Eyeworld Supplements

MAY 4, 2019 | SUPPLEMENT TO EYEWORLD DAILY NEWS | 3 VerifEye Lynk steps using the phaco foot pedal, instead of having a nurse or technician push the buttons at the VERION cart. This has created a new level of efficiency in my operat- ing room. Another piece of technology that I have integrated into my OR in recent years is the NGENUITY 3D Visualization System. Prior to operating off of a 3D display, I was having back and neck problems to the point where I was seeing a chiropractor almost weekly and was having trouble sleeping at night. That's not a problem anymore, and I attribute most of that to being able to operate in a comfortable, relaxed position. NGENUITY also allows me to position severely kyphotic patients any way I want without having to contort myself to see through oculars. A third benefit is that visitors, residents, and fellows can more clearly see and under- stand the moves I'm making in the eye because they are watching the same monitor I am. The clarity and depth of field with NGENUITY is incredible. With most of these technol- ogies, there is improved efficiency and less potential for any postop- erative surprises. What is the cost of an unwanted event? One cost is the possibility of needing a second surgery. With the changes in how Medicare pays us, one also has to consider how that additional surgery could affect your cost rating and its effect on your Medicare adjustment. Time spent in the clinic explaining a mistake to an unhappy patient is costly not only in time, but also in terms of your patient's loss in faith. You might not just lose the patient but you could lose his/her refer- rals, and we all know that the best referral in the world is the word of mouth referral. Taking all of this into consider- ation—if we can obviate the need for transcribing information from one machine to a software program, which lessens the possibility of an error, if the process can be more efficient (my plans are completed while I'm seeing the patient in the exam room), and if at the same time it improves the likelihood of a good outcome—even though there are expenses at the outset, the benefits far outweigh them. n Editors' note: Dr. Cionni is the medical director of The Eye Institute of Utah in Salt Lake City. He can be contacted at rcionni@theeyeinstitute.com. ORA SYSTEM with VerifEye+ Technology Source: Alcon VERION Image Guided System •Reduces transcription errors •Improves clinic efficiency •VERION Reference Unit performs diagnostic measurements •Measurement data automatically imported into the surgical planning system •Surgical plan and reference image are uploaded into the VERION Digital Marker in the OR ORA SYSTEM with VerifEye+ Technology •Continuous intraoperative assessment •Suggests IOL power and toric placement •Surgeon optimization with ANALYZOR

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