The Evolution of a Cutting-Edge Refractive Surgery Clinic – with Arthur & Brendan Cummings and Cian Gildea
A deep dive into the evolution of one of Ireland’s leading refractive surgery clinics – the Wellington Eye Clinic in Dublin. This is a must-listen for anyone passionate about refractive surgery and the future of eye care.Joining us is Arthur Cummings, one of the world’s most respected refractive surgeons. Arthur takes us on a journey from his move from South Africa to Ireland in 1994, through the nerve-wracking return to phaco surgery after eight years away, to his meticulous data collection that has helped refine outcomes and push the field forward. He also shares insights into the ever-changing technologies that have shaped his practice.We’re also joined by his son – and now partner – Brendan Cummings, along with Cian Gildea, the clinic’s senior optometrist. Together, they reveal what makes the Wellington team tick: a patient-first philosophy, comprehensive optometrist-led pre-op assessments, meticulous dry eye management, and the power of word-of-mouth growth over flashy social media.Eyes on Tomorrow is supported by Topcon Healthcare and Théa UK.Subscribers to the podcast will have access to monthly bonus episodes. This month Arthur explains his innovative, video-based approach to patient consent, and Cian shares how working in this environment has expanded his role and made him an integral part of the decision-making process.This, along with a host of CPD resources, all for just £25 per year when you subscribe at eyesontomorrow.substack.com/subscribe.Produced by Matt Hill at Rethink Audio. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit eyesontomorrow.substack.com/subscribe
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The Perfect Poolside Episode
Our finest moments from the past twelve months continue, as Lyndon Jones shares his thoughts on why optometrists should incorporate dry eye management, myopia control and specialistic contact lens services to future proof their practices.Robyn Gymer explains why “selling” the benefits of intravitreal complement inhibitor treatment to patients with Dry AMD is not an easy task, the important role of OCT in helping clinicians recognise nascent geographic atrophy and the dietary advice she gives her Dry AMD patients.If you are unsure when to refer patients with possibly swollen optic discs, Lorcan Butler’s tips on taking a targeted history, "examining the nerve” and how to interpret disc OCTs will help refine your referrals.Memories of seeing young diabetic patients in the 1980s and 90s, who were NPL in both eyes due to undetected and untreated diabetic retinopathy, have driven Peter Scanlon to develop digital diabetic retinopathy screening programs. Peter talks about the bumpy journey and obstacles he faced to bring his vision to fruition.Finally, Hunter Cherwek from Orbis describes the devastating impact on the life chances of children and economic productivity of adults with uncorrected refractive errors and how Orbis is tackling this problem, which currently affects 850 million people worldwide.Another perfect podcast for poolside listening!Eyes on Tomorrow is supported by Topcon Healthcare and Théa UK.Subscribers to the podcast will have access to monthly bonus episodes, this month featuring “light bulb moments” experienced by Robyn Gymer, Keith Barton, Andrew Dick and Lyndon Jones, which ultimately changed their career paths.This, along with a host of CPD resources, all for just £35 per year when you subscribe at eyesontomorrow.substack.com/subscribe.Produced by Matt Hill at Rethink Audio. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit eyesontomorrow.substack.com/subscribe
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One Year Of Podcasting 🎉 What Have We Learned?
