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Better Vision

Have Portable Diagnostics, Will Travel

With small, handheld diagnostic instruments ODs can carry out complete refractive exams anywhere, for a company’s staff on-site, at schools, nursing homes or on mission trips.

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PORTABLE EQUIPMENT has become very accurate, more affordable and highly durable. Data is often transferable to a PC, tablet or phone. For example, EyeNetra’s smartphone-powered refraction offers online mobile practice software to manage an OD’s events, scheduling, intake information, visit notes, e-prescriptions and payments. The instruments often have rechargeable batteries and work for hours on a single charge. They can also be used in-store to move easily between exam rooms.

 

EyeNetra

Auto-refractor, auto-lensometer and portable phoropter all connected to a Mobile Practice Manager. These three devices come in a case that weighs less than 7lb.

(617) 684-5680 | eyenetra.com 

 

ICare

ICare ic100 tonometer for clinics and iCare HOME tonometer for patients.

(888) 422-7313 | icare-usa.com

 

DGH Technology

Pachmate 2 pachymeter, Scanmate Flex for any desired combination of A-scan, B-scan and UBM.

(800) 722-3883 | dghtechnology.com

 

Smart Vision Labs

SVOne autorefractor

(212) 796-6124 | smartvisionlabs.com

 

Marco

Marco HandyRef-K, a hand-held auto refractometer/keratometer.

(800) 874-5274 | marco.com

 

PlenOptika

QuickSee Wavefront Refractor

(617) 862-2203| plenoptika.com

 

Smart Ways to Use Portable Diagnostic Devices

Dr. Adam RamsayICONIC EYE CARE, PALM BEACH GARDENS, FL

I find that small, portable equipment is less intimidating for patients and gives them a better patient experience. I use Marco’s HandyRef autorefractor for kids and anyone in a wheelchair. Instead of moving the patient around, I bring the equipment into the exam room when their eyes are dilated and this is less cumbersome and more efficient. It’s also very accurate if you use it correctly. I also use Icare’s tonometer instead of an NCT to test eye pressure because it is less intimidating for patients, especially those having their first eye exam. When I do eye exams outside of my optical, for example, at schools and nursing homes, I use EyeNetra’s portable phoropter because it’s so convenient. I also use Pachmate 2, a handheld pachymeter from DGH Technology, to measure corneal fitness for patients with glaucoma or an eye infection. On the whole, I love using hand-held instruments on my patients.

 

Dr. Dickson Chen DAVICH OPTICAL, LOS ANGELES, CA

As I do nursing home visitations a couple of times a week, it’s important that I have diagnostic instruments that are not only portable but accurate. Having previously used the Marco Palm ARK hand-held autorefractor, my favorite autorefractor now is the SVOne by Smart Vision Labs. Its accuracy is unsurpassed because it is based on a Shack- Hartmann wavefront aberrometer. It is also fast in that it captures readings in 3 seconds per eye, which greatly enhances patient comfort and stability of readings. For tonometry, I use Icare’s ic100 tonometer, which both my techs and patients absolutely love. No more scary air puffs, and it’s accurate to boot!

Carol Gilhawley is a contributing writer for INVISION.

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Better Vision

Retinal Cameras Are More Efficient, More Effective and Less Expensive Than Ever Before

The latest models available and smart ways to use the latest technology.

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TRADITIONALLY, RETINAL CAMERAS were a large expense and pupils needed to be dilated to capture detailed images of the retina. However, in the past five years, high quality, non-mydriatic cameras that do not require dilation have come on the market costing a fraction of the price. There are also hand-held, wireless options and technology continues to improve. For example, D-EYE is building an artificial intelligence platform to help assess if a patient has a specific disease. Its goal is to provide a mass screening platform using their system and access to an approved database, to deliver an “assessment” (not a diagnosis) of the exam results for specific diseases so the patient can progress to the next level of care.

