Blind Spot - The Eye Doctor's Podcast
Blind Spot is the Eye Doctor's Podcast that challenges eye care specialists to examine their own blind spots in the clinical and surgical management of eye disease. Each episode features a different guest expert and focuses on a particular clinical diagnosis or surgical challenge in ophthalmology. The show is hosted by Toronto-based ophthalmologist Dr. Zale Mednick. Become a supporter of this podcast: https://www.spreaker.com/podcast/blind-spot-the-eye-doctor-s-podcast--5819306/support.
Episodes
Implantable collamer lenses, or ICLs, have evolved from a niche alternative for extreme prescriptions into a mainstream refractive option that is increasingly being chosen over LASIK—even for some ideal LASIK candidates. In this episode, we explore what changed: the history of the procedure, how ICL surgery is performed, the real risks and safety considerations, and how the visual outcomes compare with LASIK. We also dive into high...
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April 6, 2026 • 30 mins
The use of intracameral antibiotics - specifically intracameral moxifloxacin - has become relatively mainstream practice in cataract surgery. But how effective is it in preventing endophthalmitis? Are ophthalmologists administering it correctly? And what are some of the potential adverse effects that can result from intracameral moxifloxacin? Leading expert in the field, Dr. Steve Arshinoff, joins the podcast.
This episode is spon...
This episode is spon...
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March 22, 2026 • 29 mins
When a posterior capsule rupture occurs during cataract surgery, the standard teaching is that we do an anterior vitrectomy if the hyaloid face is broken and vitreous comes forward. But why is the anterior vitrectomy so important? Is it always 100% necessary? And what are some tips on performing the anterior vitrectomy as safely and effectively as possible. Dr. Uday Devgan, aka The Cataract Coach, joins the podcast.
Check out The C...
Check out The C...
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March 2, 2026 • 47 mins
In this episode, Dr. Elizabeth Yeu shares her expertise on multifocal intraocular lenses (IOLs), discussing patient communication, surgical considerations, optics, and personality traits that influence candidacy. Whether you're an ophthalmologist or optometrist, gain practical tips to improve patient outcomes and satisfaction.
This episode is sponsored by Thea Pharma Canada - https://www.theapharma.ca
Become a supporter of this podca...
This episode is sponsored by Thea Pharma Canada - https://www.theapharma.ca
Become a supporter of this podca...
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January 15, 2026 • 36 mins
In this episode of Blind Spot, Zale discusses the controversial topic of bilateral cataract surgery with Dr. Steve Arshinoff, a leading expert in the field. They explore the historical context, current debates, and the potential benefits and risks associated with performing cataract surgery on both eyes simultaneously. Dr. Arshinoff shares insights from his extensive research and experience, addressing common concerns such as infec...
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November 18, 2025 • 46 mins
In this episode of Blind Spot, Zale sits down with Dr. Kieran Murphy, a renowned inventor and professor of radiology, to explore the essence of invention and creativity in medicine. Dr. Murphy shares his journey from medical innovations to his thoughts on the socio-economic factors that influence creativity. Discover how invention is not just about genius but a mindset, and learn about the challenges and triumphs in the world of me...
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October 19, 2025 • 34 mins
In this episode, Zale sits down with Dr. Benny Jeng, head of the ZEDS study which investigated the role of longer time antiviral treatmetn for patients with HZO with ocular involvement. They review the results of the study and disuss whether long term oral antivirals reduces zoster recurrences and the severity and duration of post-herpetic neuralgia.
This episode is sponsored by Thea Pharma Canada - https://www.theapharma.ca
Become...
This episode is sponsored by Thea Pharma Canada - https://www.theapharma.ca
Become...
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September 25, 2025 • 30 mins
In this episode, Dr. Matthew Tennant discusses the common issue of floaters in ophthalmology, exploring their physiological basis, patient experiences, and the limitations of current treatment options. The conversation delves into traditional methods like vitrectomy and YAG vitreolysis, highlighting their risks and effectiveness. Dr. Tennant also introduces PulseMedica, a startup developing innovative technology aimed at providing ...
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August 20, 2025 • 47 mins
In this episode, Zale delves into the world of mental performance with Dr. Cassidy Preston, a renowned mental performance coach. Discover practical mental hacks and habits that can elevate your mindset and performance to enhance your surgical practice. Dr. Preston shares insights on the importance of an inside-out approach, the power of routines, and how to maintain focus and confidence in high-pressure situations. Tune in to learn...
