my dry eye

mydryeye has announced a streamlined membership structure, consolidating all previous tiers into a single, comprehensive membership designed to simplify access and expand value for eye care professionals.

The new model provides all members with equal access to educational resources, practice tools, and community engagement opportunities, reflecting a broader effort to strengthen collaboration within Canada’s dry eye care community.

“Our goal is to make membership simple, valuable, and accessible,” said Teresa Sebastian, Chief Operating Officer at Eye Care Edge and Eye Recommend. “By consolidating tiers, we’re ensuring that every member receives the best possible experience and benefits, while continuing to foster growth and innovation in the dry eye community.”

Under the updated structure, members receive access to a full suite of benefits, including early-bird and discounted pricing for the Dry Eye Summit, unlimited Clinic Locator profiles, full use of the mydryeye learning management system, live and on-demand webinars, access to previous Dry Eye Summit content, and exclusive member-only educational resources. Members will also receive early updates on new industry developments and Canadian marketplace initiatives.

The single-tier membership is valid for two years, aligning with mydryeye’s biennial Dry Eye Summit schedule. Existing members do not need to take any action, as all new benefits are automatically applied for the remainder of their current membership term.

Additional information and membership renewal details are available at mydryeye.ca.

Feature Image Source:  Mydryeye.ca 


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NextGenOD podcast

In this lively Season 2 opener, hosts Dr. Amrit Bilkhu and Dr. Alexa Hecht dive into the ultimate debate: to residency or not? Drawing from their own journeys—Amrit’s VT residency at Berkeley and Alexa’s direct leap into private practice—they break down the pros, cons, and realities of optometry residencies. Perfect for students on the fence, this candid chat covers application strategies, mentorship alternatives, work-life balance, and advice to avoid burnout while building your career.

Episode Highlights:

  • Back from Hiatus: Amrit and Alexa kick off Season 2 with excitement, sharing laughs about talking to themselves and the joys of reconnecting via podcast.
  • Amrit’s Residency Journey: From anti-residency student to VT specialist at Berkeley—Amrit recounts her last-minute application gamble, the value of specialized training, and why one more year changed everything.
  • Alexa’s No-Residency Path: Alexa shares her decision to skip residency for private practice, emphasizing timing, financial pressures, and how she built expertise in specialty lenses through self-mentorship.
  • Pros and Cons Debate: The hosts weigh residency benefits (intense learning, mentorship, resume boost) against drawbacks (debt, delayed earnings), with Amrit pushing for it and Alexa highlighting alternatives.
  • US Opportunities for Canadians: Tips on applying to US programs—don’t limit yourself, cold-call schools, and leverage academic connections for interviews and visas.
  • Mentorship Beyond Residency: Practical advice on seeking guidance through conferences, webinars, reps, and workplace case-sharing to build skills in specialties like VT or dry eye.
  • Post-Grad Reality Check: Warnings against 7-day workweeks, the slow build of a patient base, and embracing patience: “The money will come—breathe and prioritize balance.”
  • Final Advice Gems: Amrit urges work-life sanity; Alexa stresses building your name through personality and persistence.

Listen now to uncover whether a residency is your next step, plus actionable tips to thrive in optometry—whether you’re a student debating applications or a new grad chasing specialties!

Your Hosts:

  • Amrit Bilkhu, OD, FAAO, FOVDR
  • Dr. Amrit Bilkhu graduated from the Illinois College of Optometry in 2019 and completed a Vision Therapy & Rehabilitation residency program at UC Berkeley School of Optometry in 2020. She is a fellow of the American Academy of Optometry and the Optometrists in Vision Development and Rehabilitation. Dr. Bilkhu owns her private practice, Northern Sight Optometry, in Vaughan, Ontario. In her spare time, she serves as a board member for Vision Therapy Canada, writes articles for optometry blogs, and shares her knowledge on her professional social media page.
  • Alexa Hecht, OD
  • Dr. Alexa Hecht obtained her Doctor of Optometry from the University of Waterloo in 2021. She currently practices at Bayview Vision in Toronto, Canada, where she enjoys seeing patients of all ages and has a clinical interest in dry eye disease and ocular aesthetics. Dr. Hecht has a significant social media following on Instagram and TikTok, where she aims to educate the public about the importance of eye health and clean beauty habits. She is passionate about inspiring and mentoring the next generation of optometrists.

This episode sponsored by Optik Magazine – 100% proudly Canadian Owned.

