Defocus Media https://defocusmedia.com/homepage-magazine/ Defocus on Media. Refocus on Patient Care Sat, 08 Aug 2020 09:50:00 +0000 en-US hourly 1 https://wordpress.org/?v=5.4.2 We assist in providing eyecare professionals with the latest in optometric industry news, eyewear trends and discussions of the hottest topics in the eyecare profession. Welcome to the Defocus Media Podcast Channel. Defocus Media episodic Defocus Media defocusmedia@gmail.com defocusmedia@gmail.com (Defocus Media) Defocus Media Defocus Media https://defocusmedia.com/wp-content/uploads/powerpress/Defocus_Media_Number_One_Optometry_Podcast_Channel.jpg https://defocusmedia.com/homepage-magazine/ Optometry Podcast: Building an Empire with Dr. Scott Colonna https://defocusmedia.com/optometry-podcast-building-an-empire-with-dr-scott-colonna/ Mon, 03 Aug 2020 19:21:53 +0000 https://defocusmedia.com/?p=14287 https://defocusmedia.com/optometry-podcast-building-an-empire-with-dr-scott-colonna/#respond https://defocusmedia.com/optometry-podcast-building-an-empire-with-dr-scott-colonna/feed/ 0 ]]>
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Defocus Media 50:05
Optometry Podcast: Is It Time to Think Differently About Your Patients’ Contact Lens Needs? https://defocusmedia.com/optometry-podcast-is-it-time-to-think-differently-about-your-patients-contact-lens-needs/ Fri, 31 Jul 2020 03:54:00 +0000 https://defocusmedia.com/?p=14266 https://defocusmedia.com/optometry-podcast-is-it-time-to-think-differently-about-your-patients-contact-lens-needs/#respond https://defocusmedia.com/optometry-podcast-is-it-time-to-think-differently-about-your-patients-contact-lens-needs/feed/ 0 This podcast is sponsored by Alcon. Defocus Media and Dr. Pam Lowe were compensated by Alcon for their participation. Mr. Redman is an employee of Alcon. Contact lenses address a medical need; but they are also very personal, with many factors influencing what is best for each individual patient. According to studies, many contact lens […] This podcast is sponsored by Alcon. Defocus Media and Dr. Pam Lowe were compensated by Alcon for their participation. Mr. Redman is an employee of Alcon.

Contact lenses address a medical need; but they are also very personal, with many factors influencing what is best for each individual patient. According to studies, many contact lens wearers—particularly new wearers—are unsatisfied by their contact lens experience and ultimately drop out of lens wear. In this episode, Dr. Lyerly interviews Dr. Pam Lowe and Bill Redman, asking if it’s time for eye care professionals to think differently about how we meet our patients’ needs. Dr. Lowe shares experiences from her optometry clinic in Chicago, Illinois, while Bill discusses some very large market research recently conducted by Alcon. 

Bill Redman and Dr. Pam Lowe

By understanding several “big-picture” patient types identified in the market research, Dr. Lowe and Mr. Redman hope that providers can better understand what drives patients to contact lenses in the first place, and the needs, wants and expectations that they deserve their contact lenses—and the practitioners who recommend them—to fulfill.

Important information for AIR OPTIX® plus HydraGlyde® (lotrafilcon B) contact lenses
For daily wear or extended wear up to 6 nights for near/far-sightedness. Risk of serious eye problems (i.e., corneal ulcer) is greater for extended wear. In rare cases, loss of vision may result. Side effects like discomfort, mild burning or stinging may occur.

Important information for AIR OPTIX® COLORS (lotrafilcon B) contact lenses
For daily wear only for near/far-sightedness. Contact lenses, even if worn for cosmetic reasons, are prescription medical devices that must only be worn under the prescription, direction and supervision of an eye care professional. Serious eye health problems may occur as a result of sharing contact lenses. Although rare, serious eye problems can develop while wearing contact lenses. Side effects like discomfort, mild burning or stinging may occur. To help avoid these problems, patients must follow the wear and replacement schedule and the lens care instructions provided by their eye doctor.

Important information for DAILIES® COLORS (nelfilcon A) contact lenses
For daily wear, single use. Contact lenses, even if worn for Cosmetic reasons, are medical devices that must only be worn under the prescription, direction and supervision of an eye care professional. Serious eye health problems may occur as a result of sharing contact lenses.

See product instructions for complete wear, care and safety information.

References

  1. Dumbleton K, Woods C, Jones L, Fonn D. The impact of contemporary contact lenses on contact lens discontinuation. Eye Contact Lens. 2013;39:93-99.
  2. Sulley A, Young G, Hunt C. Factors in the success of new contact lens wearers. Cont Lens Anterior Eye. 2019;40:15-24.
  3. Alcon data on file, 2019. 
  4. Cummings S, Giedd B, Pearson C. Clinical performance of a new daily disposable spherical contact lens. Optom Vis Sci. 2019;96:E-abstract 195375.
  5. Angelini TE, Nixon RM, Dunn AC, et al. Viscoelasticity and mesh-size at the surface of hydrogels characterized with microrheology. Invest Ophthalmol Vis Sci. 2013;54:E-abstract 500.
  6. Alcon data on file, 2018. 

© 2020 Alcon Inc.   5/20  US-AOC-PRA-2000003

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This podcast is sponsored by Alcon. Defocus Media and Dr. Pam Lowe were compensated by Alcon for their participation. Mr. Redman is an employee of Alcon. Contact lenses address a medical need; but they are also very personal, This podcast is sponsored by Alcon. Defocus Media and Dr. Pam Lowe were compensated by Alcon for their participation. Mr. Redman is an employee of Alcon.



Contact lenses address a medical need; but they are also very personal, with many factors influencing what is best for each individual patient. According to studies, many contact lens wearers—particularly new wearers—are unsatisfied by their contact lens experience and ultimately drop out of lens wear. In this episode, Dr. Lyerly interviews Dr. Pam Lowe and Bill Redman, asking if it’s time for eye care professionals to think differently about how we meet our patients’ needs. Dr. Lowe shares experiences from her optometry clinic in Chicago, Illinois, while Bill discusses some very large market research recently conducted by Alcon. 



Bill Redman and Dr. Pam Lowe



By understanding several “big-picture” patient types identified in the market research, Dr. Lowe and Mr. Redman hope that providers can better understand what drives patients to contact lenses in the first place, and the needs, wants and expectations that they deserve their contact lenses—and the practitioners who recommend them—to fulfill.



Important information for AIR OPTIX® plus HydraGlyde® (lotrafilcon B) contact lensesFor daily wear or extended wear up to 6 nights for near/far-sightedness. Risk of serious eye problems (i.e., corneal ulcer) is greater for extended wear. In rare cases, loss of vision may result. Side effects like discomfort, mild burning or stinging may occur.



Important information for AIR OPTIX® COLORS (lotrafilcon B) contact lensesFor daily wear only for near/far-sightedness. Contact lenses, even if worn for cosmetic reasons, are prescription medical devices that must only be worn under the prescription, direction and supervision of an eye care professional. Serious eye health problems may occur as a result of sharing contact lenses. Although rare, serious eye problems can develop while wearing contact lenses. Side effects like discomfort, mild burning or stinging may occur. To help avoid these problems, patients must follow the wear and replacement schedule and the lens care instructions provided by their eye doctor.



Important information for DAILIES® COLORS (nelfilcon A) contact lensesFor daily wear, single use. Contact lenses, even if worn for Cosmetic reasons, are medical devices that must only be worn under the prescription, direction and supervision of an eye care professional. Serious eye health problems may occur as a result of sharing contact lenses.



See product instructions for complete wear, care and safety information.



References



* Dumbleton K, Woods C, Jones L, Fonn D. The impact of contemporary contact lenses on contact lens discontinuation. Eye Contact Lens. 2013;39:93-99.* Sulley A, Young G, Hunt C. Factors in the success of new contact lens wearers. Cont Lens Anterior Eye. 2019;40:15-24.* Alcon data on file, 2019. * Cummings S, Giedd B, Pearson C. Clinical performance of a new daily disposable spherical contact lens. Optom Vis Sci. 2019;96:E-abstract 195375.* Angelini TE, Nixon RM, Dunn AC, et al. Viscoelasticity and mesh-size at the surface of hydrogels characterized with microrheology. Invest Ophthalmol Vis Sci. 2013;54:E-abstract 500.* Alcon data on file, 2018. 



© 2020 Alcon Inc.   5/20  US-AOC-PRA-2000003
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Defocus Media
The 2020 Podcast: Dr. James Rynerson of BlephEx https://defocusmedia.com/the-2020-podcast-dr-james-rynerson-of-blephex/ Thu, 30 Jul 2020 11:29:20 +0000 https://defocusmedia.com/?p=14262 https://defocusmedia.com/the-2020-podcast-dr-james-rynerson-of-blephex/#respond https://defocusmedia.com/the-2020-podcast-dr-james-rynerson-of-blephex/feed/ 0 ]]>
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Defocus Media 1:02:44
Optometry Podcast: How Prescribing for Patient Comfort and Symptom Relief Can Set Your Practice Apart https://defocusmedia.com/optometry-podcast-how-prescribing-for-patient-comfort-and-symptom-relief-can-set-your-practice-apart/ Mon, 27 Jul 2020 06:00:00 +0000 https://defocusmedia.com/?p=14256 https://defocusmedia.com/optometry-podcast-how-prescribing-for-patient-comfort-and-symptom-relief-can-set-your-practice-apart/#respond https://defocusmedia.com/optometry-podcast-how-prescribing-for-patient-comfort-and-symptom-relief-can-set-your-practice-apart/feed/ 0 In Partnership with Neurolens How can you stand out as an optometrist in your local community? Providing state of the art care and prescribing innovative solutions to your patient’s problems is a great way to set yourself apart. We sat down with private practice owner Dr. Melissa Richard on this podcast to discuss the technology […] In Partnership with Neurolens

How can you stand out as an optometrist in your local community? Providing state of the art care and prescribing innovative solutions to your patient’s problems is a great way to set yourself apart. We sat down with private practice owner Dr. Melissa Richard on this podcast to discuss the technology that she has invested in to build her practice. 

