Envision Summit 2025: Managing add-ons in a busy retina clinic

At the Envision Summit 2025 in San Juan, Puerto Rico, Ollya Fromal, MD, gave advice on how retina specialists can manage add-ons in their busy retina clinics.

Video Transcript:

Editor's note: The below transcript has been lightly edited for clarity.

Ollya Fromal, MD:

Hi, I'm Ollya Fromal. I'm a vitreoretinal surgeon at The Retina Institute in St Louis, Missouri. And I'm here in beautiful San Juan at the Envision Summit. I gave a presentation this morning on how to manage add-ons in your busy retina clinics. So we talked about how to systematically approach new patients, trying to stay focused and concise while you're doing that, but also keeping an open mind as you walk through your differential diagnosis. We reviewed some key clinical and exam findings of the must-not-miss retina cases, and talked about the diagnostic dilemmas and then some initial management. So the cases that we reviewed was bilateral CMV retinitis, acute taxoplasmosis. We talked about how to examine children and adults. There was a case of solar retinopathy with a 11-year-old who was using dad's [inaudible] to view the solar eclipse, which did not have enough support and protection to protect from the harmful solar radiation. And we also talked about how to incorporate procedures into the busy retina clinic. So something that our surgeons need to always keep in mind as far as time management and how to work with the referring providers and not let those urgent cases derail your clinic flow.