Proudly Canadian Contest by Optik MagazineCheck out the “Proudly Canadian” contest for your chances to win an All Canadian One4ALL Ultimate gift card redeemable at major Canadian retailers, including Tim Hortons, Air Canada, Cineplex, Boston Pizza, Golf Town, Gap, and dozens more iconic Canadian brands!

Tell us why you are  “Proudly Canadian” to win one of the bonus prizes. Contest ends December 15.


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OSI Group sponsored post- woman in front of a pond

For optometry students and recent grads, the default path can seem overwhelmingly urban. Big cities promise visibility and fast access to technology, but they also draw the same patients—and the same competition.

It’s a topic explored in depth on Future Focus. Sponsored by OSI Group, the podcast introduces students and new grads to the real-world decisions that shape a career in optometry. Each episode features candid conversations with practicing optometrists and offers practical insights on ownership, clinical growth, and finding your place in the profession.

In Episode 09, hosts Dr. Amrit Bilkhu and Dr. Alexa Hecht chat with OSI Member Dr. Amal Ahmed, owner of Beaumont Eye Clinic, about her journey from associate to practice owner in a thriving rural community.

Speaking candidly with the hosts, she reflects, “I didn’t want to open in a big city. There’s too much competition. When I found a practice in a growing community, I didn’t have to worry about saturation.”

The conversation surfaces key takeaways for young ODs: rural settings can speed the move into ownership and widen clinical scope, while also grounding a practice in relationships that grow deeper over time.

From Saturation to Opportunity

After completing her optometry training in the United Kingdom, Dr. Ahmed returned to Edmonton with plans to launch her career. Instead of opportunity, she found saturation. The city’s optical landscape was crowded, and every possible location already seemed spoken for.

Rather than force her way into a dense market, she began looking just beyond it—and discovered the Beaumont Eye Clinic. As an OSI Group member clinic, Beaumont offered not only a strong patient base but also access to the group’s shared resources, supplier programs, and professional network. Located 20 minutes outside Edmonton, the practice was well-established, with decades of patient records and a loyal base. It wasn’t flashy, but it offered a foundation she could build on.

Nurturing an Established Base

For more than three decades, the Beaumont Eye Clinic was guided by Dr. Bruce Mann, whose steady presence made the practice a fixture in the community. His reputation and long-standing relationships with patients meant that when Dr. Amal Ahmed stepped in, she inherited a history of trust. That foundation became the bedrock on which she could shape the next chapter.

The transition was handled with care. Dr. Mann remained on-site for a full year after the sale, a decision that reassured patients and allowed Dr. Ahmed to build familiarity without disrupting the rhythm of care. Patients could continue to see the doctor they had known while gradually getting to know the new one. For Dr. Ahmed, the overlap offered a rare chance to ease into ownership, observing the practice’s routines and listening to patients before deciding how to leave her mark.

Once those relationships felt secure, she began to introduce changes. The clinic’s layout was improved, new instrumentation added, and the office refreshed in stages. Each adjustment was paced to strengthen what patients already valued. The result was not a break from the past but a continuity—an evolution that honoured Dr. Mann’s legacy while positioning the clinic for the future.

Why Rural Practice Works

What Dr. Ahmed didn’t fully anticipate was how much rural practice would accelerate her professional growth.

In Beaumont, she took on more complex cases and became a trusted collaborator in the town’s healthcare network. With fewer specialists nearby, her scope expanded—sometimes out of necessity, sometimes out of trust.

She notes, “If you invest in rural communities, they invest back in you. My business has grown four to five times in three years, mostly through word of mouth.”

Financially, the advantages of owning property and operating with lower overhead gave her freedom to shape the business on her terms. Decisions could be made quickly, and new ideas tried without bureaucracy.

And on the human side, patients returned year after year, often bringing children or parents—creating long-term relationships that urban practices sometimes struggle to maintain.

Building a Specialty, Patient by Patient

Dr. Ahmed also saw opportunity in specialty care, especially for patients with dry eye disease. Instead of introducing high-tech solutions right away, she focused on creating demand before any major purchases. Educate first, invest second.

She began by offering test treatments and hosting information nights to give patients time to understand the service. By the time she introduced intense pulsed light (IPL) treatments, her patient base was ready.

“I didn’t just jump in with new technology,” she explains. “I took a year to build relationships, educate patients, and create a waitlist.”

Advice for Students and New Grads

For those still mapping out their next step, Dr. Ahmed recommends starting early—even if ownership feels far off.

She says, “Buying a practice could be a quick process or a slow one. Build the relationships right when you come out of school. Ask the right questions.”

