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

About the Guests:

• Scott M. Goldstein, MD: Dr. Scott Goldstein, Oculofacial Plastic Surgeon in the Philadelphia, PA area is the current Finance Director of ASOPRS, an adjunct Associate Professor of Ophthalmology at the University of Pennsylvania and a busy clinician dedicated to helping patients of all ages. He is also involved in promoting medical education as well as advocacy for patients & the field of ophthalmology.
• John Holds, MD, Ophthalmic Plastic Surgeon: Dr. John Holds is an esteemed ophthalmic plastic surgeon based in St. Louis, Missouri. An integral part of the ASOPRS community, Dr. Holds is the chair of the ASOPRS Foundation Board and has made substantial contributions to its growth.
• James Chris Fleming, MD, FACS: Dr. Fleming is the past chair of the Hamilton Eye Institute, University of Tennessee Department of Ophthalmology and past president of ASOPRS. With significant experience in oculofacial plastic surgery, he has been a key figure in the early operations of the ASOPRS Foundation and involvement in several humanitarian endeavors.
• Ralph E. Wesley, MD: Dr. Wesley is an influential former president of ASOPRS and a critical force in the establishment and operation of the ASOPRS Foundation. His professional journey started at Emory and progressed to Vanderbilt, contributing to the evolution of oculoplastic surgery as a recognized subspecialty.
• Craig N Czyz DO: Dr. Craig Czyz is an active and generous member of the ASOPRS Foundation Board. Practicing in Columbus, Ohio, he brings new insights to the board, emphasizing the importance of integrating new members and legacy donations.

In this remarkable episode, we venture into the charitable realm of the ASOPRS Foundation, exploring its multifaceted contributions to education, humanitarian initiatives, and research in oculofacial plastic surgery. Showcasing the foundation's journey, the episode brings together pioneers like Drs. John Holds, Chris Fleming, Ralph Wesley, and the newest board member, Craig Czyz, to shed light on the organization's milestones, significant projects, and vision for the future.

As we delve into the valued traditions and the ongoing mission of nurturing global talent in oculofacial plastic surgery, our guests recount anecdotal experiences, guiding principles, and the ASOPRS Foundation's unique role in advancing the field. Their discussions highlight the power of collective philanthropy and how strategic humanitarian efforts shape the landscape of oculoplastic surgery worldwide. This episode not only addresses the essence of the foundation but also reinforces the impact of individual contributions to sustain and propel its endeavors.

Key Takeaways:

• The ASOPRS Foundation is essential in supporting education, humanitarian projects, and research in oculofacial plastic surgery.
• Key contributions have been used to fund lectures and honor distinguished society members, while also emphasizing the need for wider member participation.
• Projects have spanned from practical courses to training oculoplastic surgeons in underserved areas like Ethiopia and Honduras.
• The integration of new members and fostering diversity within ASOPRS through grants and educational support is paramount.
• Legacy donations are highly encouraged to ensure the foundation's future growth and capabilities.
• Visit ASOPRSFoundation.org to learn more and donate

Notable Quotes:

• "You make a living by what you earn. You make a life by what you give away." - Ralph E. Wesley, MD
• "The main thing I see is the foundation needs to get some big, audacious goals and make something." - Ralph E. Wesley, MD
• "If every single ASOPRS member would give us $100 a year, I could probably fund a lot more projects." - John Holds, MD
• "You have to do good things with the foundation and figure out how to do that." - James Chris Fleming, MD, FACS

In this Journal Club episode of T.O.P., The Oculofacial podcast, host Dr. Seanna Grob welcomes three distinguished guests to discuss pivotal research articles from the 2023 November/December issue of OPRs.

• Dr. Anne Barmettler is an esteemed Associate Professor of Ophthalmology and the Director of the Oculoplastic Service at Albert Einstein College of Medicine in Montefiore Medical Center, New York. She is recognized for her extensive knowledge and specialization in ophthalmic plastic and reconstructive surgery, and she lends her expertise as a member of the editorial board for OPRS.
• Dr. Grace Lee serves as an Associate Professor of Ophthalmology and an accomplished oculoplastic surgeon at Harvard Medical School and Massachusetts Eye and Ear. Her rich experience and scholarly work are pivotal in the advancement of her field.
• Dr. Pete Setabutr is a Professor of Ophthalmology and the Director of the Oculoplastic Service at the University of Illinois College of Medicine and Illinois Eye and Ear Infirmary. He is also the Vice Chair of Global Ophthalmology and a valuable contributor to the editorial board for OPRS.

The episode delves into potential novel surgical techniques in patients with epiphora and addresses perioperative considerations in overweight and obese patients as well as outcomes of primary monocanalicular stent placement in pediatric patients with Down Syndrome and nasolacrimal duct obstruction.

