Clinic Training Revitalvision 373z60
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RevitalVision clinic training Yair. Yahav,
1/16/2018 1/16/2018
12.10.2009 12.10. 09
1
1
www.revitalvision.com www.revitalvision.com
Training Agenda • What is RevitalVision & how does it work? • The science, technology and clinical data • Treatment indications – who are the potential patients? • Clinical protocol • Treatment process • Important tips • Technical training - Hands on 1/16/2018 1/16/2018
12.10.2009 12.10. 09
2
2
www.revitalvision.com www.revitalvision.com
Treatment indications RevitalVision primarily improves Contrast Sensitivity! Main 3 categories: • Patients with low CS • Patients with BCVA range 20/30 – 20/200 • Patients with low refractive error, who wish to improve uncorrected vision
1/16/2018 1/16/2018
12.10.2009 12.10. 09
3
3
www.revitalvision.com www.revitalvision.com
General criteria • Age 9 and up • Motivated and committed • Cognitive intact • Stable vision Exclusion criteria: • Diabetes (unbalanced) • Diplopia • Epilepsy • Chronic migraines • Pregnancy •1/16/2018 Attention disorder (untreated) 1/16/2018
12.10.2009 12.10. 09
4
4
www.revitalvision.com www.revitalvision.com
Amblyopia Indications: • Age – 9 and up • BCVA – 20/30 – 20/100 • Anisometropia , strabismus, both, deprivation, unknown, bilateral, unilateral • Eye deviation should not exceed 8°prism-diopters • Can tolerate full correction 1/16/2018 1/16/2018
12.10.2009 12.10. 09
5
5
www.revitalvision.com www.revitalvision.com
Amblyopia Clinical protocol: • Patient has to be best corrected, adapt prior to training, and wear the correction all day through the training period • If anisometropia is higher then 3.5 diopters, patient should prescribed with lenses • Training is done while the dominant eye is blurred with semi-transparent cover • Patient should keep the blurred eye open underneath the cover. • Bilateral amblyopia – with 2 eyes open •1/16/2018 40 training sessions 6 1/16/2018
12.10.2009 12.10. 09
6
www.revitalvision.com www.revitalvision.com
Amblyopia Improvement follow-up: • BCVA • Stereopsis • BC Contrast Sensitivity
1/16/2018 1/16/2018
12.10.2009 12.10. 09
7
7
www.revitalvision.com www.revitalvision.com
Post Cataract Indications: • When no further surgery is required (PCO) • None satisfied patients, which clinical examination indicates low CS or BCVA – lower than 20/30 • Patient with low refractive error, who desire to improve uncorrected vision
1/16/2018 1/16/2018
12.10.2009 12.10. 09
8
8
www.revitalvision.com www.revitalvision.com
Post Cataract Clinical protocol: • Treatment is done with habitual eyewear • If VA difference is higher than 0.3 LogMar, the dominant eye should be occluded (while the lesser eye is treated.) • 30 training sessions
1/16/2018 1/16/2018
12.10.2009 12.10. 09
9
9
www.revitalvision.com www.revitalvision.com
Post Cataract Improvement follow-up: • Habitual VA • Habitual CS
1/16/2018 1/16/2018
12.10.2009 12.10. 09
10
10
www.revitalvision.com www.revitalvision.com
Post Refractive Surgery Indications: • None satisfied patients with low CS • Low refractive error
1/16/2018 1/16/2018
12.10.2009 12.10. 09
11
11
www.revitalvision.com www.revitalvision.com
Post Refractive Surgery Clinical protocol: • Treatment is done without correction or with training glasses • If VA difference is higher than 0.3 LogMar, the dominant eye should be occluded • 30 training sessions
1/16/2018 1/16/2018
12.10.2009 12.10. 09
12
12
www.revitalvision.com www.revitalvision.com
