The SDI Upgrade Program: Infiniti to Centurion

Are you a cataract surgeon that is still operating with the Alcon Infiniti?

Are you an OR administrator that would like to upgrade your surgeons from Alcon Infiniti to Alcon Centurion?

Upgrading from Infiniti to Centurion has substantial benefits in technology and safety enhancements, including state of the art cutting technology, fluidics, and an intuitive user interface.

The Alcon Centurion brings all the familiarity of the Infiniti with it (making you feel comfortable and familiar when operating), but with significantly more power, safety, and automation.

Some time ago, we wrote about the differences between Infiniti and Centurion and why anyone should consider upgrading. We went into the main differences in (1) Fluidics, (2) Energy, and (3) Practicality between the 2 machines.

In case you missed that article, read it here: Why upgrade from Alcon Infiniti to Alcon Centurion?

It doesn’t take long to see and feel the benefits of upgrading. Most surgeons are hooked once they have given it a try. And the number one reason we’ve encountered surgeons and facilities hesitant to upgrade is because of capital limitations.

At Surgical Direct, we’ve transitioned dozens of surgeons and facilities and from Alcon Infiniti to Alcon Centurion without any capital expenditure.

The SDI Upgrade Program: Infiniti to Centurion.

Our upgrade program makes the transition seamless.

  1. No need to use capital dollars towards the Centurion.
  2. Get transition help from our team, helping surgeons with their settings.
  3. Don’t stress about new tubing or phaco tip inventory. We bring it all with us.
  4. We provide new hand-pieces as needed to cover all sterilization needs.
  5. Save storage space in your facility.
  6. Add a second room! We’ll bring 2 Centurions.

Contact us today to start the discussion about upgrading and find out just how easy it is with Surgical Direct.

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Financial Risk Mitigation for Cataract Equipment

When considering to pull the trigger and allocate precious capital dollars on cataract equipment, make sure you ask the following questions and determine whether the investment is wise for your facility in 2021.

Will the equipment purchased provide a healthy return on investment?

With so many other specialties bringing in higher reimbursements and charge rates, cataract equipment may not be the best investment when it comes to ROI. Surely, there is a huge benefit of acquiring the latest technology for your cataract surgeons…we are just talking dollars and cents. Often, there is other specialty-specific technology that will bring a higher return for your capital and should at the least be considered.

Does your targeted technology have a healthy demand among surgeons?

Cataract technology is a highly-competitive field and rapidly evolves as new technology is introduced. Keeping up with the latest platform, device, or technology software can be a challenge (financially speaking) simply due to the rate technology is released within the specialty.

Another area to consider is the longevity of your surgeons remaining in your facility. Will there be turnover within a few years? If a new surgeon comes to your facility, what platform will they want to operate with? Relying on one technology to invest in and provide stability in this area might not be a reality.

What does maintenance cost look like for this equipment?

Taking the time to factor the ‘lifetime’ or ‘actual’ cost of your investment is a non-option. Preventative maintenance plans and repair budgets both eat into your profit margins and factoring them into your decision to purchase is a must. Unlike many other medical specialties, Ophthalmic technology is delicate, precise, and sensitive. Working in millimeters of space leave no room for error and your equipment must be precise at all times.

When you’ve finished analyzing the true cost, where do you land?

Factoring your true cost and the risk, is purchasing cataract equipment right for your facility in 2021?

If it’s not an investment that makes sense, there’s another way to acquire the latest technology in Ophthalmology that also eliminates your financial risk.

Outsourcing your equipment with Surgical Direct’s mobile cataract service allows you to gain immediate access to the latest technology available for cataract surgery without spending a dime of your capital.

Here’s a quick list of benefits:

  1. Save your capital to spend on other (more lucrative) specialties
  2. Gain access to the latest cataract technology right away
  3. Save on repairs and maintenance plans
  4. You only get billed when you have cases, lowering risk if a surgeon stops bringing in cases and still having to pay for unused equipment.
  5. Gain cross-platform access. Add another surgeon who prefers a different technology, and we’ve got you covered.
  6. Outfit more rooms (2-3 room days) without purchasing a single piece of equipment.

This just scratches the surface of the benefits of outsourcing with Surgical Direct.

Gaining access to the latest cataract technology doesn’t have to be a financial risk.

Learn more about our services and get a full picture of the benefits of outsourcing in your facility.

Surgical Direct is the partnership that you’ve been looking for.

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Financial Challenges? Save Your Capital Dollars!

Hospitals and healthcare networks all across the country are making the hard decision to downsize and let go of staff in direct response to the financial hardship that COVID19 has brought to our healthcare system.

