Q - Topcon

Transcription

Q - Topcon
Outlook warm and sunny
great deals and savings
www.topcon.co.uk
Summer 2012 | Issue three
OCT makes business sense
See page 6 for the full stories
LensAR™ –
A new dimension in
cataract surgery
T
opcon Europe Medical
BV (Rotterdam, Netherlands) (“Topcon”) and LensAR
Inc (Orlando, Florida)(“LensAR”) announced in September that Topcon has made an
equity investment in LensAR
which also includes the distribution and marketing of
the LensAR Laser System™
throughout Europe.
The LensAR system has
been custom designed for laser cataract refractive surgery
and is designed to enhance
the outcomes of surgery using
technology to ensure precision
and reproducibility. LensAR
offers a unique 3D-CSI automated imaging and biometry
along with a phako that has
40% less ultrasound energy
compared to conventional
phaco emulsification systems.
It is compact and ergonomic,
with multiple screens allowing
both surgeon and scrub/circulating nurse visibility throughout the procedure. LensAR
allows easy patient work flow
and can be used in both sterile
and non-sterile environments
and with its retracting laser
head, allows unrestricted access to the treated eye after the
laser procedure. The surgeon’s
position is also flexible with either a superior or temporal approach and it has a “no corneal touch” patient interface for
greater comfort and reduced
TOPCON releases
i-Clarity Pro
Following the launch of
i-Clarity Core at Optrafair
2011, Topcon are pleased
to announce the release of
i-Clarity Pro Practice Management Software.
i-Clarity Pro provides the
complete suite of modules
with the added functionalities
of stock control, dispensing
and till. This includes pointof-sale (till) system, patient
accounts, direct debit and
contact lens management,
stock control and seamless integration for fundus and OCT
imaging.
With additional facilities
such as email and SMS communications, i-Clarity is designed so that the practice
can select the communication
mechanism of choice to facilitate maximum impact with
their patients.
Whilst i-Clarity will be normally run within a practice, it
is designed to run over wireless networks. For multiple
practices, can be remotely
hosted enabling each branch
and/or head office to access
other branch patients.
risk. Its servo-controlled docking system creates ease of use
and adds to patient comfort
and also has added programmable algorithms for anterior
capsulotomy and laser lens
fragmentation.
The technology will offer
radical change in surgery and
the use of controlled custom
cuts will eliminate any uneven
incisions which can cause high
order aberrations and potentially poor outcomes. With Laser
Assisted IOL cataract surgery,
outcomes have been proven to
be clearer immediately following surgery and also reduce
the endothelium cell loss. The
reduction of power also means
less corneal complications and
overall better outcomes.
Mark
Lansu,
Surgical
Director, Topcon Europe Medical BV comments: “This is
a very exciting opportunity
for Topcon to demonstrate
our commitment to technologies that will have a positive
and significant impact on
enhancing patient outcomes
that are synergistic with
our portfolio of products in
ocular
surgery,
implants
and diagnostics. This latest
announcement
shows
our commitment and confidence in the LensAR Laser System to expand our
offering to our partner, the
ophthalmic surgeon, and help
us continue to combine our
quality diagnostics with the
newest surgical technologies”.
To discuss the benefits that i-Clarity can bring to
your practice please contact 01635 551120 or
email [email protected]
Topcon Achieves
N3 Accreditation
Who are
Clinical Affairs?
Divers
Remarkable Story
Paperless
Success Stories
Topdeals &
Classifieds
page 2
page 3
page 5
page 5
pages 10 & 11
i-Clarity screen shots
more info
In this issue
Summer 2012 | Topcon Times
2
Topcon achieves
N3 accreditation
F
or Topcon, it is a critical
requirement to have an
N3 accreditation in order to
offer an even better and more
robust means of connection to
their medical systems within
the NHS in order to resolve
software or network related
problems. Topcon as an organisation understand the need to
work with our customers and
provide the highest level of
support and N3 will allow us
to achieve this. We are therefore delighted to announce
that Topcon have been awarded the N3 accreditation.
We previously undertook
research with our NHS customers and the feedback
highlighted a variety of key
requirements of which N3 will
enable us to achieve. First and
foremost, Topcon will provide
a dedicated N3 support team
at our Newbury office which
for our NHS customers means
a quick and direct route into
a point of contact. In addition to this, if the problem is
hardware related then we are
able to organise a time and
date with you on the spot and
deploy one of our engineers to
site to fix the problem.
Alternatively we can offer
quick on-line troubleshooting
to systems which are not functioning at the optimal level.
The need to have a physical
person on site is reduced by
around 70% when the fault
can be diagnosed quickly and
resolved using the N3 connection. This is highly convenient
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to clinics where many devices
are shared within the practice
and gaining access can be
extremely difficult due to busy
clinics.
Deploying upgrades and
fixes can be made in a fast and
efficient manner. These can
also be delivered out of hours
which will not disrupt clinical operations and therefore
downtime on systems would
be kept to a minimum level.
The Topcon N3
Team is confident
they can offer
the NHS a much
improved service
and support
platform. The
dedicated team
are using the
latest technology
to ensure the
customer stays
connected and
receives a first
class service.
more info
If you require any
further information
on N3 please contact
Topcon and we will be
more than happy to assist
in your enquiry.
Combined OCT preferred
over fundus camera alone?
D
uring January’s Hawaiian
Eye meeting in Maui,
various presentations led to
the conclusion that 3D optical
coherence tomography may
be more sensitive in detecting
retinal abnormalities than traditional non-mydriatic fundus
cameras alone.
Dr Andrew Walsh of Envision Diagnostics claimed that
‘an ideal retinal screening
system would efficiently screen
out those not needing full examination, would be accurate
enough to detect minor abnormalities and would be non-invasive for asymptomatic patients.’
So will OCT alone simply
replace true colour fundus
photography?
The advent of optical coherence
tomography
has
revolutionized the diagnosis
and management of macular
disease. Rather than moving directly to contact lens
examinations as an initial step,
some clinicians rely instead on
OCT to facilitate the diagnosis. In part, that’s because
some ophthalmologists find
the contact lens exam to be
more cumbersome, and have
concerns that it may affect the
quality of photography and/or
angiography.
Proponents of colour fundus photography will however
quickly point out that certain
morphologic features that can
be seen on colour photographs
are not easily visible on OCT
(microaneurysms) and as such
the ideal retinal screening
solution would in fact incorporate both true colour fundus photography and optical
coherence tomography.
