Eyetalk 2020 EQUIPMENT MAGAZINE - Eye Talk Consultants
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eyetalk
EQUIPMENT MAGAZINE
2020
OPE® - IPL
A unique and patented
combination technology that
optimises the overall treatment
of the Meibomian glands.
Eye-Light®
The First Complete Strategy for Dry Eye Treatment
Meibomian Gland Dysfunction or Through the innovative design
more commonly known as Dry Eye is and powerful synergy of Light
a chronic problem that affects several Modulation® / LLLT and OPE®
patients and more commonly aging / IPL technologies, Eye-Light®
adults. The eye naturally produces becomes the first complete
tears, providing lubrication and strategy for treating Meibomian
nourishment that’s necessary for Gland Dysfunction providing
clear vision and overall eye health. optimal treatment for both upper
Patients with dry eye may experience and lower eyelids.
an imbalance in tear production or
have drainage problems. This results Additionally, treatments for
in increased eye irritations, blurry other related pathologies can
vision, and in more advanced cases, be successfully done using Eye-
an impaired vision. Light® including blepharitis,
chalazion, Demodex, dry eye
IPL (Intense Pulsed Light) technology caused by refractive and cataract
itself has proven insufficient to the surgery, post-blepharoplasty, and
full treatment of Meibomian Gland stye, as demonstrated by more
Dysfunction due to its limitations in recent clinical findings.
treating both eyelids.
The comprehensive Eye Light® line My Mask® has 1 to 4 required
comes with My Mask® home support treatments, although 85% of
treatment options. patients reported significant
improvement in their vision just
My Mask® treatment serves as the right after their first procedure. It
next step of the overall procedure, also comes in 3 different coloured
involving gentle stimulation of the masks: red, blue, and yellow.
Meibomian Glands and the placement
of a mask on the patient’s face for
15 minutes. Light Modulation® /
LLLT technology stimulates cell ATP
production and endogenous heating
of the upper and lower eyelids.
Overall, the low-level light therapy
(LLLT) results in a more stabilized
tear lipid layer.
www.opticare.com.au | info@opticare.com.au | 1800 251 852
Envision the Possibilities
CONTENTS FOREWORD
02
Welcome to the new and improved
Ushering in a New Era of Modern Diagnostics edition of ODMA Eyetalk Equipment
Solutions for Eye Care Magazine.
For this special 2020 edition as
06 Q&A with Dr James Muecke AM
well as all the latest technology
and equipment from suppliers,
reviews and testimonials, we have
10 ZEISS launches platform for 3D centration
sourced new contributors. You can
read about Emerging Technologies
data determination from regional optometrist Arthur Stevens and about some
historical developments including a pictorial history of the
12 Are you struggling to find the engravings
ophthalmoscope from Richard Keeler.
I had the pleasure of sitting down for an interview with
on your latest progressive lenses?
Adelaide Eye Surgeon and Australian Of The Year Dr James
Muecke AM (which you can read on Page 6). The most
14 Refraction Reinvented
striking thing about him is just how passionate he is about
delivering his work in helping to prevent blindness with Sight
For All a not-for-profit organisation dedicated to fighting
18 Break the vicious cycle, treat the root cause
avoidable blindness in the world.
After reading the articles and reviews you may want to plan
in Dry Eye Disease
a trip to OSHOW to view the equipment in full working order.
OSHOW will be held at the Hordern Pavilion Moore Park
20 Emerging Technologies in Optometry Sydney on Saturday 16 and Sunday 17 May 2020. Remember
that the instant asset write off for businesses is now $30,000
per item so you can claim a deduction in your 19/20 tax return
32 Monaco and the ‘EyeMax Eye Scan Theatre’ for any purchases within the threshold.
If you would like to see a topic or product featured in our next
34
edition please do not hesitate to get in touch.
Improved Ergonomics relieves the ENJOY!
physical strain of Refraction Finola Carey, ODMA CEO
38 Raising Glaucoma Awareness
eyetalk
Editor:
Shakeh Aivazian
EQUIPMENT MAGAZINE
40
Design:
2020 Jen Stills
Clinical Evaluation of MiSight® 1 day
Contact Lens for Myopia Control: Three-Year
Milestone Results
46
ADVERTISING ENQUIRIES:
From Aphakia To Pseudophakia - A brief OPE® - IPL
Please contact Maria Gately
history of cataract surgery and vision correction (Account Manager)
A unique and patented
combination technology that
optimises the overall treatment
of the Meibomian glands.
P: 0455 777 673
51
E: maria@eyetalk.com.au
BOC Instruments, 100 years (1920 – 2020)
The EyeTalk Equipment Magazine is published by ODMA Eye Talk and distributed throughout Australia;
as well as subscribers in New Zealand, Fiji, Singapore, United Kingdom and Malaysia.
54 History of the Ophthalmoscope
Copyright © ODMA EyeTalk 2020
All rights reserved. Registered Trade Mark # 1329327
ODMA EyeTalk
58
PO Box 264, Terrey Hills NSW 2084 Australia
P: 02 9450 0765 F: 02 9450 0962 Email: eyetalk@eyetalk.com.au
www.eyetalk.com.au
IPL – Transforming Lives of Dry Eye Patients
www.facebook.com/EyeTalkConsultants
Twitter: @eyetalk_aust
The ODMA Eye Talk Equipment Guide 2020 1
OPTICARE: Ushering in a
New Era of Modern Diagnostics
Solutions for Eye Care
For three decades, Opticare has become one of
Australia’s most trusted optical lens providers.
By focusing on quality service and top-notch
products, our company delivers a world-class
diagnostics approach that enables us to build lasting
relationships with many independent optometrists
nationwide. Today, Opticare clients are pleased to
share their own perspective on some of our standout
consulting room equipment and treatment tools
that not only added value to their optical clinic and
practice, but also made the diagnostics experience
for patients, better.