This article from Becker’s Hospital Review is both sad and sobering, but it’s also the real pulse of what we are facing nationwide.

Administrators and key-decision makers now have to navigate these challenges, making hard/strategic decisions to keep their facilities open and in the black. Capital budgets are likely suspended for the foreseeable future, especially in smaller (revenue) specialties like Ophthalmology.

Upgrading equipment is likely not an option right now.

Getting started in a new speciality is likely not an option either due to up-front costs.

We have some good news for you!

Have you considered outsourcing?

Save your Capital! Outsource and upgrade your cataract equipment with Surgical Direct.


Already facilitate cataract surgery in your facility? 

Outsourcing with Surgical Direct has multiple benefits.

  • Upgrade your equipment now (Phaco, microscopes, and more). No capital needed!
  • Keep your surgeons happy (or attract more surgeons to your facility) with the latest technology available.
  • Eliminate those costly maintenance plans.
  • Save admin time and inventory costs associated with cataract surgical supplies (including IOL implants).
  • Access top-level support from our technicians for every case, increasing your surgery day productivity and eliminating stress relating to equipment failure.


Not currently facilitating cataract surgery in your facility? 

Are you interested in a new revenue stream?

Starting an outsourcing relationship with Surgical Direct is a fast track to a new revenue stream in your OR.

  • We offer an easy (low-risk) way to get cataract surgery started in your facility with no capital expense.
  • We take care of all the equipment setup, fully outfitting your OR for cataract surgery.
  • We bring the majority of the disposable supplies for surgery (including IOL implants), alleviating the burden on your team to manage new inventory.
  • No need to think about long-term cost and upkeep of equipment.
  • If you do not have a surgeon relationship yet, we’ll do the legwork and connect you with one so cataract surgery in your facility can become a reality.

In our current economy, 2021 has to be thought through very intentionally with smart financial decisions. We firmly believe that outsourcing is a smart financial decision. Together, we can keep (or start) positive momentum in your facility when it comes to cataract surgery.

Click below for a full listing of our services and all that we provide on a typical surgery day.

Feel free to give us a call to discuss in further detail, or schedule a free demo day.

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Mobile Cataract Service + MIGS

Are you an Ophthalmologist looking for partnerships to grow your practice and eliminate some of the logistical barriers that are in the way?

Just in case we haven’t had the chance to meet, we are Surgical Direct Inc,  a mobile cataract technology outsourcing service that delivers cataract technology and supplies to your OR on surgery day. We create opportunities by eliminating capital expense and inventory management, allowing facilities to allocate their funds and time elsewhere. For surgeons, this means you are able to use whatever technology you prefer (on demand) when you want it.

Regardless of location, we create stable operating environments for surgeons to be able to use the technology and supplies they want.

    • Our phaco systems and microscopes are programmed with your settings.
    • Our supply lists are tailored to your liking.
    • Our lens picks are directly coordinated with your office to ensure accuracy and ample backups are on hand.
    • Our techs are second-to-none in the industry: Programming equipment settings, taking out the trash, and highly trained with supportive ‘can-do’ attitudes.

Surgeons who use our mobile cataract service are also able to request MIGS technology for any case as an add-on item and we’ll supply it. This includes access to Hydrus® Microstent from Ivantis and iStent inject® from Glaukos.

MicroInvasive Glaucoma Surgery (MIGS) in tandem with cataract surgery is growing in popularity (if patient criteria matches) due to the minimal difference in post-operative care, while providing improved management of IOP issues in Glaucoma patients. Our service partnership makes add-on items like MIGS simple and efficient when it comes to supplying the technology.

Plus, in the current economic landscape, add-on procedures like MIGS offer benefits for surgeons to be able to help their patients manage their glaucoma, reduce extra post-op needs, and increase to their reimbursement rates.

Easy MIGS access is just one of the many benefits of working with Surgical Direct. We also support our clients with easy access to YAG lasers, SLT lasers, and our Mobile Retina Services.

Our aim is to help our surgeons achieve the best surgical results possible by supplying the equipment and supplies they need when they need it.

To learn more about what it’s like to work with Surgical Direct, contact us below or request a FREE Demo Day.

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Now Is The Time To Start Outsourcing Cataracts

Being strategic with how you manage your OR is so important in the season we are in. Maybe (more than ever), it’s that much more important to save your capital dollars for specialties that will be most beneficial to your revenue growth. That is why we believe right now might be one of the best times to consider Mobile Cataract Services with Surgical Direct Inc.

Why? Well, there are numerous benefits! Let’s look at some scenarios…

“Our OR currently does not facilitate Cataract Surgery. Getting started seems overwhelming.”

