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Post-Pandemic: Space and time

Mike Hale presents the equipment that allow for safer practise post-Covid

Optos: California

Optos’s ultra-widefield (UWF) retinal imaging technology allows the company’s devices to produce 200° UWF Optomap images that document 82% of the retina in a single capture. The Optos range of devices that employ UWF imaging includes Silverstone, Monaco, California and Daytona. The company says Optos imaging is proven to improve practice efficiency resulting in less waiting room time. In addition, Optomap images can be captured from a safe distance with no close face-to-face interaction.

According to Optos, more than 20,000 Optos devices are in use worldwide with Optomap imaging used by relevant health professionals to diagnose and manage hundreds of eye diseases, including detachments, age-related macular degeneration (AMD) and diabetic eye disease. Optomap has also helped the detection of early-stage ocular cancers and cardiovascular disease resulting in life-saving treatments.


Mainline Instruments: iCare IC10

Mainline says the iCare IC100’s patented rebound technology is a reliable technique for obtaining accurate and rapid IOP measurements from patients. Measuring requires no anaesthetic drops, air puffs or other preparation. The guiding features and an intuitive user interface are said to maximise efficiency in clinical routines and no specialised skills are needed. The tonometer can be held at a safe distance from the patient while the bright OLED display screen guides operation clearly and presents results quickly, reducing measurement duration.


Carleton: Canon Xephilio OCT-A1

The Canon Xephilio OCT-A1, distributed by Carleton, is said to offer impressive OCT quality with a digital resolution of up to 1.6μm that enables excellent differentiation of structures and individual layers of the retina. In addition, Canon has launched OCT-A Intelligent Denoise software, which is said to provide a new quality of OCT-A Images in a single scan with greatly reduced noise, increased detail and improved visibility within milliseconds.



Canon notes that since Covid-19 the requirement of physical distancing during patient examinations is the new reality in practices and the Xephilio OCT-A will permit safe operation of the device. This is mainly because the device does not require joystick operation and it can be operated from any PC and with just a few clicks. According to Canon, patients will appreciate seeing that examinations can be conducted safely from a few metres away, or even in a separate room.


Topcon: Chronos

Topcon Chronos is said to be a complete digital refraction solution that combines binocular objective autorefraction, keratometry and subjective refraction in a single device. The fully automated system guides the clinician, clinical assistant or dispensing optician through the refraction software with its SightPilot, which can be controlled at a distance from the patient via a tablet. The test is simplified so it is quicker than refraction with a trial lens set and less interaction at close proximity needed with the patient. Overall, Topcon says Chronos saves time and space and allows eye care providers to grow their practice while working smarter, safer and more efficiently than ever before.




Essilor: Vision-R 800

According to Essilor, the Vision-R 800 phoropter improves the way ECPs perform an eye examination and helps to differentiate optical practices by providing superior visual performance for patients. The phoropter can be operated from up to seven metres away from the patient, making staff and patients feel safe and reassured during the whole process.

Paul Cumber, instruments director at Essilor, said: ‘Using a digital auto-phoropter offers your patients the best of their vision with refraction technology that delivers a faster, more precise procedure. Not only does it perform a safer eye examination by creating valuable space between yourself and the patient, but it also gives a high precision refraction, delivered by measurements up to 0.01D for unparalleled accuracy.’

The Vision-R 800 benefits from a patented, automated optical module powered by digitally-controlled motors. It provides simultaneous and instantaneous changes of sphere, cylinder and axis, to reach the final prescription more directly and faster, instead of examining these components individually.



Zeiss: Zeiss Cirrus HD-OCT

OCT technology from Zeiss is said to allow the flexibility to adapt workflows to suit a specific practice and gives the option to implement socially distanced or even remote OCT imaging. According to Zeiss, the Cirrus HD-OCT family is geared for supporting the implementation of no-touch, physically-distanced and ultra-fast OCT exams in practice, with breath shields also available. Further improvements in minimising chair time and optimising patient throughput are available with the high-speed imaging and efficient single-page reports on the new Zeiss Cirrus 6000.

The range of Cirrus devices also provides the option to set up a remote workstation for OCT exams. This allows communication with patients and acquisition of images while being seated in different rooms or even in different buildings.



Hoya: VisuReal Master

Hoya says its VisuReal Master video centration system determines all necessary centration data precisely and automatically while blending seamlessly into a practice’s interior design. Said to be fast and efficient without a cumbersome measurement set-up, the VisuReal Master provides precise measurements in a user-friendly fashion for patients. The device consists of both hardware and software components with a six-camera set-up in a flat mirror case.