Dr Walsh’s retinal disease
screening study compared the
non-mydriatic colour fundus image to the 3D-OCT in screening
284 eyes of 144 asymptomatic
subjects over a 6 month period.
It concluded that the OCT image
was more sensitive at detecting
epiretinal, retinal and subretinal
lesions than the colour fundus
image alone.
So for example when diabetic patients enter the practice,
should they all be screened via
OCT alone? The scientific data
isn’t conclusive in this area
as yet. However, many retinal specialists believe that if
a patient has been diagnosed
with diabetes and has at
least minimal non-proliferative retinopathy, OCT can be
sensitive in picking up subtle
areas of macular edema that
possibly can’t be seen clinically via ophthalmoscopy or
fundus photography alone.
This is important because
these patients may benefit
from earlier treatment or more
frequent follow-up.
Essentially the need to be
armed with the correct tooling
in practice is clear, the recording of true colour representation of the patients fundus for
the purpose of trend analysis
or primary/secondary grading is proven and remains the
gold standard for the English
national screening program
for diabetic retinopathy. OCT
however is clearly revolutionizing clinical practice with a
more sensitive capability in
certain diagnostic scenarios.
So what would be the ideal
retinal screening solution?...
We’ll leave you to be the judge
of that!
Topcon Times | Summer 2012
With Topcon,
you invest in
a service
not simply
a product...
the Clinical
Affairs Team
In order that our customers get
the most from our equipment,
Topcon have invested heavily
in ensuring the knowledge and
skills required by our customers
are provided as part of the
purchase process.
The Clinical Affairs Team
is made up of qualified
professionals
from
both
ophthalmic and optometric
backgrounds and forms part
of Topcon’s after-sales team.
They provide clinical training,
education and advice to our
users at all levels on Topcon’s
many
technical
products
including equipment such as
our 3D Ocular Coherence
Tomographer, but probably
more
importantly
the
interpretation of the results.
With the support of
the Clinical Affairs
Team you can be
assured the return
on your investment
will be priceless, in
respect to your
patients’ overall care.
3
Marcos Lastra-Castro
Clinical Product Specialist
(South West)
Marcos began his career as a
Medical Photographer working for the NHS and Medical
School in Sheffield. He followed on to North Nottinghamshire where he set up a
brand new department at the
Sherwood Forest Hospitals
and started their first Ophthalmic imaging service. He later
furthered his career and qualified with a Bachelor of Arts in
Graphic Design.
Tim Cole
Clinical Product Specialist
(North England & Scotland)
Tim graduated as a Bachelor of
Arts at Manchester University
in 2002 and went onto become
a graphic designer. Shortly after graduating, Tim became a
fully trained ophthalmic imager at Manchester Royal Eye
hospital, specialising in OCT
technology.
After four years he moved to
Blackpool Victoria Hospital as
a general medical photographer, specialising in ophthalmic imaging.
Alison Blake
Clinical Affairs Specialist
(South East England)
Alison is a qualified Optometrist and Dispensing Optician
and has been registered with
the GOC (General Optical
Council) since August 1999.
Throughout Alison’s career
she has had experience of
working for many independent
opticians and multiples in the
South East as well as Moorfields and The Institute of Optometry in London. In 2008
she joined Optegra Hospital in
Guildford.
Ben Turley
Clinical Affairs Manager
As a qualified Photographer and
Medical illustrator Ben has over
15 years Ophthalmic imaging
experience having provided an
illustration service to Manchester’s Royal Eye Hospital and
several key hospitals across the
North West of England. Following the successful development
of imaging software with ComMedica in London, Ben was invited to join the Topcon team.
Ben has built a team of healthcare professionals who cover
all areas of the UK to ensure
Topcon customers receive the
very best clinical education
available, to complement their
individual purchase.
m11711 Topcon new OCT TCTimes AWP.indd 1
19/04/2012 13:00
Summer 2012 | Topcon Times
4
We couldn’t do without
the OCT now says
McCracken Opticans
Optometrists Mark and Emily
McCracken have been running their own busy independent practice in Uttoxeter
since October 2002 and Specialist IP Optometrist Mark
maintains the drive for clinical excellence goes hand-inhand with the need to invest
in the best diagnostic equipment possible.
“The fact that the Topcon
3D-OCT not only captures
highly detailed cross-sectional
scans through the maculae and
optic discs, but compares them
against a normative database,
has been a boon to our ability to screen for and to detect
pathology. Where a scanned
eye falls inside or outside the
normal range of the database it
can help give valuable and reliable guidance in cases where
there is uncertainty from findings of other tests such as
visual fields examinations.
Indeed, the fact that the OCT
can detect evidence of retinal
nerve fibre loss before it shows
on visual fields testing means
that we strongly encourage
all patients with family history of glaucoma and all those
at greater risk of developing
glaucoma to undergo OCT
scanning”.
Emily describes the wider
use of the OCT within the
practice.
“Since acquiring our Topcon OCT in September 2011
its diagnostic capabilities have
given us a true “third dimension” to our investigative techniques. Aside from this the
“wow factor” for the patients is
a confidence builder for them;
not only do they know they are
getting the best examination
possible but they can see that
we as a practice are keeping as
up to date with modern technology as much as we possibly
can. They really do appreciate
this.”
“Using the OCT we have
already confirmed several
sight threatening conditions,
including Wet AMD that has
gone on to be treated successfully”.
“As the only practice currently in our town to have OCT
this gives us an exclusivity
that we have been able to utilise to the best ability via press
releases and leaflets / practice
signage. The press release in
particular has really got peo-
ple talking in the town and we
find that when patients have
had it done often their friends
and relatives will be looking
forward to, and expecting to
have it done at their next examination. Most patients are
happy to pay the private fee
when it is explained and demonstrated how the scanning
will benefit them”.
Mark adds “The OCT has
helped to reinforce the perception of our practice by the
public as being highly clinical and the place to go if you
are worried about the health
of your eyes. It has brought
in a lot of new patients to the
practice along with a greater
number of referrals from local GPs. It has also helped
to improve our standing with
ophthalmologists, promoting
increased dialogue about individual patient cases. Long
term, we’re hoping that the
OCT will help the case for the
local commissioning of Glaucoma Co-management, something we’d love to become involved in”.
Emily
concludes
“We
couldn’t do without the OCT
now!”.
The OCT has
helped to reinforce
the perception of
our practice by the
public as being
highly clinical and
the place to go if
you are worried
about the health
of your eyes.