EYE LIGHT® AND MY MASK®
Eye Light® is the first known complete “I run a dedicated dry eye clinic just outside
strategy for Dry Eye Treatment. Intense the Adelaide CBD – we are about to
Pulsed Light technology alone has celebrate our 4th birthday and the research
proven insufficient of Meibomian Gland into and management of dry eye just
Dysfunction treatment, but through the continues to grow. An important tool in
Eye Light® innovation, a powerful synergy our ‘dry eye toolbox’ is IPL – intense pulsed
between Light Modulation® / LLLT and light. As part of a strategic management
OPE® / IPL technologies, Eye-Light® plan, the therapeutic use of this device
now enables full dry eye treatment. to help manage the ocular inflammatory
Additionally, treatments for other related response often associated with dry eye
pathologies can be successfully done cannot be under-estimated. While there are
using Eye Light® including blepharitis, several comparable units on the market, the
chalazion, Demodex, dry eye caused by deciding factor for choosing the
refractive and cataract surgery, post- Eye Light® from Espansione was twofold.
blepharoplasty, and stye, as demonstrated Firstly, the ease of use. As the cooling fan damaged cells, offering an intrinsic form
by more recent clinical findings. system is in the head of the handle, there of decreasing inflammation and promoting
is no need for cooling gels. This means healing. Our experience so far is that most
My Mask® treatment option serves OPE® /IPL can be done in the comfort of patients are only returning at around 12
as an economical introduction, only a massage chair in a matter of a couple months for their follow-up management
involving gentle stimulation of the of minutes – there is no clean-up of session – meaning patients are saving
Meibomian Glands. Light Modulation® messy gel for the patient. Secondly – the both time and money on their dry eye
/ LLLT technology stimulates cell ATP use of the red photo modulation mask maintenance. I am more than happy to
production and endogenous heating of offers 15-minute extrinsic heating of both recommend Opticare for more information
the upper and lower eyelids. Overall, the upper and lower lids, making Meibomian about and the supply of the Eye Light®.“
low-level light therapy (LLLT) results in gland expression post-session much
*Dr. Jennifer Rayner is the Consulting
a more stabilised tear lipid layer. You easier. Low-level light therapy is also Optometrist at Alleve Eye Clinic – a dedicated
can always upgrade to Eye Light®. thought to stimulate the mitochondria of dry eye clinic in South Australia.
2 The ODMA Eye Talk Equipment Guide 2020
“We recently purchased the Adaptica
VISION SC AND 2WIN-S
2Win & VisionSC refraction system
from Opticare and couldn’t be
Adaptica’s VisionSC is a wearable,
happier with it. When we opened
wireless adaptive refractor - an
My Eye Care Centre in Hamilton, we
all-in-one system of lenses
wanted to stand out for having the
that performs subjective sight
latest and greatest in technology,
examination effectively replacing
but we also wanted equipment that
both the trial glasses and either
was easy to use, and also portable
manual or electronic phoropter
as we have a large client base in
functionality. It conveniently fits
the local nursing home nearby.
on the patient’s head, is 100%
The handheld 2Win Auto-refractor
wireless, and helps increase
makes for a great screening tool
peripheral vision. The 2WIN-S
for every patient and a good starting point for any refraction, and
enable the rapid measurement
it connects seamlessly with the VisionSC over our practice Wi-Fi
of binocular objective refraction
network, making for a smoother and quicker process with refraction
in natural visual conditions for
and leaving more time to investigate Ocular health and Dry Eye for
infants from 2 months up, seniors,
our patients.
impaired, even non-cooperative
patients. Designed by Adaptica The 2Win has many great features that come as standard like pupil
to be a non-invasive instrument size measurements and PD measurements, as well as add on
and very easy to use, the 2WIN-S features like dynamic pupillometry, lens centering and corneal reflex
mobile binocular refractometer testing for estimating phorias, and tropias under a modified cover
and vision analyser measure both test scenario.
eyes simultaneously in real life The wearable VisionSC makes the whole journey behind a phoropter
vision conditions. Together, the less cumbersome for the patient and is an impressive change to the
2WIN-S and VisionSC make up usual refraction setups that most clinics have, it allows seamless
the mobile wireless refraction transition between lenses, has an in-built JCC with axis finder, but
system that comes in a convenient the main advantage is being able to have your patient walk around
combo carrying-case serving straight away in the refraction you have found, and use it in a real-life
all outdoor eye-care activities setting in our clinic. It’s a great bit of kit and I’d definitely recommend
(from schools to nursing homes, it to any practice that’s interested in having that wow factor in the
to clinic and factories). clinic, but the added benefit of having a portable system you can take
on the road with you as well.”
*Rory Dowdall is the Optometrist at My Eye Care Centre in Hamilton, Brisbane.
PERIMETER IVS SERIES
VisuScience’s Hidden LED Array Perimeter IVS’ Blink Control enables patients to
IVS fulfill the needs for ophthalmological avoid Dry Eyes and relax them enough to
uses by strictly conforming to the latest stay focused. It automatically measures
perimetry standard. It offers a wide the patient’s pupil diameter
range of test patterns and strategies and prints it out. This benefits
including T30-2, T24-2, T10-2 for comprehension of the correlation
glaucoma diagnosis and T-Macula for between pupil size and perimetry
macula function assessment. Special result to avoid wrong report
test patterns are also included such as interpretation with very small
driver feasibility, monocular/ binocular pupil size. IVS provides powerful
social security disability. The IVS series benefits in one comfortable,
comes in a super silent design of chin quick and accurate perimetry
rest and a fan-free power system test. Not just economical,
that creates a quiet and comfortable IVS is most importantly very
test. Its user-friendly UI and operation reliable for optometrists.
process enable easy accessibility to
the system sans any instructions.
The ODMA Eye Talk Equipment Guide 2020 3
“A Visual Field Analyser has become essential equipment It is very user-friendly, allowing me to navigate and perform
in most optometry practices over the last decade. As more tests with ease. The eye-gaze tracking is easily viewed and
optometrists become therapeutically endorsed, monitoring centred on the user screen and patient centration to adjust the
the progression of glaucoma has become a major part of chin rest on the touchscreen. The 24-2 test, when performed
glaucoma co-management with ophthalmologists. Having on a healthy eye, can be completed in just under 2 minutes. The
worked at a number of different practices, it has allowed me the report analysis, including the glaucoma progression analysis,
opportunity to experience different visual field perimeters such can be viewed on the screen, printed or exported to Optomate
as the Humphrey Field Analyser 3, Humphrey Matrix, Medmont, Touch with ease. I'm very happy with the wide choice of tests
Octopus 300 and Henson. As a new business owner on a including SWAP and Esterman Binocular test. There is an icon
tight budget and a faulty Octopus 300, patients were backing tab on the testing screen with a lady explaining to the patients
up for field tests. I was very fortunate to be recommended how to proceed with the test, which I find very helpful.
the VisuScience IVS-201A visual field perimeter by Des from I am very happy with my purchase of the VisuScience IVS-201A
Opticare. I was sceptical initially as the equipment claims to be from Opticare and would recommend this visual field analyser to
comparable to the HFA3 at half the price, but I was pleasantly all my colleagues."
surprised! IVS is a standalone machine with a touchscreen. *May Phuan is the Optometrist at Optical Connect in Brisbane, Australia.
