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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

Golf Lenses Guaranteed to Be a Hole in One

8 options that address the three factors patients want in their golf glasses.

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THREE FACTORS USUALLY come into play when patients are looking to buy golf glasses: “Their lenses to make a difference on the tee, to see their scorecard, and to track their ball down the fairway,” says Rob Curry at True Focus Eye Care in Port Richey, FL. As a result, lens makers provide ECPs with a number of options.

Liberty Sport

Switch H-wall Frames that come with interchangeable lenses in a two lens kit with a specific golf tint.

(800) 444-5010, libertysport.com

Oakley

The Oakley Prizm Dark Golf lens

(800) 403-7449, oakley.com

ImageWear

Callaway frame with fully Rx-able lens.

(800) 414-7656, walman.com

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Under Armour

The UA Tuned Golf lens features a proprietary tint formula for heightened contrast in bright conditions.

(516) 576-9100, eyeking.com

Scheyden Eyewear

Golf-specific CIA (Confidence in Action) sunglasses with fixed gear titanium frame and high definition dye-infused LT16 polyamide lens.

(800) 851-2758, scheyden.com

Maui Jim

Golf line with PolarizedPlus2 lenses, Guardrails polarized aviator sunglasses (shown).

(888) 666-5905, mauijim.com

Tifosi Optics

Swick sunglasses with Enliven Golf lens or an Rx option of golf/tennis tint.

(877) 530-0815, tifosioptics.com

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Shamir

Shamir Golf lens

(877) 514-8330, shamirlens.com

Smart Ways To Sell Golf Lenses

Tom Harrigan, J.C. Reiss Optician, Morristown, NJ

Our go-to golf lens is a Maui Jim sunglass lens. We’re a small independent optical that opened 127 years ago and I find Maui Jim helps level the playing field by doing everything for us. Being a golfer myself, I like certain lens colors for golf so I recommend a brown or a rose-colored lens which helps read the greens better than a flat, gray lens. Generally, sunglasses double as the patient’s golf lenses unless they want to buy a second pair, say, a dark gray lens for fishing. When patients come in we ask them about their hobbies. This opens the conversation to talking about golf and, since I know the game myself, I discuss my recommendations with them. In addition to selling Maui Jim for golf, we also sell some Liberty Sport Switch frames with golf-tinted lenses.

Rob Curry, True Focus Eye Care, Port Richey, FL

Our two doctors are golfers and have photos of themselves playing in their exam rooms, so golf often comes up in conversation with our patients. Most of our golfers want to be able to track the ball from the tee to where it lands on the green so they will buy a distance prescription and/or bifocal lens. We use the Tifosi frame and lens package more than any other. Its new Enliven Golf lens comes standard in the frame (in plano) and if the patient wants an RX they can get it in the GT tint (golf/tennis). We personally tested it on the course and the results were overwhelming. It’s a non-polarized, color enhancing, green lens that allows you to read the cut of the greens more clearly and vividly than any other golf lens.

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Better Vision

Ways to Protect Kids’ Eyes While Playing Sports

And smart ways to get their parents on board.

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IT’S ESTIMATED THAT 80 percent of eye damage occurs before 18 from exposure to solar UV radiation. As children play games, it’s necessary to protect their eyes from the sun and sport injuries. ECPs need to educate parents about the importance of protective eyewear for kids when participating in sports. For maximum protection and performance, Rx lenses ­— polycarbonate is preferred — can be inserted into a variety of sport-specific styles in a variety of youth sizes.

Wiley X

The Wiley X Youth Force line offers Rx-able eyewear for all types of sports.

(800) 776-7842, wileyx.com

Puma

Puma Junior Eyewear line.

(844) 790-9165, kering.com

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Oakley

The Rx Frogskins XS is especially engineered for young faces.

(800) 403-7449, oakley.com

Julbo

Little Heroes children’s line of Rx-able polarized lenses.

(800) 651-0833, julbousa.com

Nike Vision

The Nike Legend S, an 8-base sport wrap sunglass made with Max Optics.

(800) 645-1300, nikevision.com

Liberty Sport

The Sport Shift frame or goggle in the Patriot Collection has an RS 2.0 lens with FogBlok coating.

(800) 444-5010, libertysport.com

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Polaroid

Polaroid Kids sunglasses with polarized lenses for ages 4-12.

(800) 631-1188, safilo.com

Hilco

Rx-able swim goggle.

(800) 955-6544, hilcovision.com

Under Armour

The UA youth sunglasses with sport-specific Tuned technology designed specifically for baseball and golf.

(516) 576-9100, underarmour.com

Smart Ways To Sell Sports Eyewear to Kids

Audrey Nelson, VisionQuest Eyecare, Greenwood & Indianapolis, IN

We offer a range of sports sunglasses from Oakley’s youth line, sports goggles from Rec Specs and prescription swim goggles from Hilco. The most important thing our doctors discuss with patients is safety. For those kids needing active sunwear with or without prescription, the Oakley Prizm lenses are great. Only about 10 percent of kids who come into our practices wear a sport-specific goggle or eyewear so I think more education is needed for parents to understand that their children should have safety eyewear when playing sports. It also protects their children’s eyes from the sun.

Dr. Samuel Teske, The Eye Doctors New Tampa, Tampa, FL

We’re based in an area that is growing rapidly with a lot of young families moving in and getting their children involved in sports. I first make sure parents understand the importance of eye protection, especially in sports. The mother is generally the decision maker so I talk to her first to ensure she’s on board. I ask her “What sports are your kids playing?” “How active is the sport?” Depending on how aggressive the sport is, I determine if the child will need protective eyewear. Baseball, for example, is an active sport with a high rate of injury. I usually concentrate on those children who already have a prescription and choose ideal safety eyewear that can help prevent injury. I usually prescribe Rec Specs from Liberty Sport, which have an in-built shock absorber. I always pair them with a polycarbonate lens due to its shatter resistance and I like to prescribe Transitions lenses too.

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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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