Eyeworld Supplements

EWAP SUM 2018 - Sponsored by Carl Zeiss Meditec

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The news magazine of the Asia-Pacific Association of Cataract & Refractive Surgeons Success with Zeiss refractive innovations APACRS Supplement to EyeWorld Asia-Pacific Summer 2018 SMILE, the ultimate goal of refractive medical services F eng Jun, MD, Singa- pore—who according to session moderator Detlev R.H. Breyer, MD, successfully developed the Aier Eye Hospital Group—con- siders small incision lenticule ex- traction (SMILE) "the ultimate goal of refractive medical services." Dr. Feng has been engaged for 13 years in the management of refractive medical services. This experience has given her a deep understanding of the fact that patient satisfaction is the most important thing for such services to provide. She has a firm conviction in the Mayo spirit, the "best hospital management in the world": Always insist on the needs of patients, give sincere and unique attention to ev- ery patient's health and happiness. The question is, how can a clinic or hospital achieve this? History Founded in 2002, the Aier Eye Hospital Group currently consists of 174 hospitals covering mainland China, Hong Kong, and the United States. It is the Group's privilege to be the only listed medical institution in China. Over its 15 years of exis- tence to the time of the Zeiss user meeting, the Group had accom- plished 1,500,000 cases, making it the largest ophthalmic institution in China. At the time, the Group had 17 VisuMax laser systems (Zeiss), which were used to perform 58,000 SMILE surgeries—the highest num- ber of SMILE surgeries by a single institution at the time. The Group had performed the most ICL surger- ies in the world, 24,000 cases. The refractive surgery service had grown into the largest business of the entire Group. At the same time, the Group's management evolved to become more efficient as its patient base grew. Patient needs This rapid development wasn't sim- ply about increasing the number of surgeries performed; it was also about enhancing patient experi- ence and, ultimately, satisfaction. The Group found that most patients were focused on concerns regarding the safety of the oper- ation, the treatment experience, and the information available on the surgery. This is why the Group places extensive efforts on the treatment experience and imple- menting patient education. Enter SMILE Over the previous 4 years predat- ing the user meeting, the Group had achieved rapid growth, due to the introduction of SMILE in 2013. Initially acquiring five VisuMax devices, they would acquire 24 more over those 4 years for a total of 29 devices in 2016. Over the same period, the volume of SMILE surgeries performed by the group grew 57 times, from 640 eyes in 2013 to 36,484 eyes in 2016. This growth isn't only due to the growing acceptance of SMILE among the Group's surgeons, but also to patients coming to recog- nize the procedure. Relentless pursuit Growth, however, comes from the relentless pursuit of technology and progress. In order to ensure that patients enjoy consistent, optimal results from the procedure, the Group enhanced their technical force through training, teaching, and assessment; communication and expert collaboration; and con- sistent postoperative follow-up. On one hand, the Group optimized the training process and established a specialist group. On the other, they organized technical exchange meetings with Zeiss. In 2017, the Group estab- lished the VisuMax Clinical Correla- tion base at Aier Guangzhou Hos- pital to further ensure the quality and safety of each medical team so that they can perform SMILE. The "secret" Some people ask, how has the Group become so successful with SMILE surgery? The secret, the Group has found, is patient education. Whether a patient un- derstands the value of the SMILE procedure or not is very important. Over the years, the Group communicated the value of SMILE surgery to patients all over China through patient education activities, providing patients with all the infor- mation they need through lectures given by experts. This strategy gave and con- tinues to give the Group's patients confidence in the procedure, reduc- ing fear and misunderstanding. The patients' trust and choice are precious, so every member of the Group's medical teams providing SMILE—the surgeons, the technical and support staff—is careful to make every patient feel good. The Group emphasizes teamwork involving the entire refractive center, including not just the doctors, surgeons, and nurses, but also the technical, service, and even marketing staff. According to Dr. Feng, rep- utation can only be won through diligence, full value chain manage- ment including ensuring the quality of the techniques and devices used for the procedure and the pro- cedure itself, as well as attentive communication pre- and postoper- atively. Every member of the staff is carefully trained and patients feel that the value of SMILE surgery matches the cost. 5 minutes to a lifetime As their practice grows, members of the Group constantly remind themselves that while SMILE for the surgeon is a 5-minute proce- dure, it is a lifelong experience for patients. Their patients, in essence, are giving the Group staff their lives. The procedure is called SMILE not just because the incision resembles a smile, but also because the ultimate goal of the Aier Group, as made possible by the refractive innovation that is SMILE surgery, is to provide patients with a lifelong feeling of satisfaction. In April 2017, Carl Zeiss Meditec (Jena, Germany) conducted a user meeting in Singapore. More than just a showcase for their latest tech- nologies, the company's user meeting has grown into a venue for peer-to-peer sharing of information among the world's top ophthalmic surgeons. The fourth symposium of the meeting, moderated by Detlev R.H. Breyer, MD, Duesseldorf, Germany, focused on the practical, practice- related aspects of using Zeiss's innovative refractive technology in the clinic not just to maximize benefit to individual patients, but also to ensure that clinics are able to sustainably provide consistent quality eye care to all patients while allowing practices—encompassing ophthal- mologists and all members of their staff—to grow and further expand their services to include a wider range of cases. Sponsored by Carl Zeiss Meditec Feng Jun, MD

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