Mark McCracken
Latest technologies from Topcon that have
the world of surgery talking
Get optimised vision for your patients
For more information, contact Topcon now
TOPCON GB LTD • t: 01635 551120
[email protected] • www.topcon.co.uk
i-Clarity
software
in action
As the owner of an established
single independent practice, I had
recognised the potential benefits
of practice management software,
for a long time.
Andrew Pinn
My existing manual systems
were accurate and reliable,
but increasingly inflexible and
time consuming. Some of the
inertia for the existing system
was a result of the plethora
of choice of practice management software, none of which
looked entirely ideal for my
practice needs.
Topcon introduced me to
i-Clarity at the 2011 BCLA
Conference. I was immediately impressed by the user
friendly and flexible format of
the software. I have now been
running i-Clarity Core in my
practice for six months, and
in this time it has transformed
the way my practice operates.
The installation of i-Clarity,
staff training and subsequent
support have more than lived
up to my previous experience
of excellent customer service
from Topcon. I was apprehensive when we introduced
the new system as my staff
had variable and limited IT
experience, however, they all
embraced the new way of
working and have been motivated by learning new skills.
i-Clarity’s intuitive format
provided a rapid and smooth
learning process. My practice
staff were immediately using
the i-Clarity diary to provide
clients with accurate appointments optimising available
consulting room time.
Administration is simple
and infinitely flexible enabling any letter or document to
be linked to a patient record,
or merged with the patient
data as a planned recall or
individual
communication.
I have found this invaluable
with the increasing number
of shared schemes we are involved with.
The i-Clarity ‘Point of Sale’
enables my staff to rapidly
create and process customer transactions and quickly
reconcile payments from the
NHS and other corporate
clients. In the past I was responsible for reconciling the
accounts, and now i-Clarity
gives me instant information
on cash flow and debtors and
has enabled me to discard my
old time consuming manual
systems that controlled the
day-book and till.
In the consulting room I
use Topcon i-Base for my image capture and storage.
i-Clarity integrates seamlessly with i-Base enabling me to
view existing images from the
i-Clarity patient record and
create a new i-Base record
with a click of the mouse!
I am now looking forward
to upgrading to i-Clarity
Pro which will manage our
registered contact lens patients, provide stock control
and dispensing function.
Topcon Times | Summer 2012
5
Top Harley Street
clinic uses Synergy
P
Diver sees
through Lentis
W
hen a 52-year-old pro fessional diver found
that he was struggling with
his occupation with poor vision, he contacted Optegra,
private eye care specialists.
At the initial consultation
with Mr Robert Morris, Surgeon and Medical Director
at Optegra, he identified that
he had hyperopic presbyopia
and recommended the type
of refractive surgery that he
needed. His job involved diving in a pressurised diving
chamber over a one month
period which required clear
vision at both distance and
near so that he could clearly see the diving cages. The
nature of diving means that
spectacles and contact lenses
are not appropriate or practical and although he thought
laser refractive surgery would
be the answer, Mr Morris recommended that refractive lens
surgery with a multifocal IOL,
a Lentis Mplus, would be more
appropriate for him. This was
arranged at Optegra as part of
their Clarivu programme.
Following his surgery, at
his one week post-operative
review, his unaided visual
acuity was 6/5 in each eye
with a reading vision of N.5.
Functionally he felt that his
distance and near vision
were excellent and he was
able to read small print without difficulty.
At his three month follow-up
visit he had returned to work
and had no difficulties working in the diving chamber.
Mr Morris says this case is
an excellent example of how
the use of refractive lens surgery with the Lentis Mplus
is an effective procedure in
the management of hyperopic presbyopes. It can help
patients both maintain and
function in their occupation
and with their leisure activities.
more info
For more information
www.oculentis.com
www.clarivu.com
rivate healthcare pro vider ‘The London Clinic’
has recently gone live with an
electronic ophthalmology data
system as part of an on-going
programme to expand the use
of its ‘Meditech’ electronic
medical record system.
The clinic, which is based
in Harley Street, London, and
describes itself as the largest,
independently-owned,
nonprofit hospital in the UK, has
been working to bring more
specialities into the Meditech
system, which it first installed
in 2003.
The ophthalmology department has gone paperless
with the implementation of
‘EyeRoute
Synergy’
from
Topcon. The data from Synergy is being integrated with information from the Meditech
system, which is passed into
a SQL database using integration tools from Meditech integration specialist ‘IPeople’.
With the introduction of
Synergy,
ophthalmologists
will be able to see all the data
collected from different devices within one system.
Previously, information captured on one device could only
be viewed from that device; so
a lot of manual data entry was
required to pass it between
systems. This helps eradicate
data entry errors and reduces
the need of clinicians to review paper prints and photographs.
Clinicians are able to access
the system electronically from
any internet-enabled device
through a secure virtual private network. All accesses to
patient information is logged
and reviewed.
More Synergy success
Eye care in South Wales has recently had a boost as Cym Taf
Health
Board
based in Merthyr Tydfil have
introduced Synergy to improve
the
efficiency
and provision of
ophthalmic care
for all patients
in the trusts
area.
‘Synergy’ allows data from
the majority of
the instruments
and equipment
used in the
trusts three hospital eye departments, to be stored on a
central server and accessed
UK homeless charity A
supported by Topcon
t
Vision
Care
for
Homeless People, the
UK charity which provides
eye examinations and glasses
for many of our cities’ dispossessed, we have been “overwhelmed” by the support from
Topcon.
Elaine Styles, Chair of the
Charity, explains – “Topcon
has been amazingly generous.
When we were setting up London’s Hammersmith Broadway
clinic we sent out a wish list.
Topcon delivered all of this
and more – they exceeded our
expectations. The most amazing thing was a binocular indirect headset – which many
practices don’t have.”
The Topcon fundus camera, donated to the East Lon-
at any pc via a secure password. Clinicians can now
view
images
from
OCT’s,
retinal cameras
alongside visual field plots,
ultrasound images etc with
just the click of
a mouse.
The information is stored on
the trusts central
‘Synergy’ server
and is accessed
at PC terminals
using
Internet
Explorer. Cym
Taf has 14 instruments connected currently with access
for all clinicians who require it.
The speed of access to patient data has been greatly
increased with the launch of
‘Synergy’ along with a marked
reduction in running costs by
going paperless when recalling patient records.
don Skylight clinic, proved
its worth on the first day – “A
gentleman was found to have
a retinal haemorrhage which
turned out to be caused by
high blood pressure, known
as “the silent killer” because it
rarely has any obvious symptoms. Early diagnosis and
treatment can prevent a heart
attack or a stroke, so thanks to
Topcon this was picked up.”
