Page 2 of 3 FirstFirst 123 LastLast
Results 26 to 50 of 56

Thread: Optos Optomap

  1. #26
    Rising Star OptiBoard Silver Supporter
    Join Date
    May 2006
    Location
    il
    Occupation
    Optometrist
    Posts
    1,030
    Quote Originally Posted by DR.P View Post
    I unfortunately know that you are wrong. why? Because for one year prior to "leasing" the Optomap, I did exactly what you say. I got a non Myd fundus camera. I did one thousand photos and made $30,000 on an $8000 investment. I bought mine used. There is no where near the ability to detect pathology with it than the optos. That is speaking from four years of experience with the Optomap. Each year I have had the Optomap I have netted $30000 without having to worry about it breaking. they seem to come and repair mine when there is a problem. The first week I had it, I detected a small retinal hole in a twelve year old patient. Could I have seen it without? Of course! Had I dilated her. But we live in a world where everyone wants convenience. I can't tell you the number of patients who only appear every three years for exams because they "hate" the dilation.
    When they realize I am willing to perform the optomap instead they say thank you and that they will be back next year. And guess what? They pay cash for it. My penetration rate is as close to 100% as it can get.
    And yes, I actually do know a doctor who just bought two of them. Why? Because he was paying the company $9000 per month in fees. So, it was cheaper to buy it. Since I only do 175 to 200, they aren't as anxious to sell me one. I would have happily bought it day one if they offered.
    In the three and one half years I have had it, I have paid them about $100K, so yes I am one of those stupid doctors you seem to think are so dumb.
    I don't think I ever said anyone was dumb or stupid..

    What is the point of the optos? It is for detecting? Is it for monitoring? Is it a dilation replacement? Does the patient's potential expert witness think it is?

    I personally don't think its all that hard to convince patients to be dilated if and when its needed. IF you have a device that is supposedly a replacement for it, sure, its going to be even easier for a patient to decline. Patients don't like me flipping their lids for gpc, or putting in drops for goldmann tonometry, or getting next to their cornea with a alger brush, but I don't loose sleep at night doing those things when needed. I'm sure if you asked most people they hate doing any form of tonometry, doesn't mean we should disregard standard of care. I don't know if patients not liking dilation is a good reason to embrace the optos.

    I understand what you are saying, that doing almost 100% optos is probably better overall than 10% consenting to dilation. Makes sense, no argument needed there.. But I think legally its a scary position to be in, especially if you profit more from the lower standard and have the entire patient experience set up to "sell" optos and minimize dilation. Juries tend to look at those things. Not saying its wrong, but I think some docs put themselves in to a position where the cards are stacked against them should things go wrong.

    Do you still take additional photos with your other camera? For example, when you are following a glaucoma suspect? Or do you just use the optos as a reference in the future?

    just curious

  2. #27
    Bad address email on file
    Join Date
    Jul 2000
    Location
    Houston Texas USA
    Occupation
    Optometrist
    Posts
    24

    Thumbs up

    I do not disagree with you about the twelve year old driving.
    what you still don't realize is the power of showing that lesion to the mother rather than just telling her what you saw. And it was so far out that you could never have photographed it even if seen.
    On the other hand, what I will tell you is that it has discovered numerous peripheral holes that when referred were not treated. It seems that the current thinking is that if there is not sufficient fluid under the hole, its not treated no matter how big or small. As to what they are missing, I can assure you that it is a fact that even in the hands of an experienced competent doctor, some lesions are missed. Expecially retinoschisis...and of course, no one treats retinoschisis....so we have gone full circle from referring everything to referring almost nothing.
    Finally I want you to think about the thousands of doctors out there who do not dilate nor do they photograph. folks who graduated only a few years before me. What do you suggest? We hunt them down and take away their licenses? (Don't even answer that one)Do you truly believe that the Optomap is not better than a say....65year old optometrist? One who never learned what a BIO is except in journal articles. I hope to let this topic go now...but I really think that some view, is far better than the direct ophthalmoscope I was taught to use in 1975. In Texas, we weren't even allowed to dilate until about 1991. some states even later...
    Its great in 2007 to say what it best....but there are surely lots of folks who were educated many many years ago and don't know any better.
    Nuff said...

