Author: cvanassche

The TRS Refraction System – When You Need More Time

The TRS Refraction System – When You Need More Time

Get More Information on the TRS-6100 Refraction System

Dr. David Moore | Clear Eye Associates and Optical Stephenville, Texas
View TRS-6100 Refraction System

Dr. David Moore in Stephenville, Texas has had Marco equipment in his practice for 15 years, but he recently upgraded to the TRS-6100 Refraction System. Many benefits come with the TRS:

  • See more patients through exam efficiencies
  • Increase quality of care with your patients
  • Increased profitability for your practice
  • Enjoy the benefits of social distancing using the TRS
  • Marco Infinity software empowers you to refract from the next room or remote location

We chose the TRS digital refraction system because we needed more time, we needed to be more efficient, we needed to see more patients. That included just spending more time with our patients on a one-to-one basis instead of spending it refracting.

The integration process with the TRS system was fantastic. It took us a few days to get used to it and it increased our flow within a week.

View the video below to learn more of Dr. Moore’s experiences with the TRS Refraction System: 

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The Latest Refraction Technology Exclusively from Marco

View TS-610 Combined Digital Refractor and Chart System
View EPIC-6100 Refraction Workstation
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Transform your Practice into a Dry Eye Center of Excellence with Marco’s Phoenix and Equinox: An ROI Calculator

Transform your practice into a Dry Eye Center of Excellence with MARCO’s PHOENIX diagnostic and EQUINOX therapeutic devices

Phoenix Meibography Workstation
Equinox Low Level Light Therapy

PHOENIX diagnostic tools include meibography, non-invasive tear film breakup, tear meniscus height measurements as well as video and still image acquisition for documentation of staining.

EQUINOX features Low Level Light Therapy (LLLT), developed by NASA, to directly treat the glands as well as the periocular region. This treatment is safe for everybody, easy to perform and has demonstrated efficacy.

Together these devices will allow you effectively diagnose and treat dry eye in your patients – while adding a positive revenue for your practice!

Try our Return on Investment Calculator here. Disclaimer: Rates subject to change without notice, taxes not included, OAC.

The Latest Dry Eye Technology Exclusively from Marco


Dr. Karl Stonecipher, MD provides an in-depth look into Dry Eye treatments and the benefits of Equinox

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High-Tech Exam At A Personable But Appropriate Distance – An Article From Women in Optometry

Original Article Published in Women in Optometry

When Patricia Haller, OD, added Marco technology to her Chillicothe, Ohio, practice in 2015, physical distancing was not even a thought. But when she closed her office to routine care for four weeks during the stay-home orders in the state, she realized how this same technology allowed her to see emergency and urgent cases and still maintain some distance. Dr. Haller’s practice reopened at a lighter schedule to routine eye care in early May. She discovered that Marco was a “hidden gem” in the post-COVID era.

REFRACTIONS AT A DISTANCE

With the tabletop controller for her Marco 5100, she is able to conduct her refractions and sit about six feet away from the patients. “It’s also very easy to sterilize because all mechanisms are housed inside, so we wipe down the exterior casing without worrying,” she says.

She already knew its value. “I purchased my first TRS in 2015 when I built the new office. I left a manual phoropter in one of my exam lanes,” she says. However, she quickly realized she didn’t want to use that room for patient exams. So now she has three units—one in each exam lane.

“It helps to keep the process streamlined. I can control the speed at which the refraction takes place,” she says—an even more important factor in the post-COVID opening. “We want patients moving through the office efficiently so that we do not have any backup in the reception area. With the TRS, it’s quick to arrive at a final refraction, and patients can see and justify their decision to buy new eyewear.”

READY TO BUY

That’s helpful because every practice is faced now with trying to make up time and lost revenue from being closed to routine care. Happily for her, she says that patients are returning, ready and eager to buy. “I was prepared for the fact that patients might not be ready to make purchases. The staff and I discussed ways in which we could help patients with their essential needs if their finances were tight,” she says. She’s not finding that to be a hindrance, however.

“They’re excited to be back and have been updating their prescription eyewear without any of the hesitation I thought that we’d see.” Dr. Haller says that it is helpful that patients can see the steps that she and the staff members are taking to keep the practice and optical clean and sanitized. “We have a UVC wand that we are using to sterilize every frame that a patient tries on before those frames are placed back on the boards. We used to wipe down our frames on a regular basis, but now they’re sterilized.”

