Category: Marco Blog

One Machine… Endless Possibilities

As a veteran ophthalmologist who is still relatively new to running my own private practice, there’s probably not much advice I can offer to my more experienced colleagues. But to my younger peers, I can speak from experience: Go with Marco’s OPD-Scan III as you venture forth to open your own private practice. You’ll be glad you did.

After earning my medical degree from the University of South Florida College of Medicine in 2000, I completed an ophthalmology residency at the University of Florida and my corneal surgery/refractive surgery/uveitis fellowship at the University of California, Davis, where I used the OPD-Scan I and OPD-Scan II for pre-LASIK screening and surgical planning. I also used the two devices for surgical evaluation and planning of corneal-transplant patients. After completing my fellowship, I wenton to practice with a large multispecialty group in Southwest Florida, where I had access to many types of anterior segment diagnostic devices.

In October 2015, I decided to leave that group and start my own practice. To do so, I needed my own accurate and reliable diagnostic equipment. I looked closely at many machines, and test drove several. Ultimately, based on my previous experience with older versions of the OPD and Marco’s unparalleled track record, I selected the OPD-Scan III to accompany me on my new endeavor in private practice.

Fast, Reliable Data
Don’t let the singular name fool you. Like your favorite smartphone, the OPD-Scan III actually consists of five powerful “apps” — an autorefractor, a keratometer, a pupillometer, a corneal topographer with 11,880 data points, and that aforementioned integrated wavefront aberrometer with 2,520 light vector data points.

Moreover, this single device completes 20 diagnostic metrics in less than 10 seconds per eye (including angle kappa and angle alpha, HOAs, average pupil power, RMS value, and point spread function, among others). Wavefront data are gathered from available zones up to a 9.5-mm area, adding the capability to provide for calculation of mesopic refractions. Blue light, 33 ring, placido disc topography is gathered in just 1 second.

Although it’s true that other units in the marketplace can obtain similar images and information,they’re not nearly as simple to use. The OPD-Scan III makes it incredibly easy to create new templates, showing only the information you want to see at any given time for any patient.

As a corneal specialist who actively performs corneal surgeries, such as penetrating keratoplasty and a high percentage of premium IOL and refractive surgeries, I can get all the information I need from the OPD-Scan III for everything from the simplest exams to the most complicated decision-making processes for corneal transplant patients.

With respect to my preoperative cataract surgery patients, for example, I frequently turn to the multifocal IOL (mfIOL) algorithm to assist in IOL selection. This powerful tool provides me with a “decision tree” to confirm in an algorithmic way which specific IOL would be best for a given patient. The algorithm provides me with accurate corneal astigmatism, angle kappa, corneal coma, and pupillary size — all of which play an important role in selecting the proper mfIOL. Indeed, I believe my accuracy and patient satisfaction have increased significantly since I began using this algorithm.

For toric IOL selection, the algorithm gives me another precise measurement that I can compare to other diagnostics, including manual keratometry and my Lenstar biometer. I feel most comfortable when I can compare all of these data, but I would also be comfortable using the OPD-Scan III alone.

Less Space, More Patients
It helps our practice immensely that all of these capabilities fit into an 11″ x 18″ footprint. Since its inception less than 2 years ago, our practice has grown from two employees to seven across two offices in Naples and Fort Myers, FL, and an affiliate office in Miami.

As a relatively new practice in a small office space here in Naples, we have been tasked with seeing patients efficiently and without the luxury of an extra room. The OPD-Scan III allows us to achieve this goal. We see about 100 patients per week at Naples and Fort Myers. In addition, I perform about 30 surgical procedures per week for all three offices. All of the information I need about a patient’s vision can be obtained with this single machine. The unit is definitely space and time efficient.

Impact on Staff
My staff also loves working with the OPD-Scan III. Frankly, they were a little concerned with learning what appeared at the outset to be a complex machine, but after surprisingly short training sessions with Marco representatives, we all were up and running in no time. The same was true with the in-house, hands-on training for our second technician, who required very little ramp-up time (24/7 online training tutorials are also available). For its part, Marco has far exceeded my expectations for customer and technical service. Issues are always resolved quickly. On the few occasions it became necessary, Marco provided a loaner device on short notice, so our workflow wouldn’t be disturbed. Indeed, the loaner backup is a big selling point to me when evaluating other diagnostics and providers.

High Impact on Patients — and Satisfaction
Our patients notice when they sit down in front of one small machine, only to be told a very short time later that we’ve obtained all the information needed for the exam. I can’t tell you how often I’m asked by a surprised patient, “You really got everything you need from just that one exam?” I also believe patient satisfaction comes in the form of successful visual outcomes, especially with premium IOL patients. I know it has helped with our ability to successfully prescribe appropriate IOLs for each patient. Thanks, in no small part, to the OPD-Scan III, we have had a high percentage of premium IOL patients and a very high success rate.

