Cataract Outsourcing in 2020

2020 is a great year to ramp up your cataract business. In fact, in several ways, there has never been a better time to start outsourcing than now. The cataract climate is changing, and there are more and more reasons (practically & economically) to begin a cataract outsourcing partnership.

Just in case you didn’t know, Surgical Direct Inc provides a mobile cataract service that provides the latest cataract equipment to your OR with no capital outlay. Along with equipment provisions, we provide customized and flexible case supplies (eliminating in-house inventory) and highly-trained hands-on support during surgery.

Why Outsource in 2020?

1) Higher Medicare reimbursement rates are about to kick in.

We all know what this means…revenue loss. Investing in new equipment may not be the smartest option right now. Instead of being stuck with old equipment, outsource with SDI and we’ll outfit your OR with new technology and help you make up the difference.

2) Easily upgrade to 2 Rooms

In light of revenue loss, a great way to increase revenue is to do more surgery. But we all know that OR situations can’t always accommodate more surgery due to time, and not enough equipment. Surgical Direct provides the option to have 2 fully operational rooms on eye day, so you can get more surgery done in a day. Our cataract coordinators work directly with your OR staff, adding knowledge and able hands to each room on eye day,

3) Expand your practice with Satellite Surgical Locations

Adding satellite cataract locations in 2020 will broaden your market and increase your practice’s revenue. Surgical Direct makes satellite surgery easy. Our OD referral network allows you get connected with referrals so you can build up surgery days quickly. We work directly with the hospital to outfit the OR with all the equipment and supplies you need to operate and feel comfortable.

4) Inventory and Lens Management is so 2019

Every partnership with Surgical Direct allows you the option to drop inventory and let us take care of all the little details. We can provide all ancillary supplies like blades, cannulas, viscoelastics, drapes, and more. We configure customized pack-out lists that are tailored to the surgeon and facility. This cuts down your inventory management for eyes, freeing up time and space in your facility.

Plus, no more lens consignments! Surgical Direct can provide any lens, any time, including all premium lenses. We work directly with the surgeon’s office for lens picks, which are triple checked and brought to your facility with plenty of backups.

2020 is ripe for the taking and here at Surgical Direct, our mission is to be the best cataract support team you’ve ever seen so you can focus on growing your cataract practice. Ready to learn more? Get in touch below.

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2 Rooms in 2020

Double your Cataract Surgery Capacity with Surgical Direct Inc

Are you tired of capacity limitations (as well as efficiency) during cataract days in your OR? Often times it’s only possible to have 1 room operational for cataracts because you simply don’t have enough equipment to pull it off efficiently. It also can be a logistical challenge due to supply demands and staffing. But the truth is, there are many OR teams (perhaps even yours) that wish they could run 2 rooms on cataracts days, but simply don’t have the means to do it.

Here’s some season’s cheer for you! Not only does Surgical Direct make it possible to set up 2 rooms, but we also bring knowledge, efficiency, and support to your OR that makes 2 room days even more efficient than if you tackled them on your own.

Go from 1 room to 2 rooms with Surgical Direct and double your Cataract day capacity.

1) Capital is a NON-issue

SDI creates the pathway of least resistance for you to gain access to the latest cataract technology (enough for 2 fully-operational rooms in your OR) at no capital expense. Equipment is delivered to your OR on the day of surgery by our highly trained support team members…which brings us to our next point.

2) Double your case-turnover and in-case support

2 Room days with Surgical Direct not only provides enough equipment for your day but also provides 2 highly-trained SDI team members who deliver the equipment and help throughout the day. SDI coordinators are intensively trained and certified to assist with machine settings, setup and tear-down, room-turnover, and supply chain requests.