  3. #28
    ATO Member HarryChiling's Avatar
    Join Date
    Apr 2005
    Location
    Nowhereville
    Occupation
    Other Eyecare-Related Field
    Posts
    7,765
    Quote Originally Posted by HarryChiling
    I really can't talk about it's effectiveness, not my place, but given your figures you are paying out 48% of what you earn with this equipment and the company shares very little risk for essentially becomeing a 50/50 partner.
    Dr. P,

    I agree that it is not my place to discuss the validity of the tests, so either you missed the above quote (kinda like what I hear the optomap is doing :D ), or you were just screening the posts ;) . My point is not one from a diagnostic point of view, but from a business point of view. Our area just recently got the Optomaps installed in most of the "Franchised Pearle Visions", it is important to note "Franchised" as the corporate office decided it was not good enough for the corporate stores, or was to great of a risk. It is a grea piece of equipment if it truly is given to you as you mentioned on a consignments basis, which is almost what your post implies, but the machine has a quota that has to be reached on a monthly bassis and small offices need to consider this as they make the plunge. The slow months may very well end up eating away the profits from the good months.
    1st* HTML5 Tracer Software
    1st Mac Compatible Tracer Software
    1st Linux Compatible Tracer Software

    *Dave at OptiVision has a web based tracer integration package that's awesome.

  4. #29
    Bad address email on file
    Join Date
    Jul 2007
    Location
    Waterloo, ON Canada
    Occupation
    Optometrist
    Posts
    2
    So, what happened to all the images that were captured while you had the machine? Do you get to keep them?

    We are considering our options when our lease ends this year. But, if we lose the images, then all the stuff we were telling our patients about the ability to photodocument, etc will make us look very bad.

    Thanks,

    H.

    Quote Originally Posted by 1968 View Post

    Similar experience here. After our contract ended, it took Optos about eight weeks to get someone out to remove their machine from our office. I was not going to be in the office on de-installation day, so I left specific instructions for the technician NOT to disconnect our router and DSL modem (which were near the Optomap). Still, the technician de-installing the machine disconnected all of the cables to our office’s internet router (rather than just the cable to the computer used by the Optomap) as well as everything hooked to our DSL modem and everything else on the power cord that the Optomap was using. On top of that, I keep getting monthly bills (with an interesting fee increase) from Optos. I’ve left messages, e-mailed them, and faxed copies of my e-mails, but they don’t respond.

    One final comment: Read the find print before signing. My rep never mentioned that we would be responsible for an annual property tax bill of around $750.

  5. #30
    ATO Member HarryChiling's Avatar
    Join Date
    Apr 2005
    Location
    Nowhereville
    Occupation
    Other Eyecare-Related Field
    Posts
    7,765
    You loose the images uless you purchase their software to view it, it has something to do with the way the photos are saved, the software from what I can tell only matches photo file names to patient names from the database, I have cracke the password for the database, but it looks like their is a encryption key as well saved with the photo, it has been forever since I hae messed with encryption so I haven't looked into it any further.
    1st* HTML5 Tracer Software
    1st Mac Compatible Tracer Software
    1st Linux Compatible Tracer Software

    *Dave at OptiVision has a web based tracer integration package that's awesome.

  6. #31
    Bad address email on file
    Join Date
    Jul 2007
    Location
    Waterloo, ON Canada
    Occupation
    Optometrist
    Posts
    2
    Quote Originally Posted by HarryChiling View Post
    You loose the images uless you purchase their software to view it, ...
    Any idea how much this software would cost?