Heed My Advice
As I mentioned at the outset, to those ophthalmologists coming up behind me to start their own practices, I can definitely offer a word to the wise: Go with the OPD-Scan III as you embark on practice ownership. This accurate, state-ofthe-art, all-in-one, time- and space-efficient unit does it all. It eliminates the need for multiple diagnostic machines, and it can be used for corneal and refractive surgeries and evaluations, as well as pre- and post-op planning and evaluations. But don’t just take my word for it — go and see for yourself. You will understand what I mean.

– Dr. Ginsberg is owner and operator of Ginsberg Ophthalmology in Naples, FL.

Filed under: Marco BlogTagged with: , ,

Speed and Precision: Marco Helps Bring Both to Your Practice

I first had the opportunity to use Marco autorefractors in the 1990s while serving in the U.S. Army at Fort Jackson, SC. There, I witnessed firsthand how Marco’s technology helped us swiftly and efficiently process the eyecare needs of 100 or more troops on any given day. I also appreciated the ability to transmit data directly to the lab with no need for data entry or writing out prescriptions. Having experienced the benefits of this technology, I knew that I would want the same technology in my own practice one day.

Technology I Can Trust
After completing my 3-year commitment to the Army, I moved to San Antonio and began looking for practice opportunities. I purchased my practice, Stone Oak Vision Source, in 2004 and began outfitting it with Marco’s automated technology as quickly as I could.

I started Stone Oak with one associate; we now have three associates and a staff of 20. We expect to gross more than $3 million this year. To this day, we still run an ARK-1 autorefractor and LM-1200 lensometer in our primary prescreening room, and an AR-510A autorefractor and an LM-1000 lensometer in our secondary prescreening room. Exam rooms 1, 2, and 3 each have an older generation RT-900 autorefractor, while exam room 4 has an RT-2100 autorefractor and exam room 5 has the latest TRS-5100 digital autorefractor that we acquired when we moved into our new building in 2016. Marco technology is clearly a part of the fabric of this practice.

Quick and Accurate
Today, just as when I was in the Army, one of the things I appreciate most about Marco’s technology is how easy it is to quickly and accurately transfer autorefraction and lensometry data. Indeed, I have no doubt this reduces prescription mistakes and remakes. The autorefractors and the lensometers seamlessly network into our phoropters and ExamWRITER software. We use the new manifest-to-old-Rx toggle feature at the end of the refraction to show our patients the difference between their new prescription and their old one. This allows them to more accurately appreciate the change they will see in ways they can understand.

In addition, the ability to transmit data with the touch of a button is a huge time-saver. Anything that can help improve accuracy and efficiency in our clinic is a win for us. In fact, spending less time on data entry and the refraction process as a whole gives us more time to discuss each patient’s condition and the solutions we can offer. For example, it’s easier to get patients on board with multiple pairs of eyeglasses when our doctors have enough time to discuss how each one will meet specific needs, and when patients are able to quickly assess the Rx differences themselves.

The “Wow” Factor
The technology is also a “wow” factor for our patients; they appreciate that our office doesn’t have the same old equipment they’ve seen for decades in other offices. We offer high-tech lenses and diagnostic options throughout our clinic. Performing examinations with anything less than state-of-the-art equipment simply wouldn’t correspond with our mission to deliver high-tech, cutting-edge service.

As fond as I am of our older RT-900s, I am looking to upgrade them to TRS-5100 digital refractors this year. They have served us well these past 14 years, so it almost pains me to let them go. Still, I know exactly where to turn to receive the same high-quality technology that I’ve come to trust for so many years.

– Monica Allison, OD, MBA, FIAO

Filed under: Marco BlogTagged with: , ,

Technology That Patients — and Doctors — Love

Epic Refraction Workstation From Marco Ophthalmic

Our five-location optometric practice, Nittany Eye Associates, located in State College, PA, employs 12 optometrists and a staff of 55. We provide full-scope optometric care, on-site consulting for LASIK surgery and other ophthalmology services, and see approximately 800 patients per week.

Our practice has always been dedicated to providing the best clinical care, while also providing an outstanding experience for our patients. This commitment to excellence in care and customer service has allowed us to weather the storm that stems from the increasing pressures of managed care as well as commercial and online competition. Although our practice has grown, we have remained committed to reinvesting in our practice to fulfill our mission of providing excellent diagnostic care.

