Autoimmune thyroid conditions like Hashimoto’s disease and Graves disease affect millions globally, often silently disrupting hormonal balance and overall well-being. Though commonly overlooked or misdiagnosed, these conditions can have a profound impact on energy levels, weight, cardiovascular health, gut function, mental clarity, and even vision. In Episode 10 of the IQ Podcast titled Eye on Thyroid – Natural Approaches, Dr. Rudrani Banik sits down with renowned functional medicine expert Dr. Eric Osansky to explore integrative, root-cause strategies for understanding and managing these prevalent disorders.

“There’s always a cause. It might be complex and involve multiple factors—but there is always a root cause worth finding.” — Dr. Eric Osansky

Autoimmune thyroid conditions are far from rare. In fact, up to 15% of women and 5% of men may experience some form of thyroid autoimmunity during their lifetime. Hashimoto’s disease typically results in hypothyroidism (underactive thyroid), while Graves disease leads to hyperthyroidism (overactive thyroid).

Graves disease, in particular, often manifests with a constellation of symptoms including:

Despite the widespread nature of these symptoms, many patients go undiagnosed or are treated only symptomatically.

Traditional medicine often focuses on symptom management—using medications like thyroid hormone replacement or antithyroid drugs. Functional medicine, in contrast, seeks to identify and treat the underlying root causes of disease.

As Dr. Osansky explains: “Functional medicine is about addressing the why, not just the what. We look at the body as an interconnected system—adrenals, gut, stress, toxins—all play a role in thyroid health.”

Through his own experience being diagnosed with Graves disease in 2008, Dr. Osansky discovered the power of an integrative, natural approach. Since entering remission in 2009, he has dedicated his career to helping others do the same.

Many patients are told their thyroid is “fine” based on a single TSH (thyroid-stimulating hormone) test. However, diagnosing autoimmune thyroid disorders requires a more comprehensive panel. Important markers include:

Without these markers, autoimmune conditions can be easily missed.

Dr. Osansky emphasizes that autoimmune thyroid disorders don’t occur in a vacuum. They’re often triggered by one or more of the following:

Functional medicine testing can include:

While these may not be ordered by conventional practitioners, they are key tools in an integrative approach.

Nutrition plays a foundational role in reversing thyroid autoimmunity. Dr. Osansky recommends a temporary elimination diet such as the Autoimmune Protocol (AIP) or Paleo to identify food triggers.

Common culprits include:

Dr. Banik points out that these therapeutic diets are typically followed for around three months, which aligns with the lifespan of immune cells. Afterward, foods can be reintroduced one at a time to assess reactivity.

The gut-thyroid connection is critical. Up to 70–80% of the immune system resides in the gut. Healing the gut often leads to improvements in thyroid symptoms. Dr. Osansky recommends the Five R Protocol for gut repair:

While some patients may start with dietary changes, supplements, and lifestyle modifications on their own, Dr. Osansky urges individuals to partner with a knowledgeable provider—especially when symptoms persist or lab results are unclear.

Resources like IFM.org (Institute for Functional Medicine) can help patients locate certified practitioners in their area.

Autoimmune thyroid conditions can be daunting—but they are not a life sentence. With the right tools, testing, and guidance, remission and long-term health are achievable. “There is hope. Medication may be part of the journey, but understanding and addressing the root causes—that’s how lasting healing happens.” — Dr. Eric Osansky

For eye care professionals, it’s crucial to stay attuned to thyroid-related symptoms—especially when patients present with unexplained vision changes, fatigue, or systemic issues. Encouraging comprehensive testing and collaborative care can make all the difference.

Is Arkansas the best place to practice optometry in the United States? Thanks to a groundbreaking new law targeting Vision Benefit Manager abuse, the state has made a powerful case. On February 25, 2024, Governor Sarah Huckabee Sanders signed Act 142 into law—legislation designed to protect optometrists and their patients from anti-competitive practices orchestrated by Vision Benefit Managers (VBMs).