  7. #32
    ATO Member HarryChiling's Avatar
    Join Date
    Apr 2005
    Location
    Nowhereville
    Occupation
    Other Eyecare-Related Field
    Posts
    7,765
    I have heard it costs somewhere in the ball park of $2500, but don't quote me on that. Our doctor had a trial with the optos and we are going with a retinal camera, and a slit lamp camera instead.
    1st* HTML5 Tracer Software
    1st Mac Compatible Tracer Software
    1st Linux Compatible Tracer Software

    *Dave at OptiVision has a web based tracer integration package that's awesome.

  8. #33
    OptiBoardaholic bt5050's Avatar
    Join Date
    Feb 2006
    Location
    USA
    Occupation
    Dispensing Optician
    Posts
    272

    optos

    as for our exp. with optos - it has been just the opposit - we had a new one installed when we had a od changed - anyways - we where havign some issues - and the yech guy from our region - come out within FEW DAYS - TOPS

    i know they where planning on just putting in a new part - however -the rep went above and beyong - and since the unit was less then 1 yr old - he had another new unit sent -
    the unit was shipped i think from france ? ( maybe wrong but somewhere from over seas - and it was in our store with in a week -
    as for gettign a hold of them - not sure if you just have so-so rep - but we have our guys CEL number - as well as email- and sicne they communicate with black berry's - he alwasy gets right back to us -

    As for the unit in general - OUR PTS LOVE IT !! - although it does NOT replace the dilation - but it is just another tool - to have to give that excellant pt care- and the PTS LVE THE Tech.. gy - plus a buisness builder -

  9. #34
    OptiBoardaholic
    Join Date
    May 2003
    Location
    United States
    Occupation
    Optometrist
    Posts
    902
    Quote Originally Posted by H. Erol View Post
    So, what happened to all the images that were captured while you had the machine? Do you get to keep them?

    We are considering our options when our lease ends this year. But, if we lose the images, then all the stuff we were telling our patients about the ability to photodocument, etc will make us look very bad.

    Thanks,

    H.
    Be sure to back-up your images on to CDs and carefully log the dates. The U-Revu software can be downloaded free of charge from Optos if you elect to get rid of the Optomap. Trying to find images on the CDs can be hassle.

  10. #35
    OptiBoardaholic
    Join Date
    May 2003
    Location
    United States
    Occupation
    Optometrist
    Posts
    902

    Vision Service Plan

    FYI for those using only the Optomap, VSP's provider manual states:

    Internal/fundus exam including direct and/or indirect ophthalmoscopy with or without dilation and, at minimum, a numerical notation of cup-to-disc ratio*
    *NOTE: Fundus photos and Optomap retinal exams are considered by VSP as separate procedures and are not acceptable in lieu of performing direct or indirect ophthalmoscopy.

  11. #36
    Rising Star Russ in Texas's Avatar
    Join Date
    Nov 2007
    Location
    Texas
    Occupation
    Optometrist
    Posts
    66

    Optomap story

    In 2006 I happily ended my 3 year lease with Optos. In my opinion it is not a good deal and I would advise against leasing it. The pictures are sometimes fantastic and sometimes terrible which bugs me. I have caught things that I might have missed on a DFE just because not all patients are cooperative during dilation. I do not think it is a substitute for dilation even though that is how it was marketed to me 3 years ago.

    We paid over $2,000 per month for the privilege of having the Optomap in the office whether we used it or not. In addition to that we were charged about $2,000 in property taxes last year just for leasing the machine. We started off using it quite a bit in the beginning which offset some of the costs but we gradually became somewhat disillusioned with it and began using it less and less. In addition to these expenses you have to maintain insurance on the machine while it is your office.

    You have to notify the company 90 days in advance in writing of not renewing your lease or you are automatically renewed for another year. (1 day late and you get another year, and they stick to it.) Ugh!

    To sum it up, they have a good start on a product that is not perfected and is sold using an extremely lucrative pricing model (for Optos that is! :angry: ). Final opinion: Don't do it! :finger:

  12. #37
    OptiBoard Novice
    Join Date
    Nov 2007
    Location
    Mystic, CT
    Occupation
    Optometrist
    Posts
    4

    Optos

    "Finally, the trouble with the Optomap is that your patients don't know what you're missing. It is difficult for me to take seriously their opinions as to the validity of the instrument."