The practice staff works on maintaining physical distancing, and opticians are masked. Patients who don’t wear a mask are offered one—and patients who would like to wait before coming in are rescheduled.

UNEXPECTED SURPRISE WITH iON

Dr. Haller added the iON imaging system to her slit lamps, allowing her to take an anterior segment image and immediately pull it up on the computer screen. She can pivot the screen toward the patient or toward an attending family member so that she can explain what she’s seeing.“I purchased the iON because I thought it would be terrific to do anterior segment documentation in the exam room where I could enhance details. The unexpected surprise is the physical distancing that I gain with this—while still providing patients with a comprehensive exam,” she says.

Dr. Haller uses Marco’s autolensmeter and autorefractor, appreciating how quickly information can be downloaded into the electronic health record. “Even before the patient is escorted to the optical, the opticians already know the lens designs and recommendations,” she says.

She knew the equipment she has been purchasing would bring her speed, accuracy and efficiency. “But the help it provides in this time is something no one could have foreseen,” she says. The combination of a high-tech, highly efficient exam process and the sanitization and safety protocols that are on display are raising the likelihood that patients are talking about the practice to their friends. “Patients are saying, ‘I had my exam there, and it’s safe to go in.’”

That feedback makes Dr. Haller happy. She says that she missed her patients. “Nothing replaces that feeling of seeing the smile on a patient’s face, knowing that you helped. It’s been challenging, as I’m a hand-shaker and hugger, but we’re managing. It’s great to see my patients back.”

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[Webinar Recording] – Introducing Equinox, LLLT Therapy – Developed By NASA – Effective MGD Treatment

[Webinar Recording] – Introducing Equinox, LLLT Therapy – Developed By NASA – Effective MGD Treatment

 

Brought to you by Advancing Eyecare.

Dr. Karl G. Stonecipher, MD has been recognized as one of America’s Top Ophthalmologists because of his extensive experience with cataract and refractive surgery. He is a pioneer of the ophthalmic use of Low Level Light Therapy (LLLT) technology in the United States.

In this webinar, Dr. Stonecipher discusses dry eye disease; the history, symptoms, diagnostics, different types of dry eye disease, and treatment. He also speaks to the equipment he uses in his dry eye clinic including the Equinox Low Level Light Therapy, OPD-Scan III Wavefront Aberrometer, Phoenix Meibography Workstation, and Blephex. Low Level Light Therapy harnesses focused high intensity LED illumination to stimulate ATP generation which heats tissue endothermically. This has been shown to affect MGD as well as other ocular conditions. Dr. Stonecipher will share his experiences and thoughts about this innovative new technology. Equinox is sold through Marco Ophthalmic.

View The Webinar ‘Introducing Equinox, LLLT Therapy – Developed By NASA – Effective MGD Treatment’: 

Play Video
Dr. Karl G. Stonecipher, MD Medical Director | TLC Greensboro Clinical Associate Professor of Ophthalmology | University of North Carolina

The Latest Dry Eye Technology Exclusively from Marco

View Phoenix Meibography Workstation
View Equinox Low Level Light Therapy
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[WEBINAR] How to Establish Safe Boundaries During a Comprehensive Exam – Automated Refraction & Slit Lamp Imaging

[Webinar Recording] – How to Establish Safe Boundaries During a Comprehensive Exam

 

Brought to you by Advancing Eyecare.

Whether you’re a current Marco user or looking into the latest tools, Marco technologies can provide important patient safety measures in a post COVID-19 era. 

A panel of doctors share their stories with digital refraction and slit lamp imaging that enable safe social distancing, minimize patient / doctor / staff exposure with flexible configurations, and facilitate remote exam capabilities with new software. Automated refraction offers the ability for a comprehensive, efficient, and safe exam. We also discuss software optimization to see more patients in less time, patient retention, and more.

View The Webinar ‘How to Establish Safe Boundaries During a Comprehensive Exam’: 

FEATURING:

Laurie Sorrenson, OD, FAAO
Lakeline Vision Source
Cedar Park, Texas

“When the coronavirus started happening, I was really grateful that we had the technology. Creating that additional space from the doctor to the phoropter while you’re doing the refraction feels a whole lot safer. We can also take the unit and move it farther away from the patient and you can quite easily create that 6 foot distance in our space. Increasing the safety for my doctors when they’re seeing patients and increasing the patient’s safety is huge.”