Dr. Richard cold-started Spectrum Vision Care in Chalfont, Pennsylvania in 2015 with a focus on delivering comprehensive eyecare along with following her passion of providing low vision and brain injury rehabilitation services. “I knew early in optometry school that I wanted to specialize in something,” Dr. Richard shares. She was drawn to low vision care while she was a student at the Pennsylvania College of Optometry, and completed her Masters in Low Vision Rehabilitation at the same time that she graduated as an OD. “I really enjoyed working with the visually impaired patients and giving them hope to read again or do the things they wanted to do.” 

Through building her name in the community with her low vision specialty, her scope of practice naturally expanded to serve patients that had suffered strokes as well as concussions. She built her educational base on how to best serve these patients with hours of independent research and regular attendance at the Neuro-Optometric Rehabilitation Association (NORA) annual meetings.  About a year after attending her first NORA meeting, her father suffered a stroke which severely impacted his ability to read and navigate his world. The personal impact of treating her own father with yoked prisms and neuro-rehabilitative care made her mission to provide care to patients affected by brain injury or stroke in her community that much stronger because she witnessed first hand the ability that optometrists have to positively impact a person’s life and recovery after suffering this type of event.

“I think optometrists are totally underestimating how many of these patients are out there,” Dr. Richard states. Patients don’t necessarily schedule an appointment with an optometrist because of headaches or dizziness and might not even bring up a history of concussion or brain injury because they don’t know that it could be relevant to their eye exam. Her community had plenty of patients that needed her skill, but she didn’t have a great technology option to prescribe for their needs.

Dr. Melissa Richard, Founder of Spectrum Vision Care

Dr. Richard first learned about a technology that could set her practice apart called Neurolens at a NORA conference event. She had already been prescribing base in prism to many of her patients who suffered from headaches or chronic ocular discomfort, but she had found that her patients often needed separate distance and near glasses to accommodate the different amounts of prism that they needed at each working distance. The Neurolens technology was a perfect solution for her practice because it allowed her to prescribe one pair of glasses with a contoured prism to allow differing amounts of prism at distance and near. It was a slam dunk solution for her patients in convenience and ease of use.

What took her by surprise was how many of her every day patients benefited from this technology and she soon found that she was prescribing Neurolens technology more often in routine care than she could have predicted. She started giving the Neurolens Lifestyle Questionnaire to every patient scheduled for a comprehensive eye exam which screens patients for symptoms like headaches, neck stiffness, pain behind the eyes, and light sensitivity. In her practice, she has found that of her patients that report these symptoms, 95% of them are good candidates for Neurolens. Of these patients that are good candidates, roughly 40% go on to purchase. At the end of the day that’s around 20% of her routine comprehensive eyecare patients leaving her office with Neurolens glasses. 

The technology has been incredibly successful in her practice in addressing patient symptoms. “I’ve caused a lot of tears,” Dr. Richard jokes. “Patients put on their glasses and exclaim: that’s how it’s supposed to look?!” She’s noted a surprising amount of relief for patients’ symptoms of neck pain and shoulder stiffness which she didn’t expect before she started prescribing these glasses. And patients that are suffering from chronic dry eye discomfort where she has found no staining or signs of active ocular surface disease have also seen a huge benefit in her practice.

Dr. Richard shares that her investment in Neurolens has been a great practice builder. She is getting a lot of new patient referrals from happy patients that have experienced relief from purchasing this technology. Because the technology is not covered by insurance, she was concerned when she first brought Neurolens to her practice that it might be too expensive for her family oriented optical. She has found that price has been no issue for her patients, and in fact her average frame sale has gone up since bringing in Neurolens technology because her patients that are investing in the benefits of this lens technology are wanting a higher quality frame since they are committed to making a long term investment in their glasses. 

During COVID-19 she has felt that offering Neurolens technology has actually helped her practice recover faster. With many patients working from home, complaints of headache, neck pain, and ocular discomfort are rampant. Prescribing a true solution to the symptoms her patients are suffering from has allowed her to stand apart from other opticals and online glasses retailers. “When you can validate your patients’ symptoms and show them this technology and what this lens can do for them, they are really not hesitant to spend the money on relief.”

The relief that Dr. Richard’s patients are experiencing has really stuck with her. She shares the story of a twenty-year-old patient that had been suffering from chronic headaches that were disrupting his ability to study in college. He measured a very low prescription and only 1.8 base in prism diopters, but when he received his Neurolens glasses his mom immediately called Dr. Richard o rave about the technology. Her son had just experienced his first headache free day in eight years after wearing his new glasses. These stories have become the norm and not the exception in her practice. Her own mother is also a wearer who just ordered her second pair of Neurolenses after being relieved of dizziness and motion sickness complaints after being prescribed Neurolens technology.

To learn more about this technology and learn how to bring relief to your patients, head to https://www.neurolenses.com/.

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In Partnership with Neurolens How can you stand out as an optometrist in your local community? Providing state of the art care and prescribing innovative solutions to your patient’s problems is a great way to set yourself apart. In Partnership with Neurolens



How can you stand out as an optometrist in your local community? Providing state of the art care and prescribing innovative solutions to your patient’s problems is a great way to set yourself apart. We sat down with private practice owner Dr. Melissa Richard on this podcast to discuss the technology that she has invested in to build her practice. 



Dr. Richard cold-started Spectrum Vision Care in Chalfont, Pennsylvania in 2015 with a focus on delivering comprehensive eyecare along with following her passion of providing low vision and brain injury rehabilitation services. “I knew early in optometry school that I wanted to specialize in something,” Dr. Richard shares. She was drawn to low vision care while she was a student at the Pennsylvania College of Optometry, and completed her Masters in Low Vision Rehabilitation at the same time that she graduated as an OD. “I really enjoyed working with the visually impaired patients and giving them hope to read again or do the things they wanted to do.” 



Through building her name in the community with her low vision specialty, her scope of practice naturally expanded to serve patients that had suffered strokes as well as concussions. She built her educational base on how to best serve these patients with hours of independent research and regular attendance at the Neuro-Optometric Rehabilitation Association (NORA) annual meetings.  About a year after attending her first NORA meeting, her father suffered a stroke which severely impacted his ability to read and navigate his world. The personal impact of treating her own father with yoked prisms and neuro-rehabilitative care made her mission to provide care to patients affected by brain injury or stroke in her community that much stronger because she witnessed first hand the ability that optometrists have to positively impact a person’s life and recovery after suffering this type of event.



“I think optometrists are totally underestimating how many of these patients are out there,” Dr. Richard states. Patients don’t necessarily schedule an appointment with an optometrist because of headaches or dizziness and might not even bring up a history of concussion or brain injury because they don’t know that it could be relevant to their eye exam. Her community had plenty of patients that needed her skill, but she didn’t have a great technology option to prescribe for their needs.



Dr. Melissa Richard, Founder of Spectrum Vision Care



Dr. Richard first learned about a technology that could set her practice apart called Neurolens at a NORA conference event. She had already been prescribing base in prism to many of her patients who suffered from headaches or chronic ocular discomfort, but she had found that her patients often needed separate distance and near glasses to accommodate the different amounts of prism that they needed at each working distance. The Neurolens technology was a perfect solution for her practice because it allowed her to prescribe one pair of glasses with a contoured prism to allow differing amounts of prism at distance and near. It was a slam dunk solution for her patients in convenience and ease of use.



What took her by surprise was how many of her every day patients benefited from this tech...]]>
Defocus Media
The 2020 Podcast: Howard Purcell https://defocusmedia.com/the-2020-podcast-howard-purcell/ Fri, 24 Jul 2020 10:43:58 +0000 https://defocusmedia.com/?p=14251 https://defocusmedia.com/the-2020-podcast-howard-purcell/#respond https://defocusmedia.com/the-2020-podcast-howard-purcell/feed/ 0

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Defocus Media 1:07:01
Lunch Date with Rachel & Kate: The Business of Negotiation with Visionstryt’s OB Malope https://defocusmedia.com/lunch-date-with-rachel-kate-the-business-of-negotiation-with-visionstryts-ob-malope/ Thu, 23 Jul 2020 13:39:59 +0000 https://defocusmedia.com/?p=14248 https://defocusmedia.com/lunch-date-with-rachel-kate-the-business-of-negotiation-with-visionstryts-ob-malope/#respond https://defocusmedia.com/lunch-date-with-rachel-kate-the-business-of-negotiation-with-visionstryts-ob-malope/feed/ 0 We had the distinct and awesome pleasure of interviewing our incredible colleague Ob Malope! Over the past 7 years, Ob Malope has been running South Africa’s premier optometric consulting firm called Visionstryt. Practices all over South Africa have utilized Ob Malope’s skills and expertise. We wanted to get a bite of the action, so we […] We had the distinct and awesome pleasure of interviewing our incredible colleague Ob Malope! Over the past 7 years, Ob Malope has been running South Africa’s premier optometric consulting firm called Visionstryt. Practices all over South Africa have utilized Ob Malope’s skills and expertise. We wanted to get a bite of the action, so we are fortunate enough to learn from the best of the best. We learned about knowing your worth, and creating your own niche in business. How to be an employer that pays their employees fairly, and continues to pay them well to retain their employees. Not only did we learn about how to be a good employer, we learned about eye care in Africa. Ob and our very own Darryl Glover created a website called Eyefrica that helps unite an entire CONTINENT in their eye care practices. We could not be more in awe of such an incredible colleague. Take a listen and learn a lot.

Until Next Time,

Rachel and Kate

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We had the distinct and awesome pleasure of interviewing our incredible colleague Ob Malope! Over the past 7 years, Ob Malope has been running South Africa’s premier optometric consulting firm called Visionstryt. We had the distinct and awesome pleasure of interviewing our incredible colleague Ob Malope! Over the past 7 years, Ob Malope has been running South Africa’s premier optometric consulting firm called Visionstryt. Practices all over South Africa have utilized Ob Malope’s skills and expertise. We wanted to get a bite of the action, so we are fortunate enough to learn from the best of the best. We learned about knowing your worth, and creating your own niche in business. How to be an employer that pays their employees fairly, and continues to pay them well to retain their employees. Not only did we learn about how to be a good employer, we learned about eye care in Africa. Ob and our very own Darryl Glover created a website called Eyefrica that helps unite an entire CONTINENT in their eye care practices. We could not be more in awe of such an incredible colleague. Take a listen and learn a lot.