Adding Cataract surgery to your OR can bring a new stream of revenue and put your staff back to work, which we all know right now (because of COVID-19) that everything helps! Many facilities who have a desire to branch into new specialties face common problems like:

  1.  “We don’t have the capital to purchase a phaco & microscope and the surgeon wants the latest technology.”
  2. “All the details of getting started feels overwhelming, from inventory, equipment, and staff training.”
  3. “We would love to branch into Ophthalmology, but we don’t have a surgeon relationship yet and don’t have time or network to get started.”

Cataract outsourcing with Surgical Direct will help in all 3 of these areas. We provide the latest equipment (whatever phaco & microscope the surgeon wants to use) directly to your OR without spending a dime of capital. Along with the equipment, we bring trays, packs, disposable supplies, and implants (tailored to the surgeon’s request) so your inventory stress is alleviated! On top of that, our technicians (who come every surgery day and provide hands-on support throughout the day) are trained and experienced in everything associated with cataract surgery. Leaning on their experience helps relieve the tension of the day.

Don’t have a surgeon relationship yet? Our established network in the ophthalmology world can be of use. All you need to do is let us know that you are interested in getting started with cataracts, and we’ll do the legwork of looking for a surgeon that wants to operate in your area.

But maybe you are reading this and already facilitate Cataracts?

“We already facilitate cataracts. Why start outsourcing now?”


Using Surgical Direct’s mobile cataract service comes with big benefits for facilities already managing a cataract program.

  1. Upgrading your phaco & microscope can happen immediately with no capital costs.
  2. Equipment flexibility (allowing the surgeon to change and try new technology easily, or multiple surgeons able to use different systems from each other)
  3. In-house inventory of cataract disposable supplies and IOL implants can be decreased dramatically (or even eliminated), allowing your team’s time and focus to go elsewhere. We take over inventory and ordering of supplies and lenses completely.
  4. Multi-room capacity upgrades! Jump from 1 room days to to 2 room days. We simply bring more equipment, and your day’s capacity just doubled.
  5. No Maintenance Costs. We maintain our equipment according to manufacture guidelines and PM schedules.
  6. Extra Hands. Our technicians jump in wherever they can from assisting the surgeon with setting to helping with room turnover so the day runs as smooth as possible.

For 20 years, Surgical Direct Inc has been perfecting cataract surgery support operations across the country. Our Mobile Cataract Service model allows your facility to pivot from high-focused and time-consuming admin operations, to a tested, trusted, hands-off approach of hosting cataracts surgery in your facility.

Contact us today to learn just how easy it is to get started.

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Operate with the Alcon LuxOR LX3 Microscope

What is it like to use Alcon’s latest microscope technology, encompassed in their latest release, the LuxOR LX3? According to our clients…it’s awesome! We haven’t met a surgeon yet who has tried the LX3 and had a lot of negative things to say.

The Alcon LuxOR LX3

Let’s list out the highlights.

1) 6x greater Red Reflux area than traditional focused light microscopes

One of the biggest selling points on this microscope has to be the red-reflux. With a 6x great reflux zone, the patient can move approx 1.5in away from the center of the beam and still have bright reflux. Not only is the field greater, but it’s more stable, proving less “loss of reflux” from different angles, etc. This is accomplished by the proprietary ILLUMIN-i ® Technology and a different placement of the objective lens. This helps the surgeon’s efficiency during the case because there will naturally be less time having to reposition or adjust the scope or patient during the case to keep a sharp view.

2) Optics with a Larger Depth of Focus

The LX3 totes a larger depth of focus than traditional microscopes. This means that the surgeon will see more planes of focus at one time. This reduces the need to rigorously adjust focus of the microscope for different steps of the procedure. In fact, many surgeon’s after using the scope for a few cases rave about how they can literally set their focus at the beginning case, and rarely have to adjust throughout the case. This also increases safety and efficiency of the case.

3) Intuitive Design

The LX3 is designed for ease of use. The Control Panel system onboard the LX3 is highly customizable with the ability to save surgeon settings, and easily fine-tune settings during the case. LX3’s durable base and frame, make moving the microscope easy, while giving the surgeon a very sturdy feel when moving the auto-locking arm. The base rotates 360 degrees. The foot-controller is wireless (and also feels familiar is you already use Centurion), durable, and responsive. The head’s tilt mechanism makes those high-angle needs for glaucoma cases a cinch.

All-in-all, the ease-of-use and impressive technology onboard the LX3 provides an opportunity for your cataract cases to be smoother, easier, and more efficient. We didn’t even get into all of the integrated systems capabilities with Verion, LenSx, Centurion, and Ora that LX3 provides. 

We think if you haven’t at least tried LX3, you should give it a try. 

Surgical Direct provides comprehensive mobile cataract provisions, including phaco machines, case supplies, lenses, in-room support, and microscopes (including the LX3). When you sign up for our Mobile Cataract Service outsourcing solution, you have access to use LX3.

Reach out today or inquire about our Free Demo Day below to get the conversation started.

We are ready to help!

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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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The B&L Stellaris Elite

Cataract Tech Highlight

Today, we’d like to highlight the latest Phaco platform on the market, the Bausch & Lomb Stellaris Elite Vision Enhancement System. We’ll highlight some of the exciting features introduced with this system and how they might benefit your surgical process. Before we get into the details, maybe you are reading and already know the details of Stellaris Elite. Stop reading right now and click here to sign up for a Demo Day. We’ll deliver a Stellaris directly to you with our full demo service experience. 

One of the most significant benefits of partnering with Surgical Direct’s Mobile Cataract Service is the opportunity to use the latest cataract technology available on the market without investing capital funds. Our clients gain the benefit of trying new technology, upgrading or switching technology swiftly and easily.

Why wait any longer? Try the Stellaris Elite now.

The B&L Stellaris Elite Vision Enhancement System.

B&L is still the only Ophthalmic Surgical manufacturer that combines the ability to perform both Posterior Segment and Anterior Segment cases using the same system. The B&L Stellaris Elite continues this smart and convenient feature, making the Stellaris Elite a viable system for both Cataract Surgeons and Retina Surgeons alike.

 1) Cataract Surgery

The Stellaris Elite introduces several exciting technologies to cataract surgery, namely Adaptive Fluidics™ and Atune® Energy.

Adaptive Fluidics™

Adaptive Fluidic technology from B&L provides the surgeon with exceptional chamber control during every step of the surgery. Using the system’s Proprietary Dynamic Infusion Compensation technology, chamber stability is almost automatic, highly responsive, and becomes something that the surgeon doesn’t really pay attention to anymore. The system monitors chamber pressure and automatically adjusts infusion pressure to keep the chamber stable.

Atune® Energy

Atune® Energy provides the surgeon with incredibly powerful, yet controlled, cutting power that no other B&L vision system has offered. Atune® is delivered through a six crystal 28.5 kHz handpiece frequency1,2*, cutting through dense cataracts with ease. Atune® works hand-in-hand with the fluidics, creating a seamless cutting experience in a quiet, level-pressured chamber.

These 2 technologies allow the Cataract surgeon to focus more on the surgery and less on the technology in use. Better focus creates better outcomes.

For more information, graph reports, and videos about the Cataract side of B&L Stellaris Elite, click here.

2) Retinal Procedures

B&L has been providing industry-leading technology in Retinal procedures for years. The Stellaris Elite is no exception. With upgraded cutting technology, visualization, and the new VITESSE Hypersonic Vitrectomy System gives retinal surgeons lots of upgrades.


The Elite system offers compatibility with 20g, 23g, or 25g Vit cutters, including the ability to cut up to a 7500 cpm cut rate. With this wide range of options, the surgeon can customize each surgical step the way he wants.


Stellaris Elite combines xenon light sources (specifically designed for small-gauge vitrectomy), fiber optic add-ons as small as 29g, and numerous specialized illumination options. Surgeons have a wide range of combination options, allowing them to choose what works best for them and the situation.

VITESSE Hypersonic Vitrectomy System

Vitesse hypersonic creates a near liquifying effect in a controlled area around the cutter, which offers higher levels of precision cutting to the surgeon. Vitesse is not a pneumatic cutter, it’s a 100% open 100% of the time. Vitreous liquifies at the end of the port and is then aspirated into the port. Vitesse is the first of its kind in Retinal surgery and is only available on the Stellaris Elite Vision System.

3) Software & Design

The Stellaris Elite is beautifully designed, compact, and intuitive. The touch screen user interface is easy to navigate, making adjusting settings simple, yet allowing highly complex manipulation of parameters at the same time. And even though it makes no difference in surgery, Stellaris Elite is pretty to look at! 1 point for aesthetics!

Schedule a Demo and upgrade!

If you’d like to try the Stellaris Elite for yourself, contact us today and we will make it happen. We will work with B&L to ensure that a Demo of the machine goes off without a hitch. Plus if you don’t currently use our Mobile Cataract Services, you’ll see first hand the benefit of outsourcing with Surgical Direct and how much time, money, and effort you could be saving. Our Mobile Cataract Service provides a turnkey solution for any OR, where we provide all the essential technology and components of surgery, including phaco machines, microscopes, lenses, case supplies, certified surgical coordinators, and more.

