The Oculofacial Podcast

If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast

Podcast Guests:

Dr. Evan Kalin-Hajdu - Assistant Professor of Ophthalmology at the University of Montreal. Dr. Kalin-Hajdu is the host of the current "Oculofacial Podcast Journal Club".

Dr. Bryan J. Winn - Professor of Ophthalmology and Vice Chair and Division Director for Oculofacial Plastic Surgery at UCSF. He also serves as the Chief of Ophthalmology at the San Francisco VA Healthcare System.

Dr. Davin Ashraf - Assistant Professor of Ophthalmology at Oregon Health & Science University (OHSU).

Dr. Kyle J. Godfrey - Assistant Professor of Ophthalmology at Weill Cornell Medicine and the New York Presbyterian Hospital. He is also the Director of the Ophthalmology Residency Program and a member of the Departments of Ophthalmology and Neurological Surgery.

Episode Summary:

Dr. Evan Kalin-Hajdu is joined by Dr. Bryan J. Winn, Dr. Davin Ashraf, and Dr. Kyle J. Godfrey to discuss three key articles from the May-June 2024 issue of the Ophthalmic Plastic and Reconstructive Surgery (OPRS) journal. Their discussions center on short-term versus long-term results of teprotumumab, a more tailored approach to the management of thyroid eye disease, and the nuances of increasingly popular transorbital surgery.

Dr. Winn begins by summarizing an article on teprotumumab for recalcitrant thyroid eye disease. The panelists then discuss the strengths and weaknesses of the paper, highlighting the medication's short-term effectiveness but raising concerns about its long-term durability. Dr. Ashraf then provides insights into a study that compared teprotumumab versus orbital decompression for thyroid eye disease, highlighting the likely additive effects of these combined treatments, but also raising compelling points about regression of proptosis that was only observed in the teprotumumab group. Dr. Godfrey then wraps up with an in-depth look at a novel transorbital endoscopic approach to the foramen rotundum for infraorbital nerve stripping, emphasizing the technique's potential utility, risks, and anatomical considerations.

Key Takeaways:

• Teprotumumab demonstrates significant short-term (3 weeks post treatment) efficacy in reducing proptosis and clinical activity scores in recalcitrant thyroid eye disease. However, data on long-term durability in this cohort remains unknown.
• Combining teprotumumab with orbital decompression may provide additive benefits for proptosis reduction. Surgical decompression provides the greatest proptosis reduction and does not appear to regress in time. However, patients treated solely with teprotumumab appear to regress within months of therapy.
• The participants discuss a more evidence-based approach to the management of thyroid eye disease, shifting away from the "one size fits all" model. The approach involves an effective short-term disease modulator, such as teprotumumab, followed by a more effective long-term disease modifier, such as tocilizumab or radiation therapy.
• Introducing a transorbital endoscopic approach for infraorbital nerve stripping could expand the surgical arsenal for managing complex orbital and perineural pathologies.

If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast

About the Guest(s):

• Dr. Sandy Zhang-Nunes: Sandy is a seasoned Oculoplastic Surgeon with approximately ten years of experience at USC. She has published papers on the use of light therapies to treat dry eyes and contributes significantly to the field with her knowledge of aesthetics and laser technologies.
• Dr. Laura Periman: Based in Seattle, Dr. Periman runs a private practice where she specializes in cornea and external disease. Known as the "Dry Eye Master," she leverages her Instagram platform to share extensive knowledge on treating dry eyes with advanced light devices.
• Dr. James Chelnis: Practicing in Manhattan Eye and face and serving as volunteer faculty at Mount Sinai, Dr. Chelnis has spoken on laser technology at prestigious ophthalmology courses. He brings a wealth of experience in private practice to the discussion.
• Dr. Anaïs Carniciu: With valuable practical knowledge in both intense pulse light and broadband light, Dr. Carniciu draws from her background in private practice in Westchester to contribute to the conversation on light therapies for ocular conditions.

Episode Summary:

In this enlightening episode of The Oculofacial Podcast, host Dr. Julie Woodward leads an insightful discussion with four esteemed experts on the innovative use of light therapies for treating dry eye conditions. The talk covers intricate details and theories behind technologies such as intense pulse light (IPL) and broadband light (BBL), unveiling the impact on ocular health.

