Joan Really Liked This KAMRA Webinar

posted Nov 1, 2016, 12:33 PM by Jen Weigel   [ updated Nov 1, 2016, 12:34 PM ]

From our guest blogger, Joan:

This webinar greatly helped me in answering questions I get from the affiliates.  I learn something new every day about KAMRA  and these webinars have been very helpful in expanding my knowledge.    This particular one is given by Sondra Black, OD who is a Clinical VP for Crystal Clear Vision in Toronto. She also personally has had the KAMRA inlay for 3 years now. 

Please note that there is no CE connected to this webinar, but the education is still invaluable. As always, if you have any questions, please reach out to any of us at TLC Tysons.

KAMRA Inlay Webinar - Dr. Sondra Black

Cross-linking CE by TLC Clinical Team

posted Oct 30, 2016, 6:55 PM by Jen Weigel

October 25, 2016

Drs. Bill Tullo and Clark Chang have lectured nationally on the topic of KCN and CXL.  We're so lucky that they are part of the TLC Clinical Services team.  They have been a fabulous resource for me as I prepare cases for surgery and manage post-surgery patients.  It's just nice to have people with such extended clinical backgrounds in refractive surgery co-mx to brainstorm with on cases!

At the CE, they discussed an update on CXL.  As you know, CXL was recently approved - finally! - this year for the treatment of KCN and then later for the treatment of post-LVC extasia.  Previously, Drs. Holzman and Solomon were co-investigators for the CXL study that was used to seek FDA approval for this treatment modality.  Now that it's approved, we have to seriously consider this surgical procedure for our KCN patients.

Be on the look out for more information on how to refer your patients in for CXL!!  - jw


VOA Fall Conference, Virginia Beach, VA

posted Oct 23, 2016, 4:47 PM by Jen Weigel   [ updated Oct 29, 2016, 5:16 PM ]

October 15-16, 2016

The VOA offered 8 hours of education + unlimited fun at the VOA Fall Conference in Virginia Beach, VA.  Saturday has four hours of education in the morning and then time to explore the area in the afternoon and evening.  Sunday has four hours of education in the morning, and then you have to cross your fingers that you beat afternoon traffic getting back to NOVA.

One of the lectures was about refractive surgery co-management.  Even though I do this every single day, I do try to attend CE on this topic because others have great points of view that can expand my own.  I was happy to learn quite a few pearls that can help me in patient care.

I don't know how you guys down in VA Beach do it down there.  The sound of the water hitting the beach is so relaxing that I could just listen to that all day long.  If I were down there, I'd never get anything done!  - jw


Sunrise at VA Beach

LASIK 101 Night with New and Familiar Faces

posted Oct 23, 2016, 3:54 PM by Jen Weigel   [ updated Oct 29, 2016, 5:12 PM ]

September 21, 2016

We held another successful LASIK 101 Night.  LASIK 101 is for Affiliates that are new graduates or new to the area or returning to co-management.

It was nice to met so many new people that I'd emailed with prior to the event but had never met in person.  I met new Associates of doctors that I have known for years.  We also hosted Affiliates that had been co-managing for a while and were able to attend this event to get to know the Center better.

We revamped Dr. Holzman's lecture to focus more on what a new Affiliate would need to know in caring for their first few cases.  We also expanded to include new surgical services of KAMRA inlay and corneal crosslinking.  - jw

Senator Chap Petersen and Delegate David Bulova

posted Oct 22, 2016, 6:05 PM by Jen Weigel   [ updated Oct 30, 2016, 6:48 PM ]

August 2016

Senator Chap Petersen and Delegate David Bulova represent me in the Virginia General Assembly.  Both are Fairfax County natives that have worked diligently to represent Northern Virginia in Richmond.  Dr. Roxann Robinson is the only optometrist in the General Assembly.  I get to work with our representatives as part of my work with the Virginia Optometric Association.  - jw

10/30/16 ... Just found this pic from Congressional Advocacy Conference 2016.  I was wondering where that was!  Each year, optometrists from all over the country meet up in DC for a 3-day long conference discussion advocacy for our profession.  The last day, we all make visits to our respective legislators.  Here, our VA group visited Virginia US Representative Morgan Griffith.  He was in a Committee Meeting at the time of our visit to his office, so he asked one of his staffers to bring us to him!  WOW!  During a break in the meeting, he came out to personally talk with us about optometry's needs.  That was so wonderful that he took time out to meet with us and more specifically, with the two members of his group from his district.  - jw

KAMRA Inlay Webinar Hosted by Dr. Holzman

posted Oct 22, 2016, 5:53 PM by Jen Weigel

August 10, 2016

We held our first webinar on this day!  Dr. Holzman discussed KAMRA inlay techology for surgical correction of presbyopia.  Webinars are a great way to squeeze in some CE when your schedule is busy since you eliminate travel time, but I still like live CE, too, because you get to interact with your peers.  