That might mean reaching out to a clinic owner in a town you’ve never considered. It could mean shadowing someone over reading week or taking a short-term locum in a place that seems quiet on paper but turns out to be full of promise.

Indeed, not every clinic will be the right fit and not every small town will have a practice for sale immediately. Waiting in a big city, however, can mean standing in line for years. Simply put, the more open-minded you are about where and how you begin, the greater your chances of building momentum early.

“Get your foot in the door,” she advises. “Start the conversation early.”

For OSI Members and students ready to act on this advice, the Vision Entrepreneur program turns early conversations into a concrete plan. It connects future owners with mentorship, training, and tools to make the move to ownership less daunting and more deliberate.

Get the Full Story

Dr. Ahmed’s journey shows that career success in optometry doesn’t follow a fixed path. It can mean choosing what others overlook or moving slowly but with intention—especially when the long game leads to deeper roots, broader scope, and a business you can shape on your own terms.

Catch the full conversation and explore more OSI-sponsored stories like it here.

Curious about your own path? Talk to an OSI Practice Advisor or learn more about the Vision Entrepreneur program at www.opto.com or info@opto.com.


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NextGenOD podcast

In this episode, hosts Drs. Amrit Bilkhu and Alexa Hecht meet with Dr. Diana Nguyen, a dynamic optometrist and rising star in dry eye and myopia control. From Ontario to Winnipeg to Vancouver, Dr. Nguyen shares her journey of building a loyal patient base, leveraging industry connections, and carving out a specialty niche as a young OD. Packed with practical tips and candid advice, this episode is a must-listen for students and new grads eager to thrive in private practice. Thanks to Théa Pharma for supporting this episode.

Episode Highlights:

  • Coast-to-Coast Connections:  Dr. Nguyen’s shares her cross-Canada journey, from her McMaster and U Waterloo roots to embracing Vancouver’s outdoor adventures and dance scene.

  • From Crickets to Loyal Patients: Learn how Dr. Nguyen built her dry eye practice from scratch in Winnipeg by identifying specialty patients within primary care and fostering trust with colleagues.

  • Referral Game Strong: Discover strategies for growing a referral base – collaborate with in-clinic doctors, connect with local MDs, and use social media to attract patients and ODs alike.

  • Respecting the Referral: Dr. Nguyen’s approach to avoiding “patient stealing” by sending clear reports and directing patients back to their primary care OD for glasses and contacts.

  • Rep Relationships Done Right: Hear how meaningful connections with industry reps (like those from Thea) can boost your practice with product education, staff training, and grand opening support.

  • Choosing the Right Clinic: Tips for new grads—prioritize positive staff culture, avoid 10-15 minute exam slots, and seek clinics that support your specialty passions like dry eye or VT.

  • Time and Patience: Rome wasn’t built in a day! Dr. Nguyen emphasizes patience in building a patient base through word-of-mouth and consistent relationship-building.

  • Future of Optometry: A peek into AI’s role in tele-optometry and scribing, plus the growing demand for specialty care to differentiate your practice.

Listen now to uncover how to build your optometry brand, grow referrals, and find your fit in private practice, whether you’re a student dreaming big or a new grad hitting the ground running!

Special Guest:

Diana Nguyen, OD, practices full-scope optometry with a focus on dry eye management and myopia control in Vancouver, BC. A Waterloo graduate with clinical training across Canada, she’s a passionate educator, lecturing at conferences and mentoring students. Outside the clinic, Dr. Nguyen dances (hip-hop, jazz funk, and more) and embraces community service and outdoor adventures. Connect with Dr. Nguyen for questions or mentorship via Instagram at @eyedoc.diaries or email at dnguyen.optom@gmail.com.

Your Hosts:

  • Amrit Bilkhu, OD, FAAO, FOVDR
  • Dr. Amrit Bilkhu graduated from the Illinois College of Optometry in 2019 and completed a Vision Therapy & Rehabilitation residency program at UC Berkeley School of Optometry in 2020. She is a fellow of the American Academy of Optometry and the Optometrists in Vision Development and Rehabilitation. Dr. Bilkhu owns her private practice, Northern Sight Optometry, in Vaughan, Ontario. In her spare time, she serves as a board member for Vision Therapy Canada, writes articles for optometry blogs, and shares her knowledge on her professional social media page.
  • Alexa Hecht, OD
  • Dr. Alexa Hecht obtained her Doctor of Optometry from the University of Waterloo in 2021. She currently practices at Bayview Vision in Toronto, Canada, where she enjoys seeing patients of all ages and has a clinical interest in dry eye disease and ocular aesthetics. Dr. Hecht has a significant social media following on Instagram and TikTok, where she aims to educate the public about the importance of eye health and clean beauty habits. She is passionate about inspiring and mentoring the next generation of optometrists.

