Dr. Harbir Sian sits down with Dr. Julian Prosia and Dr. Kulvir Singh for a fiery conversation about dry eye care, industry relationships, specialty practice, and the ethical challenges facing modern optometry.

The episode explores the growing trend toward specialization in optometry, with both guests sharing how they’ve built careers heavily focused on dry eye treatment. Julian discusses balancing clinical practice with running Ophthalogix Canada, while Kulvir explains why focusing exclusively on dry eye care has improved both efficiency and patient outcomes.

The conversation quickly shifts into a deeper discussion around expensive clinical technology, KOL culture, and the pressure some practitioners feel after investing heavily in equipment. Harbir delivers a passionate warning about blindly trusting sales-driven recommendations, while Julian and Kulvir emphasize the importance of evidence-based medicine, transparency, and always prioritizing what is truly best for the patient.

A major theme throughout the episode is collaboration over competition. The group discusses the importance of OD-to-OD referrals, leaning on trusted colleagues, and recognizing that no single practitioner can master every niche within optometry. Their message is clear: when optometrists work together and put patients first, everyone wins.

Key Takeaways

• Patient care must come before profitability. Expensive equipment and industry relationships should never dictate clinical decision-making.
• OD-to-OD referrals are a strength, not a weakness. Collaboration between colleagues ultimately creates better patient outcomes and stronger trust within the profession.
• Not all industry partnerships are created equal. Evidence-based medicine, transparency, and unbiased advice matter more than hype or financial incentives.

Guest Contact Info

Dr. Julian Prosia

• Founder: Ophthalogix Canada
• Instagram: @doctorprosia

Dr. Kulvir Singh

• Dry eye-focused optometrist based in the Greater Toronto Area
• Instagram: @the.tieclip.eyedoc

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