Eric Hammond, OD
Lakeline Vision Source
Cedar Park, Texas

“A lot of people think you will lose the personal touch doing exams from a different room.  But now more than ever I think patients are more appreciative of it.  During emergency visits, not only have I have found that patients appreciate that we are open but are even more appreciative of the extra protective steps we have taken.”

Coby Ramsey, OD
Ramsey Eye Care Center
Rock Springs, Wyoming

“When COVID erupted we still wanted to be efficient and thorough, and we also wanted to be safe.  We were able to add four to eight comprehensive eye exams in a day, which is huge.  Doing refraction in a very quick amount of time.  Looking ahead, we will be swamped when we get back to full time practice and we will need to be extremely efficient and even more aware of safe practices.”

Safer Boundaries. Greater Efficiencies. More Flexibility. 

Marco ‘COVID-19 Ready’ Exclusive Offer Through August 31, 2020

Financing: 0% Down, 6 Months Deferred Payments – Click Learn More for Details and Eligibility
View Marco Digital Refraction Systems
View Marco ION Slit Lamp Imaging System
The TS-310 Tabletop Refractor From Marco Ophthalmic
View Marco Automated Refraction Workstations
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Limited Time ‘Back to Practice’ COVID-19 Ready Offer

Benefit from safe social distancing (even from the next room or remote location) while giving a comprehensive refraction exam

Exclusive Offer Details include:

– Marco Automated Refraction System Package
– Instant $2,000 COVID-19 Rebate
– Infinity Remote Operation Software ($5,000 value). Zero subscription fees.
– Exclusive financing program

FINANCING: 0% DOWN WITH 6 MONTHS DEFERRED PAYMENTS

Click here to get more information

Offer available now through May 31, 2020.

Filed under: Marco Blog

Introducing the Advancing Eyecare Webinar Series

Our team is constantly monitoring the COVID-19 situation. We conducted a survey recently and we want you to know that we’ve analyzed the results and have come up with a series of educational events based on your feedback.

Join us for one our free webinars, or register for an on-demand webinar that fits your schedule.

Click Here to see the Topics, Schedule, and Sign Up!

 

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The Power of “Wow”

Our practice, Virginia Eye Consultants, is a tertiary care referral practice specializing in cornea, refractive, uveitis, retina, glaucoma, and oculoplastics. We firmly believe in collaborative care, and we work closely with the optometric community. Recently, our practice celebrated our 50th anniversary providing world-classspecialty eye care to our Hampton Roads community.

We house 17 providers, including 13 ophthalmologists, 4 optometrists, and 225 support team members, and we perform in excess of 5,000 surgical procedures annually, with the majority being cataract surgical procedures. We have four locations throughout the Hampton Roads area, with our main office located in Norfolk, VA, and three satellite offices located within 30 minutes of each other.

Several years ago, we made one of our best strategic and business decisions when we acquired Marco’s EPIC-5100 for our main office. This is where the majority of our providers are based and most of our cataract and refractive evaluations are performed.

The EPIC-5100 combines two of Marco’s most advanced visual pathway assessment technologies: the OPD-Scan III wavefront aberrometer and corneal analyzer and the TRS-5100 digital refractor. The two technologies can be used together to evaluate the entire visual system in a fraction of the time it takes traditional manual systems.

Indeed, we chose the EPIC-5100 system specifically to address and improve our patient throughput and efficiency, and we couldn’t be more pleased. To say the EPIC-5100 has improved our performance in this area would be an understatement. The majority of our patients are referred to us for cataract and refractive surgery from our optometric referral network. Utilizing this technology has improved our efficiency through the technician workup alone.

Prior to implementing the EPIC-5100, our technicians took nearly 40 minutes to perform a patient workup, gathering data from visual acuities to topography to refractions. In the time since we’ve acquired the EPIC-5100, we have been able to get the same amount of data in just 15 minutes, allowing us to improve both efficiency and overall time for cataract/refractive evaluations.

The user-friendly platform enables technicians to quickly gather the critical data that are used to determine each patient’s optimal treatment, whether that is for cataract or refractive surgery. A wealth of information critical to each patient’s visual system from the refraction — wavefront measurements, pupil size, angle kappa, and corneal topography — is gathered swiftly and efficiently using the EPIC-5100. The EPIC-5100, combined with the OPD-Scan III, can give us more than 20 measurements to utilize in our decision making. Even better, all of the data can be captured in about 10 seconds.

