One instrument

[Ryan_eyeball]

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If I could pick one ophthalmic instrument to buy that is "optional, or luxury item" to starting a practice I would pick a non-mydriatic fundus camera. Diabetes, HTN, Glaucoma "evals", mac degernation, anterior seg pics (just focus it right to the cornea-poor man's ant seg camera).

Would you rather have an OCT, GDX, Visual Field (matrix, Humphrey, Goldman), Autorefractor, Remote control projector, Remote control phoropter, wireless BIO, I guess I'll thrown in EMR also, or anything else you come up with.

 

[still_confused]

i want a hot salesperson to sell my frames

 

[bournehall]

Just wondering, from my experience the image is not as good when the pupil is not dilated. Doesn't matter if non-mydriatic or not.

If I could pick one ophthalmic instrument to buy that is "optional, or luxury item" to starting a practice I would pick a non-mydriatic fundus camera. Diabetes, HTN, Glaucoma "evals", mac degernation, anterior seg pics (just focus it right to the cornea-poor man's ant seg camera).

Would you rather have an OCT, GDX, Visual Field (matrix, Humphrey, Goldman), Autorefractor, Remote control projector, Remote control phoropter, wireless BIO, I guess I'll thrown in EMR also, or anything else you come up with.

 

[Ryan_eyeball]

Just wondering, from my experience the image is not as good when the pupil is not dilated. Doesn't matter if non-mydriatic or not.

I find it helps to take one then wait five minutes for the other one. If they are pinpoint pupils, then dilate them. Most patients will dilate if you explain it well enough and the importance of dilating. A dilated picture will always be better though.

 

[EyeBaller]

If I could pick one ophthalmic instrument to buy that is "optional, or luxury item" to starting a practice I would pick a non-mydriatic fundus camera. Diabetes, HTN, Glaucoma "evals", mac degernation, anterior seg pics (just focus it right to the cornea-poor man's ant seg camera).

Would you rather have an OCT, GDX, Visual Field (matrix, Humphrey, Goldman), Autorefractor, Remote control projector, Remote control phoropter, wireless BIO, I guess I'll thrown in EMR also, or anything else you come up with.

Do you think that some kind of visual field (probably Humphrey) shouldn't be an "optional/luxury" item, but really should be a standard piece of equipment in a private office? Isn't it almost standard of care? Not much point having a fundus photo for a glaucoma eval if you can't get a field too? And what about pachymeter?

But you're right, the one optional thing you should definitely get is the fundus camera. So many uses.

 

[Hines302]

Would you rather have an OCT, GDX, Visual Field (matrix, Humphrey, Goldman), Autorefractor, Remote control projector, Remote control phoropter, wireless BIO, I guess I'll thrown in EMR also, or anything else you come up with.

I would buy an X-Box 🙂

 

[r_salis]

I would buy an X-Box 🙂

Make that a Wii, please. 😉

A VF should be standard in any office, then after that I'd take the fundus camera.

 

[KHE]

If I could pick one ophthalmic instrument to buy that is "optional, or luxury item" to starting a practice I would pick a non-mydriatic fundus camera. Diabetes, HTN, Glaucoma "evals", mac degernation, anterior seg pics (just focus it right to the cornea-poor man's ant seg camera).

Would you rather have an OCT, GDX, Visual Field (matrix, Humphrey, Goldman), Autorefractor, Remote control projector, Remote control phoropter, wireless BIO, I guess I'll thrown in EMR also, or anything else you come up with.

For someone just starting a practice, you need equipment that you can actually bill for...

An autorefractor, remote control projector, remote control phoropter, wireless BIO and EMR are not things you can charge for. All they will do is run up your costs and bring in no additional revenue.

I would get a fine imaging system....many of them now combine internal AND external photography, both of which you can bill for and which reimburse well and which provide a significant "wow" factor to your patients.

For visual fields, I would start with a humphrey FDT. It's not the kind of instrument that I would use to diagnose or monitor glaucoma with but it's inexpensive and gets the job done.

As your practice grows, you can add more equipment you can get paid for using and then after that start adding the fancy bells and whistles.

As usual....all of this is predicated on you having access to medical insurance billing....as I've said on here about 1349872 times.

 

[Ryan_eyeball]

For someone just starting a practice, you need equipment that you can actually bill for...

An autorefractor, remote control projector, remote control phoropter, wireless BIO and EMR are not things you can charge for. All they will do is run up your costs and bring in no additional revenue.

I would get a fine imaging system....many of them now combine internal AND external photography, both of which you can bill for and which reimburse well and which provide a significant "wow" factor to your patients.

For visual fields, I would start with a humphrey FDT. It's not the kind of instrument that I would use to diagnose or monitor glaucoma with but it's inexpensive and gets the job done.

As your practice grows, you can add more equipment you can get paid for using and then after that start adding the fancy bells and whistles.

As usual....all of this is predicated on you having access to medical insurance billing....as I've said on here about 1349872 times.

Is there one you would recommend that has both internal and external photo capibilities? I have a regular FDT, but would like to acquire a Matrix FDT instead.

I've found that the old Goldman fields are invaluable in advance glaucoma documentation if you can find one, and find someone that can do one reliably.

 

[susana1004]

Is there one you would recommend that has both internal and external photo capibilities? I have a regular FDT, but would like to acquire a Matrix FDT instead.

I've found that the old Goldman fields are invaluable in advance glaucoma documentation if you can find one, and find someone that can do one reliably.

I've heard that Haag-Streit has introduced a new Goldman perimeter called the Octopus 900 that is easy to use and extremely reliable. The Octopus that I have seen in operation had incredible fixation control and the doctor using the instrument raved about the glaucoma testing.