Until Next Time,



Rachel and Kate
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Defocus Media
Optometry Podcast: Prescribing Change with Dr. Steve Vargo https://defocusmedia.com/optometry-podcast-prescribing-change-with-dr-steve-vargo/ Mon, 20 Jul 2020 11:03:45 +0000 https://defocusmedia.com/?p=14241 https://defocusmedia.com/optometry-podcast-prescribing-change-with-dr-steve-vargo/#respond https://defocusmedia.com/optometry-podcast-prescribing-change-with-dr-steve-vargo/feed/ 0 Dr. Steve Vargo shares his 4th book, Prescribing Change: How to Make Connections, Influence Decisions, and Get Patients to Buy into Change. Purchase the book today! Dr. Steve Vargo shares his 4th book, Prescribing Change: How to Make Connections, Influence Decisions, and Get Patients to Buy into Change.

Purchase the book today!

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Dr. Steve Vargo shares his 4th book, Prescribing Change: How to Make Connections, Influence Decisions, and Get Patients to Buy into Change. Purchase the book today! Dr. Steve Vargo shares his 4th book, Prescribing Change: How to Make Connections, Influence Decisions, and Get Patients to Buy into Change.







Purchase the book today!
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Defocus Media 1:00:56
The 2020 Podcast: Kendall Watson https://defocusmedia.com/the-2020-podcast-kendall-watson/ Wed, 15 Jul 2020 11:09:00 +0000 https://defocusmedia.com/?p=14236 https://defocusmedia.com/the-2020-podcast-kendall-watson/#respond https://defocusmedia.com/the-2020-podcast-kendall-watson/feed/ 0 ]]>
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Defocus Media 33:40
Optometry Podcast: Take your Practice to the Next Level with Neurolens https://defocusmedia.com/optometry-podcast-take-your-practice-to-the-next-level-with-neurolens/ Mon, 13 Jul 2020 09:39:28 +0000 https://defocusmedia.com/?p=14229 https://defocusmedia.com/optometry-podcast-take-your-practice-to-the-next-level-with-neurolens/#respond https://defocusmedia.com/optometry-podcast-take-your-practice-to-the-next-level-with-neurolens/feed/ 0 This Podcast is in Partnership with Neurolens Optometrists may be surprised to realize that there is a very common condition that they might have never heard of that’s causing our patients to suffer from chronic headaches, eye pain, and visual discomfort. And it’s completely treatable by optometrists with a novel new technology to help you […] This Podcast is in Partnership with Neurolens

Optometrists may be surprised to realize that there is a very common condition that they might have never heard of that’s causing our patients to suffer from chronic headaches, eye pain, and visual discomfort. And it’s completely treatable by optometrists with a novel new technology to help you diagnose and prescribe glasses that relieve the issue. Sound like a game changer for our profession? We sit down with Chief Technical Officer, Mr. Aric Plumley and Chief Commercial Officer, Mr. Pierre Bertrand of Neurolens in this podcast. 

Neurolens technology was inspired by the work of Dr. Krall in Mitchell, South Dakota who was treating chronic headaches with glasses. To investigate his results, researchers visited a team of neurologists who were treating patients who suffered from chronic headaches that were not responding to conventional medical treatment, which included Topamax and Botox injections. These patients were labelled as refractory because no traditional medicine was working for them. They convinced the neurologists to let Dr. Krall try prescribing his headache glasses, and found that 81.6% of these refractory headache patients achieved symptom relief with the glasses. It was a complete game changer for the neurology clinic, and they immediately added an optometry specialty to their office. Around that time, the Vision Council ran a study about the prevalence of computer vision syndrome – headaches, neck pain, and visual eye strain. They found that 65% of US adults are experiencing these symptoms. At that point the founders of Neurolens decided the best place for their technology was with independent optometrists who were seeing these patients on the frontlines. 

Mr. Pierre Bertrand, Chief Commercial Officer of Neurolens

“I see Neurolens allowing optometry to expand their scope of practice,” Bertrand explains. “We can own headaches. We can own eye strain. These are things that cannot be treated outside of optometry. Our vision for optometry is that we can play a part in redefining good vision beyond 20/20.” He shares how before progressive lenses came to the market in the 1950s, vision was limited to 2 set distances by bifocal glasses. Prescribing generic, standard glasses for digital eye strain complaints is similarly limiting to the relief of headache and eye strain symptoms caused by our high demand digital lifestyles. Neurolens is designed to relieve the underlying issue that is causing the strain – ocular misalignment and trigeminal dysphoria.

Trigeminal dysphoria is a condition that many doctors may not have learned about in optometry school, but it is a common cause of asthenopia resulting from misalignment of the eyes. The extraocular muscles are connected via proprioceptive fibers to the trigeminal nerve. When the extraocular muscles are strained, they send a signal to the trigeminal nerve, resulting in a feeling of referred pain. That’s why when eye muscles are tired, feelings of headache, neck strain, and eye pain similar to a dry eye sensation are the result. Only 2% of glasses that are sold in the United States have any prism component to address ocular misalignment. “The problem lies in the difficulty in measuring eye misalignment,” Plumley explains. There is no uniform measurement for the amount of fixation disparity or the prescribing criterion to address it. “The Neurolens diagnostic device is an objective measuring device for ocular misalignment,” states Plumley. “It’s three times more reliable than any other alignment measurement.” The researchers at Neurolens then wrote a prescribing algorithm based on the input of several highly successful doctors who have experience prescribing prism for this category of patient. Using artificial technology and machine learning, the technology has now been refined with the input from hundreds of doctors and a hundred thousand patients. 

“We know that 56% of the 60,000 patients that we’ve measured are symptomatic, and 90% of those patients have eyes that don’t turn in enough at near,” says Plumley. The issue with prescribing typical prism for these patients is that their misalignment is larger at near than at distance, so traditional prism that is the same throughout the entire lens won’t relieve symptoms effectively. To solve this issue, Neurolens uses a contoured prism design which allows for the distance portion of the glasses to have no or lower amounts of prism and then gradually increases the amount of prism to achieve the needed amount when looking through the near point of the lens. “Just like a progressive lens gives a different accommodative relief at near versus far, Neurolenses give a different vergence relief at near versus far,” Plumley states. Data shows that the technology works; 93% of symptomatic patients who were prescribed Neurolens experienced symptom relief.

A lot of optometrists have experienced the challenge of relieving the symptoms of chronic dry eye patients who have improved ocular surface health after treatment, but are still suffering from the tell-tale symptoms of dry eye –ocular pain, discomfort, and irritation.  In a recent webinar Dr. Paul Karpecki dubbed this condition of “phantom dry eye” or neuropathic dry eye. “We call it the pain, no stain group,” Plumley says. These patients could be continuing to have symptoms not because of dry eye, which you’ve treated thoroughly, but due to ocular misalignment that is causing referred trigeminal nerve pain. Case studies performed by Dr. Vance Thompson treating post-LASIK patients suffering from chronic dry eye pain with Neurolens glasses showed great improvement in symptoms.

Mr. Aric Plumley, Chief Technical Officer of Neurolens

Most patients that benefit from this technology have very low amounts of ocular misalignment in ranges that were traditionally defined as normal (less than 6 prism units of exophoria at near). But even low amounts of exophoria can cause symptoms. Doctors may be concerned about adaptation or risk of returns with prescribing prism for patients that have never worn prism before, but the data shows extremely high patient satisfaction with Neurolens technology. Only 4% of all Neurolens glasses sold to date have been returned by patients stating that they did not relieve their symptoms. “What we’re delivering is not a pair of spectacles, but relief of their symptoms,” states Bertrand. “So if patients aren’t happy with their symptom relief, we provide a lifetime satisfaction guarantee and a 100% refund return policy, so that they are still happy with their experience.” 

Patient satisfaction is a hallmark of what makes Neurolens stand apart from other optometric technology on the market. 93% of patients experience relief of their symptoms with Neurolens glasses. Compare that to Sight Science’s recently published study comparing TearCare versus Lipiflow which showed that Tear Care achieved 72% patient symptom relief and Lipiflow achieved 59% patient symptom relief. If a doctor is considering investing in a new technology, the prevalence of digital eye strain and the high patient satisfaction with the prescribed treatment of Neurolens glasses stands apart.

Head to Neurolenses.com to learn more, and take advantage of a new offer to help optometrists add this new technology to their practices during the difficult financial time of COVID-19 which delays payments until January 2021.

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This Podcast is in Partnership with Neurolens Optometrists may be surprised to realize that there is a very common condition that they might have never heard of that’s causing our patients to suffer from chronic headaches, eye pain, This Podcast is in Partnership with Neurolens



Optometrists may be surprised to realize that there is a very common condition that they might have never heard of that’s causing our patients to suffer from chronic headaches, eye pain, and visual discomfort. And it’s completely treatable by optometrists with a novel new technology to help you diagnose and prescribe glasses that relieve the issue. Sound like a game changer for our profession? We sit down with Chief Technical Officer, Mr. Aric Plumley and Chief Commercial Officer, Mr. Pierre Bertrand of Neurolens in this podcast. 



Neurolens technology was inspired by the work of Dr. Krall in Mitchell, South Dakota who was treating chronic headaches with glasses. To investigate his results, researchers visited a team of neurologists who were treating patients who suffered from chronic headaches that were not responding to conventional medical treatment, which included Topamax and Botox injections. These patients were labelled as refractory because no traditional medicine was working for them. They convinced the neurologists to let Dr. Krall try prescribing his headache glasses, and found that 81.6% of these refractory headache patients achieved symptom relief with the glasses. It was a complete game changer for the neurology clinic, and they immediately added an optometry specialty to their office. Around that time, the Vision Council ran a study about the prevalence of computer vision syndrome – headaches, neck pain, and visual eye strain. They found that 65% of US adults are experiencing these symptoms. At that point the founders of Neurolens decided the best place for their technology was with independent optometrists who were seeing these patients on the frontlines. 