In addition, Topcon provides on-going support with
free servicing and calibration
of the donated equipment.
Vision Care for Homeless
People has centres in London,
Birmingham and we are soon
to open another in Brighton.
Volunteer optometrists and
dispensing opticians are always needed to run the clinics
– perhaps for just a few hours
each month.
Our charity is particularly busy during the festive
period when it supports Crisis at Christmas with a full
time eye clinic and dispensing service, supported by
Essilor.
Neil Harding, Head of Medical
Illustration at Cym Taf Health Board
Issued for Vision Care
for Homeless People
By Janice English
more info
To find out more visit: visioncareforhomelesspeople.org
Summer 2012 | Topcon Times
6
The winners story
Topcon 3D-OCT at
Linda Pope Opticians
A year after winning the Topcon OCT at Optrafair, optometrist
Tanya McKie, and practice manager Liz King at Linda Pope
Opticians share with us a question and answer spotlight on how
it has improved their practice and patient management.
Q
How have you integrated OCT into your patient pathway/
examination?
Either a 45 minute appointment is booked for a full eye
examination and OCT or it is
discussed with a patient after
a standard eye examination
and rebooked for a 15 minute
OCT at another time.
Q
Have you felt the OCT has given more clinical
knowledge and helped improve patient management?
It has been invaluable for
the macular and glaucoma
diagnosis. It is a very useful
tool when working with private
referrals as all reports can be
e-mailed and sometimes dealt
with, without having to see the
patient. Unfortunately this is
not the case with the NHS.
Q
Has it improved
your confidence in
examinations/diagnosis?
It has hugely improved my
confidence to the extent that
if I am locum elsewhere, I am
acutely aware of the absence of
my OCT.
Q
Have you gained more clinical skills and
knowledge using the OCT?
Yes definitely. Initially there
was a steep learning curve,
but this has boosted my enthusiasm for learning and
improving on my clinical
skills.
Q
How have your patients viewed the technology?
Do they see it as a value
added service? Has it
improved their confidence
in you as a practice?
All have been amazed and
think that it is great value for
money. The OCT has improved
the local GP’s confidence in
the practice as well.
Q
What other feedback do your patients give you?
Patients have found it very
interesting and informative.
Q
Has it improved your business financially
and increased your number
of patients?
It has increased the number of
patients and therefore the test
fees but we need to get the right
balance between time during
the test and time for dispense.
We are still in that early phase
of wanting to use it on almost
everybody but sometimes at
the cost of dispensing time,
which of course is important.
Q
You have used press releases and ads, but
what do you feel has worked
the best and increased patient
traffic to your practice?
Word of mouth and GP
referrals.
Q
Are you charging your patients a fee for the OCT
examination? If so how have
the patients responded to this?
£35.00 with only one objection.
Q
Is there anything else you wish to share with us?
A plea to the NHS to let us
email reports!! Currently in
West Kent all colour OCT
reports and referrals are sent to
the hospital as black and white
photocopies which are no use
to anyone. The same applies
to disc reports as well. These
are DEFINITELY used if the
patient is referred privately for
suspect glaucoma.
Pinder’s invest
in OCT at
both branches
“
I don’t know
how I managed
before, it’s such
a valuable tool
to have in the
consulting room.
Hannah Shooter,
Optometrist and Director
North Nottingham based independent optometrists Pinder’s, invested in the Topcon
OCT-2000 back in August
2011 in their Mansfield store
and recently added another to
their Southwell store in February. Before its launch it was
decided that the OCT should
be offered to every patient who
wanted it. The OCT is now included as part of an advanced
eye examination to both private and NHS patients.
The more the OCT has been
used in practice the more
things we are discovering.
Only last week a gentleman
having a routine sight test, who
was asymptomatic was found
to have a small cyst at the macula. No referral was required
at the time but he is able to be
monitored much more closely
in the future. Optometrist and
Director Hannah Shooter says
‘I don’t know how I managed
before, it’s such a valuable tool
to have in the consulting room.
Customers really like the fact
that such a detailed examination can be carried out, and
are amazed when shown what
their eyes look like in 3D!’.
Within the first few weeks
of the OCT being installed the
Mansfield branch had already
had experience of viewing
WET AMD, Diabetic Maculopathy and even a peripheral
retinoschsis. The ability to use
it as a standalone fundus camera is also great. All the optical assistants who take standard fundus images love how
easy it is to use.
Hannah added ‘I am so glad
we invested in the Topcon 3D
OCT at both branches, we now
are able to cover a wide patient base with such a fantastic
piece of technology’.
Duffy optometrists delighted
at patients response
S
ince investing in a
Topcon 3D OCT in September 2011, Duffy optometrists have received a great
response from both patients
and optometrists. With both
an old and young uptake and
with clear explanation to every patient on the OCT scan
illustrations, it enhances a
regular NHS and private eye
examination not just for the
practice but more importantly
for the patient.
The Optometric Assistants
prefer to take the OCT scan
before the eye examination as
this allows the Optometrist to
discuss the results with the
patient. Although this takes a
little longer, as 30 minutes is
already allocated for each ap-
pointment, they rarely find the
OCT scans interfere with the
timing of appointments.
Practice Manager, Rakhee
Patel says “It’s important
that we keep up to date with
technology, especially if this
means providing a better service of care for our patients,
and our Topcon OCT enables
us to do this”.
Topcon Times | Summer 2012
7
Topcon support
charity trip
to Africa
My name is Mark Histed and I used
to be a photographer within the
military before joining the NHS
where I have been involved in
Diabetic Eye screening as a program
manager for over 10 years. The
photographic subjects are different
but no less interesting.
I think it is fair to say that we
all have people in life that we
look up to, as a source of inspiration and my step daughter is
the person I look up to. She is a
lovely little girl who suffers with
a rare genetic medical condition
called ‘Gaucher’s Disease’, so
when the opportunity arose for
me to do something for her and
the charity who have supported
us as a family, I jumped at it.
After a long flight and a
dusty journey in a mini bus,
that had seen better days,
Mount Kilimanjaro came into
sight, complete with cloud
cover. The next morning after
breakfast we set off through the
gate into the national park and
the journey began. What most
of us didn’t appreciate was the
effect that altitude would have
on us as we climbed day after
day, some days gaining more
than 1000m. Weather was also
a challenge as we had high
winds; rain; hail and snow to
cope with and toward the end
of the day a tent never looked
so inviting.