3) Half your Inventory Hours: Case Supplies & Lens Inventory

Along with equipment, Surgical Direct’s Mobile Cataract Service provides facility and surgeon all the case supplies they need to do their job well (minus drugs). Case disposables, instruments, and lenses are meticulously packed prior to surgery day with our detailed pack-out lists that are tailored to the surgeon and facilities requests. This includes lens picks, which we coordinate directly with the surgeon’s office, and are triple-checked before arrival.

At Surgical Direct, our mission to reduce the resistance and create clear pathways to efficiency and success for all. There are many details and benefits that we offer (too many to list here) that we believe will create a meaningful partnership of success for surgeon, facility, and patients alike.

Don’t hesitate to get started! With all that is on the horizon, now is a great time to upgrade from 1 room to 2. Surgical Direct gives you the means to do it!

Contact us today and let’s talk about your needs and how we can help!

Preparing For The End-Of-Year Cataract Rush

We call November-December the “End-Of-Year Cataract Rush”. Insurance deductibles generally roll-over on Jan 1, and for many patients, deductibles have been met fully met towards the end of the year. This means that (generally speaking) Ophthalmologists and their practices experience the an influx of cataract cases in the last 2 months of the year. In fact, this is true for many other specialty fields as well. Since we are in the cataract surgery business, our team experiences this and expects this every year.

How To Prepare For the Busy Cataract Surgery Season?

1) The Right Team

A big piece of the puzzle is making sure your OR systems are fine-tuned and ready to run smoothly. A well-oiled machine runs smoother and more efficiently. Who is in charge of what? Do you have designated point-people on your team that act as the “go-to person” for specific roles in the context of cataract day? If not, then your team has holes in how efficient you can be.  This is tough for many OR’s because eyes are not the only (and also not the most profitable) cases and your team can only wear so many hats!

Surgical Direct’s Mobile Cataract Service provides a highly-trained and experienced technician for every case we provide equipment for. This means, for every cataract surgery with us, you will have help, knowledge, and support. In our experience (and from the mouth of our customers), our guys help increase efficiency through their supply management skills, preparation, and assistance with technical specs on the equipment.

2) The Right Equipment

Speaking of equipment, you need the right equipment if you want to increase your efficiency. Every time new cataract technology is released,  there have been enhancements made in safety and efficiency from the previous technology. Study the evolution of every phaco platform and ophthalmic microscope in the past 20 years, and every update has included technology, software, and hardware updates that support safer and more efficient surgery. That begs to reason that if you use the latest technology available for cataracts, you’ll likely have shorter and safer cases. The biggest hurdle for most ORs….the cost to keep up with the technology!

Surgical Direct is your technology solution! Using our services, you’ll be able to stay current with ophthalmic technology, without investing your capital dollars, or dealing with the necessary equipment maintenance.

3) The Right Supplies

Having what the doctor needs when they need it is a crucial part of keeping case time low. Ophthalmologists use a wide variety of unique (and tiny) supplies that are very specific. To the untrained eye, 20 cannulas look the same, but under a microscope, they are all different and used for specific purposes in surgery. Most OR teams can figure this out for normal routine cases. It gets tricky when the surgeon wants to implant a different lens or has a complication (minor or major). Keeping all regular and irregular supplies and lenses stocked can be a time-consuming task.

Part of our Mobile Cataract Service includes inventory management for both case supplies and lenses. We work directly with the surgeon to ensure they have what they need (and what they want on-hand). During surgery, we play an active role in the room, grabbing requested supplies, assisting with lens changes, and helping with case turnover.

So remember, during this end-of-year rush think about your efficiency in regards to cataracts. Is there room for improvement? We are ready to partner with you and your OR in 2020 to give you the most seamless and efficient cataract experience possible!

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Cataract Headwinds Will Change Revenue

Now is a Good Time for Eye Outsourcing

The ever-changing landscape of the ophthalmology specialty (specifically in cataract practice) can prove to be a tough market to forecast when it’s a good time to invest in technology. The past held much more certainty regarding the security of investment when purchasing Cataract equipment. And even though the baby-boomer cataract age is here, that doesn’t mean there is certainty in ROI, due to the constant evolution of the medical industry and the changing cataract headwinds on the horizon.

