The AFC-330 has been the easiest clinical addition I’ve made to the practice. I actually unboxed it and trained the staff myself before the trainer got there. It’s that easy to use. And my staff loves it because it’s so quick and so much easier to use than the old camera. We actually take a screening photo now as part of our pre-test. It provides me with a baseline to compare against in the future, and it has a side benefit of giving patients that ‘wow factor’ when they see it.

We were looking for a camera that obtained quality images and was easy to use. The new camera has done that for us. It was very easy for everyone in the office to learn how to use the device, and it takes quality images quickly and efficiently. Everyone should be able to take good images regardless of experience. Just line up the camera and let it do what it was designed to do. When fully automated, the camera won’t take an image if it detects a patient blinking.

The AFC-330 has become one of the most important pieces of equipment in my practice. It is something I don't know how I have practiced without. The speed, true automation and minimal reliance on a technician to perform internal, and even external photos, makes the AFC-330 retinal camera the perfect fit for my busy practice. The included Navis-EX software integrates with our EHR software which makes taking, analyzing, storing and retrieving images as simple as possible. The sales and support staff at Marco are stellar. I highly recommend the Marco AFC-330.

With our old camera, it was challenging and more time-consuming to obtain quality images. There were times that I had to assist the staff with capturing images or retaking a series of images from the beginning. The AFC-330 is certainly faster in obtaining the pictures we need. I also think the integrated software is a really nice way to communicate with patients and show them the results.

The beauty of the Marco AFC330 Fundus Camera lies in its ability to automatically focus and acquire a perfect fundus photo in normally one take. Then, using the Nidek Navis EX software, the images can just as easily and efficiently be displayed for review and documentation.

Much of the emphasis around autorefraction is placed on the time it saves – with good reason. When I performed the refraction myself, I averaged 10 to 15 minutes per patient. Using the EPIC system, refraction takes just 2 to 3 minutes with my staff; then I validate or tweak the prescription for 1 or 2 minutes for a total of about 5 minutes. That cuts refraction times in half, and translates into me seeing 5 to 10 more patients each day.

The EPIC refraction system from Marco has been a key addition to our practice that has helped us achieve this improved quality of care while simultaneously improving our efficiency. We purchased our first EPIC system and were so impressed with it that we added a second unit 3 months later. The system comprised of the TRS digital refractor and the integrated OPD-Scan III component, gives us a reliable, fast refraction as well as a detailed corneal analysis that aids us in multiple ways in the pre- and post-operative management of cataract patients.

We’ve had an EPIC workstation for at least 15 years and the flow from day 1 has improved. We have multiple technicians – it’s great to have the technology. Our flow time between patient limiting factors now is just dilating the pupils - now we are being evaluated by the internet with all these websites and grading your practice and the biggest complaint by patients is our wait time. You have to set expectations obviously so we will tell the patients they will be there for a couple of hours for advanced diagnostics at the same time we need to maximize the flow with the OPD III, OCT, IOL master, etc. Our flow time and efficiency time has really been improved and so far we have gotten some great ratings on the internet.

The incorporation of the new EPIC automated refraction system along with the TonoRef II into our practice has not only made the routine and post-op refractions more accurate, but has improved our refractive cataract surgery work flow - the post-op interim examinations between the two surgeries is quicker, more accurate and does not require any eye drops. Our technical staff really appreciate the enhancement to their work flow as well!

We’ve been using the EPIC system from Marco for 10 years in multiple practice locations, and the system is indispensable. The primary reason for getting the EPIC was to get consistent, accurate refractions every time, no matter who did the test or who the patient was. The system also saved us time and money while making technicians and patients happier.

Marco may be the leader in vision diagnostics, but the devices are just part of the formula. After my EPIC system purchase, my area manager has maintained close contact with me for seven years, he's always been there for us and the fact that I can lean on my vision diagnostic consultant for traffic and patient flow issues, scripting to patients to maximize usage (and billing), is worth 100 times more than the great products themselves.

Marco’s EPIC system has empowered the staff by allowing them to do more with patients. Technicians conduct all the pretesting and transfer the data to the TRS console in the exam room via a credit card-sized card and I complete the refracting process with the patient. Typically, finalizing the refraction now saves me several minutes per patient and allows extra time to talk about lens choices and visual needs.

I love the software and I love the Marco equipment. Patients are impressed with the EPIC and speedy refractions. I personally enjoy being able to complete the refraction, pull the equipment away and still be facing the patient. No more turning away to document findings. Hoping to not jinx myself, but the need for any maintenance is minimal.

For anyone considering the EPIC, the Marco Area Manager will work closely with you to reevaluate your patient flow from an efficiency standpoint. Within 3 months of our first EPIC purchase, we bought 3 more and realized that we should have made the investment sooner. Our practice grew 15% in a single year.

Marco automation delivers 24.4% practice revenue growth in 12 months. I linked my Marco technologies to my EMR system and office efficiencies and productivity have improved so much with these automated instruments, that reduced exam times allow us to work in walk-in patients. Our wellness screening capability has also enhanced my patients’ overall experiences and allowed us to charge for a more comprehensive, premium exam. My Marco equipment delivers every day – without fail.