Mr. Pierre Bertrand, Chief Commercial Officer of Neurolens



“I see Neurolens allowing optometry to expand their scope of practice,” Bertrand explains. “We can own headaches. We can own eye strain. These are things that cannot be treated outside of optometry. Our vision for optometry is that we can play a part in redefining good vision beyond 20/20.” He shares how before progressive lenses came to the market in the 1950s, vision was limited to 2 set distances by bifocal glasses. Prescribing generic, standard glasses for digital eye strain complaints is similarly limiting to the relief of headache and eye strain symptoms caused by our high demand digital lifestyles. Neurolens is designed to relieve the underlying issue that is causing the strain – ocular misalignment and trigeminal dysphoria.



Trigeminal dysphoria is a condition that many doctors may not have learned about in optometry school, but it is a common cause of asthenopia resulting from misalignment of the eyes. The extraocular muscles are connected via proprioceptive fibers to the trigeminal nerve. When the extraocular muscles are strained, they send a signal to the trigeminal nerve, resulting in a feeling of referred pain. That’s why when eye muscles are tired, feelings of headache, neck strain, and eye pain similar to a dry eye sensation are the result. Only 2% of glasses that are sold in the United States have any prism component to address ocular misalignment. “The problem lies in the difficulty in measuring eye misalignment,” Plumley explains. There is no uniform measurement for the amount of fixation disparity or the prescribing criterion to address it. “The Neurolens diagnostic device is an objective measuring device for ocular misalignment,” states Plumley. “It’s three times more reliable than any other alignment measurement.” The researchers at Neurolens then wrote a prescribing algorithm based on the input of several highly succ...]]>
Defocus Media
Optometry Podcast: Contact Lens Residency https://defocusmedia.com/optometry-podcast-contact-lens-residency/ Mon, 06 Jul 2020 11:17:49 +0000 https://defocusmedia.com/?p=14227 https://defocusmedia.com/optometry-podcast-contact-lens-residency/#respond https://defocusmedia.com/optometry-podcast-contact-lens-residency/feed/ 0 Before COVID-19 changed the landscape for the optometry school experience, we caught up with Dr. Jessica Vickery about her decision to pursue a contact lens residency at MidAtlantic Cornea Consultants. On this podcast, we talk about the state of contact lens education in optometry school, and what students considering pursuing residency need to know before they […]

Before COVID-19 changed the landscape for the optometry school experience, we caught up with Dr. Jessica Vickery about her decision to pursue a contact lens residency at MidAtlantic Cornea Consultants. On this podcast, we talk about the state of contact lens education in optometry school, and what students considering pursuing residency need to know before they start the process. From applications to interviews, Dr. Vickery shares her personal experience and how she made the decision about which residency opportunity was the best fit for her. Since recording this episode, Dr. Vickery has gone on to be honored with the Bernard Blaustein Resident of the Year Award for the Residency Class of 2020. Congrats Dr. Vickery!

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Before COVID-19 changed the landscape for the optometry school experience, we caught up with Dr. Jessica Vickery about her decision to pursue a contact lens residency at MidAtlantic Cornea Consultants. On this podcast,



Before COVID-19 changed the landscape for the optometry school experience, we caught up with Dr. Jessica Vickery about her decision to pursue a contact lens residency at MidAtlantic Cornea Consultants. On this podcast, we talk about the state of contact lens education in optometry school, and what students considering pursuing residency need to know before they start the process. From applications to interviews, Dr. Vickery shares her personal experience and how she made the decision about which residency opportunity was the best fit for her. Since recording this episode, Dr. Vickery has gone on to be honored with the Bernard Blaustein Resident of the Year Award for the Residency Class of 2020. Congrats Dr. Vickery!
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Defocus Media
Optometry Podcast: 2020 Eyewear Trends https://defocusmedia.com/optometry-podcast-2020-eyewear-trends-transitions-lens/ Mon, 29 Jun 2020 05:21:00 +0000 https://defocusmedia.com/?p=14209 https://defocusmedia.com/optometry-podcast-2020-eyewear-trends-transitions-lens/#respond https://defocusmedia.com/optometry-podcast-2020-eyewear-trends-transitions-lens/feed/ 0 This Podcast is in Partnership with Transitions What are the biggest trends in eyewear fashion in 2020? We sit down with Charlotte Hamel, Global Director of Communications, Events and PR at Transitions Optical and Dr. Melanie Denton, founder and owner of Salisbury Eyecare and Eyewear in Salisbury, North Carolina in this podcast. We talk about […] This Podcast is in Partnership with Transitions

What are the biggest trends in eyewear fashion in 2020? We sit down with Charlotte Hamel, Global Director of Communications, Events and PR at Transitions Optical and Dr. Melanie Denton, founder and owner of Salisbury Eyecare and Eyewear in Salisbury, North Carolina in this podcast. We talk about what you need to do to refresh your optical and provide your patients with a unique and customized eyewear styling experience that delivers in both fashion and function. 

Hamel has worked in marketing for over twenty years, starting out in marketing at L’Oréal and then going on to help relaunch the Coach license in 2012. After working with marketing of several niche eyewear lines, including DITA Eyewear, she joined Transitions Optical in 2017 to work on accelerating the development of the brand. 

Dr. Denton graduated optometry school in 2009, completed a residency, and then opened a cold-start practice in 2016 in Salisbury, North Carolina. She’s found that opening on her own has allowed her to create a unique, fashion-forward practice that’s a reflection of her personal identity. “There are so many elements of my personality and my style that are so different from other practices in my area, but I’ve been able to incorporate all of that in starting my practice.” 

Dr. Melanie Denton, founder and owner of Salisbury Eyecare and Eyewear

Hamel shares that the biggest trend across all of fashion right now is color. Where a decade ago most designers were embracing black and white minimalism, the digital world we live in has introduced us to a vibrant playground of enhanced hues and saturated tones. “The power of Instagram is bringing a new, younger demographic to the center of the fashion world. Instagram is about enhancing light and colors, and we’re seeing vibrant colors like never before.” All of the trends in terms of eyewear are very reflective of the greater fashion industry shift towards color. Vivid hues like emerald green and sapphire blue are top trends of 2020. 

Dr. Denton agrees that the digital lifestyles our patients lead have greatly changed ocular complaints, as well as fashion trends. She’s prescribing much more for digital eye fatigue and light sensitivity than when her career began a decade again. In her practice, she’s found even in a small community that embracing fashion-forward, independent eyewear has let her stand apart. The highest compliment from a patient was when someone said, “This is where the cool kids get their glasses.” She often hears doctors balk at introducing color and interesting shapes and styles into their optical because they are concerned their patients won’t be willing to branch out from their basic frames. She’s found that offering broader selections in shapes and colors has excited her patients about shopping for eyewear, and driven much more interest in her optical.

Prescribing for color and function in ophthalmic lenses is also a great way to offer patients a uniquely customized experience. “Transitions® lenses bring light and something very dynamic into a very static object which are frames. We also bring customization,” Hamel says. “Optometrists have been customizing each pair of frames for each of your patients for decades. At Transitions Optical, we want to empower every eyecare provider to customize even more, and a few years ago, we launched Transitions® Signature® style colors and Transitions® XTRActive® style mirrors to help personalize a patient’s eyewear. 

How do you get patients to try new things? Dr. Denton and her team encourage patients to try different things and consider the full scope of options when it comes to crafting their unique eyewear. She shares her experience wedding dress shopping – when she was at a boutique she was encouraged to try on every style and shape because you don’t know until you have it on how each style is going to make you feel. The optical experience is about styling the patient, and encouraging them to explore new shapes and features to create a unique, but functional look. 

Charlotte Hamel, Global Director of Communications, Events and PR at Transitions Optical

To ensure that the medical recommendations that Dr. Denton prescribes do not get left behind when the patient enters the optical, she brings a team member into the exam room to do a hand-off, tying her recommendations for eyewear into the patient’s stated complaints. Patient complaining about headaches? She recommends anti-reflective coatings and light adaptable lenses so that the patient has the right amount of protection for every level of light. 

Hamel has great advice on how to educate patients about the color options available and how to differentiate between them to make the best fashion and functional suggestions:

  • Gray: “Never sell it as a default option but as a real color!” Gray works best with bolder combinations, for example when paired with gold frames.
  • Brown: “This is one of my favorite colors in the portfolio,” Hamel shares. “It goes with everything!” Brown pairs excellently with a variety of frames and offers fantastic high contrast vision.  Transitions style colors are also available in Amber which is a warmer honey shade compared to previous iterations.
  • Transitions offers two green options: Hamel states that Graphite Green is better for patients who spend more time outdoors and want to improve contrast, whereas the Transitions style colors Emerald Green is a vivid hue which is more fashion forward.
  • Having a hard time deciding between Transitions style colors in blue or purple? Sapphire works best on lighter skin tones and pairs great with gray or silver frames. Amethyst pairs better with warmer skin tones and gold or rose frames. 

Top Eyewear Trends of 2020

1. Transparent Acetate 

“It’s easy to wear and it goes with every color!” Hamel says. This trend works for men and women, and for patients that are wanting something more minimalist in their eyewear. Dr. Denton recommends lightly tinted transparent frames are easier to wear than pure clear. Melon or tea colored translucent frames are flattering on many skin tones. 

2. 70’s Inspired Oversize Acetate 

Hamel recommends oversize frames with very thin metals to make this trend wearable. Color blocking can be another way to embrace this trend. Dr. Denton has seen many of her patients embrace frames with different color temples versus the face, or frames with a contrasting stripe of color at the top of a frame over the brows. 

3. Iconic Shapes

Don’t sleep on aviators, double bridges, and classic round shapes which are still very in style. To make these shapes more fashion forward, Hamel encourages pairing classic shapes with unexpected lens colors. Tortoise frames with gray lenses for example. She feels that lenses will lead the next level of fashion – customized engravings and unique gradient effects. “This is a way to bring something really new. The lens is going to be the epicenter of eyewear fashion.” 