Additionally, we have an OPD-Scan III at each satellite location, which allows us to gather the clinical information necessary to make our recommendations.

Patients and Practitioners Both Benefit
The decision of whether or not to adopt new technologies can be challenging. However, when it comes to innovative technology such as the EPIC-5100, the decision was easy for us. From the “wow” factor to patient education to informed clinical decision making, patients and practitioners both benefit from the EPIC-5100 and the OPD-Scan III.

Our biggest challenge prior to adopting the EPIC-5100 was patient wait times due to bottlenecks resulting from lengthy patient workups. As in any practice, patient wait times play a significant role in the patient experience, and it is important to continuously evaluate our practice processes and procedures to optimize care. With the Marco products, we are able to utilize the technology to improve throughput as well as the staff and patient experience.

The EPIC-5100 and OPD-Scan III technology differentiate our practice and provide information we can share with our patients. It gives them the confidence that they’re in the presence of state-of-the-art technology that will be used to determine which procedures and surgeries are best for them. We measure patient satisfaction with surveys after each visit and gauge the patient experience by using the Consumer Assessment of Healthcare Providers & Systems survey; they show definitively that patients believe they’re receiving the care they need and deserve. Each survey provides different information about the experience they had and the level of satisfaction with their care.

Enhancing Patient Education and Experience
Regardless of the condition for which a patient presents, patient education is key to successful outcomes. With the OPD-Scan III, we have the ability to educate patients about the impact on the ocular surface using the placido rings from dry eye to pterygium to other corneal surface irregularities. We can use the topography maps to discuss either the normal or abnormal corneal curvature, which shows why patients may have compromised vision and what we can do to address the condition.

Another feature of the OPD-Scan III that we take advantage of to educate our patients is simulating their vision before or after correction. In a practice like ours, this is turning out to be a vital tool in helping patients recognize the benefits of a new refraction, contact lens prescription, or surgical procedure.

As an optometric referral center, our practice’s success and growth is focused on patient experience and outcomes. The “wow” factor experienced by the patient while going through testing as well as our ability to minimize wait times and the amount of time patients are seen for their cataract/refractive evaluation determines our success. The information the technology provides give us the ability to make a solid recommendation for treatment.

Marco has been a great partner with our practice in providing the support and resources we need to successfully implement and utilize their technology. From the initial training for the staff to the support for providers on how to understand and utilize the technology, Marco has truly helped us to maximize the technology in daily practice.

Innovative Technology Is Key to Success
It’s also worth noting that implementing innovative technology is a key way to help differentiate your practice, prepare it for the future, and, perhaps most importantly, protect it against competition of all kinds. Online refractions, for example, provide limited data with questionable reliability. Technologies, such as the EPIC-5100 and OPD-Scan III, however, provide an unmatched experience and information that patients simply can’t get online.

With changes in optometry due to supply and demand in eyecare providers, optometrists will be called upon to provide more medical eye care for our patients and communities. The EPIC-5100 and the OPD-Scan III can aid providers in gathering reliable data in an efficient manner while allowing us to concentrate on our patients’ medical needs, such as diabetes, glaucoma, and cataracts, something the online competition cannot do.

Optometrists would do well to recognize these benefits and respond accordingly.

– Walter Whitley, OD, MBA, FAAO, is the director of optometric services at Virginia Eye Consultants, which serves the Hampton Roads region of Virginia.

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We want to hear your questions, advice, and concerns.

Most practices are understandably concerned about the spread of the virus and its effect on their business. As the situation changes daily, we want you to know that we are here for you and our team is constantly monitoring the situation.

We are conducting a brief (5-10 minute) survey to hear how you’re dealing with the global pandemic. We want to hear your questions, advice, and concerns.

Stay tuned for future webinars and articles to share best practices recommended by your peers and to help alleviate some of your concerns.

Click Here to Take the Brief Survey

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TRS-5100: A Win-Win

In using a manual refractor, I was facing two major and increasingly burdensome challenges. First, the technology was simply outdated compared to all the other technology I have in my practice, such as the OPD-Scan III (Marco), digital retinal photography, OCT, osmolarity testing, Visioffice, and my EMR system. Simply put, the refractor did not complement the level of care and patient experience I was providing throughout the rest of the examination and beyond, including the various touch points I have with patients through electronic media.

