The new OptoChek Plus Autorefractor + Keratometer
from Reichert measures spherical and cylindrical
refractive errors and keratometry.
The PARK1 from OCULUS combines a non-contact pachymeter, autorefractor and keratometer in an
ergonomic, patient-friendly, award-winning design.

Upgrading refraction technology offers a one-two punch for your practice: making an impact on productivity and making an impression on patients.

Two of the main criteria most optometrists have when adding a piece of equipment  is that it must measurably improve patient care and provide a healthy return on investment for the practice. While manual refraction has been the mainstay of our profession for many years, the conversion to digital refraction systems is proving to help offices provide a better patient experience and also generate significantly more revenue. Other digital technologies, such as autorefraction systems and wavefront analyzers, provide doctors with more information, allowing for customized prescriptions and sharper, crisper vision.

By speeding up the process, digital refraction systems can shave minutes off each patient. While this doesn’t seem impressive, this adds up over the course of the day, week, month and year. This frees up a practitioner to spend more time on patient education while in the room, see more patients per day, spend more time developing the business portion of the practice or spend more time out of the office. The programmable nature of these systems also makes delegation an easy step, allowing the doctor to spend more time on other parts of the exam or to see more patients overall.

How can digital technology improve the patient experience? Technologies from companies such as ZEISS, Reichert Technologies, Marco and OCULUS go beyond the standard measurements to collect valuable data such as higher order aberrations, pupil size and topography, as well as autorefractive and keratometry data. This is integrated into the automated refraction systems and allows the doctor to fully customize a precise prescription (in less time). Patients are able to compare their new prescription with their current one with a single press of a button, leading to both the wow factor for the patient and an increase in revenue for the practice. The high-tech experience versus a traditional refraction will set your practice apart and drive in new patients through referrals.

The leaders in ophthalmic technology have amassed a wide array of instruments that will fit in every size and mode of practice.

ZEISS offers an integrated and modern solution for your refraction workflow. Starting with a straightforward autorefractor/keratometer, ZEISS features the VISUREF 100. This basic diagnostic instrument has four measurement modes: refraction and keratometry combined, refraction, keratometry and contact lens base curve, and pupil and iris diameter evaluations.

As a more advanced device for objective refraction measurement, ZEISS promotes the i.Profilerplus, a compact four-in-one system that includes an ocular wavefront aberrometer, autorefractometer, ATLAS corneal topographer and keratometer. In 60 seconds, this instrument analyzes the refractive power of both eyes across their entire pupil apertures. The device gives doctors a way to visualize how different aberrations impact a patient’s vision, for example at night, and gives them an “individual fingerprint” of each patient’s eye. Moreover, i.Profilerplus opens the gate to ZEISS lenses with i.Scription technology. i.Scription involves an innovative patented algorithm that combines the subjective refraction values with the i.Profilerplus ocular wavefront aberrometry data to calculate an individualized prescription to 1/100th of a diopter””especially for lower light situations.

Once a prescription is generated from the VISUREF 100 or the i.Profilerplus, it can be seamlessly transmitted to the VISUPHOR 500 digital phoropter from ZEISS. It wirelessly connects to the VISUSCREEN 100/500 visual acuity chart system, which is customizable for different chart sequences based on the preference of the examiner. This acuity chart system comes with a variety of vision tests for both monocular and binocular testing, polarization tests and the ability to demonstrate the effect of the different lenses. Both chart and phoropter can be simultaneously controlled as one subjective refraction unit via an easy-to-use touch-screen interface that makes switching between charts easy and efficient. The browser-based controls can be operated with an iPad or with a medical grade PC to provide a modern refraction experience.

For a complete integration, the measurement data can be submitted from the VISULENS 500 digital lensmeter, the VISUREF 100 autorefractor/keratometer or the i.Profilerplus four-in-one device right to the subjective refraction unit, for seamless, efficient refracting.

Made in the USA with premium components, the Phoroptor VRx Digital Refraction system’s thin, compact design allows it to seamlessly fit in to even the smallest office space. This unit features fast, smooth lens exchanges, motorized prisms, split cylinder lenses and a quiet operation. It connects to electronic medical record (EMR) systems, as well as pre-test and acuity devices from Reichert and other manufacturers for a complete, efficient system. It features a refraction time, which helps track efficiency and productivity. The touch screen and keypad devices are user friendly and ergonomic, featuring pre-programmed and programmable tests for practitioner use or delegation.

Also from Reichert, the new OptoChek Plus Autorefractor + Keratometer measures spherical and cylindrical refractive errors and keratometry. As part of the VisionChek Digital Exam Suite, it also features a Scotopic Pupil Size and Photopic Pupil Size mode that adjusts illumination to accommodate different conditions of lighting.

The TRS- 5100 digital refraction system allows practitioners to obtain fast, accurate refractive results using a control pad. The large range of lenses available (-29.00D to 26.75D, and cyl 0.00D to 8.75D) makes this system extremely versatile. Once complete all data is then sent to the EMR for accurate recording of data.

The OPD-Scan III Wavefront Aberrometer combines an autorefractor, keratometer, pupillometer, corneal topographer and integrated wavefront aberrometer into one compact, state-of-the-art device. This instrument completes 20 diagnostic metrics in less than 20 seconds per eye and features auto X, Y, Z eye tracking. Mesopic refraction calculations can be determined, as well as angle kappa and angle alpha, average pupil power, higher order aberrations and point spread function. The OPD-Scan III determines the best starting point based on each patient’s optical system. Knowing if a patient is correctable to 20/20 before you begin refracting is just one of the advantages of integrating the OPD-Scan III with the TRS.

The EPIC Workstation is the ultimate combination of technology in an extremely small footprint (4-ft. x 5-ft.). This includes the TRS-5100 digital refractor, autolensometer, ARK/OPD-Scan III and an electronic chart””all in one location. This extremely efficient system combines the best of Marco’s technologies to give faster, more accurate results, allowing the practitioner to spend more time on patient education. This system decreases work-up times to less than 10 minutes, and refractions can be performed in three to five minutes.

The PARK1 combines a non-contact pachymeter, autorefractor and keratometer in an ergonomic, patient-friendly design. This unit gives objective refraction values, keratometery values, pachymetry, Horizontal Visible Iris Diameter, pupil diameter and far PD. The space-saving, sleek design won the PARK1 the RED DOT Award for product design.

With so many choices, it is easier than ever to incorporate the newest in refraction technologies into any practice.

Jennifer L. Stewart, OD, is a partner at Norwalk Eye Care, in Norwalk, CT. She is also the co-founder and chief optometric officer at Performance 20/20, a sports and performance vision clinic in Stamford, CT.


Carl Zeiss Meditec, Inc.
800.342.9821 | Zeiss.com/Meditec/US/
Carl Zeiss Vision, Inc.
800.358.8258 | Zeiss.com/Lenses
800.874.5274 | Marco.com
Oculus, Inc.
888.284.8004 | OculusUSA.com
Reichert Technologies
716.686.4500 | Reichert.com


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