Once we had reached the last
camp ‘Kibo Camp’ everyone in
the team was feeling the effects
of the past few days and the altitude was taking its toll. Team
members, who were normally
very chatty, fell silent, everyone
was focussing on getting ready
and ensuring they had everything they would need.
The final departure was in
pitch black with only our head
torches for light. After what
felt like an eternity we finally
reached Gillman’s Point on
the rim of the crater and a nice
warm sugary cup of tea went
down a treat. We then had to
walk around the crater rim
to the higher ground ‘Uhuru
point’ (5896m) and the big
sign highlighting that you’d
made it. Our guides had timed
our walk to perfection as we
all watched the sun rise over
Kenya and over the limited
glaciers, still evident on the
summit area.
I can honestly say this trek
has been the hardest thing I
have ever done, both physically
and mentally, and whilst trekking I’d unknowingly developed pneumonia. The difficulties I was suffering, I thought
were the effects of altitude, so I
continued on.
The trek was a once in a life
time experience and I would
like to thank Topcon for their
generous assistance with getting me out to Africa, to do the
trek. I’m pleased to have done it
and have raised just over £3,000
for the charity. Every penny
is greatly appreciated and all
monies raised will be going to
the charity, as the trip has been
paid for by very generous donations from several companies,
who I’m greatly indebted to and
also very thankful.
more info
http://uk.virginmoneygiving.com/markkilimanjaro
Images of my trek are available at
mghphotography.co.uk/kilimanjaro
Topcon introduces
‘End point Management’
to Pascal Streamline
The clinical effectiveness and
treatment advantages of the
Pascal Streamline have now
been enhanced by the addition
of ‘End Point Management’
(EPM) to its retinal treatment
protocols.
‘End Point Management’
sharpens titration with fine
gradation of laser output,
allowing enhanced precision
for setting visible, or nonvisible endpoints, as well
as increasing therapeutic
treatment options.
Using landmark patterns,
‘EPM’ provides a marker for
the treated area. It provides
intra-operative feedback on
laser dose, as well as providing
a tool to help improve comfort
levels and the understanding
of sub-visible laser therapy.
The aim of EPM is to
produce
sub
threshold
therapeutic burns, marked
by visible boundary burns.
Treating in this way, helps
protect photoreceptors, whilst
providing a clinically
effective and pain
free treatment for the
patient.
The first Pascal
Streamline
pattern
scan laser with ‘EPM’
is now installed with
Professor Paulo Stanga
at Manchester Royal
Eye Hospital and will
be used on a range of
retinal conditions, but
particularly on those
patients suffering from
proliferative diabetic
retinopathy.
Summer 2012 | Topcon Times
8
Topcon launches
a brand new range
of refraction units
Topcon’s range of refraction units have always been known
to deliver a good mix of practicality with good function.
Now, Topcon have built on these qualities and introduce
a whole new range of units for the modern practice.
Can you afford NOT to
have a Topcon OCT?
Leasing a Topcon OCT through
Performance Finance is not only
incredibly easy, it is also the best
way to gain an immediate return
from such an impressive machine.
Here’s how:
Use a Performance 5 year lease. Fixed rate of just 3.99% pa:
Monthly Cost
Annual Cost
£799 +vat
£9,588 +vat
Income generated on a 5 day test week at £35 per scan:
Monthly Income
Annual Income
1 patient a day
£758
£9,100
2 patients a day
£1,517
£18,200
3 patients a day
£2,275
£27,300
4 patients a day
£3,033
£36,400
IS-1 refraction unit
IS-1 series is Topcon’s premier stand system and comes
in a variety of configurations.
Along with complimentary
optional furniture it is possible to configure a working
system customised for your
own personal requirements.
Generate more income and more profit
Contact us today: Performance Finance
01536 529696 [email protected]
Events
IS-1
IS-1 can be specified in a number of colours and finishes to
compliment the practice décor.
Your chance to see
Topcon’s kit in real life...
May
14th
14th
15th – 17th
25th – 27th
UKISCRS Cornea and Cataract Day
Hilton Hotel, Liverpool
RCO Annual Congress Retina Day
Arena & Convention Centre, Liverpool
RCO Annual Congress
Arena and Convention Centre, Liverpool
BCLA
International Convention Centre, Birmingham
June
Optional items can also be included such as trial lens drawers; PC workstation desks as
well as special power supply
holders for our CV5000 computerised vision testers.
15th
23rd – 24th
IS-1D
IS-1D is another version of
the IS-1 but now offering even
greater functionality with 3 tables as opposed to the normal 2.
IS-1D just as with the IS-1
can be specified with multiple
choice colours or just a single
theme.
State of the Art Refractive
and Cataract Surgery Symposium
University of Hull
British Society for Refractive Surgery (BSRS)
Belfry Hotel, Birmingham
July
2nd – 3rd
9th
12th
Other options:
Oxford Ophthalmological Congress
Randolph Hotel, Oxford
Independent’s Day
National Motorcycle Museum, Birmingham
RCO Skills in Retinal Imaging,
Diagnosis and Therapy
The Institute of Physics, London
September
26th – 28th
29th – 30th
IS-1 units offer incredible flexibility while at the same time
keeping the overall footprint
to the minimum.
UKISCRS
The Dome, Brighton
ABDO
Holiday Inn, Stratford upon Avon
October
Auxiliary desk with
PC cupboard
Programmable control pad
15th
16th
17th
18th
21st
Johnson & Johnson Clinical Roadshow
Arnolfin, Bristol
Johnson & Johnson Clinical Roadshow
Austin Court, Birmingham
Johnson & Johnson Clinical Roadshow
Digital World Centre, Salford Quays, Manchester
Johnson & Johnson Clinical Roadshow
Royal International Armouries, Leeds
Johnson & Johnson Clinical Roadshow
Royal College of Physicians, London
November
Near vision reading lamp,
white light
Counterbalanced vision
tester arm
more info
Debuting at Royal College of Ophthalmologists meeting, Liverpool & British
Contact Lens Association at ICC, Birmingham in May 2012.
16th – 17th
Ophthalmic Imaging Association
Annual Conference (OIA)
Holiday Inn, Stratford upon Avon
December
6th – 7th
UK & Eire Glaucome Society Meeting (UKEGS)
Dynamic Earth, Edinburgh
Topcon Times | Summer 2012
9
Refractive correction
without the use of
spectacles is growing
KR-1W 5-in-1 Wavefront Analyser
R
efractive correction with out the use of spectacles
is growing increasingly common.
