CellChek C. High-grade model providing wide-field visualization of the cornea; including from limbus to limbus, endothelium to epithelium. •, High-resolution. Dystrophy, keratoconus, other corneal dystrophies and trauma. Konan’s specular microscopes are the global gold standard for precision assessment of the most. The CellChek XL™ delivers cellular level imaging of the corneal endothelium with the industry’s most comprehensive tools for cellular morphology and trending.
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For more information read the full interview with Dr. In regards to repeat or follow-up testing, specular microscopy is reimbursable when medically indicated and consistent with locally accepted standards of practice, but the reason for testing must be clearly documented.
Have a question or comment on this article? If the cell count diminishes for whatever reason and the cornea swells, it becomes more challenging to obtain an accurate cell count. Submit your case studies, clinical pearls, practice management tips, editorial, or other manuscripts.
Documentation of specular microscopy should include the following elements: This test shows the direct correlation for the amount of time spent sleeping in contact lenses and the damage it causes.
These lesions signify that micoscope have taken over positions normally occupied by healthy endothelial cells, interfering with optimal function. Plus, get special offers and more delivered to your inbox. OphthalmologyWeb wants to hear from you.
Specular microscopy is performed on all cataract patients as a pre-operative risk assessment because I have discovered that having a precise endothelial cell count assists me in appropriately managing these cases.
Since the screening is entirely automated, the user cannot choose which cells to count, slightly increasing the variability of the output. This method is generally reserved for cases where substantial numbers of endothelial cells have been lost The software analysis package provides the: They are the total package! Following complicated cataract surgery, this patient presented with an aphakic right eye due to an aborted intraocular lens IOL implantation.
A Valuable Tool for the Diagnosis and Management of Ocular Disease: Konan’s CellChek
It provides five focus points for image capture at the center and four peripheral sites, allowing a more comprehensive look at the cornea. She was so personable and full of knowledge! Integrate Innovative Technology into Your Practice with the Konan Cellchek Optometrists have become technologically astute with a myriad of devices with which to diagnose and monitor ocular health findings. A secondary consideration is that specular In addition, it provides statistical data including the number of cells used as the basis for the analysis.
Konan CellChek Specular Microscope | Olathe Eye Care
Specular microscopy may be indicated in situations in which the cornea is suspected of having an endothelial abnormality and in which the accuracy of the estimated cell count from slit lamp biomicroscopy is thought to be less than satisfactory. Added Value – Reimbursement and Coding For reimbursement by Medicare, medical necessity must be demonstrated. The very formation of excrescences, deposits, or guttata alerts us to the fact that this cornea is more susceptible.
Use the “Comment” link above to leave your thoughts, and the author will respond. Speculxr know that endothelial cells are not replicated. Techniques have evolved to prevent the loss of endothelial konann during cataract surgery such as the development of viscoelastic materials.
This test is also needed for patients contemplating implantation of phakic intraocular lenses or refractive surgery. All around the best optometrist in Olathe! The results for both eyes are displayed simultaneously and the screening images are not saved. A sample interpretive report can be found in Figure 2. I’m a new patient and they have really worked with me on appointment times and Specular microscopy is an important part of the testing process for all of our patients needing cataract surgery.
He had just bought one a few months earlier, In instances in which Medicare may not cover the test, the patient should be asked to sign an Advance Beneficiary Notice prior to testing. Which of the following is true? Friday, March 20, Many clinicians also use specular microscopy for clinical assessment of contact lens related corneal distress. Physical trauma can occur during cataract surgery or any other anterior segment intraocular surgery. The system is used globally for routine clinical use including many of the leading medical and surgical applications such as: There are 4 layers of the tear film.
Clinical Case Report The following case illustrates how specular microscopy makes a difference and can influence clinical decision-making. The central corneal thickness of this aphakic eye was microns.
Konan Specular Microscope – Sarasota FL | Gulfcoast Eye Center
Note that the corneal thickness of the right eye microns is thicker than that of the left eye due to corneal swelling.
Mmicroscope world of ophthalmology is going completely automated.
Specular microscopy revealed an abnormally low cell count in the right aphakic eye and a normal cell count in the left eye see Figure sepcular. Specular microscopy is an essential tool in my practice and should be embraced by every academic institution, corneal surgeon, and anterior segment surgeon.
For these patients in particular, physicians need to understand the cornea from a morphological viewpoint. This means that 10, patients experience complications with what is usually a straightforward procedure.
The specific speccular for each geographic area is determined by adjusting the national rate by the geographical practice cost indices. Optometrists have become technologically astute with a myriad of devices with which to diagnose and monitor ocular health findings.