What do we mean by “Cataract Headwinds”? Headwinds change climates, spear-heading an area into a new season. We believe there are 3 things on the horizon that can change the climate of cataract surgery as we know it, all 3 creating unique twists to ROI.

1) Cataract Surgeon Reimbursements

This one, in truth, isn’t really a headwind. It’s already here. In 2020, Medicare reimbursements for cataract surgeons will drop, maybe as much as 15% for non-complicated procedures. That’s a hit! Read through Review of Ophthalmology’s article titled “Medicare Proposes Another Cut In Cataract Reimbursement” for yourself for more info.

Having the need to increase your case volume to make up the difference makes profitability more challenging. Eliminating capital investments and/or adding satellite locations to your practice can help increase your revenue by reducing overhead and increasing market expansion. Our mobile cataract program is the perfect partnership for satellite locations!

2) Office-Based Cataract Surgery

There has been much talk about Office-Based cataract surgery in recent years. The idea first came to the surface in the 80s and was quickly discarded due to the hurdles at the time. Healthcare and technology have rapidly grown since the 80s, and now the discussion is back on the table in many circles, and serious thought and trials are in place to determine whether this is the future of cataract surgery (at least non-complicated cases).

Despite this not being here yet (it’s a headwind), if brought into effect would change the cataract climate dramatically. Patients and surgeons alike would appreciate the benefits and convenience of the office-based approach. Any practice with the means would likely be very interested. Of the many questions on the table in this discussion, 1 would be technology investment, and 2, whether the office-based model will be a short-lived trend. Either way, let Surgical Direct take on the risk of providing equipment and technology.

3) Bi-Lateral Cataract Surgery

The “Two-for-One” cataract model has been in debate for some time. Initially, this model was frowned upon due to the risk of infection and longer recoveries, but recently the discussion is back on the table and CMS is looking at this model again.
Bi-Lateral case-coding for the second same-day eye will reduce the reimbursement rate on the second eye by 50%, so if thinking about offering bi-lateral cataract surgery, you have to take into account the loss in revenue that you’ll encounter on these cases.

Let Surgical Direct Take Your Cataract Technology Risk.

The bottom line is that in today’s cataract surgery landscape, there is a lot of risk in investing in new technology. Surgical Direct offers a turn-key, zero-risk solution for your cataract program. Our Mobile Cataract Service model provides the newest technology to your OR of choice, full-service case supply management (including lenses), and no capital fund investments. You only pay for our service when you use our service.

Want to know more about Surgical Direct and our services? Check out our recent post about 5 Headaches Eliminated with Mobile Cataract Services to see how Surgical Direct can help alleviate your cataract surgery woes.

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The Power of Having Options

One of the most powerful things that Surgical Direct’s Mobile Cataract Service model delivers is the ability to expand your options and open the door of what’s possible. Options in technology. Options in case supplies and lens selections. Options in location. Having options means having freedom! Having the freedom to make changes or try new things, gives you (the cataract surgeon) the ability to become a better surgeon.

3 ways that having cataract surgery options make you a better surgeon.

 

1) In Technology.

When it comes to purchasing equipment, there can be a lot of pressure both for surgeons and surgical facilities to pick the absolute right machine. The surgeon needs to be comfortable with the machine and know that it’s the best choice for his/her surgical style (and ultimately the patients’ outcomes). We’ve seen this repeatedly that a surgeon (after demoing a machine) decides to move forward and purchase, then 2 months later realizes he/she does not like something about the machine. But at this point, it’s too late because the facility has already invested heavily. The surgeon then feels stuck and obligated to use a machine that doesn’t feel right anymore….oftentimes for years. Another common issue in this department is that new technology is released often in Ophthalmology. Keeping up can be expensive. Or what if there are 2 cataract surgeons in the same facility that want different machines?