I didn’t want to use a manual refractor, so I bought the EPIC refraction system. My staff and I trained on it for about a day, and I moved all of my refractions over to the EPIC with OPD and TRS refraction system. Using this system exclusively has led to better patient flow, increased precision in refractions, increased profitability and reduced risk of transcription errors. What’s more, the ergonomic features have eliminated my overhead arm movement. The console platform for the refraction is waist high. I operate it from a chair and simply turn one dial and push an occasional button. If you’ve experienced any neck or spin problems – or just want to avoid them – I recommend the OPD-Scan III and TRS combination refraction system.

The most wonderful feature about the EPIC system is its ability – with just the quick turn of one dial – to alternate between a patient’s current prescription and the “new and improved” prescription. We’ve always found it hard to tell a patient their prescription has changed, regardless of how much it changed. Now we have the ability to show them, while setting their expectations. This allows them to choose which prescription they feel they see better with.

The area surrounding my office was growing, the phone was ringing and I couldn't see patients fast enough. I was turning business away because I couldn't schedule patients for several months. After a brief transition period incorporating the Epic, I was able to almost double the number of comprehensive exams scheduled in a day. This way I was able to lessen the wait time to get an appointment in my office and capitalize on the growing population

The EPIC system isn’t just easier on doctors and techs — it’s easier for patients, too. Our patients tell us that they like the EPIC experience much better than manual refraction. They’re very happy to avoid the "Which is better, 1 or 2?" routine. Less fatigued, more engaged, better informed, and more impressed patients enhances the total practice experience.

In our large, high volume practice, the EPIC has been an excellent fit. The cost of the equipment is more than recaptured in staff savings and a smoother, better workflow for staff and surgeons. It also reinforces a message that we want our patients to hear: We are committed to staying on the cutting edge of technology to deliver the best possible outcomes.

While cutting work-up time and wait time is one way to find time, another is to streamline your testing process. We accomplished this with Marco’s EPIC workstation, which performs many standard tests simultaneously without moving the patient. This means no waiting or moving between routine tests.

The EPICs offer consistent refractive results, move patients through the practice in less time with greater satisfaction, and even reduce the square footage required in our offices. The time savings we achieve using the EPICs easily translate into greater revenue for the practice. Performing a complete workup manually can take 20 minutes or longer. With the EPIC, everything is done in one room – there’s no need to move patients from machine to machine. Visual acuity testing and refraction happen at once, and results go straight into the EMR system.

Our Marco EPIC systems actually pulled devices from multiple rooms into a single room and a single sitting. It’s fast, accurate and efficient, and it documents a patient’s complaint of glare, which increases the number of patients who can be reimbursed for surgery.

Using the EPIC refraction system from Marco, the technician can easily show the patient the difference between his current prescription and his new refraction. That side-by-side illustration helps educate the patient on the advantage new eyewear will have for reading, driving or work.

The ion is easy to use and images are crisp and clear. I can mirror an image onto my screen with Airplay to share a problem with a patient. Seeing a problem the way I see it is very helpful in getting the patient to comply with my treatment plan. Easily seeing improvement as the patient continues treatment gives the patient positive reinforcement. Thanks for inventing the ion for me.

Having the ability to show patient’s their cataracts, their ocular surface disease, corneal neovascularization, and all anterior segment disorders has been a fabulous tool to not only educate our patients but improve compliance with our recommended treatments.

I really enjoy the simplicity of the Ion imaging system. Patients enjoy being able to see images of their own eyes, especially when its nothing too serious and I use the images for patient education as well as to document more severe conditions of the anterior segment. Once the images are automatically exported I can upload them into my EHR and I can easily share them with other doctors as needed.

We've been very happy with our Ion. We had heard doctors speak about taking slit lamp pictures with their smartphones, but we'd never been able to do it well. The ion made it so simple. I do use it for billable pathology. But we also use it for smooth transitions of care between doctors when we have to hand off a complicated contact lens fit or an eye infection because one of us will be out of the office. That picture attached to their visit in our EHR is so much more descriptive than any note I could write.

Our practice chose the OPD III because of its efficiency, ease of use for our staff, and the power in data gathering it combines that other machines don't offer. In just a few seconds, I can have imaging that can be analyzed in a multiplicity of relevant ways for evaluating the best possible candidates for intraocular and corneal surgery, and also the undisclosed poor candidates preoperatively.

I have used other companies and their products. The attention to detail and the customer service AFTER the point of sale is what sets Marco apart and is why I will be a repeat customer.

The OPD-Scan III machine has been absolutely invaluable to my practice. I perform it on every single one of my cataract patients at their pre-op visit. The information that it gives me is crucial when trying to determine the correct lens choice for the patient. Obviously, the corneal topographer is very helpful in assessing the level of astigmatism and helping guide my patients to a Toric lens implant, if needed. Also, the assessment of higher order aberrations in the cornea is very valuable when determining whether or not my patients are candidates for Multi-focal lens implants. The angle kappa and angle alpha measurements are also very important when determining whether to implant a Toric or Multi-focal lens. It is also helpful to look at the internal OPD map to make sure that everything makes sense with regards to the astigmatism axis and magnitude. I have become so dependent on the machine in my pre-op evaluation that I feel lost if I am unable to obtain a measurement (which hardly ever happens.)