Practicing in the COVID-19 reality requires more contactless and virtual experiences throughout the patient journey and the Transitions Virtual Try On will allow patients to virtually try on various Transitions style colors lenses within different frame style options. Patients can snap a photo, share, email or bring it in to their appointment knowing the frame style and color options that work best for them. 

Head to TransitionsPRO.com to see all of the available resources for practitioners on available lens options and share Transitions.com/VTO with patients to help expedite the dispensing process. You can follow Dr. Melanie Denton on her professional Instagram channel @eyethinkican.

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This Podcast is in Partnership with Transitions What are the biggest trends in eyewear fashion in 2020? We sit down with Charlotte Hamel, Global Director of Communications, Events and PR at Transitions Optical and Dr. Melanie Denton, This Podcast is in Partnership with Transitions



What are the biggest trends in eyewear fashion in 2020? We sit down with Charlotte Hamel, Global Director of Communications, Events and PR at Transitions Optical and Dr. Melanie Denton, founder and owner of Salisbury Eyecare and Eyewear in Salisbury, North Carolina in this podcast. We talk about what you need to do to refresh your optical and provide your patients with a unique and customized eyewear styling experience that delivers in both fashion and function. 



Hamel has worked in marketing for over twenty years, starting out in marketing at L’Oréal and then going on to help relaunch the Coach license in 2012. After working with marketing of several niche eyewear lines, including DITA Eyewear, she joined Transitions Optical in 2017 to work on accelerating the development of the brand. 



Dr. Denton graduated optometry school in 2009, completed a residency, and then opened a cold-start practice in 2016 in Salisbury, North Carolina. She’s found that opening on her own has allowed her to create a unique, fashion-forward practice that’s a reflection of her personal identity. “There are so many elements of my personality and my style that are so different from other practices in my area, but I’ve been able to incorporate all of that in starting my practice.” 



Dr. Melanie Denton, founder and owner of Salisbury Eyecare and Eyewear



Hamel shares that the biggest trend across all of fashion right now is color. Where a decade ago most designers were embracing black and white minimalism, the digital world we live in has introduced us to a vibrant playground of enhanced hues and saturated tones. “The power of Instagram is bringing a new, younger demographic to the center of the fashion world. Instagram is about enhancing light and colors, and we’re seeing vibrant colors like never before.” All of the trends in terms of eyewear are very reflective of the greater fashion industry shift towards color. Vivid hues like emerald green and sapphire blue are top trends of 2020. 



Dr. Denton agrees that the digital lifestyles our patients lead have greatly changed ocular complaints, as well as fashion trends. She’s prescribing much more for digital eye fatigue and light sensitivity than when her career began a decade again. In her practice, she’s found even in a small community that embracing fashion-forward, independent eyewear has let her stand apart. The highest compliment from a patient was when someone said, “This is where the cool kids get their glasses.” She often hears doctors balk at introducing color and interesting shapes and styles into their optical because they are concerned their patients won’t be willing to branch out from their basic frames. She’s found that offering broader selections in shapes and colors has excited her patients about shopping for eyewear, and driven much more interest in her optical.



Prescribing for color and function in ophthalmic lenses is also a great way to offer patients a uniquely customized experience. “Transitions® lenses bring light and something very dynamic into a very static object which are frames. We also bring customization,” Hamel says. “Optometrists have been customizing each pair of frames for each of your patients for decades. At Transitions Optical, we want to empower every eyecare provider to customize even more, and a few years ago, we launched Transitions® Signature® style colors and https://defocusmedia.com/?p=14192 https://defocusmedia.com/optometry-podcast-reopening-eyecare-with-drs-katie-greiner-and-justin-manning/#respond https://defocusmedia.com/optometry-podcast-reopening-eyecare-with-drs-katie-greiner-and-justin-manning/feed/ 0 Most optometrists around the country have reopened to patientcare after COVID-19 closures and are now facing the challenges of a new reality in patientcare. On top of navigating the financial setbacks, there are the new normal of performing patient care while wearing personal protective equipment (PPE), screening each patient for COVID-19 symptoms and taking temperatures […] Most optometrists around the country have reopened to patientcare after COVID-19 closures and are now facing the challenges of a new reality in patientcare. On top of navigating the financial setbacks, there are the new normal of performing patient care while wearing personal protective equipment (PPE), screening each patient for COVID-19 symptoms and taking temperatures at the door, the extra cleaning and managing of waiting areas of optical spaces –and it’s not going anywhere any time soon. To complicate matters even more, there’s so much unknown about COVID-19 that as each new study gets published, our protocols for handling office and patient safety are needing to constantly evolve and change. 

Feeling overwhelmed by that paragraph? That’s where a new initiative backed by The Vision Council is poised to help. ReopenEyecare.com is a hub for information, resources, and data to help doctors not just reopen their practice, but to maintain the health of their practices long term in the face of this evolving situation. We’re joined on this podcast by Dr. Justin Manning, Executive Vice President of Healthy Eyes Advantage and the leading member of the advisory board for ReopenEyecare, and Dr. Katie Greiner, Chief Operating Officer at Northeast Ohio Eye Surgeons and a member serving on the advisory board. 

Dr. Katie Greiner of Northeast Ohio Eye Surgeons

“RepoenEyecare.com was born out of a collaboration of several industry leaders coming together to share how they were going to work to move their companies forward, and the idea of how industry can help support independent practitioners as they reopen their offices,” Dr. Manning explains. Everyone participating in the Reopen Eyecare initiative is volunteering their time and expertise to make this platform happen as a nonpolitical, noncommercial source of information. “A lot of our learning curves are built into the website,” Dr. Greiner explains. “Instead of you having to read through pages and pages of CDC material, it’s there on the website in digestible, easy to read segments.” 

One of the great additions to the website above and beyond office protocols, financial advice, marketing tips for reaching patients, and searchable guides to federal and state regulations on reopening, the website also shares consumer behavior insights to help doctors anticipate and gauge patient attitudes to purchasing eyewear or coming in for an eye exam during COVID-19. According to research by The Vision Council, patient willingness to pursue eyecare during COVID-19 is trending in a good direction. Back in April, 38% of people were saying they planned to postpone eyecare and eyewear purchases, but as of May 4th, only 25% of survey respondents say they plan to delay eyecare or glasses purchases. Dr. Manning and Dr. Greiner share that many offices have seen an increase in patient engagement and capture rates as offices have reopened across the country, even as offices are operating on reduced schedules. “Data and knowledge is power,” Dr. Manning explains about utilizing the information provided on the website, “Knowing this data helps you market effectively, communicate effectively, and if you feel like you’re struggling to get patients in, this data can help to point you in the right direction of where to focus your attention in your practice where the demand and opportunity is higher.” 

ReopenEyecare.com is a resource that will be continuously updated by the advisory board members with “on the ground” feedback from their own experiences and those of colleagues and peers that leave feedback on the website requesting content that is needed for their practices. The resources included on the website are available for use and distribution by anyone involved in the vision community. 

]]> Most optometrists around the country have reopened to patientcare after COVID-19 closures and are now facing the challenges of a new reality in patientcare. On top of navigating the financial setbacks, there are the new normal of performing patient car... Most optometrists around the country have reopened to patientcare after COVID-19 closures and are now facing the challenges of a new reality in patientcare. On top of navigating the financial setbacks, there are the new normal of performing patient care while wearing personal protective equipment (PPE), screening each patient for COVID-19 symptoms and taking temperatures at the door, the extra cleaning and managing of waiting areas of optical spaces –and it’s not going anywhere any time soon. To complicate matters even more, there’s so much unknown about COVID-19 that as each new study gets published, our protocols for handling office and patient safety are needing to constantly evolve and change. 



Dr. Justin Manning, Executive Vice President of Healthy Eyes Advantage



Feeling overwhelmed by that paragraph? That’s where a new initiative backed by The Vision Council is poised to help. ReopenEyecare.com is a hub for information, resources, and data to help doctors not just reopen their practice, but to maintain the health of their practices long term in the face of this evolving situation. We’re joined on this podcast by Dr. Justin Manning, Executive Vice President of Healthy Eyes Advantage and the leading member of the advisory board for ReopenEyecare, and Dr. Katie Greiner, Chief Operating Officer at Northeast Ohio Eye Surgeons and a member serving on the advisory board. 



Dr. Katie Greiner of Northeast Ohio Eye Surgeons



“RepoenEyecare.com was born out of a collaboration of several industry leaders coming together to share how they were going to work to move their companies forward, and the idea of how industry can help support independent practitioners as they reopen their offices,” Dr. Manning explains. Everyone participating in the Reopen Eyecare initiative is volunteering their time and expertise to make this platform happen as a nonpolitical, noncommercial source of information. “A lot of our learning curves are built into the website,” Dr. Greiner explains. “Instead of you having to read through pages and pages of CDC material, it’s there on the website in digestible, easy to read segments.” 



One of the great additions to the website above and beyond office protocols, financial advice, marketing tips for reaching patients, and searchable guides to federal and state regulations on reopening, the website also shares consumer behavior insights to help doctors anticipate and gauge patient attitudes to purchasing eyewear or coming in for an eye exam during COVID-19. According to research by The Vision Council, patient willingness to pursue eyecare during COVID-19 is trending in a good direction. Back in April, 38% of people were saying they planned to postpone eyecare and eyewear purchases, but as of May 4th, only 25% of survey respondents say they plan to delay eyecare or glasses purchases. Dr. Manning and Dr. Greiner share that many offices have seen an increase in patient engagement and capture rates as offices have reopened across the country, even as offices are operating on reduced schedules. “Data and knowledge is power,” Dr. Manning explains about utilizing the information provided on the website, “Knowing this data helps you market effectively, communicate effectively, and if you feel like you’re struggling to get patients in, this data can help to point you in the right direction of where to focus your attention in your practice...]]>
Defocus Media 39:41
Optometry Podcast: Path to a Healthy Practice with Dr. Millicent Knight https://defocusmedia.com/optometry-podcast-path-to-a-healthy-practice-with-dr-millicent-knight/ Mon, 22 Jun 2020 06:00:00 +0000 https://defocusmedia.com/?p=14195 https://defocusmedia.com/optometry-podcast-path-to-a-healthy-practice-with-dr-millicent-knight/#respond https://defocusmedia.com/optometry-podcast-path-to-a-healthy-practice-with-dr-millicent-knight/feed/ 0 This Podcast is in Partnership with Essilor As many of us reopen our practices, we’re facing a new reality about how prepared our businesses were for unexpected challenges. How can we recover quickly and prepare for a stronger future? This podcast with guest, Dr. Millicent Knight, is focused on more than just a short term […] This Podcast is in Partnership with Essilor

As many of us reopen our practices, we’re facing a new reality about how prepared our businesses were for unexpected challenges. How can we recover quickly and prepare for a stronger future? This podcast with guest, Dr. Millicent Knight, is focused on more than just a short term recovery – it’s time for doctors across the country to create a game plan for long term practice health. We’re sharing strategies for achieving your goals on this podcast.

