Category: 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.

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How One Doctor is Seeing Results with the Marco Equinox

How One Doctor is Seeing Results with the Marco Equinox

Bruce Colton, OD shares his experiences with Dry Eye treatment using the Marco Equinox. The following are true patient cases and his patients are ecstatic over the results.

“I have a staff member with severe chronic dry eye associated with autoimmune diseases. She has had superficial keratitis every day for many years. Working for other optometrists over the last five years she has tried hot compresses, restasis, bandage lenses, punctal plugs, omega 3 vitamins, doxycycline, everything. I put an amnion on her which reduced her keratitis for a few days and then it came right back. The best acuity I could ever get her to was 20/40. I was given the Marco Equinox to use for a few days, and did a single 15-minute treatment on her. The next morning she said was the first time in years she has woken up without her eyes hurting or eyelids sticking to her cornea. She felt great, and a few days later I refracted her to 20/20. She still has a chronic condition which we have to manage, but the Marco Equinox light therapy has made a bigger difference for her than all previous treatments combined.” 

“I have a male patient in his 50’s who has suffered from severe chronic dry eye for over a decade. He has been to many optometrists and ophthalmologists and followed all of their recommendations, which never offered more than very short term relief. He was paying hundreds of dollars a month for Restasis and Xiidra, hoping for a relief which never came. He carried a bottle of lubricant and used it every hour or two throughout each day. When I first took over his care I did not have the Marco Equinox technology. I used hot compresses, manually expressed his glands, which were rock hard, and put him on doxycycline. After a few months he felt 30% better, but was still using lubricant drops every two hours. When I got the Marco Equinox I immediately thought of him and called him in to do three 15-minute sessions and no other treatments. A month later all of his meibomian glands easily expressed a very high quality and quantity of oil, and he had completely stopped using his lubricant because he had no symptoms for the first time in over a decade.” 

“I had a 6-year-old hispanic boy come to me with two huge chalazions on his right lower lid that had been there for months. They did not hurt, but they looked horrible, the size of marbles. He had already done hot compresses at the recommendation of his pediatrician, with no improvement. The mom was concerned because he would get a new chalazion every 6 months and it would have to be surgically removed. Every surgery would scar up a few meibomian glands that he could never get back. His long term prognosis for chronic ocular surface disease was very bleak. I gave him a 15-minute Marco Equinox treatment. A week later, the largest chalazion was 70% smaller. I couldn’t believe my eyes. We did another 15-minute treatment. A week later, the largest chalazion was 90% gone and the second chalazion was 50% gone. Of course, all of his other meibomian glands were now cleanly flowing. You can see where this is going. With two more treatments we got him to complete chalazion resolution, restored his gland function so he does not get any more chalazion in the future, and saved him the dangers of general anesthesia and excessive surgical destruction of all of his meibomian glands. I did this all with no drugs. No surgery. No high price tag. No risk. That is the Marco Equinox.”

View Dr. Colton’s video below on Meibomian Gland Disease/Dysfunction.

Bruce Colton, OD - Bright Eyes Vision Clinic - Murphy, TX

The Latest Dry Eye Technology Exclusively from Marco

View Phoenix Meibography Workstation
View Equinox Low Level Light Therapy
Filed under: Marco Blog

[Webinar] Recommending Premium IOLs with Confidence

[Webinar Recording] – Recommending Premium IOLs with Confidence

 

Brought to you by Advancing Eyecare.

Our panel of industry experts discuss how to qualify patients for premium IOLs and improve outcomes using the latest technology.

Each present case studies showing how they implement the information obtained by the Marco OPD-Scan III to confidently recommend the best IOL for each patient. They also discuss excluding patients for a premium IOL based on their individual visual system.