Diving into the subject matter, Dr. Sandy Zhang-Nunes shares her transitional journey from facial aesthetics to the world of dry eye treatment, highlighting how light therapies have evolved to offer relief to patients. This is paralleled by Dr. Laura Periman's own experiences, who has noticed incidental improvements in dry eyes from aesthetic treatments. Dr. James Chelnis brings a perspective on treating diverse conditions such as thyroid eye disease with light therapies and contemplates the future of these treatments. Lastly, Dr. Anaïs Carniciu discusses the importance of targeting the underlying problems of dry eye with meticulous treatments around the eyelids.

Key Takeaways:

• IPL and BBL are effective light-based treatments for managing dry eye symptoms and meibomian gland dysfunction (MGD).
• There are varying approaches and protocols for treating the eyelid margins, with some experts opting for direct treatment and others focusing on adjacent areas.
• The discussion includes acknowledgment of associated conditions such as blepharospasm and the potential systemic benefits of light therapy in dry eye patients.
• Debates on the use of corneal shields during treatments highlight differing opinions on safety and patient comfort.
• Insurance coverage for light-based dry eye treatments remains a largely out-of-pocket expense for patients, reflecting the ongoing challenge of integrating new modalities into established healthcare systems.

About the Guest(s):

• Dr. Cat Burkat: Acclaimed Oculofacial Plastic Surgeon and host of the podcast, Dr. Cat Burkat serves as Professor at the University of Wisconsin Madison. With a thriving academic and clinical practice, Dr. Burkat is widely recognized for her expertise in the field of oculofacial plastics and has been instrumental in various educational and research initiatives.
• Dr. Evan Black: Esteemed Professor of Ophthalmology at Wayne State University and Oakland University, and in private practice in the Detroit Metro Area, Dr. Evan Black is recognized for his authoritative knowledge and pioneering contributions in oculofacial surgery. His academic endeavors and clinical practice have significantly influenced the discipline.
• Dr. Ken Morgenstern: With dual roles as a private practitioner and an associate professor at Thomas Jefferson University in Philadelphia, Dr. Ken Morgenstern brings vast experience and nuanced insights into facial reconstructive and cosmetic surgery as he also serves as President of the American Society of Ophthalmic Plastic and Reconstructive Surgery.
• Dr. Kristin Tarbet: Based in Seattle, Dr. Kristin Tarbet blends private practice with her role as a clinical professor at the University of Washington. Her personalized approaches to facial aesthetics and rejuvenation have made her a respected figure in the field.
• Dr. David Samimi: Engaged in private practice and serving as an associate professor at USC, Dr. David Samimi's clinical acumen and educational contributions have enriched both his patients' lives and the professional community's knowledge.

Episode Summary:

In this enlightening episode of "T.O.P. - The Oculofacial Podcast," Dr. Cat Burkat shines the spotlight on the intricate world of forehead and brow lifting surgery. The conversation revolves around the diverse methodologies and personal experiences of acclaimed surgeons who navigate the vast terrain of forehead rejuvenation.

Leading experts in oculofacial plastics convene to share their seasoned perspectives and preferred techniques that define the art and science of elevating the forehead and brow aesthetics. They dissect critical considerations, such as the impact of forehead height and hairline on surgical approaches and weigh in on nuanced choices that influence both the functional and cosmetic outcomes of these procedures.

Key Takeaways:

• The height of the forehead and the patient's hairline are pivotal factors in determining the appropriate surgical approach for forehead and brow lifting.
• Approaches to forehead lifting must consider gender-specific nuances to achieve aesthetically pleasing results that align with the patient's facial structure.
• The breadth of techniques, from pretrichial approaches to endoscopic lifts, provides a versatile array of options tailored to individual patient needs and expectations.
• Surgeons have evolved from aggressive muscle alteration techniques to more conservative approaches, focusing on volume conservation and natural contours.
• Volumization, through fat grafting or fillers, plays a significant role in three-dimensional rejuvenation and is considered alongside lifting procedures for comprehensive outcomes.

