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State of the art eye care


Jason Holland

National Director of Optometry

The Optical Super Store, Brisbane QLD


Oculus Keratograph 5M corneal topographer


Designs For Vision


Optometry is changing. The transition has seen greater emphasis placed on diagnosis and management of eye disease. In a competitive marketplace, acquiring technology and expanding the scope of your clinical services can be a means of differentiating your optometric services from those of your competitors.

I am in a privileged position to practise in association with an ophthalmologist, so I have access to many toys. I have become aware of the difference made by the ability to market the technology to patients.

I am in the business of providing state of the art eye care. That’s right, I said ‘business’. It does not matter how clinically-advanced a scan is if the patient cannot see the value. When recommending treatment, a scan reinforces why it is required, then it measures and shows the outcomes of that treatment.

The Keratograph 5 corneal topographer is a unique piece of equipment. Clinically, it offers the ability to perform multiple assessments but its true power is in the way it can communicate information to patients.

Possible examinations on the Keratograph 5 include topography (Figure below), tear film meniscus height, infra-red meibomian gland scan, lipid layer assessment, and anterior segment photography and video in white and cobalt blue light. These last two features can be lifesaving during your first keratoconic fitting in discussions with the laboratory.

E172 Figure 1. corenal topography-F

For me, the outstanding features are excellent topography to aid the fitting of orthokeratology and difficult corneas as well as the non-invasive tear film break-up map and meibomography.

Dry eye and meibomian gland dysfunction are very prevalent in my practice and can often be difficult conditions to manage given their chronic nature. Frequently, patients present with a handful of eye-drops saying that none of them works. I look with fascination at the 1994 vintage Albalon-A and the 2011 samples of eye-drops.

The Keratograph 5 allows me to show the patient where their eyes begin to dry with the non-invasive tear film break-up time. I can then show them a scan of the meibomian glands which contribute to the problem. After this, I launch into my discussion about the need for warm eyelid massage and particular lubricants and other products. The patients have a deeper understanding of what we are treating and are more accepting of the process and the cost.

Designs For Vision provided prompt delivery and after-sales assistance. The company also supplies Optimel Medical Honey for dry eye treatment; Blephasteam for meibomian gland dysfunction and the Mastroda paddle for gland expression.


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