EPIC-5100 = Effortless Refractions
Due to limited space and a need to increase efficiency and improve outcomes, we acquired three EPIC-5100 refraction workstations and began delegating refractions to our technicians. This decision was not taken lightly, and we had some concerns. For example, would delegating refractions increase the number of remakes and decrease our patient’s clinical results? Would the investment pay dividends — experientially for the patient and financially for our practice? Well, it’s been more than a year and half since we began this process, and I’m pleased to report that none of our concerns materialized and the investment was, in fact, a wise one.

The EPIC-5100 combines the OPD-Scan III wavefront aberrometer and corneal analyzer, and the TRS-5100 digital refractor. The two technologies can be used together to evaluate the entire visual system in a fraction of the time it takes traditional manual systems. The OPD-Scan III takes more than 20 measurements in less than 10 seconds, while assessing all aberrations in the optical pathway and establishing refraction start points. The TRS-5100 then steps in to complete all refractions with unprecedented accuracy, also in just seconds per eye.

Patient Preferred
Indeed, our patients overwhelmingly prefer the automated experience of the EPIC-5100 over the previous manual experience. The dual-prism technology of the EPIC-5100 allows the patient to see two cross-cylinder images simultaneously and, as a result, the process induces less anxiety as patients make their lens choices with confidence. In addition, patients perceive the refractive process as more comfortable and more advanced than the traditional manual refraction. Every day, we receive positive feedback from our patients about their experience with the technology. As a result, our patients view our practice as far more advanced and cutting-edge, which helps differentiate our practice from that of our competitors.

Not only is the patient experience better, but we’ve also found that the EPIC-5100 provides a better experience for our doctors and staff. The EPIC-5100 delivers consistent, accurate refractive data results. Our remake percentage for eyeglasses has dropped by more than half — from 12.8 to 6.3 percent.

Increasing the Bottom Line
Finally, our investment in the EPIC-5100 has paid dividends. By allowing us to quickly and easily show patients the difference between their current and new prescription, the EPIC-5100 helps us demonstrate how much better we can help them see. This also gives us more time to talk to patients about how to improve their visual performance and, in turn, their quality of life. The data automatically provided by the EPIC-5100 and the time provided to discuss options have resulted in an average increase of $69 per lens sale.

A Win-Win Situation
This single technology has helped us not only to increase our efficiency, but also to improve our patients’ experiences and our practice’s own financial performance. We could not be happier with the EPIC-5100.

– Mike Talone, OD is a managing partner at Nittany Eye Associates, State College, PA.

 

Filed under: Marco BlogTagged with: , ,

Succeed in Health Care Reform with Technology

Health care reform is an issue that affects every optometry practice. Tim Petito, OD, FAAO discusses how technology enables optometrists to provide better patient care.

“For us in the practitioner world, we tend to think health care reform as a problem because it makes things more expensive for us, it makes things more difficult for us, and sometimes it takes away time from our patient care or our relationship with our patients. However, there are some are very good points to health care reform and we point those out; it helps us become more efficient, it’s a reality that we have to see more people, make less mistakes, and with more collaborative care going forward. That’s good for the patients, that’s good for the system, that’s good for our practices. We use difficult cases to point out how the technology that we incorporated under the health care reform mandate really solved those patients’ problems and allowed us to take care of patients.”

Filed under: Marco BlogTagged with: ,

Visit Marco at Vision Expo West, Sept. 18-21, 2019

Join us at VisionExpo! Visit Marco at Booth #MS8031!

Click here to Register for a Free Exhibit Hall Pass as our Guest

Vision Expo West is the complete event for ophthalmic professionals, where eyecare meets eyewear and education, fashion and innovation mingle.

  • Educate yourself and your staff with more than 300+ hours of education and 23 specialty tracks to deliver improved patient care and grow your business.
  • Shop more than 5000 fashion and luxury brands for an unforgettable buying experience.
  • Experience the latest industry advances in contact lenses, solutions, therapeutics and leading edge medical and diagnostic equipment.
  • Engage in essential learning and networking that extends past the classroom onto the show floor and beyond.
Filed under: Marco BlogTagged with: ,

The Future of Optometry with Telehealth

Check out one of the latest articles from Review of Optometric Business written by Tim Petito, OD, FAAO, director of professional relations for Marco Ophthalmics and owner of Petito Eyecare.

Dr. Petito discusses the possibilities of implementing telehealth care into your practice; what is it? What are best methods with patients? What factors should you consider?

To learn more, click here to read the article, ‘Future of Optometry: Implementing Telehealth So Patients Are Helped, Not Harmed.’

