This article was originally published in a sponsored newsletter.
It seems commonplace now to offer our patients greater technology options for pretesting. We can choose from a plethora of technologies, some of which are considered “standard” while others that take evaluation above and beyond are considered “extra.” This week, let’s review the technology opportunities at your disposal and examine how they enhance not only your patients’ experience, but also your bottom line.
Retinal imaging. It’s hard to argue against the value of a timely retinal image, especially if it’s a widefield image. Likely the most popular extra testing option, it is not only useful for tracking minute changes in the retina over time, but it also makes quite an impression on patients when you take the time to explain a few key observations.
Screening OCT. Once I implemented screening OCTs, which are included in my extra testing but are mandatory for those aged 45 and older, I started seeing quite a few details I had missed before. Understanding the nuances of the macular tissues, potential traction and glaucoma risk has elevated my ability to care for my patients comprehensively.
Meibography. However you capture this imaging, understanding the potential loss of glands and the risk for dry eye disease and its progression is incredibly valuable. In my experience, this technology gains leverage over time because patients remember conversations regarding these findings. I find that showing a comparison between normal and abnormal glands when displaying a patient’s images demonstrates the capabilities of meibography and furthers patients’ compliance with both home and office therapies.
Baseline concussion testing. I employ an eye-tracking device that gives a baseline for pursuits and saccadic function. We mostly use it for our pediatric patients, but it can be used in adults as well. In the event of a concussion, we re-run this test to mark changes from their baseline testing. Parents really appreciate this device because youth sports have varying concussion protocols, and it’s another tool to help understand the impact of an injury on returning to school and play.
Carotenoid levels. Nutrition and metabolic health have tremendous impacts on our patients’ ocular health. Over time, a few devices have been developed that can detect carotenoid levels within our skin. The indication of absorption of these antioxidants can help us understand daily depletion and overall systemic levels, as well as how we can improve them through diet and supplementation.
Is it “necessary” to do any of these tests? Per insurance and state board guidelines, I would say no, but I don’t practice just basic optometry. I practice elevated optometry, and I would point out that offering these tests to your patients—most often for a fee—will not only support your ability to continually invest in new technology to maintain that standard of care, but will also help you care for your patients better. That’s a win-win in my book.
