Author: cvanassche

Understanding Photobiomodulation Therapy

Original Article Published on Modern Optometry

A new energy-based treatment for inflammatory eyelid disease is available.

Like many modern optometrists, I do not subscribe to the traditional classification of blepharitis (ie, anterior vs posterior blepharitis). In fact, I prefer to use the term inflammatory eyelid disease because I think it describes the condition more accurately.

More important than how we choose to classify or describe blepharitis is how we treat it. Optometrists now have two types of biostimulation devices to choose from when delivering photobiomodulation therapy (PBMT) to patients with inflammatory eyelid disease: intense pulsed light (IPL) and low-level light therapy (LLLT).

IPL is an energy-based technology that has been used for several years, especially in dermatology, and has recently been shown to be safe and effective for treating patients with meibomian gland dysfunction and reducing symptoms of dry eye disease.1 LLLT, on the other hand, despite having been around for more than 50 years, has only recently become available as an office-based device. Because IPL therapy has been covered in numerous articles and videos, the remainder of this article focuses solely on LLLT, a form of PBMT.

Read the full article by Craig Thomas, OD here.

Filed under: Marco BlogTagged with: ,

Two Equipment Additions Provide OD With Efficiencies, More Data And Patient Wow Factor

Original Article Published in Women in Optometry

After being shut down for two months at the start of the COVID-19 pandemic, Melissa Richard, OD, wanted to make some changes at Spectrum Vision Care in Chalfont, Pennsylvania, the practice she opened in March 2016.

Her first step was to furnish a second exam lane, which would allow her to bring on a second contact lens specialist one afternoon a week to help accommodate the growing patient load. She had her eyes on the Marco TRS automated refraction system, and the built-in social distancing features made it an obvious fit.

She moved her manual phoropter to her new second lane, but the Marco lane is by far her preferred exam room. “I use that second room more for medical services and consults,” she says. She wanted Marco anyway because that was the system she used in her previous setting and was already “sold” on its quality and benefits, “and it’ made a lot of sense coming back after COVID-19,” she says. “It’s faster, and I can hit one button that allows patients to compare what today’s prescription looks like compared to what their current prescription is. It’s been really great for sales of eyeglasses,” she says. Without having to dial in the changes and have patients try to compare those, “this feature provides an instant ‘oh wow’ from my patients,” she says.

However, the added benefit of being able to conduct this refraction process from a distance made her and her patients feel much more comfortable. “I can operate the TRS from six feet away, and patients love that.”

A SECOND UPGRADE

At the same time that she was making these changes in the summer of 2021, she also added the Phoenix Meibography Station from Marco. The unit has a topography workstation, and she wanted a topographer to help provide additional clinical data to her contact lens specialist. But she quickly realized that the Phoenix would help her with the dry eye patient management, too. “I remember thinking that the Phoenix dry eye module would be great once I could start my dry eye patients back,” she says.

The Phoenix provides her with a dynamic view of non-invasive tear film break-up time with tear meniscus height imaging and measurement. She can image the tear film dynamics as a video, too.

Dr. Richard began to realize how much more prevalent dry eye signs and symptoms were once she started screening all of her patients with the neurolens lifestyle questionnaire. “There’s a question on dry eye in there, and if dry eye is a patient’s primary issue, we will bring that patient back in for dry eye testing,” she says.

“Patients don’t always tell me about their dry eye symptoms unless we specifically ask,” she says. The lifestyle questionnaire has them grade their dry eye signs on a scale of 1 to 5. “If it’s a 3, 4 or 5, I’d call that significant,” she says.

As a result, she’s seeing about a three-fold increase in Meibomian gland dysfunction and blepharitis, much of it due to increased screen time and mask-wearing, as well as more chalazion and stye. “We’re able to do infrared meibography and start addressing tear volume,” she says.

She shares the report from the Phoenix, which “validates for the patient what they’re feeling and helps monitor improvement,” she says. It also helps improve compliance and patients’ willingness to return when they can see objective improvement that coincides with how much better they’re feeling.

EFFICIENCIES

Dr. Richard says that her Marco technology has added efficiency to her practice. The Phoenix Meibography Station with a topography workstation is in the pretesting area while the TRS is in the exam lane. Because the TRS is linked to her practice management system, there are fewer transcription errors and fast transmission of the results to whomever needs them. “Patients are impressed with the technology. I’d say that the TRS 6100 is the patient favorite,” she says.