My staff loves the OPD-Scan III because it is easy to use and fast. Patients love it because they don’t have to go from instrument to instrument and I can visually show them why we can correct their vision or why not. This amazing device supplies all in one Wavefront Aberrometer, Auto Refractor, Pupillometer, Auto Keratometer and Placido Disc Topography. Using this sophisticated technology gives my patients the highest quality of care and is why my patients have a high satisfaction rate and send their friends. My practice owes the success of my premium IOL conversions to the OPD III.

It’s not easy to tell exactly which lens a patient needs, so it’s a very nice thing that the OPD III and IOL station software automatically chooses the best lens for the patient. There’s no one particular lens that’s good for all patients, but the software helps you choose the right one so you can address the spherical aberration and achieve what you want to achieve.

I think the OPD Scan is a wonderful tool, especially for patients who have had multifocal implants. I have certainly, as any other surgeon, had--have had a physician--a patient with an outcome that is less than ideal. I can think of specifically one patient who presented after his surgery with a corrected vision of 20/25 in J1, a nicely done surgery with a nicely centered implant and was still unhappy. So, we went back and started looking at what could be the cause. We looked at the posterior chamber implant, and it was clear with minimal posterior capsule fibrosis. And we also looked at the cornea and everything was fine. So, we went back to the OPD. We noticed his preoperative measurements were very normal. His cornea was clear. He was a good candidate. That was the case at one week postoperatively as well. And then, we looked at the OPD, and the nice thing about OPD is that it really splits your aberrations into the cornea and the posterior segment, the internal OPD, and this is where it becomes really important. It is truly an aberrometer of the entire eye. And when we looked at his posterior, or the internal OPD, we noticed that there were quite a few aberrations there. There were still less than before surgery, but it was very clear that the aberrations were coming from there. So, we assumed that the aberrations were most likely coming from his minimal posterior capsule fibrosis but weren’t sure.So, we were able to convince him to wait a little bit and re-measure those aberrations in a few weeks. In a few weeks those aberrations increased. And indeed, we then knew that the aberrations were coming from the posterior capsule fibrosis and not from the lens. And we were able to reassure the patient and explain to him that with a simple laser procedure he would be able to--we would be able to help him improve his visual outcome and do not need to worry about possibly explanting the implant.

I am thoroughly enjoying using the OPD-Scan III. It has already become a fully integrated and invaluable tool in my office. There are numerous ways that I use the OPD-Scan III in my every day clinical exams. Immediately after becoming trained on it I was able to use it for patient education and diagnostic purposes. I use it for preoperative evaluation of all refractive surgery and cataract patients. It is an amazing tool for both pre- and post-operative assessment of toric IOL patients. I find that the autorefractions and wavefront refractions are spot on, and this has saved valuable time for my technicians in the clinic. Now that I have an OPD-Scan III, I can't imagine practicing without one.

As a startup practice specializing in advanced cataract surgery and corneal surgery, the OPD-Scan Ill was one of my initial investments due to its multi-functionality. It has quickly become a quintessential piece of machinery used in our practice. Its execution of autorefractions and corneal topography is precise, granting shorter office visits and cost efficiency for our patients. Unlike other corneal topographers used in the past, aligning the patients whilst simultaneously maneuvering the OPD is smooth, making human error and patient uneasiness obsolete. Due to its precise measurements and accessibility, the OPD is a wonderful asset to our practice.

The OPD-Scan III helps us to understand the reasons patients complain whether they came for the first visit after getting glasses from the optometrist and looking into refractive surgery of a premium surgery so we can have a satisfactory outcome. To me, practice efficiency is more important than seeing how many patients you can see in an hour, it also means consistent outcomes that you and the patients aim for. So you get practice efficiency from the OPD for many reasons: 1) Takes up very little space with all-in-one tests in one station 2) The speed of doing the test and the ease of which the staff can get trained and comfortable is excellent with repeatable consistent data which is very important to me when using technologies like these. I have happy patients, less re-treatments, more consistent outcomes - that is the higher level of excellency.

When I do an OPD measurement, it actually gives me refractions under mesopic and photopic conditions. Depending on the patient, I’ll give them a night pair of glasses or I’ll give them one pair for nighttime driving and one for the day. The OPD really helps us to accomplish this and helps us really help our patients in a way that we weren’t able to do so before.

Of all the technologies that I utilize for preoperative evaluation of my cataract patients, I believe the OPD-Scan III is one of the most important. I depend on the OPD III to evaluate the astigmatism, aberration, and topography of the cornea. It is also extremely useful to check the toric IOL placement after surgery if rotation is suspected. I use the OPD III on every single one of my preoperative patients.

