicated effectively. This goes back to what we talked about earlier: it’s not what you said; it’s what the other person heard. The doctor thinks they’ve communicated how they want something done, but the team member might not understand it that way.

Gerard Johnson: As a doctor, you need to be patient and communicate exactly what you need done. If you need steps A, B, and C done, ask that person to explain it back to you. Approach them with understanding and assume the best. Ask them why they thought their method was the best way to do it and give them the opportunity to explain. Don’t fill in the blanks—listen to them. Often, we talk to hear ourselves and then wait for our turn to jump in instead of truly listening. It’s like double dutch, right?

Gerard Johnson: Right. In the health system I work with now, we teach a class called Safety First. It’s about how communication can prevent harm to patients and how smiling at a patient can make them more comfortable, encouraging them to share more information. When you’re double-checking a diagnosis, you’re telling them and then waiting, giving their brain time to process and ask questions.

Gerard Johnson: Miscommunication often happens because we’re not waiting to listen to the answer and not adjusting to the feedback we receive. We might know how we want something done, but if someone tells you they can’t do it that way, you need to listen to them, understand their perspective, and make adjustments based on what they’ve told you.

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This week on the 2020 podcast, Dr. Harbir Sian explores the challenges and misconceptions surrounding binocular vision (BV) in optometry. For many optometrists, BV can be daunting—some struggle to grasp its importance, others fear it, and some even question its relevance.

Matt Rosner, representing the NeuroVisual Medicine Institute (NVMI), aims to shift these perceptions. He advocates for a structured program that equips ODs to integrate BV into their practices effectively. This initiative not only aims to demystify BV but also promises to enhance patient care significantly.

Discover more about NVMI and their mission: NeuroVisual Medicine Institute

Access the NVMI screening questionnaire: NVMI Screening Questionnaire

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Get ready for an eye-opening episode on the Defocus Media Podcast with “ODs on Finance: The State of Optometry’s Financial Health.” Join Dr. Aaron Neufeld, an expert optometrist and co-founder of ODs on Finance, as he unravels the findings from the “ODs on Finance 2024 Optometrist Income Report.” This episode dives deep into the financial state of the optometry field, covering pivotal topics such as the increase in gross annual pay, the promising average net worth of optometrists, the alarming trends in retirement savings, the peak levels of student loan debt, and how practice ownership can lead to the most favorable financial outcomes.

In addition to analyzing gross pay and net worth by state and region, we explore how these metrics vary across different races and genders, shedding light on the economic disparities within the community. Furthermore, discover the most lucrative “side hustles” that optometrists are turning to to supplement their income.

This comprehensive discussion is packed with invaluable insights for any optometrist looking to enhance financial knowledge, optometry students assessing the fiscal realities of their future careers, or practice owners aiming to optimize their financial strategies. Dive into the detailed financial management lessons with Dr. Aaron Neufeld and learn how to navigate through the complexities of the financial landscape to secure a thriving career in eye care. This episode is your essential guide to understanding the future of optometry and mastering the economics of optometry—don’t miss out!

What’s Covered: * Understanding Optometrist Income with Dr. Aaron Neufled * Lesson 1: Increasing Gross Annual Pay for Optometrists * Lesson 2: The Promising Average Net Worth of Optometrists * Lesson 3: Insufficient Retirement Savings Among Optometrists * Lesson 4: Escalating Student Loan Debt Challenges * Lesson 5: Practice Ownership as the Optimal Route to Financial Success Understanding Optometrist Income with Dr. Aaron Neufled Dr. Darryl Glover:

Hey man, thank you. I’m super excited today because we’re going to dive into finances, right? You know, before we kicked off this live stream and podcast, we were chatting about how often we, as optometrists, just focus on our work in the exam lane and keep producing. But sometimes, I think we neglect to sit down and consider the future. What are we producing for? Yes, we all want a thriving practice, but what should that look like both personally and professionally in terms of our finances?

Today, I’m thrilled because we’re going to cover a couple of things. First, we’ll discuss what optometrists are currently doing with finance. We’ll also touch on an article you wrote that really woke up the industry regarding the financial state of optometry—is it a financially viable profession? Let’s kick things off by having you introduce yourself. Some might not know who you are and all the great things you’ve done, my friend.

Dr. Aaron Neufeld:

Absolutely, Darryl. I own a few private practices in the Bay Area, California—one in Los Altos, one in Mountain View, and a specialty lens clinic in Milpitas. Besides patient care and managing those practices, I also co-founded ODs on Finance in 2018. It started as just a small group of ODs talking about finance, and now it’s grown to include about 26,000 ODs, whether they’re in our Facebook group or subscribe to our newsletter. We’re here to provide financial resources to help push our profession forward.

Dr. Darryl Glover:

That’s a great overview of what this platform is all about.

Dr. Aaron Neufeld:

Yeah, the core purpose is to provide financial resources so that we can achieve financial freedom, both in our practices and in our personal lives. We started with a lot of articles and guides, and we still produce those. We’ve released two books—one back in 2018 and a recent one for students, which is now available in optometry schools across the U.S. Additionally, we host a CE event every two weeks, always via webinar, which includes about four to five hours of content and is always free. We also facilitate group buys for practice owners, offering vendor deals and practice management tools. Beyond that, we provide services like practice financing and student loan refinancing.

Our latest project, which we’re excited to announce and will launch soon, involves merchant services. We’re working directly with one of our vendors to provide what should be the most effective rate out there.

Lesson 1: Increasing Gross Annual Pay for OptometristsDr. Darryl Glover:

Let’s dive into this article you wrote, which is truly a game-changer. I have it right here—the state of optometry. You’ve broken down five crucial lessons that every eye care professional, especially optometrists, should be aware of and consider deeply. Let’s jump right into it, starting with the first lesson about the increase in gross annual pay. Can you elaborate on that?

Dr. Aaron Neufeld:

Absolutely. When we began this project—the income report—we knew there were already several income reports out there. However, what stood out in those reports was the relatively small sample sizes—some had 200, 300, and even one with 500 responses. Considering we have a community of 26,000 ODs, we thought, why not leverage this and try to gather more extensive data? So, we conducted a survey and initially, about 2,000 ODs submitted their data, though we had to narrow it down to 1,900 usable entries after verifying the completeness of their responses.

What was most surprising was that the average income turned out to be higher than previous reports suggested. We’re not entirely sure if this is due to the larger sample size, geographical distribution, or perhaps an inherent bias since those involved in ODs on Finance might be more proactive about their financial growth. However, the good news from our findings is that the average compensation for ODs was notably higher than previously reported. We can see from this graph that there’s a steady increase in income every five years, which could be due to optometrists advancing in their careers, negotiating better salaries, or moving into ownership roles.

This is uplifting for our industry, especially given the longstanding concern that optometrists don’t make enough money considering the debt incurred from four years of additional schooling. Thankfully, that conversation is becoming less common as compensation improves.

Dr. Aaron Neufeld:

Interestingly, the highest earnings are typically seen in the Southeast, likely due to a lot of rural optometry practices. In rural areas, where there are fewer practitioners, there’s higher demand, which often allows ODs to see more patients and potentially charge more.

Lesson 2: The Promising Average Net Worth of OptometristsDr. Darryl Glover:

Moving on to lesson number two from your chart here, let’s talk about the promising average net worth of optometrists. Let’s delve into that.

Dr. Aaron Neufeld:

Yeah, when we conducted the survey, I initially thought the net worth of optometrists would be lower, but it’s actually quite high. The average, if I recall correctly, was around $800,000. You might have the exact figure on your slide there, and $800,000 is pretty impressive. We also looked at a medical doctor salary survey conducted by the White Coat Investor, which mainly focuses on MDs. Their average net worth was about $1.1 million. Considering that our profession often gets pegged as earning less, we’re doing quite well, with only $300,000 off.

That’s why I emphasized this in the article. I believe we’re doing well, but we can do better. With effective saving and investing strategies, and by reducing our debt, we can increase our net worth. As we continue to educate newer ODs coming out of school on how to manage student loans, negotiate better salaries, and save and invest wisely, I anticipate seeing this average continue to rise.

Dr. Darryl Glover:

And that’s what I love about ODs on Finance. You have a diverse group of optometrists contributing different investment strategies, and it’s always enlightening to see the range of financial approaches across the United States. It opens up opportunities to discover something you might be missing out on, and it’s invaluable to have that resource for deeper exploration outside of those discussions. I really value that.

Dr. Aaron Neufeld:

Absolutely, thank you.

Lesson 3: Insufficient Retirement Savings Among OptometristsDr. Darryl Glover:

So, moving on to Optometry Income Report lesson number three, it appears that optometrists are not saving enough for retirement.

Dr. Aaron Neufeld:

Yes, it’s exactly as it sounds—optometrists do not save enough for retirement. This became evident a few years ago when we started ODs on Finance. I remember working at a corporate location before buying my practice, and a colleague who was an 82-year-old optometrist shared that he was still practicing because he hadn’t saved enough for retirement. That was a wake-up call for us. We realized that despite being considered high earners, too many of us were not financially prepared for retirement. Initially, we found that the average retirement savings for ODs was around $300,000, which is far from sufficient.

Ideally, we want to see a minimum of $2 million to ensure a comfortable retirement. Considering inflation and the potential increase in medical costs as we age, even $1 million, which some closer to retirement might have saved, isn’t enough. We need to aim for at least $2 million to cover all uncertainties and healthcare costs in retirement.

Dr. Darryl Glover:

Let’s discuss some strategies for achieving this.

Dr. Aaron Neufeld:

Absolutely. We advocate a four-step process. First, if you have access to a 401(k), especially with a match, make sure to take full advantage of it. That’s leaving free money on the table if you don’t. Secondly, consider a Roth IRA. Many of us will be above the income limit for a direct Roth IRA, but a backdoor Roth conversion is a viable option. You can contribute around $7,000 annually, which is tax-advantaged. Third, if available, use a Health Savings Account (HSA), which we like to call the ‘stealth Roth IRA.’ It’s another tax-advantaged way to save for healthcare or retirement.

Finally, open a brokerage account for investing in a taxable account. Stick to conservative investments, like an S&P 500 index fund. Keep it simple and let it grow over time. The key here is consistency and discipline in your investing strategy. Plan it out, stick to it, and you’ll be on your way to a secure retirement.

Lesson 4: Escalating Student Loan Debt ChallengesDr. Darryl Glover:

I love it, man. And for those just tuning in, we’re speaking with Dr. Aaron Neufeld, and we’re diving deep into the optometrist income report. Now, let’s address another pressing issue—student loan debt is at an all-time high.

Dr. Aaron Neufeld:

Yeah, it’s a concerning situation but one we must face. When we conducted the poll, we found that the average student loan debt is around $240,000 across the board. However, for new graduates, those who are 0 to 5 years out, it averages around $300,000. That’s a significant increase compared to when I graduated—I had about $160,000 or $170,000 in debt. With rising costs, student loan debt at graduation has increased. However, students shouldn’t be scared by these numbers.

If you have a solid plan and are disciplined in your approach, you can manage even the most daunting debts. There are several options available now, including safe repayment plans introduced by the government, as well as the traditional route of refinancing. It’s about doing your research, educating yourself, and understanding what you’re getting into with the profession. And remember, the need for ODs is growing. The population is increasing both in the U.S. and globally, meaning more patients and more opportunities, which should lead to higher salaries that can help offset these higher student loan costs.

Dr. Darryl Glover:

Absolutely, and for any undergraduates thinking about entering optometry, it’s crucial to see beyond the daunting debt figures. There’s substantial job security, and the opportunity to help people with their most vital sense—their sight—is incredibly rewarding. So don’t overlook this profession; it still offers amazing potential.

Lesson 5: Practice Ownership as the Optimal Route to Financial SuccessDr. Aaron Neufeld:

Let’s pivot to our final lesson. Practice ownership leads to the best financial outlook. I want to emphasize this because there’s a common misconception that private practice is dying, but that’s far from the truth. Practice ownership on average sees an owner earning about $100,000 more than an associate. Specifically, owners of solo practices average around $200,000, while those with three to four doctors under them can take home an average of nearly half a million.

Private practice isn’t dead. However, the approach to private practice has evolved. It’s no longer just about basic eye care; specialties like dry eye, specialty contact lenses, and boutique optical are where differentiation lies. This is how you keep your patients returning and maintain high revenue per patient, ultimately leading to profitability.

Dr. Darryl Glover:

I love it, man. How can anybody reach you to consult with you, join ODs on Finance, or partner with you in some way?

Dr. Aaron Neufeld:

Absolutely, you can always email us at admin@odsonfinance.com. Feel free to visit our website, and join our Facebook group as well. Whether you’re an OD or a student, we’d be happy to have you join the conversation.

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From whipping up concoctions in the kitchen to establishing a 7-FIGURE Eyecare Brand – Dr. Tanya Gill of We Love Eyes has quite the story. Like any great venture, it all began with a spark of inspiration, planted in the mind and nurtured into fruition. We Love Eyes traces its roots back to one optometrist’s quest to aid a single patient. Faced with the challenge of finding a suitable makeup remover, Dr. Gill took matters into her own hands and crafted a solution herself. Little did she know, this moment marked the genesis of an eyecare empire, with revenues soaring into seven figures. Prepare for an engaging and offbeat dialogue as Dr. Gill recounts her journey, from being dismissed as an associate optometrist to acquiring her own practice, founding We Love Eyes, and ultimately divesting her practice. It’s a rollercoaster ride you won’t want to miss!

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Dr. Chris Lievens, known as the 4-Eyed Professor, welcomes new and experienced optometrists, optometry students, and those interested in the profession to his podcast. In this episode, he delves into the advancements in Optical Coherence Tomography (OCT) technology, particularly focusing on its applications in retinal health.

Dr. Lievens is joined by Dr. Jim Williamson, who shares his journey into retinal interest and OCT technology, starting from his residency in the late ’90s. Dr. Jim Williamson discusses the evolution of OCT from the time domain to the spectral domain and swept source technologies, highlighting the significant improvements in imaging quality and diagnostic capabilities.

In Partnership with Heidelberg Engineering * Historical Perspective: Dr. Williamson reminisces about the early days of retinal imaging, the limitations of time-domain OCT, and the transformative impact of spectral-domain OCT. * Technological Advancements: The conversation contrasts the older time-domain technology with the current spectral domain and swept source technologies, emphasizing enhanced image clarity and the ability to see vitreous, retina, and choroid structures in greater detail. * Clinical Applications: Dr. Williamson provides insights into using OCT for diagnosing and managing retinal conditions such as macular edema, epiretinal membranes, and neovascularization. He discusses how OCT technology has expanded to include peripheral retinal scans and its use in anterior segment imaging. * Patient Management: The discussion includes strategies for monitoring patients with partial PVD and other conditions, emphasizing the importance of regular follow-ups and patient education. * Future Directions: Dr. Williamson highlights the potential for further advancements in OCT technology, including the integration of multi-spectral imaging and OCT angiography (OCTA) for a more comprehensive understanding of retinal health.

Dr. Chris Lievens concludes the podcast by stressing the importance of continuous learning and staying updated with technological advancements to provide the best care for patients. He encourages listeners to explore the full capabilities of their OCT devices and to seek out educational resources to enhance their diagnostic skills.

To learn more about Heidelberg Engineering technology, visit their website for detailed information on their cutting-edge imaging solutions.

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Welcome to the latest episode on the Defocus Media Podcast, where we embark on a captivating journey through the eyes of a family steeped in the world of optics for four generations with Daniel Brunson. Join Dr. Darryl Glover as he converses with Daniel Brunson of Hicks Brunson Eyewear, exploring the remarkable saga of a business that’s not only a testament to enduring family legacy but also a beacon of innovation in the optical industry. In this episode, we dive into the intricate art of optical brand building over decades, the strategic introduction of indie eyewear, and the transformative power of unique retail experiences.

Daniel Brunson, President Hicks BrunsonDaniel Brunson shares insider strategies for hosting impactful trunk shows and harnessing the power of video marketing to connect with clients globally. Tune in to uncover the secrets behind maintaining relevancy and success through changing times and technologies, ensuring a legacy that looks as clear as its vision. This episode is a must-listen for anyone intrigued by the blend of rich history and forward-thinking business strategy in the ever-evolving world of eye care.

Table of Contents Optical Success with Daniel Brunson * Mastering the Art of Brand Building in Eye Care * The Power of Independent Eyewear * Transforming Trunk Shows into Patient Conversion Opportunities * How Eye Care Professionals Connect with Patients in the Digital Age Optical Success with Daniel Brunson*Dr. Darryl Glover:

I’m super excited to have this conversation with you. Today, we’re diving into something incredible—four generations of optical success. Yes, that’s right, four generations! It’s a real game-changer, isn’t it? The world of eye care and optics is just ingrained in your DNA from birth. I can’t wait to delve into this with you. But first, for those who might not be familiar with your background, could you share a bit about where you’re from, where you work, and your role as president?

Daniel Brunson:

Absolutely, Dr. Glover. Our company is called Hicks Brunson Eyewear, and we’re proud to be a four-generation family business founded by my great-grandfather. There’s a fun fact about his name—his first name was Hicks, which often leads people to think Hicks and Brunson were two separate founders, but it was just him, Hicks Brunson. He started as an organized optician in the 1930s and 1940s, working for American Optical at one of their dispensaries. Eventually, he bought out the location he managed, laying the foundation for what would become Hicks Brunson Eyewear.

We’re now the oldest optical store in Tulsa, Oklahoma, and we’re proud of our rich history. My great grandfather was a Shriner, known for their significant community work, especially in aiding child burn victims. Following in the family tradition of community service, my grandfather was a Rotarian, and I’ve been heavily involved with Rotary here in Tulsa for many years. It’s been a privilege to apprentice under my grandfather, who himself was trained by innovators like Kevin Tuohy, the inventor of the scleral contact lens. So yes, optics is definitely in my DNA.

Mastering the Art of Brand Building in Eye CareDr. Darryl Glover:

I love it, I really do. Today, I want to focus on brand building because, think about it, sustaining a business across four generations absolutely requires solid branding. Throughout these generations, everything has evolved—technology, conversations, even our patient base. What worked in the 1920s or even the early 2000s won’t cut it in 2024. I’m eager to delve into what brand building means to you, especially considering the fantastic job you’ve done in continuing the legacy of Hicks Brunson. Can we dive into that, Daniel?

Daniel Brunson:

Absolutely, Dr. Glover. I’ve literally grown up with this business—cleaning the store on weekends as a teen and apprenticing as an optician in college. I’ve witnessed firsthand the evolution in our industry. And you’re right, you can’t stick to old methods if you want to thrive in today’s world. Brand building, to me, is about storytelling. The story I shared earlier about my great-grandfather and his beginnings with American Optical is a core part of our brand. It’s about understanding our roots while also focusing on our future direction and purpose.

Our brand is defined by stability and longevity. However, when I noticed the surge in independent eyewear in the late 2000s, I saw an opportunity to redefine part of our mission. We became passionate about offering unique products—frames that you couldn’t find elsewhere in our region. This means creating an experience that goes beyond just shopping—it’s about making our store a place where people want to spend time, where they can experience something unique. For us, that uniqueness isn’t just in our service, but in how we carefully select and present our frame collections.

The Power of Independent EyewearDr. Darryl Glover:

It’s incredible to see the snapshots of your practice and office—they’re absolutely beautiful. The way the natural light plays off the frames, showcasing the designs… it’s just fantastic, especially with the Indie eyewear. I’d love to delve more into what your practice looks like and discuss the impact of Indie eyewear on your business. How has embracing this kind of eyewear transformed your practice?

Daniel Brunson:

I’m glad you brought that up, Dr. Glover. And just to add to the discussion about attracting people and building a brand, I’ve taken quite a few cues from the broader retail environment. I look at what successful retailers like Anthropologie, Williams Sonoma, and J.Crew are doing—how they design their window displays and merchandise their products. I’ve been emulating these strategies for years to create an engaging retail atmosphere in our practice. This approach has been crucial for us.

Dr. Darryl Glover:

That’s a fantastic strategy. Having the right products and creating the right environment is essential for the patient journey. Let’s discuss the role unique eyewear plays in your practice.

Daniel Brunson:

Absolutely, Dr. Glover. Offering unique, independent eyewear is key. These brands might not have the immediate name recognition of the big designer labels that produce a wide range of products, but that’s exactly what makes them so special. For many of our clients, it’s their first encounter with these brands, and there’s something genuinely exciting about introducing them to something new and different.

This process of discovery is not only thrilling for our clients, but it’s also deeply rewarding for us. As we share our passion and love for these brands, that enthusiasm becomes infectious, and our clients start to fall in love with them too. Every time we bring in new products, we already have a list of people excited about those brands.

Dr. Darryl Glover:

It’s clear that bringing in Indie eyewear adds substantial value. What would you say to someone just opening a practice who might think it’s too risky or not worth the investment to introduce Indie eyewear right away?