Dr. Holzman on GMA discussing KAMRA inlays

Read more about the KAMRA inlay by referencing this short set of slides:

If you think you have a good candidate, let us know!!  

All qualification criteria for LASIK/PRK still apply to KAMRA qualification.  Additionally, we're looking for:

1.  Ability to successfully obtain good results on AcuTarget testing (KAMRA diagnostic instrument).
2.  Laid back personalities that are not tied in to one specific visual task all day long.
3.  People that are 45-60 yoa-ish that are looking for visual freedom in their near vision (and distance).

Pre-KAMRA work-up would be like you would do for LASIK or PRK.  Post-op would be similar to what you would do for PRK ... lots of patience, reassurance, and then the near vision kicks in over time ... with great results! - jw

TLC Tysons CE: Topography-guided Laser Technology

posted Oct 22, 2016, 5:47 PM by Jen Weigel

July 20, 2016    

Dr. Holzman discussed topography-guided laser technology at a TLC Tysons Corner summer CE.

As mentioned previously, we were one of the first centers in the country to offer this laser technology for your patients.  

In order to qualify for topography-guided laser technology, a patient must have a certain prescription range.  It's pretty much the myopic range for current treatment on the WaveLight EX500 laser.  Then, we have to capture at least 4 different Vario corneal topography scans that are virtually identical.  If the eye is dry, that greatly affects our ability to get good, consistent scans, so we are changing our protocols to allow for more use of NPAT prior to preop scans.  Dr. Holzman then reviews these scans along with the patient's refractive data to finalize topography-guided treatments.

In studies, by correcting corneal aberrations on the cornea using topography-guided laser technology, patients can experience sharper vision post-op LASIK and PRK.  Those with irregular corneas, say from a scar, can also have more regular corneal topography post-op, too.  

We had some extra time to review KAMRA inlay technology.  This is a photo of live Dr. Holzman talking about recorded Dr. Holzman on GMA earlier this year.

TLC has always supported all levels of optometry:  local, state, and national.  This brochure demonstrated all the ways that TLC has provided support for our profession.  - jw

Dr. Jennifer Lee, Merrifield, VA

posted Oct 22, 2016, 5:35 PM by Jen Weigel

July 14, 2016

Dr. Jennifer Lee is new to the Merrifield area.  That's such a hot new location in Fairfax County.

She had such a nice, easygoing personality.  It made the day very enjoyable working with her to discuss LASIK/PRK co-management.  I can't tell you how many times I thought that she reminded me of myself when I was "younger".  

Here we are with Dr. Holzman's newest addition to our Wall of Fame.  Nationals pitcher Wilson Ramos autographed a bat for us to display in our waiting room.  - jw

Good Bye, Lori

posted Oct 22, 2016, 5:32 PM by Jen Weigel

July 1, 2016

Surgical technician Lori's last day was this summer.  Her husband is in the military, and they needed to relocate to Norfolk for his next assignment.

For our first pot luck after Lori joined our team, she made the BEST EVER chocolate-covered strawberries!  Seriously, the BEST EVER!

For her good bye party, I just had to make the cake.  I found this idea in my Food Network Magazine a few months before, and I kept it so that I could make it for the party.  It took way longer to make it than the estimation in the recipe, but I think that's because this was my first time to make a fun cake.  This was so much fun to make for Lori!  - jw

Lake Ridge Vision Source Consult Night

posted Oct 22, 2016, 5:23 PM by Jen Weigel

June 28, 2016

While it was pouring down rain outside, Drs. Jablonski and Conness let us use their slit lamp video camera to capture two educational videos.

When removing BCLs, we recommend using forceps.  It's a more gentle way to remove contacts when the epithelium is still quite delicate.  Affiliates often ask me how to position their forceps when approaching the eye.  This video is a good demonstration of BCL removal technique with sterile forceps.

BCL removal with forceps

We did another video demonstrating a unique test that Dr. Holzman has us perform on all candidates for surgery.  The adhesion test is performed after instillation of proparacaine, waiting a few minutes, then gently moving a Wexel sponge or cotton-topped applicator across the inferior and superior corneal epithelium.  A negative adhesion test leaves just SPK where you touched the cornea.  That's what you'll see here on the inferior cornea.  A positive adhesion test actually involves demonstrated movement of the epithelium, and this is indicative of sub-clinical EBMD, in which case, PRK ought to be considered so as to avoid epithelial sloughing with LASIK flap creation.  That's what you'll see here on the superior cornea.  - jw

Adhesion Testing

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