HUVITZ HOCT-1/1F
The Huvitz OCT (Optical Coherence
Tomography) is a fully integrated system
combining OCT, full-colour Fundus
Camera and PC in one system. It provides
OCT and Fundus data in one screen,
and its built-in computer delivers direct
printouts. With just a click of one button,
it creates a high-speed scan and an HD
image quality, showcasing extensive
information such as the retina’s 3D
structure or Macula’s thickness and
separation in a single image. It provides
multi-purpose functions for diagnosis
and enables automatic data analysis,
including all modes of measuring e.g.
Radial, Raster, Grid, 3D, and Macular Line.
With the HUVITZ HOCT-1/1F, patients
get efficient and detailed results through
acquiring the anterior and posterior
measurements in one place. All these “The Huvitz OCT is a very good machine. At a very good price. Being one unit, I have
powerful features come in an easy and put it right next to my slit lamp on my chair and stand bench. It is quite intuitive to get
very intuitive interface suitably making the started with measuring. It arrived tested and set up to use. The built-in touch screen
Huvitz all-in-one OCT, the icon for Optical is excellent. The reporting features are also excellent and so I sit the patient next to
Coherence Tomography. me and we go through the results together. It needed one video conference to join
my Wi-Fi via an ethernet connection. Now the information goes to my laptop via a
Huvitz OCT ushers in the new era of web browser and then the reports can be easily looked at and saved to files if need
retinal diagnosis with the Huvitz OCT be. Another feature is a link to a macular database that uses artificial intelligence to
integration with Altris, a collaboration analyse the results. The fee for this service has been well received and will pay for the
aimed at developing customised AI monthly lease payment. If you are thinking about an OCT do not waste any more time
solutions for higher-level detection thinking about it. Get the Huvitz OCT. The team at Opticare will look after you.”
of retinal diseases. This integration
*Dr. Dion Stanbury is the Optometrist at Stanbury Optometrist in Salisbury, South Australia.
enables the detection of up to 50
retinal diseases which include
age-related macular degeneration,
degenerative myopia, retinitis To receive more information about the products mentioned in this article
pigmentosa, and diabetic retinopathy, and to know more about our wide range of modern diagnostics solutions,
among others. HUVITZ HOCT-1/1F is visit www.opticare.com.au
exclusively distributed by Opticare. You may also call 1800 251 852 or send an email at info@opticare.com.au.
4 The ODMA Eye Talk Equipment Guide 2020
Envision the Possibilities
Huvitz OCT
HRK 9000
I N N OVAT I V E
Ophthalmic
Equipment
EYE-LIGHT
TREATMENTS
Post Blepharoplasty,
Dry Eye - MGD, Stye, 2WIN S
Demodex, Chalazion,
Eye-Light and Blepharitis
Visit www.opticare.com.au to learn more about our
whole range of ophthalmic products.
info@opticare.com.au | Phone: 1800 251 852 | Fax: 1800 789 110
Q&A with Dr James Muecke AM
2020 Australian of the Year, Adelaide eye surgeon
Dr James Muecke speaks to ODMA CEO, Finola Carey
about his life and work in helping to prevent blindness
with Sight For All a not-for-profit organisation dedicated
to fighting avoidable blindness in the world.
When did you decide that of which were infective and imminently Tumu Hospital, when Colin gave me the
you wanted to become an curable. The idea of being able to cure wonderful and life-changing news that
ophthalmologist/eye surgeon? blindness in disadvantaged communities I’d been accepted into the ophthalmology
I wanted to be a doctor for as long as I using microsurgery was really appealing. program in Adelaide.
can remember. There was no one single It combined my growing love of public
health and the lifelong appeal of using What did you hope to achieve
experience that steered me toward when you set up Sight For All?
medicine. It was simply a desire to help, my hands to do fine work. And so, I
returned to Adelaide in 1990 to train as an I co-founded Sight For All with colleagues
to cure, to make people’s lives better.
ophthalmologist. from Royal Adelaide Hospital in 2009,
Following my internship in 1988, I spent
to better coordinate and fundraise for
a year as a volunteer general doctor at Who was your greatest mentor/ projects that we were undertaking in a
Tumu Tumu Hospital in central Kenya, influencer? number of countries in Asia. Little did I
where I had the privilege of helping
When I was toying with the idea of realise that it would become a consuming
patients with a range of diseases, most
working in Africa for a year, most of the passion and within a decade be impacting
senior medical colleagues I consulted on the lives of over one million people
warned me against leaving the system. every year.
“You’ll never get back into specialty
training programs.”, they exclaimed. Which countries does Sight For
Colin Moore, the Head of Ophthalmology all service?
at Royal Adelaide Hospital at the time, Sight For All has completed projects
gave me the opposite advice and in nine countries in Asia (Bangladesh,
encouraged me to follow my dream. I still Bhutan, Cambodia, Lao, Mongolia,
remember receiving the phone call whilst Myanmar, Nepal, Sri Lanka, and Vietnam)
I was in the operating theatre at Tumu and two in Africa (Ethiopia and Kenya).