The conversation begins with an intriguing exploration of an alternative to dacryocystorhinostomy, Nasolacrimal Duct Coronary Stent Recanalization (NCR), and its potential to utilize the physiologic anatomy for treating nasolacrimal duct obstructions. Additionally, the episode sheds light on the complexities of managing overweight and obese patients in oculofacial plastic surgery, encompassing perioperative risks and specialized care protocols. The third segment is a retrospective look at the success rates of primary monocanalicular stent placement in pediatric patients with Down Syndrome versus those without, highlighting varied outcomes and the quest for optimal treatments in such clinical scenarios.

Key Takeaways:

• New techniques like Nasolacrimal Duct Coronary Stent Recanalization (NCR) are being investigated as potential alternatives to traditional dacryocystorhinostomy.
• Managing oculofacial surgery in overweight and obese patients presents unique challenges, including the likelihood of extended operative times and postoperative wound healing difficulties.
• Pediatric oculoplastic surgery may require bespoke approaches, especially in children with Down Syndrome, where success rates for primary monocanalicular stent placement are significantly lower than in non-Down Syndrome patients.
• Bicanalicular stent placement with suture tying as a new method to potentially reduce operative room removal is discussed.
• The conversations in this podcast provide rich, practice-changing insights that could influence oculoplastic surgeons' approach to diverse patient groups.

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

CAT BURKAT, MD, FACS: Dr. Cat Burkat is Professor of Ophthalmology and Oculoplastics at the University of Wisconsin-Madison with expertise in the health and beauty of the eyes and face. She is recognized for her contributions to the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) and American Academy of Ophthalmology and is celebrated for her engaging and impactful presence at international meetings. Her professional prowess extends to delivering insightful data on new surgical techniques, Asian eyelid surgery, and aesthetic and lacrimal research.

David B. Samimi, M.D, FACS: A partner at Eyesthetica, Los Angeles and Associate Professor of Ophthalmology at USC, Dr. David B. Samimi is a voice representing the next generation of ASOPRS members. He is dedicated to enriching the practice through education and social engagement. His career accomplishments include expanding the scope of Eyesthetica's aesthetic offerings to include advanced techniques in fat grafting and deep plane facelifting.

Episode Summary: In this episode of T.O.P., the spotlight is cast on the intriguing world of oculofacial plastic surgery through lively discussions at the fall meeting of ASOPRS in San Francisco, 2023.

Listeners are given front-row access to the stimulating and thought-provoking dialogues that took place among the experts in the field. The show captures the electrifying atmosphere that envelops the meeting, bringing together professionals from around the world passionate about the health and aesthetics of the eyes and face. Here, experts exchange transformative insights and revel in the camaraderie that only a gathering of like-minded individuals can offer.

From breakthroughs in gender-affirming surgeries to the quick tip sessions on ptosis repair and specialty interest groups, this episode is packed with intellectual wealth and social festivities. The discussions underscore the value of in-person meetings for the exchange of live feedback and how the adoption of new surgical techniques can significantly shape future practices.

Key Takeaways: - Our guests discuss the latest trends and advancements in oculofacial plastic surgery presented at the ASOPRS 2023 fall meeting. - There is an emphasis on the critical nature of learning from peers, especially through the exchange of experiences and insights on surgical outcomes and complications. - The meeting highlights include a focus on gender-affirming surgeries and the evolution of ptosis repair techniques. - Social interactions and networking are recognized as priceless facets of the conference, boosting both educational and personal connections. Progressive ideas for future conferences are floated, such as integrating additional social events and more interactive session formats.

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

Dr. Richard C. Allen, MD, PhD, FACS, is an esteemed figure in the field of Oculoplastics. He has served notably as the immediate past president of ASOPRS, the American Society of Ophthalmic Plastic and Reconstructive Surgery. With a background that encompasses both clinical and academic realms, Dr. Allen has contributed significantly to the field through various roles, including scientific symposium director, counselor, and educator. His diverse experience includes private practice, general ophthalmology, and academic positions. Dr. Allen is known for his dedication to improving patient care and commitment to advancing the standards of Oculoplastics.

Summary:

In this inaugural 2024 episode of Top, Dr. Scott M. Goldstein welcomes Dr. Richard C. Allen, reflecting on the pivotal developments and themes from the year 2023 under Dr. Allen's ASOPRS presidency. This conversation provides an in-depth view into the evolving landscape of Oculoplastic Surgery, highlighting key projects, organizational growth, and strategic planning.

Dr. Allen shares the accomplishments of ASOPRS in 2023, detailing the completion of projects from previous presidents and emphasizing communication and unity within the society. He also discusses the challenges and successes faced during his presidency, such as the relationship management with AUPO for fellowship oversight and the society's bylaws update. Additionally, Dr. Allen addresses the importance of advocacy in ophthalmology, focusing on the impact of state and national representation.