Hill-Rom Welch Allyn

Hill-Rom Welch Allyn RetinaVue 100 Imager

(800) 535-6663, welchallyn.com

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Topcon Medical Systems

TRC-NW400 fully automated, non-mydriatic retinal camera

(800) 223-1130, topconmedical.com

Coburn Technologies

SK-650 Retinal Camera

(800) 262-8761, coburntechnologies.com

Marco

Marco’s AFC-330 Automated Fundus Camera, SK-650 Retinal Camera

(800) 874-5274, marco.com

Canon USA

Canon CR-2 PLUS AF Digital Non-Mydriatic Retinal Camera

(800) 652-2666, usa.canon.com

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D-EYE

D-EYE Retinal Imaging System

(401) 473-6323, d-eyecare.com

Smart Ways To Use Retinal Cameras

Dr. William Goldstein, Laser Eye Care Center, Shelby Township, MI

I use D-EYE’s fundus camera to document the optic nerve in patients who have glaucoma or suspected glaucoma. I started to use D-EYE three years ago. It’s an attachment for the iPhone that has a lens you pop on when you need it. I used to have a camera mounted to a slit lamp in one exam room. Now I travel from room to room to take pictures and this has improved efficiency. I add the picture to the patient’s record and bill insurance for the office visit in addition to the procedure code for taking the picture. The only disadvantage to the D-EYE system is that its field of view of the retina is small.

Dr. Edward Chaum, Vanderbilt Eye Institute, Nashville, TN

This country needs to make it a scalable paradigm to effectively and efficiently screen patients for evidence of vision threatening eye disease in a primary care setting. There are 30 million diabetics in this country but only about half of them are seen by an eyecare professional. It is estimated that the number of diabetics will grow to 100 million within the next 20 years. Finding people and treating them early is critical. Most get seen by a primary care physician or endocrinologist but many need a second level of care and they’re falling through the cracks. Since the cost of a retinal camera has come down, spending about $5,000 to buy one is not a significant burden. Welch-Allyn’s RetinaVue device helps with eye care compliance among diabetic patients who might not otherwise get a retinal exam with a specialist in a timely manner.

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Better Vision

Lenses Finally Get the Visual Sales Aid They Need

Why tell patients the lenses benefits when several companies now allow you to show them.

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SALES APPS FOR lenses come in many forms, whether a filter on a popular social media site or a freestanding lens display kit. In January, both Essilor and ZEISS came out with new lens apps. Essilor’s LenSelect helps ECPs demonstrate premium lenses to their patients. ZEISS’ interactive lens demo display comes with an iPad, new app and demo lenses . The app makes recommendations based on the patient’s answers and then texts or emails the practice before an exam. Purple Go is finding some success with its lens pricing app for optical retailers. Jeremy Huff, co-founder and CEO, said: “Opticians close sales twice as fast when using Purple Go’s lens pricing worksheet.” Whatever app your lens manufacturer suggests, they all aim to help you sell more lens options.

Signet Armorlite

Kodak lens ids (intelligent dispensing software)

(800) 759-4630 | signetarmorlite.com

Essilor

LenSelect dispensing app

(214) 496-4000 | essilorusa.com

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Zeiss

Interactive lens demo display

(866) 596-5467, www.zeiss.com/lenses

Transitions

Snapchat filter for ECPs that allows patients to virtually try on different frame styles with Transitions Light Intelligent Lenses.

(800) 533-2081 | transitions.com

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Purple Go

(415) 712-1325 | purplego.co/optical

BluTech

The Lens Display Kit to compare BluTech Ultra indoor lens and BluTech polarized polycarbonate lens.

(800) 258- 5902 | blutechlenses.com

Smart Ways To Sell Lenses Using Sales Apps

Venus Sosa, Sears Optical, Miami, FL

The Transitions SnapChat filter is a very creative way to appeal to the younger generation. I think for a long time there was this idea that only the older generation used Transitions lenses but I love the way the attitude is changing. The filter is a smart way to market Transitions lenses and attract people from all walks of life. Using technology and a very popular social media app, it has added a hip and interactive spin to the lenses. In addition to showing our patients how to use it, the SnapChat filter is a fun way to also involve my friends and family. I can introduce them to Transitions in a unique way, by including them in the video with me. It’s great that the filter changes sceneries, background music and even the frames and lenses that appear on our faces.