    The quote above seems to be authored by a licensed OD.
    A true embarasment to the optometry practice.
    I wonder how his patients would feel about his general attitude regarding patient care.
    Remind me never to send my family or friends to his practice.

  13. #38
    OptiBoardaholic
    Join Date
    May 2003
    Location
    United States
    Occupation
    Optometrist
    Posts
    902
    Quote Originally Posted by mmm7m View Post
    "Finally, the trouble with the Optomap is that your patients don't know what you're missing. It is difficult for me to take seriously their opinions as to the validity of the instrument."



    The quote above seems to be authored by a licensed OD.
    A true embarasment to the optometry practice.
    I wonder how his patients would feel about his general attitude regarding patient care.
    Remind me never to send my family or friends to his practice.
    Perhaps you need to check your premises and get to know me a bit better before you toss around fighting words. I've commented elsewhere in the forums that the quality of the Optomap images were extremely poor and did not allow for a very good evaluation of the peripheral retinal. The Optomap frequently failed to capture peripheral retinal lesions that I had observed previously with BIO through undilated pupils. With that in mind, I found it was actually a disservice to offer the Optomap to my patients. In my opinion, a small pupil BIO in the hands of a skilled practitioner is better than an Optomap.

  14. #39
    OptiWizard
    Join Date
    Dec 2007
    Location
    NY
    Occupation
    Optometrist
    Posts
    389
    Quote Originally Posted by DR.P View Post
    I do not disagree with you about the twelve year old driving.
    what you still don't realize is the power of showing that lesion to the mother rather than just telling her what you saw. And it was so far out that you could never have photographed it even if seen.
    On the other hand, what I will tell you is that it has discovered numerous peripheral holes that when referred were not treated. It seems that the current thinking is that if there is not sufficient fluid under the hole, its not treated no matter how big or small. As to what they are missing, I can assure you that it is a fact that even in the hands of an experienced competent doctor, some lesions are missed. Expecially retinoschisis...and of course, no one treats retinoschisis....so we have gone full circle from referring everything to referring almost nothing.
    Finally I want you to think about the thousands of doctors out there who do not dilate nor do they photograph. folks who graduated only a few years before me. What do you suggest? We hunt them down and take away their licenses? (Don't even answer that one)Do you truly believe that the Optomap is not better than a say....65year old optometrist? One who never learned what a BIO is except in journal articles. I hope to let this topic go now...but I really think that some view, is far better than the direct ophthalmoscope I was taught to use in 1975. In Texas, we weren't even allowed to dilate until about 1991. some states even later...
    Its great in 2007 to say what it best....but there are surely lots of folks who were educated many many years ago and don't know any better.
    Nuff said...

    First, some retinoschisis are treated. If then encroach far to the posterior pole, I've know of a few retinal specialists who have treated them. Second, you must be careful with retinoschisis because they can have inner layer retinal holes which may be part a retinal detachment.

    I would advise those who have a difficult time with the peripheral retina (especially undilated) to invest in a Volk VitreoFundus lens. It will open your world to the retinal periphery...if you cannot find an atrophic hole with it in a 12 yr old, something is clearly wrong.

    I question the argument regarding the older "refractionists"...even if they do a Optomap, do they even know what they are looking at???

  15. #40
    Rising Star
    Join Date
    Apr 2006
    Location
    California
    Occupation
    Optometrist
    Posts
    384
    Quote Originally Posted by DR.P
    "... what you still don't realize is the power of showing that lesion to the mother rather than just telling her what you saw..."
    Reading the NY Times today "Hospitals Look to Nuclear Tool to Fight Cancer" reminds me of the Optomap debate. I think the first utterance by Dr P regarding the value of the Optomap should be highlighted once more, and clearly indicates his perceived value of the Optomap. It is solely marketing and perceived value to improve marketing. In the end, the outcomes are minimal.