Filed under: Marco Blog

Marco joins ‘Advancing Eyecare Holdings’ Group

On January 10, 2019, Marco announced that the company would be joining the ‘Advancing Eyecare Holdings’ group, a construct of the Atlantic Street Capital private equity firm. The Advancing Eyecare portfolio includes Lombart Instruments, Innova Medical, Enhanced Medical Services (EMS), and now, Marco Ophthalmic. This powerful alliance of leading instrument providers will now blanket all of North America with a far greater armamentarium of Ophthalmic equipment and services.

Though the full press release is presented, we want to clarify a few important issues regarding this exciting partnership that impact you directly. Marco will continue to provide the exemplary sales and support you’ve come to depend on across the years. This means that you should continue to contact your Marco Area Manager for all your sales needs. In addition, the same 800.874.5274 number will provide you with the same customer care and technical service you may require. In short – nothing has changed concerning the contacts you’ve used and the quality of care provided for your practice.

Of course, for many months now, the management teams of Marco, Lombart, EMS, and Innova have been discussing integration plans that will benefit our entire customer base in terms of greater representation and more localized service. As additional benefits become available, we will continue to share them with you throughout the coming year.

We remain your sustained partner in Eyecare.
Marco Ophthalmic

PRESS RELEASE

STAMFORD, CT, January 10, 2019 – Atlantic Street Capital, a private equity firm targeting entrepreneurial businesses poised for the next level of growth, announced today that it will form Advancing Eyecare Holdings with the partnership of its portfolio company Lombart Instrument (Lombart), the leading U.S. distributor of ophthalmic instruments to ophthalmologists and optometrists, and Marco Ophthalmic Inc (Marco), a market leading, high-tech instrumentation supplier.

The transaction is subject to customary closing conditions and is expected to be completed in the first quarter of 2019.

Founded in 1967 and based in Jacksonville, Florida, Marco, is a market leading brand and U.S. based supplier of diagnostic ophthalmic equipment, offering a complete suite of high quality advanced technical and traditional classic lane products. Marco’s brand is well known for its focus on optimizing the refraction lane, a reputation that has allowed them to capture some of the largest institutional customers and buying groups in the industry. For more information, visit www.marco.com.

Gordon Siteman, Chief Executive Officer of Lombart, said, “Creating Advancing Eyecare with the partnership of two leaders in the eyecare instrumentation marketplace increases our ability to provide the doctor both the service and product offerings that suit their budget and their technology requirements. When completed, the combined organization will deliver the best solution at the best price for every practice’s needs.”

Upon completion of the transaction, David Marco will continue as a meaningful investor in the business and will join Advancing Eyecare as Co-Chairman of the newly-formed company and help advise the senior management teams. Mr. Marco, commented, “With this strategic partnership we will be ideally positioned to maximize value for both our customer and employees. It allows for expanded service capability for Marco and greater technology offerings for Lombart. The combined entity enhances and accelerates our unique abilities to modernize and maximize efficiencies of the Eye Care platforms.”

Bryan Bevin, Senior Operating Advisor to Atlantic Street Capital’s portfolio companies, will serve as Co-Chairman of the Advancing Eyecare Board. Both he and Mr. Marco will oversee the operating and strategic guidance of all Lombart assets in the medical eye care marketplace in North America – including Lombart Instrument, Marco Ophthalmic, Enhanced Medical Services, and INNOVA Medical Ophthalmics (Canada & Mexico).

Andy Wilkins, Managing Partner of Atlantic Street Capital, said, “Since our acquisition of Lombart in 2016, we have steadily built the business through organic growth, as well as expanded into Canada with the acquisition of INNOVA and enhanced our pre-owned ophthalmic business with the acquisition earlier this year of Enhanced Medical Services. The addition of Marco is another significant investment to strengthen Lombart’s position as a key partner for its customers, further extending our ability to deliver a breadth of clinical solutions.”

Filed under: Marco Blog

Marco Support for Vision Care of Ebola Survivors in West Africa

Marco is proud to support Drs. Jessica Shantha and Steven Yeh for their Ebola Virus Disease (EVD) Initiative with the use of the Handyref-K Portable ARK.

The EVD Initiative at Emory Eye Center provides care for Ebola survivors in West Africa while researching the effects of the Ebola virus’s on the eyes. Many Ebola survivors develop uveitis or cataracts.

Dr. Shantha writes:

“We recently traveled to Sierra for two separate screening programs. The first was in April where we examined (ocular exams) 100 pediatric Ebola survivors and close contacts. Additionally we traveled to Sierra Leone in June and in partnership with USAID/JSI we screened over 650 Ebola survivors. The portable autorefractor was extremely helpful for both programs and we will continue to bring it on future trips. Thank you for working with our team!”

For more information on the EVD Initiative, please go to:
http://www.eyecenter.emory.edu/global-programs/ebola-initiative.htm

Filed under: Featured, Marco Blog