Dr. Amy Tran, Looksie Optometry, San Francisco, CA

We are one of the first beta test sites for Purple Go. I was doing a lot of paperwork and lens options were low. Using the Purple Go app on an iPad over the past 20 months, we can continually offer customized progressives, high index, Trivex and digital lenses all with top-of-the-line AR coatings. We use Purple Go as a tool to review lens options with our patients while taking their insurance and co-pays into consideration. We select their insurance from a drop-down menu to show patients their out-of-pocket expenses. It streamlines the conversation; side by side on the screen they can see how much their co-pay is along with the price for each lens option such as: type, material, treatment, sun protection and photochromic. We then review these costs with them on the screen.

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Better Vision

In-House Finishing ‘Edges’ Out Profit

While reducing turnaround time and errors for happier patients.

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FINISHING JOBS IN-HOUSE can be a real bonus for many eyecare professionals. Even though there’s an initial upfront cost to buying a machine, savings can be realized soon thereafter. According to The Vision Council, about 53 percent of all ECP locations have some type of finishing equipment on-site with a further 20 percent owning a surfacing system. There are certainly many efficient and reliable machines to choose from since most manufacturers include retail edgers in their line of lens finishing systems.

 

Luneau Technology USA

Briot Perception 2, Briot Attitude, WECO E.3/2

(800) 729-1959, luneautech.com

 

Optek International

E1000-GP Edger, FD-80 Tracer, LS-82 Blocker, DM-1000 Lens Drill, Dia E1000-E920

(727) 522-2301, optekinternational.com

 

MEI System

EzFit No Block

(630) 521 8588 | meisystem.com

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Essilor Instruments USA

Pro-E 700 edging system, KAPPA, Special Edition edger

(855) 393-4647 | essilorinstrumentsusa.com

 

National Optronics

17Ex Edger, QM-X3

(800) 800-1550 | nationaloptronics.com

 

Santinelli International

Me 1200, Lex 1200, LEXCE, Le 1200, Le 700

(800) 644-3343 | santinelli.com

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Coburn Technologies

Excelon HPE-410, Exxpert HPE 8000X, HPE-810

(800) 262-8761 | coburntechnologies.com

 

Smart Ways To Sell In-House Edging

Penn Moody, OD, MOODY EYES, INDIANAPOLIS, IN

In 2011, we decided to add an edging lab for better control over expenses and quality. At Vision Expo we chose the DIA from Optek. We’ve been very pleased with this choice. The vertical orientation allows the pressure on the lens to be adjusted during edging. We purchased a second DIA in 2017. We now process over 80 percent of our glasses, which has added substantially to our profitability and patient satisfaction.

Wendy Salle, SALLE OPTICIANS, ATLANTA, GA

We’ve been edging in-house for the past 30 years. I had to put in a second machine this year because of the volume. We’re up to about 25 jobs a day on two Santinelli machines, the Me1200 and the LEXCE. We do a lot of custom rimless work which can take an inordinate amount of time. But, it’s hard to find a lab that does good finish work and it’s a no-brainer for me to do it in-house. I don’t look at cost savings but I do look at being able to have ultimate control over our products.

Ronald Garbatini, ROYAL VISION ASSOCIATES NEW HAVEN, CT

We were spending between $8,000-$10,000 a month in lab bills before we got the Briot Attitude in 2016. Now we’ve cut that in half. Even though it’s an expensive machine, it’s paid for itself already. We edge about 30-50 jobs a day through this machine: everything from poly to plastic, high index, single vision, progressives to flat top bifocals. Patients like that we do jobs in-house, especially if they use private insurance.

 

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