If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast

About The Guests: - Dr. Morris Hartstein is an ophthalmologist and oculoplastic surgeon, and the founder of Operation Ethiopia, an NGO that provides eye care services in Ethiopia. He has been traveling to Ethiopia since 2014, helping build an extensive program in Gondar and Addis Ababa. - Dr. Seblewongel Eshetu is an oculoplastic surgeon from Ethiopia. She completed her fellowship in oculoplastics with Dr. Hartstein in Israel as part of Operation Ethiopia's Physician Training Program. Dr. Eshetu is currently working at St. Paul's Hospital in Addis Ababa, where she is the first female oculoplastic surgeon in the country.

Episode Summary:

Dr. Cat Burkat interviews Dr. Morris Hartstein who shares his journey of getting involved in global ophthalmology and oculoplastics in Ethiopia. He initially visited Ethiopia with his family on a volunteer trip and was inspired by the level of need and poverty he witnessed. Since then, he has been traveling to Ethiopia multiple times a year, providing eye care services, training residents and fellows, and organizing cataract surgery campaigns. Dr. Hartstein emphasizes the importance of building relationships, understanding the local culture, and going through proper government and medical channels to ensure the success and sustainability of global outreach programs.

At the conclusion of the episode, Dr. Cat Burkat interviews Dr. Seblewongel Eshetu, who shares her experience training in oculoplastics with Dr. Hartstein, which included training both in Israel and Ethiopia. She also describes the challenges she faces as an oculoplastic surgeon in Ethiopia and the importance of sharing surgical skills and knowledge between visiting surgical groups and local physicians. Dr. Eshetu emphasizes the need for advanced materials and instruments to treat patients in Ethiopia, where many cases present in advanced stages. She also highlights the impact of oculoplastic surgery on both patients and their families, as many travel from rural areas and face significant disruptions to their lives. Both Dr. Hartstein and Eshetu conclude by expressing their commitment to teaching and expanding oculoplastic surgery in Ethiopia.

Key Takeaways:

1. Global surgical trips should always respect local culture, traditions, and other providers.

2. Sustainable education and training are the ideal as this allows for local surgeons to continue optimal patient care.

3. Working in global oculoplastics must be properly approached with the government health department, local hospitals, NGOs to provide safe and effective outcomes.

4. Training in oculoplastics in Israel provided Dr. Eshetu with a different perspective and advanced surgical knowledge.

5. The transition back to Ethiopia was challenging due to differences in lighting, instruments, and materials.

6. Sharing surgical skills and knowledge with visiting surgical groups is crucial for advancing oculoplastic surgery in Ethiopia.

7. Access to advanced materials and instruments is essential for treating patients in Ethiopia and similar countries, where many cases present in advanced stages.

8. Oculofacial plastic surgery can have a significant impact on patients, who can then move forward in their daily lives and provide for their families.

If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: https://asoprs.memberclicks.net/podcast#!/

About The Guest(s):

- Dr. Robi N. Maamari: Facial plastic surgeon on faculty at Washington University and the School of Medicine in St. Louis.

- Dr. Chau Pham: Assistant professor of Ophthalmology and Visual Sciences at the University of Iowa.

- Dr. John Holtz: Private practice Oculofacial plastic surgeon at Ophthalmologic Plastic and Cosmetic Surgery in St. Louis.

Episode Notes:

Dr. Robi N. Maamari hosts a journal club podcast where he discusses articles from the July and August issue of Ophthalmic Plastic and Reconstructive Surgery (OPRS). In this episode, he reviews three articles regarding, Recurrence and Surveillance Strategies for Orbital Basal Cell Carcinoma with Dr. Chau Pham and Dr. John Holtz.

Key Takeaways:

- Absorbable and non-absorbable sutures have similar outcomes in conjunctival Müllerectomy with or without tarsectomy.

- Globe-sparing excisions for basal cell carcinoma with anterior orbital invasion can lead to visual morbidity and recurrence.

- Regular surveillance with MRI scans is crucial for detecting recurrence in patients with orbital basal cell carcinoma.

- Understanding and recognizing artifacts on MRI scans is essential to avoid misdiagnosis and unnecessary procedures.