The widespread use of laser
assisted “in situ” keratomileusis (LASIK), photorefractive Keratectomy (PRK), and
intraocular lenses (IOLs), illustrates just how varied and
sophisticated refractive correction techniques have be-
come. The outcomes achieved
with these techniques can be
exceptional when rigorous
pre-, peri- and post-operative
assessments of visual parameters and overall ocular health
are performed. Such assessment, typically involves the
use of topography to evaluate
corneal health and curvature,
Aberrometry to measure re-
fractive error, and Pupillometry to determine pupil size.
Conventional practice would
call for a different device per
assessment performed, however, a comprehensive machine,
such as the KR-1W, can assist
in significantly reducing the
time, equipment and spatial
requirements associated with
visual assessment.
The KR-1W in clinical practice
By Pierre-Jean Pisella, MD, PhD
Professor of Ophthalmology, University François Rabelais, Tours, France, and
Chairman of the Department of Ophthalmology. Bretonneau Hospital, Tours, France.
I
started using the KR-1W
approximately 3 years
ago, with the aim of evaluating how helpful such a system
would be in the Pre and Postoperative management of cataract surgery patients.
This idea arose from my
awareness that three key surgical steps – Pupillometry, IOL
selection and IOL implantation – are all supported by
the capabilities of the KR-1W.
Specifically, the system permits the measurement of the
types of aberration – higher
order aberration (HOA) – that
cannot be corrected by IOL
implantation.
Corneal asphericity and
astigmatism are also measurable with the system. Doing
so at a preoperative stage allows the physician to ascer-
Results captured by the KR-1W are presented visually as maps, allowing
the doctor to easily identify the cause of a patient’s visual complaints.
The KR-1W features a component map display which shows the high
order aberrations for the entire ocular system.
tain the amount of correction
and asphericity required from
any toric IOL proposed for
astigmatism correction and
for the correct IOL power to
be selected before implantation. It also helps to identify
and rule out candidates who
are unsuitable for multifocal
IOL implantation by nature
of very high levels of astigmatism. The system is also
designed to perform post refractive surgery index calculations – a function that I
have found important when
presented with post refractive
surgery patients who wish to
undergo cataract surgery. In
such patients, this calculation
ensures that residual corneal
irregularities from previous
surgery can be identified,
and non-conventional formulas devised to accommodate
the presence of such corneal
irregularities can be used to
calculate preoperative lens
power rather than standard
formulas. Finally, postoperative measurement of residual
ocular astigmatism can be
conducted with the machine
to ensure prompt identification of required postoperative
refractive adjustments.
Pupillometry
–
during
which pupil diameter and
centration are measured – is
another function of the KR-1W
that I find useful for accurate
IOL selection and implantation, particularly in patients
opting for a multifocal IOL.
Not only does it facilitate the
selection of the most appropriate type of IOL for each
patient, it also allows patients
with marked decentration to
The KR-1W is a highly relevant machine
in ophthalmic practice today. Not only
is it valuable in determining procedural
suitability and maximizing postoperative
visual outcome among refractive and cataract
surgery patients, it is also useful in general
ophthalmology.
Topcon Medical Systems, Inc.
be identified and ruled out for
IOL implantation.
A variety of uses
Although I have only used the
KR-1W in the cataract surgery
setting, it is important to highlight that the machine holds
value in several other settings
– namely the detection of corneal pathology and the assessment of refractive surgery
candidates. Pupillometry is an
examination always required
by preoperative refractive surgery patients, as a pupil diameter greater than 6.5mm when
in scotopic conditions, puts an
individual at elevated risk of
poor night vision after LASIK
and flags them as poor LASIK
candidates.
Poor visual quality and blur
can be troublesome for patients
and their physician if the true
cause is not identified. The KR1W is designed to identify the
source of blur – corneal or lens
pathology and quantify the
level of existing blur via map
plotting and root mean square
(RMS) value calculation. This
capability of the system has numerous roles in clinical practice, allowing correct diagnosis
of patient pathology, determination of cataract severity, and
assessment of visual quality
before and after contact lens
treatment, cataract surgery, or
corneal transplant.
The potential
way forward
While researching the clinical applications of the system,
my colleagues and I identified potential future clinical
uses for the KR-1W. For example, we investigated the
machine’s continuous measurement function and found
it assisted in the evaluation of
visual quality in patients with
dry eye syndrome. This tool,
which is currently only used
in a research capacity, allows
up to 10 continuous measurements of visual quality to
be captured as RMS values,
which can then be analysed
to determine existing changes in higher order aberrations
over a 10 second period. Given the high prevalence of dry
eye in the general population,
I believe it will be exciting to
see the use of this function
move from research to clinical
in the near future.
We also observed that although the KR-1W is currently designed for use by
ophthalmologists during patient consultations, my experience with the machine has
highlighted that the KR-1W is
extremely adaptable and may
provide great benefit when
used during pre-consultation
workup by optometrists or
trained technicians. Nonetheless, I believe that the KR1W is a highly relevant machine in ophthalmic practice
today. Not only is it valuable
in determining procedural
suitability and maximizing
postoperative visual outcome
among refractive and cataract surgery patients, it is
also useful in general ophthalmology – assisting in the
identification of ocular pathology.
Summer 2012 | Topcon Times
10
Topdeals
Topdeals
OCTs & Retinal Cameras
Special offers across the entire Topcon range.
All offers end 31st August 2012. Subject to availability.
Call 01635 551120 or email [email protected]
3D OCT-2000 (50K)
Auto refractors/Keratometers
KR-1
Auto refractor/keratometer Featuring all the accuracy of the rotary prism,
now also comes with a rotating operator screen. This allows the operator to
be sat alongside the patient or behind,
meaning the unit can be placed in a corner and requires a very small footprint.
TRK-1P
4 in 1 instrument; refractometer/keratometer/tonometer and pachymeter.
Key features: quick measurement acquisition and small footprint.
Special price £14,645
Huge saving £2,441 RRP £17,086
Special price £7,564
Saving £1,261 RRP £8,825
Ocular Coherence Tomographer Key features:
50,000 bscans per second; high resolution colour
still and live Fundus image capture. Includes glaucoma; drusen, optic disc and Ganglion Cell analyses.
Special price £39,995
Huge saving £5,627 RRP £45,622
Buy Keeler
Call 01635 551120 or email
[email protected]
Analysers & Topographers
Henson 8000
PSL Portable
Slit Lamp
Visual fields analyser Key features: offers both full threshold
and suprathreshold test strategies; ZATA tests included, which significantly
speed up threshold test; DVLA approved. Complete on table with printer.