This landmark win, celebrated by the American Optometric Association (AOA), is more than a local victory. It’s a national blueprint for reform—one that champions fairness, transparency, and patient-centered care. In a recent episode of Defocus Media, co-hosts Dr. Darryl Glover and Dr. Jennifer Lyerly sat down with two key figures behind the movement: Dr. Matt Jones, the 2024 AOA Optometrist of the Year, and Dr. Curtis Ono of the AOA, to explore how Arkansas led the charge and what it means for the future of optometry.

Act 142 passed with near-unanimous support—96–0 in the Arkansas House and 28–1 in the Senate. But behind that seamless result was a highly strategic campaign built over years. The law directly addresses long-standing concerns with Vision Benefit Manager practices that have negatively impacted both providers and patients. Key components of the law include:

“This is a very sweeping bill,” said Dr. Lyerly. “Many states would feel like getting even one or two of these provisions passed would be a huge win.”

The Arkansas law isn’t just an economic reform—it’s a powerful statement about access to care. Vision Benefit Managers have often structured plans in ways that limit provider participation, particularly in rural areas where reimbursement rates are unsustainably low.

“All of this is about patient care,” said Dr. Curtis Ono. “It’s about not breaking and not interrupting that doctor-patient relationship.”

Dr. Matt Jones, who practices in the Mississippi Delta region of Arkansas, echoed that sentiment. “I sign up for every vision plan—not because it’s good for business, but because that’s what my patients have,” he shared. The law ensures doctors like Dr. Jones aren’t penalized for putting patients first.

So how did Arkansas achieve such an overwhelming victory against powerful Vision Benefit Manager lobbying? The answer lies in grassroots advocacy and long-standing relationships.

“This wasn’t a surprise attack,” said Dr. Jones. “It was a well-executed strategy.” Advocacy began months in advance, with conversations at the state and federal levels. Crucially, optometrists educated lawmakers—many of whom didn’t understand the full scope of Vision Benefit Manager influence or even the distinctions between eye care providers.

Dr. Darryl Glover emphasized the importance of forming local connections. “The best way to advocate for our profession is in that exam lane,” he said. “You never know who that patient is… They could be a legislator, a judge, or a key community leader.”

At the heart of Act 142 is a simple but profound change: Vision Benefit Managers must reimburse fairly. For years, reimbursement rates stagnated—many falling below Medicaid levels.

“When we told legislators how low the reimbursement rates were, they were shocked,” Dr. Jones explained. “They couldn’t believe there hadn’t been increases in years.” This provision helps ensure optometrists can continue accepting plans without incurring financial losses—ultimately protecting patient access.

The bill also ends retroactive clawbacks, where Vision Benefit Managers demand repayment months after services are rendered. “If they’re eligible the day we check, we should be paid—and that’s now protected by law,” said Dr. Jones.

With Texas, Oklahoma, and now Arkansas leading the way, the movement for Vision Benefit Manager reform is gaining momentum.

“We’re seeing what happened in the therapeutic law battles years ago,” said Dr. Ono. “Once a few states succeeded, the rest followed.” Currently:

These legislative wins send a message: the status quo with Vision Benefit Managers is no longer acceptable.

Dr. Ono encourages optometrists nationwide to get involved: “Relationships and advocacy matter. The AOA and SGRC (State Governmental Relations Committee) are here to help other states take that next step.”

The passing of Arkansas’s Vision Benefit Manager reform law marks a pivotal turning point for the profession. It’s a call to action—for fairness, access, and unity across optometry.

“This is how we protect the future of our profession,” said Dr. Jones. “We’ve shown that optometrists can organize, educate, and drive change that benefits both providers and patients.”

As states across the country look to Arkansas for guidance, one thing is clear: when optometrists come together, informed and united, real change is not only possible—it’s inevitable.

In the evolving landscape of optometry, behavioral binocular vision (BV) experts play a crucial role in reshaping how eye care professionals approach vision-related challenges. Traditional optometry has long focused on visual acuity, prescribing glasses and contact lenses to correct refractive errors. However, BV experts look beyond clarity of vision, addressing the underlying binocular dysfunctions that can impact daily life. Their approach is often misunderstood, with many perceiving it as unconventional or even “magic.” Yet, through rigorous training and clinical experience, BV specialists have demonstrated that their methodologies can significantly enhance patient outcomes.