Daniel Brunson:

To someone starting out, I would say that investing in Indie eyewear is not just about stocking unique products—it’s about setting your practice apart from the very beginning. It’s about building a reputation for exclusivity and quality that can really define your brand and attract a dedicated clientele. This initial investment in unique and independent brands can establish a strong foundation for your practice’s identity and success.

Daniel Brunson:

Definitely, it’s all about seeing it as an investment. You need to consider who your target demographic is—who are you trying to attract? There’s a vast array of indie collections available at different price points, so there’s likely something that fits the budget and preferences of the clientele you wish to serve. The world of independent eyewear is much larger than many realize. Do your homework and think about your customer’s needs and desires. Not everyone wants an extravagant piece; many may seek something classic with a unique twist that fits their style.

Dr. Darryl Glover:

Speaking of sourcing these unique frame lines, where do you usually find them? Are you looking at options both domestically and abroad? Are designers coming to your practice, or are you meeting them elsewhere?

Daniel Brunson:

For me, it often involves attending Vision Expo East, which is a fantastic place to meet a lot of European and international designers. I’m also constantly scanning social media and keeping tabs on what other opticians and stores are showcasing. If something catches my eye, I note it down, and if it continues to pique my interest, I make it a point to study it more thoroughly. Then, I ensure to meet with that company at the next trade show. It’s about always being on the lookout and keeping your eyes open for new and exciting opportunities.

Transforming Trunk Shows into Patient Conversion OpportunitiesDr. Darryl Glover:

That’s a proactive approach. I’m also interested in learning some strategies to elevate my practice. Could you share tips on how to successfully host a trunk show and convert those attending into patients?

Daniel Brunson:

I’ve been doing trunk shows for a long time. In our industry, “trunk shows” is the term most people know and use, and I still use it a lot because it’s widely recognized. But recently, we’ve seen different trendy terms like “pop-up shop.” For our last event, which featured the stunning Anna-Karin Karlsson collection from Sweden, we called it an “exclusive event.” It truly was exclusive, given how unique that collection is—you’d have to travel hundreds of miles to find anything like it.

Consistency is key with trunk shows, much like many other things. You need to host them regularly, although not every event will be a blockbuster. Sometimes it’s just about timing—maybe there’s a big basketball game or a local event that affects attendance. But having a solid plan and sticking to it is crucial. I’ve developed a trunk show checklist over the years, which includes maintaining an email list, implementing social media marketing, and contacting local media.

Recently, I’ve found that making personal phone calls to fans of the brand adds a special and more personal touch. They might have seen an email and overlooked it, but a phone call makes it more memorable and engaging.

How Eye Care Professionals Connect with Patients in the Digital AgeDr. Darryl Glover:

Absolutely, and I’ve mentioned this before, but my passion for optometry started when I was selling glasses. I once helped a patient who was visibly unwell and looking for something new. After fitting them with the right eyewear, the smile they gave me was so heartfelt it changed my life. From that moment, I knew I wanted to be more than just a salesperson; I wanted to be the one who prescribes the eyewear that could bring about such a transformation.

It’s more than just improving sight; it’s about enhancing lives. And that’s an incredible feeling, to impact someone’s life every day. Pivoting to another powerful tool in our field, let’s talk about video. Platforms like YouTube and Instagram are monumental in building a brand. How have you used video to enhance and build your brand?

Daniel Brunson:

Video has been a game-changer for us. When we first met, I was focused on blogging, but as social media evolved, video became increasingly important. It started with simple, unpolished videos that were more about show and tell. Over time, as we saw the positive impact, we invested in making our videos more polished and evergreen. We use platforms like YouTube to educate our audience about different eyewear technologies and showcase new frames.

These videos serve not just to inform but also to demystify complex topics, making our products more accessible to a broader audience. What’s been most effective is maintaining consistency and injecting our passion into each video. This approach has not only helped us reach an international audience but also deeply connect with them, making our brand more relatable and trusted globally.

Dr. Darryl Glover:

Man, that’s powerful. What I love about the internet is how it connects you with the entire world. No matter where you are or what time of day it is, someone can always access your information. They can watch your videos, learn about your practice, see what products you sell, and make that connection. I’ve done business with people I’ve never met in person, but we’ve met through the internet and have been able to grow and build something special.

When it comes to video, remember, you have the potential to reach a global audience. Just produce great content and connect with people on the other side of the screen. Speaking of which, do you have any tips for those looking to take their practice to the next level and build their brand, particularly in how to communicate effectively in front of the camera? While everyone enjoys the authenticity of raw video, it requires a certain skill set. You’ve done a fantastic job—I saw your recent video on the Transitions Gen S and the Ruby lens, and it was excellent. Could you share a few tips on how to better connect with viewers?

Daniel Brunson:

Absolutely. For anyone interested in getting into video, the first step is just to start. Nowadays, everyone has a pretty good camera right in their pocket. Begin by shooting videos; consistency is key, so the more you do it, the better you’ll become. Review your videos and identify areas for improvement, and yes, a tripod can be incredibly helpful. You don’t need much to start—a good camera, a tripod, and yourself.

When it comes to content, start with topics you’re comfortable discussing. I find it easier to freestyle because it saves time, but for more technical topics, I do my research, write an outline, and might do several takes to get it right. There’s definitely a process and a learning curve, but it’s all about getting started and improving as you go.

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In this episode of the 2020 podcast by Dr. Harbor Sian, they explore the unexpected parallels between slot machines and the eye care industry. Andrew Burke, CEO of Bluberi Gaming, shares his transition from private equity to revitalizing a struggling gaming company, now generating millions in annual sales. Discover how Andrew’s experiences in business growth and resilience could illuminate new strategies for elevating your eye care clinic. Tune in to gain inspiration and insights from the youngest CEO in the casino gaming industry.

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The Depth Perception Podcast returns with a new episode titled “Generations.” In this engaging discussion, the hosts delve into their own generational identities and examine the distinctions between various age groups, particularly millennials and Gen Z. They discuss differences in communication styles, learning preferences, and workplace values. Highlighting how the younger generations have been molded by their early exposure to technology and constant access to information, the hosts explore how this influences their learning and problem-solving techniques. Additionally, they consider the growing emphasis on mental health and the importance of achieving a work-life balance, especially pertinent to millennials and Gen Z. The episode also addresses the conflicts that can arise from traditional versus progressive mindsets in the workplace, underscoring the need for empathy and open-mindedness in intergenerational collaborations.

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Dr. Claudine Courey rejoins the podcast to explore the concept of CLEAN BEAUTY.The episode delves into aesthetic procedures and cosmetic usage in the eye area, emphasizing the growing concern over the potential risks associated with popular treatments like eyelash extensions. Given the trend towards using products that could be detrimental, it’s essential for Eye Care Professionals (ECPs) to feel equipped to talk about how these practices affect ocular health.

Dr. Courey outlines effective strategies for initiating these conversations and discusses the significance of such discussions for both the wellbeing of the patient and the advancement of the eye care field.

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Optometrists play a pivotal role in the rapidly evolving field of medical optometry, which is dedicated to advancing eye health and vision care through the integration of technology and healthcare policies. Unlike many optometry education groups focusing solely on specific aspects of practice growth, Dr. Kyle Klute takes a holistic approach to developing a thriving medical optometry practice that encompasses crucial elements such as ocular disease management, appropriate billing and coding, and the integration of vision and medical insurance. Dr. Kyle Klute, an experienced optometrist with a wealth of knowledge in medical optometry, shares his top three tips for building a successful medical optometry practice.

Dr. Kyle Klute, Founder and Lead Optometrist of Good Life Eyecare and Eyecode Education Consultant Below is a transcript of the podcast interview. Please note that the transcript has been slightly modified for clarity and brevity, ensuring a smoother reading experience while retaining the essence and integrity of the original conversation.

What Is Covered: Dr. Kyle Klute’s Journey in Eyecare * Cultivating a Culture of Care in Optometry * Medical Optometry Tip #1: Ocular Disease Management * Medical Optometry Tip #2: Integration of Vision and Medical Insurance Mindset * Medical Optometry Tip #3: Navigating the Complexities of Billing and Coding * Empowering Practices with Eyecode Education Dr. Kyle Klute’s Journey in Eyecare*Dr. Darryl Glover:

Before we dive in, I like to get to know my guests. Could you share your background, family, where you’re from, your education, and maybe a fun fact? We love fun facts.

Dr. Kyle Klute:

Of course, I’ve got an engaging, fun fact for you. Starting with the basics, I’m a farm kid from central Nebraska, a small town of 400 people. My high school class had just 16 graduates. I attended the University of Nebraska for my undergraduate studies, majoring in meteorology and climatology. Yes, it was quite a shift in career paths for me. I even chased storms and have seen my fair share of tornadoes.

However, my career trajectory shifted when a close family friend, who owned a private practice in Lincoln, Nebraska, introduced me to optometry. I worked as an optician before attending the Illinois College of Optometry and then completed a residency at a VA hospital in Battle Creek, Michigan. My initial goal post-residency was to focus on medical optometry, avoiding basic refractive care as much as possible. However, over time, my approach evolved. I now own two practices, Good Life Eyecare, one in West Omaha and another in a small town in Iowa, focusing on comprehensive care and embracing the full spectrum of our profession’s capabilities.

Cultivating a Culture of Care in OptometryDr. Darryl Glover:

I admire your commitment to culture, both within your team and with your patients. Can you share where this emphasis on culture and core values comes from?

Dr. Kyle Klute:

That’s a thoughtful question. Reflecting on it, I believe it stems from my upbringing in a small, close-knit community and being part of a pioneer family. Although I was the first to choose a path different from farming, the values of community support and tradition have stayed with me. In my practices, especially in suburban West Omaha, I aim to replicate that small-town hospitality vibe. Our first core value is precisely that: “small-town hospitality.” It’s about treating patients as neighbors and fostering a welcoming community atmosphere.

In today’s world, where disconnection is typical, we strive to create meaningful connections with our patients, offering care that goes beyond eye health. We prioritize hiring naturally empathetic staff capable of forming genuine connections, focusing on personality over prior experience.

Medical Optometry Tip #1: Ocular Disease ManagementDr. Darryl Glover:

Let’s dive into the topic of ocular disease management. How do you approach building a medical model within your practice?

Dr. Kyle Klute:

My journey into primary care highlighted my desire to integrate various specialties under one roof, rather than focusing on a single area. I view these services not as specialties but as comprehensive care offerings. Whether fitting a child with myopia control lenses or managing a patient with keratoconus with scleral lenses, the goal is to provide the best evidence-based care available. I advocate for incorporating advanced treatments, like IPL for dry eye, within the primary care setting. This approach allows us to offer a full spectrum of care, pushing the boundaries of what is traditionally expected in primary care optometry.

Medical Optometry Tip #2: Integration of Vision and Medical Insurance MindsetDr. Darryl Glover:

Billing and coding are essential for sustaining our practices financially.

Dr. Kyle Klute:

Transitioning to this topic underscores a critical aspect of our profession: the financial viability of our practices. Ensuring accurate billing and coding is fundamental for our livelihoods and the sustainability of our services. It enables us to continue offering high-quality care, support our staff, invest in new technologies, and care for our families. Understanding and correctly applying medical and vision billing codes are crucial for maximizing our practices’ potential and ensuring we can continue to serve our communities effectively.

Medical Optometry Tip #3: Navigating the Complexities of Billing and CodingDr. Kyle Klute:

In terms of metrics, undercoding is a common issue we address. One key performance indicator (KPI) we examine is the ratio of level three to level four codes, ideally around 1 to 1.5. This ratio reflects appropriate service level coding, indicating a balanced approach to patient care complexity and the corresponding billing. Unfortunately, many practices exhibit a ratio of five to fifteen times more level three codes than level four, significantly impacting their revenue.

Addressing this disparity is a foundational step in practice consulting. By aligning the ratio closer to the ideal, practices not only capture the full value of their services but also lay the groundwork for implementing comprehensive care protocols across various conditions. This realization fosters a deeper appreciation for the significance of our work and its impact on patient care and practice sustainability.

Empowering Practices with Eyecode Education Dr. Kyle Klute:

We cover the top seven to eight chronic conditions we’ll encounter in primary care or comprehensive optometry. Additionally, we offer a course on 99 versus 92 billing and coding to assist those struggling with billing and coding. Beyond online courses, we believe in real improvement and engagement. That’s why, as part of Comprehensive Optometry Simplified, you’ll have online access to Chris Wolfe and me for coaching. You can ask questions anytime through a message board, and we also host a monthly mastermind group meeting for all members.

This 60 to 90-minute session is like office hours, where we can exchange ideas and receive protocol feedback. It’s pretty engaging, and we’ve seen a lot of interest from practices and doctors already. We’re officially launching at the end of this month and in May, moving forward with great enthusiasm for this opportunity.

Dr. Darryl Glover:

Fantastic. And there’s also a downloadable resource available, right? Would you mind sharing that with our listeners and followers?

Dr. Kyle Klute:

Yes, indeed. I previously mentioned the KPIs critical for your practice’s growth. We have a free and easily accessible PDF on our website, EyeCode Education, detailing the top nine KPIs for evaluating your practice. We encourage you to download it and take a moment to run your numbers. The process should take about 10-15 minutes but can significantly impact your awareness and approach to practice management. The ultimate KPIs we focus on are revenue per OD hour and the ratio of 99 codes to refractions, aiming for a 50-80% ratio.

This indicates how well you’ve integrated medical care into your comprehensive management. Achieving this range means you could potentially make managed vision care optional. While I haven’t dropped managed vision care, since my numbers are above 50%, I still find it an effective marketing tool for attracting new patients. There’s a current debate on the value of managed vision care. Understanding these KPIs can empower you to make informed decisions about their role in your practice regardless of where you stand.

Establishing a thriving medical optometry practice requires a comprehensive approach that goes beyond clinical expertise. It involves a deep commitment to ocular disease management, efficient billing and coding, and the skillful integration of vision and medical insurance, with a nuanced understanding of billing codes. Dr. Kyle Klute’s strategic insights provide a roadmap to success in medical optometry, emphasizing the importance of continuous education, technological investment, and a patient-centered approach. Following these tips will enable ODs to advance their practices significantly, contribute to the field of medical optometry, and deliver superior patient care.

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JR Smith, the newest member of Team Oakley, shares family, golf, and partnership with Oakley. This former professional basketball player, who re-enrolled in college at 36 to pursue his passions for golf and education, exemplifies the power of ambition and resilience. Beyond his athletic and academic pursuits, Smith’s journey is marked by a deep understanding of eye health’s critical role in achieving excellence in sports and life. His collaboration with Oakley underscores a mutual dedication to enhancing vision protection and performance for athletes worldwide. Moreover, Smith’s impact extends into his community, where he actively engages in initiatives that inspire and support young athletes to chase their dreams, prioritize their health, and value their education. Dive into the story of JR Smith and discover how his partnership with Oakley and his community involvement are shaping the future of sports and making a lasting difference in the lives of many.

In Partnership with EssilorLuxottica

JR Smith, NBA Champion, and Dr. Darryl Glover, Optometrist and PodcasterWhat’s Covered? From Competitive Sports to Family Values * The Power of Partnership: JR Smith and Oakley’s Impactful Collaboration * Transitioning from the Basketball Court to the Golf Course * The Impact of Golf on Personal Growth and Community * The Role of Eyewear in Enhancing Athletic Performance From Competitive Sports to Family Values*Dr. Darryl Glover:

Greetings, fellow optometry enthusiasts, and welcome to Defocus Media, the leading podcast in optometry. Here, we explore the most compelling topics, cutting-edge technology, stylish eyewear, practice management, and more. So, sit back, relax, and let’s defocus.

Hello, everyone! It’s your favorite optometrist, Dr. Darryl Glover. Today, I’m thrilled to have a real star with us. What’s happening, my friend?

JR Smith:

I’m good. How about you?

Dr. Darryl Glover:

I’m doing fantastic, thank you. Today, we’re chatting with JR Smith, a name many of you recognize as an NBA champion and a golfer among his many talents. For those who may not be as familiar with JR Smith, would you mind sharing your background and how you ventured into sports?

*JR Smith:*

I was born and raised in New Jersey. I’ve been engrossed in football, basketball, and baseball all my life. Being one of six siblings, there’s always been a strong sense of competition in the family, especially being the eldest brother—I couldn’t let my younger siblings outdo me.

Dr. Darryl Glover:

Being one of six siblings sounds like competitiveness is in your nature.

*JR Smith:*

It’s something innate. My father was one of nine children, with four boys among them, which only added to the competitive atmosphere. Practically all my aunts and uncles have at least four or five children, so our family is quite large. This environment of competition extended to nearly every sport—football, baseball, basketball—you name it. Whether it was catching up to someone or having someone try to catch up to me, it was a constant challenge. Those family reunions were quite the spectacle.

Dr. Darryl Glover:

It must have been exciting, especially the family pickup games.

*JR Smith:*

Oh, definitely. Those games were a major part of our family gatherings until I was around 14 or 15 years old.

The Power of Partnership: JR Smith and Oakley’s Impactful CollaborationDr. Darryl Glover:

I’d love to dive into basketball stories with you, but I’m more curious about your golf journey and partnership with Oakley. Seeing you decked out in Oakley gear always catches my eye. Tell me more about how this partnership came about and what its impact was on your life.

*JR Smith:*

Several brands were interested in partnering with me, but I needed to know who was truly invested in the community and eager to address systemic issues. Oakley stood out by providing products, offering innovative ideas, and encouraging more community involvement. This partnership has exceeded my expectations. Talking about inclusivity is trendy now, but Oakley is about taking action and making a difference.

Dr. Darryl Glover:

Absolutely, it’s about putting your money where your mouth is and seeing real action.

Transitioning from the Basketball Court to the Golf Course*JR Smith:*

Exactly. Oakley has supported my diverse interests—basketball, golf, snowboarding, and more. They’re not limited to one sport or activity; they cater to a broad range of interests, from gaming to mountain biking. This versatility is what I love most about Oakley; they provide a platform that supports various passions, which is vital for inspiring the youth.

Dr. Darryl Glover:

That’s incredible, the way an iconic brand like Oakley can offer the perfect solution for any activity—whether you’re in the classroom, on the field, or in the gym. It becomes a part of who you are, a part of your DNA, which is truly remarkable. Shifting gears a bit, I want to touch on golf. My father, who has passed away, was a big golf enthusiast. Playing a whole round with him was a profound moment in my life. Golf is notoriously challenging, and your transition from basketball to golf is particularly fascinating to me. It reminds me a bit of Michael Jordan moving from basketball to baseball. Can you share how this transition occurred, especially at North Carolina A&T, and what sparked your interest in golf?

*JR Smith:*

My experience at A&T has been incredible. The support from students and the community has been overwhelming. It’s amusing to think I’m the oldest on the golf course now, when I used to be the youngest on the basketball court.

Dr. Darryl Glover:

It’s quite a shift, from being the youngest on the court to now being the oldest on the field.

*JR Smith:*

Absolutely, it’s a bit of a twist. I was the youngest player on my team for the first seven or eight years in the NBA, and now, I’m the eldest in golf. But being the “OG” has its perks. I get to share life experiences and knowledge, which is much more meaningful than just providing financial support. Giving my time and engaging directly with the community and the younger players has been really rewarding.

JR Smith and Dr. Darryl Glover at the EssilorLuxottica Booth at Vision Expo East in New YorkThe Impact of Golf on Personal Growth and CommunityDr. Darryl Glover:

It’s truly remarkable to see how mentoring and getting to know these young individuals can have such a profound impact, not only on them but also on yourself. It sounds like it’s been a transformative experience for you, enhancing how you function as a father, spouse, brother, and son. Partnering with Oakley to give back to them, considering all they’ve done for you, is a testament to your growth.

So, how did your interest in golf ignite? Was it something you picked up from your peers?

*JR Smith:*

Actually, yes, in a way. I was in Houston with Rashard Lewis, another former NBA player. He was an incredible shooter and introduced me to golf at his foundation event. Initially, I had no interest, but he invited me to show support. My upbringing emphasized the importance of giving back, especially to someone I respected like a big brother. It was at this event that I met Moses Malone, who truly introduced me to golf. Despite my hesitation, his encouragement led me to take a swing, and just like that, I was hooked.

The Role of Eyewear in Enhancing Athletic PerformanceDr. Darryl Glover:

It’s amazing how a single experience can spark such a passion. Now, with your partnership with Oakley, I’m curious about the eyewear technology that aids your game. What makes the Oakley frames you wear so effective?

*JR Smith:*

My awareness of eye care was minimal until I realized three of my daughters needed glasses. Through them, I learned the importance of proper vision. Initially, I didn’t wear sunglasses while playing, but partnering with Oakley changed that. Wearing their sunglasses, I’ve noticed a significant difference in my game, especially in spotting the ball, reading the greens, and tracking the ball’s flight. It’s been a game-changer, allowing me to see more clearly and perform better on the course.