Early in the episode, Dr. Glover reflects that he is wearing many hats right now in his optometric practice, performing all of his own workups and helping out in optical even more than usual as the office slowly brings staff back on board. Dr. Knight shares that like many working women and mothers, her new reality is a delicate balance of her responsibilities as the Senior Vice President of Customer Development at Essilor as well as serving as a homeschool teacher and a short-order cook with the impact of COVID-19. 

Dr. Millicent Knight

While the stress of these new responsibilities can be difficult, Dr. Knight encourages doctors to embrace possibilities and a time to reflect on what their practice is bringing to both their personal life and their community. “Out of this daunting situation is the opportunity to do better and to be better. It’s almost a reset opportunity.” COVID-19 gives doctors the chance to rethink their practice and ask the tough question: are they meeting their mission in serving patients in their community? Are they leveraging the opportunities to make their practice successful both clinically and financially? 

Along with her team at Essilor, Dr. Knight has authored the Healthy Practice Guidelines, available at essilorpro.com/COVID-19. These guidelines include five tips to re-energizing your practice:

Tip #1: Choosing Your Partners

“You can be the best clinician in the world, but if your office is closed because it’s not financially sound, it’s a disservice to everyone – you, your staff and your entire community,” Dr. Knight explains. Finding a personal banker, a lawyer, an HR specialist, and expert partners to work with you on the parts of your business that are not your forte is critical to long-term success and reduced stress. “During a crisis, it’s not the time to be looking for a relationship with a bank. This is not the time for transactional relationships. It’s the time for true partnerships.” 

Before entering industry, Dr. Knight owned a private practice for 20 years in Evanston, Illinois. She shares that in 2008 she took a hard look at her business and she decided to expand her office footprint and rethink many of her patient care services, including expanding her medical eyecare and prescribing optical solutions from the exam chair. “You’re only doing half the job if you don’t recommend an optical solution to address their ocular strain and fatigue.” She enjoyed partnering with Vision Source at that time to have access to a community of people that were business minded right at her finger tips. The relationship helped examine metrics and learn to understand parts of her business that were working and those that weren’t, as well as helping with making decisions on bringing in new technology to her practice. 

She encourages doctors to shore up their knowledge base with courses available through CE vendors. ECPU is a great place to get training on areas like optical and business management that are outside of traditional curriculum.

Essilor as a partner has taken it upon themselves to do the research about the potential exposure risks and to develop a step by step protocol to safely performing patient care during the time of an epidemic. They have also developed protocols for how Essilor representatives can serve your office effectively without being disruptive to patient care, including ensuring that representatives bring their own PPE with them – rather than taking from your practice’s important supply.

Tip #2: Stay Financially Sound Through the Crisis

Managing finances is critical to surviving this crisis and any other unexpected hurdles we may face as business owners down the road. Dr. Knight encourages optometrists to leverage resources from the AOA and their state optometric associations for available government programs, loans, and deferments. Evaluating how to allocate money received from programs like the PPP loan can sometimes require the help of lawyers or financial advisors. She encourages doctors to think carefully about bringing back staff at full capacity when patient capacity is reduced and to develop a strategy for reopening that doesn’t put them right back into financial distress a month or two later. 

Because ECPs will be seeing fewer patients with new safety protocols in place, making the most of every patient encounter is that much more important. Dr. Knight encourages doctors to make sure they educate about common lifestyle issues that patients might not verbalize or realize are associated with their eyes. Headaches are a common example. Prescribing for ocular strain, computer fatigue, and sensitivity to lights or glare is an important way for ECPs to equate the products in their optical to solving the problems discussed during a comprehensive exam.

Tip # 3: Prepare your Office and Staff for Patient Return

When reopening your practice, safety for yourself, your staff, and your patients is critical. As an industry partner, Dr. Knight’s team has worked diligently on reopening guidelines for safety protocols that doctors can use to reopen their practices, to take the burden of research off of optometrists. 

“The most important thing you can do for your practice is to take care of yourself. If you’re not healthy, that can make the difference between your practice surviving or not. That means resting, eating good, healthy meals, and exercising. You need to set the example for your staff.” Dr. Knight recommends having healthy snacks available in the break room for your office and to make sure your staff knows you want them to have healthy stress levels and a healthy work environment. Having team huddles at the beginning of the day to talk through any issues from the day before and prepare for the day’s patients or challenges can make a big difference. 

Many doctors who have returned to patient care are already frustrated by the hurdles of performing exams with masks and PPE that cause fogging in equipment and difficulty performing routine procedures. She encourages doctors to prepare for the reality that PPE is here to stay for a long time; keeping protocols for safety in place is so important because many COVID-19 positive patients are completely asymptomatic. Ensuring that PPE is worn correctly is important to reduce self-contamination from incorrectly donning or doffing your protection.

Tip #4: Communicate with Patients

She encourages doctors to communicate with their patients about the precautions the office is taking for patient safety before they come into the office. “You need to let them know about new protocols and any new hours so that they are not taken aback and they are ready to have that new experience in your office.  Having a staff member dedicated to discussing this with patients and personally confirming each appointment is important. With reduced patient numbers being scheduled, you can’t afford to have no shows!”

Tip #5: Plan for the Future

If you didn’t have an emergency fund before this crisis, we can all appreciate the importance of having one now. Dr. Knight encourages doctors to have access to emergency funds to cover 3-6 months of expenses. “You need to either have good credit, or a good amount of cash. Preferably both, but you’ve got to have one or the other. If nothing else, we’ve learned from this situation that you have to have a personal banker, a line of credit, and access to capital. The time to do that is now, not when you need it. Now.” 

She encourages doctors to continue to be agile and adapt their practice as needed to put their practice in a position to succeed even during difficult and unexpected times. Essilor is developing several program set to launch over the summer to help doctors recover. “We want to help you jump start your practices and generate revenue quickly,” she says.  “We have some great programs this summer to help you sell multiple pairs, and our Smartbook™ technology to help patients schedule appointments at your office with an online platform that is available when it is convenient for them.” If a patient remembers at 1 AM that they need to make that eye exam appointment, they can schedule then and there instead of calling in to your office the next morning. 

Be sure to head to essilorpro.com/COVID-19 for more great resources and advice for building a brighter future for your practice!

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This Podcast is in Partnership with Essilor As many of us reopen our practices, we’re facing a new reality about how prepared our businesses were for unexpected challenges. How can we recover quickly and prepare for a stronger future? This Podcast is in Partnership with Essilor



As many of us reopen our practices, we’re facing a new reality about how prepared our businesses were for unexpected challenges. How can we recover quickly and prepare for a stronger future? This podcast with guest, Dr. Millicent Knight, is focused on more than just a short term recovery – it’s time for doctors across the country to create a game plan for long term practice health. We’re sharing strategies for achieving your goals on this podcast.



Early in the episode, Dr. Glover reflects that he is wearing many hats right now in his optometric practice, performing all of his own workups and helping out in optical even more than usual as the office slowly brings staff back on board. Dr. Knight shares that like many working women and mothers, her new reality is a delicate balance of her responsibilities as the Senior Vice President of Customer Development at Essilor as well as serving as a homeschool teacher and a short-order cook with the impact of COVID-19. 



Dr. Millicent Knight



While the stress of these new responsibilities can be difficult, Dr. Knight encourages doctors to embrace possibilities and a time to reflect on what their practice is bringing to both their personal life and their community. “Out of this daunting situation is the opportunity to do better and to be better. It’s almost a reset opportunity.” COVID-19 gives doctors the chance to rethink their practice and ask the tough question: are they meeting their mission in serving patients in their community? Are they leveraging the opportunities to make their practice successful both clinically and financially? 



Along with her team at Essilor, Dr. Knight has authored the Healthy Practice Guidelines, available at essilorpro.com/COVID-19. These guidelines include five tips to re-energizing your practice:



Tip #1: Choosing Your Partners



“You can be the best clinician in the world, but if your office is closed because it’s not financially sound, it’s a disservice to everyone – you, your staff and your entire community,” Dr. Knight explains. Finding a personal banker, a lawyer, an HR specialist, and expert partners to work with you on the parts of your business that are not your forte is critical to long-term success and reduced stress. “During a crisis, it’s not the time to be looking for a relationship with a bank. This is not the time for transactional relationships. It’s the time for true partnerships.” 



Before entering industry, Dr. Knight owned a private practice for 20 years in Evanston, Illinois. She shares that in 2008 she took a hard look at her business and she decided to expand her office footprint and rethink many of her patient care services, including expanding her medical eyecare and prescribing optical solutions from the exam chair. “You’re only doing half the job if you don’t recommend an optical solution to address their ocular strain and fatigue.” She enjoyed partnering with Vision Source at that time to have access to a community of people that were business minded right at her finger tips. The relationship helped examine metrics and learn to understand parts of her business that were working and those that weren’t, as well as helping with making decisions on bringing in new technology to her practice. 