One such expert is Dr. Amrit Bilkhu, a leading optometrist specializing in pediatric care and binocular vision. As co-owner of Northern Sight Optometry and a recognized authority in vision therapy, Dr. Bilkhu has dedicated her career to uncovering the root causes of binocular dysfunction and helping patients achieve optimal visual comfort. Her insights challenge conventional approaches and provide new pathways for managing pediatric vision care and myopia control.

Binocular vision is the ability of both eyes to work together as a coordinated system. Dysfunction in this system can lead to various symptoms, including headaches, eye strain, reading difficulties, and even behavioral issues in children. BV experts focus on diagnosing and treating these dysfunctions through a combination of specialized lenses, vision therapy, and functional optometric principles.

Dr. Amrit Bilkhu, a leading optometrist specializing in pediatric care and binocular vision, explains:
“What traditional optometry often misses is the reason behind a child’s refractive error. Instead of merely prescribing stronger lenses, we need to ask—why is their myopia progressing? Why does their visual system struggle with near work? Addressing these root causes allows us to make a real impact on their vision and overall well-being.”

Despite its effectiveness, BV optometry remains a niche area, often viewed skeptically by traditional practitioners. The divide stems from several factors:

Dr. Harbir Sian, shares his initial skepticism. “I used to think BV was this mysterious realm of optometry—something that only a select few understood. But once I started referring patients and seeing their progress, I realized there’s so much more to vision care than just 20/20 acuity.”

Many patients experience symptoms such as headaches, blurred vision, or double vision despite having a “perfect” prescription. BV experts analyze how the eyes function together, prescribing lenses that alleviate strain rather than merely maximizing acuity.

Children with reading difficulties, attention issues, or frequent prescription changes may benefit significantly from BV assessments. Traditional optometry often prescribes stronger lenses for myopic progression, whereas BV experts might recommend low-plus reading glasses or bifocals to reduce accommodative stress.

While mainstream myopia management focuses on atropine drops, ortho-k, and peripheral defocus lenses, BV optometrists take a functional approach. They prescribe reading glasses to alleviate near stress, potentially stabilizing or even reversing early myopia development.

Instead of solely relying on patching, BV specialists use techniques that enhance binocular function, often achieving better long-term outcomes. These approaches emphasize integration rather than suppression of the weaker eye.

Despite the reluctance of many traditional optometrists to embrace BV, increased education and collaboration can help bridge the gap. Dr. Bilkhu emphasizes:
“BV isn’t magic—it’s just a different way of looking at vision. The more primary care optometrists understand these concepts, the better equipped they’ll be to identify patients who need specialized care.”

Stay tuned to more episodes of the 2020 podcast here.

Branding is more than just logos and slogans; it’s about sharing a story that resonates with patients on a deeper level. In a recent episode of Defocus Media, Dr. Darryl Glover spoke with Dr. Angelica Cifuentes, an optometrist known worldwide for her authentic and impactful personal brand. Dr. Cifuentes shared her top three branding tips that every eye care professional should embrace to build a powerful and authentic brand. These tips focus on the power of storytelling, the importance of social media, and the unmatched value of authenticity.

In this article, Defocus Media dives into these top three tips, providing actionable strategies for eye care professionals looking to elevate their brand.

According to Dr. Cifuentes, one of the most powerful tools in branding is personal storytelling. Patients connect not just with the services offered but with the journey behind those services. Sharing your story helps humanize your brand, making it relatable and trustworthy.

To effectively share your story, start by reflecting on the pivotal moments that defined your career in optometry. Maybe it was a challenging case that reignited your passion or a personal experience that emphasized the importance of vision care. By weaving these stories into your social media posts, blog articles, or patient interactions, you can create an emotional connection that sets your brand apart.

Dr. Cifuentes also emphasized that every story is unique, and that uniqueness is a brand’s greatest asset. Eye care professionals should embrace their individual journeys without the pressure of appearing perfect. Authenticity in storytelling not only attracts patients but also strengthens their loyalty to your brand.

Key Takeaway: Share personal experiences that highlight your journey in optometry. Authentic stories build trust and make your brand more relatable.

In today’s digital age, having a strong social media presence is essential for brand growth. Dr. Cifuentes highlighted the power of platforms like Instagram, Facebook, and LinkedIn for reaching a broader audience. Social media isn’t just a place to share updates—it’s a tool to educate, engage, and build credibility.