Only £5,995 Saving £555
Very small and ergonomic
slit lamp. Ideal for domicilliary use or where space is
at a premium. Big slit lamp
features for portable usability, including fixation
targets; x10 & x16 magnifications and 2,000 hours of
bulb life.
RRP £6,550
MPOD
Macular pigment/AMD screener Key features: repeatable analysis software; low cost and small footprint; portable; LED flicker
photometry; links to Windows PC.
Now only £2,995 Huge saving £2,455
Only £3,250
RRP £5,450
Saving £545 RRP £3,795
Free iPhone 4 adapter
(worth £299) or
Slit Lamps & accessories
SL-D7 with DV-3
Digital camera system
Key features: magnification up to 40x; Haag Streit style
illumination system; serves as a delivery system for
Topcon’s slit lamp OCT device. Comes with full range
of filters and can accept both ‘R’ & ‘T’ type tonometers.
Just like the DC 3, the DV 3 fits the same slit lamps, but
the DV 3 has a higher resolution live image and suits
people who want to record video more than still images.
Special price £8,750
Free carrying case
(worth £100) when you buy
a PSL portable slit lamp
KAT ‘T’ Applanation
tonometer
Goldmann style applanation tonometer which can fit to any slit lamp with a
tonometer plate. This is the removeable
type
Now only £695
Saving £55 RRP £750
Saving £1,309 RRP £10,059
KAT ‘R’ Applanation
tonometer
Chart Systems
LCD Chart Projector with polarized test CC-100XP
Only £3,017 Saving £503
RRP £3,520
LCD VA Chart with integrated screen and pc CC-90SW
Now only £2,052 Saving £235
RRP £2,287
Goldmann style applanation tonometer
which can fit to any slit lamp with a top
mount on the microscope housing. This
is the fixed type.
Now only £735
Saving £65 RRP £800
NB. Tables and tops where required are not included. All prices exclude VAT. Images for illustration purposes only.
Topcon Times | Summer 2012
11
Classifieds
Classifieds – items for sale
Ex-demonstration / loan products. Subject to availability – first come first served.
One year warranty provided as standard.
Call 01635 551120 or email [email protected] for more information.
Subjective
Refraction
Systems
BV-1000 Subjective
Refraction System
Fully automated
Binocular Subjective
Refraction system
£9,995 SAVING £14,686
Chart Systems
CC-100 XP Topcon
Test Type without
Remote Control
Latest development in the
field of LCD chart systems.
High quality 22” LCD
screen, 100% polarization
£2,750 SAVING £400
Tonometers
CT-80-A
Computerised
Tonometer
Non contact computerised
tonometer, offers
automatic alignment,
automatic focus and
automatic measurement,
for easier operation
£1,995 SAVING £2,386
Lensmeters
LM-8 Lensmeter
The standard in bench
lensmeters
£675 SAVING £188
CL-2800
Computerised
Lensmeter
with TM-2
Computerised lensmeter
complete with UV
measurement facility
£2,995 SAVING £1,671
Keeler
Keeler All-Pupil
Wireless Ind Oph
Kit A
One of Keelers most
popular Indirect
Ophthalmoscopes
Corneal
Analysers
Auto refractors/
Keratometers
CA-100
Base Unit only
CA-100
Control Unit
CA-100 Placido
Head only
KR-8100PA Kerato/
Refracto Auto
Align/Picture Chart
Placido ring based
corneal topographer
complete with software
CA-100 SW-Basic
PACKAGE
PRICE £2,995
SAVING £982
CA-100F
Placido Fluo Head
with Software
Placido ring based
corneal topographer
complete with live video
fluorescein capture
option + software
CA-100-PC
Control Unit
CA-100 Base
Unit Complete
PACKAGE
PRICE £4,995
SAVING £1,752
CA-200
with Chinrest
Placido ring based
corneal topographer
complete with software
£2,995 SAVING £1,471
CA-200F Analyser
with Base Plate
Chinrest &
PC-Link S/W
£4,250 SAVING £1,106
Auto Kera/
Refractometer which
provides fully automatic
alignment, focussing and
measurement
£7,995 SAVING £4,082
KR-8800 Auto
Kerato/
Refractometer
Henson 6000
Compact Plus
Field Analyser
Meridian SL
Laser 532
Full threshold & Supra
threshold field analyser
£3,995 SAVING £1,479
Henson 7000
Central Field
Analyser
Central suprathreshold
field screener
£1,500 SAVING £1,441
Solid state ophthalmic
photocoagulator
£5,500 SAVING £5,413
Meridian SL Laser
Nd Yag Joystick
Version
Solid state ophthalmic
YAG laser
£9,000 SAVING £9,097
Meridian SL Laser
Slit Lamp Adaptor
for SL-D7
Henson 8000
Central Field
Analyser
KR-8900 Auto
Kerato/
Refractometer
£5,500 SAVING £566
Fundus Cameras
PHP Foresee
AMD Screener
TRC 50DX
Retinal Camera
£4,995 SAVING £409
Auto Kera/
Refractometer which
provides fully automatic
alignment, focussing and
measurement
Full threshold & Supra
threshold field analyser
complete with fast ‘Zata’
thresholding
Subjective AMD screener
£2,500 SAVING £6,560
TRK-1P
Digital Slit
Lamp Cameras
£10,250 SAVING £4,882
DC-1 Integrated
Digital Camera
with USB-2 i-base
Topcon newest 4 in 1
Auto Kera/Refac’ Tono
with Pachy
Slit Lamps
SL-8Z Slit Lamp
Topcons Zoom slit lamp
offering continuous
magnification up to
31.75x mag
SL-Scan 1 PC only
Topcon integrated
Slit lamp OCT
Nikon D300
Camera Body only
PACKAGE
PRICE £13,995
£575
SP-3000 Specular
Microscope
SAVING £9,562
Non contact automated
endothelial microscope
£12,250 SAVING £1,882
£1,995 SAVING £728
Digital capture device for
Topcon Digital slit lamps
£1,600 SAVING £662
DC-3 Integrated
Digital Camera
with USB-2, i base
Digital camera offering
an integrated 8.3
megapixel camera and 1
megapixel video capture
£1,350 SAVING £1,486
DV-1 Digital Video
Camera with
Base Software
£2,750 SAVING £1,606
DV-3 Digital Video
Camera with
Base Software
Digital camera
incorporating high
resolution digital
camera for excellent
quality images. With
built in yellow filter and
diaphragm unit
£2,750 SAVING £778
NB. Tables and tops where required are not included. All prices exclude VAT.
