Ophthalmology off the Grid by Eyetube

Inside Residency Training at the Moran Eye Center 02.07.2026 32mnt

In this episode of Ophthalmology Off the Grid, hosts Blake K. Williamson, MD, MPH, and Gary Wörtz, MD, continue their residency-focused season with Rachel G. Simpson, MD, and Ayesha Patil, MD, MPH, of the Moran Eye Center at the University of Utah. They discuss what medical students should know about applying to ophthalmology, the importance of mentorship and culture during training, how residents can find support, and what distinguishes Moran’s approach to surgical education.

How to Succeed in Ophthalmology Residency 30.04.2026 40mnt

Blake Williamson, MD, MPH, and Gary Wörtz, MD, return for a new season of Ophthalmology off the Grid! This season, the hosts dive into the basics of training and education at the most prestigious programs in ophthalmology across the United States. In this episode, they invite Pavlina Kemp, MD, residency program director at the University of Iowa Department of Ophthalmology and Visual Sciences, and Samuel Tadros, MD, a PGY-4 ophthalmology resident, to share a state of the union on ophthalmology residency. They discuss what it takes to stand out during the application and interviewing process and find success in the field.

Improve Refractive Planning and Decision-Making With Clinical Tools 23.12.2025 41mnt

In this episode, Gary Wörtz, MD, invites Damien Gatinel, MD, PhD, to share insights into online ophthalmic simulators and tools to help surgeons improve refractive planning. They explore tools for corneal ablation depth predictions, IOL rotation optimization, and more. Dr. Gatinel explains how these simulations can be applied to real-world patient counseling and help ophthalmologists understand what's going on with their patients.

Advantages and Outcomes of Epithelium-On Crosslinking 20.11.2025 34mnt

In this episode, hosts Blake Williamson, MD, MPH, and Gary Wörtz, MD, invite Kenneth Beckman, MD, to discuss the recent FDA approval of Epioxa (Glaukos), an advancement in corneal crosslinking for the treatment of keratoconus that does not require the removal of the corneal epithelium. Dr. Beckman shares insights into the benefits and outcomes of this procedure and details from clinical trials.

A Conversation on Lens Selection and AI in Ophthalmology 13.10.2025 30mnt

In this episode, Joaquin De Rojas, MD, and Priya Mathews, MD, MPH, join hosts Blake Williamson, MD, MPH, and Gary Wörtz, MD, to discuss how the Tecnis Odyssey IOL differs from previous presbyopia-correcting lenses and how they approach lens selection for their patients. Dr. De Rojas also shares his experience with coding and the use of AI in his practice for digesting significant amounts of data to assist with calculations and treatment algorithms.

A New Era of Presbyopia Drop Therapy 16.09.2025 30mnt

Blake Williamson, MD, MPH, invites Steven Dell, MD, to discuss the recent release of a new presbyopia drop—VIZZ (aceclidine ophthalmic solution, 1.44%; Lenz Therapeutics). Dr. Dell outlines why this drop represents a game-changing option for presbyopia therapy. The once-daily drop lasts for 10 hours and results in a sub-2-mm pupil size to achieve significant gains in near vision. They also review the innovation cycle of this product and how patients have responded to the treatment so far.

Ushering in the Future of Cataract and Refractive Surgery 25.08.2025 27mnt

Blake Williamson, MD, MPH, and Gary Wörtz, MD, sit down with Robert Weinstock, MD, to reflect on the field of ophthalmology and how to improve things for the next generation of physicians. They discuss pioneers in the field and how they shaped the cataract and refractive subspecialties into what they are today. Dr. Weinstock also shares perspectives into the fellowship match process and gives advice on how prospective fellows can prepare for interviews. The group also explores the benefits and the value of welcoming younger ophthalmologists into a practice.

Potential Implications and Benefits of Direct SLT Technology 22.07.2025 37mnt

Morgan Micheletti, MD, joins hosts Blake Williamson, MD, MPH, and Gary Wörtz, MD, to review the evolution of selective laser trabeculoplasty (SLT) and direct SLT (DSLT), highlighting Dr. Micheletti’s experience as an early adopter of DSLT. Dr. Micheletti shares how DSLT can increase efficiency, improve surgeon comfort with the procedure, and help guide patients in the interventional glaucoma treatment pathway. The group also discusses reimbursement and financial considerations for DSLT.

Breaking Down the enVista Voluntary Recall 06.06.2025 30mnt

Cathleen McCabe, MD, and Brent Saunders, chairman and CEO of Bausch + Lomb, join the podcast to break down details of the recent voluntary recall of enVista Aspire, enVista Envy, and certain enVista monofocal IOLs. Hosts Blake Williamson, MD, MPH, and Gary Wörtz, MD, invite discussion on how the Bausch + Lomb team identified an issue, prioritized patient safety, and dove into the data to bring this innovative technology back to patients as quickly and safely as possible.

The Highs and Lows of Turning an Idea Into a Business 20.05.2025 39mnt

John Berdahl, MD, joins Blake Williamson, MD, MPH, and Gary Wörtz, MD, to share insights into the journey of turning an idea into a product. Dr. Berdahl highlights his experience with the research and development of pressure-equalizing goggles, a nonsurgical, nonpharmacological treatment to lower IOP by creating a small vacuum to relieve pressure on the optic nerve. He describes the positives and negatives of the journey to launch a product, including funding, FDA trials, and beyond.

Innovative Technologies to Revolutionize Practice 22.04.2025 32mnt

Blake Williamson, MD, MPH, and Gary Wörtz, MD, invite Inder Paul Singh, MD, to the podcast to discuss the technology and innovation he uses in his practice, focusing on laser floater removal. Dr. Singh reviews 1-Step vitreous removal technology (Vista Ophthalmics) for treating symptomatic floaters and how it has revolutionized his practice and provided great outcomes for his patients. He also reviews experiences with MIGS technologies that have improved his practice.

Managing the Learning Curve as an Early Adopter 26.03.2025 39mnt

William Wiley, MD, joins Blake Williamson, MD, MPH, and Gary Wörtz, MD, to share his early experience with the VisuMax 800 (Carl Zeiss Meditec) for SMILE. The three surgeons also share experiences with other technologies and highlight the importance of embracing the learning curve to lead the way as an early adopter in ophthalmology.

The Current State of Multifocal and Trifocal IOL Technologies 20.02.2025 35mnt

Blake Williamson, MD, MPH, and Gary Wörtz, MD, invite William Plauché, MD, to review a presentation he recently delivered at the Caribbean Eye Meeting about his experience with PanOptix (Alcon), enVista Envy (Bausch + Lomb), and Tecnis Odyssey (Johnson & Johnson Vision) IOLs. The presentation compared similar amounts of patients and determined nuances between the three different kinds of lenses. Dr. Plauché also shares his experiences and his process for IOL selection.

The ICL Guru Project 22.01.2025 32mnt

This year, the theme of our podcast will feature discussions of foundational equipment and emerging technology in ophthalmology. In the first episode of 2025, Roger Zaldivar, MD, MBA, joins Gary Wörtz, MD, to discuss the ICL Guru project and how its complex algorithm integrates with ultrasound biomicroscopy platforms. Dr. Zaldivar shares his experience with ICL surgery, and how he leveraged that expertise to help improve sizing methodology and patient selection.

Managing the Disappointment of Poor Surgical Outcomes 18.12.2024 33mnt

Rounding out this season’s theme of ‘Surgical Horror Stories,’ Jeffrey Whitsett, MD, joins Blake Williamson, MD, MPH, and Gary Wörtz, MD, to discuss his approach to managing the disappointment of poor surgical outcomes. He also shares a case example in which he encountered a complication during combination MIGS and cataract surgery, which resulted in a significant vitreous hemorrhage.. Drs. Whitsett, Williamson, and Wörtz also review the best ways to navigate potential horror stories in the business side of building a practice.

Keeping Calm During Quicksand Moments 25.11.2024 40mnt

Gary Wörtz, MD, and Blake Williamson, MD, MPH, invite Nicole Fram, MD, to share a surgical horror story in which a patient experienced light arcs, starbursts, and halos after silicone IOL implantation. Dr. Fram describes her approach to IOL exchange using a Collamer lens with a larger optic to manage the positive dysphotopsias. She reviews the complications she encountered during the procedure, including iris prolapse and iridodialysis, and describes her strategies for managing stressful surgical events.

Cataract Surgery in a Severely Kyphotic Patient 23.10.2024 42mnt

For the Halloween episode of this season’s surgical horror stories, Cathleen McCabe, MD, joins Gary Wörtz, MD, and Blake Williamson, MD, MPH, to share two uniquely challenging cases. In the first case, Dr. McCabe describes the time she performed cataract surgery on a kyphotic patient who was unable to lie on his back for the procedure. She explains her approach to positioning the patient and how she managed an additional unexpected complication. In the second story, Dr. McCabe discusses a patient with a difficult psychological history.

Performing a Family Member’s Cataract Surgery 24.09.2024 30mnt

Sebastian Heersink, MD, joins to contribute to this season’s theme of surgical horror stories. He talks with Blake Williamson, MD, MPH, and Gary Wörtz, MD, about his experience performing cataract surgery on his father and former guest of the podcast, Marnix Heersink, MD. Dr. Sebastian Heersink recounts how he managed the stress of operating on a family member, and how he approached a less-than-perfect result when the lens was slightly decentered on postop day 1, avoiding a potential horror story. He also discusses how he calms unhappy patients by validating their concerns and putting them at ease before surgery.

Lensectomy Gone Awry 21.08.2024 32mnt

Arsham Sheybani, MD, joins the podcast to continue this season’s theme of surgical horror stories. He shares a case example with Blake Williamson, MD, MPH, and Gary Wörtz, MD, in which he performed lensectomy in the eye of a 60-year-old woman who presented with angle-closure glaucoma and very high IOP. Following routine phacoemulsification, the anterior chamber began to shallow, eventually resulting in suprachoroidal hemorrhage. Dr. Sheybani also shares advice for communicating with patients about difficult, unfortunate outcomes.

Expulsive Hemorrhage During Penetrating Keratoplasty 23.07.2024 39mnt

Continuing this season’s theme of surgical horror stories, Neda Shamie, MD, joins Gary Wörtz, MD, to share an experience from early in her career when she faced an unexpected complication. While performing penetrating keratoplasty on a well-known patient, Dr. Shamie encountered an expulsive hemorrhage. She highlights the value of mentorship in these situations and having a trusted colleague to help shape one’s approach to stressful complications during surgery. She also emphasizes the importance of learning from these situations and gaining new surgical skills.