Drop Schedule Update: Change in Topical Steroid for LASIK and PRK

posted Oct 6, 2020, 7:01 PM by Jen Weigel   [ updated Oct 6, 2020, 7:05 PM ]

Dr. Holzman surveyed the clinical team for our thoughts on the drop schedule.  Did we want any changes and why?  Or was is OK to keep things the same. 

Here's my personal take on why I thought a change to branded steroids for LASIK and PRK patients might be a good idea.

For so long, I thought it was OK to use generic steroids for our LASIK and PRK patients becuase Dr. Holzman's surgical eyes were always so "quiet".  If there's not that much inflammation going on, then it must be OK to use a blah generic steroid, right?

However, I've come to find that inflammation control after surgery is about two things: quashing gross inflammation like a DLK as well as calming down micro-inflammation so that corneal nerves can rehab themselves more quickly.  While we might not see overt differences in our patients, we should be doing everything possible to avoid the complications of persistent post-surgical pain which tends to be mentioned more and more in the literature as something authentic to consider for patient care. 

Since there's really no telling what we get with generic steroids, I thought perhaps a move back to branded steroids might be prudent, especially because there are a lot of good coupons to help patients control medication costs. 

Dr. Holzman, of course, made the final decision on how to change our patient's medications.  For LASIK, we'll be using Inveltys.  For PRK, we'll be using Flarex.  You can find updated exam forms and drop schedules here. 

Fancy Cupcakes by Denise!

posted Oct 6, 2020, 6:46 PM by Jen Weigel   [ updated Oct 6, 2020, 6:50 PM ]

Wow, she wasn't lying!  Denise really does like to bake, and this is what she's baking tonight.  I call first dibs!


Denise: Our New Professional Relations Consultant

posted Oct 6, 2020, 6:41 PM by Jen Weigel   [ updated Oct 6, 2020, 6:52 PM ]

Denise is always so happy to have around.  She joined our team in June.  Here was the announcement:

TLC Laser Eye Centers could not be more excited to announce that Denise Rotunda has been hired for the position of Professional Relations Consultant for our Tyson's location.

Denise will be an integral part of the TLC team, and we’re delighted that she will be able to bring her experience and knowledge directly to you and your practice.

Denise will be out on the road and in your offices soon (while complying with your own safety standards)!  Please be sure to reach out to her directly at or 703-347-4338 should you need anything urgently

I was born and raised in North Carolina, and after attending East Carolina University, I moved to the Northern Virginia area. For the past 10 years, I’ve partnered with medical professionals to bring specialized equipment and medication to their patients. I am very excited to be joining TLC and Dr. Holzman to provide the best experience in laser vision correction for your patients. 

In my spare time you can find me spending time with my young son or baking in the kitchen. Often times my baked goods make it to customer’s offices, so be on the look out! 

I look forward to getting out and meeting everyone soon. Stay healthy and safe,

Denise Rotunda

Re-opening Schedules - Part 2

posted Oct 6, 2020, 5:31 PM by Jen Weigel

This was originally posted back in June 2020 on the main page of this website, but I'm keeping it here for documentation's sake.

And, we're back!

All TLC Centers had been closed for as a precaution during the COVID-19 pandemic.

But, now we have re-opened after implementing heavy safety and cleaning protocols.  Believe me, there are a TON of protocols that the entire staff has been diligently implementing for every patient ever day! 

TLC Tysons opened on 6/1/20.

TLC Charlottesville opened 6/8/20.

TLC Rockville will open on 7/1/20.

TLC DC will open on 7/6/20.

TLC Gainesville will open the week of 7/6/20.  Remember they are open Tuesday and Thursday only.

All paperwork, lead submissions, contact information is the same as before, so you guys should know the drill on getting patients interested in LASIK to us.

Thank you!!

Center Re-opening Schedule

posted Jun 2, 2020, 6:28 PM by Jen Weigel


And, we're back!

All TLC Centers had been closed for as a precaution during the COVID-19 pandemic.

But, we're slowly reopening after implementing heavy safety and cleaning protocols.  Believe me, there are a TON of protocols!

TLC Tysons opens 6/1/20.

TLC Charlottesville opens 6/8/20.

TLC Rockville's specific date is still TBD.

TLC Gainesville and DC will open shortly after Rockville is able to join us.

All paperwork, lead submissions, contact information is the same as before, so you guys should know the drill on getting patients interested in LASIK to us.

Thank you!!

COVID-19 Closure

posted Jun 2, 2020, 6:23 PM by Jen Weigel

Previously posted on homepage and reposted here as a reference:


Effective Saturday, March 21, 2020, all TLC Centers will be closed due to COVID-19 pandemic.  We hope to resume normal patient care on Monday, April 13, 2020. 

In the meantime, we are still available for essential post-op visits (defined below), and we will be in the office periodically to help your patients with refill requests and prior authorizations to prepare for future procedures.  Please contact your Clinical Director for case of emergency so that patient care at a TLC center can be arranged.

Essential post-op visits have been defined as the following:

LASIK = 1 day and 1 week post-op, and

PRK = 1 day, 4-5 day, and 2 week post-op.

If you are not able to provide these services for your patient that recently had surgery, TLC Clinical Directors will complete these visits with your patient.  Please coordinate details with your respective Clinical Directors.  We will/you can resume post-op care when TLC is able to return to normal office hours.

TLC has contacted all patients having surgery in the two weeks prior to our temporary closure.  A general email was sent out to all patients that have had surgery with TLC to update them on our status.  Two email updates were sent to local Affiliates with similar information as well. 

Thank you for your understanding and patience.

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

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