Having the technology options that Surgical Direct provides can reduce the pressure to commit and allow for flexible technology use without heavy investments.

2) In Case Supplies.

We know that as a surgeon, it’s important to have confidence in decision making during a case. You know what is best for the patient and the scenario that you are dealing with. When you need something, it’s important that you are able to access that instrument or supply quickly, and the support team should have even sparsely used supplies within reach for these situations. The problem that we have run into in the field is that often times, multi-specialty surgical facilities will only carry what’s absolutely necessary. This can create an uneasy feeling, not fully knowing if what you need is even in the building!

Having case supply options that Surgical Direct provides reduces worry over inventory management issues. We provide all the supplies you request PLUS backups, including lenses, case supplies, and on-call items like rings, vits, AC lenses and more.

3) In Surgical Locations.

Partnering with Surgical Direct gives you the option to access the same surgical experience in multiple locations. As a surgeon, your best surgery and surgical outcomes come when you are comfortable in your operating environment. Surgical Direct provides you the option to use the same technology, case supplies, and dependable service in ALL your surgical locations, which can be a powerful growth tool for your practice.

Having options gives you the power to operate the way you want to operate.

Have questions about how our services work? Read through our onsite testimonials and hear for your self what other surgeons and surgical admins have to say about our services.

Call or click below.

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Successful Satellite Cataract Surgery

Satellite surgery is a very effective way to grow revenue for your ophthalmic practice, and as mentioned in our previous blog on upcoming Cataract Reimbursement Changes, satellite surgery is a reliable way to regain lost revenue after the new reimbursement cuts take effect.

Half the battle in a successful satellite cataract surgery arrangement is the startup!

Surgical Direct Inc (SDI) simplifies the process in 4 primary ways:

4 Ways SDI Simplifies Satellite Cataract Surgery.

 

1) Referral Network Connections

SDI is well connected. If you are a surgeon and you approach us with the desire to start a satellite connection, we do the legwork in connecting you with referring ODs in your desired satellite region. If you are a surgical facility with a desire to add cataract cases but have no equipment (or capital for equipment), we provide the latest technology directly to your facility on surgery day at no upfront cost. Have no surgeon connections? Not a problem! We simply connect the dots in our referral program, connecting you with surgeons who are ready to take on surgery in your area. It’s a win-win-win!

2) Supply Management & Coordination

A big detail in starting a new surgery in your facility is supply management and inventory. For Cataracts, there are quite a few supplies needed for a normal case, but additional items that must be on hand in case of an unexpected instance during surgery. With Surgical Direct, you don’t need to worry about supplies (even back up supplies) or lenses. We coordinate with surgeons and facilities, filling the gaps, and often providing the majority of case supplies, alleviating inventory hassle for the facility, and ensuring the surgeon has everything he wants and needs…every time!

3) Full-Service Facility Setup

So what happens on surgery day? Our surgical coordinators arrive at your facility at least 1 hour before surgery starts, start setting up equipment and unloading case supplies for the day. They will dress-out, wheel-in the clean equipment, and prime/test to ensure that everything is ready to go well before the surgeon arrives. They will also hand-off/coordinate supplies for the day, working directly with your OR team. But that’s not all! Our coordinators offer knowledgeable and aware support during surgery. This includes machine setting adjustments, sterile supply opening, room-turnover, troubleshooting, and more.

4) Stable Equipment Provisions

No surgeon wants to use equipment that is not dependable. At Surgical Direct, we do our best to alleviate any equipment issues during surgery. All of our equipment is regularly maintained and always up to date with the manufacturers’ preventative maintenance specifications. However, we’ve been doing this long enough to know that unexpected things happen and even perfectly maintained equipment can act up. That’s why we also provide backup equipment (onsite or on-call) for every surgery day to minimize OR time as much as possible and keep the day running smoothly.