6 The ODMA Eye Talk Equipment Guide 2020
cause of blindness. We also found that the ophthalmic complications of diabetes,
it was a leading cause of blindness in which is a huge, rapidly growing and often
Cambodia in 2008 and Laos in 2013. poorly managed cause of blindness in the
To be surrounded by children in schools low-income countries of the world.
for the blind in each of these countries,
who were permanently blind and horribly Now that you have received the
disfigured from measles, was the most Australian Of The Year Award
disturbing experience of my medical will this alter any of the plans for
life. It filled me with a passion to make Sight For All?
a difference and spearheaded Sight For I’m hoping that the Award will raise
All’s fight against childhood blindness in awareness of the high impact work
Asia. We have now trained and equipped being undertaken by Sight For All, work
paediatric ophthalmologists in eight that’s being supported by the voluntary
countries in Asia, in many the first for expertise of nearly 170 ophthalmologists,
their countries. optometrists, orthoptists, scientists and
nurse from across Australia, New Zealand
What types of equipment does and further afield. I’m also using the
We also have initiatives in Australia
Sight For All use in its work? platform to raise awareness of diabetes, a
which are primarily focused on raising
awareness of the major blinding diseases All too often, we see equipment that’s growing epidemic that’s now the leading
that afflict Aboriginal and mainstream been donated to low income countries cause of blindness amongst working age
communities. and yet the doctors and their staff have adults in Australia, and, at a cost of close
no idea how to use them. Whenever we to $20 billion annually, the greatest threat
What are the most common train an ophthalmologist, we ensure they to Australia’s health system.
treatments you provide in these receive the specialised equipment that
countries? we’ve trained them on, and also a critical
Our projects are aimed at sustainably training in the use of such equipment.
training and equipping colleagues Our donated equipment is often brand
in poorer countries so that they can new and spans the whole range of
comprehensively deal with all the blinding subspecialty fields in our profession,
diseases that they encounter – cataract, from argon lasers for retinal disease to
glaucoma, diabetic retinal disease, and phacoemulsification for cataract surgery
the blinding conditions of childhood, just and the highly specialised instruments
to name a few. We are a ‘teach a man to required to treat the range of blinding
fish’ organisation rather than having a diseases of childhood.
‘fly-in fly-out’ approach.
What is the smallest most BACKGROUND
Do you receive government effective instrument that you James graduated with Honours from
assistance in addition to your use most? the University of Adelaide in 1987
fundraising activities? Some of the finest eye surgeries and trained as an ophthalmologist in
involve the use of ultra-microsurgical Adelaide from 1992 to 1994. Following
Sight For All has been accredited with the
instrumentation to conduct procedures a 12-month fellowship at St John’s
Australian Government’s Department of
on the delicate tissue of the retina Ophthalmic Hospital in Jerusalem,
Foreign Affairs & Trade for three years.
which lines the inside the back of our James undertook subspecialty training
This gives us a small funding stream,
eyes. Diabetic retinal disease usually in oculoplastic surgery at Salisbury
however more importantly, has allowed
presents late in poor countries and so District Hospital in England in 1996 and
us to elevate our organisation to the
restoring sight often requires the finest of ocular oncology at Moorfields and St
highest level of international development
instruments such as intra-ocular forceps, Bartholomew’s Hospitals in London
work.
scissors, and suction tubes that can be in 1997. He returned to Adelaide in
Richard Grills mentioned that 1998 to take up positions as Visiting
manipulated inside the eye to remove
you told him measles is the Ophthalmologist and Director of Ocular
blinding scar tissue and blood.
number one cause of blindness Oncology at the Royal Adelaide and
in children in Asia. How did What is the equipment you find Women’s and Children’s Hospitals.
this information come to your hardest to fund? James is a Fellow of the Royal
attention?
Sight For All is needing to fund the next Australian and New Zealand College
Sight For All has conducted childhood generation of vitrector for use in a number of Ophthalmologists and a member
blindness studies in five countries in Asia. of our partner countries. This device of the South Australian Institute of
During our study in Myanmar in 2007, we powers the instrumentation discussed Ophthalmology and the International
discovered that measles was the leading above, that is so critical for dealing with Society of Ocular Oncology.
8 The ODMA Eye Talk Equipment Guide 20202020 – the perfect year to celebrate optics!
Look.Feel.Learn
WIN
A GOLD COAST
GETAWAY*
Pre-register at
www.o-show.com.au
ASK YOUR REPS FOR A GOLDEN TICKET TO ENTER*
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The ODMA Eye Talk Equipment Guide 2020 9ZEISS launches platform
for 3D centration data
determination
G
Taking digitalisation ood vision requires more than 1000 platform with modules for trying on
to the next level: the just the right prescription lenses. spectacles virtually and for customised
It is also crucial that the lenses frame designs. ZEISS is already
new ZEISS system for
are properly centered in the frame and in offering a system today that will also
3D centration data relation to the eyes. Back in 1992, ZEISS accommodate the greater customisation
determination is precise, launched ZEISS Video Infral, the first and digitalisation consumers demand
quick and easy to use. video centration system. Therefore, ZEISS tomorrow. This is possible thanks to more
is a forerunner to the digitalisation of than 20 years of expertise in centration
centration data determination. The latest data determination and intensive
development, ZEISS VISUFIT 1000, stands research and development involving an
for precision and speed. In the future, it interdisciplinary team of experts from
will be possible to expand ZEISS VISUFIT throughout the company.
10 The ODMA Eye Talk Equipment Guide 2020“It is a great relief that eye care
professionals can now create a
180-degree view of their consumer’s
face and the particular frames with just
a single shot. The consumer does not
even need to turn the head to the side,
and it is no longer necessary to attach
CENTRATION DATA a calibration clip to the frames. With
DETERMINATION ON A ZEISS VISUFIT 1000, we have made this
NEW LEVEL process quick and straight forward,” says
Wawerla. To capture the data without
ZEISS VISUFIT 1000 creates a 180-degree a calibration clip is remarkably quick,
view of the consumer’s face and the but also an extremely easy-to-perform
frames using nine cameras and 45 million technique that impresses the consumer.
reference points. The centration data
determination is based on 3D coordinates. THE DIGITAL FUTURE
This is an extraordinary addition to the AT THE EYE CARE
existing measurement points on the PROFESSIONAL’S
calibration clip for ZEISS i.Terminal 2, and PRACTICE
it ensures the extremely precise capture
of measurement data for the frame, the Captures with different frames can be
eye, the pupil and the cornea. The back- created with ZEISS VISUFIT 1000, giving
vertex distance can be determined for the consumer the option of comparing
both sides, right and left. Furthermore, a these directly in a 180-degree view
3D digital reconstruction of the face can comprising nine angles.
be created and enables the back-vertex “This is a completely new kind of
distance to be captured, even with frames might say that the eye care professional purchasing experience, because
featuring very thick temples. This 3D has decided to make the future part of consumers can look at different images
reconstruction of the consumer’s face will their practice today.” of themselves and even compare
provide the foundation for future ZEISS different frames,” adds Wawerla.
