CellChek C. High-grade model providing wide-field visualization of the cornea; including from limbus to limbus, endothelium to epithelium. •, High-resolution. Dystrophy, keratoconus, other corneal dystrophies and trauma. Konan’s specular microscopes are the global gold standard for precision assessment of the most. The CellChek XL™ delivers cellular level imaging of the corneal endothelium with the industry’s most comprehensive tools for cellular morphology and trending.
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Over eight years ago, my friend John Coble, O. These folks are awesome. Without specular microscopy, you could conceivably cause harm to this patient, leading to a cascade of issues including the microscops need for specualr corneal transplant.
Integrate Innovative Technology into Your Practice with the Konan Cellchek Optometrists have become technologically astute with a myriad of devices with which to diagnose and monitor ocular health findings. The world of ophthalmology is going completely automated.
Diagnosing conditions in complex and difficult cases is happily becoming more commonplace with instruments such as these. Added Value – Reimbursement and Coding For reimbursement by Medicare, medical necessity must be demonstrated. All around the best optometrist in Olathe! Patient reports symptoms such as blurry vision, especially in the morning; fluctuating vision; halos around lights; photophobia; foreign body sensation; contact lens intolerance Biomicroscopy findings such as guttata; corneal irregularity; polymegethism; pleomorphism abnormal variation in the shape of the normally hexagonal cells ; reduced cell density; increased corneal thickness; loss of transparency Deficiencies discovered during the CellScreen test In our office, CellScreen tests are billed to the patient for a nominal fee.
Specular microscopy enables you to accurately quantify the endothelial function, identifies patients who are potentially problematic pre-operatively, and facilitates the appropriate treatment of that case. Automated Manual count – a dot is manually placed in each cell or among a group of cells to initiate a count Users can place a box around groups of cells and place a dot in each box.
Specular microscopy is performed on all cataract patients as a pre-operative risk assessment because I have discovered that having a precise endothelial cell count assists me in appropriately managing these cases. I love this eye doctor! Trends analysis is critical to to choosing treatment responses and understanding the progression or arrest of disease.
The specific allowable for each geographic area is determined by adjusting the national rate by the geographical practice cost indices. Friday, March 20, This is the reason why it is important to perform this test pre-operatively on all cataract surgery patients. This monolayer of cells is unique in that, in order to repair itself, the cells must slide or stretch to fill any gaps. If any issues are discovered in the case history, biomicroscopy examination, or during the CellScreen examination, a complete CellChek examination can be performed and billed to the insurance company.
Definitive Diagnoses It is my view that every patient scheduled for intraocular anterior segment surgery, especially cataract surgery, secondary intraocular lens IOL surgery or IOL exchange should receive a baseline specular microscopy examination.
CellChek XL™ Specular Microscope from Konan Medical USA Inc. – Product Description and Details
Techniques have evolved to prevent the loss of endothelial cells during cataract surgery such as the development of viscoelastic materials. I’m a new patient and they have really worked with me on appointment times and The results for both eyes are displayed simultaneously and the screening images are not saved.
He can be reached at tfladen FladenEyeCenter. The basic premise of corneal swelling is that the endothelial pump is no longer functioning adequately enough to maintain normal corneal hydration. They are the total package!
This instrument offers optical pachymetry readings in addition to providing highly magnified images that are clear and reproducible. This test is also needed for patients contemplating implantation of phakic intraocular lenses or refractive surgery. He had just bought one a few months earlier, One of the advantages of the screening is that if problems are detected during the test, doctors are alerted to more closely question these patients and to look for associated signs in the tissues.
These lesions signify that they have taken over positions normally occupied by healthy endothelial cells, interfering with optimal function. In regards to repeat or follow-up testing, specular microscopy is reimbursable when medically indicated and consistent with locally accepted standards of practice, but the reason for testing must be clearly documented.
Spceular is the best eye doctor ever and her staff is amazing The central corneal thickness of this aphakic eye was microns. In order to bill for the procedure, the physician must complete an interpretive report specifying the reason for the test, the cell count, a report of the findings, and the basic treatment plan.
A Valuable Tool for the Diagnosis and Management of Ocular Disease: Konan’s CellChek
The aqueous layer of the tear film is the thickest layer. Clinical Case Report The following case illustrates how specular microscopy makes a difference and can influence clinical decision-making. She was so personable and full of knowledge! In addition, it provides statistical data including the number of cells used as the basis for the analysis. I love this Eye Doc.
Following these patients pre- and post-operatively is helpful in monitoring their response to any operative procedure. As a fully automated system, the CellChek XL includes non-contact pachymetry and peripheral analysis features critical for following tissue transplantation procedures.
The CellChek includes strong trends analysis to make robust use of minimum numbers of observable cells with advanced disease state corneas.
Distinctions of the CellChek XL Since the CellChek XL is a non-contact device, the examination can be conducted without the use of drops and without causing discomfort. Which of the following is true? Optometrists have become technologically astute with a myriad of devices with which microscpe diagnose and monitor ocular health findings. She is so sweet and takes the time to listen to you. A sample interpretive report can be found in Figure 2.
In instances in which Medicare may not cover the test, the patient should be asked to sign an Advance Beneficiary Notice prior to testing. Galbrecht Eyecare Proudly Sponsors: Practicing without the CellChek is like flying a plane with instrumentation only. The claim can be submitted as GA and the fee can be collected from the patient at the time of service or after the Medicare denial.