Post Refractive Surgery Improvement follow-up: • Unaided VA • Unaided CS
1/16/2018 1/16/2018
12.10.2009 12.10. 09
13
13
www.revitalvision.com www.revitalvision.com
Low Vision Indications: • • • • •
Age – 9 and up BCVA – 20/30 – 20/200 Low CS Stable Vision Central vision
• Nystagmus, AMD, RP, Keratoconus, Corneal scar (limited experience)
1/16/2018 1/16/2018
12.10.2009 12.10. 09
14
14
www.revitalvision.com www.revitalvision.com
Low Vision Clinical protocol: • Patient has to be best corrected to insure optimal signal from the retina • Eye occlusion - according to needs • Very low vision – should do a trail session to insure they can handle the visual task. • Some patients may need to sit closer to screen • 40 – 50 training sessions 1/16/2018 1/16/2018
12.10.2009 12.10. 09
15
15
www.revitalvision.com www.revitalvision.com
Low Vision Improvement follow-up: • BCVA • BC Contrast Sensitivity
1/16/2018 1/16/2018
12.10.2009 12.10. 09
16
16
www.revitalvision.com www.revitalvision.com
Presbyopia Indications: • Age – 40 to 55 • Early presbyopia up to +1.5 addition • Uncorrected near vision J1- J4
Goal of treatment to improve uncorrected near vision in two lines 1/16/2018 1/16/2018
12.10.2009 12.10. 09
17
17
www.revitalvision.com www.revitalvision.com
Presbyopia Clinical protocol: • Treatment is done without correction or with training glasses. • 30 training sessions Improvement follow-up: • Uncorrected near VA • Uncorrected near CS 1/16/2018 1/16/2018
12.10.2009 12.10. 09
18
18
www.revitalvision.com www.revitalvision.com
Low Myopia Indications: • • • •
Age 9 and up. Stable refraction Uncorrected distance vision 20/30 – 20/60 Refraction up to 1.5SPH and 0.75CYL
Goal of treatment to improve uncorrected distance vision in 2.5 lines
1/16/2018 1/16/2018
12.10.2009 12.10. 09
19
19
www.revitalvision.com www.revitalvision.com
Low Myopia Clinical protocol: • Treatment is done without correction or with training glasses. • 30 training sessions Improvement follow-up: • Uncorrected distance VA • Uncorrected distance CS 1/16/2018 1/16/2018
12.10.2009 12.10. 09
20
20
www.revitalvision.com www.revitalvision.com
Treatment Process • Eye examination – exclude or include • Find out if the patient motivated & committed • Find out if patient has suitable computer • Patient should sign consent form • Prescribe optical correction if needed • Schedule guided training session • Follow up with periodic exams 1/16/2018 1/16/2018
12.10.2009 12.10. 09
21
21
www.revitalvision.com www.revitalvision.com
Technical training • Creating new patients in the system • Guided session • Follow up patient performance
1/16/2018 1/16/2018
12.10.2009 12.10. 09
22
22
www.revitalvision.com www.revitalvision.com
Documents/forms • • • •
ETDRS - visual acuity chart (A4) Treatment consent forms Patient information brochures Examination forms
1/16/2018 1/16/2018
12.10.2009 12.10. 09
23
23
www.revitalvision.com www.revitalvision.com
Refund policy & process • • • • •
Coordinate expectations Sign formal consent forms Patient met treatment criteria Patient met treatment tasks Did not improve 1 line VA by median periodic examination • Patient requested to stop • Patient refunded by the clinic 1/16/2018 1/16/2018
12.10.2009 12.10. 09
24
24
www.revitalvision.com www.revitalvision.com
Tips • • • • •
Patient selection Coordinate expectations Motivation & commitment Follow up and Compliance
1/16/2018 1/16/2018
12.10.2009 12.10. 09
25
25
www.revitalvision.com www.revitalvision.com
Hands on
END
1/16/2018 1/16/2018
12.10.2009 12.10. 09
26
26
