Group: OPD-Scan III Wavefront Aberrometer

I am thoroughly enjoying using the OPD-Scan III. It has already become a fully integrated and invaluable tool in my office. There are numerous ways that I use the OPD-Scan III in my every day clinical exams. Immediately after becoming trained on it I was able to use it for patient education and diagnostic purposes. I use it for preoperative evaluation of all refractive surgery and cataract patients. It is an amazing tool for both pre- and post-operative assessment of toric IOL patients. I find that the autorefractions and wavefront refractions are spot on, and this has saved valuable time for my technicians in the clinic. Now that I have an OPD-Scan III, I can’t imagine practicing without one.

I think the OPD Scan is a wonderful tool, especially for patients who have had multifocal implants. I have certainly, as any other surgeon, had–have had a physician–a patient with an outcome that is less than ideal. I can think of specifically one patient who presented after his surgery with a corrected vision of 20/25 in J1, a nicely done surgery with a nicely centered implant and was still unhappy. So, we went back and started looking at what could be the cause. We looked at the posterior chamber implant, and it was clear with minimal posterior capsule fibrosis. And we also looked at the cornea and everything was fine. So, we went back to the OPD. We noticed his preoperative measurements were very normal. His cornea was clear. He was a good candidate. That was the case at one week postoperatively as well. And then, we looked at the OPD, and the nice thing about OPD is that it really splits your aberrations into the cornea and the posterior segment, the internal OPD, and this is where it becomes really important. It is truly an aberrometer of the entire eye. And when we looked at his posterior, or the internal OPD, we noticed that there were quite a few aberrations there. There were still less than before surgery, but it was very clear that the aberrations were coming from there. So, we assumed that the aberrations were most likely coming from his minimal posterior capsule fibrosis but weren’t sure.So, we were able to convince him to wait a little bit and re-measure those aberrations in a few weeks. In a few weeks those aberrations increased. And indeed, we then knew that the aberrations were coming from the posterior capsule fibrosis and not from the lens. And we were able to reassure the patient and explain to him that with a simple laser procedure he would be able to–we would be able to help him improve his visual outcome and do not need to worry about possibly explanting the implant.

It’s not easy to tell exactly which lens a patient needs, so it’s a very nice thing that the OPD III and IOL station software automatically chooses the best lens for the patient. There’s no one particular lens that’s good for all patients, but the software helps you choose the right one so you can address the spherical aberration and achieve what you want to achieve.

With one highly reliable and consistent device, the OPD, I can quickly measure multiple parameters that allow me to match the best IOL with the patient’s visual goals.

My staff loves the OPD-Scan III because it is easy to use and fast. Patients love it because they don’t have to go from instrument to instrument and I can visually show them why we can correct their vision or why not. This amazing device supplies all in one Wavefront Aberrometer, Auto Refractor, Pupillometer, Auto Keratometer and Placido Disc Topography. Using this sophisticated technology gives my patients the highest quality of care and is why my patients have a high satisfaction rate and send their friends. My practice owes the success of my premium IOL conversions to the OPD III.

The OPD-Scan III machine has been absolutely invaluable to my practice. I perform it on every single one of my cataract patients at their pre-op visit. The information that it gives me is crucial when trying to determine the correct lens choice for the patient. Obviously, the corneal topographer is very helpful in assessing the level of astigmatism and helping guide my patients to a Toric lens implant, if needed. Also, the assessment of higher order aberrations in the cornea is very valuable when determining whether or not my patients are candidates for Multi-focal lens implants. The angle kappa and angle alpha measurements are also very important when determining whether to implant a Toric or Multi-focal lens. It is also helpful to look at the internal OPD map to make sure that everything makes sense with regards to the astigmatism axis and magnitude. I have become so dependent on the machine in my pre-op evaluation that I feel lost if I am unable to obtain a measurement (which hardly ever happens.)

Our practice chose the OPD III because of its efficiency, ease of use for our staff, and the power in data gathering it combines that other machines don’t offer. In just a few seconds, I can have imaging that can be analyzed in a multiplicity of relevant ways for evaluating the best possible candidates for intraocular and corneal surgery, and also the undisclosed poor candidates preoperatively.

I have used other companies and their products. The attention to detail and the customer service AFTER the point of sale is what sets Marco apart and is why I will be a repeat customer.

The OPD-Scan III efficiently provides exam data, which keeps patients happy in a busy, one-ophthalmologist practice