Indeed, realizing the stark contrast in visibility with the right eyewear compared to my previous skepticism has been a game-changer. The difference is like night and day, significantly improving my performance, especially around the greens and with putting. Hitting the correct lines is crucial, and the lens technology has been a tremendous help.

*JR Smith:*

Absolutely, the improvement in my game thanks to the lens technology is undeniable. And the comfort? That’s been a revelation. I used to struggle with sunglasses causing pressure points, but with Oakley’s design, especially the Oakley Frogskins and BiSphaera, I barely notice I’m wearing them. They fit like a glove and stay put during swings, which was a concern of mine.

Dr. Darryl Glover:

Comfort is critical, especially as we get older and value it more. It’s good to hear that Oakley is addressing these issues and that you’re developing solutions.

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Dr. Harbir Sian joined the pod to discuss his experience in eyecare and to discuss the steps that led to his success. From his time discovering what career to pursue to his role in his Punjabi association in college he discusses the steps he took to lead him to where he is today. Habir shares how to be a speaker, how to get into business, finding a subspecialty, dealing with imposter syndrome, building confidence, time management, how to balance having a family and finances. Be sure to listen and check out the full episode. You won’t regret it.

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In a captivating interview, Dr. Darryl Glover discusses how OptiLIGHT by Lumenis revolutionizes dry eye management with Dr. Jennifer Chinn, a renowned dry eye expert. Their discussion focused on the innovative OptiLIGHT by Lumenis, heralded as a pioneering solution for dry eye disease. Dr. Chinn emphasized the significance of addressing dry eye disease not just as a common discomfort but as a condition that profoundly affects patients’ quality of life. She highlighted the patient journey, stressing the importance of early and effective management of dry eye symptoms.

Dr. Darryl Glover & Dr. Jennifer ChinnOptiLIGHT by Lumenis stood out as the primary topic of discussion, positioned as the first-line option in the battle against dry eye disease. Dr. Chinn detailed how OptiLIGHT’s unique approach offers new hope for patients, providing relief and improving outcomes. The conversation also touched on the broader implications for eye care, with both experts advocating for a shift in how dry eye disease is perceived and treated.

Throughout the interview, Dr. Chinn highlighted the positive impact of integrating OptiLIGHT into her practice, noting a significant increase in the bottom line. This demonstrates the effectiveness of OptiLIGHT in treating dry eye disease and underscores its value as a smart investment for eye care practices. The interview illuminated the path forward for managing dry eye and underscored the critical role of innovative treatments like OptiLIGHT by Lumenis in enhancing patient care.

What is Covered: Who is Dr. Jennifer Chinn? * Optimizing Dry Eye Management * The Dry Eye Patient Journey * How has OptiLIGHT impacted your Dry Eye Practice? Who is Dr. Jennifer Chinn?*Dr. Darryl Glover:

What’s up, everyone? It’s your favorite optometrist, Dr. Darryl Glover, super excited to be here with one of my esteemed colleagues and someone I greatly admire in the eye care world, Dr. Jennifer Chen. How are you today, my friend?

Dr. Jennifer Chinn:

I’m doing well, thank you. I’m thrilled to be here with you.

Dr. Darryl Glover:

We’re broadcasting live from New York at the Lumenis booth to discuss dry eye—a topic we’re both passionate about, though you’ve taken your practice to new heights in this area. Before we dive into your innovative work for your patients, could you share a bit about yourself, your practice, and what drives you? Our audience is eager to learn everything about you.

Dr. Jennifer Chinn:

I’m Dr. Jennifer Chinn, an optometrist practicing in San Diego and a proud second-generation optometrist, following in my father’s footsteps. My practice focuses on primary care, but treating dry eye has become a significant part of my work and something I’m deeply passionate about.

Optimizing Dry Eye ManagementDr. Darryl Glover:

That’s fantastic! I’m excited to delve into how you’ve revolutionized treating dry eye in your practice. Many of us still use traditional methods, so I’m always looking for innovative approaches. Can you walk us through your journey to elevating dry eye care and the tools that have enabled you to make such a significant impact?

Dr. Jennifer Chinn:

Certainly, the prevalence of dry eye has increased, and fortunately, so has our access to education and resources to combat it. Previously, we lacked the tools to relieve our patients’ symptoms immediately. Now, we can offer solutions in our office, which has been a game-changer. Adopting new technologies and practices allows us to address our patients’ needs effectively and promptly.

Dr. Darryl Glover, Co-Founder of Defocus Media, and Dr. Jennifer Chinn, Optometrist at Dr. Chinn’s Vision Care.The Dry Eye Patient JourneyDr. Darryl Glover:

I love hearing that. Providing immediate solutions is critical to exceptional patient care. I’m curious about the patient experience in your practice. Could you describe the journey from when they first contact your office to the treatment process? I’m sure our colleagues would appreciate insights into creating such a positive and impactful patient experience.

Dr. Jennifer Chinn:

Of course. It begins with my team, from the initial phone call to pre-testing and checking in. We’re trained to identify potential dry eye symptoms and plant the seed early on. When patients reach the exam room, we use technology like meibography to show them their images and start a conversation about dry eye, even if we don’t proceed with treatment immediately. It’s about educating and preparing them, so they’re ready to seek treatment when they recognize symptoms.

How has OptiLIGHT impacted your Dry Eye Practice?Dr. Darryl Glover:

Planting the seed early is crucial, indeed. It’s fascinating how preparing patients one year can lead to action the next. Now, shifting gears a bit, how has focusing on dry eye treatment impacted your practice financially?

Dr. Jennifer Chinn:

The financial impact has been incredible. Integrating new treatments like OptiLIGHT into our practice was initially challenging, but it significantly benefited our bottom line once we established a workflow. We paid off our new equipment in less than a year, and patients are returning for multiple treatments, thrilled with the relief they’re experiencing. This focus has helped our patients manage their condition better and has been a substantial financial boost for our practice.

Learn More about OptiLIGHT by Lumenis

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Nuance Audio will change how people hear and see the world. Nuance Audio redefines the boundaries between sight and sound, offering a lifeline to those entangled in the silent struggle of mild to moderate hearing loss. As they introduce an audiological marvel discreetly embedded within the elegant frame of eyeglasses, they not only challenge the stigma associated with traditional hearing aids but also promise a future where the clarity of sight and sound can be embraced in unison.

In Partnership with EssilorLuxottica

Dr. Darryl Glover reviews Nuance Audio with Fabrizio Uguzzoni, President of North America Wholesale at EssilorLuxottica. This conversation marks the beginning of a new era in optometry, where technology and compassion converge to enhance the human experience in the most invisible yet impactful ways.

Dr. Darryl Glover, Optometrist, and Fabrizio Uguzzoni, President of North America Wholesale at EssilorLuxotticaWhat is Covered What is Nuance Audio? * How Do Nuance Audio Glasses Work? * Nuance Audio Designs * Nuance Audio In-Store Installation What is Nuance Audio?*Dr. Darryl Glover:

As optometrists, we know that sight is among our most precious senses. Yet, closely following that is our sense of hearing, which plays a crucial role in interpreting the world around us. Today, we’re delving into a truly groundbreaking topic, Nuance Audio.

Fabrizio Uguzzoni:

My friend, Nuance Audio, represents the latest technological innovation, seamlessly integrating an audiological device within a pair of eyeglasses frames. Dr. Darryl Glover is wearing the final prototype, which is entirely invisible to the onlooker. This design effectively removes the stigma associated with wearing hearing devices. Users won’t need to wear anything additional; the glasses alone suffice.

How Do Nuance Audio Glasses Work? They offer directional hearing, amplifying sounds in the wearer’s line of sight. An accompanying app allows users to adjust the volume, choose between directional or 360-degree hearing, and toggle the device on or off as needed. This is especially helpful in noisy environments, like the one we’re in now. The app is designed to aid people with mild to moderate hearing loss, often lacking viable solutions with existing devices.

Dr. Darryl Glover:

This invention is a fantastic option, starting right from our consultation chair, to assist these patients. You’ve outdone yourselves once again.

Fabrizio Uguzzoni:

Indeed, we’re integrating audiology into optometry, bridging a crucial gap. It’s a tremendous opportunity for patients requiring visual and auditory assistance. Thank you.

Nuance Audio DesignsDr. Darryl Glover:

Absolutely, let’s explore some of the designs you’ve mentioned.

Fabrizio Uguzzoni:

Over here, we have a display showcasing the various styles available. This includes the packaging our customers will receive, featuring two color options: burgundy and black. Each package includes a charger with magnetic wireless charging and a remote control for those less comfortable with technology. The remote allows simple adjustments like volume, mode, and power settings.

Dr. Darryl Glover:

This is truly invaluable. Think about the profound impact of providing someone with glasses for the first time, allowing them to see the world in a new light. Now, we can also offer them the ability to hear better. This technology will transform the lives of the individuals who use it and positively affect those around them.

Nuance Audio In-Store InstallationFabrizio Uguzzoni:

Additionally, we’re introducing an in-store installation that displays the product and includes a speaker to simulate the sound amplification provided by the glasses. This will help recreate scenarios such as crowded environments or dining in restaurants, allowing patients to experience the benefits firsthand within your practice, and understanding how it works.

Learn More: Nuance Audio

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On this week’s 2020 Podcast, we delve into the revolutionary role of artificial intelligence in expanding the scope of optometrists beyond diagnosing diabetic retinopathy alone. Our guests, Dr. Hadi Chakor and Yves-Stéphane Couture, the innovative forces at DIAGNOS, unfold their transformative alliance with IRIS—a network of optometry practices across Canada. They reveal how their joint venture leverages a comprehensive database of patient images to revolutionize retinal health care practices in Canada. By May 2023, their collaborative efforts led to the screening of over 13,000 patients, culminating in the creation of an algorithm adept at identifying not only diabetic retinopathy but also hypertensive retinopathy and macular degeneration. Dr. Chakor and Yves further explore the ethical dimensions surrounding patient consent and the significant impact of AI in the early detection of retinal diseases and alterations in microcirculation. Throughout our discussion, they underscore the notion that AI’s role is not to supplant human professionals but to augment our capabilities. They advocate that optometrists, equipped with AI technology, are positioned to offer unmatched precision, empathy, and enhanced care to their patients. Tune in to discover the limitless possibilities AI introduces to healthcare innovation.

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Join Dr. Darryl Glover in a conversation with Brad Sultan, the founder of Kids Bright Eyes, as they take you on a journey through the world of pediatric eye care innovation. Sultan shares the story of how his personal quest to find the perfect glasses for his daughter led to the inception of his eyewear brand and the cutting-edge solutions it provides for children and adults alike. Explore the durable, flexible, and stylish eyewear that has transformed how kids see the world, from glittery frames to prescription swim goggles that bring clarity to underwater adventures. Kids Bright Eyes has revolutionized vision correction, making it fun and functional. Discover the unique offerings that make Kids Bright Eyes a pioneer in pediatric eyewear and experience the creativity and practicality that make it stand out in the eye care industry.

What’s Covered? The Genesis of Kids Bright Eyes: Turning Challenges into Solutions * From Accidental Discovery to Purpose-Driven Innovation * Kids Bright Eyes Designs * Revolutionizing Vision Underwater with Prescription Swim Goggles The Genesis of Kids Bright Eyes: Turning Challenges into Solutions*Dr. Darryl Glover:

Are you a practice owner? Do you serve pediatric patients? Do you offer the right eyewear solutions for children, including prescription swim goggles? Today, I’m thrilled to have Brad Sultan with us. We will discuss addressing these challenges with practical solutions and products for your young patients.

I’m somewhat familiar with your story and background, Brad. However, could you share more about how you ventured into eye care and your journey within this field?

Brad Sultan, Founder & CEO of Kids Bright EyesBrad Sultan:

Indeed, Dr. Glover. My name is Brad, and I’m Kids Bright Eyes’s founder, CEO, and owner. You might also say I’m a jack of all trades and a dad. I’ve been part of the eye care industry since 2007, which I entered by accident. I previously worked in a different sector when the district manager for Joanne Fabrics, who was transitioning back to eye care with over 20 years at Luxottica, decided to bring me along to Vision Works. I was initially intimidated due to my lack of optics knowledge, but I was determined to learn everything about optics. My career in eye care truly began in 2007 when I managed a Vision Works store in South Tampa. One of my first customers was a young child. The experience of fitting him with glasses was profoundly moving, making me realize this was my calling.

Despite my initial lack of industry knowledge, I was eager to learn and earn the trust of my staff by sharing knowledge on patient education and product offerings, thus enhancing our store’s performance. My journey in Florida ended when my wife and I, who are high school sweethearts, decided to move closer to home but still maintain some distance from Maryland, leading to a compromise location that kept us within a manageable distance from our families.

From Accidental Discovery to Purpose-Driven InnovationBrad Sultan:

I eventually joined Eye Care Associates, where I managed their Knightdale location. I enjoyed private practice immensely, especially sharing knowledge on multi-pair sales and practice growth strategies across other locations. My career took a personal turn in 2010 when my wife became pregnant with our daughter, who was born with a rare eye condition, Persistent Hyperplastic Primary Vitreous, PHPV, in her left eye. This diagnosis received from one of the best doctors at Duke, Dr. Laura Enyedi, coincided with my industry experience, offering me a unique perspective on pediatric eye care.

When my daughter needed glasses at six weeks old, following surgery to address her cataract and save her eye, we faced challenges with the fit of her eyewear. The brand she initially wore, MiraFlex, which is no longer in business, didn’t stay on her face correctly. This experience led me to seek better solutions for pediatric eyewear, culminating in founding Kids Bright Eyes at the end of 2011. We aimed to provide glasses that fit correctly, were adjustment-free, and came with a sensible strap design, addressing the shortcomings we experienced with our daughter’s first pair of glasses.

Kids Bright Eyes Designs Brad Sultan:

We initiated our line with a collection resembling other brands in the field. However, one day, my daughter desired glitter frames, which introduced a new direction for us. We expanded to offer glitter frames among our 17 vibrant colors. This diversity addresses the concerns of parents who might view single molded injection frames as more suited for toddlers or infants. In response, we developed what we call the Superior Flex Frames, emphasizing the importance of flexibility in children’s eyewear.

Dr. Darryl Glover:

No need to worry, Brad. We’ll make sure the details are clear for our viewers.

Brad Sultan:

What sets our frames apart is their incredible flexibility. These frames lack a spring hinge and don’t rely on a metal rod for structure, allowing them to bend dramatically without breaking. This feature is particularly striking in person, say at trade shows, where I often demonstrate their durability by bending them into extreme shapes, much to the amusement of attendees. This quality ensures our frames offer unparalleled value and durability.

We aim to provide affordable, fun, and durable eyewear that allows children to experience life fully and safely. Our frames’ unique construction, which allows them to withstand significant bending and twisting, ensures that children can continue wearing their glasses without frequent replacements or adjustments. This embodies our mission to let kids see the world as it should be seen.

Brad Sultan:

We started with a collection that resembled what you’ve seen from other manufacturers. Then, one day, my daughter expressed a desire for glitter frames. That’s how we expanded into offering glitter and 17 fun colors. However, some parents initially see these single-molded injection frames and think they’re more suited for toddlers or babies. In response, I decided to introduce what we call the Superior Flex frames, emphasizing extreme flexibility.

Dr. Darryl Glover:

We can highlight that, no problem.

Brad Sultan:

The unique aspect of our frames is their ability to bend in half without a metal rod in the temple, maintaining their shape thanks to their flexibility. This characteristic allows for durability and adaptability, making them ideal for any situation. I often joke at trade shows about making balloon animals out of them. Our frames are designed to be affordable without sacrificing quality, ensuring children can wear them comfortably and safely.

Revolutionizing Vision Underwater with Prescription Swim GogglesBrad Sultan:

Exactly, and it doesn’t end with just everyday eyewear. We’ve also focused on specialized needs, like prescription swim goggles. These goggles cater to a wide range of prescriptions and sizes, ensuring everyone can have the correct visual correction, even in water. We’ve created goggles that adjust for different bridge sizes, accommodating a wide range of PD measurements.

The first success story we had was a child in Florida who was so comfortable with his new goggles, he wore them from the pool to the couch without realizing he didn’t need to take them off. It’s about providing the right correction to ensure the eyes receive the power they need, which is crucial for brain development and accurate perception.

Dr. Darryl Glover:

Let’s also discuss the available color options.

Brad Sultan:

We introduced four main colors, including an orange that surprisingly became our top seller. The goggles are designed with a gasket and a lens that sits on a ridge, creating a tight seal without the need for glue. Each lens is marked with an R or L for easy identification, ensuring a perfect fit every time. Besides orange, we offer black gray, purple, and blue, and we’re even considering how to incorporate glitter into the goggles due to popular demand.

Dr. Darryl Glover:

It shows your attention to detail and responsiveness to customer feedback.

Learn More: https://www.kidsbrighteyes.com/

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This episode takes you inside the busy Vision Expo in New York, providing an exclusive look at EssilorLuxottica’s booth – a wonderland of innovation and style. With special guests like Sherianne James, Chief Marketing Officer EssilorLuxottica Wholesale, and Fabrizio Uguzzoni, President of North America Wholesale at EssilorLuxottica, get ready for an adventure filled with groundbreaking technology, awe-inspiring eyewear collections, and a touch of optometry nerdiness. Defocus Media is your ticket to exploring the future of eye care, where every discovery promises to revolutionize how we see the world, whether it’s the speed of Transitions Gen S Lens or the integration of audiology into eyewear.

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Welcome back to the 2020 Podcast, where we navigate the evolving world of eye care with clarity and insight. In today’s episode, we’re thrilled to present the second part of our enlightening series on myopia management, graciously supported by Hoya Vision Care Canada. Joining us is Dr. Devan Trischuk, who brings a wealth of knowledge and experience from the forefront of myopia control. Dr. Trischuk will unveil the strategic approaches he’s implemented to successfully integrate myopia management into his bustling optometry practice.As we delve into the specifics of treatment protocols and prescribing practices for various myopia management techniques, our conversation promises to equip you with the necessary tools to enhance your practice. Whether you’re new to myopia management or seeking to deepen your understanding, this episode is tailored to offer valuable perspectives and actionable advice.

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Today, we cover a wide spectrum—from innovative lens storage solutions with OptoOrg's founder, Elizabeth, to breakthroughs in same-day cataract care in the UK. We also discuss the dire consequences of neglecting eye exams and explore the latest in progressive lens designs.

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Journey with Dr. Darryl Glover as he unravels Dr. Beverly Bianes' inspiring transition from a Title I student to an optometry pioneer. Discover her deep ties with the Optical Women's Association, her transformative initiatives in San Diego set to enlighten 500,000 students about optometry, and the power of embracing diversity. This episode is a beacon for innovators, educators, and visionaries in eye care.

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Today, we bring you three extraordinary guests: Rose Harris, a marketing virtuoso who helped build the brand Transitions from scratch; Dr. Jennifer Chinn, a second-generation optometrist with a passion for Transitions lenses; and Camelia Hammichie , a seasoned optician and district manager for New Look Eyewear. Together, they share their journeys with Transitions, their award-winning […]

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On today's podcast, Dr. Chris Lievens sits with two retinal experts, Drs. Jessica Haynes and Steven Ferrucci. They discuss geographic atrophy, covering the disease state, diagnosing with the Heidelberg Engineering SPECTRALIS OCT, and the importance of the doctor-patient relationship.

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"In this inspiring conversation, Dr. Nwamaka unfolds her journey from being a young first-generation Nigerian American to becoming an accomplished optometrist and the founder of Emily Eyewear. Challenging the norm, she shares how she transformed a personal pain-point and widespread industry issue into a successful eyewear line designed to fit diverse face structures. She also shares her commitment to empowering young adults through mindset retreats, fostering a vision that extends beyond clarity of sight to clarity of ambition

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Dive into the captivating eyecare world with Dr. Darryl Glover and Dr. Jeffrey Fardink as they shed light on the latest breakthroughs and emerging trends. From the impact of VR technology on vision to intriguing findings about twins' susceptibility to eye conditions, this conversation covers it all. Get ready to explore the interplay of technology, legislation, and scientific research in the rapidly evolving sphere of eyecare.

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Explore the transformative power of nutrition in promoting eye health in this riveting podcast with Dr. Darryl and Dr. Rudrani. Unpack the role of diet in combating common and severe eye conditions, and uncover practical tips for nurturing ocular wellness through balanced nutrition. Kickstarting the Conversation on Eye Nutrition Dr. Darryl:  Nutrient needs for the […]

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In this episode, Dr. Darryl Glover sits down with Dan Alder, VP of Professional Solutions, Marketing, Ray-Ban, to discuss how Ray-Ban continues to create iconic, culturally significant moments to generate brand love from consumers everywhere.

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What are you doing to push the profession forward? Do you communicate with your legislators? Do you educate your patients on the importance of eyecare and how it impacts their overall health? On this podcast, Drs. Devin Sasser, Shane Kannar, Charissa Lee, and lobbyist, Deana Mcrae, discuss advocacy in eyecare.

