Maps from the OPD-Scan III bracketed by the scanner itself (left) and the TRS-5100 Total Refraction System.

Marco XFRACTION process combines optical path diagnostics with wavefront optimized refractions.

The one thing we can say for sure about healthcare, including optometry, is that change is forever going to be a part of our lives. I have been practicing optometry for almost 20 years and there have been more developments in technology than ever before. There are those who say refraction has been and always will be a significant piece of what we do. I agree. However, I would add that even refraction is changing, and the newest opportunity for optometry is in the Marco XFRACTIONâ„¢ process.

A simple, traditional refraction does little to fully define a patient’s total visual system. The XFRACTION process combines two concepts that traditionally stand opposed: more accurate and usable diagnostic information, and shorter exam times.

XFRACTION combines optical path diagnostics with wavefront optimized refraction, and represents a quantum leap from refractions with a manual phoropter that take five to seven minutes longer. The “X” represents connecting these two technologies: the OPD-Scan III and TRS-5100 digital refractor. XFRACTION yields superior understanding of the patient’s entire optical system, allowing for faster, more accurate, and more confident refractions.

The XFRACTION process begins with the OPD-Scan III, which takes less than one minute. OPD data triages patients into those with and without significant high-order aberrations. I can rapidly discern those qualified for a wavefront optimized refraction, which usually requires minimal adjustment from the OPD-supplied objective starting point to the final subjective endpoint.

If the OPD suggests I start with the autorefraction findings, it indicates the patient is likely to have more difficulty determining their subjective endpoint, which may not provide for a best corrected acuity of 20/20. The “X” also reminds us of this directional split in the triage decision tree: the simple, quick, definitive endpoint refraction; or the more time-consuming, vaguer endpoint, possibly reduced acuity type. Knowing this quickly before I begin the refraction greatly improves my time management.

For those patients who are not qualified for wavefront optimized refraction, the OPD-Scan III provides more than 20 metrics of important diagnostic data. The OPD allows me to assess the optical elements of my patients’ system, and, uniquely, their alignment””the diagnostic “X-factors” that would otherwise be missing. The OPD supplies the data that allows me to understand and explain to them why they may have 20/20, J1 acuity but are still not satisfied with the quality of their vision, which is often the case postoperatively.

The TRS-5100 Total Refraction System enables quicker and more accurate demonstrations of optical choices to arrive at the subjective endpoint (including a near instantaneous comparison of old/new Rx for patients), and transfers the refractive data rapidly without transcription errors to the patient’s EMR, greatly improving clinical efficiency. The high-tech appearance, precision of lens selection and more rapid examination format enhance the patient’s experience and provides a more ergonomically appropriate examination routine for the doctor.

Being able to improve quality of care, efficiency and patient experience without compromise to any of these core elements is a revolutionary and unique concept. We have long believed that if we can achieve something of high quality, and in record time, we will do so at some great cost. XFRACTION shatters this belief.

April Jasper is in private practice at Advanced Eyecare Specialists in West Palm Beach, FL.


Marco Ophthalmic, Inc. •800-874-5274 •


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