CRST: The Podcast

Drs. Neda and Neda explore how modern refractive surgery is evolving beyond a one-size-fits-all LASIK model. They discuss next-generation laser vision correction based on highly personalized eye measurements, share real-world pearls on screening and counseling patients, and explain why they now frame patient visits as vision correction consultations rather than LASIK consults. They also touch on when lens-based options may be a better choice and how to build a truly comprehensive refractive practice.

Neda Nikpoor, MD, and Neda Shamie, MD, reframe refractive surgery as a comprehensive vision-correction mindset rather than a single procedure, exploring how advanced diagnostics and disciplined risk stratification guide candidacy and smart decision-making across refractive options. They outline when to pivot—or defer—and emphasize expectation-setting, patient motivation, and screening for medical and psychosocial factors that influence satisfaction.

Uday Devgan, MD, FACS, FRCS, speaks with Christopher E. Starr, MD, FACS, and Brian Shafer, MD, in two short segments drawn from CRST's October cover focus, "Refractive Cataract Roundtables." Dr. Starr reviews a practical approach to preoperative ocular surface optimization—key exam steps, stop-rules before biometry, and simple readiness markers. Dr. Shafer outlines his IOL decision framework, balancing spectacle independence and image quality, who is not a candidate for diffractive optics, and options for residual refractive error. Related perspectives appear in the October issue of CRST.

In this Best Practices in Keratoconus Management podcast episode, Brandon D. Ayres, MD, welcomes Tomas Navratil, PhD, to examine the crucial role of oxygen in corneal crosslinking. Dr. Navratil explains the underlying science of oxygen’s involvement in the crosslinking reaction and how varying oxygen levels can affect treatment efficacy. The discussion highlights emerging strategies and new technologies that aim to optimize oxygen delivery and enhance outcomes for patients with keratoconus.

In this podcast, Audrey Talley Rostov, MD, and Nandini Venkateswaran, MD, discuss the following topics to help you get started with SMILE: What is SMILE Why they prefer SMILE  How to get started with SMILE Common issues when getting started with SMILE: Centration, Identifying Surgical Planes, Difficult Dissections SMILE pre and post operative regimens  Where each doctor positions SMILE in their practice