Jenny Lee, OD-4, University of Waterloo, contributes her perspectives on the Canadian Dry Eye Summit.

This weekend, members of NextGen OD/Eye Care Business Canada and the CRO (Clinical & Refractive Optometry team) had the opportunity to attend the annual Canadian Dry Eye Summit, held in Toronto, Ontario from November 12th to 13th.

This conference is truly one of its’ kind in Canada, featuring innovative, thought-provoking talks from several heavy hitters in the dry eye management scene from across the country including Drs. Richard Maharaj, Trevor Miranda, Wes McCann and countless other faculty.

The conference also featured live demos and exhibits of various equipment and products hot on the market from industry representatives.

Nyah Miranda OD-1 NECO
Nyah Miranda, NextGenOD Digital Communications Associate at the CRO and booth in the exhibit hall. Nyah is an OD-1 student at NECO.

As a current fourth year optometry student at the University of Waterloo as well as the Vision Science Editorial Assistant for the Clinical and Refractive Optometry Journal, having the opportunity to dip my toes in the dry eye scene this weekend was truly a worthwhile and incredibly informative experience. Here I’ve highlighted three key pearls from my time with some of Canada’s best dry eye gurus.

#1: Now, more than ever, evidence-based medicine is crucial to the progression of optometry.

The extent and scope of optometry is vastly different than where it was even ten years ago.

Likewise, in order to keep up with a rapidly evolving field, it is vital to remain up-to-date with the current studies and to read beyond the conclusion of an article, as aptly stated by Dr. Maharaj.

In a talk about the impacts of nutrition on ocular surface disease, Dr. Kim Friedman broke down each key component (such as dosage and form), presenting the evidence for and against the inclusion of different supplements for dry eye.

Her talk emphasized not only the benefit of paying attention to the literature to support a medical recommendation, but also reading between the lines of a study conclusion and being able to draw your own insights.

Chances are, if we can access this information easily from the internet, so can our patients, and it gives you that extra edge to be able to keep up with them.

#2: Expert opinion is what bridges the gap between a research study and direct patient benefit.
Following up from the previous pearl, as practitioners are the direct points of contact for a patient seeking to manage their dry eye, it is important that we not only synthesize and make our own interpretations but also use this knowledge to develop our own expert opinion that is backed by the knowledge we obtain from reputable, reliable sources.

The true benefit of a conference such as this is that we are able to gather some of the brightest and most well-versed minds in a very specialized aspect of optometric care, and disseminate knowledge through expert opinion.

However, expert opinion is ultimately at the bottom of the evidence-based medicine pyramid – and it is up to the individual eye care professional to look beyond the neatly-packaged one hour COPE lecture to educate themselves.

As Dr. Maharaj stated in his talk on demystifying dry eye, “expert opinion is where it begins, and then we need to climb up the ladder”. The role of industry in educating optometrists on up-and-coming technology and the impacts of staying up to date in the literature are heavily understated.

#3: Ultimately, your patient care comes down to your ability to communicate and use the appropriate terminology.
Dr. Jeff Goodhew and Dr. Tina Goodhew provided an excellent outline of how to present the idea of dry eye management to the patient in a way that not only empowers the patient to seek their own care, but also does not place the onus on the doctor to feel obligated to provide a whole dry eye assessment during a routine eye exam.

Drs. Goodhew and Goodhew, as well as several of the speakers at the conference, highlighted the importance of how to approach the topic of dry eye with the patient, and some salient points and phrases that could be easily incorporated into any eye exam.

Building on this idea, Dr. Maharaj discussed how patients are already doing their own research and developing their own ideas about dry eye before they even come into your office – and as such, it is crucial to be able to use the right language and arm the patient with the correct information so that when it is disseminated to friends and family, there is no room for miscommunication.

At the end of the day, it is your words the patient will remember, and not the result of a randomized controlled trial.

Ultimately, I walked away from this conference with a newfound sense of respect for all the ongoing research and efforts being put into advancing the scope of optometry and the knowledge surrounding what we know about dry eye.

With the resources available to us, it is easier now than ever to stay up-to-date in the field, whether by reading case reports from fellow optometrists or attending trade shows and actively engaging with industry representatives.

I look forward to seeing where my own journey in optometry takes me!

If you are an optometrist looking to contribute back to the community with case reports of your own, the CRO (Clinical and Refractive Journal) is an excellent place to start.

We help you with the process of publishing your own article and becoming a COPE approved instructor! This is an excellent opportunity particularly for those looking to submit case reports as part of the Academy’s Fellowship program. CRO is on the Academy’s list of authorized journals for Fellowship points.