Slit lamp adaptor for the
photocoagulator
£1,995 SAVING £1,934
Full mydriatic fundus
camera offering Colour/
RF/FA facility, no software
£6,300 SAVING £7,916
£4,995 SAVING £367
Misc.
SAVING £721
Lasers
Auto Kera/
Refractometer which
provides fully automatic
alignment, focussing and
measurement
SL-Scan 1
with i-Base
Fully integrated
8.0 million pixel non
mydriatic camera
Field Analysers
TRC 50IX ICG
Fundus Camera
Full mydriatic fundus
camera offering Colour/RF/
FA/ICG facility, no software
£3,250 SAVING £10,765
NW8 Retinal
Camera with Relay
Non mydriatic fundus
camera, no software
£8,750 SAVING £5,008
Once
they’ve
gone,
they’ve
gone
forever!
Call
01635 551120
or email
medical@
topcon.co.uk
to snap up the
latest deals.
Topcon Times | Summer 2012
12
Coffee break
Crossword competition
The first 20 winning entries will receive £10 M&S vouchers.
Only one entry per practice.
How to enter
Complete the crossword and send this page to: Topcon GB Ltd, Topcon House,
Kennetside, Bone Lane, Newbury, Berks RG14 5PX
Closing date for all entries is 31st August 2012 T&C’s available on request.
Name:
Company:
Address:
Tel:
Email:
Winners of Topcon Times Issue 2 Spot the Difference
£10 Winners – all 10 correct
Roxanne Saunders – John Harwood Optometrists, Camberley
Philip Saunders – John Harwood Optometrists, Camberley
£5 Winners – runners up Hardeep Ghedia – Eyesite Opticians, Reading /
Salvatore Camilleri – Dollond & Aitchison, London / Julie Bonner – Ipswich
Hospital / Lucy Titcomb – Birmingham & Midland Eye Centre / Elizabeth
Brewington – Boots, Scarborough / Frances O’Kane – GJ McKeague, Co.Derry
/ Mohammed Shahin – Boots of Dollond & Aitchison, Eastbourne / Ziggy Shah
– Kingsley Opticians, London / Nick Bailey – Bailey Opticians, Dover / Cheryl
Chappel – Bangor Eye Care, Bangor / Claire Rodrigues – Beresfords Opticians,
Cardiff / Suzanne McIntyre – Leightons Opticians, Swindon / Aysha Salam –
St Pauls Eye Unit, Liverpool Royal Hospital
ACROSS
1 Examination of anterior chamber angle
5 The ‘Y’ of YAG
6 Complete colour blindness
11Receptor cell
12Junction in eyelids
15Inflammation of optic disc
17Flashes of light sometimes in early stages of retinal detachment
Puzzle made at puzzle-maker.com
18Has letters, numbers and shapes used by all
19Partial paralysis
20Linked with muscle
balance testing
DOWN
2 Inflammation of the
conjunctiva
3 Night blindness
4 Some contain vitamins
7 Covers the sclera
8 Instrument for measuring
eyes refractive error
9 Cells in retina
10Process of cell division
13Natural disinfecting agent
in tears
14Not a river but has locks
16Acronym involving light
And finally...
Topcon install
state of the art
equipment for
Ethiopian project
N
ovember
2011
saw
Topcon UK taking on a totally new equipment installation
challenge when Richard Ball and
Lee Fuller travelled to the ‘Black
Lions Hospital’ in Addis Ababa,
Ethiopia. They travelled out to
support Prof Paul Dodson, from
Birmingham Heartlands Hospital and his team that included
Mr Paul Galsworthy, (Grading
Centre Manager, BHH) & Haley
Richard Ball
Topcon Tanzanian
engineer visits
Topcon GB
Chambers, (Diabetic Screener)
in the on-going support of staff
involved in the Ethiopian Diabetic Screening program, which
has the acronym, LEOPARD
Lions
Ethiopian
Ophthalmic
Programme
Against
Retinal
Disease & Diabetes
Despite adverse weather
conditions and power cuts
causing a constant challenge to the installation, the
‘Black Lions Diabetic Screening Centre’ in Addis Ababa is
now home to two Topcon Slit
Lamps, four Topcon Non Mydriatic Retinal Cameras and
two Pascal Streamline Pattern
Scan lasers, complete with
video teaching facility. The
equipment was requested,
agreed and pooled together
in association with Dr Ahmed
Reja,
(President);
Misrak
Tarekegn, (Programme Manager) and the Ethiopian Diabetes Association.
The Topcon Retinal Cameras were connected to ‘Digital
Healthcare’ grading software
which was installed on laptops
and the training was given by
Paul and his team for the grading of images. Topcon then assisted the team with the retinal
cameras and carried out the
training on the Pascal Streamline Pattern Scan Lasers. History was made in Ethiopia as
the first patient was treated in
Addis on the Pascal.
The Topcon retinal cameras
are to be shipped to various
regions throughout Ethiopia
which will significantly improve the diagnosis and treatment of this prevalent disease,
in Africa.
Topcon’s thanks must go
to Dr Tedla Kebede from the
‘Black Lions Diabetic Screening Department’, who was involved at the early stages of
planning the trip whilst work-
ing at Heartlands Hospital
with the team here in the UK.
In addition his assistance with
logistics was also invaluable
as we had no idea of what to
expect!
Dr Ahmed Reja said “I am
extremely happy to see that
our eye project has become
successful. This was made
possible due to the great effort
by all of you. You have given us
‘state of the art’ equipment to
help our people preserve and
save sight. We have all benefitted from your recent visit
& we look forward to working
together. Thank you so much”
more info
For more information
about the Ethiopian
diabetic screening
service please visit
diabetesethiopia.org.et
Following the visit by our own
Clinical Affairs Manager Ben
Turley in Tanzania 18 months
ago, the Muhimbili Hospital
Biomedical equipment engineer James Mayo, who took it
upon himself to support and
educate future medical staff on
its use, joined Ben at Topcon
GB headquarters on his first
ever visit to the UK.
Ben was proud to announce,
“This is only the second occasion James has been given the
opportunity to travel outside
of Africa. For him to join us at
Topcon’s HQ in the UK is an
unprecedented eye opener for
James, a wonderful cultural
experience and one he himself
states he will treasure for many
years to come.”
James returned to Africa
at the end of March, rich in
Topcon knowledge with the
ability to support the portfolio of
Topcon equipment installed at
one of East Africa’s pioneering
Ophthalmic Hospital clinics.