Consistency is crucial. Maintaining a regular posting schedule helps keep your audience engaged and positions you as an active and reliable source of information. Eye care professionals should focus on a mix of content, including educational tips, patient success stories, and behind-the-scenes glimpses into their practice.

Dr. Cifuentes also stressed the importance of video content. Instagram Reels, LinkedIn videos, and YouTube are powerful platforms for sharing quick tips, explaining eye care procedures, or showcasing patient transformations. Videos create a more personal connection and are proven to increase engagement.

Addressing common patient concerns is another effective strategy. Creating short, informative posts about managing dry eyes, the importance of routine eye exams, or tips for choosing the right lenses can position you as an expert in the field. This approach not only educates your audience but also builds trust.

Key Takeaway: Use social media consistently to educate and engage your audience. Video content, regular posts, and addressing common patient questions can significantly enhance your brand’s credibility.

Authenticity was at the core of Dr. Cifuentes’ branding advice. In a world where patients can often detect inauthenticity instantly, being genuine is a powerful advantage. Authentic branding isn’t about showcasing a perfect image but embracing both your strengths and imperfections.

Eye care professionals can showcase authenticity by sharing real-life experiences, patient success stories, and even the challenges of running a practice. Dr. Cifuentes emphasized that being transparent about both the ups and downs of the profession not only humanizes your brand but also makes it more relatable.

Language is also key to authenticity. Speaking in a simple, relatable tone instead of medical jargon helps bridge the gap between professionals and patients. This approach makes information more accessible and builds stronger connections.

Moreover, authenticity attracts the right patients—those who value transparency and genuine care. For eye care professionals, this means a patient base that is not only loyal but also more likely to refer others based on positive experiences.

Key Takeaway: Authenticity isn’t about perfection. Embrace your strengths and imperfections openly. Authentic brands build stronger connections and attract more loyal patients.

Building a powerful brand as an eye care professional goes beyond clinical expertise—it’s about storytelling, leveraging social media, and embracing authenticity. Dr. Cifuentes’ top three tips offer a clear path for optometrists looking to build a brand that resonates with patients both inside and outside the exam lane.

In this episode of the Eye – Q Podcast, Dr. Rudrani Banik welcomes Ashley Koff, a renowned registered dietitian and founder of the Better Nutrition Program, to discuss the pivotal role of GLP-1 medications in managing diabetes, weight loss, and metabolic health. With her extensive experience in personalized nutrition, Ashley delves into how GLP-1 receptor agonists like semaglutide (Ozempic, Wegovy) are transforming diabetes management, and why eye care professionals should consider these medications’ effects on overall health, including eye health. The conversation explores how these treatments work, their potential impact on ocular health, and how nutrition and lifestyle choices can optimize their benefits.

GLP-1 (glucagon-like peptide-1) is an incretin hormone that plays a critical role in regulating insulin and glucose metabolism. In healthy individuals, GLP-1 is released after food consumption, particularly in response to proteins and fats, signaling satiety and stimulating insulin secretion. However, in many patients, especially those with diabetes, GLP-1 signaling can be dysfunctional or delayed.

Dr. Rudrani Banik, an integrative neuro-ophthalmologist, explains, “The GLP-1 hormone acts like a switch, activating a cascade of metabolic processes that regulate hunger, insulin production, and blood sugar control. Unfortunately, for many people, that switch is either delayed or suppressed due to diet, genetics, or environmental factors.”

GLP-1 receptor agonists are synthetic versions of the naturally occurring GLP-1 hormone. These medications work by mimicking the effects of GLP-1 in the body, leading to enhanced insulin secretion, reduced glucagon production, and increased satiety, thereby improving blood sugar control and promoting weight loss. This is particularly beneficial for individuals with Type 2 diabetes, who often struggle with insulin resistance.

Ashley Koff, a registered dietitian and founder of the Better Nutrition Program, shares, “GLP-1 medications are essentially a 24/7 supply of the GLP-1 hormone. While the body’s natural release of GLP-1 occurs briefly and only when food is present, these medications flood the system, leading to sustained metabolic effects. This is why people experience weight loss and improved blood sugar control.”