Surgical Direct reliably provides a stable turn-key solution for Ophthalmic technology access. We offer and deliver the best surgical service, platforms, devices, and supplies in cataract outsourcing.

We make the option of satellite cataract surgery a reality.

Want to know more about Surgical Direct and our services?

Click through below to gain access and let us know what we can do for you.

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Cataract Reimbursements Change In 2020

Medicare has proposed more cuts for Cataract reimbursements for surgeons in 2020, maybe as much as 15% for non-complicated procedures. If you haven’t heard of this yet, read through Review of Ophthalmology’s article titled “Medicare Proposes Another Cut In Cataract Reimbursement”.

Reduced cataract reimbursements, once again, creates a unique situation for surgeons and their practices, having to (a) settle for a reduction in revenue, or (b) figure out a solution to raise their case volume and productivity to make up the difference. We’ve done a little math on our end, and it looks like surgeons will have to add an average of 3-4 cases per surgery day to bring in the same revenue.

Surgical Direct can help make you make up the difference!

Surgical Direct is your cataract outsourcing solution, delivering a service of excellence with care. Our Mobile Cataract Services boost your efficiency standards to new levels.

Here are 3 practical ways that we can help increase your revenue.

1) Satellite Locations

Have you thought about adding a satellite location? More surgery days is probably one of the best ways for you to increase your practice revenue. With satellite locations,  your market reach is multiplied without the heavy investment of opening a second office, time, and the slow climb of establishing your practice in a new market. 

Surgical Direct partners with you in making satellite locations an easy solution for growth. We do all the legwork by connecting you to our OD referral network to get those cataract referrals rolling in.

Plus, we work with the satellite facility so that you can walk in the door, operate with the equipment and supplies you are comfortable with, and walk out. We take care of all the operational details for you.

2) New Technology (with provided backups)

Newer Phaco and Microscope platforms provide extra measures of efficiency and safety for every patient. Harder cataracts are removed easier, in less time, with better post-op results (generally speaking, but there’s also science behind that statement).

Surgical Direct gives you the opportunity to upgrade your Phaco and Microscope platforms when you want to without spending the capital, which gives you the opportunity to increase your efficiency right now, instead of waiting for funds to become available.

We also provide backup machines for every surgery day, so equipment delays are a non-issue and the day can continue to flow. No more equipment issue delays.

3) Surgery Add-On Options Made Easy

Cases that would be categorized as “Complicated” for reimbursement, generally require different inventory and support than your average case. When it comes to planned surgical Add-on options that can increase your reimbursement rates, Surgical Direct has you covered! Your office requests it, we provide it. This includes Hydrus Microstent systems, iStent inject systems, Omni Glaucoma Systems, and more.

When it comes to the unexpected case scenarios, Surgical Direct Coordinators come prepared for all un-expected case scenarios as well, stocking ample backup supplies like Iris Rings/Hooks, CTRs, Vits, and extra Viscoelastics for the day.

In short, Surgical Direct is here for you, determined to be your partner in all your cataract surgery needs and help you take your practice to the next level.

To learn more about our services, click through below to learn more or contact us directly for in-depth details.

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Alcon Centurion VS B&L Stellaris Elite

Today, we wanted to do a quick comparison on 2 of the highest-rated phaco machines in today’s market, Alcon Centurion Vs B&L Stellaris Elite.

Phacoemulsification platforms are highly advanced pieces of medical equipment. Ultrasonic phacoemulsification was first introduced in the 60s, but it wasn’t until the 80s that it didn’t catch on as the primary method of cataract removal, and even then, there were still many skeptics. Since the ’90s, phaco has taken a drastic upturn and has become the primary method of cataract removal, resulting in a 98% success rate on all cataract surgery operations. That’s pretty astonishing and heavily due to how sophisticated phaco technology has developed.

So let’s look at 2 big players in today’s market and look at their selling points.