She encourages doctors to shore up their knowledge base with courses available through CE vendors.]]>
Defocus Media
Optometry Podcast: Telasight with Dr. Ian McWherter https://defocusmedia.com/optometry-podcast-telasight-with-dr-ian-mcwherter/ Mon, 15 Jun 2020 05:00:00 +0000 https://defocusmedia.com/?p=14182 https://defocusmedia.com/optometry-podcast-telasight-with-dr-ian-mcwherter/#respond https://defocusmedia.com/optometry-podcast-telasight-with-dr-ian-mcwherter/feed/ 0 Do you ever call up your friends to ask for advice on a complicated patient case? Well, imagine if your friends were the top minds in their specialties – from Dr. Paul Karpecki advising you on ocular surface disease to Dr. Joseph Sowka, the founder and Chair of the Neuro-ophthalmic Disorders in Optometry Special Interest Group […] Do you ever call up your friends to ask for advice on a complicated patient case? Well, imagine if your friends were the top minds in their specialties – from Dr. Paul Karpecki advising you on ocular surface disease to Dr. Joseph Sowka, the founder and Chair of the Neuro-ophthalmic Disorders in Optometry Special Interest Group for the American Academy of Optometry talking you through a complicated neuro case. That’s the premise behind Telasight, a new start-up that connects optometrists with a team of consultants to help triage and talk through your most difficult cases, available on call to you whenever you need them. We sit down with one of the founders of this new service, Dr. Ian McWherter, a 2012 graduate of the Pennsylvania College of Optometry at Salus University and the current Head of Optometric Telemedicine and Emerging Technology at the Kentucky College of Optometry.

Drs. Darryl Glover, Jennifer Lyerly, and Ian McWherter

The mission of Telasight is to help you manage more of the difficult cases that walk through your office door every day. “If a patient’s in your chair; treat them,” Dr. McWherter states. But he understands that optometrists can’t be experts on every subspeciality that the profession serves and that’s where being able to consult with a team of experts in real time can make a huge difference. His goal in founding Telasight was to help doctors treat more medical eye disease and embrace the scope of practice and care that we have been trained to deliver. Medical eyecare is an increasingly unmet need in many communities across the country, especially as we face a future with significant shortages of MDs pursuing ophthalmology.  “The amount of eyecare needed in the US, ophthalmologists can’t handle it,” McWherter explains. “Optometry needs to step in and that’s where we can help.”

We’d like to take a moment to thank Dr. McWherter and his team at Telasight for offering a discount for Defocus Media listeners. Use code DEFOCUS10 to enjoy 10% off your monthly subscription FOREVER!

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Do you ever call up your friends to ask for advice on a complicated patient case? Well, imagine if your friends were the top minds in their specialties – from Dr. Paul Karpecki advising you on ocular surface disease to Dr. Joseph Sowka, Do you ever call up your friends to ask for advice on a complicated patient case? Well, imagine if your friends were the top minds in their specialties – from Dr. Paul Karpecki advising you on ocular surface disease to Dr. Joseph Sowka, the founder and Chair of the Neuro-ophthalmic Disorders in Optometry Special Interest Group for the American Academy of Optometry talking you through a complicated neuro case. That’s the premise behind Telasight, a new start-up that connects optometrists with a team of consultants to help triage and talk through your most difficult cases, available on call to you whenever you need them. We sit down with one of the founders of this new service, Dr. Ian McWherter, a 2012 graduate of the Pennsylvania College of Optometry at Salus University and the current Head of Optometric Telemedicine and Emerging Technology at the Kentucky College of Optometry.





Drs. Darryl Glover, Jennifer Lyerly, and Ian McWherter



The mission of Telasight is to help you manage more of the difficult cases that walk through your office door every day. “If a patient’s in your chair; treat them,” Dr. McWherter states. But he understands that optometrists can’t be experts on every subspeciality that the profession serves and that’s where being able to consult with a team of experts in real time can make a huge difference. His goal in founding Telasight was to help doctors treat more medical eye disease and embrace the scope of practice and care that we have been trained to deliver. Medical eyecare is an increasingly unmet need in many communities across the country, especially as we face a future with significant shortages of MDs pursuing ophthalmology.  “The amount of eyecare needed in the US, ophthalmologists can’t handle it,” McWherter explains. “Optometry needs to step in and that’s where we can help.”



We’d like to take a moment to thank Dr. McWherter and his team at Telasight for offering a discount for Defocus Media listeners. Use code DEFOCUS10 to enjoy 10% off your monthly subscription FOREVER!










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Defocus Media 30:38
The 20/20 Podcast: Black Eyecare Perspective https://defocusmedia.com/the-20-20-podcast-black-eyecare-perspective/ Wed, 10 Jun 2020 19:34:56 +0000 https://defocusmedia.com/?p=14175 https://defocusmedia.com/the-20-20-podcast-black-eyecare-perspective/#respond https://defocusmedia.com/the-20-20-podcast-black-eyecare-perspective/feed/ 0 ]]>
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Defocus Media 50:21
Optoturban Podcast: Mentorship and Branding with Dr. Nishan Pressley https://defocusmedia.com/optoturban-podcast-mentorship-and-branding-with-dr-nishan-pressley/ Tue, 09 Jun 2020 10:56:54 +0000 https://defocusmedia.com/?p=14169 https://defocusmedia.com/optoturban-podcast-mentorship-and-branding-with-dr-nishan-pressley/#respond https://defocusmedia.com/optoturban-podcast-mentorship-and-branding-with-dr-nishan-pressley/feed/ 0 Mentorship Through her Ask Dr. Nish sessions, Dr. Pressley gives advice in 1 on 1 sessions on preparing for interviews, editing resumes and editing LinkedIn profiles. Additionally, Dr. Pressley strives to mentor others by being a role model for other minorities. Her goal is “build everyone up.” She discusses some of her experiences seeing patients […]

Mentorship

Through her Ask Dr. Nish sessions, Dr. Pressley gives advice in 1 on 1 sessions on preparing for interviews, editing resumes and editing LinkedIn profiles.

Additionally, Dr. Pressley strives to mentor others by being a role model for other minorities. Her goal is “build everyone up.” She discusses some of her experiences seeing patients as a minority.   

Branding

Dr. Pressley recently was featured in a blog for VSP and was on the National Defense Radio Show.

Dr. Pressley gave some tips out for building a brand on social media:

1.   Post educational material

2.   Tag big companies in your posts

3.   Be yourself

4.   Connect with as many people as possible.

For more information about Ask Dr. Nish sessions you can click here to find out more: https://askdrnish.setmore.com/

Dr. Nishan Pressley

For more information about Shop My Eyewear Boutique (shopeom) you can click here: https://shopeom.com/

You can follow student doctor Nishan Pressley for more content on her Instagram page @askdrnish.

For more content from Optoturban feel free to subscribe to his new Youtube channel. Or feel free to follow Jasdeep on InstagramFacebook, and LinkedIn.

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Mentorship Through her Ask Dr. Nish sessions, Dr. Pressley gives advice in 1 on 1 sessions on preparing for interviews, editing resumes and editing LinkedIn profiles. Additionally, Dr. Pressley strives to mentor others by being a role model for other m...



Mentorship



Through her Ask Dr. Nish sessions, Dr. Pressley gives advice in 1 on 1 sessions on preparing for interviews, editing resumes and editing LinkedIn profiles.



Additionally, Dr. Pressley strives to mentor others by being a role model for other minorities. Her goal is “build everyone up.” She discusses some of her experiences seeing patients as a minority.   



Branding



Dr. Pressley recently was featured in a blog for VSP and was on the National Defense Radio Show.



Dr. Pressley gave some tips out for building a brand on social media:



1.   Post educational material



2.   Tag big companies in your posts



3.   Be yourself



4.   Connect with as many people as possible.



For more information about Ask Dr. Nish sessions you can click here to find out more: https://askdrnish.setmore.com/



Dr. Nishan Pressley



For more information about Shop My Eyewear Boutique (shopeom) you can click here: https://shopeom.com/



You can follow student doctor Nishan Pressley for more content on her Instagram page @askdrnish.



For more content from Optoturban feel free to subscribe to his new Youtube channel. Or feel free to follow Jasdeep on InstagramFacebook, and LinkedIn.
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Defocus Media
Corporate Optometry: Dr. Camille Cohen on Buying a Franchise Practice https://defocusmedia.com/corporate-optometry-dr-camille-cohen-on-buying-a-franchise-practice/ Mon, 08 Jun 2020 10:40:00 +0000 https://defocusmedia.com/?p=14166 https://defocusmedia.com/corporate-optometry-dr-camille-cohen-on-buying-a-franchise-practice/#respond https://defocusmedia.com/corporate-optometry-dr-camille-cohen-on-buying-a-franchise-practice/feed/ 0 Corporate Optometry Nation host Dr. Maria Sampalis interviews Dr. Camille Cohen about her recent purchase of a Pearle Vision franchise. Dr. Cohen’s practice was an established franchise in NYC. The podcast goes into what to look for when buying a franchise and how Pearle Vision is different than other franchises in optometry.
Dr. Camille Cohen

Corporate Optometry Nation host Dr. Maria Sampalis interviews Dr. Camille Cohen about her recent purchase of a Pearle Vision franchise. Dr. Cohen’s practice was an established franchise in NYC. The podcast goes into what to look for when buying a franchise and how Pearle Vision is different than other franchises in optometry.

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Corporate Optometry Nation host Dr. Maria Sampalis interviews Dr. Camille Cohen about her recent purchase of a Pearle Vision franchise. Dr. Cohen’s practice was an established franchise in NYC. The podcast goes into what to look for when buying a franc... Dr. Camille Cohen



Corporate Optometry Nation host Dr. Maria Sampalis interviews Dr. Camille Cohen about her recent purchase of a Pearle Vision franchise. Dr. Cohen’s practice was an established franchise in NYC. The podcast goes into what to look for when buying a franchise and how Pearle Vision is different than other franchises in optometry.
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Defocus Media 40:46
Lunch Date with Rachel and Kate Episode 42: Diversifying in the Workplace https://defocusmedia.com/lunch-date-with-rachel-and-kate-episode-42-diversifying-in-the-workplace/ Thu, 04 Jun 2020 06:00:00 +0000 https://defocusmedia.com/?p=14161 https://defocusmedia.com/lunch-date-with-rachel-and-kate-episode-42-diversifying-in-the-workplace/#respond https://defocusmedia.com/lunch-date-with-rachel-and-kate-episode-42-diversifying-in-the-workplace/feed/ 0 This episode we venture into an important topic about diversifying our work place. When we recorded this episode 2 weeks ago, we had no idea the tragedies that would transpire in our world to our black friends and neighbors. We felt the importance of creating a conversation of lifting up persons of color before the […] This episode we venture into an important topic about diversifying our work place. When we recorded this episode 2 weeks ago, we had no idea the tragedies that would transpire in our world to our black friends and neighbors. We felt the importance of creating a conversation of lifting up persons of color before the tragedy of George Floyd, and have only seen magnification since then. We debated long and hard of whether to continue with this episode. We want to be allies and not seem to capitalize on a movement. But we believed in diversifying our workplaces before we marched in protests in the streets and we believe the same thing after we marched with our black brothers and sisters. So, join us as we work to dismantle our privilege and create environments for all people. If you think we have ways to do this better, let us know. If you want to continue to have this conversation with us, let’s talk. We believe Black Lives Matter.

