Now more than ever, ophthalmic practices have a choice about where to spend their ad dollars. With the rise of streaming media, many people have opted to consume a variety of content from on-demand, internet-based services such as Netflix, Spotify, and YouTube TV. This radical shift in how we watch TV, view movies, and listen to music has created many opportunities for reaching a target audience more cost effectively. However, it also comes with a new set of challenges.