If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast

About the Guests:

Dr. Kellie Satterfield, MD, is a Board-Certified Ophthalmologist and Oculofacial Plastic Surgeon working in private practice in San Diego. Dr. Satterfield has a keen interest in contract negotiations rooted in advocacy. She attended Medical School at UC San Diego, followed by Ophthalmology Residency at the University of Washington, and ASOPRS Private Practice Fellowship under Dr Bryan Sires, MD, PhD, in Seattle, WA. Dr. Satterfield's distinctive insight into contract negotiations stems from her time as President of the University of Washington Housestaff Association, during which she negotiated the contract between all ACGME residents and fellows and the University. She is passionate about advocating for and educating her colleagues on contract negotiations to empower their ability to make big career decisions.

Dr. Rao Chundury, MD, MBA, is a Board-Certified Ophthalmologist and Oculofacial Plastic Surgeon, currently a faculty member at the University of Nebraska, having completed his fellowship at the Cleveland Clinic. His diverse career encompasses academia, private practice, and navigating ownership transitions. Holding an MBA from the Kelley School of Business at Indiana University, Dr. Chundury's expertise is enriched by his interest in the business aspects of Oculoplastics in addition to Resident and Medical Student mentorship and career guidance.

Episode Summary:

This episode features an enlightening conversation between Dr. Kellie Satterfield and Dr. Rao Chundury on the vital aspects of contract negotiations in the healthcare industry. They focus on empowering physicians with the knowledge to identify suitable job opportunities, understand and negotiate contracts effectively, and the importance of being well-informed throughout this process.

Dr. Satterfield recounts her journey into contract negotiations, sparked during her role as Union President at the University of Washington. Her transition from academia to private practice deepened her understanding of contracts, wages, contract-pitfalls and self-advocacy. Similarly, Dr. Chundury shares his experiences of moving between academia and private practice, exploring the complexities of contracts at each stage.

Together, they discuss the various environments physicians may encounter, from academic institutions to private and larger healthcare systems. The episode provides a comprehensive overview of considerations for medical professionals, whether they are new or experienced, when exploring job opportunities and contract specifics. The goal is to illuminate the often overlooked yet critical aspects of a medical career that can ensure professional growth and personal satisfaction.

Key Takeaways:

• Knowledge of contract negotiation is essential for all physicians no matter the practice setting
• Academic and larger healthcare systems (ie. Kaiser) may offer less flexibility in contract terms, whereas private practices might allow more room for negotiation.
• Approaching contract negotiations with a clear understanding of what constitutes a fair and balanced deal is advisable, considering personal and professional priorities.
• Essential elements of physician contracts, such as compensation structure, benefits, vacation time, non-compete clauses, and termination provisions, demand careful attention.
• Average base salaries can vary significantly across different practice environments, with academic and private equity settings generally offering higher initial salaries.

Notable Quotes:

• "You've acquired all these skills and talents, and now it's time to reap the rewards of what you've been sowing for so long." - Dr. Kellie Satterfield
• "It's always in your best interest to think about things early. Even in the private group, show early interest. So they've got a list, and they're going to go out to you first." - Dr. Rao Chundury
• "The best non-compete is no non-compete." - Dr. Rao Chundury

Resources: ASOPRS and ETS Vision Job boards where physicians can find potential job listings. Professional networks and medical associations: Platforms for discovering job opportunities and gathering industry insights.

Dive into this comprehensive discussion with Dr. Kellie Satterfield and Dr. Rao Chundury for valuable insights on navigating the complex world of contract negotiations in the medical field. Stay tuned for more episodes that explore the business side of healthcare and provide guidance for a thriving career.

If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast

About the Guest:

Dr. Kenneth Steinsapir is a renowned oculofacial plastic surgeon with a profound interest in the intricacies of eyelid anatomy and reconstructive surgery. Dr. Steinsapir's expertise particularly shines in the realm of revision procedures, stemming from a deep understanding of levator anatomy, which he believes is crucial yet often overlooked in oculoplastic specialty training. Beyond his clinical and scientific contributions, Dr. Steinsapir also has a fascination with mountaineering and photography, which speaks to his appreciation for aesthetics in both nature and his professional work.

Episode Summary:

In this enlightening episode of the oculofacial podcast , Dr. Brett Kotlus speaks with Dr. Kenneth Steinsapir who shares his profound knowledge and experience in dealing with the aesthetic and functional challenges that arise from upper eyelid surgeries. The conversation delves into the the complex issue of postoperative upper blepharoplasty syndrome.