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Want to enhance your game? Dive 'Beyond 20/20' with us! Discover how elite athletes elevate their performance through vision and how YOU can too. Don't miss this eye-opening episode.

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Join us for a thoughtful discussion with Dr. Richard C. Edlow, as we explore key trends in eyecare. From understanding the rising demand for medical eye care due to an aging population, to recognizing the workforce challenges in optometry and ophthalmology, this episode offers a candid look at the state of the industry. We also delve into the opportunities for innovation and collaboration, as well as the crucial need for greater diversity in the profession. Tune in for an engaging and informative conversation.

Dr. Richard C. Edlow’s Journey in Eyecare

02:31-07:20

Dr. Darryl Glover:

Could you share a bit about your background, your story, and your journey into eyecare?

Dr. Richard C. Edlow:

Absolutely. I’ve always been intrigued by healthcare economics. For 25 years, I was the CEO of a 26-doctor practice comprising 13 ophthalmologists and 13 optometrists. I managed the practice based on data and anticipated industry trends. We successfully completed a private equity investment in 2014, after which I gradually exited the role.

Parallel to this, I maintained a part-time optometric practice with a partner, practicing around 8 to 12 hours a week until March of 2020. With the onset of COVID, I decided to retire clinically.

Although retired, I remain engaged with the industry. I spend half my time, besides picking up grandkids from school, tracking various data sources. I analyze Medicare utilization payment data, census data, and information from the ASCO (Association of Schools and Colleges of Optometry), and the Association of University Professors in Ophthalmology. I crunch these numbers into detailed spreadsheets as I’m quite a numbers geek.

From these data analyses emerge trends indicating where optometry might be in the next 5, 10, or 20 years. Through this, we can gain a clearer view of the future of eyecare and strategically plan for it. It’s crucial to consider your professional career path for the next 10, 20 years based on this information. I find this data compelling and enjoy sharing it.

I disseminate this data with students in optometry schools during their practice management programs in the third year. I also share it with any state association or the American Optometric Association at no charge. I believe it’s essential to get the word out there as optometry has been very good to me and to many others if approached correctly.

Despite our focus on numbers and data, the crux of the matter is patient care and being kind to people. If we do that right, everything else follows. So, that’s a brief history of my journey and where I stand today.

The Growth Opportunities in Eyecare

10:26-12:51

Dr. Darryl Glover:

Where are the growth opportunities? We want to keep our profession amazing and also ensure that we’re reaching all our patients.

Dr. Richard C. Edlow:

Absolutely. Initially, the response is all of the above. However, I focus on growth rates. We all know about the aging population in the US and age-related eyecare such as glaucoma, cataracts, macular degeneration. I track this based on census data and the prevalence of eye disease.The most recent data I’m using projects from 2020 to 2030. We have about seven more years to go until 2030, and the population that’s 65 and older, the Medicare population, is set to increase by 30%. The commercial population, which is 64 and younger, will only grow about 2%. The baby boomers, my generation, are growing 15 times faster than the commercial population.

So, if you ask where the greatest influx of patients will be over the next decade, it’s the aging population. That indicates that medical eye care is going to grow. We project about 26% of this population will show up in an eye doctor’s office, leading to an increase of 15 million eye exams per year. As a profession, we need to deliver 15 million more medical eye exams in 2030 than we’re doing today.

Age-related healthcare in the US accounts for 20% of the gross domestic product. One out of every $5 spent in the United States is for healthcare, and most of it is age-related. So we’re in a good position.An additional 15 million medical eye exams need to be provided. Will it be optometry or ophthalmology? It’ll be a combination of the two.

The Challenge of Labor Supply in Optometry and Ophthalmology

15:54-17:44

Dr.Richard C. Edlow

And here’s something to consider: despite previous concerns about having too many optometry schools, we actually don’t have enough.In optometry, we have about 1700 new graduates each year. That may seem like a lot, but 1200 are exiting each year, leaving a net increase each year of about 560 optometrists for the entire country

Wow, indeed. It’s quite the matter for the entire United States. One issue is that the greatest opportunity for optometry is not so much in the steady growth of optometrists, but rather in the flat growth of ophthalmology. Consider this: I consistently track ophthalmology and residency programs. I update my documents annually and can forecast three to four years ahead, predicting how many new ophthalmologists we will have.

For instance, this July – July of 2023 – we will welcome 495 newly minted ophthalmologists who have completed their residency programs. But here’s the catch, 423 are exiting the profession due to reasons like death or retirement. That leaves us with a net increase of 72 ophthalmologists for the entire United States.

Even more concerning is the distribution of these new doctors. Ten of them are heading to California, ten to Texas, ten to New York, and at least ten to Florida. This leaves the entire nation with a net increase of just 32 ophthalmologists. Thirty-two – not even one per state.

Opportunities from Disruption in Eyecare Workforce

40:00-41:41

Dr.Darryl Glover:

Shifting gears a bit, I want to explore what opportunities arise from the current disruption in the eyecare workforce. When I think about disruption, I can’t help but consider the potential opportunities that might also be present.

Dr.Richard C.Edlow:

Absolutely. The disruption lies in the workforce. It’s the stagnant labor supply in both optometry and ophthalmology. Over this 10-year period, we predict a 27.5% increase in medical eyecare demand. However, the labor supply in optometry won’t match this – it will only increase by 12.5%.

Even more disruptive is the labor supply in ophthalmology, which is predicted to increase only 3.5% over the same period. That’s just 0.3% a year. That’s the disruption, and simultaneously the opportunity. The workforce supply in eyecare is becoming more and more challenging. Quite frankly, we just don’t have enough eye doctors.

Innovating and Diversifying the Eyecare Profession

44:36-46:39

Dr.Darryl Glover:

We need to think creatively. It’s essential to collaborate and grow our profession, but we need to address this situation because the current numbers aren’t sustainable.

Dr.Richard C.Edlow:

Yes, and if we surveyed all 48,000 optometrists, I’d wager that many got involved in optometry because of their childhood eye doctor. We need to replicate this; we need to focus on fostering greater diversity and accessibility. We should engage high school students and inform them about opportunities in optometry.

In the past, the armed forces would cover tuition for optometry students. Corporate entities are now stepping in to do the same, in partnership with optometry programs. This helps alleviate the financial burden and can contribute to increasing diversity.

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Ambition always felt like a dirty word. Something that as young girls, and women we are asked to put aside and reach for lower aspirations. What if we don’t have to live that truth? What if ambition is a trait that describes all people with positive connotations. Together, we will walk through our tough moments of being asked to settle, and the moments where we have shown the joy of having ambition. Women today are doing more than ever, so celebrating them owning that accomplishment is what we plan to do. Join us for action items and takeaways from this podcast about owning your ambition.

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Welcome to the Eyecare Shenanigans world with your host, Dr. Jeffrey Fardink! This is your one-stop destination for all things eyecare news. Here, we’ll dive into the latest trends and news in optometry, coupled with cutting-edge research discussions. Dr. Fardink, a seasoned professional, will take you on an insightful journey through eyecare, adding a dash of fun to it. Tune in and get ready to view eyecare news in a whole new light!”

On this episode, Dr. Jeffrey Fardink discusses Not-A-Doctor Bill, Increase in Retinal Detachments, Posterior Chamber Toric Implantable Collamer Lenses, My Hair has Keratoconus, Joe Jonas talking EVO ICL on Good Morning America, and more.

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In this episode, we will unpack and dispel common misconceptions about the SPECTRALIS® OCT device, revealing its multifaceted capabilities and applications in the field of optometry. From its roots in glaucoma diagnosis to its outstanding capabilities in retinal imaging, we’ll explore how the SPECTRALIS® OCT can transform how eyecare practitioners deliver patient care. Tune in as we hear from industry experts from Heidelberg Engineering, and break down the myths and realities surrounding this pioneering technology.

In Partnership with Heidelberg Engineering Introduction and Guest Background:

00:34-01:59

Dr. Chris Lievens:

Thank you, everyone, for joining us back on the podcast today. Today’s episode will be a bit unique as we’re focusing on a specific area. We have numerous choices when it comes to managing ophthalmic technology, and today we’re discussing how we manage the quality imagery of our patients on all aspects of their eyes.

One of our healthcare partners is Heidelberg Engineering. I have a couple of guests from Heidelberg Engineering with us today. Joey and Cindy, if you don’t mind, Joey, could you please introduce yourself first and tell us about your background in eye care and what you do for Heidelberg? Then we’ll move over to Cindy.

Joey Hatfield:

Certainly. Hello, everybody. I’m Joey Hatfield. I’ve spent roughly 22 years in ophthalmic imaging. I started in the clinic as an imager and eventually transitioned into the industry. I’ve held various roles such as an educator, sales rep, and now I’m the Southern Sales Director for Heidelberg Engineering. I cover the south and southeast.

Cindy Armstrong:

Hello, I’m Cindy Armstrong, the Clinical Application Specialist in the northwest. I started my career in ophthalmology healthcare in 1990 as a technician and an imager. I’ve been a clinical manager and now I work for Heidelberg as a clinical application specialist and educator. So happy to be here !

Unpacking OCT Differences

02:22-04:03

Dr. Chris Lievens:

The goal is to understand the offerings out there and to distinguish one from another. So, before we talk about your products specifically, does it really matter? Is there a difference between OCT A and OCT B? Are they all the same regardless of how much money I’m spending on them?

Joey Hatfield:

I would say there is a significant difference. That’s why it’s crucial to approach these decisions with an educated mindset. It’s important to review all available products and ask pertinent questions based on your diagnostic objectives. Whether you’re studying glaucoma and seeking accuracy over time, or looking at retinal disease for fine detail and image quality, there’s a variety of platforms. Even though they’re all OCT, there are significant differences that you’ll want to identify to ensure you’re getting the right device for you and your practice.

Cindy Armstrong:

I believe the ability to grow with your device is crucial. When you have a device that limits you to just one scan and one image, with Heidelberg, you’re able to add different modalities over time as your practice changes and grows with new employees, doctors, technicians, etc. I think that’s a huge advantage.

Sure, I can rename the segments according to the myth that’s being debunked in each. Here’s how it would look:

Myth #1: SPECTRALIS® Doesn’t Belong in Optometry

04:04-07:40

Dr. Chris Lievens:

Our goal for today is to debunk some myths because, as an ECP, these are things that I’ve heard from my peers and colleagues. The first myth that I have heard is that your instrument, the Spectras, doesn’t really belong in optometry.

Joey Hatfield:

That was one of the first things that I heard about the platform as well, that it was very specific to the retina. However, that is a myth. When you look at the origination of Spectras, the Heidelberg Engineering company had a Heidelberg retinal angiography system, the HRA. They realized that OCT technology could be blended with that, hence the HRA OCT was born. It does have a retina-specific functionality because it performs dye-based angiography, etc. However, as Cindy mentioned earlier, upgradeability is key. The Spectras OCT can start at a base level to meet your needs, but you can build off of that as required.

Cindy Armstrong:

I’d like to add that I’ve been in practices where an optometrist uses a full spectrum OCT HRA to its maximum. They use every modality from fundus, autofluorescence, multicolor, and widefield to G M P E. For these doctors, they want to provide the best patient care, and by using these modalities, they can route their patients to the proper channels if necessary. We have many O.D.s working in remote locations who have to offer comprehensive care to their patients because there aren’t other options. Therefore, if they can use their diagnostic tools to deliver the best patient care, it helps maintain their patients’ vision and assists the doctor in determining if the patient needs to be referred to a local specialist.

Myth #2: SPECTRALIS® is Solely for Retina, Not for Glaucoma

13:10-16:28

Dr. Chris Lievens:

Alright, let’s delve into myth two now. Joey, you’ve already hinted at this one, so I’ll begin by challenging you.

You’ve mentioned glaucoma several times, and a prevalent statement that I often hear, probably due to the outstanding retinal image quality of the Spectras and the fact that many renowned retinal practices have employed Spectras from the outset, is that this technology is exclusively suitable for retina and primarily retina alone. How would you respond to that?

Joey Hatfield:

Indeed, we’re discussing SPECTRALIS® OCT at this moment, but it’s important to remember that Heidelberg Engineering initially started as a glaucoma company with the HRT. Gerhard Zinser, one of the company’s co-founders and scientific components, was passionate about diagnosing and evaluating glaucoma. So, when we transitioned from the HRT to the Spectras platform and recognized the benefits of OCT in glaucoma, that definitely carried over.

However, as you pointed out, we’ve been somewhat obscured. In my opinion, we’re glaucoma’s best-kept secret. When we talk about how effective it is in the retina, my primary focus is on the neurosensory retina and the significance of seeing the details in the neurosensory retina when discussing a neuropathy like glaucoma. So, glaucoma is indeed a key component, one of the main critical components of SPECTRALIS® OCT in my view.

Dr. Chris Lievens:

Indeed, my good friend Mohammad Rafieetary always insists that despite our classification of glaucoma as an optic neuropathy, it’s actually a retinal disease. I understand that the crucial components of the optic nerve are, in fact, layers of the retina.

Joey Hatfield:

True, it’s just that visually, we see this enormous donut shape staring back at us, and then we see the rest of the retina. It’s tempting to categorize them into separate specialties, but these two elements are absolutely interconnected. I’m glad you reminded us of Heidelberg Engineering’s initial foray into eyecare, which began with glaucoma analysis and optic nerve-specific measurements.

The Evolution and Flexibility of the SPECTRALIS® System

20:24-22:30

Dr. Chris Lievens :

Before we move on from this myth, I want to pose a question to both of you. You’ve walked us through some of the history of your offerings, from the initial HRT one, HRT two, HFA, and then fast forward to the Spectral, which incorporates and utilizes those older methods but consolidates them into one unit.

Joey Hatfield:

We definitely had an understanding, and Chris, you, and I have discussed this in the past about the HRT 1, 2, 3. Whenever you wanted the newest best thing, you had to get the best machine.

Yes, and there was indeed a light bulb moment in the design process of the Spectra platform. We realized that model doesn’t work in the medical industry, especially when we’re considering patient care. That’s where some of this hybridization of modularity and upgradeability evolved with the Spectras platform. We made sure to keep things separate enough so that it was possible if you wanted to reach the next level of the device.

So you started off with just the OCT, but then you wanted to manage patients with Dry AMD in geographic atrophy. You wanted to add autofluorescence to your OCT. That was something that could be incorporated into the platform due to its modularity and flexibility. This approach was a conscious decision about how to view the future of medicine, ensuring that we’re providing the best technology and the best investment for the physicians to provide the level of care that we aspire to be a part of.

Myth #3: The Heidelberg Device is Hard to Use

27:05-31:09

Cindy Armstrong:

I often tell technicians that if you can use a slit lamp, you can use the Heidelberg. So if you’re familiar with the slit lamp, the Heidelberg should be easy to use.

I ask them, “Do you check pressure?” and they’re like, “Every day.” And I reply, “Then you can use a Heidelberg because the concept is the same.” I emphasize that you must identify the buttons you’ll use for your imaging, depending on your practice needs.

The beauty of it is that as your practice grows or your skill level improves, you can expand your use of the device. I liken it to my new smart TV. There are so many features that I don’t know which buttons to use, but I get used to the ones I need.

Joey Hatfield:

I had the same perspective when I joined Heidelberg. Coming from another company, I was only familiar with what I knew. However, I quickly learned that the device is not complex to use.

One of the things that I occasionally do is bring my son with me to congresses. He’s an inquisitive kid, and the exciting part is that if my nine or ten-year-old son can operate a SPECTRALIS® OCT and produce high-quality images, there’s no reason why your technician or you yourself couldn’t operate the SPECTRALIS®.

It’s as simple as that, and as Cindy mentioned, what you get out of it depends on what you want to do with it. This ties back to the modularity, upgradeability, and all the different things we can do with it. If you’re doing OCTs, it’s no more complex than any other OCT on the market.

Dr. Chris Lievens:

I’m not sure where this misconception originates from, but once someone guides you through the process, it’s clear that it’s not complex at all. It’s incredibly straightforward. Maybe it’s a myth started by competitors that have convinced many, but it’s unfounded.

In my experience, as well as yours, we avoid complexity. We need to be able to train our technical staff and colleagues to employ this technology. If it’s simple to use, that’s a phenomenal attribute. And yours is really easy.

Myth #4: The Cost of the SPECTRALIS® OCT is too Much

31:26-41:05

Dr.Chris Lievens

However, being conservative in practice and budgeting, I find the SPECTRALIS® to be quite expensive. It may be affordable for larger practices, but for me, it’s a bit too much, even though I’m genuinely impressed by its capabilities, especially in optic nerve analysis.

Joey Hatfield:

Yes, this multi-functional device might appear like a Swiss army knife. However, consider this: a fully equipped system that performs angiography with dye, ICG, and other functionalities on top of basic ones could be pricier compared to systems that only perform OCT.

It’s crucial to identify what you need. Do you need just an OCT today or an OCT along with a fundus camera and an autofluorescence feature? If you opt for an OCT-only device, you must purchase other separate devices. By offering a base OCT functionality, we ensure our system is comparable in price to other OCTs on the market, often only differing by a few thousand dollars.

Cindy Armstrong:

We sell one product and we sell it well, albeit in 31 different ways. From my experience as a clinical manager, I can tell you that space is valuable.

The advantage of Heidelberg SPECTRALIS® is that it doesn’t occupy much space and yet offers a lot of functionalities with a single device. Anytime you can compact numerous features into one device that saves space, it benefits the practice and the doctor. Moreover, adding different modalities over time is a huge plus.

Dr. Chris Lievens

Indeed, the square footage of your practice equates to dollars. Everyone is running out of space.

Dr. Chris Lievens

Excellent. Let’s summarize the four myths we’ve tackled. Firstly, the myth that SPECTRALIS® doesn’t belong in optometry is that it’s too high-quality and predominantly for the retina. This is simply untrue.

This notion ties into the last myth we discussed – that it’s all about the price. The SPECTRALIS® system is customizable and upgradable, offering many functionalities simultaneously. So these benefits debunk these two myths.

The second myth we addressed is that SPECTRALIS® isn’t suitable for glaucoma. But if we look back, Heidelberg was initially designed to examine the optic nerve for glaucoma. Thus, it’s absolutely relevant today.

Lastly, the myth that SPECTRALIS® is hard to use. We all shared personal experiences proving this false, and in my case, I could navigate the system in less than five minutes.

Stay updated on the latest in the optometry world. Enjoy more insightful podcasts and engage with live streams on the Defocus Media YouTube channel. Don’t forget to subscribe to keep learning and growing in your understanding of optical science.

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Drs. Darryl Glover (Defocus Media Host) and Harbir Sian (2020 Podcast Host) – left to right – photo at Vision Expo EastWhen Drs. Harbir Sian and Darryl Glover get together, it’s no telling what will happen. The dynamic duo came together to celebrate Dr. Harbir Sian, host of the 2020 Podcast, 100th episode. This is a podcast that you do not want to miss. It’s full of laughter, heartfelt stories, and celebration. So tune in as Dr. Sian shares his journey to 100 podcast episodes.

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As a powerhouse Senior Sales Executive, Talia has extensive experience in business development, product category management, and corporate strategy. She’s a maestro of premium/luxury brands, with a proven record of skyrocketing growth and vast sales and marketing know-how.

Building strong and resilient relationships is an art and a science, something that our guest expert, Talia Bruno, excels at. In this post, we will delve into her top 5 powerful strategies to boost your relationship-building skills.

From Immigrant Roots to Eyecare IndustryTalia Bruno’s Background and Journey02:17-02:33

Dr. Darryl Glover: Talia, I know I gave a bit of an overview of who you are. But if you don’t mind maybe sharing more about your background. I feel like I already know everything about you, but I want you to speak so I don’t have to keep running my mouth here. So if you don’t mind sharing, you know, maybe where you’re from and how you got into the eyecare industry.

03:07-04:23

Talia Bruno: I’m a daughter to immigrant parents. My parents actually came here in the late seventies. They were in their late twenties. They were not educated here in the United States and they didn’t have much of an education from where they came from as well. They lived the American dream, all about the American opportunity. They came here to provide opportunity for us.

I grew up in the inner city of Brooklyn, New York, in Sunset Park till I was about 11 years old. Watched my parents work two jobs, grew up in a really rough neighborhood, but my parents did a really good job of keeping us close as a family and protecting us.

I didn’t realize I was poor either until I would visit other people’s house. Then I’m like, oh, ok. Wow. You know, but still, I grew up happy. I didn’t have much, but I grew up really happy. As I got older and you become cognizant of that, that’s when you start to get these insecurities and not only that, people along your journey point that out.

Building Trust and Embracing Vulnerability: Fostering Resilient Relationships and the Role of Mentorship07:24-08:00

Dr. Darryl Glover: I want to get into this relationship building with you because, I feel like you have mastered that, and I think it’s because of the journey that you just touched on and it’s really opened up the doors to a lot of opportunities for you. I’ve watched your career, I’ve looked at your career, I’ve studied you on LinkedIn and I’ve seen that you’ve jumped through different stages in your career with different companies and made an impact to where you’re at today.

