Journal Club with Dr. Ray Iezzi: To peel or not to peel ILMs during ERM surgery, the PEELING study, and findings of the NIGHT study for patients with Choroideremia

• We discuss two articles today with vitreoretinal surgeon Dr. Ray Iezzi: Pros and cons of internal limiting membrane peeling during epiretinal membrane surgery: a randomised clinical trial with microperimetry (PEELING) | British Journal of Ophthalmology (bmj.com) and A Prospective, Observational, Non-interventional Clinical Study of Participants With Choroideremia: The NIGHT Study - ScienceDirect

   

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Dr. Jacquelyn O’Banion is a past global ophthalmology fellow and current champion of global ophthalmology education worldwide. She joins us to talk about the current global ophthalmology fellowship landscape and the future of ophthalmology global education.

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In this episode, we are joined by Dr. Ashlie Bernhisel, an assistant professor of ophthalmology and specialist in corneal surgery and global health.  Dr. Bernhisel discusses her career journey studying and contributing to ocular disease internationally.  Listen in to learn about Global Ophthalmology resources and opportunities for physicians and residents.   

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Dr. Coleman joins us today to discuss her research in social determinants of health and how they relate to glaucoma diagnosis, management, and surgical outcomes. Dr. Coleman is a past president of the American Academy of Ophthalmology and current chair of the Stein Eye Institute. She shares her views on ophthalmology and the future, using big data to improve patient outcomes, and more.

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Today we are joined by Doctor Amir Khan, a professor of ophthalmology here at the Mayo Clinic for an interactive journal club doctor Khan brought two articles to our attention: 

Ophthalmology Workforce Projections in the United States, 2020 to 2035 - Ophthalmology (aaojournal.org) 

Endophthalmitis rates and risk factors following intraocular surgeries in the medicare population from 2016 to 2019 | British Journal of Ophthalmology (bmj.com) 

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In this Episode, Erick and Andrea chat about one of Andrea’s passion project: gardening. Dr. Tooley gardens to provide food to her family and shares what she’s learned about garden planning, seed starting, harvesting, and preserving food. If you’ve thought about starting seeds this spring, you can’t miss this info packed episode. 

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We are joined by Dr. Lilly Wagner, an assistant professor of ophthalmology and specialist in oculofacial and orbital surgery.  Dr. Wagner shares her insights about eyelid lesions, the lumps and bumps that can stump you in clinic, how to deal with them and when to seek help from oculoplastics.  Listen in for her tips on evaluating eyelid lesions, including her GROSS pneumonic to catch the ones we should be most concerned about and simple to advanced techniques for surgical management.

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Watch on YouTube

Join Dr. Tooley and Dr. Bothun for a “from the vault” journal club we recorded back in the fall. The first article we discuss is Artificial Intelligence Chatbot Performance in Triage of Ophthalmic Conditions | medRxiv followed by JAMA publication, “Surgeon Sex and Long-Term Postoperative Outcomes Among Patients Undergoing Common Surgeries”. We hope you enjoy our discussion. Subscribe to the podcast so you don’t miss future journal club episodes.

https://www.medrxiv.org/content/10.1101/2023.06.11.23291247v1 

https://jamanetwork.com/journals/jamasurgery/fullarticle/2808894 

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We are joined by Dr. Aaron Lee, a Vitreoretinal surgeon and clinical scientist at the University of Washington.  Today we discuss Dr. Lee’s expertise in big data to study ophthalmology and answer health care questions.  Dr. Lee reflects on his “Bridge to AI” project, creating an accessible, large database of Type II Diabetes patients to look for relationships between systemic health and ocular findings.  Whether you need an “AI for dummies” intro for the difference between Artificial Intelligence, Machine Learning and Large Language models or are simply fascinated that we might diagnose renal function when imaging the retina, please tune in! 

