In this thought-provoking clinical roundtable, Dr. Chris Wolfe is joined by Dr. Shane Kannarr and Dr. Aaron Werner to unpack the real-world implications of Lacrifill, a novel hyaluronic acid-based punctal occlusion device that’s changing the conversation around dry eye management.

What starts as a lighthearted discussion about plumbing and practice life quickly turns into a deep dive into how Lacrifill may reshape our protocols, especially in a landscape where traditional plugs have fallen out of favor. From staining outcomes and HA elution to procedural technique and patient selection strategies, this episode is packed with critical thinking, clinical transparency, and honest questions.

Topics Covered:

How Lacrifill differs from traditional punctal plugs

Why inflammation changed the game—and may be causing underuse of occlusion

The value of fluorescein and lissamine staining, lid wiper epitheliopathy, and neurotrophic keratopathy

Real-world feedback: injection technique, cannula size, managing patient discomfort

Strategic use in seasonal dry eye, post-cataract care, and diagnostic dry eye pathways

How to build consistent, team-based dry eye protocols that evolve with innovation

Whether you’re just beginning to explore dry eye treatment or looking to refine your advanced protocol, this episode provides a candid, collaborative look at how Lacrifill might become more than just the “new plug”—and instead, a pillar in your dry eye strategy.

Plus: Tips for integrating procedures more confidently and systematizing care so your entire team delivers better outcomes.

Resources: Lacrifill clinical trial and product data (https://lacrifill.com/clinical-trial-and-product-data/)

Disposable Blunt Tip Dispensing Needle (https://a.co/d/63bXrPS)

--------------------- For our listeners, use the code 'EYECODEMEDIA22' for 10% off at check out for our Premiere Billing & Coding bundle or our EyeCode Billing & Coding course. Sharpen your billing and coding skills today and leave no money on the table! questions@eyecode-education.com

https://coopervision.com/our-company/news-center/press-release/coopervision-and-aoa-join-forces-launch-myopia-collective

Go to MacuHealth.com and use the coupon code PODCAST2024 at checkout for special discounts

Show Sponsors: CooperVision MacuHealth

"This month on Book Nerds, your favorite doctor-entrepreneurs—Dr. Kyle Klute, Dr. Brianna Rhue, and Dr. Aaron Werner—are joined by Daniel Palmer, certified StoryBrand guide and marketing strategist, to dive deep into Donald Miller’s StoryBrand 2.0. What happens when doctors stop trying to be the hero and instead become the guide? The answer might just transform your entire practice.

In This Episode: • What it really means to make your patient the hero • The seven parts of the StoryBrand framework and how to apply them in optometry • Why clarity beats complexity—and how jargon drives patients away • How to craft simple, 3-step plans that increase patient engagement • Why most practices “OD-splain” (yep, it’s a thing) and how to fix it • Using empathy and storytelling to drive better treatment acceptance • How to reframe your team communication and leadership using the same framework • BONUS: How Aaron tested the framework during story time at the bar

Whether you’re explaining glaucoma drops, pitching dry eye treatments, or training your staff, this episode will show you how storytelling creates buy-in, boosts revenue, and builds lasting relationships. And yes, you’ll never watch a movie—or give a treatment recommendation—the same way again.

Tools Mentioned: • StoryBrand One-Liner Formula • Donald Miller’s Business Made Simple AI Tool • The “8 Second Rule” to close the sale"

________________________ questions@eyecode-education.com Go to MacuHealth.com and use the coupon code PODCAST2024 at checkout for special discounts Let's Connect! Follow and join the conversation! Instagram: @aaron_werner_vision

In this episode, Chris sets the stage for an upcoming panel discussion at the Vision Source Exchange, focusing on maximizing the potential within existing patient bases. He encourages listeners to reflect on their practices, particularly regarding contact lens fitting metrics, patient engagement, and loyalty. The conversation emphasizes the importance of understanding patient needs, addressing barriers to contact lens fitting, and fostering family engagement in eye care. Chris highlights the significance of data-driven insights and intentional communication to enhance practice growth and patient retention.

---------------------- For our listeners, use the code 'EYECODEMEDIA22' for 10% off at check out for our Premiere Billing & Coding bundle or our EyeCode Billing & Coding course. Sharpen your billing and coding skills today and leave no money on the table! questions@eyecode-education.com

https://coopervision.com/our-company/news-center/press-release/coopervision-and-aoa-join-forces-launch-myopia-collective

Go to MacuHealth.com and use the coupon code PODCAST2024 at checkout for special discounts

Show Sponsors: CooperVision MacuHealth