    Whether an ophthalmic surgeon treats or not is also subject to the whims of the surgeon. Some laser or cryo strictly because they can do it and no one will object and some will won't because they know there is no significant sequelae. Some more will do it because the referral asks for it.

  16. #41
    Banned
    Join Date
    Jun 2000
    Location
    Only City in the World built over a Volcano
    Occupation
    Dispensing Optician
    Posts
    12,996
    I find the last post on this thread horrifiying.
    The thought that surgery is done on "the whims of the surgeon."
    The even more horrifying the surgery is being done "because the surgeon felt the referer wanted him to."

    Whatever happened to practicing medicine for the sole benefit of the patient? Have we really sunk to doing it for the state of the bottom line at the end of the month? Or for doing it for our friends sake? Or so the referrer will get a "referral fee?" Or so the feffer can get paid in the form of "follow-up care?"

    God, I think I will start taking my own physicals, eye exams, etc. At least I can trust me, even if I don't know what I am doing.

    Chip

    Jesus, It bothers me enough when you guys order un-needed tests, costly needless add-ons to lens packages, placebo drugs, useless drops, and silly shifting further exams to other "professionals in the office, when you know you could handle the problem. Now the surgeons are as corrupt as the prescribers opticians?
    Last edited by chip anderson; 12-26-2007 at 05:33 PM. Reason: Didn't think first coment ****** enough people off.

  17. #42
    Master OptiBoarder
    Join Date
    Oct 2005
    Location
    new york
    Occupation
    Optometrist
    Posts
    3,749
    Chip, don't you know by now. You're the only ethical person left in all the three Os.

  18. #43
    Banned
    Join Date
    Jun 2000
    Location
    Only City in the World built over a Volcano
    Occupation
    Dispensing Optician
    Posts
    12,996
    Gee and there are those that think I am a racist clan member and burns crosses on Saturday night before going to church on Sunday.

    Chip:o

  19. #44
    OptiBoard Professional dbracer's Avatar
    Join Date
    Jun 2007
    Location
    Washington
    Occupation
    Optometrist
    Posts
    114

    Optos

    I’d like to echo Dr. P’s support of the Optomap. I’d also like to agree with those who say it is not the best “camera” out there.

    When I used a camera I had to find the lesion then arduously try to photograph it, a task usually not worth the time and labor. If the lesion was extremely remote, which many are, the photo was questionable at best. And try to train a tech to do it. Good luck.

    The issue is not the need for high resolution. The issue is the need for efficient immediate discovery.

    I’ve done thousands of BIO’s since 1976.

    For an imperfect being with inadequate time and patience to shine a tiny flashlight in a diminutive dark hole, the opening to a cavity the size of large grape, inside the head of a creature that has limited light tolerance and mental stamina all for the purpose of discovering intricate minutia which is inverted and perverted is like trying to find diamond set in a gravel pit while hanging from a cable by your feet at midnight. Consequently I miss things. I know many of you don’t, but I do.

    That is nothing like looking at 90% of the retina for as long as I want, the essence of which can be captured in a quarter of a second through a 2mm pupil.

    Can I see further out with a binocular indirect? Yes, most of the time. Even though the Optos has on many occasions found what I’ve missed.

    Optos has repaired my camera at no charge and within 2 days. They’ve kept my softwear up to date. And, Like Dr. P, I make several thousand every month with the darn thing.

    Yet I really don’t care as long as I break even because of what it finds that I don’t, the PR, and the extra fees I’m able to charge well above the photo. If you want to leave that money on the table go right ahead -- these tiny little details I find then remedy, through the grace God and the deliverance of the Optos, I bloody well earn it.

    In today’s world any technology you buy will be obsolete in 2 years max. Optos has eliminated that and even allows me to make a little money in a small rural practice, and I can opt out if I don't like

    The Optos is not a camera. It’s a diagnostic instrument. But if you don’t want to use one, that’s fine by me in many ways.