Jenny Lee, OD


Vision Science Assistant Editor, CRO Journal

Jenny Lee is an onboarding resident with the University of Waterloo School of Optometry and Vision Science.

She is a recent 2023 graduate and is passionate about pediatrics and vision therapy.


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Dr. Trevor Miranda describes his multi-practice location on Vancouver Island with UW ’95 classmate, Eyes Wide Open host, Dr. Glen Chiasson. In particular, Dr. Miranda stresses the importance of having great products that are “Channel-protected” for optometry in building a Dry Eye Sub-specialty

About the Guest

Dr. Trevor Miranda graduated from the University of Waterloo in 1995. He is a private practice optometrist and partner at Cowichan Eyecare, five full-scope optometric practices on Vancouver Island which offer Dry Eye, Low Vision, Myopia Management and Vision Therapy specialties. Trevor is a past CEO of Eye Recommend and founder of Sunglass Cove. He is a co-founder of MyDryEye and the Dry Eye Summit; he is dedicated to dry eye treatment and has co-launched My Dry Eye, a Canada-wide network of optometrists who have a special interest in treating dry eye. In his spare time, Trevor enjoys playing hockey, soccer and golf, and being a Rotarian.

Episode Notes

Dr. Trevor Miranda describes his five-location practice (Cowhican Eyecare) with nine eye docs on Vancouver Island.  He discusses how sub-specialities including vision therapy, myopia management and dry eye have been incorporated into the DNA of their independent practice. Two locations have dedicated dry eye clinics.

Dr. Miranda reveals the clinical approaches and practice protocol the group has deployed in order to generate a significant revenue stream from dry eye. He also delves into importance of team culture and staff training in delivering clinical excellence and practice efficiency.

Dr. Miranda stresses the importance of the dry eye technicians in their practice. This allows him to run a full state of primary eye exams while the practice delivers clinical excellence in dry eye.

Omni-channel e-commerce and custom communications plays a very important role in the practice.  Dr. Miranda advocates Optometry channel-protected products like the new preservative-free eye drop entrant into the Canadian market, Dry Eye Relief products (Aequus Eye Care). Aequus is supporting optometry with excellent and well trained representatives, a fact that Dr. Miranda appreciates.



Dr. Glen Chiasson

Dr. Glen Chiasson

Dr. Glen Chiasson is a 1995 graduate of the University of Waterloo School of Optometry. He owns and manages two practices in Toronto. In 2009, he co-hosted a podcast produced for colleagues in eye care, the “International Optometry Podcast”. He is a moderator of the Canadian Optometry Group, an email forum for Canadian optometrists. As  a host of  “Eyes Wide Open”, Glenn  looks forward to exploring new new technologies and services for eye care professionals.

Dr. Chiasson enjoys tennis, hockey, and reading. He lives in Toronto with his wife and two sons.

Dr. Chiasson splits EWO podcast hosting duties with Roxanne Arnal.


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The first annual Canadian Dry Eye Summit (CDES) was held on May 25 -26th, 2018 at the Hotel Novotel in Mississauga Ontario. The sold out event brought together over 160 attendees, faculty and industry for two days to learn, share and experience all that is new in the dry eye space. The CDES was born with a singular mission: To ensure patients across Canada receive outstanding, compassionate care for their ocular surface based on the evidence of the day. This two day session certainly went a long way towards that mission.

Dr. Laura Periman demonstrating IPL

Chief Learning officer, Dr. Richard Maharaj brought together over 14 experts from across North America to share their knowledge and experience in the dry eye space. Over 10 hours of COPE approved CE was provided covering topics such as:

  • The role of inflammation in DED
  • Highlights of TFOS DEWS II
  • Dry Eye as a vision disease
  • Scleral Lenses in the treatment of DED
  • Introducing a dry eye practice into a busy clinic
  • Marketing your medical niche

Dr. Trevor Miranda receiving a Lipiflow Treatment

The CDES also brought together the industries best technology and products under one roof. This offered attendees the opportunity to see the latest technology in diagnosis and treatment and get a glimpse of what is coming down the road. A unique feature of this years summit were the hands on workshops where folks could try out technologies such as Lipiflow, IPL, Blephex, Tear Osmolarity and many more.




Dr. Art Epstein

A quote from one of the speakers, Dr. Art Epstein, OD, FAAO sums up the event quite nicely:

“What I especially liked about the Summit was that it offered a well thought-out and balanced mix of clinically focused lectures combined with hands on wet labs and dry eye demonstrations. The presenters included a notable cast of US and Canadian dry eye experts, and the audience was warm, friendly and receptive.”




Planning is already in the works for 2019, visit and get on the mailing list for next years event.






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