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We are joined by Dr. Mike Mahr, an Associate Professor of Ophthalmology at Mayo Clinic. Today we discuss his experience in and research of light adjusted intraocular lenses.  Dr. Mahr will share how this new technology has been pioneered at the Mayo Clinic.  Listen in to understand the opportunity, surgical steps, and clinical adjustments in implementing light adjusted IOLs as you improve the vision of your patients. 

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Dr. Amir Khan is a comprehensive ophthalmologist and cataract surgeon, who has served in various administrative roles over his career at Mayo Clinic, including leading our institution’s involvement in the Kaleidoscope program at Epic.

In this episode, Dr. Khan shares his perspective about various aspects of health care leadership and education.  He highlights the value of being part of complex solutions for our practices, respecting the whole care team, mentoring residents and understanding and having access to data. As you consider administrative opportunities in your career, listen in to hear Dr. Khan’s advice to be a careful listener and understand change as a marathon and not a sprint a finish. 

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We are joined by Dr. Elizabeth Bradley, an associate professor of ophthalmology at the Mayo Clinic she shares her expertise surrounding the care of patients with facial nerve injury and specifically the special care options involving surgical facial reanimation.  Tune in to hear how you might identify patients in your practice that would be eligible for this cutting edge care and learn something new about emerging surgical options.

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Watch on YouTube: https://youtube.com/playlist?list=PLSWR1ylG_6JbGZJAdKtOsWh_j2mFRk1uy&si=vPUoAp5GWw-v4kKa

Dr. Andrew Barkmeier, vitreoretinal surgeon and ophthalmology residency program director joins the podcast to chat about education in ophthalmology, leadership, and his journey to PD as a vitreoretinal surgeon. This episode is packed with wisdom about the future of training ophthalmologists, how to teach surgery, and more. 

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Dr. Cheryl Khanna joins us today to discuss artificial intelligence in ophthalmology. She breaks down machine learning versus deep learning and applications for clinical research as a glaucoma specialist, Dr. Khanna talks about the uses for glaucoma screening and potential applications in patient care. We also touch on the development of large image databases and the future uses of AI and ophthalmology.

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Dr. Anjali Bhagra serves as the Medical Director for the Office of Equity, Inclusion and Diversity at Mayo Clinic. In our conversation today, we focus on her work in the space of resilience and well-being for both physicians and their patients. Dr. Bhagra talks about founding the GRIT (Growth, Resilience, Inspiration, Tenacity) conference, and how her career has evolved, always centered around a true passion for lessening human suffering.

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Dr. Basel Sharaf and Dr. Tooley sit down to talk all about surgery. Dr. Sharaf, a facial plastic surgeon and practice chair of the Mayo Clinic Center for Aesthetic Medicine and Surgery shares his insights into complex surgical planning and his work with 3D modeling. Watch the YouTube version of this podcast to see examples of 3D surgical models. Dr. Sharaf also tells his story of transforming from someone who prefers to sleep in, to a fitness fanatic leading a 5am workout group. He shares the importance of physical fitness and wellness for surgeons, as well as the significance of friendship and community in our lives.

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Dr. Bennie Jeng, Cornea expert, Chair of the Department of Ophthalmology at Scheie Eye Institute, and Secretary for the Annual Meeting for the AAO joins us to chat all about the AAO annual meeting. He gives us a behind the curtain look at all that goes in to planning the event “where all of ophthalmology meets.” Dr. Jeng and Dr. Tooley chat about his efforts in clinical trials and passion for the ocular surface, eye banking technology, and the future of corneal transplants. This is a fast-paced episode and you don’t want to miss it!

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Dr. Stephen Mcleod, CEO of the American Academy of Ophthalmology takes us behind the curtain of the AAO and details his role as CEO. He tells us about big data projects, the IRIS registry, clinical trials, AI, and more. We discuss the voice he hopes to give to ophthalmologists and his vision for ophthalmology in the future.  