The OPD-Scan III performs many functions in seconds. If a practitioner understands its multiple scanning methodologies they will raise their level of care to their patients. Pupillometry, IOL positioning, retro illumination of cataracts, angle kappa, tear film evaluation, corneal topography, corneal power assessment for post refractive patients, and other functions makes this instrument a fundamental requirement to practice in the 21st century. All of this is collected in seconds! We have come to recognize in our practice that OPD is a necessity - not luxury. After you learn how to use the myriad of functions that is collected in seconds, you can use them to educate your patients and enhance their confidence in you - their 'expert'.

The OPD-Scan III amasses in a single source a multitude of information that is necessary for modern IOL selection and cataract surgery. Instead of moving patients around for testing, we take them to one workstation. From their perspective, it’s one test. The OPD-Scan III not only gathers the essential data more efficiently, but it also gives us data that we didn’t even know were essential until now.

I have found the OPD to be an invaluable tool for both pre-operative and post-operative evaluation of our patients. The diagnostic summary allows me to assess and confirm the need for toric IOLs and limbal relaxing incisions and we now perform this as part of our preoperative work up in most of our cataract patients. The wavefront refractions have also been extremely reliable and helpful for our difficult refractions in pathologic eyes. Our technicians find it easy to use and everyone is pleased with the additional diagnostic information available.

We added the OPD-Scan III to increase efficiency in the practice and capture as many data points as possible in the shortest amount of time. It delivers corneal topography, wavefront analysis, higher-order aberration data and angle kappa for both eyes in 20 seconds or less. That indirectly allows us to see more patients per hour, which improves our bottom line. It gives me a lot of bang for my buck and a superior understanding of the total visual system.

I use the OPD-Scan III to help me best customize the implant to each patient. By looking at the data the OPD III provides, I can select which implant best suits the eye of the patient. Sometimes we use a different implant in one eye and in another eye, it all depends on the eye’s quantitative number that I’m able to obtain from the OPD. Also, I am able to demonstrate these maps in the exam room to the patient so both the patient and/or family member is able to understand it; a disease process or their ocular numbers so they can best accept my recommendation whether it be a toric implant or monofocal implant or multifocal or even an accommodative implant.

The OPD-Scan III is a great way to check your surgical technique post-operatively and one of the most common post op problems, whether its LASIK or PRK, is dry eye. You can show a patient, on the OPD, that they are perfectly centered, no prescription but you see all these little speckles? That means your eye is bone dry and it is ruining your optics. You can also subtract out corneal aberrations from the whole eye aberrations so you can find out if there is an early cataract that is going to make a 50 year old patient unhappy after a LASIK procedure. The OPD is such an invaluable tool - being able to sort that out; it educates me and it educates the patient and that maybe we should be talking about a refractive lens exchange instead.

The Marco OPD-Scan III is very useful - if you do a lot of refractive cataract surgery you can't live without it. We use it pre-op on all patients and I look at spherical aberration, topography, K's, angle kappa, etc. Shame one cannot get reimbursed for its use mostly, but we love it! For toric and multi-focal IOLs it’s an absolute MUST HAVE. The training by Marco is also secondary to none. We just bought our second OPD.

The reason I got the OPD to begin with, we were having a lot of people who we put multi-focal implants in, and most of them were happy but a sizable minority were unhappy. And I learned later that part of that reason is that some of these people who are unhappy had some problems with their eye that we weren't picking up. It might be a large angle kappa, it might be corneal coma, it might be dry eyes. And my original reason for buying the OPD was to help me with those patients. With a very quick OPD scan, I'm getting exactly what their mesopic and photopic pupils are. I can see what the angle kappa is, I know their spherical aberrations, their corneal coma. We have a beautiful scan where I can see their placido rings on the cornea, it gives us an idea of how much dry eye there is. There is a lot more information and you can see it all on one sheet. It's really helpful. We probably do fewer multi-focals than we used to, but we have happier patients now.

The OPD-Scan III helps me reach a goal of zero spherical aberration with my cataract patients. A few years ago, I studied how accurately and predictably dynamic skiascopy, the wavefront technology used measures spherical aberrations and guides IOL choice. When I chose from three different IOLs based on data from the device, postoperative spherical aberration for 40 patients was just +0.019±0.051 μm. When we can virtually eliminate spherical aberration for our cataract patients, we increase patient satisfaction. In particular, when patients have other visual problems that we can’t correct, even a relatively small change, such as reducing nighttime glare, can make a big difference in their lives.

I purchased the OPD because I wanted to have a number of diagnostic devices and wanted to find a way to have it presented in a fairly efficient manner. For me it provides an autorefraction, a wavefront refraction, a topography, and lets me look at high order aberrations of the eye and cornea all under one setting.

We wanted something that would combine and automate testing in an inline fashion that allowed comparisons between important aspects of the refractive and anatomic states of the eye. It also had to be quick and efficient to use so we could screen every patient who came into the practice. The OPD-Scan III fulfills those needs.