    Respectfully,
    Dbracer.
    Last edited by dbracer; 12-28-2007 at 03:59 PM.
    "Do not waste time bothering whether you 'love' your neighbor; act as if you do." C.S. Lewis

  20. #45
    OptiWizard
    Join Date
    Dec 2007
    Location
    NY
    Occupation
    Optometrist
    Posts
    389
    "The Optos is not a camera. It’s a diagnostic instrument. But if you don’t want to use one, that’s fine by me in many ways. "



    I would argue that the Optomap is NOT a diagnostic instrument. Rarely do you get 90% view of the retina. The image does a good job temporally, but superior, inferior, and nasal isn't so hot. Factor in eyelahes, ptosis, or dermatochalasis, and you're not seeing much retina.

    Additionally, you lose resolution of the macula and optic nerve head. Are you able to determine elevations, thickening, etc...nope.

    I had a patient with a retinal detachment, that after 5 attempts, we were just able to get a glimpse of the detachment with the patient in EXTREME gaze. If I would rely on the Optomap as a diagnostic aid, and had the patient focus straight ahead, you wouldn't be able to see it.

    Again, invest in a Volk SuperVitreous lens...you will see alot more with more magnification than BIO...

  21. #46
    OptiBoard Professional dbracer's Avatar
    Join Date
    Jun 2007
    Location
    Washington
    Occupation
    Optometrist
    Posts
    114

    optos

    I admit 90% is rather rare. 83% to 85% is our norm if such estimates are even possible -- if not maybe 90's not unreasonable. But then, Our tech is exceptional and she rarely has an eyelash fringe of any type. Tape is sometimes necessary.

    I've had my tech find detachments I've missed, but I've virtually never had, even a superior defect, that I found that my tech couldn't provide a better view for diagnosis

    No offense, but it may be that you need someone to help you learn how to use your Optos better. It's an instrument that takes some attention, and you don't master them with one or two hundred shots. After you and your assistant get your heads together -- your clinic doesn't miss much.

    Still, I would never tell you the BIO is obsolete, dilated exams with laser or Volk lenses can't get way the hell out there, or binocular views don't have a considerable advantage. You are right. But when I'm bumping ciliary body with my Optos, many times I find those instruments unnecessary, and it provides a dozen different ways to get paid for my work that a Volk lens doesn't. Those who think they shouldn't get paid for such things are welcome to their plight. They don't have the right, therein, to begrudge mine.

    I'm just saying lets not let the perfect get in the way of adequate. I jump to the Optos more than the Volk for the rote. I use the Optos on virtually everyone, even welfare, who pay cash, especially when I've been in there with a BIO for the past 6 years. I sure-as-hell don't put a laser lens on everyone.

    And I will repeat a paragraph I previously provided:
    For an imperfect being with inadequate time and patience to shine a tiny flashlight in a diminutive dark hole, the opening to a cavity the size of large grape, inside the head of a creature that has limited light tolerance and mental stamina all for the purpose of discovering intricate minutia which is inverted and perverted is like trying to find with a penlight a diamond set in a gravel pit while hanging from a cable by your feet at midnight. Consequently I miss things. I know you don’t, but I do.


    Respectfully,
    dbracer.
    Last edited by dbracer; 12-28-2007 at 06:52 PM.
    "Do not waste time bothering whether you 'love' your neighbor; act as if you do." C.S. Lewis

  22. #47
    OptiBoardaholic
    Join Date
    May 2003
    Location
    United States
    Occupation
    Optometrist
    Posts
    902
    Quote Originally Posted by dbracer View Post
    The issue is not the need for high resolution. The issue is the need for efficient immediate discovery.
    Quote Originally Posted by OHPNTZ View Post
    Additionally, you lose resolution of the macula and optic nerve head. Are you able to determine elevations, thickening, etc...nope.

    I had a patient with a retinal detachment, that after 5 attempts, we were just able to get a glimpse of the detachment with the patient in EXTREME gaze. If I would rely on the Optomap as a diagnostic aid, and had the patient focus straight ahead, you wouldn't be able to see it.
    I understand dbracer's point that the need isn't necessarily for high resolution, but my experience echoes that of OHPNTZ's. The problems were not tech related. I found that the resolution of the macula and ONH were SO bad that the scans were practically useless. I believe I mentioned previously that the periphery was very dark... increasing the light levels would just wash out the ONH. This was still after two scan heads and who knows how many service calls.