The episode begins with Dr. Kotlus expressing admiration for Dr. Steinsapir's methodical approach to oculofacial issues, setting the stage for a deep dive into the common yet not universally recognized post upper blepharoplasty syndrome. Dr. Steinsapir paints a compelling picture of this condition, one marked by undesirable outcomes like high sulcus, hollow eyelids, ptosis, and compensatory brow elevation—issues that defy patient expectations and call for deft surgical revision strategies.

Through this detailed discourse, enrich your understanding of the anatomical nuances that define successful cosmetic upper eyelid surgeries. Explore the key principles of structuring blepharoplasty, uncovering the potential pitfalls that can lead to post-surgical dissatisfaction, and learn about the transformative techniques that can help patients regain both function and form in their eyelids.

Key Takeaways:

• Post upper blepharoplasty syndrome involves issues such as a high sulcus, hollow eyelids, and ptosis, often accompanied by a compensatory brow lift.
• Proper levator function and attachment are crucial for a successful eyelid surgery outcome, and its anatomy is often underemphasized.
• Dr. Steinsapir advocates for a more involved and thoughtful approach to upper blepharoplasty, including carefully planned crease placements.
• Patient satisfaction following blepharoplasty is dependent on both the aesthetic and functional aspects of the surgery.
• Physical examination and measurements are essential, yet sometimes neglected aspects of preoperative assessment for eyelid surgery.

If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast

About the Guests:

Dr. Alison Callahan Dr. Alison Callahan is an accomplished oculoplastic surgeon serving as an Assistant Professor at Tufts University School of Medicine and member of the Center for Aesthetic Eyelid and Facial Surgery at Tufts Medical Center in Boston, contributing significantly to advancements in the field of oculoplastics research and practice.

Dr. Fatemeh Rajaii Dr. Fatemeh Rajaii brings her expertise as an Assistant Professor of Ophthalmology and the Odd Fellows Rising Professor of Ophthalmology at Johns Hopkins University School of Medicine. Based in Baltimore, she significantly influences the field of ophthalmology through both her teaching, basic science research and clinical work.

Dr. Michael Kazim A seasoned Clinical Professor of Ophthalmology and Surgery at the Harkness Eye Institute, Columbia University Medical Center, Dr. Michael Kazim has contributed decades of experience to the field of oculoplastics. He is also the director of the ASOPRS Fellowship in New York City and serves as the Associate Editor for the Ophthalmic Plastic and Reconstructive Surgery Journal, bridging the gap between academia and practical application in oculoplastic surgery.

Episode Summary:

In this episode of T.O.P. Journal Club, host Dr. Ashley Campbell orchestrates an engaging discussion with three distinguished oculoplastic surgeons from the United States. The session delves into probing analyses of two articles from the January/February edition of the Ophthalmic Plastic and Reconstructive Surgery journal and one article from the November/December edition. These conversations unlock deeper understandings of vital topics in ophthalmology, ranging from infantile hemangioma treatment protocols to thyroid eye disease management.

Key Takeaways:

• Oral propranolol might be beneficial for a broader range of infantile hemangiomas, considering it is well-tolerated with minimal side effects.
• Intraorbital injections combining 5-FU and steroids may offer improvement in diplopia associated with thyroid eye disease.
• Advances in spheno-orbital meningioma management, including resection of the anterior clinoid process, are essential due to the condition's propensity for recurrence.
• Radiotherapy decisions for spheno-orbital meningioma remain complex and should be guided by further investigation into tumor biology and behavior.
• Long-term follow-up is crucial in managing spheno-orbital meningioma to appropriately adapt treatment protocols and understand disease progression.

If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast

About the Guest(s):

Catherine Maley, MBA, is an accomplished author and a recognized consultant with over 25 years of experience working with plastic surgeons. Her expertise lies in patient attraction and conversion in the aesthetic practice niche. She is known for her book "Your Aesthetic Practice," where she provides strategic insights into efficiently running a clinic and maximizing patient satisfaction within the cosmetic surgery industry. With an MBA and entrepreneurial acumen, Catherine brings a unique perspective to the medical community, focusing on the intersection of healthcare and client experience.

Episode Summary:

In this episode of The Oculofacial Podcast, Dr. Kian Eftekhari and Dr. John Martin dive into the specifics of transitioning from functional to aesthetic surgery with special guest Catherine Maley, MBA. Catherine lends her extensive expertise to the conversation, providing critical strategies that empower surgeons to enhance their clinic management and customer interactions in the field of aesthetics.

