Category: Marco Blog

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.

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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.

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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.

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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

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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.

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[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 →

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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

 

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The Critical Role of Patient Education in Dry Eye Treatment

Low-Level Light Therapy

by Paul Karpecki, OD, FAAO

Positive outcomes for dry eye patients depend greatly on their participation in their own health decisions, and they can make the best choices with appropriate guidance and recommendations from their doctor. But what is the best way to educate these patients about their condition and treatment options?

The ideal approach for patient education is a three-step process: 

Identification: First, clearly identify and explain the condition for the patient.  A picture is ideal and as the adage says, “worth a thousand words”. 

Pathology: Next, with a picture up on a slit lamp imaging system, magnified on an iPhone, or via animations, point out the area of pathology and let them know what is concerning.  If something is concerning to the doctor, it is concerning to the patient as well.  For example, you can point out the erythema, blepharitis, or telangiectatic vessels on the eyelid margin. 

Significance: Lastly, discuss the benefits to the patient as well as the consequences of not treating such as loss or atrophy of meibomian glands, inability to wear contact lenses, thinning or loss of lashes, and the potential for chronic dry eye disease.

Remember that empathy and enthusiasm are important components for patient buy-in.  Dry eye patients have often been dealing with their symptoms for a long time.  Showing that their situation is a significant concern to all provides confidence in you and your recommended treatment plan as does your enthusiasm for the procedure and its potential to help the patient.

Once the patient is fully educated about their condition and treatment options, they can make an informed decision based on their economic situation and their desire to be compliant with at home treatments versus in-office procedures. 

Many patients appreciate the dental model, with a more targeted in-office procedure such as Low-Level Light Therapy (LLLT) followed by at home maintenance.  Although insurance does not cover these in-office procedures, their efficacy and the hope of slowing the already extensive gland loss often outweighs the cost.

The combination of highly-effective therapies such as LLLT and the right education model can result in superior dry eye management and more satisfied patients.  Just remember the three E’s: Education, Empathy, and Enthusiasm.

Learn more about dry eye technologies from Marco →

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