I would really like to discuss, how do you build resilient relationships. Maybe you can start from the top and give us some tips and guidance, because relationship building is everything in Eyecare. It’s everything in life. If you don’t make that connection with that person in front of you, how can you truly find the right solution?

So maybe if you could start off with the relationship building, how you were able to build that with your career. I think, whether you’re in the workplace or you’re even evaluating your own life, what really matters is trust. If you don’t have trust, then you’re not going to build a resilient relationship.

08:38-09:01

Talia Bruno: Trust is a critical part of all interactions that we have as humans. It plays an integral role in communicating in all aspects of our life, especially in the workplace, which is what you’re referencing. So I would say through trust and regarding how to build a resilient relationship, trust is going to be the number one.

Embracing Vulnerability: The Power of Honesty and Emotional Openness in Building Trust10:35-12:02

Talia Bruno: I think it’s really, you know, something that I did recently, which was very vulnerable. I chose the route of vulnerability. And I was very vulnerable with my peers in sharing my story, which for the longest time, I didn’t want people to know that I came from where I came from, because for a little bit, I didn’t embrace it.

It was a time in my life where I thought it was a bit embarrassing because I was trying to get to a certain level. Now it’s, I have a different mindset, but I believe being vulnerable. Being vulnerable can even be, you know, especially at work, you have to admit when you’re wrong, and that’s an act of vulnerability when you do that.

People don’t like to hear excuses in our industry, so if you do something wrong or your company did something wrong, you have to be upfront and you need to tackle it before the customer or colleague or acquaintance finds out. If you realize that you’re incorrect about something, I think owning up to it is big and that’s really a part of vulnerability.

And there’s also the other part of vulnerability, which is being open about your emotion and showing some feelings because that helps build trust as well with whoever you’re absolutely interacting with, it shows that you care about the other person.

Mentorship’s Role in Success17:52-18:05

Dr. Darryl Glover: I think when it comes to relationship building, having the right mentors helps to elevate relationship building. So maybe if you could touch on, you know, the importance of mentorship and maybe even some of the things that she helped mentor you in as well.

18:13-21:21

Talia Bruno: First of all, Sue and I go way back. She was one of the first accounts that I managed when I joined the optical industry back in 2008. She was the real deal then too.The mentors I’ve had have been truly amazing. Even listening to me, there were times where I would text Sue and ask if I could get like five minutes. She always made herself available. She was so calm in giving that advice that she calmed me down as well if I felt my mind running a mile a minute. That’s really the importance of having a mentor and even choosing a mentor that can relate with you.Because if you look at the other two mentors I mentioned – Jan Corey and Megan Maloney – both are working mothers. This is what works for me. I need someone who can truly understand what I’m going through, trying to raise small children while managing a career. Each of these women had more than one child, and I have three. They can relate to my situation.

Embracing Risks and Self-Love: Talia Bruno’s Piece of Advice for Success38:41-39:47

Dr. Darryl Glover: What would it be if you could leave one piece of advice for all the listeners and followers out there?

Talia Bruno: I say this even to my own children. When it feels scary to jump, that’s when you jump. If you stay in the same place your whole life, you’re not taking the right risks. You’re not going to fail. Don’t be afraid of losing or afraid of failure, because a true loser is just someone that’s so afraid of not winning that they don’t even try.

Believe in yourself. Trust yourself. Most importantly, love yourself. Everything we discussed in today’s podcast, building relationships and trust, will come naturally provided you love, respect, and are honest with yourself first.

Stay updated on the latest in the optometry world. Enjoy more insightful podcasts and engage with live streams on the Defocus Media YouTube channel. Don’t forget to subscribe to keep learning and growing in your understanding of optical science.

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Join us on “Being Spectacular in Eyewear” as we welcome our special guest, Wendy Buchanan, the Eyewear Image Expert. Wendy is a Licensed Optician, Image Consultant, and Sales Trainer, who was a finalist for the 2022 “International Optician of the Year” award.

Founder of a unique mobile eyewear styling service in Toronto, Wendy has styled thousands of clients, developing her Be Spectacular Methodology. She’s dedicated to helping Optometrists and their teams boost their capture rate and grow their optical gallery business.

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Dr. Harbir Sian takes on Miami Grand Prix with Ray-Ban + Ferrari. A first-ever exclusive customer event to help Miami independent eyecare professionals prepare for the Grand Prix in May with the most exciting eyewear in racing – Ray-Ban! Guests experienced immersive race-themed branded activations, saw the latest Ray-Ban Ferrari collection, and learned how to leverage these two iconic brands to gear up for consumer demand for F1 ahead of race weekend in early May.

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How do you handle contact lens complications? In this podcast, four eyecare experts discuss optimizing the relationship between the contact lens and the ocular surface, vision, and more.

Defocus Media has partnered with Johnson and Johnson Vision to host “Grand Rounds with Eye Care Experts.” Join Drs. Darryl Glover, Brittany Rueff, Jeffrey Fardink, and Biviana Lie (Optometry Student) as they discuss how to handle contact lens complications.

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Carrisa Dunphy, ABO Certified Optician, and Dr. Darryl Glover, PodcasterOver the last couple of weeks, I have come in contact with numerous opticians virtually and in person. The common question that I get asked is, “how do I become a better optician?” What resources are available? On this podcast, Dr. Darryl Glover sits down with Carissa Dunphy, ABO Certified Optician, to discuss becoming a better optician. Carissa breaks down the American Board of Opticianry Certified (ABOC), Licensed Dispensing Opticians (LDO), and Certified Dispensing Opticians (CDO). Additionally, the two discuss Carissa’s journey in eyecare, the importance of emotional connections that lens coatings provide, and her favorite eyewear.

Carissa Dunphy is an ABO Certified Optician who has worked in the eyecare industry since 2008 and in healthcare for several years. She grew up in a house where her parents ran their small business in the home office, and she began learning all of the elements of running a business at an early age. Seeing her parents’ hard work instilled in her a strong work ethic and the desire to do and see a job well done.

What is Optician Now? Optician Now was created for Opticians and those seeking certification or licensure to have one central place to find all kinds of information relating to the profession. There really is a lot that goes into being a great Optician.

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Dr. Charles Posternack, President & Co-Founder at AvuluxIn this episode, Dr. Harbir Sian and Dr. Charles Posternack, co-founder and president of Avulux, discuss the ground-breaking precision optical filter that has been providing relief to thousands of migraine sufferers worldwide. Dr. Charles Posternack shares how it is imperative to address migraine more seriously and reach out to the world for the best cure it may have yet. Tune in now!

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Drs. Melody Tavakoli, Harbir Sian, and Danielle Richardson In Partnership with Johnson and Johnson Vision What is presbyopia? According to the American Optometric Association, “presbyopia is a vision condition in which the shape of the crystalline lens of your eye changes. These changes make it difficult to focus on close objects.”

Are you aware that 41% of contact lens wearers are 40 plus? Roughly 94% of those contact lens wearers expect to continue in contact lenses. Are you aware that over half of those contact lens wears will drop out of contact lenses? Presbyopia has presented a challenge for eye care professionals.

How do you get the MAXimum return on Presbyopia? Dr. Harbir Sian sits down with Drs. Danielle Richardson and Melody Tavakoli to discuss presbyopia. All three experts share their knowledge and presbyopic contact lens cases to overcome challenges fitting multifocal contact lens patients.

Learn more about ACUVUE® OASYS Brand Contact Lenses for Presbyopia:

ACUVUE® OASYS Brand Contact Lenses for Presbyopia is a multifocal bi-weekly contact lens. ACUVUE® OASYS Brand Contact Lenses for Presbyopia combine a unique optical design and the exceptional comfort of HYDRACLEAR® PLUS Technology. The result is multifocal contacts that can keep up with the things you love to do.

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It’s that time of the year again. The Defocus Media team is back at the Vision Expo East at the Javitz Center in New York City! This year, the eye care community showed up, the energy was vibrant, and EssilorLuxottica captured the attention of the Vision Expo attendees.

Dr. Darryl Glover sits down with Sherianne James, Chief Marketing Officer and Senior Vice President of Wholesale Marketing at EssilorLuxottica North America, to discuss the latest innovation, the Varilux® XR series. The Varilux® XR series is the first eye-responsive progressive lens for instant sharpness in motion powered by behavioral artificial intelligence. Learn more about the Varilux® XR series.

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Alan Porter, Certified Financial Fiduciary at Strategic Wealth Strategies, and Dr. Darryl Glover, Podcaster at Defocus MediaCalling all opticians, optometrists, ophthalmologists, healthcare professionals, and business owners! How much money are you losing with taxes? What if I told you there was a way to save and make a difference?

Do you feel you pay too much in taxes? Or overwhelmed with debt?

Are you worried about what taxes will be in the future because of our National Debt?

Are you frustrated with the mixed advice coming from financial institutions, advisors, and those who supposedly have your best interest in mind?

If the answer is YES to the above, please listen and learn with Alan Porter.

Who is Alan Porter? Alan Porter, Certified Financial Fiduciary, is a SMART Advisor, and his team has over 4 decades of experience helping Doctors, Medical Professionals, and business owners rescue hundreds of thousands of dollars in unnecessary taxes, fees, and lost opportunity costs. He has the insight to provide the financial guidance needed to thrive in today’s world. He has the unique ability to create a paradigm shift in people’s thinking and changes their beliefs about Convention Financial Planning. He operates his business just as a Doctor does, asking question after question to find out what the client’s problems are and creating financial solutions to their financial problems, He has spoken at West Point and Harvard and has been published in over 320 publications across America and has been seen in or on ABC, CBS, NBC, FOX, and CW.

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In a year of uncertainty, how do you plan to improve your optical experience? Dr. Darryl Glover sit’s down with May Hwen LDO, ABOC, NCLEC, to discuss how she creates the ultimate experience in her practice.

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Patients have the choice to decide who provides their eyecare needs. As eye care professionals, offering an incredible experience and finding the right solutions to accommodate their lifestyles is imperative. So what brands are you partnering with to elevate the patient experience? In this episode, we cover how important it is to understand each demographic/generation and find ways to better fit their contact lens options.

We dug into the details with Dr. Ashley Roth, 3rd generation Optometrist, and Johnson & Johnson Vision, who partnered with Defocus Media on this episode. Their several unique Acuvue contact lenses are perfect for people of every generation — we’ll cover how.

MEET DR. ASHLEY ROTHDr. Darryl Glover: Today I’m super excited because I’m hanging out with another star in eye care and I’m also excited because we’re going to touch on something that’s going to improve your practice when it comes to seeing patients. We have to understand the patient that’s sitting in front of us – we have to know every generation that walks in and we have to make sure we have the right solutions for those patients. Today we’re going to talk about meeting the demands and making real max clarity when it comes to these patients that are sitting in front of us. Friends and family I’d like to welcome my colleague, Dr. Ashley Roth. How are you doing today, Dr. Roth?

Dr. Ashley Roth: Hi, I’m doing great! Thank you for having me here! This is actually my first podcast, so I’m really excited.

Dr. Darryl Glover: Well, I’m glad that I could be the first, and I appreciate the opportunity to chat with you. When I was having some conversations with my colleagues over at Johnson & Johnson Vision, Dr. Moody, in particular, really raved about how great you are when it comes to doctor-patient interaction, especially when it comes to fitting contact lenses but most importantly, just really understanding the patient demographic that sits in front of you.

So let’s get started, Dr. Roth I’d love to learn a little bit about you. Something cool about you, which is perfect for this podcast, is that you come from a long history a long or big family tree of several generations of Optometrists, so maybe if you can talk about what your background looks like and maybe even your why, how you got into high eye care before we get this party started today.

Dr. Ashley Roth: So for me, optometry, it’s been like a lifelong dream at this point, even when I was little. So let’s go back. It was my grandfather, my dad, and now me, so we do have three generations of rock Optometrists, and I probably decided I wanted to be an Optometrist when I was about, maybe 13 or so. I used to get dropped off after school at the office, and I remember seeing my dad, and my grandfather got to work together and it was just a pleasant environment, and people could see, and they were happy choosing their glasses, and I thought “wow, I’d really like to work with my dad one day” and I don’t know if anybody took me seriously at the time but I never changed my mind. I get to work with my dad, so I feel really fulfilled, fortunate, and lucky.

Dr. Darryl Glover: That’s amazing. I love that story, and that’s the thing, when you get exposure to the eye at an early age, it really changes your life. It really makes an impact, and you know what, your future may be because you see the difference that you make, right? You have someone come into your office that you have never met before, and you’re helping them with the most precious sense, sight, and you change their world tremendously. We need more of that. All [of] my colleagues out there, all those kids that walk into your office; let them sit, look behind a slit lamp, let them pick up a contact lens, do something so that we can get more Optometrists in the eye care industry. That way, we can help and serve more patients and start that family tree like Dr. Roth’s family, right? Let’s keep it in the family, baby!

CHOOSING CONTACT LENSES FOR YOUNGER GENERATIONSDr. Darryl Glover: Let’s take it from the top. Today I really want to dive deep into the importance of meeting the demands of our patients, in particular, when it comes to contact lenses. I don’t know about you, but in my office, I have patients from the age [of] five to about 105, so I see pretty much all walks of life. So today, I really want to take some notes. I got my pen, got my paper, and really learned from you, and I really want to start with Generation Z, these are your digital-born, post-millennials, that range in general. When these patients come into your office, what kind of dialogue do you have with them? Especially when it comes to contacts because I feel like there’s a lot of opportunity for all age groups. But let’s take it from the beginning and work our way to the more seasoned folks that are out there in the world.

Dr. Ashley Roth: If we’re talking about Generation Z, they will be coming in with their parents. A lot of times, I don’t think we’re presenting contact lenses as an option for kids. Sometimes the parents will come in and say, “oh, Johnny wants to play baseball,” and now we have that conversation. Or “my kids are always breaking their glasses,” or maybe they’ve even gotten to the point where they need readers. These kids are constantly on these devices, but they don’t want to wear bifocal. Contact lenses can actually be an excellent option for them. The risk of infection is lower, and it’s easy, they don’t have to clean them, or take care of them, so for a kid, it’s a no-brainer.

Dr. Darryl Glover: I love that. Two things that you stated that I really love: number one is not just talking to the parent but to the child. You have to create a partnership with the entire family because if the kid doesn’t understand where you’re coming from and that these are medical devices, you know it will be a nightmare, so really incorporating them into the conversation is a big deal. Now, even though you’re creating that partnership, you’re also putting your foot down and saying, “hey, we need to do dailies because it’s the healthiest bet, and I’m a firm believer that when you can connect with kids at an early age and put them in dailies, then they’re going to be set for the rest of their lives.

Dr. Darryl Glover: When it comes to actual lens products. Which lenses are your go-to for daily contact lenses for this generation?

Dr. Ashley Roth: If cost becomes a factor, then Acuvue Moist is a nice option. But for silicone-hydrogel contact lenses, besides being more breathable, a lot of patients find it more comfortable, so it’s like, why should I make these little kids suffer – they can have a premium contact lens as well. Even the handling, so that INR; those kids are the ones that need to learn how to put in that contact lens. We know with the hydrogel material, they’re kind of harder to insert, at least. So when you have a bit of that sturdiness, it makes their insertion training much easier. I reach for Oasys 1-Day, the majority of the time.

Dr. Darryl Glover: Now let me ask you this, Dr. Roth, because in my office – I don’t know if I do things similar to people [or] if I do it differently – but either way, I know my patients are happy, I’m doing something right. When it comes to insertion and removal, I usually put the contact lens on my patient’s eyes, and I check their vision, and then I take them out for insertion and removal and have one of my technicians do it? Do you do that yourself or do you have the kids go out to an insertion and removal place and learn how to do it first before you put it on their eyes?

Dr. Ashley Roth: No, I do like to put it on. You know, these first-time wearers whether it’s kids or not, they can see, “hey how does this feel in my eyes right now?” How is that vision? Do I like this? How is that lens fitting? [I] give them this moment, and I like to see the ah-ha moment, especially for kids. There’s something so exciting in the exam room, so it’s fun to kind of experience that with them.

Dr. Darryl Glover: I’m very similar, I do the exact same thing. I also get that thrill, that high, whenever the kids have the lens on, they look around and [they’re] like, “oh my goodness”, I mean that peripheral vision always gets [them], they’re sold.

Dr. Darryl Glover: Before we jump to the Millennials, because I am a seasoned Millennial, by the way. You mentioned premium lenses. Kids should have a premium lens, I believe every kid should have a premium lens. I believe it’s something that we shouldn’t have to try to sell, we should educate and tell them about the health benefits of it, and we have to keep in mind, when these kids come in, look at their sneakers. They’re wearing shoes that probably cost two, or three hundred dollars, so if the parents are willing to make an investment in some sneakers or an Apple phone, iPhone, or android phone, then you shouldn’t even let that be a barrier. Never judge anyone when they walk in, just fit them with the best option to make that experience tremendously more comfortable for them.

THE RIGHT CONTACT LENSES FOR MILLENNIALSDr. Darryl Glover: All right, so let’s jump into the next group here. We have the Millennials; Millennials are anywhere from 1981 to about 1996. Millennials are tech-savvy, they’re authentic, and they love diversity, so you want to make sure that when you have this patient base come in, number one, your office reflects diversity. You also want to keep in mind that they’re tech savvy, so more than likely they’ve been on their phone investigating you, or know the latest and greatest technology, and they also like to be authentic, so it’s very important to make sure that you kind of weave some of these things into what your office looks like, but most importantly that dialogue that you have in the office. I would love to learn a little bit more, maybe about some of the questions – some of the dialogue that you entertain – from your patients when they come in for millennials.

Dr. Ashley Roth: This is an interesting bunch, and I think they’re a lot more educated than we take them for. So, as you said, they grew up with these smartphones, and — although I am a millennial — I didn’t get an iPhone until college. I find a lot of my patients coming in and asking like, “hey, is there something new”, and there’s not always something new, but right now, there IS something really great and new. The Oasys Max 1-Day has definitely been a game changer, especially for this generation.

Dr. Darryl Glover: I love that you actually prescribe what you wear because we talked about millennials, they like for you to be authentic, and they like for you to be transparent. So when you can relate to them and say, “I wear this lens, my life is just like yours. I spend countless hours in front of digital devices, I go the entire day, and I pop them out before I go to bed.” That gets more buy-in that builds more of that trust factor. That’s game-changing. The other game-changing piece is truly that blue light protection – my patient base is just like yours – they come in educated, they’re asking me questions, and they’re looking for these things. So it’s very important to make sure that you’re always aware of the latest and greatest in innovation when it comes to contact lens technology and that you’re able to have that conversation because the last thing you want is for a patient to go in and you have no clue what they’re talking about, and you’re not educated about it.

Dr. Darryl Glover: I want to give a special shout-out to Johnson & Johnson Vision (JJV) – I mean, I did this the other day on the podcast – these guys are innovative. Myself and Dr. Garlich and Dr. Lyerly were talking about all the technology they’ve done over the last years – the innovation. From the lens with transitions, for this Acuvue Max, to the lens to help with allergies, they’ve really changed the game and they’re really always cutting edge, so they’re doing a fantastic job. When you look at brands that have that complete portfolio to solve problems for any patients sitting in front of you, they have a strong case for being one of the best and not the best out there to make it happen.

MULTIFOCAL CONTACT LENSES FOR GENERATION XDr. Darryl Glover: Next up Generation X 1965 to 1980. This generation is known as the forgotten generation, the latchkey generation, and they wear contacts as well. Between this generation and the Baby Boomers, I think this is a great opportunity to tap into a market that we don’t really capitalize on because historically we wouldn’t have the right solutions for patients for multi-focal contact lens, but I know this portfolio that Johnson & Johnson Vision has, Acuvue, they have really changed the game with regards to that opportunity at least in my practice, but I love to know what these patients look like in your practice, what kind of dialogue, what kind of questions they may ask, so maybe if you can give us kind of an overview of what that looks like in your practice, Dr. Roth?

Dr. Ashley Roth: Sure, so with this generation, we’re getting into presbyopes – there are presbyopes there. I think that sometimes these patients, they’ve been wearing contact lenses for years, right? We’ve got reusable options, and we have the Max 1-Day Multifocal, which has been a game changer in my practice. Just yesterday in my office, I had a 42-year-old, and he was wearing – he was actually under-corrected in his contact lenses – it was his first time coming in. He’s like a 325, and he’s wearing a 250. So he could still read, and I told him like, “hey listen, the moment that I bring you up to that negative 3.25, or negative 3.25, which is actually what you need, that distance is going to be great, but I’m afraid that you’re not gonna be able to see your phone, your texts…” and so I get kind of get through these options and I said well there’s multifocal contact lenses. We went right into the Max 1-Day, and I put it on him, and I was like, “whip out your phone and like take a peek, can you see your watch? Your text? Pull up an email…” and I go, “does this look like it normally does? Does it look better? Does it look worse?” and he’s like, “yeah, this looks great, this looks this looks normal,” as if he didn’t realize he was in a multifocal lens at that point.