www.revitalvision.com www.revitalvision.com
1/16/2018 1/16/2018
12.10.2009 12.10. 09
1
1
www.revitalvision.com www.revitalvision.com
Training Agenda • What is RevitalVision & how does it work? • The science, technology and clinical data • Treatment indications – who are the potential patients? • Clinical protocol • Treatment process • Important tips • Technical training - Hands on 1/16/2018 1/16/2018
12.10.2009 12.10. 09
2
2
www.revitalvision.com www.revitalvision.com
Treatment indications RevitalVision primarily improves Contrast Sensitivity! Main 3 categories: • Patients with low CS • Patients with BCVA range 20/30 – 20/200 • Patients with low refractive error, who wish to improve uncorrected vision
1/16/2018 1/16/2018
12.10.2009 12.10. 09
3
3
www.revitalvision.com www.revitalvision.com
General criteria • Age 9 and up • Motivated and committed • Cognitive intact • Stable vision Exclusion criteria: • Diabetes (unbalanced) • Diplopia • Epilepsy • Chronic migraines • Pregnancy •1/16/2018 Attention disorder (untreated) 1/16/2018
12.10.2009 12.10. 09
4
4
www.revitalvision.com www.revitalvision.com
Amblyopia Indications: • Age – 9 and up • BCVA – 20/30 – 20/100 • Anisometropia , strabismus, both, deprivation, unknown, bilateral, unilateral • Eye deviation should not exceed 8°prism-diopters • Can tolerate full correction 1/16/2018 1/16/2018
12.10.2009 12.10. 09
5
5
www.revitalvision.com www.revitalvision.com
Amblyopia Clinical protocol: • Patient has to be best corrected, adapt prior to training, and wear the correction all day through the training period • If anisometropia is higher then 3.5 diopters, patient should prescribed with lenses • Training is done while the dominant eye is blurred with semi-transparent cover • Patient should keep the blurred eye open underneath the cover. • Bilateral amblyopia – with 2 eyes open •1/16/2018 40 training sessions 6 1/16/2018
12.10.2009 12.10. 09
6
www.revitalvision.com www.revitalvision.com
Amblyopia Improvement follow-up: • BCVA • Stereopsis • BC Contrast Sensitivity
1/16/2018 1/16/2018
12.10.2009 12.10. 09
7
7
www.revitalvision.com www.revitalvision.com
Post Cataract Indications: • When no further surgery is required (PCO) • None satisfied patients, which clinical examination indicates low CS or BCVA – lower than 20/30 • Patient with low refractive error, who desire to improve uncorrected vision
1/16/2018 1/16/2018
12.10.2009 12.10. 09
8
8
www.revitalvision.com www.revitalvision.com
Post Cataract Clinical protocol: • Treatment is done with habitual eyewear • If VA difference is higher than 0.3 LogMar, the dominant eye should be occluded (while the lesser eye is treated.) • 30 training sessions
1/16/2018 1/16/2018
12.10.2009 12.10. 09
9
9
www.revitalvision.com www.revitalvision.com
Post Cataract Improvement follow-up: • Habitual VA • Habitual CS
1/16/2018 1/16/2018
12.10.2009 12.10. 09
10
10
www.revitalvision.com www.revitalvision.com
Post Refractive Surgery Indications: • None satisfied patients with low CS • Low refractive error
1/16/2018 1/16/2018
12.10.2009 12.10. 09
11
11
www.revitalvision.com www.revitalvision.com
Post Refractive Surgery Clinical protocol: • Treatment is done without correction or with training glasses • If VA difference is higher than 0.3 LogMar, the dominant eye should be occluded • 30 training sessions
1/16/2018 1/16/2018
12.10.2009 12.10. 09
12
12
www.revitalvision.com www.revitalvision.com
Post Refractive Surgery Improvement follow-up: • Unaided VA • Unaided CS
1/16/2018 1/16/2018
12.10.2009 12.10. 09