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Dr. Joanne Shen, an ocular surface expert, joins us to share her strategies on treating the ocular surface.  We discuss dry eye management for a spectrum of surface diseases.  She shares her experience using intense pulse light and thermal pulsation treatments as well as advanced graft verses host disease treatment strategies. 

Glaucoma specialist Dr. Arthur Sit and Neuro-ophthalmologist Dr. John Chen join the podcast to discuss their fascinating research on ocular biomechanics and the implications for both glaucoma and papilledema. We learn about ocular biomechanics and ultrasound elastography and hear their inspirational story of collaborative research.

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Dr. Cheryl Khanna, nationally recognized glaucoma surgeon and Clinical Practice Chair of the Department of Ophthalmology at Mayo Clinic joins us to talk about her career journey. Dr. Khanna is a mentor and role model to trainees across the globe. She tells us about her experience transitioning from a small community practice to a large academic center, being residency program director, what she loves about glaucoma, and how to balance life as a surgeon and mother. Dr. Khanna exemplifies a heart of service in everything she does as you’ll hear in this conversation.

In this special release episode, celebrating 10,000 downloads of the Mayo Clinic Ophthalmology Podcast, our co-host, Dr. Andrea Tooley shares her story of starting a blog as a medical student, navigating the social media scene and as Trainee and Ophthalmologist and the tips and tricks her has learned along the way.

Join us for this fun and personal episode, celebrating 10,000 downloads!

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We sit down with comprehensive ophthalmologist Dr. Steve Beaty today to discuss global ophthalmology.  After a career of volunteer eye care service and program development in Zimbabwe, Steve has a wealth of information to share.  Listen in to hear about the joys, challenges, and tips you might appreciate in similar humanitarian efforts.

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We all struggle counseling patients on smoking cessation. Today, expert and director of the Mayo Clinic Nicotine Dependence Center joins us to share his career journey and give us some fascinating data and tips of how to get your patients to quit smoking for good.

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Dr. Wendy Smith shares her uveitis expertise with us regarding the evaluation and treatment of patients with uveitis.  Dr. Smith breaks down her work up and treatment algorithms, concerns for chronic immunosuppression and when to refer.  This is a high yield, can’t miss episode, for any one who cares for patients with inflammatory disorders. 

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Dr. Matt Starr, vitreoretinal surgeon at Mayo Clinic, joins us to talk about standardized prescribing guidelines for opioid use after ophthalmic surgery. This is a hugely important topic within the house of medicine and for ophthalmologists. Erick and Dr. Starr talk about viewing projects through the lens of quality improvement, how we learn from our practice patterns, and how we can make a difference for our patients. 

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Dr. Elizabeth Bradley sat down with us today to talk about her experience as a surgeon on the team performing the first face transplant at Mayo Clinic.  She shares her experience collaborating with a multidisciplinary team that worked in the lab for years preparing for this historic surgery.   Listen for behind the curtain details on what was involved from orchestrating the surgical theater, performing this nearly 48 hour surgery, and lessons learned for the care of complex patients.   

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Dr. Jane Edmond, pediatric neuro-ophthalmologist, AAO president elect, and founding Chair of the Department of Ophthalmology at Dell Medical School is an absolute powerhouse and full of wisdom. This episode can’t be missed! Dr. Edmond shares her story of experiencing burnout and going back to fellowship training mid-career, a renaissance for her. We speak about how she became founder and Chair of her department, thriving in a dual physician household, and so much more.  

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Dr. Keith Baratz, cornea and complex anterior segment surgeon shares with us the fascinating science behind Fuchs and lessons learned over the course of his career as a physician scientist.

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We are joined by Dr. Alice Gallo De Moraes, a pulmonary and critical care specialist here at the Mayo Clinic. Dr. Gallo De Moraes shares her passion and insight behind social media, medical education and intensive care management.  You will have to tune in to see the pearls that drew us, as ophthalmologists to learn from and be inspired by this special guest.   