You’re getting this in a single instrument, not multiple instruments. Without the OPD-Scan III, you have to use a topographer, move the patient to the aberrometer, and then move the patient again to do pupillometry. With the OPD III, you get everything in one shot with perfect registration, so you see exactly what the curve is, and you see the interior-internal-posterior dimension in the same location

One of my patients had IOL calculations that reflected a lot of cylinder. This would have been a toric patient, but as soon as I saw my OPD III printout, the top showed me this very interesting asymmetric astigmatism. It looked like a “C” right in the middle of the cornea. It happened to be the perfect size for a Goldmann tonometer, so the OPD III was able to pick it up. If I hadn’t seen that, I would have operated on this patient and put in the wrong lens. Luckily, the OPD III showed me what was going on, so I was able to bring the patient back on a later date, get the right IOL Master measurements, and perform the correct surgical procedure.

Though we knew little about the new OPD-Scan III, I’m very glad we were able to experience all of the advantages of the new device. I’ve been very happy with it for numerous reasons, the most important being that the information it provides has helped dramatically in determining which IOLs are best for our patients. We have a much better idea, for example, who will have satisfying outcomes with multifocal lenses.

I have found the OPD to be a most valuable asset in my practice. All I ever wanted in practice is an unfair advantage. That is what I feel I get with the OPD coupled with digital refractors. My well vision patients don’t have to answer "which is better, one or two" very much. In fact I have found the Wavefront refraction is so accurate I only need to flip cylinders a couple of times a day. I simply make small spherical adjustments and I am done. Digital refraction takes less than 30 seconds in most cases. My patients love the freedom from the stress of manual refraction and I love the unfair advantage OPD Scan and digital refraction gives me in the marketplace!

The highly precise measurement of higher (3rd and 4th) order aberrations with modern wavefront aberrometry can now identify and accurately measure a patient’s irregular astigmatism and spherical aberrations. At the “clinical awareness threshold” these “higher order” aberrations (HOAs) begin to decrease the “quality of vision” and undermine the likelihood of ⅛ D sensitivity.

The OPD-Scan III system is an integrated aberrometry system. It combines the attributes of a placido topographer, automated refractor, and automated keratometer, and adds the elements of wavefront aberrometry and pupillometry. By integrating these systems into one multifunctional unit, we can quantitatively evaluate how light is focused throughout the visual system. It provides us with both low-order aberrations, which in essence are the traditional refractive measures of sphere, cylinder (and axis), and high-order aberrations (such as spherical aberration, coma, trefoil, etc.). Furthermore, the OPD can identify the source of these aberrations and differentiate between external (typically anterior corneal and tear film) and internal aberrations (typically lenticular in origin, such as cataract, IOL anomalies, or posterior capsular opacities).

Sometimes, I’m surprised by what the topography reveals, especially if I obtained a good refraction and the patient is seeing well. I’m reminded of the value of the OPD-Scan III every time I diagnose heretofore undetected pathology, such as keratoconus or pellucid marginal degeneration. This instrument simply helps me to be a better doctor.

Marco’s OPD combines refraction, topography, wave-front analysis and a host of other features all into one ergonomic package. The OPD gives tremendously more information with one click than most traditional practices could ever hope to gain with any and all of their current equipment. Ultimately the diagnostic capabilities of the OPD not only aid the doctor in ascertaining a more complete picture of the visual system but also help to provide a more clear and concise explanation to the patient as well. Best of all, it feeds directly into my EHR, save me time and decreasing costly transcriptions errors.

All of my patients have technician-guided topography and OPD-Scan III performed as part of a comprehensive eye examination. I then review the data with the patient in the examination room, making sure to connect any anomalies to his complaints. Having topography data available for every patient has shown me many cases of corneal conditions that I might not have detected otherwise. I’ve even saved marriages with it. A 60-year-old truck driver had a chief complaint of nighttime glare that was shaped like a cross. His wife thought he was making it up, but I was able to show her a point-spread function map that clearly demonstrated the cross-shaped glare that was being generated by the patient’s cataracts.

I purchased the OPD-Scan III which replaced my OPD-Scan II. The old system gave me great results for six years but the new one is amazing! My office runs more efficiently and I believe it is much more accurate. There have been a number of times that I have put in the “wavefront” prescription and have gotten better results than the patients subjective. The patients like the blue light better - they say it is easier to look at. Thank you, Marco, for the new and improved OPD - I am saving more time and it does make the day more streamlined.

I love the topo and the higher order aberrations calculations on the OPD. It helps me to show and explain to those difficult to refract patients why they can see as well as they want to be able to see. The OPD and TRS in series integrate seamlessly with our EMR. This allows us to import all that important data without the fear of data entry errors. Plus it is so much faster and efficient for the patient to have that data imported into our EMR.