13
13
www.revitalvision.com www.revitalvision.com
Low Vision Indications: • • • • •
Age – 9 and up BCVA – 20/30 – 20/200 Low CS Stable Vision Central vision
• Nystagmus, AMD, RP, Keratoconus, Corneal scar (limited experience)
1/16/2018 1/16/2018
12.10.2009 12.10. 09
14
14
www.revitalvision.com www.revitalvision.com
Low Vision Clinical protocol: • Patient has to be best corrected to insure optimal signal from the retina • Eye occlusion - according to needs • Very low vision – should do a trail session to insure they can handle the visual task. • Some patients may need to sit closer to screen • 40 – 50 training sessions 1/16/2018 1/16/2018
12.10.2009 12.10. 09
15
15
www.revitalvision.com www.revitalvision.com
Low Vision Improvement follow-up: • BCVA • BC Contrast Sensitivity
1/16/2018 1/16/2018
12.10.2009 12.10. 09
16
16
www.revitalvision.com www.revitalvision.com
Presbyopia Indications: • Age – 40 to 55 • Early presbyopia up to +1.5 addition • Uncorrected near vision J1- J4
Goal of treatment to improve uncorrected near vision in two lines 1/16/2018 1/16/2018
12.10.2009 12.10. 09
17
17
www.revitalvision.com www.revitalvision.com
Presbyopia Clinical protocol: • Treatment is done without correction or with training glasses. • 30 training sessions Improvement follow-up: • Uncorrected near VA • Uncorrected near CS 1/16/2018 1/16/2018
12.10.2009 12.10. 09
18
18
www.revitalvision.com www.revitalvision.com
Low Myopia Indications: • • • •
Age 9 and up. Stable refraction Uncorrected distance vision 20/30 – 20/60 Refraction up to 1.5SPH and 0.75CYL
Goal of treatment to improve uncorrected distance vision in 2.5 lines
1/16/2018 1/16/2018
12.10.2009 12.10. 09
19
19
www.revitalvision.com www.revitalvision.com
Low Myopia Clinical protocol: • Treatment is done without correction or with training glasses. • 30 training sessions Improvement follow-up: • Uncorrected distance VA • Uncorrected distance CS 1/16/2018 1/16/2018
12.10.2009 12.10. 09
20
20
www.revitalvision.com www.revitalvision.com
Treatment Process • Eye examination – exclude or include • Find out if the patient motivated & committed • Find out if patient has suitable computer • Patient should sign consent form • Prescribe optical correction if needed • Schedule guided training session • Follow up with periodic exams 1/16/2018 1/16/2018
12.10.2009 12.10. 09
21
21
www.revitalvision.com www.revitalvision.com
Technical training • Creating new patients in the system • Guided session • Follow up patient performance
1/16/2018 1/16/2018
12.10.2009 12.10. 09
22
22
www.revitalvision.com www.revitalvision.com
Documents/forms • • • •
ETDRS - visual acuity chart (A4) Treatment consent forms Patient information brochures Examination forms
1/16/2018 1/16/2018
12.10.2009 12.10. 09
23
23
www.revitalvision.com www.revitalvision.com
Refund policy & process • • • • •
Coordinate expectations Sign formal consent forms Patient met treatment criteria Patient met treatment tasks Did not improve 1 line VA by median periodic examination • Patient requested to stop • Patient refunded by the clinic 1/16/2018 1/16/2018
12.10.2009 12.10. 09
24
24
www.revitalvision.com www.revitalvision.com
Tips • • • • •
Patient selection Coordinate expectations Motivation & commitment Follow up and Compliance
1/16/2018 1/16/2018
12.10.2009 12.10. 09
25
25
www.revitalvision.com www.revitalvision.com
Hands on
END
1/16/2018 1/16/2018
12.10.2009 12.10. 09
26
26
www.revitalvision.com www.revitalvision.com
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