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Optometry Procedures MasterClass: Step-by-Step Guide on Punctal Plugs, Dilation/Irrigation & Amniotic Membranes
Mastering Punctal Plugs
Introduction and Learning Objectives: Punctal plug overview and what you’ll be able to do by the end (1:44)
Dry Eye Overview and Treatment Ladder: Where plugs fit in modern dry eye management (1:48)
Eye Anatomy & Why it is so important: Key anatomy for safe, accurate plug placement (1:06)
Indications and Contraindications of Plugs: Who benefits, who to avoid, and clinical red flags (4:10)
Punctal Plug Types: Comparing plug designs, materials, and use-cases (2:12)
Punctal Plug Candidates/Patient Selection: How to pick the right patient (and set expectations) (3:24)
Pre-Procedure Checklist: Room setup, supplies, and time-saving preparation (4:03)
Patient Informed Consent: How to explain risks, benefits, and alternatives clearly (1:49)
Step-By-Step Technique: A repeatable, start-to-finish insertion technique (4:28)
Punctal Plug DEMO Procedure: Full real-world procedure walkthrough (hands-on) (1:15)
Patient Education and Expectations: What patients should feel and expect after placement (2:44)
Follow-Up Protocol and Troubleshooting: Follow-up timing, epiphora, and “plug fell out” scenarios (4:13)
Complications and Management: Managing irritation, extrusion, migration, and infection concerns (2:28)
Documentation and I&R: Charting templates, medical necessity language, and interpretation/reporting (5:34)
Billing & Coding Overview: CPT/ICD-10 framework and how to avoid common billing errors (5:07)
Billing & Coding Case Examples: Real scenarios with diagnoses, codes, and documentation notes (8:15)
Clinical & Practice Pearls: Efficiency tips, workflow integration, and what experienced ODs do differently (2:03)
FAQs and Myths: Common misconceptions and quick clinical answers (5:17)
Key Takeaways: Summary checklist and what to implement immediately (3:19)
Special Member Promo & Pricing: Member benefits, pricing details, and next steps (1:32)
Bonus: Puncta Plugs & Billing/Coding Case Examples (5:27)
Dilation & Irrigation in Eye Care
Introduction and Learning Objectives: D&I purpose, indications, and module roadmap (2:23)
Understanding Mechanism of Epiphora: Impact on treatment (2:15)
Importance of Nasolacrimal Anatomy: Review to improve accuracy and interpretation (2:16)
Clinical Indications: When D&I is appropriate in-office vs refer out (5:15)
Patient Signs and Symptoms: Key questions and clinical findings that matter (2:27)
Contraindications and Precautions: Safety screening and risk reduction (4:07)
Patient Selection: Identifying ideal candidates and setting expectations (3:00)
Patient Education and Expectations: What patients should feel and expect (3:04)
Setup and Supplies: Instruments, solutions, and room setup for smooth flow (5:17)
Syringe Setup: Proper assembly, handling, and priming technique (1:21)
Dilation & Irrigation DEMO: Chair-side setup and positioning (1:31)
Importance of Punctal Dilation: When dilation is required and how it impacts success (3:12)
Dilating Puncta Demo Video (Right Eye): Dilation technique walkthrough (1:33)
Dilating Puncta Demo Video (Left Eye): Dilation technique walkthrough (1:09)
Step by Step D&I Procedures: Full procedural sequence from start to finish (4:10)
Dilation & Irrigation Demo: Procedure walkthrough (1:42)
Technique and Safety Guidelines: Avoiding false passage and maximizing patient comfort (2:07)
Patient Informed Consent: Form language, risks, and alternative options (2:25)
Interpreting Findings: What reflux/flow patterns mean and what to do next (2:45)
Managing Complications: Bleeding, discomfort, resistance, and next-step decision making (3:22)
Documentation and Reports: Charting examples and referral-ready documentation (5:22)
Practice Workflows: How to implement D&I efficiently in clinic operations (3:08)
Billing & Coding Overview: CPT/ICD-10 approach and common pitfalls (5:17)
Billing & Coding Case Examples: Different scenarios & documentation tips (3:10)
Clinical & Practice Pearls: Speed, comfort, efficiency, and interpretation shortcuts (3:12)
FAQs and Myths: Common questions and misconceptions clarified (3:21)
Summary and Conclusion: Practical recap and implementation checklist (2:54)
Bonus: D&I Billing/Coding Case Examples (4:22)
Mastering Amniotic Membranes
Introduction and Learning Objectives: Overview, outcomes, and what you’ll master (1:26)
Importance of Corneal Anatomy: Essentials for safe application and healing assessment (1:18)
Amniotic Membrane Composition and Properties: Why it works and what it does clinically (2:41)
Clinical Indications & Symptoms/Signs: The cases where Membrane can be a game-changer (2:25)
Contraindications & Cautions: When to avoid, delay, or refer (2:17)
Selecting the Right Types of Amniotic Membranes: Choosing the best option for each scenario (2:09)
Patient Selection and Decision Making: How to decide AM vs alternatives and when to escalate (2:20)
Pre-Procedure Checklist and Preparation: Room setup, supplies, and staff workflow (3:10)
Patient Informed Consent: How to explain the process, vision expectations, and risks (2:26)
Application Techniques: Step-by-step placement techniques and handling tips (4:47)
Tips for Successful Application: Practical tricks to improve comfort and retention (1:34)
Amniotic Membrane Procedure #1: Contact Lens Flip Technique DEMO (2:15)
Amniotic Membrane Procedure #2: Membrane Placed On The Inner Contact Lens Technique DEMO (1:30)
Amniotic Membrane Procedure #3: Direct Cornea placement technique DEMO (3:03)
Patient Education and Expectations: What patients will feel, see, and do after placement (2:49)
Follow-Up Protocol & Outcome Assessment: Monitoring healing, timing, and re-treatment decisions (3:41)
Documentation and I&R: Charting, medical necessity, and reporting language (4:47)
Billing & Coding + Reimbursement: Coding strategy, reimbursement basics, and compliance (4:47)
Practice Integration: Protocols & Workflow (3:53)
Practice Tips & Clinical Pearls: Avoiding rookie mistakes and improving consistency (5:17)
Amniotic Membrane Myths: Common misconceptions clarified (3:47)
FAQs: Quick answers to common clinical and operational questions (3:44)
Key Takeaways and Conclusion: Summary checklist and implementation plan (4:12)
Bonus: Membrane Billing/Coding Case Examples (3:33)
Interpreting Findings: What reflux/flow patterns mean and what to do next
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