I purchased my OPD Scan III about a year ago. I’m using it in my practice to increase efficiency. I previously had the OPD Scan II and I upgraded to the OPD III for the increase in technology that this unit offers. One of the things I like about my Scan III is that it gives me better measurements. So, when I send patients out for surgery we can look for toricity, corneal toricity and see if they need a toric IOL and I can explain that to the patient. Also, in contact lens fittings, the information received allows me to fit contact lenses much faster because of the information provided. From a refractive point of view, it gives me my starting point much easier so that when I see my patient it only takes me about a minute or less to refine their prescription so that it can be used in my practice. Another advantage of my Scan III is that, with my staff, it is easy to use and learn. Also, when patients come in, there’s a “wow” effect from the technology that my office has that other offices in my area do not have.

If you ask eye care practitioners what is the most important piece of equipment in their office, most will tell you it is the biomicroscope. I invested in Marco's Ultra Series of slit lamps many years ago, and I still haven't seen anything that compares to this level of quality.

I cannot thank you enough for how well the TRS is working in our office. It is such a timesaver and has cut down on our remakes. This reduces our frustrations and increases our bottom line - both of which are great things! The TRS is highly accurate and I’m very confident in the quality of refraction.

The TRS rapidly completes all refractions and allows immediate patient verification of old vs. new prescriptions. This device employs a split prism method, which translates to no longer flipping through lenses while asking patient “which is better, one or two?” This technology also instantly compares old and new prescriptions.

The addition of the TRS takes accuracy to a whole new level and provides me with the ultimate refraction information that we’ve been seeking. Now, we have happier, more satisfied patients with fewer remakes and they enjoy less time it takes being refracted.

The Marco Total Refraction System has streamlined the refraction process. It reduces the "one or two" anxiety by allowing patients to view choices one and two simultaneously for part of the testing. It also allows patients to view the difference between their current glasses prescription and a new prescription with a touch of one button. The equipment results in a quicker examination with more accurate results.

We have increased our efficiency, improved patient satisfaction and reduced the training required by our technicians to provide truly state of the art eye care to our patients. Patients feel more confident; refer more of their friends and family members now that we are using 21st century technology in the office. In short, it is truly a win/win scenario for both our patients and our practice since we have partnered with Marco!

The autorefractor is going to get a workout every day you are in the office. It just doesn't make sense to buy some unknown piece of equipment regardless of the cost when it is such a vital part of your practice. What if all of your patients came in and asked where they could get the absolute cheapest pair of glasses? I wouldn't drop ten grand on a generic piece of equipment. Both the hardware and software components of the Marco TRS are top notch. Under the hood, we were very impressed. We’ve never had a down day with our TRS and we plan to add more soon. Marco was also “easy to do business with” as far as back and forth communications with the tech dudes. It’s not very easy to be the best and cheapest - I relate that to car purchases and many other things. You get what you pay for in most cases and when you add the reliability and good service, the price isn’t a deal breaker in my opinion.

Our revenue per patient has risen. In part, that’s because the technology allows me to show people the changes in the Rx with a push of a button. Now I can say, "Here’s what you came in with, and here’s what I can do for you today." When I had to hold lenses over their eyeglasses, it was much more difficult to show how even minor shifts could have an impact on their overall vision.

When you showed me that the system would not only pay for itself by facilitating the sales of multiple eyewear, but we would also be more efficient in seeing at least 2.5 more patients a day, I didn't understand this concept until it was demonstrated. When I attended your meeting in Jacksonville, I also learned that workflow was not only your specialty in the area of refraction, but the entire process of examination. We discussed the 'one-point' or one touch examination whereby we see the patient from start to finish including dilation before we send out to optical ... or frame select first, then examination dilation, then measurements. Brilliant! As we are able to see 4 more patients a day with workflow enhancement that we adopted over 11 years ago that you introduced us to, and we've enhanced and tweaked about 5 years ago when we invested in the TRS. We are looking now to add 3 more TRS systems in our clinic.

The TRS system provides a level of refractive detail not attainable with traditional manual phoropter use. The TRS can refract down to 1-degree axis and 0.12 diopter power steps (for sphere). For some patients, such detailed outcomes can make the difference between an acceptable and an exceptional refractive correction. We now have ophthalmic laboratories that can fabricate lenses to those levels of specificity. This raises the bar in terms of the quality of vision correction we can provide for our patients.

We looked at virtually all of the autorefractor models from the various companies. We chose the Marco TRS because of the great degree of automation. This will help with patient flow. The ARK series also showed to be more consistent and accurate during the demonstrations versus non-Marco models.

Optical conversions are dependent on many factors, not the least of which is the patient’s perception of their need to update their vision or style. The TRS digital refraction system allows me to compare patients’ refractive outcomes with their current glasses. One touch of the button and I can simultaneously demonstrate the difference - allowing the patient to “see for themselves” the magnitude of improvement and the value of the change. My conversion rate and multiple pair metrics have never been higher.

Having the technicians refract on the EPIC has been a benefit to my practice. There has been a definite WOW factor with our patients that we did not anticipate. Also, It gives the doctors more time with the patient to focus on eye health and completing EMR. And, of course, we are able to see more patients each day with the improved patient flow.