This episode of Future Focus is proudly sponsored by Théa Pharma Canada. 

Thea Pharma

Future Focus is proudly sponsored by Théa Pharma Canada – the Canadian affiliate of Laboratories Théa, the world leader in preservative-free eyecare.   Théa creates innovative solutions for better outcomes: developing new approaches to treat eye diseases for which there are currently no treatments, enhancing existing ocular treatments by improving efficacy and surveillance, simplifying existing procedures, and improving safety by reducing side effects. Let’s open our eyes.


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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 NextGenOD.ca 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

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.

Resources

 

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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Artificial intelligence is a branch of computer science that uses various techniques that aim to mirror human intelligence. One AI technique is machine learning, which relies on vast data sets to learn and predict results without human intervention.

Artificial intelligence has slowly made its way to optometry as well. It is unlikely that AI will ever replace an optometrist but it does have the potential to ease many aspects of their jobs.

This doesn’t mean that robots will be running around in our healthcare facilities; rather, AI focuses on a large amount of patient data to give insight into diagnosis and treatment methods.

Let’s look at how it has the potential to change an optometrist’s practice.

Streamline Management
Software is coming to the market that provides autonomous management of tasks related to patients. Repetitive tasks like scheduling, billing, and follow-ups can be done on the fly and updated in patient records as new information is received.

This improves organizational productivity for many optometry practices, making them more efficient leaving more time to focus on patient care.

Early Detection
One of AI’s advantages is that it can process vast amounts of data more quickly as a computer is doing most of the legwork.

This especially comes in handy when processing optical coherence tomography (OCT) images, retinal images and dry eye. It can look for patterns within these images that optometrists might miss because of the subjective nature by which these images are analyzed.

Diabetic Retinopathy
Machine learning can monitor these images over time and see if any changes are occurring that lead to eye diseases that manifest progressively.

FDA-approved AI systems are already appearing on the market that analyze fundus photography to detect elements of diabetic retinopathy such as hemorrhages, aneurysms, and other lesions.

It can detect these changes early on, leading optometrists to formulate a health plan with the patient. Additionally, this system requires minimal training and can outperform humans.

Glaucoma
Technology to detect other ocular diseases such as glaucoma by fundus photographs, optical coherence tomography (OCT), and visual fields is currently in its early stages.

AI is beneficial for open-angle glaucoma cases where symptoms don’t typically exhibit themselves. Since glaucoma can’t be cured, early detection may help manage the disease to prevent it from getting worse to the point of severe vision loss or blindness.

Dry Eye
There is also new AI technology emerging  in the dry eye arena.

When it comes to talking to patients about their dry eye disease, a picture is worth a thousand words. Conversations become easier when you can show a patient an image of their ocular surface. Suddenly it all clicks (pun intended).

AOS is one company that takes it a step further with innovative technology. The platform automatically grades an image for Bulbar Redness, Injection and Lid Redness. In Staining mode the software counts punctate of a fluorescein image. It can also convert a fluorescein image into 2D and 3D which brings a real wow factor.

The images show patients proof of their condition and the analysis provides context. It’s much like the difference between stating a fact and telling a story.

We can now give meaning to symptoms felt and seen in the eye. And it’s especially useful for assessing progress during follow up appointments. Lower redness numbers or lower punctate counts tell me and the patient we are on the right track.

AOS analysis improves patient education which helps boost compliance. Better compliance leads to better outcomes and that leads to happy, loyal patients.

Reduce False Positives
False positives occur when a test result shows that a disease is present when it is not in reality. Here AI can help as well.

By looking at vast amounts of medical data regarding symptoms that a patient presents, AI can predict the likelihood of a disease or condition being present.

As a result, patients can save time by avoiding unnecessary consultations with their optometrist or an ophthalmologist and save money on unnecessary medications.

In Optometry and Beyond
Artificial intelligence is showing its potential in many medical fields other than optometry, including oncology, dermatology, pharmacology, and genetics.

Though still in its infancy, improvements in this technology will help doctors verify their diagnoses and interpret data faster independently.

This does not mean that a doctor’s work will become redundant, as AI algorithms are not yet 100% accurate. There will cases when a doctor’s insight will be invaluable in diagnosing diseases.

Consider AI a tool to benefit the health care provider and the patient.

MARIA SAMPALIS

is the founder of Corporate Optometry, a peer-to-peer web resource for ODs interested to learn more about opportunities in corporate optometry. Canadian ODs and optometry students can visit www.corporateoptometry.com to learn more.