What are the main differences between Centurion and Stellaris Elite?

 

The Alcon Centurion Vision System

1) Onboard Ultrasonic Technology

Centurion carries over the powerful OZIL Phaco Technology from its predecessor (Alcon Infiniti), along with some significant upgrades. Centurion gives the option to use traditional/ longitudinal ultrasonic patterns or OZIL’s patented Torsional ultrasound, or a combination of both at the same time. This is no different from the Infiniti, however, Centurion introduced the INTREPID Balanced Tip to the market (which is only available with Centurion). The Balanced Tip offers more effective cutting at the tip, which less movement at the incision. This has proven to be highly efficient in emulsifying dense cataracts with less power output.

2) Fluidic Technology

Arguably one of the best features on Centurion is its fluidic technology. Centurion uses Active fluidics, which means that gravity drip is not at play on this system. Instead, the bag of BSS is hosting between two sensored plates. Highly-sensitive pressure reading sensors, constantly read intraocular pressure throughout the procedure, sending signal to the plates to adjust the inflow of fluid. This allows the surgeon to set a desired IOP for the case, and Centurion will keep that IOP inside automatically. This creates a “stable” or “quite” chamber for the surgeon, greatly reducing the chance of post-occlusion surge, etc. The fluidic pump is a Peristaltic pump, which builds vacuum pressure incrementally, but due to this system’s software, we’ve never heard a surgeon complain about the available vacuum levels this machine can produce.

3) User Interface

Centurion’s user interface is intuitive, sophisticated, and highly programmable. The user touch screen is extremely accurate and the interface is user-friendly, giving accurate detailed reports at all times. Centurion also offers solid (and familiar) interface elements to the surgeon. The Centurion’s foot pedal is wireless, solid (made of metal no plastic), and easy to navigate during surgery. The Centurion OZIL handpiece feels just like the old Infiniti OZIL handpiece, so it feels familiar to those who have used Alcon platforms. Plus it has Luer locks on the IA ports, reducing those annoying “the tubing line fell off the handpiece” scenarios.

 


The Bausch & Lomb Stellaris Elite Vision System

1) Onboard Ultrasonic Technology

Stellaris Elite is the newest released phaco platform. The Stellaris platform has existed for quite a few years. Think of the Elite as the latest version of Stellaris. Stellaris Elite introduces Attune Energy technology to the phaco market with a six-crystal handpiece that delivers optimized 28.5 kHz frequency for consistent power delivery and increased stroke length. 

2) Fluidic Technology

Stellaris Elite hosts a Venturi pump, which is a chamber based vacuum system. This means that a vacuum chamber is pressurized and used to access high levels of vacuum on demand. Venturi is nothing new to Stellaris (all previous versions have Venturi pumps as well), but the difference with this system is its Advanced Vacuum Module StableChamber Fluidics System. StableChamber minimizes surge and allows for high-vacuum surgery through an incision as small as a 1.8mm.

3) User Interface

Like Centurion, Stellaris Elite hosts an intuitive, highly-customizable, and easy-to-navigate user interface that allows for effortless customization of case settings and defaults. Elite also provides the surgeon with familiar handpiece interfaces (if they’ve used B&L systems before) and the foot pedal is also wireless. Another notable feature about the foot pedal is that it’s dual-linear and programmable so the surgeon can have full control of aspiration and ultrasound separately.

4) Posterior & Anterior Segment Options

In many respects, both Centurion and Stellaris Elite and similar. The biggest marked difference between the 2 is that Stellaris Elite is a multi-procedural system. In addition to providing a highly advanced and stable environment for cataract surgery, Stellaris Elite is also one of the leading platforms in Posterior Segment. Vitesse Hypersonic Vitrectomy System onboard the Elite is the most sophisticated and programmable vitrectomy system to date. This makes the Stellaris a viable option for both Cataract and Retina surgeons, providing both a cutting-edge and safe operating system.