With the summer holidays upon us what better way to relax and unwind by the pool with a highlights episodes of EOT, featuring some of our favourite conversations from the last twelve months.In this episode:* Keith Barton reminds us that despite the plethora of MIGS devices, when it comes to serious glaucoma trabeculectomy is still the go to operation.* Paul Foster talks about his adventures in Mongolia and how the ZAP Study reshaped referral guidelines for angle closure glaucoma.* Kieren Darcy shares his insights on the workup of patients for premium IOL surgery and the crucial role of their optometrist in detecting and treating dry eye disease prior to referral.* The Queen of Dry Eye disease Sarah Farrant talks about her approach to setting up a dry eye practice and where IPL and LLL therapies fit into this equation.Subscribers to the podcast will have access to monthly bonus episodes, this month featuring Lyndon Jones, Paul Foster, Peter Scanlon and Andrew Dick talking about leadership and the importance of building a successful team.This, along with a host of CPD resources, all for just £25 per year when you subscribe at eyesontomorrow.substack.com/subscribe.Produced by Matt Hill atRethink Audio. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit eyesontomorrow.substack.com/subscribe
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The Myopia Tsunami - can it be stopped? With Ian Flitcroft
It is hard to believe that many children currently spend less time outdoors than prisoners! In this episode we talk about lifestyle changes that need to be combined with optical and medical interventions to tackle the rising tide of myopia, including practical tips to help get optometrists off “the naughty step” and begin to have a conversation with parents about myopia control.Ian Flitcroft, who has been at the forefront of myopia research for over 30 years, explores the multi-factorial aetiology of the myopia epidemic, why choroidal thickness is such an important biomarker of myopia progression and why myopia control is as important to ocular health as treating hypertension is to cardiovascular disease.In the Bonus Video for subscribers, Ian and Dermot talk about how Ocumetra is using AI to help Optometrists and Ophthalmologists develop their myopia practices and to encourage patient and parental engagement in their myopia treatment journey. Ian also shares his tips for what to do if you are ever caught without your cufflinks at a black tie event! Subscribe at eyesontomorrow.substack.com/subscribeIan is a true polymath: he is an award winning novelist and science blogger, a gastronome and a Jane Austen aficionado, not to mention being a self-confessed “petrol-head”. So tune in for what is perhaps our most eclectic podcast yet.Produced by Matt Hill at Rethink Audio. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit eyesontomorrow.substack.com/subscribe
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Uveitis Revolution, with Andrew Dick
Thirty years ago children with Juvenile Idiopathic Arthritis (JIA) were at high risk of not only crippling physical disability, but also visual loss secondary to cataract, glaucoma and macular oedema caused by their chronic uveitis, or the steroids we used to treat it. Now, thanks to the development of targeted biological therapies, by clinical scientists like Andrew Dick, these children are living normal active lives and their risk of sight loss has been dramatically reduced.In this episode of Eyes on Tomorrow we talk to Andrew about his career-long interest in immunology and inflammatory eye disease and the impact of translational research which has led to a better understanding of cytokine inflammatory pathways in uveitis, the subsequent development of TNF inhibitors and finally landmark trials, like the Sycamore Trial.Andrew stresses the critical importance of working closely with paediatric rheumatologists and of involving patients, no matter how young, in the management of their disease.He has pioneered a “zero-tolerance” approach for the long-term use of topical and systemic steroids, in patients with uveitis, facilitated by the use of biological agents and this has dramatically improved the visual prognosis for patients with uveitis.We also touch upon his clinical approach to new cases of uveitis, his tips for optometrists when confronted by a patient with uveitis and what his passions are away from work.Subscribers to the podcast will have access to the Bonus video episode in which Andrew discusses promising new uveitis treatments, the challenges of managing patients with Gene Therapy Associated Uveitis, his advice to potential budding clinical scientists and his thoughts on leadership.All in all a fantastic listen for anyone who wants to learn more about inflammatory eye disease.Subscribe at eyesontomorrow.substack.com/subscribeProduced by Matt Hill at Rethink Audio. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit eyesontomorrow.substack.com/subscribe
An Optometrist and an Ophthalmologist discuss - sometimes over a pint of Guinness - how these two previously fractious disciplines have been brought closer together. From different sides of the Irish border, John Ferris and Dermot Keogh know a thing or two about overcoming division.
Their guests bring extensive experience and expertise from across the two sectors: they share their passion for all things optical, discuss how the fields of Optometry and Ophthalmology can learn from each other, and the medical developments that are just over the horizon. eyesontomorrow.substack.com
Ireland