Dr. Darryl Glover: I’m a fan, I’m sold on it. The one thing that I love is that I now have an option for my patients that are on the border. I can give them something to let them know that they’ll be okay. The other thing I love about this Max brand is that I like to keep families. So if I have a patient that’s a single-vision lens option, I can tell them, “look, you’re gonna have that same comfort, we have a multifocal in that same brand” they’re like, “oh, I don’t have to change brands, but I’m going to see the distance in here?” Game changer. A lot of times, you’ll have different vendors out there, and all their contacts are other names. People are all about name recognition, even if you put them in a lens or see better, they still remember that name, and they’re like, “I want to go back to this brand over here because they’ve been awesome.”

Dr. Ashley Roth: What about the patient that comes in you’re like, “what are you wearing?” and say, “Acuvue,” and they’re not, it’s just such brand recognition. You can ask even a patient that doesn’t wear contact lenses or a person on the street, and they’re probably gonna say “Acuvue,” but there’s a reason for that, besides them being popular, their products are really great.

Dr. Darryl Glover: I agree, so tell me this. We’ve really touched on all these generations, from Generation Z to the Millennials, to the Baby Boomers; all these patients are great. We have resources and tools for all these patients but do you ever have any difficult conversations with these patients, especially regarding contacts, and you’re trying to get them into that option because you think it might be a great fit for them? If you run into these difficult conversations, what are you doing to make it easier to have that breakthrough?

Dr. Ashley Roth: Yeah, sometimes I find that I’ll have a patient that maybe is not asking about contact lenses but could improve. Maybe on their intake form, it says that they play tennis, or they’re playing golf, and it’s nice not to have to wear your glasses, or maybe you were wearing sunglasses that are distance only and whatnot, so if you can present contact lens to a patient that maybe either didn’t think about it or maybe their previous doctors didn’t tell them, they maybe don’t know if they can even wear them. They’re not even going to go ahead and ask you, so a lot of times I’ll ask like, “oh, are you interested in contact lenses? Have you ever tried?” And so I kind of like to have that conversation.

GIVING PATIENTS THE MAX EXPERIENCEDr. Darryl Glover: I want to kind of elaborate or dig into something that you mentioned because I’ve done that myself. Sometimes I’ll pop a lens on the patient’s eye just so they can see what they’re missing out and maybe change their life. Maybe I’ll get a little closer, and they might knock me over because they’re like, “you’re not coming near my eye!” But what do you say to those doctors that give kick back and say that’s too much chair time, I gotta get into my next patient? What’s your response to those doctors out there? Because we do have some colleagues out there that want to get in and get to the next patient, I feel like they’re doing a disservice, not just to their patients but to Optometry.

Dr. Ashley Roth: Yeah I think that some days are busier than others and you can see how many patients you’ve got waiting for you, but to ask a simple question like, “have you ever thought about contact lenses?” I mean that’s no time and the answer would be “yes” or “no” or “maybe” and you have this one minute conversation that may change that patient’s life. As I said, it may be the reason that they come back to you or they don’t.

Dr. Darryl Glover: I love it. Just go the extra mile, treat everyone like a loved one and you’ll never have anything to worry about. Give them that extra time, and you’ll be amazed that additional two to five minutes of chair time may give you a patient for the rest of your life.

It’s been a fantastic podcast – a lot of great information. I mean, we touched on everything from knowing the right lens for kids to handle, what to use for our tech-savvy patients, what to use for our seniors, or more seasoned, or more veteran patients that are out there. If you had to give one piece of advice for all the listeners [and] all the followers out there regarding how to meet the demands of the patient sitting in front of you, what would that one piece of advice be Dr. Roth?

Dr. Ashley Roth: Well, besides offering contact lenses to a patient as an option, not being afraid to present the patient with the best option. Also, multifocal lenses. With the multifocal having that initial lens selection, sometimes each brand has a different design, and one may work in this number but not that one. So I’ve been obsessed with the calculator since the Oasys 2-Week Multifocal came out. It’s been my best friend. I put it on the toolbar of all of my exam rooms, I forced the other doctors in my practice to use the calculator, and I think that besides finding that initial lens, it troubleshoots for us on the right-hand side. It’s like, okay, if we need to improve distance, try this one next. So that’s taking up chair time right there, right, and you’re impressing the patient. Do we need a little bit more reading? Not a problem, let’s pop this one on, and now the next one is the one that works.

Dr. Darryl Glover: I mean, with this information, this is something that your technicians can actually key into the calculator. Grab those contacts, place them on the patient’s eye, or have them pop them in. Check their vision, you could be seeing another patient, being able to see another patient, and then coming back in. I mean, we’ve got to think about how we’re practicing and leveraging our technicians. Are we leveraging technology? Are we really educating our patients? That fit calculator is the truth, and I’m glad that you brought that up. For those that are unfamiliar with it, just hit up jnjvisionpro.com, and you’ll see that business center, the calculator tools that they have and it’ll change the game for you. You don’t have to think you really plug and play and it’s a high percentage in regards to it being right on the first time, it’s rare that I don’t have a patient that likes it on the first shot, so I’m glad you brought that up Dr.

I want to thank you this evening for hanging out with me. This has been fantastic. I’ve learned so much from you; you are a rock star. I hope to have many, many generations of Optometrists in my family. If my son wants to be one, by all means, I will make sure he has all the tools and resources to succeed. You can see through Dr. Roth that she’s had the privilege to witness great Optometrists, and she will continue to carry that torch down the road.

Learn more about JJV Acuvue Products here.

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This post is sponsored by Essilor.

The success of an optometric practice revolves around the relationship and handoff between the optometrist & optician. What are you doing in your practice to foster this relationship? How do your patients perceive the relationship? Do your optometrists and opticians speak the same language? The handoff between the optometrist and optician is a powerful interaction that will create loyalty, increase your bottom line, and lead to happy team members. Dr. Darryl Glover sits down with Dr. Sabrina Gaan, Optometrist, and Christine Howard, Optician, to learn their secret sauce to success.

PODCAST HIGHLIGHTS:

INTRODUCTIONDr. Darryl Glover: Today, I’m super excited because we’re discussing a topic very near and dear to my heart. It is a topic that can change the way you practice but, most importantly, helps your practice elevate. It revolves around a relationship that can increase loyalty and ensure your team members are happy in the office. Today we’re going to talk about the power of the handoff, and I have two experts here that have really mastered this. We’re going to dive deep into what they do in their practice and get the skills and tips that have made their practice stand out more than any others around them. I want to welcome two experts, Dr. Sabrina Gaan, and we also have a fantastic optician, Christine Howard.

THE OPTOMETRIST & OPTICIAN RELATIONSHIPDr. Darryl Glover: Christine, I’d love for you [to share about] prior to Dr. Gaan coming in you you’ve probably seen some gaps with some doctors right? I know there are a lot of great doctors out there — all doctors are great, let’s just put that out there — but some of us need a little bit more when it comes to this handoff. Maybe you can break down some of the gaps from an optician standpoint that you’ve seen when it comes to handoffs. Because I think that’s powerful; I think sometimes Opticians or eyewear consultants don’t want to speak up and say “hey Dr., if you do this way that may make the patient happier, make them more loyal, and make it easier on us as well.” So maybe you could walk through some of the gaps or challenges that you experienced prior to Dr. Gaan coming in, and then we could build from there.

Christine Howard: One of the biggest things is just communication. Dr. Gaan and I might not say a lot of words, but it doesn’t mean that there isn’t an understanding there and that we are on the same page. I’ve worked with doctors where I literally have a piece of paper with their prescription and kind of have to guess and navigate how we’re going to modify that prescription to fit the patient’s best needs. Sometimes talking to the patient isn’t very helpful because they don’t know. They’re like, “I have no idea what just happened in the exam room.” So definitely clear communication and having an understanding of what your goals are as a practice is really important. That way, if everyone’s on the same page, then you’re all working towards the same goal, and it makes it a lot easier.

Dr. Darryl Glover: So it’s more of a unified approach, right? Understanding that your doctor is your partner, your doctor, your advocate. Your doctor is your friend, your family. So how do you combine that unified approach to make it easier for the patient? I love those tips.

Dr. Sabrina Gaan: let’s kind of take that perspective from the doctor. Sometimes we’re having conversations with our eyewear consultants, our Opticians, and we’re telling our patients what we prescribe, but sometimes there’s that gap where the eyewear consultant or Optician may not convey that message. Where are the gaps that you’ve seen you know before [working with] Christine and becoming that dynamic duo?

Dr. Sabrina Gaan: Well, sometimes you hand them the prescription, and you say, oh, they’re looking for, um, you know, an Eyezen lens or Progressive, and then you find out that later they gave them something completely different. They gave them a single vision, or they talked them out of what I already talked them into, and that’s really frustrating as the doctor.

*Dr. Darryl Glover:* Yeah, and I think that’s something that is lost in a sauce when it comes to the doctor-patient handoff. I think everyone in the office should shadow a patient through the entire journey. Imagine what it looks like if your eyewear consultant or optician sits in the exam lane with you while you’re talking to that patient, while you’re prescribing from the chair. They now understand the communication, the dialogue, the language, the words that you’re using, so when they go to the eyewear area, they’re all on the same page, and I think that’s something that can really change the game in regards to how we practice day in and day.

SPEAKING THE SAME LANGUAGEDr. Darryl Glover: When it comes to speaking the same language, do you have specific codes in your office? Or certain words that you use or specific words that you don’t? I’m a firm believer that if you’re not speaking the same language, then it’s going to be a disconnect between the doctor and the optician, but most notably between the doctor, optician, and patient as well. So are you saying the same thing regarding no glare or anti-reflective coating or photochromic lens versus Transitions®? Or are there certain words that you don’t use?

Dr. Sabrina Gaan: Christine knows I want 100% anti-reflection in my office, right so that’s kind of a no-brainer. I don’t even have to say that to her because she already knows that. As far as Transitions®, she’s a Transitions Change Agent, so I mean, she’s gonna always bring that up. Plus sun protection and all that jazz, but with her, it’s really just like, “hey, this [patient], you know I talked to them about having first-time progressive, they’re a little hesitant” or something like that…then she’s like “I got it” and then she usually will close that sale no problem because she knows I’ve already spoken to them about it.

Christine Howard: When I speak to the patient, I oftentimes will say that “Dr. Gann prescribed X Y and Z,” and that just makes it easier. Nobody really questions an MD when they prescribe a medication for a patient to solve whatever health issue they have at hand, so if we use that same kind of language in this situation, I think it really resonates with the patient a lot.

OPTOMETRISTS DON’T RECOMMEND, WE PRESCRIBEDr. Darryl Glover: Something that you just mentioned, Christine, is the word prescribed. I’ve said this a million times on this podcast we cannot recommend anything. As doctors, we prescribe. And Christine, you get it! As you said, you go to your PCP, you’re not going to take a “recommendation” they’re going to prescribe something.

I think sometimes we get bogged down by thinking about the patient’s pockets or sounding like a salesman, but in reality — I hate to say it, you guys — but indirectly, we do sell. But we sell by finding a solution for the patients, right, so you got to change your mindset in regards to what’s taking place when you’re communicating with the patient. You’re just giving them a solution, and there is going to be some type of sales component to it, but the best way, in my personal opinion to convey that message is really to talk about the features. Don’t just say anti-reflective coding. [Instead, share] what that anti-reflective coding does. Does it reduce glare when driving at night? Does it cut down on that starburst? Or make things more comfortable?

Give your patients real-life experiences and educate them on how this will elevate their lifestyle day-in-and-day-out. I think that’s huge, and when we do that in my practice, we tend to see more of a conversion, but most importantly, we make patients feel more comfortable. They don’t feel like they’re getting pushed into a specific lens option because we’re trying to sell them something directly. Instead, we’re giving them a solution that will accommodate their lifestyle.

Dr. Sabrina Gaan: [Yeah], you literally say “you get 15% better vision at night when you drive when you have the anti-reflection, so you have to have that on your glasses, and the patients always agree…it’s just “this is what you need,” and I write it on the prescription, so it’s already printed out so when Christine gets it.

Dr. Darryl Glover: Christine, when you get it, do you read it back and reinforce what’s written down by Dr. Gaan? What does that conversation look like?

Christine Howard: I’ll return to whatever the patient’s issue might be. Maybe it’s struggling at the computer or whatnot, so I’ll then say, “Okay, Sam, I see here that you’re struggling on the computer, so these lenses that Dr. Gaan has prescribed for you are going to address that eye strain…” I’d bring it back to what their problem is and how what we’re giving them is going to solve that problem.

USING BRAND NAMES WITH PATIENTSDr. Darryl Glover: I want to kind of circle back both of you mentioned some branded names, Eyezen in particular. How important is it to have that language and speak branded-name solutions in that exam and on the floor when you’re talking to your patients, and what does that look like in your practice?

Christine Howard: It helps to know that’s the product you’re gonna use you should know that that’s the repetition is key. Oftentimes the first time a patient hears something they don’t really hear it, so if they hear it once or twice in the exam room then they hear it once or twice out on the optical floor then they’re really starting to hear it. It starts to resonate with them, and I will say many times I’ve mentioned the word Varilux, and patients who might not even really understand what it is they’re like “oh I’ve heard of that, I’ve seen a commercial”, so it already gives them a sense of yes, this is a legitimate, good product that is going to help solve my problem

Dr. Darryl Glover: I love it, and I think it’s critical to really leverage our partners out there. Essilor is just a fantastic organization. They do a lot of marketing for us, and that brings patients into the exam room, and all we have to do is pick up, you know the the ball and continue going. I mean, if they’re already blasting to the masses about Varilux or Eyezen or other incredible lens technology that they have, and we’re now leveraging that technology in our office, let’s just tell our patients about it. Because [then] they’re coming in educated about it, don’t sell them short give them the resources and tools that they need to make a difference.

THE OPTOMETRIST-TO-OPTICIAN HANDOFF IN ACTIONNext up, I’d like to walk through a scenario of what doing a handoff in your practice looks like. I’ll be patient.

WATCH THE FULL PATIENT HANDOFF WALK-THROUGH HERE >>Dr. Darryl Glover: One of the main buzzwords you’ve hit on several times today is really “relatable.” Again patients are coming to you because you’re the expert. How can you make that conversation more relatable where they see themselves in you and understand that you understand what they’re going through?

There’s something for every patient, and you can find a solution for every patient that walks through your doors. But you have to communicate, you have to find what’s relatable, and most importantly, you have … [meet] patients where they are.

WHERE TO LEARN MORE ABOUT ESSILOR PRODUCTSEssilor’s product suite will make your patient handoffs that much easier. Learn more about them at essilorusa.com and find more information on the products mentioned at the links below:

EyeZen® — enhanced single vision lenses that help reduce exposure to blue light and are clear in color and appearance.

Varilux® — the most advanced progressive lens technology in the market.

Transitions® — adaptive lenses built to adjust to changing light conditions.

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Drs. Jeffrey Fardink and Darryl Glover discuss the latest eye care news. Learn more about VR technology, cataract surgery for children, lowering IOPs with doxycycline, and more optometry news.

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Are you familiar with the latest in wearable technology? Are you looking for the perfect gift for your loved ones who love to be socially connected, but want to live in the moment….in and out of the sun? Dr. Darryl Glover sat down with with Rebecca Furuta and Taylour Johnson to discuss the new smart glasses, Ray-Ban Stories with Transitions®.

INTRODUCTIONDr. Darryl Glover: I’m super excited because we’re going to talk about technology [today] I’m a big fan of technology, and I personally feel that technology is going to change what the eye-care industry looks like. It’s going to change the landscape for the better and just make the experience for our patients tremendously better. Technology is the future the future is technology and we are here today to talk about some technology that’s going to change your life, but, most importantly, change your practice. Before we get started and talk about this technology I want to say thank you to Transitions® Optical for partnering with Defocus Media; partners like [these] really helps to elevate the experience when patients come in, and I want to thank you again for being a fantastic partner over the years.

[Now let’s meet our guests:]

Rebecca Furuta: My name is Becky and I actually own an eye care practice in Golden Colorado and my business partner and I have a family practice that focuses a lot on sports vision and sports vision technology. I’m also a professional cyclist, an elite runner, and I guess now I’m a Nordic skier. I took up Nordic skiing during covid, and my sponsors are actually sponsoring me to do a couple of really big Nordic ski races including a race in Sweden later this month … so it’s pretty exciting. Obviously as an athlete and also as a business person my life is very tech heavy. In sports specifically everything in my life is measured; every watt, every breath, every time I go to sleep, how much hydration, my nutrition, etc. Every single moment of my day is metered by some piece of technology, so I really understand the value in having things that just work. Good technology is seamless and mindless and we don’t really think about it it just integrates into our life. Bad technology … is frustrating and so the way that we approach technology and how technology fits into our daily life is is actually really important and can be a source of either a lot of ease or a lot of frustration

Taylour Johnson: I fell into optics. I’m from Fayetteville North Carolina I’m still here, and now I work at the local LensCrafters at the Cross Creek Mall. At the time, I was trying to be a full-time firefighter — I do that on the side as well. I’m a first responder, and I love that kind of aspect of my life too — [I was] finishing college, looking for a full-time job not really finding anything in the firefighter world, so I was just picked up a part-time job at LensCrafters, and they kind of just threw me (thankfully) into the lab making glasses…I fell in love with it. I found the local school, Durham Tech Community College, and I signed up next semester and it was game over. So I’ve been full force ever since then, and it’s been fun it’s been and exciting. I love it; I love helping people, and being able to make the glasses has been life-changing, helping these people. So I’m glad I’ve been able to get into this field. As it comes to technology, well just me making the glasses, we have a lot of challenges that come up. We do see the Echo Amazon glasses, we do have to put lenses in those, so I was really excited when Ray-Ban got their own [smart glasses]…

MEET RAY-BAN STORIES WITH TRANSITIONS® SMART GLASSES Dr. Darryl Glover: Today we’re really going to talk about technology we’re going to talk about Ray-Ban Stories with Transitions®. What I would really like to dive deep into is really your experiences but also I want to talk about how do we have this conversation with our patients how do we implement this into our practice because, again, this is going to be a game changer.

Becky, you know Valentine’s Day is coming up, and I’m not gonna lie this year I dropped the ball. I didn’t set up dinner on time for my wife, so I know she’s gonna kill me so if y’all don’t see me here after the 14th you know exactly what happened: I pissed my wife off. When I smile at her just it changes everything so hopefully that still will work, but Valentine’s Day is right around the corner and when you’re shopping for that special someone in your life, it’s always great to get them a nice pair of eyewear, for sure. For those out there that may be unfamiliar with Ray-Ban Stories with Transitions®, can you explain why these are more than just a regular pair of glasses? I own a pair, and we’re all wearing a pair, but for those that may be looking for the right gift to give that significant other or that loved one, let’s talk about this how are these different from anything else else out there.

Rebecca (Becky) Furuta: First and foremost, I think the aesthetic of these is great. I heard Taylour mention that there are some competitors out there, but those particular frames are clunky. They’re not very fashion-forward, they’re not things that you would want to wear out in public. Ray-Ban really represents this leap in technology and aesthetics. This is a very classic-looking, radiant frame. You would never know it is a Ray-Ban Stories frame; it doesn’t have a lot of extra hardware. It’s lightweight, it’s comfortable to wear, and it fits really well. That’s I think a big piece of it.

[These smart glasses] can capture high-definition video stills and audio. The audio quality is actually, I think, fantastic. I mean the ability to listen to music, you can take calls, I can be out on those ski slopes and my kids will call, and I can just swipe the side of my temple and answer that phone call. It’s easy to use, they are very easy to set up it. I am not tech-savvy at all, and it took me about 10 seconds to [set up]. The app is actually incredibly user-friendly and integrates seamlessly with the glasses, so it’s easy to use for anyone regardless of your technological ability.

I think the best thing about this is when you think about going to a concert: We’ve all pulled out our cell phone to record a concert, and what you are doing [is] watching the concert through the video screen on your phone. There’s something that’s separating you from that experience. [Same when we talk about] your kids playing at the park, and you pull out that cell phone, you open up the photo app, and you take that picture — you’re watching your child through a screen. So much of our life has been spent watching [things] through screens on cell phones, and Ray-Ban Stories actually removes that barrier. You’re in the experience when I’m at a concert, recording the concert. I literally talk to my glasses and tell them to shoot a video. There’s nothing standing between me and that experience, so in that regard, I think it’s actually kind of a romantic Valentine’s Day gift. It’s a way to capture the experiences of life without having this added technological barrier of a phone between you and what you’re actually doing and experiencing.