I first was told of the benefits of the TRS as a time saving measure due to our new EMR system slowing us down. It greatly enhanced our exam time, reducing the issues we had with our new EMR system. What I wasn't expecting was how fast my refractions would become. My 7+ minute refractions are now around 3 minutes. And here is the crazy part. They are more accurate too. Our redo rates have dropped to near zero.

We got a new Marco TRS and it was in our office in 48 hours accompanied by the sales representative. He was in the office immediately not only to install but to train us on how to use the new instrument properly. Subsequently he has been available immediately upon a phone call to answer any and all questions and has made several visits to our office. Instead of just an equipment salesman he understands the implementation of the technology into our patient flow and has helped us maximize the benefits of automating our refraction process, including the importance of the patient WOW factor to help differentiate our practice.

When I started the process of searching for an automated refraction system I didn’t know the importance of integration with EMR. I purchased my first system before EMR was popular. Now that I have been teaching others how to use EMR and have had 7 years of experience with integration of equipment I can truly appreciate the seamless integration of the Marco system. More than 50 mouse clicks are eliminated by this seamless integration and just the push of one button. The time saved in the exam room is priceless.

I love my Marco Total Refraction System. The best part is being able to show the patient the difference in vision between their old prescription and new, with just the push of a button. I've also found I really appreciate the improved ergonomics I enjoy throughout the day.

I always knew about the Marco TRS refraction system but thought it would be too expensive to incorporate into my office. Lo and behold, Marco sent an email blast last November reminding me about tax credits so I called my representative to work out some numbers and voila, I now have one of the best purchases I have made in my 34 years of practice. Not only are my patients wowed by me having the latest in refractive technology but the speed, ease and accuracy allows more time evaluating the health of their eyes.

The Marco refraction system has completely changed the way I practice optometry. This innovative technology has enabled me to cut down on my time refracting, allowing me to spend more quality time with my patients. The ease of the system allows me to proficiently see more patients. I rarely go a day without patient commenting on how high tech my office is and how quick and painless an eye exam has become. I’ve gotten patient referrals from other customers exclusively based on how impressed they were with my equipment. In today’s internet savvy world we must stay up to date on technology and separate ourselves from the competition.

The Marco TRS refraction system has proven to be the most significant addition ever made to our practice. The technology allows for the most comprehensive, expeditious, accurate refraction possible. The "wow" factor has increased optical sales by 15% in year one and continues to enhance the patients experience in our practice.

Marco is clearly the Industry leader with digital refraction technology, training, and support, which influenced my decision to choose Marco digital refraction systems for our busy practice. Marco has been in the eyecare industry for nearly fifty years.

My investment in the Marco Total Refraction System has been one of the best I've made. The technology offers efficiency, reliability, great medical and refractive information, and a phenomenal wow factor to patients. Because of its efficiency and accuracy, it's enabled me to consistently have one less employees and see 3-6 more patients a day. Over the last 8 years with Marco, I've bought 9 automated lanes and 2 OPD autorefractors. I cannot imagine how my practice could have grown so much and so fast without having integrated the Marco Total Refraction System.

I have to say there is only one word to describe the Marco TRS. WOW. That word not only describes how much easier, faster, and more efficient it is to do refractions, but also is the word my patients use when I am done. They are positively amazed at the technology and convinced that my office is cutting edge and engaged in the latest and best equipment in fulfilling their eye care needs. The investment made in the purchase of the TRS is an investment in patient management and patient retention. My only regret is not buying it sooner. I absolutely look forward to filling all my lanes with this system. Way to go Marco, thanks for making my life simpler.

The TRS just works. The refraction is completely controllable without delay in response and is consistent. We've not had any glitches of any kind with it whereas the CV5000 is delayed in response, often sticking mid program with slow response to command and sometimes no response requiring multiple toggles or simply reboot.

The process Marco implements, leads to increased profitability and efficiency. The EPIC allows more quality time with patients to make recommendations, while increasing the number of patients I can see each day. It also has a tremendous WOW effect on patients!

The Marco technology has certainly increased productivity within my practice. The TRS has not only improved my efficiency, but has enhanced my patient’s experience. Patients love the technology and we loves its positive impact on our practice in the exam lane, in optical and in patient referrals.

Our practice’s favorite refractor is the Marco TRS. Not only is it quiet, fast, efficient and comfortable, but it also has the "cool" factor. It allows us to evaluate, document and auto-populate (using our Exam Writer software) each patient’s unaided visual acuity, lensometer reading, acuities with eyeglasses, auto-refraction, subjective refraction values, associated acuities, phorias and even the keratometer readings (if your ARK or OPD is synched up). You can even check and document phorias, vergences, fusion status, stereopsis, near acuities, NPA, NPC, NRA and PRA. If the TRS could read and fit soft contact lenses, it might be able to examine patients without me!

Having the TRS system has cut down so much on the time required to enter data into the phoropter and into the electronic health record. It shortens the time doing the refraction, and the choices are easier for patients, who often get stressed about determining which is clearer.

