Resources to Remember
Post-cataract adverse events to tackle.
When you see so many successful post-ops, it's easy to forget the problems that can and still do occur. That's why I enjoyed the refresh I got from Samantha Rivet, OD's article reviewing the management of adverse post-op cataract events. Modern Optometry
A new tool to help you make decisions for your peds patients.
I will be playing around with this in the coming days: ANDI is a new tool that distills all the best clinical evidence for managing pediatric patients with amblyopia. Save the link to your exam lane desktop for future reference. Review of Optometry
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Build a consistent protocol for every AMD patient
A one-day working session to systematize your AMD management and get your full team aligned for a higher standard of patient care
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Articles to Apply
I'm guilty of being flippant about my artificial tear recommendations.
This open access review in Expert Review of Ophthalmology makes the case for matching the drop to the patient's dry eye type instead of treating tears as interchangeable. It's industry-funded, but the framework is sound and worth a read.
Quotes to Consider
"What a lot of people miss is that ordinary moments determine your position, and your position determines your options. Clear thinking is the key to proper positioning, which is what allows you to master your circumstances rather than be mastered by them. It doesn't matter what position you find yourself in right now. What matters is whether you improve your position today." - Shane Parrish, Clear Thinking
My Observations
NAION has been in the news a lot lately, mostly because of the ongoing debate over whether GLP‑1 receptor agonists like semaglutide can cause it.
The evidence is still settling. The AOA released a helpful report that still holds true.
I've also seen two NAION patients recently, neither of them on a GLP‑1. It had been a while since I'd really dug into the literature.
I wasn't worried I'd missed anything or managed those patients incorrectly. I just wanted to know what's been learned lately.
So instead of spending a few evenings searching PubMed, I built a repeatable system: a set of prompts I can run for any disease and get a trustworthy 10-year review and update in one evening.
Actually, once I built it, I had a pretty great review in about 15-20 minutes.
Here's the system.
Step 1: Gather
Trust comes from what you put in. I start in OpenEvidence with one detailed prompt that asks for a 10-year evidence review from both optometry and ophthalmology, followed by a second prompt that pushes it deeper and pulls in our own journals.
Then I use Perplexity to find the practical side: how experienced clinicians are applying the evidence, drawn from trade publications.
Step 2: Produce
Both go into NotebookLM. From there, I make a podcast to listen to on a run or commute and a written guide for my desk. Both follow the same structure: the Review, the Update, and In Practice.
Step 3: Consume
Nothing fancy here: listen or read. If you'd like NotebookLM to create graphics or quizzes, go for it.
If you think the notebook LM versions are too watered down (they are, after all, summaries of summaries), then just read the outputs you received from OpenEvidence and/or Perplexity.
Here's the NAION guide it created for me.
What this means for you
You don't need to read every paper on every condition. You need a system you trust and the discipline to check what matters. The AI does the gathering. Your clinical judgment does the rest.
Every prompt I used is here.