That could be because nearly every patient interacts with it, unlike advanced equipment used to detect and monitor ocular diseases. Plus, patients love that they can skip the “1 or 2” questions that adds stress for so many.

Dr. Richard became a Vision Source® member when she opened, noting that the buying power helped her stretch her opening budget.

Filed under: Marco BlogTagged with: , ,

Marco Ophthalmic and HOYA Vision Care Announce Collaborative Program to Provide Greater Benefits to ECPs

Jacksonville, Florida, October 4, 2021 – Marco Ophthalmic, a leading ophthalmic technology company, is collaborating with HOYA Vision Care, a global leader in lens technology. The two companies will work together to provide customized offers that are tailored to the needs of each independent eye care practitioner.  

For over 50 years, Marco has specialized in practice management, patient throughput, and productivity by leveraging their full suite of automated refractive and diagnostic devices, classical lane equipment and dry eye solutions.

HOYA Vision Care is a global leader in lens technology with a presence in over 50 countries. They provide proven expertise in lens designs and freeform surfacing technology combined with leading high performance, quality AR coatings. HOYA also offers best-in-class programs to meet the specific needs of the independent eye care practitioner, including the Visionary Alliance™ loyalty program, the HOYA Hub, and the HOYA Learning Center.

Through this program, eye care practitioners will receive complete complimentary consultations in both the technology and lens spaces, program discounts, and unparalleled support from both Marco and HOYA Vision Care. Jocelyn Hamilton, Head of Sales and Vice President/General Manager for Marco Ophthalmic, commented, “After observing the evolution of the rapidly-changing eyecare industry, we wanted to offer independent eye care practitioners a ‘total solutions’ option. By partnering with HOYA, we are able to create customized, tailored offers and loyalty programs at specialty pricing, further inspiring growth for our customers.”

Patrick McCarthy, HOYA Vice President of Sales for Independent Eye Care commented, “We are very happy to work with key partner Marco Ophthalmic to bring unique solutions designed to support our customers’ needs. Their expertise and strength in equipment and solutions to drive the patient exam is the perfect match for our lens solutions for the best possible vision for the patient.”

To contact Marco to learn more about what this unique program can bring to your practice, click here.

To find out more about HOYA Vision Care, click here.

#########

About Marco 
As the Leader in Vision Diagnostics®, Marco continues to revolutionize the ophthalmic industry with a full suite of automated refractive and diagnostic devices as well as a broad range of high-end classic exam lane equipment. Marco is a member of the Advancing Eyecare Alliance. Visit www.marco.com for more information.

About HOYA
Founded in 1941 in Tokyo, Japan, HOYA is a global technology and med-tech company, and a leading supplier of innovative high-tech and medical products. HOYA is active in the fields of healthcare and information technology, providing eyeglasses, medical endoscopes, intraocular lenses, optical lenses, as well as key components for semiconductor devices, LCD panels and HDDs. With over 150 offices and subsidiaries worldwide, HOYA currently employs a multinational workforce of 37,000 people. For more information, please visit www.hoya.com.

About HOYA Vision Care
For over 60 years, HOYA Vision Care has been a global leader in the eyeglass lens business. With a presence in over 50 countries, HOYA Vision Care has a proven expertise in lens designs and freeform surfacing technology combined with a leading position in high performance, quality AR coating. HOYA Vision Care’s solid market portfolio includes VISION EASE, SEIKO and PENTAX optical lenses, as well as innovative products such as Yuniku, the world’s first vision-centric, 3D tailored eyewear. The company employs over 16,000 employees worldwide with mass production facilities in Asia & Europe and over 40 local Rx laboratories globally. For more information, please visit www.hoyavision.com.

Contact HOYA:  Mike Hanbridge | HOYA Vision Care, North America | mike.hanbridge@hoya.com

Filed under: Marco BlogTagged with:

Refraction System Provides Efficiency, Accuracy And A Little Distance – An Article From Women in Optometry

Original Article Published in Women in Optometry

When Monica Brown, OD, purchased Baymeadows Vision Center in Jacksonville, Florida, one of the two exam rooms had a TRS refraction system from Marco, while the second had a manual phoropter. “I kept the manual for a while because I do a lot of orthoptics, and I was comfortable with the process. I didn’t know if the TRS would do it as well.” Dr. Brown earned a master’s degree in orthoptics before attending optometry school.

