Office Talk: Growth Update - E25
The office has been crazy the past few weeks. We are going live with our new practice management software, seeing our myopia management patients for their 3 month follow-ups, fitting scleral lenses, and training on our newest piece of equipment, a Cirrus OCT.
Scleral Lenses
The fits have been amazing. If you have struggled with sclerals or are looking for a new option, I cannot say enough about the Custom Stable Elite by Valley Contax. Easy to fit, great customer service, tons of support in growing a scleral lens practice.
That being said, there have been a few self inflicted bumps in the road. The first was really easy to fix and that is remembering to vertex convert if your over-refraction is over +/- 4.00. I always do with my soft contact fits, I just never thought to do it with my scleral over-refractions.
Secondly, NEVER NEVER NEVER forget that your trial lenses have powers in them! I fit 5 patients in the last 2 weeks and 2 of the 5 patients, I ordered the over-refraction and not the power the lens should have been when factoring in the trial lens. It made for an interesting dispensing appointment when I could not figure out why I had a symmetrical over-refraction and the patient was happier in the trial lenses than his custom lenses!
No pain, no growth my friends!
Myopia Management
I have been really happy with my myopia management patients and their response to treatment. Until this week. I had an 11 year old caucasian female come in for her 3 month follow-up. She is being treated with 0.025% atropine and does not have any desire to try soft contacts or ortho-K. Her axial lengths were stable OU but her Rx was up -0.50 OD and -0.25 OS 4 months after her last comprehensive and 3 months after starting treatment.
I would love to start ortho-k or soft CL’s, but instead will monitor and if she progresses at her next visit increase the atropine to 0.05%. We shall see what happens.
Tune in next week and I will fill you in on the adventures of new practice management software and the OCT training.
Join in the fun and subscribe to the podcast to keep up with all the great content coming down the pipe! For exclusive content, be sure to register your email on our website and I will be sending out newsletters and other great bonuses as we go. I love getting feedback, questions, suggestions, etc. so contact me at www.theultimateod.com, on social media (click here for -> Twitter, Instagram, Facebook) OR, just shoot me an email at drlillie@theultimateod.com and I’d be happy to chat!