VISUFIT 1000 modules. ADVANTAGES FOR EYE Ametropic consumers, for example,
“With the ZEISS VISUFIT 1000 platform, CARE PROFESSIONALS benefit from this functionality because
the eye care professional is making the AND THEIR CUSTOMERS it makes the decision-making process
digital future a key part of their practice. for a pair of frames significantly easier
The ZEISS VISUFIT 1000 will also support A special fixation target provides a for them. ZEISS VISUFIT 1000 enhances
forthcoming virtual functions, making normal position for the eye’s distance the expert consultation provided by
this far more than just a system for the vision, even though the consumer is the eye care professional by adding
determination of centration data,” says no more than 30 to 35cm from the a digital component and customising
Marc Wawerla, Chief Operating Officer measurement system. Obtaining data the shopping experience. This makes
at ZEISS Vision Care. “The data captured with just a single shot ensures that the the digital future a central part of the
with this system are so detailed that measurement process is completed eye care professional’s practice. ZEISS
it will be possible to use them to allow quickly and easily, thereby allowing the VISUFIT 1000 stands for precision and
consumers to try on spectacles virtually eye care professional to concentrate simplifies not only the centration process
as well as for customised frame designs. more sharply on the consultation and for the eye care professional, but also the
By opting for the ZEISS VISUFIT 1000, you data processing. consumer’s purchasing decision.
The ODMA Eye Talk Equipment Guide 2020 11“Are you struggling
to find the engravings
on your latest
progressive lenses?”
Hilco® - Progressive Lens Identifier
• Verify progressive lens engraving marks
• Quickly & effectively identifies
manufacturer model, material, and
reference points
• Eliminate the possibility of errors in fitting
progressive lenses
• Provides a clear view of etchings
• LED Bulb
• Inclination to optimise reading position
The Hilco Progressive Lens Identifier
identifies the lens manufacturer's marks.
It identifies the extra power of the
progressive lens for CR-39, Polycarbonate
and high index lenses.
Deluxe Logic® Kit -
80% Fewer Parts, 100% Less Aggravation ...That’s Logic®
Hilco’s new Logic Mega Kit is a must Logic Nose Pads, are made of premium
for any practice! Everything you need no-slip silicone and feature a dual
in one small, compact kit organises purpose design fitting both screw-on
our most innovative repair parts. and push-on, reducing inventories
Everything you need for simple and enhancing the selection process.
repairs is at your fingertips, saving The Logic Screw family consists of
countless trips to the back room. one length and just 6 eyewire/hinge Logic Nose Pad : Fits Screw-on and Push-on
screws in various diameters and
The Logic Mega Kit includes 200
colours that replace every other screw
pairs of Logic Nose Pads in the most
type in your inventory. Together, that’s
popular sizes and 10 of each of
one smart, simple parts system.
the most popular Logic Screws.
For more information contact customer care at:
AUS Toll Free phone: 1800 217 651
Email: customerservice@hilco.com.au
Website: www.hilcovision.com.au
12 The ODMA Eye Talk Equipment Guide 2020alist
Runner up/Fin
in the OMEG
Awards of Ex
A -2 019
cellence -
INTRODUCING
ments/
Optical Instru
uipment
Dispensing Eq
THE HOTTEST FRAME ADJUSTMENT TOOL IN THE INDUSTRY...EXCLUSIVELY FROM HILCO!
The Bionic Thumb is the “World’s Best Frame Bending Tool.” Its ergonomic design alleviates hand stress while making a variety
of frame adjustments almost effortless. It also provides precise control for temple, pantoscopic, mastoid, and bridge adjustments
and offers protection from hot frame components when using a frame warmer and screwdriver slips when used as a “Portable
Bench Block.”
• Comfortable, ergonomic design
• Light, durable stainless steel construction
• Natural suede bending surfaces prevents frame marring
Scan here for a Tips & Tricks
The Hottest
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For more information contact customer care at:
AUS Toll Free phone: 1800 217 651
Email: customerservice@hilco.com.auRefraction Reinvented
Writer Alison Steer, Independent Optometrist, Albany WA.
I hadn’t thought much about the
background of our refraction process
since university...it just was ‘what you did’.
Essilor’s VR 800 digital refraction device
turns this past totally on its head. Many
years of research has produced a digital
refractor that is 10-20 times more
accurate than anything we have had to
date. Refracting down to 0.01 dioptres,
this takes prescribing the best solutions
for my patients to the next level.
New predictive algorithms make the tested before they brought the new Coupled with the evolutionary refracting
whole testing protocol much quicker equipment to my practice. They process, Essilor has developed the ECP
and I can spend more of my chair worked around my schedule and we Companion and Consultation Suite.
time on discussing ocular health and managed to keep one exam lane fully Far from being the ‘little brother’ of the
vision care options with my patients. operational and the practice busy whilst process, this management system is an
we installed the new exam lane. equal contender for being a significant
The Vision R800 is a compact device game changer. It has revolutionised the
that is easy to manoeuvre and is very Our pre-testing has also been brought practice workflow and has significantly
comfortable for the patient. Patients into the 21st century and beyond with the improved the patient journey. It really
say that they like the increased addition of the WAM700. This compact produces the “WOW” that we are always
viewing angle and they feel less machine does a complete ‘wellness’ striving to achieve and that will set us
claustrophobic. It fits easily onto existing visual analysis in around 90 seconds apart from our competitors. It uses
chair and stand configurations. by combining wavefront analysis, all the data collected to present easy
pachymeter, topographer, autorefractor, recommendations to the patients and
The OptiMed team were a dream NCT and anterior chamber analysis. It makes offering individualised solutions
to work with and made the whole is extremely easy to use by staff and a simple and easy process. Using the
instillation process as streamlined has been easily slotted into our pre- Consultation Suite provides an amazing
and non- disruptive as possible. testing protocol and patient flow. The visual demonstration of the consultation
results are then showed to the patients results for the patients and has greatly
As it is a totally new install, the first in on a large display screen and their elevated the patient experience.
Australia, they had the whole layout set total ocular health assessment can
up in their workshop and everything be easily displayed and discussed. Testimonial supplied by OptiMed.
14 The ODMA Eye Talk Equipment Guide 2020Thermaeye Plus.
Next generation IPL for MGD.
IPL has been shown to be a safe and efficient Advanced Cooling System
treatment for MGD and with the advanced technology The advanced integrated skin cooling system of the
of Thermaeye Plus you can take treatment even device’s handpiece prevents excessive temperature
further. The compact device comes with a host of increases to the epidermis, assisting with patient
tolerance and safety. Interchangeable filters allow
ground breaking features and it’s versatility allows you
you to easily select the
to increase the scope of treatment for your patients.
appropriate wavelength
to match the application.