However, the more she worked with the TRS system, the more she learned that she could use it for prism and binocular testing, as well as, if not better than, the manual system. Nearly three years after she bought the practice, she converted her second lane to include a TRS system, too.

She has found that adding the second automated refraction system helped her improve her efficiency, in large part because it allows her to look over other pretesting data and enter information into the chart from the patient’s history. “Patients have the wow factor while they’re going through this very easy refraction, and I am minutes ahead in my data collection and entry,” she says.

During her practice remodel in October, she also added the TruVue viewing system. “It’s a digital screen, and the clarity is unbelievable.”

For the past year, the added efficiency and speed, as well as the increased sales that result from using this system, “have been a godsend. Patients love seeing how clearly they would see with new eyeglasses. Even if it’s just an axis change, many patients can see the difference. And when I show them, saying, ‘Here’s how you could see with today’s new prescription,’ the majority say, ‘I want that.’”

PHYSICAL DISTANCE

Even as restrictions on physical distancing are lifted in some settings, providers and patients still expect and want some physical distance in a medical setting. “With the TRS, I’m not right there in the patient’s face for the whole exam. I’m at my desk; they’re in the chair. I barely have to get behind the slit lamp with the data I’m able to obtain now.”

OPD INSIGHTS

Adding the OPD-Scan III into the workup room routine has saved her even more time. The technicians run the process, and with the push of a button, that information is transferred to the exam lane. “I can show patients an unusual topography or tear film deficiency. It provides us with a quick and understandable explanation for why we might not get the vision to 20/20,” she says. Regularly, it saves her time because the OPD-Scan shows her a higher order aberration or other data point that will impact the final prescription. “I can explain to patients why, no matter how much we tweak the prescription, we are not going to be able to achieve 20/20,” she says.

For patients with tear film deficiency, however, she can also help them understand why compliance with a dry eye regimen she provides can help address their comfort and vision. Plus, on subsequent visits, she can compare the results from the most recent OPD-Scan.

Having the data on hand can help her describe her patient’s visual symptoms sometimes even before they do. “I might say, ‘Is this what you see at night?’ They are surprised and often tell me that I’m describing their exact experience,” another “wow” experience for those patients.

By staying current with technology, she meets the goals of her mission statement: to provide each and every patient a lifetime of healthy vision through superior comprehensive eye care thereby enhancing their quality of life.

ERGONOMIC BENEFITS

Dr. Monica Brown wants to avoid the physical pains that some ODs experience, so she has incorporated ergonomic features like a stand-up desk when she remodeled the practice. Her Marco TRS refraction system has also been helpful. “I can operate the console, and I don’t have to reach my arms up. I try to keep my elbows at my side as much as possible,” she says.

Filed under: Marco BlogTagged with: , ,

[Webinar Recording] Continuing the Discussion: The latest in diagnosis and treatment options for dry eye and peri-ocular inflammatory disease

We continue the discussion on Dry Eye with Dr. Paul Karpecki, Associate Professor UPike College of Optometry/Kentucky Eye Institute.

Topics Include:
– Clinical details of LLLT technology
– Case sudies
– If/when the use of IPL technology is recommended

Session 3 in the Dry Eye Workshop Series

To view Dry Eye webinar Part 1, click here
To view Dry Eye webinar Part 2, click here

Request more information about Dry Eye technologies from Marco →

Filed under: Marco BlogTagged with:

Marco Enters United States Distribution Agreement with Olleyes, Inc.

Advancing Eyecare Company, Marco Ophthalmic, Announces VisuALL S Virtual Reality Visual Field Analyzer as New Addition to Product Portfolio

Jacksonville, Florida, June 24, 2021 – Marco Ophthalmic, a leading ophthalmic technology company, has entered into a distribution agreement with Olleyes, Inc., who offers intuitive and easy-to-use virtual reality ophthalmic products. Effective immediately, Marco, will add the Olleyes VisuALL S VRP® (Virtual reality Platform) into their existing portfolio of ophthalmic medical devices. 

The VisuALL is the latest commercially-available virtual reality visual field analyzer that can be used in clinical practice to detect glaucoma and to evaluate other eye diseases.

“The VisuALL is a multi-testing Virtual Reality Platform that increases doctors’ efficiencies. The platform brings several advantages over current technologies. Our alliance with Marco will help more clinicians and patients benefit from the VisuALL throughout the United States.” said Alberto Gonzalez-Garcia MD, CEO of Olleyes.

