Specs FAQ As a corneal specialist for the last 22 years I would feel incomplete without my ability to perform specular in the clinical and eye bank setting. I have Konan units from the earliest to the most recent, all in service currently. They are reliable, accurate, and serve an essential role in my clinical practice and eye bank operations. The service delivered by Konan is some of the best I have experienced in the ophthalmic field.
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Specs FAQ As a corneal specialist for the last 22 years I would feel incomplete without my ability to perform specular in the clinical and eye bank setting. I have Konan units from the earliest to the most recent, all in service currently.
They are reliable, accurate, and serve an essential role in my clinical practice and eye bank operations. The service delivered by Konan is some of the best I have experienced in the ophthalmic field.
Specular microscopy provides a superb method of clinical screening for disease, an educational training tool for patients, their families and office and eye bank personnel, as well as a tissue evaluative method for eye banking. It is time and cost effective. George O. The Konan system takes specular microscopy to the next level, and allows for a swift and accurate appraisal of the most challenging corneas.
In a busy clinic, ancillary testing that can easily be performed by support staff is invaluable, and all of my technicians are well versed in the use of the Konan specular microscope. This is a no brainer for cornea specialist, but the cataract surgeon performing lifestyle lens implantation should know the health of the corneal endothelium when recommending a lens like a multifocal. Furthermore, the addition of pachymetry provides a bridge between anatomy and physiology of the endothelium and secondary detergesence.
Jonathan D. After months of fruitless attempts to improve things, we decided to switch to Konan CellChek and have been much happier with its capabilities and ease of use. It is easy to use and the information is outstanding. Managing corneal dystrophies and predicting outcomes, such as when to perform a DSEK procedure, has been very advantageous in the care of my patients.
The ability to explain subtle visual acuity decrease has helped reduce patient anxiety. The Specular Microscope is well worth the money. The Konan specular microscope allows me to quantify my patients corneal health in a very easy to understand manner.
Not only does Konan specular microscopy give great clinical information it also paid for itself well within the first year. For Doctors who see many contact lens patients the specular is a great adjunct to the Topographer and in many ways is a much better predictor of contact lens success.
I find the Konan specular microscope is most helpful for predicting future success with the overwear contact lens patient. Vague vision complaints from the elderly and long term contact lens patients are commonly heard in a busy practice. Morning blurred vision, nighttime glare, or reduced contact lens wear time are complaints that have been heard over and over.
Sometimes, patients assume that their problems are too small to discuss, and unless we are able to phrase our questioning appropriately, or we are able to observe minute endothelial changes under a slit lamp, the cause and resolution can remain elusive. Until now! The Konan specular microscope KSM has been able to help provide part of the solution. Endothelial changes that were not detected even with the best slit lamp images can now be documented with the KSM.
Once detected, these symptoms and complaints can often be reduced or eliminated. Whether it means the use of a hyperosmotic drop or a contact lens refit to a higher oxygen transmitting lens, patients complaints decrease as they are able to maintain clearer vision or achieve longer, more comfortable contact lens wear. The KSM has become an important part of my total patient care. Jeffrey E. Schultz, O. The information that the specular microscope provides is valuable for assessing the long term effects of the surgical trauma of the procedure, and specular microscopy is critical to understanding your personal outcomes with DSAEK.
Mark Terry, MD Devers Eye Institute, Portland, OR USA I have been surprised at how many of my cataract patients had substantial endothelial dystrophic changes that are not readily visualized through the slit lamp but detectable with specular bio-microscopy.
Konan endothelial analysis is now an important part of the work up for all of my patients needing cataract surgery, especially for my premium IOL patients. It is important for us to educate our patients about their pre-existing endothelial conditions so they are fully prepared for the surgery and sometimes the prolonged postoperative corneal edema and blurriness as a result of corneal endothelial sub-function. Not only for doing a better job in the management of patient expectations post operatively, but also and most importantly providing a top qualify and comprehensive eye care for the cataract surgery patients including with premium IOLs with their rising expectations today, specular microscopy is now in my opinion a requisite contemporary tool for all cataract surgeons who want to provide the state-of-the-art refractive cataract surgery for their patients.
Our practice has implemented this phenomenal technology in all of our contact lens exams. We can monitor endothelial changes not only in extended wear patients but in traditional hydrogel wearers who may need to be in SiHys.
The Konan specular microscope can detect early endothelial damage and allow us to modify patient behavior or lens fit as necessary. We can now more accurately monitor our Fuchs patients and patients with early guttata or endothelial changes.
We can detect any early endothelial damage which may limit optimal post-operative VA. It also allows us to monitor any endothelial damage post-operatively as there is a small amount of endothelial cell loss post cataract surgery. The favorable reimbursement has allowed us to be profitable while still being able to offer our patients the latest technology available.
Thomas P. In reality, I have an entire generation of adults who have been wearing low Dk hydrogel lenses for two-thirds of their lives.
Every day I see the results of poor lens breathability combined with even worse lens hygiene and discard habits.
Clinical Benefits Cataract Surgery and Premium IOLs Low endothelial cell counts and pre-existing dystrophies can markedly reduce the potential for positive surgical outcomes from an otherwise uneventful cataract surgery. Surgeons are finding these data points critical when recommending premium IOLs: verify and document pre-operatively that the cornea is not suspect to more likely post-op complications difficult to explain with the investment in premium IOLs. Refractive Surgery There are various reports in the literature of refractive surgery complications with corneas that have pre-existing dystrophies. It is incumbent on refractive surgeons and referring Optometrists to carefully assess the corneal health prior to performing or recommending an elective corneal surgery to enhance the potential for positive surgical outcomes.
Technology: Konan Specular Microscope