Catherine shares invaluable insights into the nuanced approach required to cater to aesthetic patients as opposed to those seeking functional surgery. She emphasizes the importance of understanding patient expectations and customizing the patient experience in a practice. Her discussion includes practical tips on managing the operational aspects such as phone answering protocols, consultation structures, and staff-patient interaction, all crucial for driving a successful aesthetic practice.

Key Takeaways:

• Surgeons transitioning to aesthetics must adapt to a service-oriented patient experience, focusing on customer service and nurturing the patient journey.
• The customer experience is central to a successful aesthetic practice, from the first phone call to postoperative care.
• Having a dedicated aesthetic coordinator can significantly increase conversion rates by being the patient's advocate within the clinic.
• It's vital to distinguish and market the unique skill set of oculoplastic surgeons, particularly to patients who may not be aware of the specialized treatments these surgeons offer.
• Practices should gradually integrate cosmetic services for existing patients and invest in marketing and staff training to foster growth.

Notable Quotes:

• "Patients who like you don't sue you." - Catherine Maley
• "Your staff can really be such an asset to you." - Catherine Maley
• "There's only a few of you. So honestly, as long as you can just stay with it, be persistent, and adapt as the world changes, you're fine." - Catherine Maley
• "Patients who love you will absolutely be your sales ambassadors if you take care of them." - Catherine Maley

Resources:

Catherine Maley's website: CatherineMaley.com

Book: "Your Aesthetic Practice" by Catherine Maley

Catherine Maley's podcast "Beauty and the Biz"

If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast

About the Guest:

Dr. Don Kikkawa is a respected figure in the field of ophthalmology, serving as a professor at the University of California, San Diego Shiley Eye Institute. As a former president of ASOPRS, he holds the prestigious Hollander Chair and boasts considerable expertise in the realm of thyroid eye disease treatments, contributing extensively to scholarly research.

Dr. Cesar A. Briceno is an accomplished advisory dean and associate professor of ophthalmology at the University of Pennsylvania Scheie Eye Institute. His professional journey has been marked by a keen focus on cutting-edge clinical trials and advancements in the autoimmune aspects of ocular disease.

Dr. Kira L. Segal is an oculofacial surgeon practicing at the EltraSelf Advanced Facial Aesthetics in Florham Park, New Jersey. Additionally, she extends her expertise as a voluntary faculty member at the Weill Cornell University School of Medicine. Dr. Segal's contributions to the field, particularly in preoperative evaluation and surgical techniques, have earned her a reputable standing.

Episode Summary:

In this enriching episode of the Oculofacial Podcast Journal Club, host Lilangi Ediriwickrema, MD, as she moderates a discussion with experts Don Kikkawa, MD, Cesar A. Briceno, MD, and Kira L. Segal, MD, on three recent articles published in the field of oculofacial surgery. The panel reviews a study on proptosis regression after teprotumumab treatment, the current uses of amniotic membrane transplantation, and the association between obstructive sleep apnea and ptosis repair failure. They delve into the findings, limitations, and potential implications of each study, providing valuable insights for oculofacial surgeons and patients alike. Don't miss this engaging and informative episode of the Oculofacial Podcast Journal Club.

Key Takeaways:

• Teprotumumab treatment for thyroid eye disease shows varying rates of proptosis regression in patients, signaling the potential need for personalized retreatment strategies.
• Amniotic membrane transplantation offers diverse applications in oculoplastic surgery and holds promise in enhancing patient outcomes for various reconstructive procedures.
• The presence of obstructive sleep apnea in patients correlates with higher failure rates of ptosis repair, warranting a more cautious preoperative evaluation and emphasizing the complexity of ptosis surgery in such cases.
• Staging surgical interventions, especially in cases of tarsal instability and floppy eyelid syndrome, can improve outcomes and minimize potential complications.
• Medical compliance in managing sleep apnea plays a role in patient outcomes, although further study is needed to understand the full impact on oculofacial surgical procedures.

If you're an ASOPRS Member, Surgeon or Trainee and are interesting in hosting a podcast episode, please submit your idea by visiting: asoprs.memberclicks.net/podcast