• Examine case studies from industry leaders
• Determine how to implement the most comprehensive treatment plan
• Recommend the best IOLs with confidence
• Identify patient exclusions for premium IOLs based on individual vision systems

View The Webinar ‘Recommending Premium IOLs with Confidence’: 

FEATURING:

Larry Patterson, MD
Eye Centers of Tennessee
Crossville, TN

“When this technology came out, we jumped on it. We won’t do cataract surgery, particularly for anyone who wants any type of premium implant, without getting these Digital Wavefront Refraction scans done. We’ve never had to explant a multi-focal implant that we put in as a primary lens. We have happy patients, happy staff, happy outcomes, and we do that because the OPD shows us patients that are probably not the best candidates and we’re not going to take that chance. We’ll show them these maps, you can take any of these screens and magnify them, swing the computer screen around and show the patient and they’ll say, okay, I see what you’re saying.”

Jonathan Solomon, MD
Solomon Eye Physicians & Surgeons
Bowie, MD

“The OPD is so valuable to me because of the amount of information, whether it’s for a Lasik patient, or a cataract patient, or the unahppy IOL patient. About 15-20% of my practice are referred re-ops – patients who are either unhappy with their multi-focal lens or they don’t understand why they have a multi-focal lens. It could come down to dryness or an extensive angle kappa. Looking at the corneal spherical aberration, you can customize a even a monofocal IOL to minimize the spherical aberration so that you can enhance night vision. You have everything at your disposal in your exam lane, particularly with an EHR copy, that’s what sets our practice apart. It’s due to the technology like the OPD to give us that edge when it comes to communicating with patients.”

Tim Page, MD
Oakland Ophthalmic Surgery, PC
Birmingham, MI

“We heavily rely on the OPD. Every single cataract patient that I see must go through a screening with the OPD so I can walk them through the best options for them . . . One of the first things I’ll do is I’ll show a patient the internal higher order aberrations and anything over .32 is significant. The next thing I look at is the pupillometer, what is the mesopic pupil size? Then I’ll at the Angle Kappa and Angle Alpha. In a matter of seconds, we’re able to look at all these parameters and decide if this patient is a good candidate for an EDOF or a multi-focal.”

An Invaluable Partner for Selecting Premium Lens

View the OPD-Scan III
Filed under: Marco Blog

Replicate A Model That Works – An Article From Women in Optometry

Original Article Published in Women in Optometry

Dora Sudarsky, OD, had been considering the right time to equip a second exam room at her practice, Chroma Optics, in Burlington, Vermont. Her son will be graduating from optometry school in May 2021 and will join her in the office, so she knew the change was on the horizon. “I knew I needed to add another lane, and with COVID, I decided now was the time to do it,” Dr. Sudarsky says. She added a second TRS system from Marco as well as the ION slit lamp earlier this year, and working between two systems is allowing her to be more efficient seeing patients. She can alternate from room to room, which leaves more time for cleaning between each visitor. “It’s been awesome.”

TECHNOLOGY IS A TOP PRIORITY

Dr. Sudarsky opened the practice in 2015, renovating and redesigning the space that was a former video store. She did most of the interior design and decorating herself to allot more of her funds to her instrumentation. Marco was on her wishlist from the start, and she opened her doors with one TRS system and the OPD III in her pretesting area. “The OPD III was above and beyond what anybody else had, and that was a big appeal,” she recalls.

Many patients followed Dr. Sudarsky from the optical where she had previously offered her optometry services, and in that space, she did not have any advanced technology. So the impression on patients has been huge and continues to be when new patients come to her office. “They tell me they’ve never seen so much technology, and while it may not all be brand-new, not every eye care practitioners embraces it the way that I have.” She recalls as she was preparing to open the practice that a colleague told her to wait and add automated refraction technology in five years. “I wanted to have it now so patients would tell their friends; that word of mouth makes a huge difference,” she says. “Some people say that they can’t afford to do it, but I say you can’t afford not to.”