Dr. Darryl Glover: I love that, and it’s like putting life on autopilot, right? I mean for years we’ve been blessed with having Transitions®, that’s always been cutting-edge technology that gets better and better every year. But now Transitions® have partnered you know with Ray-Ban, and they have these Ray-Ban Stories with Transitions®, and you got technology all around. It’s not just putting a frame on to look good. It’s a frame that is truly functional and lens technology that matches that function with the transition lens technology, so I’m super excited. This has changed my life I wear these glasses more than others just simply because of all the functions that go along with it. Now Taylor what are your thoughts? Is this the perfect gift? Is this what you’re going to give to that loved one?

Taylour Johnson: Oh yeah absolutely. I mean, I’m a new dad and she’s now three months old, so my hands are always full. But I never want to miss anything! And I’m that person too: I have a case full of sunglasses, and I still wear these more, so I can not worry about having to switch out my glasses and things like that. Then I’m able to capture anything that my little one’s doing with me and make sure I don’t miss that. Or especially walking the dogs they’re always doing something fun or crazy, so I don’t want to capture that. I actually took these to the Hurricanes hockey game last week, and I got some incredible footage, and that was still indoors but it was amazing. The video quality on these things is crazy. It’s super flat, I love them just for that alone. I thought… it’s gonna be like okay — like, come on, glasses-like video? — but it’s like like you said, it’s better than my phone, it’s an incredible quality.

Dr. Darryl Glover: I would love to share with you guys if you don’t mind, some videos of some of my precious moments. You were talking about your daughter, man I had this one moment when I first got the glasses where, I’ll be honest, I didn’t know what I was doing, but I actually was recording myself, recording myself on the phone because I saw my daughter crawling towards uh my brother-in-law, and it was just one of those precious moments where I was like oh my goodness I got to capture this. So I was able to capture it both ways with the cell phone and the glasses, but it’s so cool because it’s a precious moment that I’ll have for the rest of my life. It’s also one of those things that make you appreciate the glasses because now you know that you don’t have to pull out a cell phone to record a moment that will be there for the rest of your life.

I also have two other videos that I wanted to share one when I was in the Dominican Republic [where we couldn’t take our cell phones], but guess what? I had these bad boyys! The Ray-Ban Stories with Transitions®. So I was out there in the mix, all around the place, and I was able to record while I was driving, so you can see it from my perspective. It was cool. My cell phone was nowhere near me, and was still able to store on the memory. When I got back I was able to upload the photos and share them with the whole group of folks that came out, so not only did I get the video, I got photos, I caught those precious moments. I was the star of the crew that day all because of the technology on my face. Then lastly, I want to show one other story [where] I took my son to Frankie’s here in Durham, North Carolina. He got to go on the go-karts for the first time, so you can see my perspective driving around. So let’s get started with that precious moment with my daughter, so sit back, relax, and check it out:

See the video captured here >>>

Dr. Darryl Glover: So when I look at these glasses, I don’t look at them as just regular glasses. I look at them as “precious moment catchers,” right? Because you can do it so effortlessly that it just makes life easier, and allows you to capture those moments that you want for the rest of your life…

One of the best things that ever happened in my life was becoming a father and now that I have something to really capture those moments. It just it’s changed my life, and I love these glasses. I mean when it comes to these Ray-Ban Stories, they are really the first smart glasses that people truly want to wear. I mean when you look at the fashion aspect, when you look at the ability to have Transitions® in them, it’s a game changer. This has really helped to elevate our profession and the thing that I love about it is that eye care owns it. This is a huge thing, there’s a lot of competitors outside of eye care that have this technology, of course. But it’s not up to par like the Ray-Ban Stories with Transitions®. [And] we have a safe space, a safe company, that’s looking out for us to make sure that we’re able to own this technology, and doesn’t go the wrong way. So I definitely want to send a you know shout out to Transitions® Optical and Essilor Luxottica for really creating this partnership with Meta because it’s game changing.

USING RAY-BAN STORIES WITH TRANSITIONS® IN REAL LIFEDr. Darryl Glover: As eye care professionals, when do you really find yourself preferring to wear the the Ray-Ban Stories with Transitions®? I know for me it’s any time that I’m outdoors just to have that that light sensitivity protection with the Transitions®, but again to be able to capture those precious moments. I love it whenever I travel…being in the airport almost weekly, I am surrounded by all types of different lighting that can cause a lot of light sensitivity, and just having that additional protection there with Transitions® makes a world of difference. I know how you’re using yours Becky [with sports], I’d be curious to know Taylour how are you using your your Ray-Ban Stories with Transitions®?

Taylour Johnson: I literally I wear them about five days a week. I wear them to work, so I can do the first-person on how to make glasses. I do put up those posts and whatnot; I want to teach people about making glasses. It’s a process but it’s a great process, and I’m glad I’m able to share that and be hands-free, because I do I need both of my hands to put the lenses into the cylinder machine. It’s a lot of hands-on things I do at work, so I wear them at work. Anytime I have the baby, of course, it’s it’s automatically as soon as I wake up I put them, on I take out her crib…I don’t want to miss a thing. Then at walking the dogs, going on a run — I’m not as fancy as Becky I just do a little, you know, I’m trying to get back into the workout game — so yeah I wear them out there, and I love them. I don’t have to worry about [grabbing sunglasses] they just transition. They get super dark too, it like takes two minutes to get dark. I don’t even like notice a transition until they get dark I’m like oh yeah like I got Transitions® in these, and I just keep going. I wear them all the time, I love these things. The quality is crazy and even in the videos you’re showing this Dr. Glover, you talking and the quality of that audio — just your voice it’s like you hear like clear as day. So I love these things, yeah.

*Rebecca (Becky) Furuta*: Well, the other thing I’m going to say too, is that both Taylour and I spend a lot of time on screens. I mean, I spend probably 50-60% of my day on screens, and one of the benefits of Transitions® is that it’s also reducing the amount of blue light that my eyes are absorbing. So it’s better for my eye health indoors and outdoors. The UV protection for me is huge. 50% of my life has been outside, but 50% of my life has been spent indoors, and I promise you that when I’m indoors and awake, I’m on some kind of screen unless I happen to have a patient in front of me. So you know having that blue light protection is just as important for me as the UV protection and Transitions® really affords an optimal amount of blue light reduction so that you get that benefit inside as well as the UV protection outside.

THE FEATURES & TECHNOLOGY OF RAY-BAN STORIES WITH TRANSITIONS®Dr. Darryl Glover:For those out there that may be unaware of what this technology is really all about, I’m just going to give you a quick breakdown:

When you look at the technology and innovation behind Ray-Ban Stories, it’s beyond impressive. In my personal opinion. it’s unmatched. Some of the features of Ray-Ban Stories with Transitions® are that they have:

• Dual HD cameras for photos and videos, so you’ll never miss a moment
• Voice assistant assistant that lets you capture moments hands-free, so you keep your eyes on the world around you
• Hands-free audio to listen to calls to music and your favorite podcasts by your favorite optometrist Defocus Media (had to put that little plug in there right?)
• A portable charging case — and for those that have watched the video, this case is pretty cool. It’s not too big not too bulky
• A companion app that allows the user to edit and enhanced content to share to you know social platforms

Ray-Ban Stories are just amazing. I mean they’re glasses that are available in three timeless shapes with 20 frame and lens color combinations. The lens choices include Transitions® Signature Gen 8, clear sun, and prescription. One thing that I love that Ray-Ban did, is that with these Stories they were able to kind of take a page out of Transitions® playbook. They have it come in all different shapes, flavors, colors, and all that other jazz. So it really allows you to find that unique design that truly matches your personality but most importantly matches your fly as well.

What are your favorite features? What is it that you like the most?

Rebecca (Becky) Furuta: So I should say the optics, looking through them, I mean it’s important to know that not only are you shooting high quality video, but looking through the lens you can actually see really well. I do have a pretty good amount of myopia, I have the prescription lenses in mine right now and the clarity is fantastic. I see really well through the lens. Then yeah, I mean for me being able to shoot that video hands-free; being a cyclist I try to keep my hands on the bars as much as I can, especially in race settings. And to be able to say “hey take a take a picture” or “hey take a video” and just have my glasses start shooting those images or those video, that’s that’s actually a really, really cool feature. I could not capture as much content with a phone or even a mounted camera on my bike as what I can capture with my glasses, so for me the the video and the stills are fantastic. I also like that audio feature. When I’m out running, I don’t like to have earbuds in. Especially right now I’m in Colorado and it’s like negative 11 degrees outside and there’s snow and ice all over. So I’m running sometimes on the road at like five o’clock in the morning, and I really have to be able to hear street noise, and that’s the great thing — I could put on a podcast where I can put on some music and I can hear it with the Ray-Ban Stories, but I can also still hear ambient noise. I can still hear you know if someone’s coming behind me, if there’s a car coming down the street, and and that for me is an awesome feature.

Taylour Johnson: Yea, all the things Becky said. I love that they’re hands-free, and they just did an update like last week or the week before that that now your Facebook view app is connected to your Spotify, so when I am outside walking the dogs or doing another exercise I can change my volume, hit next, and it’ll do your next song in your Spotify. So that’s been pretty fun. I also love the option where you can can put prescriptions in these, so I do like that they have that option for those that don’t wear uh contacts, or they need something to see that you do have that option.

BRINGING THIS NEW EYE CARE TECHNOLOGY TO YOUR PRACTICEDr. Darryl Glover: Let’s talk about more of the practice management. How are you communicating with your patients when it comes to Ray-Ban stories with Transitions®, and are people coming in and asking for it? I mean what does that dialogue look like in your practices?

Taylour Johnson: Well, shortly after we got these we did have a couple of patients were coming in looking for them but I have been actually having to spread the word about them… what I did to kind of set us apart in my store is we actually made a demo pair. So I have a pair connected to an iPad where they can try them on they can shoot some video and photos in the store and we can practice pairing it to show them hey this is really easy, it takes 10 seconds…then recently, ever since the Transitions® came out in these, that’s that’s been a game changer. A lot of people don’t like to switch between glasses anymore, they don’t want to have to do the sunglass and then “oh wait where’s my other glass,” so they like to keep everything all in one.

Dr. Darryl Glover: yeah I love that concept of having an iPad connected with the eyewear. You know we live the world now where people are used to touching things, and when they go somewhere they want an experience. So you’re really separating yourself from the practice down the street because when a patient comes into your practice it’s not that ordinary experience. Not only do you have innovation —whether it’s lens technology like Transitions® or frames like Ray-Ban Stories — but you’re actually allowing people to touch things, experience things, and see how it can complement their life or enhance their life at the same time. This is key this is how you separate yourself: with the right products, with the right lens technology and the right experience when patients walk into your practice…. [Becky I’d] love to learn a little bit more about maybe some of your customer feedback but maybe some pearls in regards to how we as eye care professionals can bring this product into our practice and elevate our practice at the same time, and not let it just sit on the shelf.

Rebecca (Becky) Furuta: right I think Taylour kind of touched on this too, this is a product that if you just let it sit on the Shelf that’s exactly where it’s going to stay. People need to engage with the product, and they need to interact with the product … I think the other piece is what you said Dr Glover you have to have the staff on board. Everyone in my office has a set of Ray-Ban Stories so they could actually engage with the product on their own, because people will talk about what they use … You have to have some kind of engagement and you have to have some kind of enthusiasm. Nobody wants to walk into a retail space where everybody looks like they’re having the worst day ever. Nobody wants to walk into a retail space where it’s like a library. People want to come into a social setting where people are having a good time, and they’re having experiences, and they’re talking about interesting things, and if if you can create that in your your practice you will have a very successful business model. The key is to find your purpose, pursue your purpose, and be enthusiastic about it, and I guarantee that is that that is the recipe for success and happiness in in business and in life.

Dr. Darryl Glover: Andor all those that are curious of how you can get this into your practice, just reach out to your Ray-Ban rep. They will come service you, they will make sure you have everything that you need, and they’ll give you all the education.

I want to thank you Becky I want to thank you Taylor I want to thank Transitions® Optical again for partnering with Defocus Media and I want to thank you know all the folks behind Ray-Ban Stories with Transitions® for bringing this technology to the forefront and providing a frame that looks good, that feels good, with the ability to put amazing lens technology with Transitions® to really elevate our lifestyles, and to really make us stand out and take eye care to the next level.

LEARN MORERay-Ban stories with transitions has changed the game. It is the most wanted wearable lens technology or eyewear smart glasses technology out there. To learn more go to ray-ban.com/usa or go on social media and check out Ray-Ban Stories or Transitions® Lenses and you’ll be able to follow the stories of some of the folks that are out there with this cutting edge technology.

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Imagine one solution to cater to all your kiddos. Dr. Arian Fartash has created Glambaby and has provided that solution. Dr. Jennifer Lyerly discusses Dr. Arian Fartash’s journey in eye care and building an incredibly iconic kids’ brand.

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Dr. Kerry Salsberg, Eyes On Sheppard

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In today’s society, patients are surrounded by glare and discomfort with light. What solutions are you providing for those patients? To address this problem, Dr. Darryl Glover sat down with Guadalupe Leon, a light-sensitive patient, to discuss her light-sensitivity experience as a teenager and how TransitionsⓇ helped change her experience with light.

Guadalupe “Lupe” Leon is from Chicago, IL. She is currently employed at an elementary school as an assistant and just completed her Master’s degree in early elementary education at National Louis University on December 4, 2022.

As an extremely light-sensitive person, she found freedom when she was properly diagnosed and prescribed her first TransitionsⓇ lenses as a young teenager. Now she enjoys the outdoors daily with her rescue dog named Jules.

PODCAST HIGHLIGHTS:

INTRODUCTIONDr. Darryl Glover: I am super excited today because we have a show that’s going to blow your mind and help you understand how patients think. I like the welcome my guests, Guadalupe Leon. I’m super excited to have you because as eye care professionals, and optometrists, we always think we have all the answers, but actually having a dialogue with a patient is priceless and will help guide us in the right direction.

FIRST IMPRESSIONSDr. Darryl Glover: What created your trust in the eyewear consultants? What made you say, I trust these people?

Lupe: I think it’s like first impressions…Every time I walk in, even though it might be a different person — maybe the person you’re used to is off on that day — the first impression as soon as the person greets me that is the beginning part. Sometimes they’ll strike up a conversation — “oh my God I really love your scarf.” I love that type of small talk because it does not feel like it’s not a transaction. It feels like we’re starting a mutual relationship like acquaintances or friends, and that’s the environment I want to be in when I choose my glasses.

Dr. Darryl Glover: I love that, and I think that’s very important for all my colleagues to listen. We need to have more relational relationships, not transactional relationships. The main thing that you can do in your practice to have that relational relationship is listening. Don’t always run your mouth, open up your ears, and you’ll be amazed by what you can get out of your patients.

DIVERSITY & INCLUSIONDr. Darryl Glover: Something that you touched on prior to the podcast was that you were excited to be able to see yourself while you were selecting your eyewear. You saw folks with the same background and ethnicity which made you feel welcome. If you don’t mind, could you touch on that a little bit? One of our goals in optometry is to create more diversity. I think hearing it from a patient will really resonate with eye care professionals out there.

Lupe: Since I’ve been wearing glasses as a child, my parents were always with me, and they don’t speak much English. So having someone that could talk to me and my parents made it feel comfortable. I didn’t have to do very much work because we were all talking to each other … I love that they were able to ask me questions in Spanish where my parents heard what they were asking, but I was saying my answers, and they were like “oh but mija…” you know “you look you like this color don’t you?” or “don’t you prefer something smaller because your cheeks might bump into them” and um it was I think overall it’s just it’s like little moments like that that make it that much better.

Dr. Darryl Glover: That’s great information and advice! Everyone listening — make sure that you understand the importance of diversity and producing an inclusive environment for your patients, so that they can tell you everything that they need and they feel comfortable as well.

LIGHT SENSITIVITY & TRANSITIONSⓇ TESTINGDr. Darryl Glover: I want to kind of switch gears here. Today, I want to shout out to TransitionsⓇ Optical for partnering with us on this podcast. I want to talk about your journey in light sensitivity and photophobia. [Let’s start] with the most recent eye exam because over the last year since your most recent eye exam, you have been able to elevate your lifestyle. You’ve been able to take it to the next level, and you’ve been able to find out some things that you didn’t even know about yourself. If you could touch on you know what that experience was like in the exam room and what that conversation looked like as you started that journey through light sensitivity.

Lupe: I think light sensitivity was something that I knew has always been there, but it wasn’t up until my high school years that my doctor realized it. He said I might want to consider doing transition lenses … and I’ve used them ever since. I’ve never stopped using transition lenses, I’ve been a hardcore user of TransitionsⓇ since high school, and now it’s been way more elevated in the sense that I am finding myself more as an individual. I know what I like and what I don’t like. I live in Chicago near the lake/ I have a dog. I work at an elementary school, so I do recess Duty so I’m outside, I’m inside I’m everywhere all at once and having lenses that that are polarized lenses that I could wear outside by the lake is amazing. I think this past year I’ve really come out of my shell in a way so it’s been beneficial.

Dr. Darryl Glover: Clearly, your doctor is fantastic, a great listener, and able to prescribe from the chair and find the right solutions. But what I love about TransitionsⓇ is that they have great resources for doctors and patients. One of the resources that they have is an online light sensitivity test … on Transitions.com they have a quiz, and it’s for patients to do prior to them walking into your office. This quiz is about two minutes, and it asks very key questions and it allows us to really see what things cause light sensitivity and what degree of light sensitivity a patient may have.

SEE THE QUIZ IN ACTION >>We have to realize that not every patient understands that they’re light-sensitive. Sometimes we have to ask those additional questions, we have to probe, we have to do the digging, but it’s very important to make sure that your entire team is a part of that process, from the front desk to the technician to the doctor to online to using these resources that these excellent partners like Transitions Optical provides. These are things that patients are looking for, and this is what’s going to elevate your practice, so make sure you definitely leverage what’s at your fingertips.

WHERE TO LEARN MORE ABOUT TRANSITIONSⓇLearn more about Transitions:

Light Sensitive Patients – https://www.transitions.com/en-us/

Light Sensitivity Questionnaire – https://www.transitions.com/en-us/quiz/

Healthcare Professionals – https://trade.transitions.com/

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Drs. Darryl Glover, Jennifer Lyerly and Jaclyn Garlich.Let’s PODCAST PARTY! The dynamic trio, Jaclyn Garlich, Jennifer Lyerly, and Darryl Glover, recap 2022 and share their vision for 2023.

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Dr. Kiran Ramesh, Neuro-visual Optometrist, Clinic Owner, Speaker, Consultant, and CoachMeet Dr. Kiran Ramesh:Dr. Kiran Ramesh lives her life based on four main values, love, connect, inspire, and empower. She connects with patients, her team, colleagues, and the industry to better understand their goals. She inspires and empowers all to discover opportunities, push boundaries, and understand their full potential. She operates a successful multidisciplinary clinic and supports the growth of others within the optical industry with peer-to-peer consulting and team building. In every area of her life, her judgment and actions are solely based on her heart.

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Do you consider yourself a leader in eye care? How do you grow your leadership skills in eye care? Defocus Media sits down with Tim Swartz (Allure Eyewear), Rebecca Giefer (MODO), and Nathan Troxell (The Vision Council) to discuss their leadership journey and how The Vision Council’s Executive Summit impacted their eye care journey. The […]

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What is the future of eye care in Canada? Dr. Harbir Sian sits down with Dr. Daryan Angle, Vice President Of Business Development at IRIS The Visual Group, to discuss how the IRIS The Visual Group will contribute to making a positive impact on the eye care profession.

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Welcome to "Grand Rounds with Eye Care Experts". Dr. Erin Rueff, Dr. Jeff Fardink, and student optometrist, Arah Cho, discuss how to assess and treat contact lens-related peripheral ulcers.

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How do you start the conversation about lens solutions with your patients? Are you providing breakthrough lens technology for your patients? Do you mention branded names? What is your go-to antireflective coating?

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Dr. Essence Johnson shares her optometric journey. Dr. Johnson serves as the Chief Visionary Officer at Black EyeCare Perspective. Dr. Johnson has committed to redefining the color of the eye care industry 1% at a time. Black Eyecare Perspective believes that “If you see it, you can be it,” and encourages students, families, and communities to […]

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In Partnership with CooperVision What are you doing to improve the eye care industry? Do you have a mentor or a strong foundation in your area of expertise? Are you paying it forward?! Dr. Aamena Kazmi shares her optometric journey, how myopia was the foundation of it, and her plans to pay it forward.

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What is the Metaverse? Are you a part of the metaverse? How does the Metaverse work? Charlene Nichols breaks down the Optical Metaverse.

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Dr. Darryl Glover sits down with Scott Harris Shapiro of Europa Eyewear and Sheena Taff of Optician About Town to discuss the upcoming Vision Expo West. Scott and Sheena will discuss how they are involved in the show and how The Vision Council and Vision Expo work together to grow the industry!

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Join Drs. Jaclyn Garlich, Darryl Glover, and Jennifer Lyerly unlock the science of artificial tears and how to match the right type of tear ingredients to the right patient symptoms.