Key Takeaways:

• The need for effective communication within ASOPRS to address concerns and promote unity among members.
• The evolution of ASOPRS into a large society necessitates careful planning and management of long-term projects, such as potential board certification for Oculoplastics.
• Importance of maintaining strong relationships with state societies and national organizations for advocacy in Oculoplastics.
• ASOPRS' international relations and the push towards standardizing Oculoplastic fellowships globally.
• The need for continuous involvement from younger members to ensure the society's progressive and adaptive future.

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. Kyle J. Godfrey is an assistant professor in the Departments of Ophthalmology and Neurological Surgery and the Ophthalmology Residency Program Director at Wild Cornell Medicine and New York Presbyterian Hospital in New York, New York. - Dr. Evan Kalin-Hajdu is an assistant professor at the University of Montreal and a member of the department of Ophthalmology at Maisonneuve-Rosemont and Ste. Justine hospitals in Montreal, Quebec. - Dr. Amina Malik is the director of Ophthalmic Plastic and Reconstructive Surgery and an associate professor at the Blanton Eye Institute at Houston Methodist Hospital. She also has a joint appointment in the Department of Otolaryngology at Houston Methodist and an academic affiliation at Texas A&M and Wild Cornell Medicine. - Dr. Gary Lelli is the vice Chair of Ophthalmology, Director of Ophthalmic Plastic and Reconstructive Surgery, and an associate professor at Wild Cornell Medicine and New York Presbyterian Hospital in New York, New York. ​ Summary: Dr. Kyle Godfrey hosts a discussion with Dr. Evan Kalin-Hajdu, Dr. Amina Malik, and Dr. Gary Lelli about three selected articles from the current issue of OPRS Journal. The first article discusses the predictability of the phenylephrine test in congenital ptosis, the second article evaluates the incidence and risk factors for poor postoperative visual outcomes after excision of orbital cavernous venous malformations, and the third article presents a surgical technique for reconstructing large full-thickness lower eyelid defects. The experts provide their insights and opinions on the articles, discussing the findings, limitations, and potential implications for clinical practice. ​ Key Takeaways: - MMCR is a viable option for moderate levator function congenital ptosis, and the phenylephrine response appears to be the most valuable predictor of surgical outcome. - Surgical excision of orbital cavernous venous malformations carries a risk of vision loss, and the incidence and risk factors for poor postoperative visual outcomes should be carefully considered. - The reconstruction of large full-thickness lower eyelid defects can be achieved using remnant eyelid rotation, semicircular skin and muscle flaps, and lateral tarsoconjunctival flaps, providing good cosmetic outcomes and avoiding the need for a second stage reconstruction.

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

In this episode, Dr. Julie Woodward (Duke), Dr. Dan Rootman (UCLA), and Dr. Allan Wulc (Private Practice, Philadelphia) bring the Aesthetics Abstracts section of the Ophthalmic Plastic and Reconstructive Surgery journal to The Oculofacial podcast. Join them as they discuss recently published articles on endoscopic brow lifting for patients with receding hairlines, tear trough filler techniques, patient experience as it relates to online reviews, and neck lifting with percutaneous sutures

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

Dr. Alison Watson moderates a discussion with Dr. Scott Goldstein, Dr. Ron Mancini, and Dr. Kelsey A. Roelof on three articles related to oculoplastic and orbital surgery. The first article discusses the success of Mueller Muscle Conjunctival Resection (MMCR) in correcting Ptosis and achieving symmetry. The second article compares the efficacy of sutureless MMCR with conventional MMCR in Ptosis correction. The third article explores the prevalence of obstructive sleep apnea (OSA) in patients with floppy eyelid syndrome (FES).

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

Dr. Cat Burkat, Dr. Mike Yen, Dr. Ilya Leyngold, and Dr. Andrea Kossler discuss the evolving technique of corneal neurotization in this episode of The Oculofacial Podcast.

They explain how this procedure has revolutionized the treatment of neurotrophic keratitis, offering a viable solution to address the root cause of the condition.

Our panel discusses everything from patient selection, surgical techniques and nuances, outcomes, potential complications, and further research directions in this field. They also emphasize the importance of early intervention and collaboration between ophthalmologists and subspecialists. Overall, corneal neurotization is seen as a game-changing procedure with promising outcomes for patients with neurotrophic keratitis.

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

In Part 2 of a special two-part series, Dr. Natalie Homer moderates a discussion on face and neck lifting with cosmetic facial surgeons Dr. Roger Dailey, Dr. Tanuj Nakra and Dr. Rob Schwartz.

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

In Part 1 of a special two-part series, Dr. Natalie Homer moderates a discussion on face and neck lifting with cosmetic facial surgeons Dr. Roger Dailey, Dr. Tanuj Nakra and Dr. Rob Schwartz

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