BENEFITS FOR PATIENTS AND PRACTICE

Dr. Sudarsky says the staff adapted well to learning how to use the technology from Marco, and the data transfers automatically to her exam rooms so she can discuss the results with patients. “One of the things I love about the TRS system is that it’s a lot easier on my body—doctors don’t always think about that,” she says of the repetitive movement of traditional refracting. After experience her new, upgraded TRS in the second exam lane, Dr. Sudarsky is a fan of the improvements Marco has made, such as a bigger touch screen and even more intuitive software. It’s easier for her, but the experience is also simplified for patients. “Being able to press a button and show their old prescription vs. new prescription has a big impact, and I do think it has helped with upgrading and updating eyeglasses,” she adds.

The new ION Slit lamp in her exam room has become a great patient education tool in just a few months. “I can take pictures, put them on my computer screen and share with the patients.” Dr. Sudarsky was recently recommending a switch to wear daily disposable contact lenses to a patient. “I was trying to convince her, and with the picture, I could show her that her current contact lenses were dirty, even when she said they were clean. A picture is worth a thousand words.”

The OPD III has been a great asset for fitting contact lenses, and in particular, multifocal contact lenses. “It has a lot of great tools,” Dr. Sudarsky says. “I can tell if the patient’s visual axis is not the same as the center of the pupil, and I will know if multifocal contact lenses will work for them or not.” That can save her and the patient some frustration, especially compared to a system where she may have tried multiple lenses before reaching this conclusion.

Dr. Sudarsky says her efficiency has improved working with this technology, and she’s able to spend more time with each patient. “I have fewer remakes and better refractions,” she says. “I wonder how I practiced before it.”

Dr. Sudarsky didn’t know any colleagues who had technology from Marco when she took the leap, so she’s relied on the support of its team who have helped her with any question or issue that arises. She’s particularly thankful to her Marco support representative, who is a master at the OPD III and who helped Dr. Sudarsky understand how to utilize the many features and functions that the instrumentation has to offer. “They are just a text away and always willing to help,” she says.

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The Marco ION Imaging System – Intuitive, Optimized, and Networked

The Marco ION Imaging System
Intuitive, Optimized, and Networked

 

Slit Lamp Imaging has become increasingly valuable in diagnosing and treating pathology, and electronic medical records (EMR) have provided a means of storing and accessing that information at a click of a button. Marco’s ION Imaging System is a slit-lamp camera using the iPhone to capture, view and transmit images to the medical record.

SIMPLICITY

With a flip of the beam-splitter lever the camera sees what you’re seeing through the oculars, and with the press of the Marco slit-lamp’s joystick button an image is captured. It’s as easy as that. You can take photos and videos and upload those images directly to your computer and EMR software.

QUALITY

While the ION imaging system excels at photographing anterior segment anomalies, you can use it to photograph pesky floaters as well. Want to capture a spastic entropion? Video is also an option.

SAFETY

Patient and staff safety is the current hot topic which ION can address by design. You can see clearly see a cornea scan on the ION without looking through the oculars of the slit lamp during the exam which adds an additional gap between you and the patient. The ION can also mirror images to your desktop computer, adding an additional element in reducing contact by looking at your computer monitor.

EFFICIENCY

The ION is also helpful in educating patients. A photograph of a corneal foreign body, worsening cataract or aberrant lashes goes a long way in teaching patients just what is wrong with their eyes. The ION imaging system, with its ease of use, affordability and image quality can be a great addition to your practice. Add to that its educational benefits and you have a real practice-enhancing tool.

Schedule a Free 1:1 Webinar

Capture, integrate, and educate every diagnosis with Marco ION Slit Lamp Imaging

“Slit Lamp Imaging with Integrated Telemedicine 101”

View Marco ION Slit Lamp Imaging System
View Marco Slit Lamps
Filed under: Marco Blog

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: 

The Latest Refraction Technology Exclusively from Marco

View TS-610 Combined Digital Refractor and Chart System
View EPIC-6100 Refraction Workstation
Filed under: Marco Blog

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

Filed under: Marco Blog

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’: 

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
Filed under: Marco Blog

[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
Filed under: Marco Blog