The awe expressed by patients after experiencing the Marco TRS Digital Refractor provides a value that cannot be quantified. Further, the precision of the final refraction allows for truly excellent vision, a great reduction in remakes and, most importantly, happy patients. From the data upload to final refraction is 3-5 minutes, allowing for more than two patients more per day, which, in turn, generates an increase in revenue of $696. Our optical sales have increased each year at least 15 percent on average.

After using the TRS for the past two and a half years, I would never want to go back to using the old phoropter. In our Pontiac location, the TRS has made it possible to train our technicians to refract. This allows us more face to face time with patients to educate them about conditions and answer their questions.

Before installing my new Marco Total Refraction Systems, I was experiencing neck and shoulder pain. My discomfort has markedly decreased. By making the refractive process faster, I am able to fit more patients into the day. This frees up time for administrative duties, patients are impressed by the technology. Thank you Marco for making refracting exciting again!

After using the TRS for the past two and a half years, I would never want to go back to using the old phoropter. In our Pontiac location, the TRS has made it possible to train our technicians to refract. This allows us more face to face time with patients to educate them about conditions and answer their questions.

I am having fun exploring the options of my new Maserati, the Marco TRS. Quite an upgrade. All in all it is great to have working. The TRS is so wonderful, it keeps me able to practice without the posture and residual shoulder pain. This instrument probably extended my career by 20 years or more. I was always grumpy and in pain at work. Actually dreaded work, not the patients but the pain. Now I am gung ho, adapting the instrument options to my unique patients and having fun. Thank you and your company for this ergonometric salvation, for a fun experience installing, and allowing me to continue to serve my patients.

What’s unique about the XFRACTION process is that it quickly provides accurate clinical data in an efficient way that saves time and increases patient flow. Without this efficient technology, I would not have the same amount of time to dedicate to conversing with patients. In this day and age, patients notice new technology in the practice and like the personal focus I can give them.

Not only is the XFRACTION process very accurate and comprehensive, but it also incorporates pupillometry. We now understand the intimate relationship between the size of the pupil and the patient’s vision, and with XFRACTION, we have a more complete picture by controlling pupil size for both higher- and lower-order values.

A few years ago I decided to make a decision with my practice. Before that, my technology for doing refractions was a standard refractor and a retinoscope. So, what I decided to do was bring in the Xfraction process. The lensmeter, OPD Scan, the TRS 5100 series and we did the whole process so we can have that patient experience. How many times have you had a patient, usually in my practice, a forty to fifty year old male point to the refractor and say "how long have you had this, you have all of this other cool technology, but how long have you had this thing? which probably hasn’t changed since the seventies. So, I have more "wows". I truly believe that the whole process gives me better data. I know more information about that patient’s refractive system before I even do anything. I know who is probably going to be able to see 20/20 and who is not because I get that information from the WaveFront. I truly believe that the TRS-5100 series or that type of process with the digitized refraction is really easier for the patients.

This system has increased our office’s overall efficiency. The patient experience has been greatly improved, and that’s one reason why I like XFRACTION. People have choices when it comes to their eye care. The XFRACTION process helps set us apart by showing patients how precisely we can measure their prescriptions.

I have used various autorefractors in my career, many have provided a good starting point for subjective refraction. However, with the OPD-Scan III and TRS-5100, I now have the accuracy of wave front guided refractive data to quickly and precisely generate the best refractive endpoints and visual satisfaction. Compared to traditional refraction, Wavefront Optimized Refraction what Marco calls the ‘XFRACTION’ process represents a new age in digital refractions.

With the XFRACTION system’s speed and accuracy, I was able to grow the practice in the space that I had. I now have 2,100 square feet and three lanes. At first, I thought I needed just the one system, but after only a month in the new office, I realized I needed all three lanes running with the same process. It’s been a tremendous benefit to the practice.

I like the accuracy and comprehensive nature of the data I receive from the XFRACTION process. When I enter the examination room, the results are on my screen. At a quick glance, I have a feel for what the patient’s optical path looks and what his best corrected vision should be. I can effortlessly and immediately show the patient differences between his habitual correction and today’s refractive result, which allows for an easier justification of the investment in new eyeglasses. Considering the time needed for printing and transcribing the data, I estimate I’m saving 3 to 5 minutes per encounter. That’s significant found time each day.

Although I work hard, Marco played an integral role of my success. What I found is that the total XFRACTION package shortened my exam time by an average of 5 minutes. Instead of 25 minute complete exams, they are now around 20 minutes. I increased my exam fee slightly and I have my staff do the OPD pre-testing because it is so easy, fast, and accurate. The information is transferred into the TRS and there is such a flow and rhythm to refracting now - even the patients like it. Because of this streamlined system, I was able to increase to 500 eye exams in one year. Even if you just started with the basic automated chart and digital refractor, it would pay for itself in 6 months.

The doctors in my practice comfortably delegate all testing to our technicians. With the "Marco Connect" EMR capability, transcription errors are taken out of the equation. We have fewer remakes in our optical that has not only helped to increase our optical revenue, but the OPD-Scan III selects patients that need a second pair of glasses at night. We have the ability to show our patients on the TRS the difference in their old prescription vs. new, and how a night pair of glasses would help them in just seconds.