Until Next Time,

Rachel and Kate

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This episode we venture into an important topic about diversifying our work place. When we recorded this episode 2 weeks ago, we had no idea the tragedies that would transpire in our world to our black friends and neighbors. This episode we venture into an important topic about diversifying our work place. When we recorded this episode 2 weeks ago, we had no idea the tragedies that would transpire in our world to our black friends and neighbors. We felt the importance of creating a conversation of lifting up persons of color before the tragedy of George Floyd, and have only seen magnification since then. We debated long and hard of whether to continue with this episode. We want to be allies and not seem to capitalize on a movement. But we believed in diversifying our workplaces before we marched in protests in the streets and we believe the same thing after we marched with our black brothers and sisters. So, join us as we work to dismantle our privilege and create environments for all people. If you think we have ways to do this better, let us know. If you want to continue to have this conversation with us, let’s talk. We believe Black Lives Matter.



Until Next Time,



Rachel and Kate




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Defocus Media
Optometry Podcast: Èyes are the Story https://defocusmedia.com/optometry-podcast-eyes-are-the-story/ Mon, 01 Jun 2020 11:32:03 +0000 https://defocusmedia.com/?p=14158 https://defocusmedia.com/optometry-podcast-eyes-are-the-story/#respond https://defocusmedia.com/optometry-podcast-eyes-are-the-story/feed/ 0 Defocus Media 40:53 Optometry Podcast: Telemedicine with Drs. Chad Morgan and Michael Samuels https://defocusmedia.com/optometry-podcast-telemedicine-with-drs-chad-morgan-and-michael-samuels/ Mon, 25 May 2020 05:00:00 +0000 https://defocusmedia.com/?p=14142 https://defocusmedia.com/optometry-podcast-telemedicine-with-drs-chad-morgan-and-michael-samuels/#respond https://defocusmedia.com/optometry-podcast-telemedicine-with-drs-chad-morgan-and-michael-samuels/feed/ 0 There’s a temptation with routine eyecare restarting around the nation to put any utilization of telemedicine back on the shelf in optometry. But are there ways to continue to provide remote care for patients to meet their needs for safety and convenience, even as offices are reopen? Our expert guests for this conversation are Dr. […] There’s a temptation with routine eyecare restarting around the nation to put any utilization of telemedicine back on the shelf in optometry. But are there ways to continue to provide remote care for patients to meet their needs for safety and convenience, even as offices are reopen? Our expert guests for this conversation are Dr. Michael Samuels, owner of NC Eye Associates in Apex, North Carolina and founder of MedPhoto Manager, and Dr. Chad Morgan Third Party Committee Member and CAC Leader for the State of North Carolina and the founder of AskTheDoc.Live, a telemedicine platform where patients can be personally triaged by a doctor and educated if they need to seek in person care.

  • Dr. Morgan and Dr. Samuels are both strong believers that telemedicine has a place in traditional eyecare going forward. In their practices, they share that they are using telehealth in several different patient situations:
  • Triaging red eyes (if a phone call results in the need for a patient to come to the office to be seen, the telemedicine visit cannot be billed if the patient is seen within 24 hours). Dr. Morgan specifically shares his offices’ “Pink Eye Policy” that is in place due to the correlation of red eyes as a symptom of active COVID-19. All red eyes in his practice are triaged via telemedicine first, and if the patient has a fever and a concurrent red eye, they are referred for COVID-19 testing instead of being seen in the office and exposing staff and other patients to potential viral risk.
  • Medical follow-up visits to connect with a patient about improvement in their condition after a treatment that had been prescribed for red eyes or styes.
  • Contact Lens Checks for routine patients with no complaints or complications to make sure they are happy with comfort and vision, and have no questions about care or insertion/removal.

Several telemedicine platforms exist, and each has their own pros and cons. Dr. Morgan and Dr. Samuels both use Unified Imaging and Dr. Lyerly is utilizing Doxy.me.  Dr. Samuels shares that in his practice ease of use is king, and he needed a platform that was simple for his staff and his patients that didn’t require extra downloads or apps. Dr. Morgan put together many of the pros and cons of the most popular available services on the market below:

Payment for telemedicine examinations has been a major concern across the country, but Dr. Morgan and Dr. Samuels both share that their office has had great success with billing and coding visits when following AOA guidelines. Both doctors are utilizing 992XX medical codes with -11 POS (Place of Service) and -95 modifiers for telehealth.  As a Third Party Committee Member for North Carolina optometry, Dr. Morgan shares that each insurance is handling telehealth and optometry differently. To ensure payment, he encourages doctors to utilize telemedicine for existing patients to meet the requirements for most insurances (though CMS has stated that for Medicare telemedicine could be billed for new and established patients). In his experience, the virtual check in codes (G2012 and G2010) or the 9944X telephone check codes are creating more issues with payment, and when doctors are using them instead of 992XX codes they are more likely to state that payment for services is not sufficient since these codes only reimburse between $10-15. Another key to payment for your services is to make sure that patients are educated prior to any telemedicine visit about associated costs and applicable copays. Sometimes patients assume if they are talking to the doctor and not in the office, it is not a true doctor’s visit. However, if you are assessing, diagnosing, and prescribing treatment do not undervalue your services and make sure patients are educated about the fees associated with these visits.

Unified Imaging: This free service is simple to use, HIPPA compliant, provides an available summary for download (for reporting purposes in your EHR), and has photo-sharing capabilities.

Doxy.Me: This service is free at its’ basic level but certain extra features (like billing and photo sharing abilities) cost money. It is simple to use and HIPPA compliant and also provides a summary for download.

Eyecare Pro Live: While this service does cost money to utilize, it has several features above and beyond free platforms. It integrates into your EHR, has several tests integrated into the platform including visual acuity testing and a SPEED questionnaire, and has billing and scheduling capabilities inside the platform. It can also be used to instant message patients directly and send medication reminders. The potential con of this platform is that it does require patients to download an app and create an account which for some patients who are not as adept with technology may limit their ability to use this service.

VSee: This service costs $49/month and does integrate into your EHR and includes billing and scheduling functionalities into the platform, in addition to direct patient messaging. Patients do have to download software for this service, however.

Want to learn more? Follow Dr. Samuels at @huddle.health to learn more about the power of anterior segment photography in patient education, and Dr. Chad Morgan at @askthedoc.live to learn more about this new telehealth triaging platform directly connecting patients to optometrists.

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There’s a temptation with routine eyecare restarting around the nation to put any utilization of telemedicine back on the shelf in optometry. But are there ways to continue to provide remote care for patients to meet their needs for safety and convenie... There’s a temptation with routine eyecare restarting around the nation to put any utilization of telemedicine back on the shelf in optometry. But are there ways to continue to provide remote care for patients to meet their needs for safety and convenience, even as offices are reopen? Our expert guests for this conversation are Dr. Michael Samuels, owner of NC Eye Associates in Apex, North Carolina and founder of MedPhoto Manager, and Dr. Chad Morgan Third Party Committee Member and CAC Leader for the State of North Carolina and the founder of AskTheDoc.Live, a telemedicine platform where patients can be personally triaged by a doctor and educated if they need to seek in person care.



* Dr. Morgan and Dr. Samuels are both strong believers that telemedicine has a place in traditional eyecare going forward. In their practices, they share that they are using telehealth in several different patient situations:* Triaging red eyes (if a phone call results in the need for a patient to come to the office to be seen, the telemedicine visit cannot be billed if the patient is seen within 24 hours). Dr. Morgan specifically shares his offices’ “Pink Eye Policy” that is in place due to the correlation of red eyes as a symptom of active COVID-19. All red eyes in his practice are triaged via telemedicine first, and if the patient has a fever and a concurrent red eye, they are referred for COVID-19 testing instead of being seen in the office and exposing staff and other patients to potential viral risk.* Medical follow-up visits to connect with a patient about improvement in their condition after a treatment that had been prescribed for red eyes or styes.* Contact Lens Checks for routine patients with no complaints or complications to make sure they are happy with comfort and vision, and have no questions about care or insertion/removal.



Several telemedicine platforms exist, and each has their own pros and cons. Dr. Morgan and Dr. Samuels both use Unified Imaging and Dr. Lyerly is utilizing Doxy.me.  Dr. Samuels shares that in his practice ease of use is king, and he needed a platform that was simple for his staff and his patients that didn’t require extra downloads or apps. Dr. Morgan put together many of the pros and cons of the most popular available services on the market below:



Payment for telemedicine examinations has been a major concern across the country, but Dr. Morgan and Dr. Samuels both share that their office has had great success with billing and coding visits when following AOA guidelines. Both doctors are utilizing 992XX medical codes with -11 POS (Place of Service) and -95 modifiers for telehealth.  As a Third Party Committee Member for North Carolina optometry, Dr. Morgan shares that each insurance is handling telehealth and optometry differently. To ensure payment, he encourages doctors to utilize telemedicine for existing patients to meet the requirements for most insurances (though CMS has stated that for Medicare telemedicine could be billed for new and established patients). In his experience, the virtual check in codes (G2012 and G2010) or the 9944X telephone check codes are creating more issues with payment, and when doctors are using them instead of 992XX codes they are more likely to state that payment for services is not sufficie...]]>
Defocus Media 1:01:21