  23. #48
    OptiBoard Professional dbracer's Avatar
    Join Date
    Jun 2007
    Location
    Washington
    Occupation
    Optometrist
    Posts
    114
    Quote Originally Posted by 1968 View Post
    I understand dbracer's point that the need isn't necessarily for high resolution, but my experience echoes that of OHPNTZ's. The problems were not tech related. I found that the resolution of the macula and ONH were SO bad that the scans were practically useless. I believe I mentioned previously that the periphery was very dark... increasing the light levels would just wash out the ONH. This was still after two scan heads and who knows how many service calls.
    Good Point '68,

    Yes, photo adjustment and the correct hi-tech programming is necessary, and you have to read subtlety.

    Some of the GP's to which I send diabetic bleeds etc. seem either to have inadequate imaging manipulation or fail to understand the manipulation needed. I usually wind up adjusting them before I transmit, but it causes a loss of picture quality to the recipient.

    And we do have to remember, it is a 2-dimensional representation. Still with serous maculopathies I get a reasonable representation especially with their 3rd level resolution. Optos are not panaceas, but they are a heck of a tool, almost as useful inside as a slit lamp outside.

    Respectfully,
    dbracer
    "Do not waste time bothering whether you 'love' your neighbor; act as if you do." C.S. Lewis

  24. #49
    OptiWizard
    Join Date
    Dec 2007
    Location
    NY
    Occupation
    Optometrist
    Posts
    389
    dbracer,

    The volk super vitreous lens is not a contact lens. It is about the size of a 90D, yet through its optics, it does not distort as you look to the periphery?

    Could you describe your dilated fundus exam? Is it with 90/78/etc or with a direct?

  25. #50
    OptiBoard Professional dbracer's Avatar
    Join Date
    Jun 2007
    Location
    Washington
    Occupation
    Optometrist
    Posts
    114

    Fundus lens

    Sure OPHNTZ,

    After entry Optos and anterior inspection. Dilate 1% tropic. & 2.5% phenyl. Proceed with various combos of:

    BIO w/ 30D & depression, a 20 D rarely (? because it shows up and I can't lay my hands on a 30 ??) 90D w/SL, 3 mirror gonios prn to ID lesion p. and mid-p. and 4 mirror gonios-> angles and anterior inspctn. I think I own a direct. Haven't seen'em lately.

    Well anyway, off the top of my head, that's about it, I think.

    Oh yea, I own two old Reichert MIO's. No longer made. Some have never got to learn to use'em which is disappointing. Takes about 120 days of persistence. They were the best "directs" ever made. Why'd they quit making those and go to those crazy Panoptics?

    And, why'd they quit making dapiprazole? Loved the stuff. What was that all about?

    I do not own the lens you mentioned. Maybe I should quit teasing my interests in the laser lenses and consider those vitreous "bubbles."

    That's what I love about this profession. There are so many interesting things, now. I can order anything from narcotics to x-rays. I'm limited by little other than my own willingness to accept responsibility. I get to walk on the edge.

    Respectfully,
    dbracer
    Last edited by dbracer; 12-30-2007 at 09:13 PM.
    "Do not waste time bothering whether you 'love' your neighbor; act as if you do." C.S. Lewis

Thread Information

Users Browsing this Thread

There are currently 1 users browsing this thread. (0 members and 1 guests)

Similar Threads

  1. Optomap Laser for Sale
    By Spectacles07 in forum General Optics and Eyecare Discussion Forum
    Replies: 3
    Last Post: 06-27-2006, 05:09 PM
  2. Optomap
    By April_01 in forum General Optics and Eyecare Discussion Forum
    Replies: 1
    Last Post: 08-25-2004, 12:27 PM

Bookmarks

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •