Ophthalmology off the Grid by Eyetube
Open. Outspoken. It's Ophthalmology off the Grid - an honest look at controversial topics in the field.
Episodes
April 22, 2025 • 32 mins
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 technolog...
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March 26, 2025 • 39 mins
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.
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February 20, 2025 • 35 mins
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 experien...
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January 22, 2025 • 32 mins
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 met...
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December 18, 2024 • 33 mins
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 revi...
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November 25, 2024 • 40 mins
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 iridodial...
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October 23, 2024 • 42 mins
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...
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September 24, 2024 • 30 mins
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 slig...
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August 21, 2024 • 32 mins
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...
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July 23, 2024 • 39 mins
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...
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June 11, 2024 • 28 mins
William Trattler, MD, joins Blake Williamson, MD, MPH, and Gary Wörtz, MD, to share a story in which a referring optometrist’s family member presented with dark brunescent cataracts in both eyes. He describes his initial approach and technique for managing these advanced cataracts, including the unexpected complication of a dropped lens and capsular bag tear in the first eye. Weeks after referring the patient to a retina specialist...
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May 20, 2024 • 25 mins
Paul Walton, MD, continues the discussion with Blake Williamson, MD, MPH, and Gary Wörtz, MD, on approaches to anesthesia and nuances to manage potentially difficult patients during cataract and refractive surgery. Dr. Walton shares pearls to ensure a smooth day in the operating room, mitigating potential ophthalmology ‘horror stories.’
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April 23, 2024 • 28 mins
Paul Walton, MD, joins Blake Williamson, MD, MPH, and Gary Wörtz, MD, to share concepts to help cataract and refractive surgeons avoid horror stories in the OR. He says the goal should always be to have a “boring” day, emphasizing the importance of communication and understanding with patients. The surgeons also detail their approaches to anesthesia and how to best comfort patients before, during, or after surgery.
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March 25, 2024 • 31 mins
Nathan M. Radcliffe, MD, joins Blake Williamson, MD, MPH, and Gary Wörtz, MD, to share his experiences managing complex patients with advanced-stage glaucoma. He shares a specific case of an 83-year-old man with a cataract and exfoliation glaucoma with an IOP of 56 mm Hg. Dr. Radcliffe walks through how he managed complications he encountered during the combined cataract and glaucoma surgery, including vitreous prolapse and suprach...
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February 23, 2024 • 27 mins
John Doane, MD, joins Blake Williamson, MD, MPH, and Gary Wörtz, MD, to share his experiences for this season’s theme of “Horror Stories” in cataract and refractive surgery. Dr. Doane reviews a few examples from his career in which he had to manage uniquely challenging situations and discusses what he learned from them. Listen to gain insights into his experiences using early surgical technology and how he approached challenges wit...
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January 24, 2024 • 36 mins
Blake Williamson, MD, MPH, and Gary Wörtz, MD, kick off the latest season of Ophthalmology off the Grid. This season focuses on the subject of ‘Horror Stories,’ where surgeons will highlight their toughest, most complicated surgical cases and how they managed them. In this episode, Drs. Williamson and Wörtz start the discussion by sharing their own uniquely challenging cases. Learn how Dr. Williamson managed an inflammatory complic...
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December 28, 2023 • 35 mins
Blake Williamson, MD, MPH, and Gary Wörtz, MD, invite Matt Jensen to round out the year of episodes dedicated to building a business and brand in ophthalmology. Jensen shares insights he gained early in his marketing career, highlighting how he adapted to variabilities in different markets and learned to grow the business at home. The trio also discusses the value of having strong, trusted partners in business when expanding into n...
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November 27, 2023 • 31 mins
Cathleen McCabe, MD, joins Blake Williamson, MD, MPH, and Gary Wörtz, MD, to discuss the challenges of moving across the country from an existing practice and referral network and starting in a new state. She shares insights into the dynamics of changing ownership and having a clear outline for the type of practice to join. Drs. McCabe, Williamson, and Wörtz further discuss the pros and cons of different business models and pearls ...
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October 25, 2023 • 27 mins
Eric D. Donnenfeld, MD, joins this episode to speak with Gary Wörtz, MD, and Blake Williamson, MD, MPH, about his experience building his practice and working with industry. He shares insights into how he grew from a small private practice by constantly adapting to a dynamic specialty. Dr. Donnenfeld stresses the value of resisting stagnation, and he explains why it is crucial to incorporate new technologies and treatments as one’s...
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September 25, 2023 • 35 mins
Tom Tooma, MD, founder, owner, and medical director for NVISION, joins Gary Wörtz, MD, and Blake Williamson, MD, MPH, to continue this season’s topic of building a business and brand in ophthalmology. Dr. Tooma shares insights into his early days of building his refractive surgery practice, touching on the risks taken and lessons learned over the years. He further shares advice for surgeons to navigate the financial intricacies of ...
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