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Summer 2025
From COVID to Confidence
WRITTEN BY:
Sheila Quirke
If you were to draw a Venn diagram of the recent alums featured in this article, you would see that while their paths may have significantly overlapped at ICO, since graduating their paths have diverged. All four chose to pursue residency. One chose a two-year program, and one chose to move to UC Berkeley; three remained at ICO. Two are from Canada, three are women, and one is working in a rural area.
One area where all of the alums do overlap is that each of them had their optometry education or early career rooted in the disruptions of the COVID pandemic. Embarking on a new field of study or new career is challenging in the most mundane of times, but throw a global pandemic in the mix and, well, recent alums had no choice but to gain some unexpected valuable experience in learning how to pivot and adapt, skills that will no doubt come in handy with the shifting landscape of optometry.
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Amrit Bilkhu, OD ’19, is founder and co-host of the Four Eyes Podcast, and leaned into the uncertainty of the era to help shape her career trajectory, “Four Eyes was started in March 2020 out of a group text chain with three fellow ICO alums and it became our mutual support system. They were already practicing, and I was in my residency at UC Berkeley. It was a place to share our fears and anxieties of being new grads in real time. We thought others might be able to listen to us making mistakes and we could all learn together. We hit the record button and just kept going.”
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And now, over five years later, Dr. Bilkhu is still going with the podcast and her career. She is the co-owner (with ICO alum, Manraj Fervaha, OD ’17) of Northern Sight Optometry in Ontario, Canada, while also maintaining a professional social media presence, the podcast, and lecturing at professional conferences. “’Private practice is not for the weak’ is what I’ve always heard,” says Dr. Bilkhu, “I thought I would land in a corporate setting, but I wanted autonomy and fell in love with the idea of private practice. You need motivation for it with long-term goals and a vision.”
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Negar Sohbati, OD ’20 would agree. Like Dr. Bilkhu, Dr. Sohbati is Canadian and also practices in a private practice, “I finished my residency and assumed I would be in an academic setting, but in Canada there is only one English speaking school of optometry, so clinical practice is one of the only options for optometrists.” She is an associate at Toronto’s Victoria Village Optometry, a three-lane practice with two optometrists. “I am an associate now, but working towards buying into the practice.”
“It is important to use tech to our advantage. Using retinal scanning is a non-invasive way to check for dementia biomarkers that can more easily guide family physicians and neurologists. Optometry is very powerful, and the field has the potential to go way beyond glasses and vision checks. We are in a generational shift and must learn how to leverage the technology.”
Negar Sohbati, OD ’20

Dr. Sohbati has an undergraduate degree in neuroscience and is crafting a career that will combine her passion for both optometry and neuroscience, “The eye is more than an organ, it is a direct extension of the central nervous system.” That passion sparked an ongoing relationship with RetiSpec, a Canadian firm that uses AI to detect biomarkers for Alzheimer’s and other dementias through retinal scanning. Her practice in Toronto served as one of the Canadian national sites selected by RetiSpec to provide the scanning, gaining valuable data for researchers as the program scales up.
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“It is important to use tech to our advantage,” says Dr. Sohbati, “Using retinal scanning is a non-invasive way to check for dementia biomarkers that can more easily guide family physicians and neurologists. Optometry is very powerful, and the field has the potential to go way beyond glasses and vision checks. We are in a generational shift and must learn how to leverage the technology.”
That concept of ‘generational shift’ can describe the advancements of technology in the field, but also the importance mentoring has for younger optometrists in the early stages of their career. Luke Rockne, OD ’23, knows something about this. Greg Kouri, OD ’93, was the father of a friend of Dr. Rockne’s twin sister. Dr. Kouri, a respected optometrist running a legacy practice in his home state of South Dakota, needed some landscape work done on his home. Young college aged Luke was happy to do the work and stayed all summer.
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The two got to know one another well over the course of those few months, “Greg has become one of the most influential people in my life—he’s like a second dad to me now. I look up to him and he cares about me as a person.” At the point of their meeting, Dr. Rockne was considering applying to medical school, but he was interested in hearing about Dr. Kouri’s optometry practice and asked if he could shadow him one day, “He’s just a great doctor. My parents did not go to college, but Greg encouraged me. We’ve developed a great friendship as he has taught me and showed me the ropes of optometry.”