Maximum comfort for the patient
With Thermaeye Plus inbuilt Fractionated Pulse Technology, we Target
Temperature
Damage Threshold Temperature
see all the clinical benefits of IPL treatment for MGD delivered to
a higher degree of safety and efficacy. By breaking up each pulse Skin
Temperature
of light into multiple pulses, creating Thermal Relaxation Time,
the device can provide a greater range of energy and treat all skin
types (Fitzpatrick I-VI ) reducing the risk of thermal damage.
1” Pulse 2” Pulse 3” Pulse Time
Power Control
The device continually Advanced IPL Technology with cost savings
monitors the number of The next generation technology of Thermeye Plus even saves you
pulses emitted and the money. It comes with the first 30,000 shots included allowing you
effectiveness of every light to treat over 2000 patients before you need to replace the flash
pulse, assuring the operator of cartridge. Over time this can save your practice up to $100,000*
the efficiency and accuracy of the energy emitted during treatment. in expensive consumables costs. * Based on 4 shots per eye per treatment
Available exclusively from OptiMed.
Call 1300 657 720 or go to optimed.com.au
ptiMed
MAKES YOUR PRACTICE PERFECT
The ODMA Eye Talk Equipment Guide 2020 15Ocular Instruments
O
ptimed is proud to have a well-
established relationship with The clarity, quality of
Ocular Instruments, a USA based materials and coatings
designer, producer and manufacturer
of ophthalmic lenses of unparalleled
combined with great
sharpness and clarity. This range includes value for money have
an innovative range of diagnostic, helped many practitioners
treatment and surgical lenses which is in their decision to
continuously improving and developing
purchase Ocular lenses
with the changing needs of the industry.
Many ophthalmologists and a growing
number of Optometrists choose
Ocular lenses within their practices
as a testament to this innovation.
Ocular's growth within the Australian
market is due to the increased exposure
and availability of the product range
in recent years, along with a better
understanding of the quality and value
of the product. The clarity, quality of
materials and coatings combined
with great value for money have
helped many practitioners in their
decision to purchase Ocular lenses.
Ocular’s extensive range of Indirect lenses
offers the choice of various ring colours
for ease of reference, the option of
polymer or glass materials and Ocular’s
patented LaserLight AR coating. This high
quality LaserLight Antireflective coating
gives not only indirect, but laser lenses,
minimised reflection and maximised
image brightness. Its unique hydrophobic The Gonio lenses available in the Ocular specialist, it is an essential tool for
properties make it extremely easy to range, like the Indirect lenses, have diagnosis and management and is
keep clean and offer low reflectivity. any design and size you need, such as the only thing I take for my Outback
various fissure sizes, flanges, lens angles, Eye Service clinics in the bush.”
materials and magnifications. From your
standard Universal Three Mirror Gonio, Optimed offer optional engraving
to your wide field MagnaView lenses, and a complimentary trial of any lens
all your gonio needs are covered. in the range, a 30 day money-back
guarantee and 1 year manufacturer’s
Dr Ashish Agar, a leading Glaucoma warranty on all lenses.
specialist in Sydney says :
“The Ocular Magnaview two (2)
mirror goniolens provides the highest
magnification and clearest view of
any gonioprism I have used (as the
name suggests!). As a glaucoma
16 The ODMA Eye Talk Equipment Guide 2020OCT NOW WITH
HIGH RESOLUTION
FUNDUS CAMERA
The R E V O-lution continues...
The evolution of the fully automatic REVO continues with the OCT-B (Biometry for myopia monitoring) and OCT-T (Corneal
addition of a high-resolution fundus camera to complement Topography), REVO is a must-have for any practice. REVO
its powerful OCT imaging platform. Bringing true versatility assists your glaucoma analysis and monitoring by combining
to an OCT device, REVO now offers a whole spectrum of a comprehensive reviewing and reporting platform* into its
useful tools for your practice. The addition of a colour fundus software features. This enables you to import data from the
camera allows the overlay of your tomographic images Optopol PTS 920, 925 and 2000 series of perimeters and
with a fundus photo. With retinal, disc and anterior imaging compare with the OCT analysis of optic disc and ganglion
complemented with the options of OCT-A (Angiography), cell tomography. Evolve your practice with new REVO FC.
* Launching Q3 2019
Available exclusively from OptiMed.
Call 1300 657 720 or go to optimed.com.au
ptiMed
MAKES YOUR PRACTICE PERFECT
The ODMA Eye Talk Equipment Guide 2020 17Break the vicious cycle,
treat the root cause in
Dry Eye Disease
D o your patients suffer from dry, itchy, red or burning eyes?
Perhaps fluctuating vision? Dry Eye Disease (DED)
is one of the most common conditions seen by eye care
professionals. The disease can have a significant impact
on the quality of life of your patients, yet remains one of the
most underdiagnosed disease states in the average practice.
In its evaporative form, DED is mainly simply alleviate symptoms when
caused by Meibomian gland dysfunction you can treat. This will:
(MGD). In MGD, the Meibomian glands • offer sufferers long-term relief from
are inflamed, blocked, displaced, or DED symptoms inflammatory mediators, inhibiting the
atrophied. As a result, the meibum is not progression of inflammation
• improve patient satisfaction with your
adequately secreted, thereby destabilizing 3. Reduces the tear film osmolarity to
management of their condition
the tear film and increasing the rate normal levels
• retain patients and the clinical income
of evaporation of the aqueous layer.
earned from treatment 4. Restores Meibomian gland’s
This exposes the cornea to pathogens,
morphology and functionality
hyperosmolarity, nutrient depletion and • enhance your professional reputation
with co-management opportunities 5. Decreases Demodex mites and
dehydration, which in turn leads to even
bacterial load stimulating infection
more inflammation. This vicious cycle is • differentiate you practice from
leading to MGD.
the basis of the chronic inflammation that competitors
underlies DED. Safe, gentle and effective, the Optima
• create a lucrative clinical offering for
IPL is the next-generation technology.
Key Facts: profitability and business growth.
