On this week's episode of The Oculofacial Podcast, host Phil Tenzel and guests Zac Keenum and David Della Rocca discuss utility of phenylephrine testing in mullerectomy planning, an ultra-low-dose radiotherapy regimen for treatment of ocular adnexal lymphoma, and comparing two different surgical approaches of treating periocular melanoma in situ.

Resources:
American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS): asoprs.org

Participant names:

Dr. Evan Kalin-Hajdu (host), Dr. Jeffrey A. Nerad (panelist), Dr. David Jordan (panelist), Dr. Robert C. Kersten (panelist)

Episode Summary

Dr. Evan Kalin-Hajdu hosts this episode of The Oculofacial Podcast. Dr. Kalin-Hajdu is an assistant professor of Ophthalmology at the University of Montreal in the division of Oculofacial Plastic Surgery. The panel includes Dr. Jeffrey A. Nerad, Dr. David Jordan, and Dr. Robert C. Kersten. Dr. Nerad is an Oculofacial Plastic Surgeon in private practice in Cincinnati, Dr. Jordan is a Professor of Ophthalmology at the University of Ottawa in the division of Oculofacial Plastic Surgery, and Dr. Kersten is a Professor of Ophthalmology at the Moran Eye Center at the University of Utah in the division of Oculofacial Plastic Surgery.

Drs. Nerad, Jordan and Kersten are icons of the field of Oculofacial Plastic Surgery. Combined, they have nearly 700 peer reviewed publications and an innumerable list of awards, guest speakerships, textbooks, and book chapters. Dr. Kalin-Hajdu engages these three legendary panelists to discuss their most memorable cases. The incredible cases touch subjects ranging from psychiatry to oncology to nutrient deficiencies.

• American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS): asoprs.org

• Journals and Publications for related case studies, such as Survey of Ophthalmology

We invite you to delve into the full episode for these extraordinary and educational case discussions. Stay tuned to the Oculofacial Podcast for more inspiring content and insights from the world of oculoplastic and reconstructive surgery.

Dr. Davin Ashraf is an Assistant Professor of Ophthalmology at the Casey Eye Institute (Oregon Health and Science University) in the division of Oculofacial Plastic Surgery. He acts as host in this episode of the Oculofacial Podcast.

Dr. Robert Kersten is a Professor and ASOPRS Fellowship Program Director at the Moran Eye Center (University of Utah) within the division of Oculoplastic and Facial Plastic Surgery.

Dr. Shravani Mikkilineni is an oculofacial surgeon in private practice at Consultants in Ophthalmic and Facial Plastic Surgery in the metro Detroit area.

Dr. Emily Li is an Assistant Professor at the Wilmer Eye Institute (Johns Hopkins University).

Episode Summary:

Dive into the November-December 2024 issue of Oculofacial Plastic and Reconstructive Surgery (OPRS) as Dr. Davin Ashraf leads engaging discussions with expert colleagues Dr. Robert Kersten, Dr. Shravani Mikkilineni, and Dr. Emily Li. The episode covers cutting-edge topics and insightful research findings in oculoplastic surgery, providing listeners with an in-depth understanding of the latest surgical techniques and postoperative outcomes in the specialty.

Dr. Robert Kersten initiates the podcast with an exploration of the phenylephrine test's influence on the outcomes of external levator advancement surgery. Key discussions revolve around the phenylephrine's role in selecting the appropriate approach to ptosis surgery and its implication for eyelid compliance. Following this, Dr. Shravani Mikkilineni highlights significant corneal astigmatism changes post-levator surgery, sparking considerations for toric intraocular lens surgery timing. Dr. Emily Li concludes the episode by presenting an innovative surgical technique to address punctal stenosis, prompting dialogue on traditional methods' efficacy. Together, these discussions offer a comprehensive look into evolving methodologies and patient management strategies in oculoplastic surgery.

Key Takeaways:

• Phenylephrine Test Utilization: Dr. Kersten discusses how phenylephrine positive patients had better outcomes in external levator resection and challenges common practices involving phenylephrine tests.

• Corneal Astigmatism Considerations: Changes in corneal astigmatism post-levator surgery could impact future toric IOL procedures, emphasizing the need for careful preoperative evaluation.

• Novel Approach to Punctoplasty: The podcast explores traditional versus novel techniques in handling punctal stenosis, weighing practicality against surgical outcomes.

Resources:

• Casey Eye Institute, Oregon Health and Science University

• Moran Eye Center, University of Utah

• Wilmer Eye Institute, Johns Hopkins University

• Consultants in Ophthalmic and Facial Plastic Surgery

Explore this enlightening episode to gain valuable insights and stay informed about critical topics in the field of oculoplastic surgery. Be sure to tune in for future episodes filled with expert discussions and cutting-edge discoveries in ophthalmology.