Most ophthalmologists may dread the consultation to the intensive care unit, but we hope this podcast increases your awareness and the importance of communication on a care team and makes your next trip to the intensive care unit all the more positive. 

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Join us for an informative discussion with Rosanne Boser, a Certified Public Accountant and Personal Financial Specialist at the Mayo Clinic.  In this podcast we learn about various financial topics at different stages of an ophthalmologist’s career.  Ms. Boser shares advice for physicians at different stages of life, from paying off debt to saving for future goals, including college saving for kids and retirement for you!  She explains many types of investment vehicles including 401 and 403 plans to 529 and Roth financial options.  Whether you are deciding how big of an umbrella policy to buy or how early to retire, please tune in and listen soon!

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Dr. John Chen, renown Neuro-ophthalmologist takes us through the history of optic neuritis, starting with the optic Neuritis Treatment Trial. Lots has changed since that time, and Dr. Chen teaches us about new, atypical causes of optic neuritis like MOGAD and NMO.  

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Dr. Lilly Wagner is an ophthalmic plastic and reconstructive surgeon at Mayo Clinic. She established a multidisciplinary oculofacial plastic surgery clinic at Mayo Clinic and joins us today about that project. Multidisciplinary clinics have the benefit of bringing together multiple physicians to treat complex patients. Dr. Wagner tells us about the challenges and successes of running joint clinics, and shares pearls of how to implement these types of clinics in your practice.  

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Join us for an incredible 2-part discussion with Dr. Colin West, expert on physician well-being and burnout. In this inspirational 2-part podcast we learn about the history of burnout and what contributes to the overall sense of physician well-being, how to differentiate burnout from fatigue, moral injury, and more. Dr. West discusses his research in burnout and how we can use metrics and data to better our profession and find joy in our work. This is a can’t miss 2-part podcast! 

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Dr. Alison Early, cataract and refractive surgeon at Cincinnati Eye Institute joins us today to talk about incorporating new techniques and innovation into surgical practice, the importance of mentorship, social media, and what ophthalmologists need to know about ergonomics and why it’s so important.

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Join us for an incredible 2-part discussion with Dr. Colin West, Medical Director of Mayo Clinic Well-Being and expert on physician well-being and burnout. In this inspirational 2-part podcast we learn about the history of burnout and what contributes to the overall sense of physician well-being, how to differentiate burnout from fatigue, moral injury, and more. Dr. West discusses his research in burnout and how we can use metrics and data to better our profession and find joy in our work. This is a can’t miss 2-part podcast! 

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In this episode, we are joined by Dr. Brittni Scruggs, assistant professor of ophthalmology and one of the newest members of our Mayo Clinic Ophthalmology retina service team. Dr. Scruggs shares with us the most up to date approaches in the placement of intraocular lenses lacking capsular support. This surgical step continues to be refined in intraocular lens platforms and vitreoretinal surgical safety steps. We are excited to share her perspective with you today!

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Today our co-host Dr. Erick Bothun, pediatric ophthalmologist and adult strabismus specialist, is here to talk about pediatric cataracts. Dr. Bothun overviews pediatric cataract etiologies and how to work through diagnosis in clinic. We touch on surgical management and the evolution of the treatment of pediatric cataracts. Finally, Dr. Bothun discusses how to work with families for the long-term care and relationship necessary to successfully treat these patients.  

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Dr. Darby Miller MD MPH, past president of the Florida Society of Ophthalmology, AAO Young Ophthalmology Advocacy Subcommittee Chair, and Cornea and Refractive surgeon joins us today for an advocacy overview! What is advocacy? Why do we need it? How can these issues influence YOUR practice? Keep listening to find out.  

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We are joined by Dr. Tim Olsen to discuss the myopic epidemic, what we should be concerned about, and how the increasing rates of myopia will affect patients and healthcare costs. In this fascinating discussion, Dr. Olsen breaks down both the environmental and genetic influences in myopia progression, as well as the impending healthcare burden of myopia associated eye complications.  