 


The Surgeon’s Preference Wins!

Surgeons tend to have loyalty to certain systems or brands based on familiarity. But we’ve often found that many surgeons are very interested in switching platforms when new technology is introduced to the market. However, many are stuck using old phaco platform due to a deficiency in capital.

Surgeons should be able to pick and choose what platform is best for their surgical process. They should be able to try new technology as it comes out. This has the potential to increase the level of care they offer their patients.

Surgical Direct Inc offers the ability for any surgeon to access today’s latest phaco, microscope, IOL, and other ophthalmic technology at no upfront cost. Our Mobile Cataract Service model is designed to allow surgeons to use the technology they want and opening the door for options without burdening the facility with large capital expenses.

Want to try Centurion, Stellaris Elite, or another phaco system in your facility? Give us a call today and inquire about a Free SDI Demo Day.

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3 New IOL Related Technologies On The Horizon

The IOL implant market has experienced rapid development and ground-breaking advances in technology in the last 20 years. Toric and Multifocal implants continue to rise in popularity and manufacturers continue to improve their respective models’ accuracy in refractive outcomes.

At Surgical Direct, part of our Mobile Cataract Services is to provide easy access to wide varieties of IOL models to our clients, eliminating their need to carry additional consignments or special ordering lenses. A partnership with Surgical Direct allows access for surgeons and hospitals to the latest technologies that otherwise may not be an option due to capital budget.

Today, we thought it would be interesting to highlight 3 IOL technologies that are on the horizon in this market. These technologies are still in development, beta, or clinical trials, and not available to use in the US market (disclaimer).

3 New IOL Related Technologies on the Horizon.

 

1) Postop Refractive Adjustment

PostOp Refractive Adjustment is a post-op laser treatment where the surgeon is able to alter the diopter size of an already implanted IOL using a femtosecond laser and an optical focusing system. The laser doesn’t change the thickness or shape of the IOL, however, it changes the hydrophilicity of the lens. So far it’s been tested on Acrylic lenses from all the major manufacturers and has had great accuracy in achieving the desired change in diopter. If this system is approved for public use in the future, it would dramatically change the game, eliminating the needs for explanting IOLs with miscalculated diopters. As the patient ages, there is potential for an annual adjustment of the IOL’s diopter for the best possible vision from that IOL. Something to think about!

2) Small-aperture IOL

AcuFocus has now created a monofocal intraocular lens (IC-8) that uses the “pinhole effect” principle to alleviate distortion and expand depth-of-field in an IOL implant. The basic principle is similar to the KAMRA corneal inlay…which only allows central, focused light to reach the retina, removing the blur caused by peripheral defocused light. The results (in theory) would mean the highest quality of vision over the broadest continuous range of any premium IOL currently available. This essentially means that this technology could compete directly with the multifocal market, providing a high-quality dynamic range of focus in a monodical lens.  The lens has received FDA approval for clinical trials, so it will be interesting to see the results of those trials and whether this lens is brought to market.

3) The Omega Gemini Capsule

The Omega Gemini Capsule is essentially an artificial capsule that is implanted into the eye in order to create a stable environment to house other ophthalmic technologies such as IOL implanted, medication delivery, and augmented reality technology.  The Gemini Capsule props the capsule open, is 3 dimensional and creates artificial “walls” within the capsules, enforcing the stability of the implantable space. Omega’s future hope is that Gemini will provide the ability to house implantable technology (in addition to IOLs) for the future, things like augmented reality devices. This is very future-forward in thinking. This product too will be interesting to see if it reaches approval.

Surgical Direct is your partner in ophthalmic technology, and our goal is to make it as easy as possible for our surgeons and OR staff to gain access to today’s latest technology.

For more information about what we do provide, click below to learn about our Mobile Cataract Services.

