9. Office-Based Surgery (OBS)

Dr. Sam Barry and Dr. Sud Koushik discuss advancements in ophthalmic technologies, particularly focusing on EVO ICL, WaveLight Plus, and Light Adjustable Lenses. The discussion emphasizes the importance of patient care, surgical philosophy, and the integration of AI in enhancing clinical practices. The conversation delves into the advancements in vision correction technologies, particularly focusing on Light Adjustable Lenses (LAL) and PureSee. The speakers emphasize the importance of patient education, precision in outcomes, and the evolving landscape of multifocal lenses in enhancing visual quality.TakeawaysEmphasis on patient-centered careAdvancements in surgical technology Emphasizing patient educationImportance of precise outcomesChapters00:00 Introduction to New Technologies03:04 EVO ICL Insights and Experiences05:55 Surgical Philosophy and Patient Care09:10 WaveLight Plus: A New Era in LASIK11:48 Ray Tracing and 3D Modeling in Eye Surgery14:56 Patient Experience with New Technologies17:58 AI in Ophthalmology: Enhancements and Challenges20:59 Light Adjustable Lens: Outcomes and Data25:19 Precision in Vision Correction30:16 Patient-Centric Approach to LAL35:07 The Role of Multifocal Lenses41:17 Exploring PureSee Outcomes

Join us as Dr. Koushik and Dr. Barry discuss all things cataract surgery! The main focus of this episode is multifocal IOLs (intraocular lenses), but a wide variety of topics from EDOF lenses to LASIK to EVO ICL are all discussed. We hope you enjoy listening as much as we enjoy the work we are lucky enough to do every day!

On this episode Dr. Sam Barry and Dr. Sud Koushik discuss all things OBS! Office-based surgery in ophthalmology is a hot topic that our two surgeons discuss at length in this episode - how it's their favorite operating room environment, the fantastic patient experience, and the advantages to getting to deliver a premium experience to each and every patient through OBS!

In this episode, Dr. Sam Barry and Dr. Sud Koushik discuss the journey through ophthalmology residency, sharing insights on how to succeed in this challenging yet rewarding field. They cover the educational path leading to residency, the importance of hands-on experience in wet labs, and the value of mentorship and networking. The conversation also delves into practical tips for first-year residents, strategies for preparing for board exams, and the significance of recording and reviewing surgical procedures to enhance skills. Overall, the episode serves as a comprehensive guide for aspiring ophthalmologists navigating their residency journey.Takeaways:Starting residency can be daunting, but it's normal to feel unprepared.Hands-on experience in wet labs is crucial for surgical training.Building a supportive culture among residents enhances learning.Utilize resources like Wills Eye Manual and OphthoQuestions for study.Networking and mentorship are vital for career development.Recording surgical procedures helps in self-assessment and improvement.Treat each clinical rotation as an opportunity to learn.Be proactive in seeking help from senior residents.Understanding the basics of different specialties is beneficial.Stay positive and engaged during challenging rotations.

In this episode of 'Now Eye Know', hosts Dr. Sam Barry and Dr. Sud Koushik discuss their personal journeys in ophthalmology, including their recent life milestones, the educational path to becoming an ophthalmologist, and the decision-making process surrounding fellowship training. They share insights from their own fellowship experiences, the differences between private practice and academic fellowships, and the financial considerations that come with extended training. The episode also touches on the importance of mentorship, the evolving landscape of ophthalmology, and recent innovations in the field.

In this episode, Dr. Sam Barry and Dr. Sud Koshik discuss the Light Adjustable Lens (LAL) and its use in cataract surgery. They talk about the preoperative counseling process, the adjustments required post-surgery, and the benefits of the LAL. They also discuss the criteria for selecting patients for the LAL, including considerations for astigmatism and ocular dominance. The conversation touches on the LAL Plus and the importance of aiming for distance vision and adjusting myopically to enhance depth of focus. Overall, the LAL is seen as a remarkable technology that allows for post-operative adjustments without additional surgeries. In this conversation, Dr. Sam Barry and Dr. Sud Koushik discuss the use of light adjustable lenses (LAL) in cataract surgery. They talk about the stepwise approach to achieving the desired refractive outcome, including adjusting the non-dominant eye and using contact lenses for trial. They also discuss the timing of post-operative visits and the potential benefits of immediately sequential bilateral cataract surgery (ISBCS). The conversation touches on the importance of preoperative biometry and the interpretation of optical biometry measurements, particularly in patients with a history of refractive surgery. The surgeons also highlight the need for surgeons to be proficient in every step of the cataract surgery procedure, including the loading and implantation of three-piece lenses. They conclude by mentioning future topics to explore, such as the use of LAL in patients with radial keratotomy or keratoconus.

In this conversation, Dr. Sud Koushik and Dr. Sam Barry discuss various topics related to refractive surgery and cataract surgery. They touch on the benefits of refractive surgery in reducing the risk of contact lens-related complications and the importance of educating patients about this option. They also discuss the best options for vision correction in patients with hyperopia and presbyopia, such as refractive lens exchange or clear lens exchange. The conversation also delves into the debate of whether to perform MIGS procedures before or after cataract surgery, with both doctors presenting their arguments. The conversation concludes with a discussion about the benefits of using the NGenuity visualization system in surgery.

In this conversation, Sam Barry and Sud Koushik discuss intraocular lenses (IOLs) and their use in cataract surgery and refractive lens exchange. They explain that IOLs are used to replace the natural crystalline lens in the eye and can be implanted before or after the development of a cataract. They describe how IOLs are held in place by the capsular bag and zonules in the eye and discuss the different types of IOLs available, including monofocal lenses, toric lenses for astigmatism, and multifocal lenses. They emphasize the importance of understanding patient goals and preferences when choosing the appropriate IOL. Dr. Sam Barry and Dr. Sud Koushik discuss the different types of intraocular lenses (IOLs) used in cataract surgery and refractive lens exchange. They explain that IOLs can correct distance, intermediate, and up-close vision, but there is no lens that can provide 100% spectacle independence for all distances. They also discuss the concept of diopters as a unit of measurement for lens power and astigmatism correction. The doctors highlight the benefits of the Light Adjustable Lens (LAL) and the IC8 Apthera lens, which offer adjustability and improved vision for patients with specific eye conditions. They also mention the PanOptix lens as a popular choice for multifocal vision correction. The conversation concludes with a discussion on the cost of IOLs.

In this conversation, Dr. Sam Barry and Dr. Sud Koushik discuss astigmatism and its treatment options. They explain that astigmatism occurs when light entering the eye is not focused at one point, and it can be caused by irregularities in the cornea or lens. They discuss how astigmatism is measured using glasses or contact lens prescriptions, and they emphasize that astigmatism can be treated with surgery, glasses, or contact lenses. They also touch on the different types of contact lenses and surgical procedures available to correct astigmatism. Dr. Koushik and Dr. Barry also discuss the importance of properly orienting the lens during surgery to ensure the correct axis alignment. They touch on the topic of IOL and ICL rotation and the options for addressing it, such as re-rotation or different sizing. They also share two interesting cases, one involving a toric ICL and another involving a toric IOL reposition after a YAG procedure.

Welcome back to Episode 2 of Now Eye Know! Join eye surgeons Dr. Sud Koushik and Dr. Sam Barry as we discuss LASER vision correction, EVO ICL, and thank the innovators in the field that paved the way for the amazing surgical and LASER refractive options available to patients today.