Glaucoma is the most common cause of irreversible blindness[i]. Based on prevalence studies, it is estimated that 79.6 million individuals had glaucoma by 2020, and this number is likely to increase to 111.8 million individuals in 2040[ii]. In many cases, glaucoma may be asymptomatic. Unfortunately, many individuals are unaware of the existence of glaucoma and as many as half of those with glaucoma are unaware that they are affected[iii].

In many cases, blindness can be prevented with appropriate control and treatment, and the VisuALL can help with early detection of these diseases.

“Marco is one of the largest and most respected suppliers of ophthalmic equipment and medical devices in the country, and Olleyes is extremely excited to enter into this distribution partnership,” said Armond Dantino, VP of Business Development of Olleyes. “By expanding our distribution network throughout the United States, the VisuAll S VRP has potential to reach an additional 200 million people.  Partnering with the Marco team helps Olleyes to realize our company’s vision of providing a comfortable, accurate, reliable, and cost-effective solution for administering visual diagnostics.”

Jocelyn Hamilton, Head of Sales and Vice President/General Manager for Marco Ophthalmic, commented, “We are rapidly executing our innovation pipeline and building a full suite of products in the ophthalmic technology space. Our approach to fulfilling market needs in this ever-changing environment has been very strategic and we are excited to partner with Olleyes to promote and distribute the VisuALL to eyecare professionals nationwide.”

To get more information about the VisuALL go to marco.com/product/olleyes-visuall-vrp.

 

About Advancing Eyecare

Advancing Eyecare™ is a partnership of leaders in the eyecare instrumentation marketplace established to offer the best products and service solutions in the ophthalmic equipment industry. Currently comprised of Marco Ophthalmic, Lombart Instrument, Enhanced Medical Services (EMS), Ophthalmic Instruments, Inc., S4OPTIK, and INNOVA Medical, the combined scope of the organization has the broadest product portfolio, the most knowledgeable people, and the most reliable service in the industry. Visit www.advancingeyecare.com for more information.

About Marco Ophthalmic

As the Leader in Vision Diagnostics®, Marco continues to revolutionize the ophthalmic industry with a full suite of automated refractive and diagnostic devices as well as a broad range of high-end classic exam lane equipment. Marco is a member of the Advancing Eyecare Alliance. Visit www.marco.com for more information.

About Olleyes

Olleyes, Inc. equips eye care professionals with the instrument, tools, and education needed to effectively diagnose and treat patients with glaucoma and other diseases of the eye. Olleyes was created by a visionary neuro-ophthalmologist and a group of professionals who saw the necessity of making eye-care accessible and personalized. The company makes intuitive and easy to use products, equipped with artificial intelligence, virtual reality (VR), eye tracking and proprietary algorithms to make the eye evaluation faster and more reliable. Visit www.olleyes.com for additional information.

Media Contact:

Chris Tofalli
Chris Tofalli Public Relations, LLC
914-834-4334

  • [ii] “Global Prevalence of Glaucoma and Projections of Glaucoma Burden through 2040”, Ophthalmology 2014; 121:2081-2090
  • [iii] Quigley, H. A., Broman, A. T., “The number of people with glaucoma worldwide in 2010 and 2020,” British Journal of Ophthalmology (2006); 90:262–267. doi: 10.1136/bjo.2005.081224
    • Friedman, David S., Roger C.W. Wolfs, Benita J. O’Colmain, Barbara E. Klein, Hugh R. Taylor, Sheila West, M. Cristina Leske, Paul Mitchell, Nathan G. Congdon, and John Kempen. “Prevalence of Open-Angle Glaucoma Among Adults in the United States“. Archives of Ophthalmology. 2004 Vol. 122, No. 4, pp. 532-8
    • Tielsch JM, Sommer A, Katz J, Royall RM, Quigley HA, Javitt J. Racial variations in the prevalence of primary open-angle glaucoma: the Baltimore Eye Survey. JAMA. 1991;266:369–374
    • Wensor MD, McCarty CA, Stanislavsky YL, Livingston PM, Taylor HR. The prevalence of glaucoma in the Melbourne Visual Impairment Project. Ophthalmology. 1998;105:733–739

 

Filed under: Marco BlogTagged with: ,

[Webinar Recording] Dry Eye Excellence – A Discussion of the Latest Dry Eye Therapy

This interactive workshop will help you understand the latest in Dry Eye technology and how to effectively integrate it into your practice. Dr. Karpecki is a pioneer in using photobiomodulation technology in the United States so don’t miss out on this opportunity to hear his insights.