Combined with unique Optimal Pulse
1. The prevalence of DED symptoms Lumenis, the inventors of Intense Pulsed Technology (OPT), this gives users the
ranges from 5% to 50% of presenting Light (IPL), are proud to offer clinicians ability to control the pulse shape and
patients the Gold Standard IPL system in market provide reproducible results as well as
2. 25% of DED sufferers in Australia and – the Optima IPL. With every pulse of gentle, comfortable treatments. And
New Zealand are undiagnosed light, this energy-based therapy works our patented Sapphire Cool chiller tip
to control the inflammatory process and provides patients with maximum comfort
3. Women are twice as likely as men to
restore homeostasis in dry eye due to during treatment while allowing users to
have DED
MGD. The intense pulses of non-coherent reach higher levels of energy for optimal
4. Refractive surgery can trigger and
light are distributed over a range of results while treating the delicate skin
aggravate DED
wavelengths, from 400nm to 1200nm. close to the eyes. Finally, our universal
5. 85% of DED sufferers have signs of Specific wavelength ranges are achieved IPL hand piece is validated with 100,000
MGD using interchangeable Expert Filters shots, offering businesses exceptional
6. 80% of rosacea patients show signs enabling clinicians to target various value with no ongoing consumable costs.
of MGD. chromophores in the skin. In dry eye
Optima IPL is a drop-free, drug-free
Think outside the eye, break the vicious treatment, IPL targets telangiectasia in
solution for periocular inflammatory
cycle and treat the root cause in Dry Eye the eyelids and periorbital area. Clinical
conditions providing long-lasting relief
Disease with Optima IPL. The clinical and research shows IPL treatment of DED:
from DE symptoms.
business opportunities are enormous! 1. Destroys the abnormal blood vessels
Advance and differentiate your practice,
And with the predicted growth in this that are perpetuating the inflammation
create a profitable new clinic and up your
chronic and progressive disease, why 2. Decreases the level of pro- dry eye game in 2020.
18 The ODMA Eye Talk Equipment Guide 2020Emerging
technologies
in Optometry
Writer Arthur Stevens
In 1983 Gerald Hawkins, in his book "Mindsteps to the Cosmos", wrote about the different “mindsteps” that have,
in conjunction with the accompanying technology, revolutionized the world and led to the inventions of writing,
mathematics, radios, spacecraft & computers.[1] He wrote that "The waiting period between the mindsteps is
getting shorter. One can't help noticing the acceleration." This notion that the rate of change in a wide variety of
systems increases exponentially was explored by Ray Kurzweil in his 1999 book “The age of Spiritual machines”
and referred to as the “Law of accelerating returns”.[2]
This article explores a brief moment in continues to thrive in such a competitive appointments[4]. Further studies, in
this accelerating progress and reviews environment. The latest news, labelled a comparative professions, have shown
some of the technologies that are “retail apocalypse” coming into 2020, that that “when primary care agents book
currently investigated and their impact so many retail businesses have shut shop, outpatient clinic appointments online it
in the optical industry in the coming is of concern so any advantage we can improves outpatient attendance”[5].
decades. The article is divided into utilise to ensure we continue to thrive will Some of the options available to the
3 sections: be explored[3]. optometric business include:
(i) Retail
(ii) Clinical The areas that are discussed are by no MyHealth1st[6] – Is the most used online
(iii) Business means exhaustive but ones coloured appointment book and has been adopted
by my own interests. There are many as our method of online booking for our
The retail section will look into areas other topics that I could have covered customers at Kosmac & Clemens. One of
where we can improve the patient and are missing from the review but its major advantages is the ease to setup
experience from online appointments, to one common theme is that as we head and use and most importantly, integration
dispensing tools and consumer products. into 2020 technological advances will with PMS (Optomate & Sunix). Anyone
only accelerate and make working in the implementing this system needs to decide
The clinical section will look at the profession even more exciting. how many and which appointments they
advances in technology that have recently will allocate to online booking.
been introduced or is hoped to be RETAIL
introduced in the coming years to ensure Wordpress[7] - WPForms claims to be the
we can provide the best diagnosis and (i) Online Appointments best WordPress contact form plugin. It
management for the patient. We live in an era where, as a result of the provides you with the options of building
huge amount of available information your own forms that send the booking
The business section is specifically and wanting to be in control of how request as an email. The staff process the
tailored to the independent optometrist we use that information, we prefer to email and reply either by SMS or email.
and will explore how, as small business book many of our appointments online Unfortunately, there is no integration with
owners, we can embrace the new rather than spend, potentially many lost Optomate or Sunix. Their basics package
technologies to ensure that our business minutes of our lives, calling and booking is very good value and if you like to send
20 The ODMA Eye Talk Equipment Guide 2020marketing through email /SMS then their
plus package is even better value.
Apointuit[8] – is for medical practices only
and does not integrate with Optomate &
Sunix. It offers a smart phone app that
allows for online booking. Perhaps, the
optical industry can adopt the features
this package offers.
method), distance between lenses,
(ii) Patient tracking [9]
back vertex distance BVD, inclination or
pantascopic angle & frame face form
Patient tracking (also referred to as PSI or wrap angle. The device is relatively
– patient identification system) is usually Hoya's Yuniku system compact 64.5cm x 22cm x 3.5cm
used in hospitals for a healthcare provider (HxWxD). The software can be installed
to monitor the progress of a person in b. Print your own frame[12] – As 3D on a stationary or mobile electronic
their care. The healthcare professional printers become more affordable device, including smartphone and most
has access to the patient’s electronic customers will be able to print their operating systems are supported.
records, it can be used to store a patient’s own frames based on templates
imaging files, as well as check-in and readily available for free download Hoya have also developed the binocular
check-outs. or for a small fee. The potential for harmonization technology (BHT)[15].