However, as Dr. Banik points out, “The flood of GLP-1 signaling can sometimes overwhelm the body, leading to side effects such as gastrointestinal distress or even delayed gastric emptying. For some patients, this can also affect nutrient absorption, which is crucial for eye health.” This brings us to the importance of considering the full range of effects GLP-1 medications can have on patient health, particularly in managing chronic conditions such as diabetic retinopathy.

One of the primary concerns with poorly managed diabetes is its impact on the eyes, particularly in the development of diabetic retinopathy. High blood sugar levels lead to blood vessel damage in the retina, which can result in vision loss. GLP-1 receptor agonists help lower blood glucose levels, which can directly benefit patients with diabetic retinopathy by reducing the likelihood of further damage to the retinal blood vessels.

However, there is emerging research suggesting potential risks associated with GLP-1 medications. For example, a recent study indicated a possible link between GLP-1 use and an increased risk of an eye stroke, or optic neuropathy, especially in individuals with pre-existing anatomical risk factors such as a crowded optic nerve. This study, published in a large Massachusetts database, highlights the need for eye care professionals to be vigilant when treating patients on GLP-1 medications.

Dr. Banik notes, “While GLP-1 medications can improve glycemic control and reduce the progression of diabetic retinopathy, there is emerging evidence that they may be associated with a type of eye stroke. It’s crucial for eye care professionals to monitor patients on these medications closely and consider their individual risk factors.”

While GLP-1 medications offer significant benefits, they are not a cure-all. Patients taking these medications should also focus on optimizing their overall health through dietary changes, physical activity, and gut health. Ashley Koff highlights the importance of this comprehensive approach: “GLP-1 medications can act as a powerful tool, but they are not a substitute for the foundational work that needs to happen with nutrition, digestion, and lifestyle changes.”

Koff emphasizes the role of better nutrition in supporting the body’s natural GLP-1 production: “By improving digestion and ensuring the body has the nutrients it needs, patients can enhance their metabolic switch and optimize the effectiveness of GLP-1 medications.” Furthermore, she stresses that practitioners should not overlook gut health when managing patients with diabetes, as the gut plays a pivotal role in GLP-1 production.

For eye care professionals managing patients on GLP-1 receptor agonists, a holistic, patient-centered approach is essential. Here are some practical steps to consider:

In the fast-paced world of optometry, achieving the perfect balance between clarity, comfort, and performance is more important than ever. Leading this charge is the Varilux Physio Extensee—a revolutionary progressive lens that harnesses artificial intelligence (AI) to redefine the vision experience. Unlike traditional lenses, the Varilux Physio Extensee doesn’t just improve sight; it transforms how patients interact with their world, offering sharper focus, smoother transitions, and unparalleled performance in challenging lighting conditions.

By combining AI-driven enhancements with decades of optical expertise, this lens delivers a personalized visual experience that adapts seamlessly to modern life. Let’s explore how the Varilux Physio Extensee is setting a new standard for what progressive lenses can achieve.

One of the most remarkable aspects of the Varilux Physio Extensee is its patient-centric approach. Developed in response to direct feedback from both patients and eye care professionals, this lens is designed to solve the real-world problems that matter most to users. Issues like poor performance in low light and difficulty reading small text were prioritized, ensuring that the final product would deliver meaningful improvements in day-to-day life. This commitment to listening and adapting has not only resulted in a more effective lens but has also fostered greater trust between patients and their eye care providers. By prioritizing user feedback, Varilux has created a product that feels intuitive and responsive to wearers’ needs.

Progressive lenses have come a long way since their inception, evolving from simple multifocal solutions to sophisticated, data-driven devices designed for the complexities of modern living. The Varilux brand has been at the forefront of this evolution, pushing the boundaries of what’s possible in lens technology. With the launch of the Varilux Physio Extensee, this tradition continues—offering a lens that not only enhances vision but does so with a level of precision and personalization that sets it apart. Unlike conventional lenses that can leave wearers struggling with blurred edges or difficulty in low-light conditions, the Varilux Physio Extensee uses AI to adapt to each wearer’s unique visual needs, ensuring clarity and comfort at every distance. This blend of advanced technology and user-focused design redefines what patients can expect from their eyewear.

