Category: Marco Blog

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 →

Filed under: Marco Blog

[Webinar Recording] Navigating your way through Low-Level Light Therapy (LLLT) for Dry Eye-MGD Treatment

Have you recently purchased or are you looking to add LLLT technology to your practice? This interactive workshop helps you understand this new technology and how to effectively integrate it into your practice.  Presented by Dr. Paul Karpecki, Associate Professor UPike College of Optometry/Kentucky Eye Institute.

Topics Include:
– Treatment Protocols
– Contraindications (or lack there-of)
– The deep science
– LED wavelengths, efficacy, and more

Session 2 in the Dry Eye Workshop Series

To view Dry Eye webinar Part 1, click here
To view Dry Eye webinar Part 3, click here

Request more information about Dry Eye technologies from Marco →

Filed under: Marco Blog

Low Level Light Therapy: Using the Marco Equinox to Treat Dry Eye and Chalazion

Original Article Published on Eyes On Eyecare.
Eyes On Eyecare Article

Meibomian gland dysfunction involves the thickening and obstruction of meibum in their glands, and is one of the most common causes of dry eye.  This article covers how Low level light therapy (LLLT) offers an inexpensive and effective treatment option for many patients.

Read the full article by Bruce Colton, OD here.

Filed under: Marco Blog

[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.”

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: , ,

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’: 


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.”


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.”


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.

Filed under: Marco BlogTagged with: , , ,

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.


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.


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.


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.


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