 

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Hydrus® Microstent & iStent inject®

Surgical Direct Inc exists to provide solutions to our customers that create pathways of least resistance for ophthalmic procedures. Our vision is for every surgeon and surgical facility that we partner with to have immediate and effortless access to the industry’s best technology. We say immediate because you don’t have to purchase equipment or order an inventory to gain access to the latest technology on the market. We say effortless because we reduce as many barriers as possible for you to get your hands on what you need. Today, we want to highlight the Hydrus® Microstent from Ivantis and iStent inject® from Glaukos, a 2 game-changing Glaucoma treatment systems that are applied in conjunction with Cataract Surgery.

Hydrus® Microstent: Singular 90º-span Canal-Based Device

Key advantages to this system (reported directly by Ivantis) are as follows:

  • Ab Interno canal-based approach
    Implantation into Schlemm’s Canal, the eye’s natural drainage channel, which is considered a safe anatomical target and a suitable first-line therapy for implantable MIGS devices
  • Confirmation of placement
    Immediate and direct visual confirmation of successful implantation with a minimal learning curve.
  • No stent targeting
    90° span ensures consistent access to multiple collector channels and eliminates the need for stent targeting.

The Hydrus Microstent was designed to enhance fluid outflow in multiple ways to help patients achieve predictable outcomes. Hyrdus enhances outflow by strategic placement in Schlemm’s canal, expanding the natural pathway of fluid in the eye. It’s singular 90º coverage offers a single-step solution.

Using a gonioprism, the Hydrus Microstent is inserted through a clear corneal incision and

guided through the trabecular meshwork into Schlemm’s canal.

Once in position, the Hydrus Microstent is advanced until the device has scaffolded 90° of the canal, ensuring consistent access to collector channels.

iStent inject® System: Two Injectable Stents

Key advantages to this system (reported directly by Glaukos) are as follows:

  • Optimized Outflow: Two multi-directional stents designed to restore the natural outflow
  • Clinically Proven: Significant IOP reduction across a wide range of clinical studies
  • Procedural Elegance: Predictability and precision to meet the needs of your practice
  • Proven Safety: Safety profile similar to cataract surgery alone

This system is unique in that it has two multi-directional stents in one streamlined injection system. The system is intuitive, safe, and precise, delivering accurate placement of the stents for predictable performance. The stents themselves have a proprietary design that when placed 2-3 clock hours apart have been recorded to deliver access to multiple collector channels and arcs of flow that can span five to six clock hours and may also re-establish flow in previously dormant outflow channels.

iStent inject® provides a real Glaucoma solution with minimal long-term complications, like the following (quoted from Glaukos):

  • Micro-invasive and astigmatically-neutral
  • Utilizes the conventional outflow pathway
  • Leaves natural anatomy intact, preserving the potential for future treatment options, including drug delivery devices
  • Minimally traumatic to delicate eye tissue and spares conjunctival tissue
  • Reduces the risk of hypotony by utilizing the natural episcleral venous pressure
  • Offers postoperative care profile similar to cataract surgery

Surgical Direct is proud to provide Hydrus® Microstent and iStent inject® to our Cataract Surgeons.

Hydrus® Microstent and iStent inject® are not the first Glaucoma treatments designed to be in conjunction with Cataract Surgery. Many such procedural add-ons have existed for years. But both of these newer technologies in Glaucoma treatment come with unique procedural advantages, easy implantation delivery, and positive results.

Surgical Direct offers you a unique advantage. When you partner with Surgical Direct’s Mobile Cataract Services, you gain access to the latest and top technology in ophthalmology without the capital or inventory load, including Hydrus and iStent.

If you do not partner with us yet, we invite you to try our services for free with an SDI Demo Day. For more information, click below, request a demo, and we’ll be in touch shortly to schedule a demo.

Surgical Direct is here to help streamline your cataract operations to achieve the most efficient, safe, and cost-effective solution possible.

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More about our Mobile Cataract Services