At the heart of the Varilux Physio Extensee’s performance is its cutting-edge AI technology, which continuously optimizes light transmission based on real-time data. This AI-driven approach allows the lens to manage aberrations more effectively, providing sharper vision and improved contrast, particularly in low-light environments. By learning from and adapting to how the human eye responds to different lighting conditions, the Varilux Physio Extensee offers a level of precision previously unattainable with traditional progressive lenses. For patients, this means fewer frustrating adjustments, clearer vision throughout the day, and a more natural visual experience. For eye care professionals, the ability to offer such a sophisticated solution not only enhances patient satisfaction but also positions their practice as a leader in innovative vision care.

Low-light conditions are notoriously challenging for progressive lens users, often resulting in glare, poor contrast, and increased eye strain. The Varilux Physio Extensee directly addresses these issues with its AI-enhanced light management system, which continuously adjusts to provide the optimal balance of clarity and comfort. By enhancing contrast and reducing glare, these lenses make it easier for wearers to navigate dimly lit environments—whether it’s reading a menu at a cozy restaurant, driving at night, or working late on a screen. This focus on real-world challenges is a testament to Varilux’s commitment to delivering practical, meaningful benefits for patients. Eye care professionals can confidently recommend the Varilux Physio Extensee to patients who prioritize versatility and performance in their eyewear.

With the increasing reliance on digital devices, reading comfort has never been more crucial. The Varilux Physio Extensee’s Dual Booster technology responds to this need by enhancing the reading zone with up to 20% magnification. This feature ensures that even the smallest text on screens or printed materials is crisp and easy to read, reducing the strain and frustration that often come with reading small print. This magnification boost is especially beneficial for individuals who spend significant time on digital devices—a demographic that spans from young professionals to seniors. By offering a dedicated enhancement for reading, the Varilux Physio Extensee not only alleviates the symptoms of digital eye strain but also simplifies daily tasks like reading emails, browsing the web, or enjoying a favorite book. The seamless integration of this technology into the lens design means that users can move effortlessly between different focal points without experiencing the “swim effect” or peripheral distortions that are common with less advanced progressive lenses. This commitment to a smooth and comfortable visual experience underscores the Varilux Physio Extensee’s position as a leader in the field.

The Varilux Physio Extensee represents a bold step forward in the evolution of progressive lenses—where AI technology, user-centric design, and real-world performance come together to offer a truly personalized vision experience. Its ability to adapt dynamically to different lighting conditions and magnify reading zones seamlessly sets it apart as a top choice for both patients and practitioners. As the demand for smarter, more adaptable vision solutions continues to grow, the Varilux Physio Extensee serves as a powerful example of what the future holds. For patients seeking clarity, comfort, and convenience, and for eye care professionals aiming to deliver the best in vision care, this lens is a clear winner.

Entrepreneurship in the eye care industry is rapidly evolving, with optometrists increasingly stepping beyond the traditional exam lane to build impactful businesses. One such example is Dr. Brianna Rhue, co-founder of Dr. Contact Lens, a platform designed to simplify contact lens ordering and enhance patient retention.

Dr. Rhue’s expertise in integrating technology with patient care has positioned her as a leading voice in eye care entrepreneurship. During a recent Defocus Media podcast episode, Dr. Darryl Glover interviewed Dr. Rhue, who shared valuable insights into entrepreneurship based on her personal experiences. This summary highlights the key takeaways from their conversation, offering practical tips for eye care professionals.

Drawing from her extensive experience, Dr. Rhue provided actionable advice for optometrists looking to thrive as entrepreneurs. Her insights were grounded in real-world experiences, making them both relatable and highly practical.

The conversation explored how to build and lead effective teams, maintain consistency amidst challenges, and adopt a proactive mindset in business. Here are the top three tips shared by Dr. Rhue to help eye care professionals elevate their entrepreneurial game.

Dr. Brianna Rhue emphasized the importance of adopting an entrepreneurial mindset that balances clinical expertise with business acumen. According to Dr. Rhue, optometrists must view their practices as tech-enabled businesses rather than solely healthcare facilities. This perspective allows them to explore new revenue streams and enhance patient experiences. As Dr. Rhue mentioned, “As optometrists, we must realize we are not just healthcare providers but also tech companies that practice optometry.”