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Dr. Andrew Barkmeier, vitreoretinal surgeon and ophthalmology residency program director joins the podcast to chat about education in ophthalmology, leadership, and his journey to PD as a vitreoretinal surgeon. This episode is packed with wisdom about the future of training ophthalmologists, how to teach surgery, and more.  

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Dr. Ruth Williams, renowned leader within ophthalmology, sits down with us to talk about leadership and how the roles of leaders have changed over the years. We discuss her vision for leadership within her practice and within ophthalmology at large. We also touch on how the pandemic has shaped goals and priorities for ophthalmologists, work-life balance, and the concept of burnout. This is a can’t miss discussion with an incredible thought leader in our field. 

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Vitreoretinal surgeon Dr. Ray Iezzi joins the podcast today to chat about macular hole repair, and the guidelines for face-down positioning. While many patients are told they need to remain face down post-macular hole repair, outcomes without positioning are still promising. Dr. Iezzi takes us through the nuances of hole repair and how to counsel patients undergoing this surgery.

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Neuro-ophthalmologist Dr. John Chen joins us today to break down all things papilledema. We start this fascinating podcast with tips on recognizing papilledema due to elevated intracranial pressure vs. pseudopapilledema. Next, Dr. Chen tells us about the role of artificial intelligence in evaluating the optic nerve. Finally, Dr. Chen discusses his collaborations with NASA and papilledema found in astronauts.  

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We sit down with vitreoretinal surgeon Dr. Tim Olsen to discuss screening for fungal endophthalmitis. Where did the traditional screening dogma originate and why? What are the potential harms from excessive screening? And finally, what do we do with this information when working with other medical specialties?  

Breazzano MP, et al; AAO. American Academy of Ophthalmology Recommendations on Screening for Endogenous Candida Endophthalmitis. Ophthalmology. 2022 Jan;129(1):73-76. doi: 10.1016/j.ophtha.2021.07.015. Epub 2021 Jul 19. PMID: 34293405. 

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Dr. Adesina, neuro-ophthalmologist, orbital surgeon, strabismus surgeon, podcaster, and more joins us to talk about his multi-faceted career and how he has blazed his own trail to serve patients and the ophthalmology community.

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Episode 3: Sit-down with Dr. George Bartley, CEO of American Board of Ophthalmology

Dr. George Bartley leads us through a fascinating discussion of the ophthalmic community, maintenance of certification, his leadership through changes in certification including the virtual ABO oral exam, and the future challenges of continuing a virtual oral exam. At the conclusion of the podcast, Dr. Bartley discusses his view on professionalism, the patient-physician relationship, and changes in the house of medicine.

Bartley GB. The Unfinished History of Professionalism. Ophthalmology. 2021;128(9):1261-1265. doi:10.1016/j.ophtha.2021.06.003

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Dr. Sophie Bakri, Chair of the Mayo Clinic Department of Ophthalmology joins the podcast to discuss her vision for the future of ophthalmology. Dr. Bakri discusses the inception of Mayo Ophthalmology Podcast and having a voice in our field as an academic institution. How do we consume information? What are the opportunities for innovation? How can we utilize team science to get new technology into the hands, or eyes rather, of patients?

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Welcome to the Mayo Ophthalmology Podcast! Meet our hosts, Dr. Erick Bothun and Dr. Andrea Tooley. In this short introductory episode, our hosts introduce themselves, the podcast, and what this space will be as we forge ahead talking all things ophthalmology and medicine. 

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Don’t miss an inside look at the National Eye Institute with NEI Director, Dr. Michael Chiang. Dr. Chiang takes us through his inspiring story from a love of tech, engineering, and AI, to the ophthalmologist and researcher he is today. Dr. Chiang’s story is a wonderful account of serendipity, hard work, teamwork, and science.

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