Experts InSight

Do the benefits really outweigh the risks when it comes to the use of thrombolytic drugs for central retinal artery occlusion (CRAO)? Drs. Amanda Henderson and Michael Carper weigh in on the recently published Tenecteplase in Central Retinal Artery Occlusion Study (TenCRAOS) and how ophthalmologists should proceed in their management of CRAO with tenecteplase (TNK) or another tissue plasminogen activator (tPA). For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts.

Is the Merit-based Incentive Payment System (MIPS) fulfilling its intended purpose, or is it just causing headaches? Dr. George Williams and Joe Reyes join host Dr. Andrew Pouw to share their expertise and experience with MIPS, including its evolution from prior medical cost control policies and how ophthalmologists can use the IRIS Registry to meet reporting requirements. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts

Drs. Eric Suhler and Nick Butler join host Dr. Ben Young to discuss an old treatment for cystoid macular edema (CME) that may be new to many of us: interferon alpha. They review its use, side effects, and success thus far. Relevant papers discussed in this episode: Treatment of refractory cystoid macular edema with pegylated interferon alfa-2A: a retrospective chart review Interferon alpha 2b in the treatment of uveitic cystoid macular edema For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts

In today's episode, host Dr. Ben Young welcomes 3 core members of the Academy's Advocacy team: Dr. John McAllister, Secretary for Federal Affairs; Dr. John Peters, Secretary for State Affairs; and Rebecca Hyder, Vice President of Government Affairs. The panel discusses why routine patient care and advocacy go hand in hand, and how ophthalmologists can be better advocates for our patients at the clinic, local, state, and federal level. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts.

Host Dr. Jay Sridhar welcomes Dr. Sarwar Zahid to unpack a recent American Journal of Ophthalmology perspective essay on the growing segment of hospital-employed ophthalmologists. They examine the appeal of the hospitalist model—shift-based work, reduced administrative burden, and work-life balance—alongside potential drawbacks, including income ceilings, RVU pressure, and burnout. The conversation broadens to declining physician ownership, the challenges of hospital call coverage, and the downstream threat to residency training. The episode finally shifts to whether a focused practice designation (FPD) could help define subspecialty expertise, improve patient care, and give ophthalmologists a stronger seat at the bargaining table. Discussed in this episode: Thomson M, Browning DJ. The Hospital Employed Ophthalmologist: A Growing Segment of the Profession. Am J Ophthalmol. 2026 Jan 18;284:208-215. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts.

Host Dr. Jay Sridhar is joined by Drs. Naomi Gutkind and Ekjyot (Joey) Gill to discuss staffing ophthalmology residents in surgical training. The early-career faculty share insights on tailoring instruction to resident skill level, delivering feedback at the right moment, and handling complications with empathy. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts.

Drs. Roni Levin and Laura Enyedi join host Dr. Ben Young to review what we know about screen time for kids and its impact on visual development and general health. Today's episode draws largely from the EyeNet article, "Screen Time and Kids' Eye Health," which appeared in the December 2025 issue. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts.

Although severe thyroid eye disease (TED) is easily recognizable, mild TED may go undiagnosed for months if not longer. In today's episode, Dr. Vivek Patel joins host Dr. Amanda Redfern to share how he uncovers subtle signs and symptoms of TED that can lead to a quicker diagnosis and the treatments that make a meaningful impact on quality of life. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts.

In this call to action, Drs. Robert Mazzoli, Stuart Seiff, and Jon Perlstein share the scope of issues surrounding ophthalmic trauma care in the United States and a roadmap for improving it, including how we can translate experiences from the military into our own set of Damage Control Ophthalmology (DCO) guidelines. Referenced article: A Call to Action and Roadmap for Improving Emergency Treatment of Ophthalmic Trauma in the United States For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts.

Dr. Thomas Gallagher joins host Dr. Amanda Redfern to share how to ethically and effectively disclose medical errors to patients. During the past 20 years, Dr. Gallagher's research has explored the intersection of healthcare quality, accountability, and communication. He has led a variety projects focused on the optimal response to adverse events and errors in healthcare, and developing systematic programs for preventing and responding to such events. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts.

Host Dr. Amanda Redfern welcomes Dr. Claudia Prospero Ponce, a neuro-ophthalmologist and ocular pathologist, to share her unique perspective on how to diagnose giant cell arteritis (GCA) when temporal artery biopsies are not classically positive. For more information about pathological markers in GCA, check out this paper referenced in the episode: Sultan H, Smith SV, Lee AG, Chévez-Barrios P. Pathologic Markers Determining Prognosis in Patients With Treated or Healing Giant Cell Arteritis. Am J Ophthalmol. 2018;193:45-53. For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts.

In July, the Centers for Medicare and Medicaid (CMS) proposed catastrophic changes to Medicare reimbursement systems that, if finalized, will significantly affect ophthalmology and all specialty care. The impact on cataract surgery reimbursements alone would amount to an 11% reduction in payment. In today's episode, host Dr. Andrew Pouw welcomes three guests to discuss these highly complex and concerning cuts: Dr. John McAllister, the Academy's Secretary for Federal Affairs; Brandy Keys, the Academy's Director of Health Policy; and Rebecca Hyder, the Academy's Vice President of Government Affairs. Listen, share, and advocate to help us prevent these changes. Related Academy Resources: Summary of CMS Medicare Physician Fee Schedule Impact of the Efficiency Adjustment Impact to Indirect Practice Expense (PE) For all episodes or to claim CME credit for selected episodes, visit www.aao.org/podcasts.