Dr. Rhue highlighted the significance of building a reliable team and mastering the art of delegation. Effective leadership involves inspiring a shared vision, setting clear expectations, and fostering a culture of accountability.

Delegating tasks based on team members’ strengths not only maximizes efficiency but also empowers them to make informed decisions. Dr. Rhue emphasized that a strong team can significantly alleviate the burdens of entrepreneurship.

She shared her personal experience of redefining delegation after realizing her practice could thrive even during her maternity leave. By trusting her team and allowing them to handle tasks at least 51% as well as she would, Dr. Rhue demonstrated the power of letting go and focusing on higher-value activities.

Success in entrepreneurship requires patience and a long-term vision. Dr. Rhue emphasized the importance of consistency in daily routines, maintaining high standards of patient care, and continuously refining business processes.

This approach ensures steady progress and helps manage the highs and lows of entrepreneurship. She highlighted the necessity of showing up every day and avoiding the emotional rollercoaster that often accompanies running a business.

Dr. Rhue also introduced the concept of her “Chief Soul Officer,” who helps maintain her flow by managing tasks and reducing distractions. This illustrates the importance of protecting one’s energy and focus.

Adopting a proactive approach to decision-making is crucial. Dr. Rhue’s analogy of being the shark in ‘Shark Tank’ underscores the need for optometrists to master negotiation skills and stay ahead of market trends.

She urged optometrists to recognize their power when dealing with vendors, colleagues, and even patients. By asking better questions and approaching situations with a strategic mindset, optometrists can transform their practices into formidable businesses.

Dr. Rhue’s introduction of the “The Eye Pitch Book” workbook serves as a tool to help optometrists refine their pitch and improve decision-making processes.

Entrepreneurship in eye care is about balancing clinical expertise with strategic business acumen. By embracing these tips, eye care professionals can successfully navigate the entrepreneurial journey and build sustainable, growth-oriented practices.

Electroretinography (ERG) has emerged as a transformative tool in optometric practice, enabling eye care professionals to assess retinal function with unprecedented accuracy. In a recent podcast episode, Dr. Chris Lievens and Dr. Timothy Earley delved into the evolving role of ERG in managing chronic eye diseases, particularly diabetic retinopathy. This article explores the insights shared during their conversation, focusing on the practical applications of ERG, its impact on patient care, and its future potential in optometry.

Electroretinography (ERG) is a diagnostic test that measures the electrical responses of various cell types in the retina, including photoreceptors, inner retinal cells, and ganglion cells. ERG serves as a functional assessment, akin to an EKG for the eyes, providing critical information about retinal health that structural imaging alone cannot reveal.

This ability to assess retinal function makes ERG particularly valuable in monitoring diseases like diabetic retinopathy, macular degeneration, and other chronic conditions that can impact vision.

Traditionally, ERG was confined to research settings due to the complexity of the equipment and testing protocols. However, advancements have led to the development of more practical, handheld ERG devices that integrate seamlessly into everyday optometric practice.

Dr. Earley highlighted how these newer devices simplify the testing process:

1. Monitoring Diabetic Retinopathy
ERG’s ability to generate a Diabetic Retinopathy (DR) score allows optometrists to track disease progression objectively. A DR score combines data from signal strength, speed, and pupil response, offering a quantifiable metric to assess the likelihood of needing retinal interventions.

2. Detecting Functional Deficits in AMD (Age-Related Macular Degeneration)
While structural imaging focuses on visible changes, ERG can detect functional deficits in the retina that precede visible damage. This makes it an invaluable tool for early intervention in conditions like AMD.

3. Beyond Diabetes and AMD: Emerging Uses

A common misconception is that ERG and Optical Coherence Tomography (OCT) are redundant. While OCT excels in assessing structural changes, ERG provides a functional assessment, allowing optometrists to correlate structure with function.

The combination of OCT and ERG enables a comprehensive evaluation, particularly in chronic diseases like diabetic retinopathy and AMD, where structure-function disparity is common.

1. Expanding Protocols:
Current research is exploring the adaptation of ERG protocols for other retinal diseases and systemic conditions impacting ocular health.