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June 25, 2025 • 53 mins
Fuchs Dystrophy is an important condition to be aware before operating on any patient. Cataract surgery, in particular, can cause someone with otherwise asymptomatic Fuchs to develop debilitating corneal edema. Then again, not everyone with Fuchs Dystrophy is destined to develop corneal swelling. So how do we determine which patients are at increased risk of corneal decompensation? How do we know which Fuchs patients warrant co...
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May 21, 2025 • 26 mins
With so may IOP-lowering drops on the market, it can be challenging to know which is the most appropriate drop to start a patient on for glaucoma. How does one choose between the variety of prostaglandin analogs, beta blockers, alpha agonists and carbonic anhydrase inhibitors that are available? When whould one choose monoterapy vs combination therapies? How do the drops' side effect profiles influence one's first choice on whic...
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April 15, 2025 • 32 mins
With the arrival of Eyezirgan (commercial available topical ganciclovir), we now have a more readily accessible preservative-free option for treatment of HSV. So why is Eyezirgan a potentially important new player on the market? How does one decide between oral or topical treatments for HSV, and is there a longer-term role for antivirals in the treatment of Zoster, in addition to just HSV? Dr. Parwez Hossain joins the podcast.
Th...
Th...
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March 27, 2025 • 22 mins
Giant Cell Arteritis (GCA) is one of the most dreaded diagnoses in ophthalmology; not only can it cause vision loss, but it can also be life threatening. So what is the threshold for going down the 'GCA diagnostic path'? When should one order an ESR and CRP? When is the concern high enough to warrant a temporal artery biopsy, and when should steroids be started? How is temporal artery biopsy changing our diagnostic alogirthm. D...
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March 6, 2025 • 27 mins
While the terms 'tech' and 'AI' might seem overwhelming to the average ophthalmologist and optometrist, the reality is that the future of medicine will certainly be intertwined with these technologies. So what exactly is 'health tech' in the context of eye care? Dr. Lisa Jagan is the founder of Lid Express, an online platform that allows patients to submit photos of eyelid lesions to be reviewed by a team of oculopplastic surgeon...
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February 12, 2025 • 30 mins
As preservative-free eye drops become more common, one has to wonder why it is so important to reduce our use of preservatives. What kind of toxicity do preservatives wreak on the eye? And without preservatives, are eye drops still as effective and resistant to infection? Especially in the realms of dry eye and glaucoma, how have preservative free drops started to change the landscape, and what can we expect moving forward? Denm...
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January 29, 2025 • 31 mins
Acanthamoeba keratitis can be one of the most devastating diagnoses in ophthalmology, as it can wreak havoc on the cornea unlike few other microbes. On the same token, if caught early, acanthamoeba can be treated quite efficiently and effectively, and patients can have minimal, if any, long-term visual sequelae. Given acanthamoeba is such a dreaded diagnosis, just the thought of it can invoke fear into the ophthalmologist. And w...
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January 8, 2025 • 22 mins
For decades now, we have been able to offer anti-VEGF treatments to patients with wet AMD. Yet for dry AMD, there have been few options we can recommend to our patients outside of AREDS formulations and lifestyle modifications. But with newer scientific advances, there are indeed new classes of injectable medications that are now being offered to some patients wtih dry AMD. Retinal specialist Dr. Ashkan Abbey joins the podcast t...
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November 13, 2024 • 28 mins
The Light Adjustable Lens (LAL) has taken the refractive world by storm over the past couple of years, with an excitement that rivals the enthusaism for the latest multifocals or EDOFs to come on the market. So what's all the hype? How does this lens actually work? And even if the refractive results are impressive, do patients really want to wear UV-blocking lenses for weeks following surgery? Is the time and cost investment wo...
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October 10, 2024 • 36 mins
One of the most common clinical presentations to ophthalmologist is 'the eyelid lesion'. While sometimes it might seem obvious what the diagnosis is, other times it's tough to make a spot diagnosis or even to decipher whether the lesion is concerning or not. So what are some helpful examination tips to help us discern the benign from the malignant? Oculoplastics specialist Dr. Lisa Jagan joins the podcast to share an effective a...
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September 11, 2024 • 25 mins
Extended depth of focus (EDOF) lenses have transofmed the intraocular lens (IOL) landscape. As opposed to the binary choice of a monofocal or a multifocal IOL, there is an 'in-between' option that allows for more intermediate vision than monofocal lenses but less dysphotopsias than the mutifocal lenses. How do these lenses work, how should we explain them to patients, and what are the factors that guide our decisions on lens sele...
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