Luke Rockne, OD ’24 with his mentor Greg Kouri, OD ’93.
Choosing ICO was easy, given that Dr. Kouri had studied there as well. “I loved Chicago,” says Dr. Rockne, “In South Dakota, I had not been exposed to much about the ‘big city’—no one locks their cars where I come from, but getting used to the city was fun and I had a positive adjustment.” While studying at ICO, Dr. Rockne found his “Chicago version of Greg” in Leonard Messner, OD, Professor and Vice President of Strategy and Institutional Advancement.
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“There’s so much to learn,” says Dr. Rockne, “A residency was a must for me. The pathology that rolls through ICO is pretty unique. I knew it would give me the foundation I needed to treat any kind of disease or pathology I would see. I really enjoy a problem and ICO’s clinic provided a funnel of cases that challenged me.”
In his practice as an associate with Willcockson Eye Associates at Avera Medical Group, the practice Dr. Kouri owns, Dr. Rockne spends part of each week in Yankton, South Dakota, and two days a week in clinics just over the border in rural Nebraska. “In Chicago I saw more pathology, as many patients won’t see a doctor until they cannot see. In our practice, there are less systemic diseases, but each day is different and there are cool experiences. Working with Greg as a mentor is an honor.”
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A piece of advice Dr. Rockne got while at ICO has served him well in his first year of practice post-residency, “Dr. Messner encouraged students to continue to develop their intellect. There’s always something more to learn, especially if you look for it. That has been important to keep myself interested and stay current with what is happening in the field.”
“A residency was a must for me. The pathology that rolls through ICO is pretty unique. I knew it would give me the foundation I needed to treat any kind of disease or pathology I would see. I really enjoy a problem and ICO’s clinic provided a funnel of cases that challenged me.”
Luke Rockne, OD ’23

Megan Piraino, OD ’24.

Amrit Bilkhu, OD ’19 is co-owner of Northern Sight Optometry in Ontario, Canada, with Manraj Fervaha, OD ’17.

Megan Piraino, OD ’24, the first student at ICO to opt into the new two-year residency program affiliated with the University of Chicago in neuro-ophthalmic disease, got that same advice from Dr. Messner, “Being the first candidate in a new program was daunting, but I have confidence now as all the puzzle pieces are starting to move together.”
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Dr. Piraino is wrapping up the first year of her two-year residency in partnership with the University of Chicago. Like Dr. Sohbati, the attraction to optometry for Dr. Piraino was about the brain/eye connection, “A lot of my curiosity about optometry came from my fascination with the brain. I studied neurobiology as an undergraduate, but am a first-generation college student. I needed to make sure I could do it, to get over the fear and learn to trust I had what it took.” The way Dr. Piraino sees it is that the extra year of residency will “outweigh the cost times a million. I am developing into a clinician instead of just a student.”
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There is an electric vibration to Dr. Piraino as she describes what she will encounter in her last year of residency starting in the fall, “I picked this residency intentionally, so I could work at the University of Chicago in a hospital-based setting. I met with the faculty and colleagues there and was sold when I learned they were invested in making it happen, too. It’s like getting to be a sponge in a medical setting, providing insight into my field and what kind of an impact optometrists can have.”
Just as she had researched and reached out to others in her search for the next stage of her career, Dr. Piraino now finds that she is at the receiving end of phone calls and texts from prospective students curious about her experience at ICO and her residency, “If you asked my former self about how well things are going, I don’t think I would believe it.”
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It is a wonderful thing to feel in control and excited about this stage in a new career, but as with all things, challenges do crop up. The pressure of ramping up a new business has been eye-opening, for one. “Northern Sight opened in a new construction zone,” says Dr. Bilkhu about her practice in Vaughan, Ontario, “Marketing tips are not always applicable to us because it is not a densely populated area. It’s been challenging, but the benefit is that I am spoiled to provide great 1:1 service for my patients. Our capture rate has been much higher after working with a business coach.”
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Dr. Sohbati has experienced the same pressures in working to build her business, “There is a balance between providing good patient care and running a business behind the scenes. I did not know any optometrists before going into the field. Some have a really strong business perspective, others see how much more they need to learn that goes beyond the elective business class offered in school – the one I chose not to take. But I am diving into this. I see the business aspect of the practice as adding another layer to my experience, not taking something else away.”
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Another challenge these newer alums are facing is the prospect of burnout and how to anticipate it before it has a negative impact on them. Dr. Bilkhu, the furthest along in her career, takes the reality of burnout seriously, “You have to balance patient care with other avenues in the field. As I learn more about myself, I’ve worked to add to what I do with my patients. There is content creation to reach people globally, education and lectures, writing articles, putting out PDFs, facilitating online group discussions … Right now, I am working on creating an online masterclass that will be available soon. In my podcast, I have received these ‘clinical pearls’ from others in the field. It’s so important to help OD students and new graduates with these real-life experiences we face, like mental health issues, burnout, financial planning for your whole career, how to avoid mistakes and recover quickly from them when you can’t. It’s important to keep evolving.”
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Another area of overlap in the Venn diagram of these new ODs is their pro-active approach to keeping things fresh, to keep pivoting, to seek what is needed for themselves, their patients, their networks, and the overall field. “Stay curious and don’t be afraid to step out of your lane,” suggests Dr. Sohbati, “If you are passionate about something, go for it and never say no to opportunities.” Dr. Rockne credits his time at ICO for pushing him to do well, “Making the people at ICO proud is important to me. I recall the people who taught me—the professors and the patients, and I want to keep doing what I do for them.” “Do whatever you want,” says Dr. Piraino, “Your career is truly what you make it.”