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Dr. Steven D’Orio, practicing in partnership his father Dr. Greg D’Orio, shares his approach on incorporating a dry eye specialty within the practice.


About the Guest

Dr. Steven D’Orio first became interested in the field of Optometry during high school. This led him to take greater interest and involvement into his father’s practice. D’Orio graduated from Salus University School of Optometry in Pennsylvania, and experienced first-hand working in primary care and triaging ocular emergencies in Albert Einstein Hospital, low vision at The Eye Institute, and trained further in contact lenses and ocular disease at Will’s Eye Hospital. Dr. D’Orio has taken special interest in Dry Eye, incorporating the latest equipment and treatment options to meet his patients’ needs.

 


Episode Notes

Dr. Steven D’Orio explains his motivation to incorporate a dry eye specialty in his Toronto practice. He indicates his preferred approaches to diagnosis tools and which therapeutic options and treatments he deploys. The impact of COVID on dry eye is also discussed.

He and Glen share their points of view on how industry representatives can and have truly added value to their practices, and how staff can be optimally deployed to benefit the patient experience.

Finally, Dr. D’Orio shares what he sees as exciting new dry eye therapeutic options on the near-term horizon, but not before he and Glen debate the intricacies of Philly Cheese Steaks, an indulgence they both enjoyed while interning in the City of Brotherly Love.

Resources

 

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 dryeyesummit.ca and get on the mailing list for next years event.

 

 

 

 


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One of the key metrics we track in SIMI Analytics is Revenue Breakdown. What products and services are bringing in the most revenue? We compare this to how much time is spent to offer these products and services on the exams side to evaluate the effectiveness of the time invested.

According to SIMI Analytics, a healthy primary care practice brings in 26% of their revenue from exams, diagnostics contribute 10%, spectacles 50%, contact lenses 12% and miscellaneous (OTC products and optical accessories) 2%.

Detailed Breakdown

We often break this down further to look at how much chair time is being dedicated to services as compared to products. For instance, we always evaluate the revenue generated from contact lens assessments in comparison to how much revenue is being generated from contact lenses (both gross and net dollars). As contact lenses have become a commodity, it has become even more important to the financial health of the practice to ensure that the chair time associated with the care of contact lenses is covered.

A number of practices we work with have successfully introduced Specialty Contact Lenses, Vision Therapy, and Dry Eye Clinics as a means to both meet patient needs and increase revenue. In these practices, the Revenue Breakdown in SIMI Analytics looks a little different.

Here’s how you can expect to generate your revenue:

Impact on Staffing Decisions

Note in particular how primary care practices are much more dependent on optical sales for financial health. A practice offering Vision Therapy generates a much greater percentage of their revenue from the services of Vision Therapy versus selling frames and lenses. From this information, the practice can make more sound business decisions. For instance, if your practice is predominantly offering Vision Therapy as the main means of revenue, our recommendation would be to hire a frame stylist for the optical instead of an optician and concentrate your staff cost resources on hiring skilled and passionate therapists for Vision Therapy.

For practices offering medical contact lenses, such as Ortho-K and Scleral lenses, the differences to note are the increased revenue sources from both Exams and Contact Lenses. In this case, the products are much more profitable and it makes sense to expect more revenue from this source as compared to Eyeglass Revenue. Another metric we like to follow in our Contact Lens clinics is sunglass sales. Our expectation is that the revenue from plano sunglasses should be significantly higher. Again, staff decisions will be impacted by this information. Not only do you want to hire someone who is knowledgeable in contact lens care to assist your patients but you will want that person to also be passionate about sun protection. There is also an implication to your inventory decisions. This practice will carry a large selection of plano sunglasses.

The most interesting change in revenue generation for a Dry Eye clinic, besides the increased Exam revenue, is the increase in sales of OTC products. Drops, vitamins, wipes and make-up all contribute to increased revenue in this type of clinic. Given this, it is our recommendation to hire a dedicated staff member to be your Dry Eye Clinic coordinator. This is the person who will confidently explain all the products and solutions to each patient and follow through with after-care instructions.

Whether you choose to differentiate or remain focused on Primary Care, the key to success is to decide on one and stay focused. Keep track of the time it takes you to generate your income and use that information when making decisions about changing or adding extra staff, services, and products.

 

CHRISTINA FERRARI

is the co-founder and managing partner of Simple Innovative Management Ideas (SIMI) Inc. and expert Practice Management contributor for Optik magazine. She can be reached at info@simiinc.com


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