The second major challenge I faced was the inefficiency associated with manual refraction. I work just 3 days a week, so I need to maximize efficiencies to best serve my patients and my practice. The several extra minutes it takes for a traditional refraction really adds up, especially in a practice with patient volume averaging about 15 to 20 patients per day. I would prefer to spend that valuable time educating patients and making recommendations about eyewear and ocular health.

I reviewed auto-refractor systems from other companies, but I ultimately went with Marco’s digital technology because of their established success and consistency. Further, I received many strong recommendations from other doctors who successfully use Marco refractive technology in their own practices.

My selection of the TRS-5100 has proven successful in addressing my issues of compatibility, consistency, and efficiency. The system has improved the overall efficiency of the practice, and its compatibility with the OPD-Scan III wavefront aberrometer has proven to be invaluable. Combined and integrated with the OPD-Scan III, the TRS-5100 gives me a much better idea of a patient’s likelihood of achieving 20/20 vision, and a far more comprehensive picture of the patient’s complete optical pathway.

The OPD system delivers a statistical indicator (RMS, or root mean square), which gives the practitioner an idea of potential best-corrected outcome. This statistic is obtained via aberration measurements, topography, pupil sizes, and day and night refraction differences, among other data points. As a result, I know about how long I should spend refracting my patient with the TRS if his potential visual outcome is limited. I generally save several minutes per patient, and several minutes more on patients with more complex refractive errors (i.e., patients with moderate to advanced cataracts and corneal irregularities).

Positive Staff and Doctor Impact
My staff quickly embraced the system. They appreciate its ability to free them up for other tasks. The automated data transfer through the IC card-loading system minimizes staff involvement, as the patient’s refractive data is loaded onto a data card in the pre-test area, and the card is inserted into the TRS module in the exam lane, loading all data instantaneously. Staff members no longer have to enter refractive data, which saves time and reduces costly transcription errors.

As for myself, I really appreciate the system’s customizable ergonomic preferences. Although I see patients only three days per week, the upper shoulder and back strain I suffered prior to acquiring the TRS-5100 was nearly
constant. I’m sure other ODs who have used manual refractors can relate. Today, I have far less upper shoulder pain and back issues, thanks to the system’s ergonomics — ergonomics that may actually lengthen my career.

Positive Patient Response
The patient response to the new system has been overwhelmingly positive, both within and outside our practice. New patients and those unfamiliar with the system hear the TRS-5100 uploading data as they sit in the exam chair and are excited to see how it works, even before I start refracting. Patients who pay attention to medical technology can immediately appreciate how advanced our practice is compared to others.

Indeed, the system provides a true wow factor with patients. The TRS-5100 allows for a one-touch comparison of the patient’s current eyeglass prescription with the new prescription. Patients can immediately see for
themselves — in vivid detail — the impact of updating their prescription. While the previous processes left a fair number of patients uncertain about whether or not to purchase new eyewear — even with doctors’ recommendations — the TRS gives them far more confidence in their purchasing decisions, and applies more value to our practice.

Outside the office, my practice is enjoying many more positive online reviews, and our online referral stats are up by about 100% compared to the year prior, when we didn’t have the TRS. In addition, the comments from patient surveys now cite our technology, our professionalism, and the comprehensive, thorough nature of our eye exams as positive attributes in the patient experience.

Positive Financial Impact
In all honesty, except for the refraction, our exam flow hasn’t changed dramatically, so the transition was painless. I believe it’s the additional time I get to spend with and educate patients — enabled by the automation of the TRS-5100 — that is responsible for the favorable patient impressions. Thanks to this technology, I have more time to prescribe and recommend eyewear and contact lenses, and discuss treatment plans and general eye health with patients. All of this, of course, benefits our practice’s bottom line. Revenues-per-patient are already up about $50 over the previous year, and our capture rate in optical is up 10% since purchasing the TRS-5100. This automation further delivers a reduction in manual transcription errors and the cost of prescription remakes.

Bottom Line
With respect to improving exam flow efficiency and patient care, competitive standing among local optometry practices, and practice profitability, there’s simply no reason not to consider improving your practice with the TRS-5100. We are told to make purchasing decisions based on the goals of enhancing data, knowledge, profitability, and our care of patients. Marco’s TRS-5100 not only helps us meet all of these goals, it also makes our workday easier and far more pleasant. It’s a win-win for ODs and patients.

– Gina Wesley, OD, owns and operates Complete Eye Care of Medina, Medina, MN.

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