3D printed frames comes from the The technology claims to relieve eyestrain
In private practice, it can inform the expression ““The only limit is your while wearing standard progressive
healthcare professional if the patient is in own imagination” and the fact that 3D lenses, particularly if there is a difference
the clinic, can send SMS reminders about printing allows for the creation of very in prescription between the 2 eyes.
when a patient can take their medication complex structures which would not be The patented Binocular Harmonization
& by wearing additional smart devices possible with traditional manufacturing. Technology (BHT) recalculates and
can inform the practitioner if the patient 3D technology also makes screwless adjusts the progressive power distribution
has taken their medication. This ensures hinges more accessible[10]. Hoya has according to the actual used positions
maximal compliance and the best taken the process one –step further on each lens so that both eyes will
possible outcome for the patient. The two with its “Yuniku”[13] system where “the experience the same binocular support.
major concerns relate to cybersecurity world’s first vision-centric 3D eyewear, The technology evaluates a Binocular
and interference with a patient’s privacy. combines 3D scanner technology with Clearness Index which takes into account
advanced algorithms, to position the Convergence Difference, Accommodation
In optometry, I can envisage the system lenses for optimal vision and then 3D Demand Difference, Magnification
being used to ensure the patient is taking build the frame around the lenses. Difference and Vertical Prismatic
their medication e.g. glaucoma drops, Difference between the two eyes. The
ensuring the patient turns up for an (iv) Lenses Clearness Index estimates how clearly
appointment and for marketing purposes. the wearer sees an image through
a. Rx measurement the spectacle lens. Balancing this
(iii) Frames enhances binocular clarity throughout
Lens measurements have advanced the entire lens.
a. Materials – Up until now, frame significantly from using a PD ruler to
materials have been limited to various measure interpupillary distance and A simpler version of the VisuReal Master
plastics, metal and wood. Technological heights of a bifocal or multifocal. Some system is Hoya’s Spectangle Pro and
progress and concerns with sustainability of these include: Essilor’s Eyeruler 2. Both are very similar
means we will see biodegradable frames in that they use an ipad or equivalent
(e.g. made from castor beans[10]), high- Hoya’s VisuReal Master system[14] device e.g. EY-stick or parameter clip
tech lightweight frames and frames has been designed to look like a (that provides a reference that sits on the
incorporating various sensors, often contemporary wall mirror. The patient patient’s frame) to take pictures and make
referred to as “smart glasses”[11]. The looks at themselves in the mirror. The adjustments. These technologies are
introduction of 5G connectivity will see dispenser operates an end device (e.g. considerably faster and more accurate
this technology taken to the next level. an iPad) which is connected via Wi-Fi than the older systems that are available
There is a high possibility that smart with the mirror. The 6 cameras behind and should provide a point of difference
frames will compete with mobile phones the mirror capture information such as to the customer experience than simply
in their functionality. – PDs, fitting height, frame size (boxing using a PD ruler to take measurements.
The ODMA Eye Talk Equipment Guide 2020 21This is particularly true for the high end to retain customers, in addition to As Telehealth becomes more utilised
free-form lenses that the companies eliminating remake errors this technology it is predicted that more virtual clinical
provide. In addition to a measurement offers exceptional “wow” factor. trials occur, increased access to
module the app has a lens selection healthcare for remote communities,
module, a frame selection module and b. Types of lenses development of paediatric platforms[27].
an augmented selection module that
allows patients to take certain lens Lens materials have significantly
features for a test ride around your office improved since the 1st half of the 20th
or pre-built environments. Taking the century from crown glass with an index
lens selection process one step further of 1.523 and a specific gravity of 2.54 to
and wowing them along the way. CR39 which is significantly lighter with a
specific gravity of 1.32 but thicker with
an index of 1.5. Polycarbonate, Trivex, &
high-index materials ranging from 1.6 to
Wesemann concluded that 1.9 followed, each with their own benefits. Image courtesy of health.qld.gov.au/telehealth
“all tested video-based Looking forward we can expect advances
systems measure the in coatings and even higher indices[19] b. Vision
up to 5.5 and only one two-thousandth
PD to a higher precision
the thickness of a human hair. Some of i. Myopia
than conventional these are already in production such as
pupilometers”. permanent antifog coat[20], anti-scratch Various studies have acknowledged that
coats (that actually work)[21]. we are facing a global myopia epidemic
which may lead to various ocular
In addition to advances in materials we complications including vision loss[28, 29].
will also see advances in design. One There have been various technologies
Dr Wolfgang Wesemann[16] in 2010 of these already in circulation is the available to combat this progression from
compared 4 high end video centration Myosmart[22] lens from Hoya which uses education, to specific myopia lenses and
systems Essilor: ‘Visioffice’, Rodenstock: D.I.M.S. (Defocus Incorporated Multiple contact lenses and medications[30]. The
‘ImpressionIST’, Ollendorf: ‘Visureal’ & Segments) technology for myopia science on the exact mechanism and
Zeiss: ‘Remote Vision Terminal (RVT)’ control A two-year clinical trial found that treatment options is still unclear but is
with pupilometers. He concluded that “all MyoSmart lenses were able to reduce expected to make significant progress in
tested video-based systems measure the myopia progression by up to 59% and halt the coming decade[31].
PD to a higher precision than conventional myopia progression by 21.5%.
pupilometers”. Furthermore, the “video ii. Amblyopia
centration devices present as ‘point of It would be great if we can eliminate the
sale’ additional information on high-end biggest bugbear of multifocal lenses, Amblyopia is the most common
spectacle lenses and personalised lens the distortions that are experienced cause of monocular visual impairment
designs.” This argument holds true today when changing viewing distances affecting up to 5% of the population.
as it did 10 years ago and even more from far to near. Electronic focusing Traditional treatments have included
so as the technology has been refined eyewear using liquid crystal display penalisation of the non-amblyopic eye
to provide even more accurate results technology has been studied over the with either patching or pharmaceutical
with a reduction in error such as when a last decade and some products are penalisation[32-35]. Unfortunately, success
customer is not positioned accurately. starting to appear[23,24]. Currently, they as measured by visual acuity equalisation
are price prohibitive for most people or development of stereopsis has
Equivalent systems exist for Zeiss at ~ US$2,220 a pair – plus tax. been hampered by non-compliance
e.g. Visufit 1000[17], i.Terminal 2[18]. The contributing to treatment failures.
improved software eliminates the use CLINICAL Alternative therapies include: vision
of a frame calibrating clip and increases therapy, binocular therapy, and liquid
the accuracy of centration to maximize a. Telehealth – This has probably crystal display eyeglasses have only been
optical performance. Zeiss claims that more applications in medicine than sparingly used with moderate success.
taking measurements is up to 60% optometry but optometry can certainly The Pediatric Eye Investigative Group
faster for the i.Terminal 2 than using benefit from expanded use of telehealth. (PEDIG) has shown that age should not
manual measuring procedures and Telehealth offers significant advantages be a restrictive factor & that “even older
that the measurements are 84% more especially in a country as large as patients can show improvement in VA
accurate than a manual process. For Australia with the remote areas having in the amblyopic eye”. Recent studies
the small business owner who wishes vastly isolated populations[25,26]. from Vanderbilt University have learned
22 The ODMA Eye Talk Equipment Guide 2020You can also read