There’s never been a better time to upgrade your cataract day. Call us today!

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2019 Cataract Surgery Trends

Happy Holidays from all of us at Surgical Direct!

It’s that time of year where we all begin to think about the year ahead and all that it holds. We’d like to take the opportunity to give you a shortlist of advancements and trends that we feel will be become more prevalent in 2019 in cataract surgery. Our job isn’t to sell products, but to be a resource of information and knowledge. We don’t have any agenda. This is just our opinion of what you’ll see more of in 2019 in cataract surgery.  Let’s jump right in!

Here’s our 2019 Cataract Surgery Trends short-list.

1) Premium IOLs


a) MultiFocal & Toric IOLS

Premium lenses are becoming more and more popular with surgeons and patients. We feel that there will be an increase in volume that these IOLs are implanted in 2019. Not only are these lenses being improved upon in quality and accuracy, but new science and technology is being added to them seemingly every year. And with the latest addition to the premium IOL industry with Toric/Multifocal (2in1) lenses, patient satisfaction and scoring higher and vision outcomes better as these developments are made. So, we feel in 2019 you’ll see more premium lenses added to your surgery days.

b) Adjustable IOLS

There is a new technology on the market as of early 2018 called the “adjustable IOL”. This is a lens that is implanted with a diopter size (similar to a normal IOL). The difference is that 2 weeks post-op, the surgeon can adjust the diopter of the IOL to attain 20/20 vision, non-surgically! The IOL uses a proprietary photo reactive silicone material. If the patient is not 20/20 at the post-op vision test, the IOL power can be changed by a 1-2 minute exposure of a low-intensity beam of ultraviolet light (delivered by a specialized machine) to change the shape of the lens according to the patient’s prescription. FDA studies show that twice the number of patients are able to ditch glasses and have 20/20 vision after cataract surgery using this technology. Read more about the lens here.

The lens hasn’t caught on yet in large volumes, primarily due to lack of exposure. Any new technology naturally takes time to gain momentum. But our opinion is that we may see and hear more about this lens in 2019. In fact, many believe that it’s only a matter of time before the Adjustable IOL becomes one of the most disruptive and innovative technologies to hit cataract and refractive surgery in recent years.

2) Disposable Instruments


In many ways, the name of the game in cataract surgery is efficiency. Of course, patients and their health always come first! But it’s always been a drive in the refractive and cataract surgery market to make things more efficient. With more and more regulations being enforced on sterilization standards over the last years, there has been a big push and increase in disposable instruments. Many of the major players (such as Alcon and B+L) have already started with disposable IA handles, phaco sleeves, tubing, cannulas, etc. But we feel this trend is going to go deeper in this direction in 2019, possibly even into secondary instruments such as forceps and hooks regularly used per case. Companies like MST and BVI are already mass-marketing these disposable instruments. Will reusable instruments go away in 2019? Not at all likely. But we feel we will begin to see more incorporation of disposable instrumentation.

3) Phaco & Microscope Developments

The biggest news in the phaco market is the recent release of the B&L Stellaris Elite, with its Adaptive Fluidics TM and Attune® Energy. The Stellaris Elite also offers compatibility for both posterior and anterior segment procedures, which causes it to stand alone as a viable option for cataracts & retina. Alcon’s Centurion phaco platform is a still a viable player in the phaco market. There have been inklings of new updates to this machine (or a new Alcon machine on the horizon), but nothing official has been announced beyond speculation. Abbott (what used to be AMO – creator of the WhiteStar Phaco system) was acquired last year by Johnson & Johnson. With new financial backing, maybe there will be an announcement of development there? Per usual, during the annual AAO conference is typically when announcements will be made on new technology that is being developed or released. We’ll be sure the publish another article after the AAO on what is in the pipeline in this area.

And of course, every year now we get further and further into the era of baby boomers coming into cataract surgery range. This means that in the next years, we are going to see a huge influx of cataract needs in the US. We believe it’s so important to have a trusted partner in cataract surgery. That is our goal at Surgical Direct.

Surgical Direct Inc provides the latest cataract technology to your facility for $0 of capital investment.

We provide tailored equipment and supply lists for the surgeon’s specific needs, including the desire to try new technology as it comes out. With Surgical Direct, you get a safer, more efficient cataract experience in your facility. Don’t believe us? Read through our testimonials to see what our customers are saying about our services.

Interested in learning more about what we offer? Visit our Mobile Cataract Services page to find out more about what we do. Have a more pressing question or need? Call us directly at 1-800-346-0544.