2. Enhancing Accessibility:
The development of user-friendly, handheld ERG devices is democratizing access to advanced retinal diagnostics for smaller practices.

3. Standardization and Training:
As ERG becomes more integrated into routine care, standardizing protocols and ensuring adequate training for optometric technicians will be crucial.

4. Insurance and Reimbursement:
ERG testing is reimbursable under multiple CPT codes, making it a financially viable addition to practice. However, ongoing advocacy is needed to expand insurance coverage for newer protocols.

In eye care, innovation is the key to improving patient outcomes and the overall experience. With the recent FDA clearance of Nuance Audio Glasses, eye care professionals and audiologists now have a powerful tool to address vision and mild to moderate hearing loss. This breakthrough technology combines the convenience of eyewear with advanced audio capabilities, offering a discreet and effective solution for millions of patients.

For the 60 million adults in the U.S. who experience self-perceived mild to moderate hearing loss, but hesitate to use traditional hearing aids, Nuance Audio presents a game-changing alternative. By seamlessly integrating audio enhancements into eyewear, these glasses eliminate the stigma often associated with hearing aids while providing superior sound quality and clarity.

In this article, we will explore the top four reasons why Nuance Audio Glasses are a must-have for eye care practices aiming to provide comprehensive and inclusive care.

For patients with mild to moderate hearing loss, the stigma of wearing traditional hearing aids is a significant barrier. Nuance Audio Glasses provide a discreet alternative by integrating hearing assistance into a familiar accessory—eyewear. According to Dr. Beck, a world-renowned audiologist, the glasses effectively eliminate the stigma, making it easier for patients to seek treatment.

The ability to hear better without drawing attention to a hearing device not only boosts confidence but also encourages more patients to address their hearing needs. This innovative approach aligns with the growing demand for over-the-counter solutions that simplify access to care.

One of the standout features of Nuance Audio Glasses is their ability to improve the signal-to-noise ratio, making it easier for users to focus on conversations even in noisy environments. Dr. Beck highlighted that the technology significantly enhances speech clarity, which is particularly beneficial for patients who struggle in settings like busy clinics or public places.

This feature transforms the way patients experience both vision and hearing care, providing a comprehensive solution that caters to multiple senses simultaneously. For eye care professionals, integrating Nuance Audio Glasses into their practice means offering an advanced solution that addresses a broader range of sensory challenges.

Stigma remains a significant obstacle in hearing care, with only 10% of adults with self-perceived mild to moderate hearing loss choosing to wear hearing aids. Nuance Audio Glasses tackle this issue directly by presenting a stylish and inconspicuous solution that blends seamlessly with a patient’s everyday attire.

Dr. Glover emphasized that removing the stigma associated with hearing aids could revolutionize patient willingness to seek care. The glasses’ sleek design ensures that patients can enjoy the benefits of enhanced hearing without feeling self-conscious. This innovative approach not only supports hearing health but also aligns with a more inclusive model of care.

By incorporating hearing solutions into their practice, optometrists can significantly expand their role in patient care. Nuance Audio Glasses allow eye care professionals to become comprehensive health providers, addressing both vision and mild to moderate hearing loss. This dual capability positions optometrists as gatekeepers to a broader spectrum of care, enhancing their value to patients.

As Dr. Beck pointed out, the connection between vision, hearing, and cognitive health is becoming increasingly important. Offering Nuance Audio Glasses can help practices differentiate themselves, attract a wider demographic, and improve overall patient satisfaction.

Nuance Audio Glasses are redefining the way eye care professionals approach mild to moderate hearing loss. With a discreet design, improved signal-to-noise ratio, and the ability to eliminate hearing aid stigma, these glasses significantly advance patient care. For practices looking to stay ahead of the curve, adopting Nuance Audio Glasses is a strategic move that enhances both patient satisfaction and practice growth.

In this episode, the hosts discuss various topics related to optometry, including the impact of recent fires on their community, the transition to refraction-only practices, and the importance of patient education regarding eye health. They explore the evolving standard of care in optometry, the role of technology like OCT and Optos, and the challenges faced when patients decline dilation. The conversation emphasizes the need for effective communication and education to ensure patients understand the importance of comprehensive eye care.