Marco’s OPD-Scan III with its TRS-5100
digital refraction system (pictured above)
allows for seamless integration of
data input from the pre-test room.


Thanks to the LED lighting in Keeler Instrument’s
Z Series slit lamp, you’ll get fantastic illumination
without the need to replace light bulbs.
The Heine Omega 500 BIO’s LED-lit
imaging provides high stereoscopic quality,
can be used with small pupils, has minimal
reflections and keeps dust out.


The ic100 from Icare makes
pressure measurements cleaner, faster
and better tolerated by many patients.

Investing in the latest technology, your practice will provide excellent patient care at an efficient pace.

Quite often, our focus is on new technology and gadgets that enhance our level of care outside of the exam lane. Certainly, much is to be gained from higher level OCTs, dry eye diagnostic and treatment technology, retinal photography and the like. But, for many of us, some of our patients’ main objectives center on a high quality refraction and an easy, efficient eye exam. When do we need to take a look at what technology we use in this regard? When is it necessary to update our exam room equipment?

Simply put, how can we improve our patients’ experiences, outcomes and perhaps our revenues while also making our data gathering efficient and easy?

The first area I focused on when upgrading was refraction. I recently implemented Marco’s OPD-Scan III with its TRS-5100 digital refraction system. This technology allows for seamless integration of data input from the pre-test room, including topography, aberration measurements, retro imaging of the anterior segment and statistical outputs that predict refractive outcomes. This transfer then allows the doctor to digitally refract patients with an automated system operated from the desktop, relieving physical strain and stress on the doctor’s part.

Marco’s OPD-Scan III and TRS-5100 digital refraction system also allow for a quicker refraction, as patient choices are easier to delineate. Instead of confusing cross cylinder questions during the refraction, the patients see two sets of concentric dots. The circular shape makes it easier for them to determine which choice is clearer. Additionally, the images are side-by-side, so instead of having to toggle between options, the patient can make an instantaneous comparison and decision. This applies to both axis and cylinder amount determinations. Additionally, once an endpoint is achieved, an easy push of a button allows you to show patients their current spectacle prescription versus today’s prescription. As most practitioners know, every patient’s conception of “whether the prescription change would make a difference” is different. This allows them to set their own standard of observation. That simple, but powerful instantaneous comparison between old and new prescriptions enhances patient eyeglass purchases. Best of all, this saves time spent gathering data during the exam, which can then be used to recommend more products, services or to see more patients per day.

The range and variety of slit lamps we have available for our selection is fantastic, and many doctors have definite opinions as to which brands work best. One of the newest and greatest advantages of slit lamp technology is the inclusion of LED lighting. The Keeler Z-style slit lamp is a great example of this newer design. By having LED lighting in any slit lamp, you virtually almost never need to replace the light bulb, not to mention the fantastic illumination it provides. The light output is more color balanced than halogen or incandescent bulbs, and the bulb runs cooler as well.

Other LED technology eyecare practitioners can take advantage of include ophthalmoscopes, such as the HEINE Omega 500 UNPLUGGED BIO, which is illuminated by LED lighting. The LED light source was designed to match the performance of Xenon Illumination providing accurate views. Imaging proves to be high stereoscopic quality, can be used with small pupils and has minimal reflections. Its housing keeps dust out.

When utilizing both the slit lamp and BIO, having the right lenses to augment that technology is important. Volk Optical Group’s non-contact lenses offer superior optics and employ excellent coatings to produce images of the highest resolution. Volk also offers high quality gonioscopy lenses. The four-mirror designs are easy to use, do not require a flange and offer better comfort for your patients.

That aside, what about the technologies that can augment the slit lamp’s capabilities? There are a variety of low-cost attachments that make anterior-segment, and sometimes even posterior-segment imaging, very quick and easy. Although applanation tonometry is standard of care, handheld tonometers such as the ic100 from Icare make pressure measurements cleaner, faster and better tolerated by many patients. This device has a small probe that’s disposable. It quickly, yet effectively, measures our patients’ IOPs without the need for anesthetic and can even be operated with soft contact lenses present. Done so quickly and easily, it has many patients wondering when that puff-of-air test will happen”¦.until we tell them that test has been replaced and was already performed.

We spend a lot of time in our exam lanes and practices, and upgrading the equipment we use there is an investment that can have excellent ROI. Ask yourself if your patients have experienced any difference in your exam lane in the last several years. If the answer is no, it’s worth considering a change. Patient and doctor time are valuable, so in purchasing the right tools to be proficient and capable practitioners, your exam lane upgrades will be well worth it.

Gina M. Wesley, OD, MS, FAAO, is in private practice in Medina, MN.


800.367.4872 |
Icare USA
888.422.7313 |
Keeler Instruments, Inc.
800.523.5620 |
800.874.5274  |
Volk Optical, Inc.
800.345.8655  |


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