Session 1 in the Dry Eye Workshop Series

To view Dry Eye webinar Part 2, click here
To view Dry Eye webinar Part 3, click here

Request more information about Dry Eye technologies from Marco →

Filed under: Marco Blog

Spend Money To Make Money – An Article From Women in Optometry

Original Article Published in Women in Optometry

Shonda Achord, OD, of Achord Eye Clinic in Baton Rouge, Louisiana, hasn’t looked back since switching to the Marco Diagnostic Solutions TRS Refraction System. While she had already outgrown paper charts, she still found the switch expedited the whole process. “I can’t imagine the practice without it,” she says. The five-lane practice has a TRS in two lanes where Dr. Achord works, and her associates use the other lanes but can rotate through these two in her absence.

When she first brought in the TRS Refraction System, she found the refraction process to be so much faster that she felt her whole day could be restructured. “I felt like I could do four to five more exams per day—even before I added the OPD-Scan III wavefront aberrometer,” she says. “It’s just that efficient.” She has also found that with great technology comes a great reputation. “Patients were really impressed with it… so all that plays into the practice’s reputation. The wow factor is present, too. Patients always comment on it.”

GROWING, GROWING, GROWN
Part of Dr. Achord’s growth is attributed to an expansion she undertook. “I went from 1,600 square feet to 3,750 square feet, and I already wish I had more space,” she says. The practice has three doctors—Dr. Achord and two associates. While there are only two of them at a time there daily, the five exam lanes plus workup room/exam lane are always in use. She has seen a major change in patient flow already, with 30 percent of her patients currently being new to the practice. “I couldn’t do that before because we didn’t have the space or capacity for more patients,” she says. Despite her initial reluctance to move to a larger space, the lesson is the same one she passes on to doctors about equipment and technology: “If you don’t spend money, you won’t make more.”

“When I first added Marco technology, growth was the point,” she says. “Being able to fit in more patients and do it well was what I wanted. Now my goal is efficiency. I’m not trying to see a huge number of patients per day, but it frees up time that I can use in conversation and communication.”

Patients prefer it, too. “Refractions make people nervous,” says Dr. Achord. “When I have to dial it into a manual phoropter, it’s not as impressive as showing them their earlier prescription and the new one with the push of a button.” She has found that patients being able to see the differences for themselves has translated into the sale of more eyewear. “I didn’t like being the one to say, ‘Well, it changed this much so you should get new eyeglasses.’ If the Rx change didn’t make enough of a difference to them but I had told them they should buy new eyewear, then they may not trust me as much.” With the new system, Dr. Achord and her associates are able to let the patient decide for themselves with all the information in hand. Dr. Achord also has found few to no transcription errors, which has led to fewer remakes of eyeglasses.

The new system has proven to be useful in making up for closings and reduced volume during the pandemic. “We want to get patients in and out as fast as we can,” she says. At the same time, “We have to see people and catch up for the time we were closed, so we have to be efficient.” When it comes to the OPD, Dr. Achord praises its efficiency in helping her assess the issue. “It gives us topography, so right away I can see if there’s a reason that the patient might not achieve 20/20,” she says. “It’s an amazing instrument, and it saves me and the patient time and frustration.” She finds that the more information she has, the better she can advise the patient moving forward. “I can explain that the topography shows what issues we can’t overcome easily and what the options and/or compromises might be.”

She’s happy to share with her colleagues inside and outside of the Vision Source network how much more efficient the Marco technology has made her practice, and she emphasizes how even small time-savings with each patient add up. “I feel like if you don’t invest back in the practice, it’s not going to be successful.”

Ergonomic Benefits
For herself and her future well-being, Dr. Shonda Achord is also thankful she added the TRS Refraction System. “I’m only 5’3”, and I would rest my wrists and hands on the top of the manual phoropter because my arms got so tired,” she says. “I developed pleurisy, and it would hurt to breathe. My doctor asked if I did exercises that kept my arms and shoulders up—but it was my work.” She also notes that the new autorefraction system allows her to sit more throughout the day rather than standing all day like she was before. Another perk? “In the days of pandemic and flu, I’m five to six feet away from people,” using the tabletop controller.

Filed under: Marco BlogTagged with: , ,