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Are you interested in creating ownership in eye care? Are you thinking of starting a private practice? Dr. Monica Johnsonbaugh shares her journey in eye care and best practices for ownership.

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When a patient comes in and says that their eyes are uncomfortable at the end of the day with their contact lenses, we often think that must mean the lens is dry. But discomfort to a patient can be as driven by eye strain due to a vision clarity issue as it is by dryness or lens awareness. On this podcast episode, we discuss deciphering the patient contact lens experience with Dr. Erin Rueff, Chief of the Cornea and Contact Lens department at the Marshall B. Ketchum University Eye Center.

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Join the 2022 Contact Lens Institute Visionaries to learn more about consumer data.

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To diagnose dry eye in her practice, Dr. Denton uses a set protocol to screen patients to unlock the two major categories of dry eye causation: inflammation and obstruction. Her work up includes OSDI and SPEED dry eye questionnaires, InflammaDry to quantify inflammation, fluorescein staining and tear break up time, Schirmer’s test, and meibomian gland imaging. She finds that most of her patients have both inflammatory and obstructive contributors to their dry eye and both must be treated to achieve effective relief of the patient’s signs and symptoms.

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Drs. Darryl Glover and Harbir Sian sat down with Dean Browell and Nathan Troxell to discuss the upcoming Regional Connection Series event; how they are involved; and what attendees can expect. The Regional Connection Series will take place in Chicago, Illinois at The Drake Hotel on Wednesday, June 15 from noon-7 p.m. CST. Register today!

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Calling all eyecare professionals! Dr. Janelle Davison breaks down how to take control of your revenue, increase efficiency, and reduce costs through a cloud-based solution. Learn more about Paradeyem.

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Spring is cute. Allergies aren’t. We’re going to tackle the season (and year-round allergy symptoms) on tomorrow night’s podcast with Dr. Rachel Wruble! From pollen to pet dander, let’s not let itchy eyes ruin our patient’s days. We’ll be talking about treatments that work, treatments that don’t, and how to educate our patients so they […]

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What happens when an aesthetics lash specialist and an optometrist team up to discuss what patients/clients want when it comes to eyelash procedures? Tomorrow we’re podcasting live with House of Glam Studios to discuss the most popular lash procedures, their ocular surface impact, and what happens at the aestheticians’ office to educate and protect patients […]

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Research shows on average 21.7% of existing contact lens wearers drop out every year. New wearers actually drop out at a higher rate than existing lens wearers, with a 2017 study showing a new wearer drop out rate of 26%, and of those 50% drop out in the first 2 months! So what can we do?!

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Are you interested in learning more about eyecare in the Metaverse? Dr. Masoud Nafey shares his company, Monokül. Monokül is the first-ever virtual optical store in the metaverse, bridging the physical and virtual retail experience. Monokül is redefining how we measure vision. Leveraging state-of-the-art science and technology, Monokül is pioneering a new era in performance. Starting with Esport athletes, Monokül is creating a new standard in performance lens wear.

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Dr. Jim Asuchak

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In partnership With CooperVision “The research, the technology is there to manage myopia,” states Dr. Lyerly at the top of the episode. “The hardest part becomes talking to parents and changing that mindset for what is status quo for prescribing.” Our guests on this episode are Dr. Justin Kwan, Senior Manager, Myopia Management at CooperVision and Dr. Stephanie Tsang, practice owner at Golden Vision San Francisco Optometry. Both Dr. Kwan and Dr. Tsang have been practicing myopia management for a decade prior to any FDA approvals for myopia control options, and like Dr. Lyerly they’ve seen that while the available technology has exploded, the patient awareness of this possibility has lagged behind. How do we educate patients and parents effectively?

“It’s very rare in healthcare to be able to provide an immediate benefit, and also a long-term benefit to the patient,” states Dr. Tsang about her passion for prescribing myopia management. As a private practice owner she cares for her patients from childhood through adulthood, and seeing the long term impacts of keeping prescriptions low and reducing the risks of side effects of high myopia including retinal detachment, glaucoma, and myopic maculopathy has fostered a strong sense of duty1. “Myopia management is not new; there are decades of research available,” she tells patients, “What’s new is how accessible the technology is.”

Challenges that Doctors Face When Presenting Myopia Management

Dr. Tsang shares that when you enter an existing practice, sometimes the biggest hurdle is simply change. Practices typically have been approaching eyecare with glasses and contact lens options for decades, and to take a dramatically new approach by talking about slowing down myopic changes takes a total mindset shift from patients, staff, and the other doctors in the practice. She talks to parents and her colleagues with a focus on what’s happening to the eye’s shape instead of simply the diopter value of the prescription. Axial length is a foundation of her conversations, and showing parents a picture of a normal eye compared with an elongated eye with just a basic diagram is extremely meaningful. Her approach to parents is very simple: “prescription increased, and this is concerning because the axial length is now longer.”

Dr. Kwan advises against any negative framing of the conversation that could cause fear or discomfort. Throwing out retinal detachment and glaucoma risk factor data can scare patients which actually leads to lack of trust in the doctor/patient relationship.

What do you do when a parent pushes back? We talk through examples of how you would navigate these common exam room convos:

“Myopia isn’t a big deal; my kid can just get LASIK when they are older.” “Our goal is to make sure your child is a candidate to get LASIK. If the prescription gets too high, LASIK won’t be a treatment option. We need to help slow things down so that they are the best possible candidate for LASIK when they are old enough!”

“My kid is too young to wear contact lenses.” Dr. Tsang, Dr. Kwan, and Dr. Lyerly all share that a great approach is to talk to parents about the young patients in the practice that have been successful wearing contact lenses. CooperVision has also created great video content on the MiSight® YouTube channel featuring real patients sharing their contact lens insertion and removal tips. These videos are a useful tool to share with parents so they can see kids as young as 8 are very capable of wearing lenses successfully! And kids seeing other kids that are successful with contact lenses goes a long way.

“Does this really work? Explain the science to me because I’m skeptical” Creating pamphlets that highlight clinical studies is another great tool to equip parents to do their own research. This encourages them to read more and see the science for themselves. Dr. Tsang explains what is happening with myopia management contact lenses as “we’re using lenses to put the image in front of the eye, instead of behind the eye.” In Dr. Lyerly’s practice she’s found limited success in trying to explain peripheral defocus, and instead uses a picture of MiSight® 1 day lenses with an artistic rendition of the ring design. “One part of the lens makes the eye see clearly, the other part slows down the rate of eye growth in age-appropriate children,” Dr. Kwan explains.

“I think we should wait a little longer to see if it settles on its’ own.” How do you drive urgency without fear? “Your child is growing, and their eyes are growing, so instead of waiting a whole year where the changes might have been too dramatic, let’s check back in sooner,” Dr. Kwan says. “Every unit of stretching matters, so we want to intervene sooner rather than later because we have a finite window of time to do the best good we can.” Scheduling parents that want to wait on myopia management to come back in 6 months instead of 1 year can help underline that the amount of change you are seeing is outside of normal and will need closer follow-up.

What’s new for MiSight® in 2022?

Every doctor and optometric student are eligible to get certified to fit MiSight®. There is also going to be a live certification program at SECO this year. Lenses can be ordered directly through CooperVision and through any authorized contact lens distributor so ordering is no different than any other CooperVision lenses. Lenses are now available in both 180 packs (6 month supplies) and 90 packs (quarterly supplies) for patients that want to order in smaller units. Contact your CooperVision rep for more information!

1. Flitcroft DI. The complex interactions of retinal, optical and environmental factors in myopia aetiology. Prog Retin Eye Res. 2012;31(6):622-660.

Indications for use: MiSight® 1 day (omafilcon A) soft (hydrophilic) contact lenses for daily wear are indicated for the correction of myopic ametropia and for slowing the progression of myopia in children with non-diseased eyes, who at the initiation of treatment are 8-12 years of age and have a refraction of -0.75 to -4.00 diopters(spherical equivalent) with ≤ 0.75 diopters of astigmatism. The lens is to be discarded after each removal.

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What is Behavioral Optometry? Dr. Marc Taub and Dr. Virginia Donati discuss a behavioral approach to patient care and how embracing the fundamentals of binocular vision can help you better serve your patients day to day visual function.

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This Podcast is in Partnership with Allergan “I was a dry eye sufferer,” Dr. Neena James says at the top of this episode when she describes her passion for the profession. “I had a hard time wearing contact lenses, and it got to be terrible. In college, I couldn’t even drive 5 minutes down the road. It really was debilitating.” This personal struggle led to a mindset that ‘it’s not just dry eye.’ She knows first hand that this condition can impact every aspect of a patient’s day.

Dr. Neena James, Optometrist In 2006 she purchased an existing practice, 20/20 Eye Care in Huntsville, Alabama, from a doctor who was planning his retirement. Her practice has now grown to three practicing optometrists serving patients from 6 months to over 100. “Every patient gets a cake when they turn 100!” Dr. James exclaims when she talks with pride about serving the elderly population of her practice. She sees dry eye in patients of every age – from childhood through geriatric populations. Detecting dry eye in her practice starts with patient history collected by her staff. They don’t ask “do you have dry eye”, instead her technicians are trained to ask about redness, watering, burning, and difficulty with contact lens comfort. Diagnostically, NaFL and lissamine green dye and an anterior segment camera are the tools she’s found to be extremely effective at detecting dry eye, educating her patients, and sparing excessive expense as her office grew. “Your biggest asset is your voice and the way you educate your patients and the way you can make your patients feel,” she says when it comes to being successful with dry eye care. “No pun intended- but the way you make your patients feel seen is the difference-maker.”

Her recommended dry eye regimen includes making intentional changes to their daily activities – computer use, makeup products, eyelid hygiene and warm compress massages – these lifestyle changes are all a part of daily modifications that need to be done to make a difference. Prescription medications that reduce inflammation in the eye like RESTASIS® are a go-to option for any patient with SPK, reduced tear break up time, or symptomatic patients who are already utilizing high quality artificial tears.

Dr. James and her office were recently featured in an informational video about diagnosing and treating dry eye. You can check out the full video here. Partnering with industry to help educate herself and better educate patients around the world has been an exciting opportunity for Dr. James. She shares that having a relationship with her local industry representatives provided a great way to open the door to speaking and educational opportunities. “It’s hard to make the time with a busy clinic schedule,” Dr. James says about meeting with reps, “but they really are a good resource.” Preparing a media kit for your professional social media platforms can also be useful in reaching out to brands that you utilize and support. Including your number of followers, average engagement and impressions per post, and your audience demographics can help give brands an idea of the value you would bring to any partnership.

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We’re all feeling the added burden of employee turnover and difficulty in hiring, and training your staff is more important than ever. Not only does your office need successful training to get new hires up to speed, but a continual commitment to office training is essential for existing employees to envision a long-term career in this profession by empowering them with opportunities to grow, learn, and develop.

Our guest on this episode is Jonathan Smith, Director of Training North America at EssilorLuxottica. “We look at the industry, and it’s a growing industry, and we see the opportunities in the industry being centered around the transfer of knowledge,” he explains at the top of the show. “We see the opportunity to advance education and training, to modernize it and bring it to a new, fresh perspective. That’s why we created Leonardo.”

Leonardo is an open platform featuring sleek, short videos that can be easily consumed in the flow of daily work, all available 24/7 and easy to access on a computer, tablet, or mobile device. With over 5760 hours of video, interactive lessons, and virtual classrooms in over 15 languages, knowing where to start can be overwhelming. The platform will suggest new content based on the content you engage and interact with to recommend courses based on your interests, meaning that no two users will receive the exact same experience. All courses on vision care are carefully conceived and taught by experts — ensuring learners have access to the latest scientific and clinical insights.

Leonardo is replacing Luxottica University and ECP University with a seamless transition – all usernames and email addresses used by existing customers with these previous legacy platforms will give them access to Leonardo. The training platform is open to all eyecare professionals, students, and even patients. Since the soft launch in May 2021, Leonardo has delivered over 1 million hours of learning globally. The most popular videos to date have been about Ray Ban and Oakley brand education and strategies for selling luxury goods.

The name Leonardo is a nod towards the Italian Renaissance painter, sculptor, architect, inventor, and scientist Leonardo da Vinci who laid the foundations for modern culture through his studies and became a universal symbol of innovation. In fact, the logo for Leonardo is “science for a new vision” and the goal of the platform is to embrace both the art and the science of eyecare for a visually stunning and highly informative experience.

The core platform is completely free to access, but there is also a premium section which will soon provide ABO and SECO continuing education Content, as well as a series of master classes. Future buildouts of the program will also include gamification with leaderboards and the ability to earn brand ambassador status based on courses completed.

Ready to check out this new, modern way for your entire office to learn? Head to http://leonardo.essilorluxottica.com

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Dr. Harbir Sian, Dr. Heidi Miller, and Dr. Christopher Evans This Podcast is in Partnership with Alcon Satisfying the needs of the growing presbyopic population is possible with DAILIES TOTAL1® Multifocal contact lenses.1,2 In this episode Dr. Heidi Miller, along with her patient, Dr. Chris Evans, a surgical oncologist, talk about their experience with DAILIES TOTAL1® Multifocal contact lenses.

© 2022 Alcon Inc. US-DTM-2100051

References:

1. Merchea M, Evans D, Kannarr S, et al. Patient and ECP Satisfaction in the United States with a Novel Water Gradient Daily Disposable Multifocal Contact Lens. Presented at the American Optometric Association Annual Meeting, June 20-24, 2018; Denver, CO.
2. Lemp J, Kern J. Alcon multifocal contact lenses for presbyopia correction. Paper presented at the Canadian Association of Optometrists Congress; June 28-30, 2017; Ottawa, ON.

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Dr. Hardeep Kataria shares her experience on implementing dry eye management to an established medical practice. This episode goes over a variety of topics including essential tests and equipment, technology that amplifies your dry eye practice, patient education, and how to streamline your staff to use your time efficiently.

Learn more about Dr. Kataria through her Instagram @dr.hardeep.kataria to keep up with all that she’s doing in the optometry world!

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Thank you to Johnson and Johnson Vision for sponsoring this podcast episode

“I need really thick contact lenses to keep the weight in the right place on my eye.”

“My Contact lenses move around too much.”

You’ve probably heard all of these comments from patients in your chair that have astigmatism and/or wear astigmatism contact lenses. We’re here to confront these misconceptions head-on and discuss strategies for having successful conversations and visual outcomes regarding astigmatism and contact lenses. Today’s expert guest is Dr. Erin Rueff, OD, PhD, FAAO and Chief of the Cornea and Contact Lens department at Marshall B. Ketchum University Eye Center. Her passion for contact lens care started early in her career when she saw the difference a lens can make. “Contact lenses can correct vision, treat ocular diseases, take someone from being disabled — walking into your room not able to drive or having difficulties performing their day to day life activities– and you can design a lens for them and they can walk out able-bodied and able to take on whatever they want in their life.”

Erin Rueff, OD, PhD, FAAO and Chief of the Cornea and Contact Lens department at Marshall B. Ketchum University Eye Center While it seems hard to believe that patients may be told that they aren’t candidates for contact lens wear due to astigmatism, the numbers show that there is a definite lag between the number of Americans that have astigmatism and those that wear astigmatism contact lenses. On average 45% of Americans have 0.75 DC or more, but toric contact lenses represent only 27% of soft contact lenses prescribed in the USA. This is despite research showing that prescribing for even low amounts of astigmatism have a significant visual benefit to patients. “The underutilization of astigmatism contact lenses is an eye care provider problem, not a patient problem,” Dr. Rueff explains. “There’s a perception amongst eyecare providers that toric lenses are going to cost you more chair time, that they’ll be more likely to fail, and that patients won’t get as good vision. Those things have been disproven time and again.”

Dr. Rueff cites a study by Dr. Stephanie Cox and Dr. David Berntsten that shows that patients with low amounts of astigmatism do achieve better objective vision in high and low contrast visual environments with toric lenses over spherical lenses. Additionally, patients achieved subjective improvements in vision when fit in astigmatism contact lenses, including improvement in eye strain complaints.

In reality, today’s contact lens designs provide a wide range of parameter option that serves the overwhelming majority of prescriptions with great stabilization and comfort. Studies show that ECPs significantly underestimate the percentage of their patients that are candidates for astigmatism contact lens wear. In a recent survey in the United States, ECPs were asked, “What percentage of your astigmatic patients would you say you could prescribe with just that one [reusable] product?” Responses ranged from 55% to 74% depending on the product. In actuality, the Acuvue Oasys family of lenses covers 99% of spherical and astigmatism prescriptions.

In this episode we talk through the differences between prism ballast astigmatism contact lens stabilization versus blink stabilized designs which incorporate a “double slab off” design, and how base curve, diameter, and sagittal depth all influence contact lens fitting success.

The post Defocus Media: Myth Busting Astigmatism Contact Lenses appeared first on Defocus Media.

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Drs. Darryl Glover and Inna Lazar discuss TYRVAYA (varenicline solution) Nasal Spray with Oyster Point’s Jeff Nau, President and CEO, and Marian Macsai, Chief Medical Officer.

06:16

We found that oyster point with that concept of bringing transformative innovative medicines to the front of the eye. So to TYRVAYA was our first product that we were developing, which is obviously a little bit out of the norm, which is a nasal spray to treat an ocular surface disease. But then we also have a pipeline that is focused on bringing gene therapy to the front of the eye. So we’re actually delivering AV gene therapy to the lacrimal gland and harnessing the lacrimal gland to really do drug delivery to the ocular surface. And we think that that has the possibility to transform the way that we deliver therapeutics to the ocular surface where once we inject that patient’s lacrimal gland, the patient is set for some period of time that remains to be seen. We’re also working on some novel antimicrobial therapies in our pipeline called bacteriophages. These are really harnessing the small little viral particles to go after bacteria and we’re obviously working on a number of other things we can’t talk about just yet but we think we got the coolest pipeline in front of the eye and we got a cool company that’s really only focused on in front of the eye and many companies out there can claim that they’re in eye care, but we are truly ingrained in eye care

12:02

And so this particular class of receptors was identified and what’s interesting about the class of receptors is they’re made up of 5 subunits and the way that they work is once the drug or ligand binds to them, they open a pore and allow ions to flow in and that depolarizes the nerve and causes the nerve to send a signal back to the various structures that produce the tear film. And not all of these receptors will cause tearing. So very specific receptors will. And so we found that this product, this drug varenicline, which was already out on the market, was one of those drugs that will stimulate these receptors. So one of the nice things about this particular product was more than 20 million patients have taken this product orally for smoking cessation. So we had a giant safety record. Big safety database. Obviously, at much higher doses than we would deliver in the nasal cavity. And so it allowed us to move really quickly through development, but also it cleared some of those hurdles that we often run into and drug development where you don’t know what sort of safety issues you’re going to run into. And we had a well-studied product that had been in the market for a long period of time. So we felt very comfortable in delivering this to patients. So varenicline binds to that receptor, it depolarizes the nerve, a signal is then sent back up through the ganglion into the lacrimal glands and meibomian glands in the goblet cells and we get stimulation. So as long as we have healthy gland tissue healthy goblet cells, the nerve that’s opposed to them will stimulate.

47:21

So the drug itself is priced similar to other dry eye medications that are currently out. At the beginning, when we launch products into the marketplace as you guys know, insurance coverage takes some time. And so we put patient services into place to help patients so that they can experience the drug and help physicians so that they can get experience with the drug. So for commercially insured patients at the moment, we have programs where they can pay as little as zero or $10 depending upon their insurance coverage at the moment.

47:41

The other thing that we have is I’m sure sharing your rep told you that if you write this prescription to fill Rx, which is mail-ordered kind of pharmacy. Right. The thing that I want is it to be easy for the eye care provider. And I think that we all hate the word prior authorization. So in our market access team, was trying to figure out how are we going to get this on shelves? How are we going to get this in the patient’s hands? I’m like, we have to find some way to help with the PA. We can not make people do PAs as often as you have to do them. So by partnering with this company PhilRx they do a lot of the leg work, a lot of the legwork that makes it easier. I’m not saying they do it 100%, but from what I’ve seen, it should make it easier for you and easier for your patients. And as opposed to some of the other systems that the three of us have used. They’re not going to call your patients. Because if someone calls the patients, we all think it’s a robocall. And none of us are going to answer the patients aren’t going to answer. So we’ve developed a way that they text your patients. And it’s secure and it’s safe and they can text your patients so that they can exchange the information to do a lot of that background legwork to make it easier for both the patients and the eye care providers. And that’s our goal.

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Spotify Wrapped took over our worlds this winter, so we decided we needed a wrapped of our own. We talk about what our aura was for 2021, and our top 5 things that occurred this year. And man, did we accomplish a LOT! We changed jobs, negotiated for raises, asked for you to negotiate and spoke to THOUSANDS of people about asking for what they deserve. Speaking of, it is the changing of a year, it is a great time to renegotiate your contract!

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