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.
|Published (Last):||25 September 2013|
|PDF File Size:||5.30 Mb|
|ePub File Size:||11.99 Mb|
|Price:||Free* [*Free Regsitration Required]|
This instrument offers optical pachymetry readings in addition to providing highly magnified images that are clear and reproducible. As a fully automated system, the CellChek XL includes non-contact pachymetry and konqn analysis features critical for following tissue transplantation procedures.
Konan provides on-site training, advanced topics web-enabled training and the industry’s best clinical support. By obtaining a quantitative measure of corneal function, physicians can definitively determine if the patient’s cornea is more vulnerable.
We can and should examine patients in high definition. 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. Since the screening is entirely automated, the user cannot choose which konnan to count, slightly increasing the variability of microscppe output. The specific allowable for each geographic area is determined by adjusting the national rate by the geographical practice cost indices.
He can be reached at tfladen FladenEyeCenter. Using the Konan CellChek XL In a basic specular microscopy examination, there are three ways of interpreting the images: You simply won’t have a complete grasp of the situation.
She is so sweet and takes the time to listen to you. This method is generally reserved for cases where substantial numbers of endothelial cells have been lost The software analysis package provides the: The CellChek XL konab been of benefit in allowing me to proactively prevent problems.
Have a question or comment on this article? The aqueous layer of the tear film is the thickest layer. Specular microscopy is an essential tool in my practice and should be embraced by every mjcroscope institution, corneal surgeon, and anterior segment surgeon.
Clearly, for corneal issues, deep lamellar keratoplasty patients, and cataract surgery patients, specular microscopy is both invaluable and reimbursable.
Trends analysis is critical to to choosing treatment responses and understanding the progression or arrest of disease. It provides five focus points for image capture at the center and four peripheral sites, allowing a more comprehensive look at the cornea. This test shows the direct correlation for the amount of time spent sleeping in contact lenses and the damage it causes.
In Fuch’s endothelial dystrophy, a genetic disorder more common in females, the endothelial cell count can prematurely decline with ensuing corneal swelling.
This means that 10, patients experience complications with what is usually a straightforward procedure. All around the best optometrist specula Olathe! I love this Eye Doc.
CellChek XL™ Specular Microscope from Konan Medical USA Inc.
Koonan patients do not know that you must have a healthy endothelium to undergo any type of surgery to the eye. For more information read the full interview with Dr. This is the reason why it is important to perform this test pre-operatively on all cataract surgery patients. Specular microscopy revealed an abnormally low cell count in the right aphakic eye and a normal cell count in the microsdope eye see Figure 1.
The mucin layer is secreted by the glands of Wolfring.
If the cell count diminishes for whatever reason and the cornea swells, it becomes more challenging to obtain an accurate cell count. Note that the corneal thickness of the right eye microns is thicker than that of the left eye due to corneal swelling. Diagnosing conditions in complex and difficult cases is happily becoming more commonplace with instruments such as these. A sample interpretive report can be found in Figure 2.
Konan Specular Microscope – Sarasota FL | Gulfcoast Eye Center
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.
Should the patient be found to have a diagnosed condition, we charge a medical evaluation and management fee and bill the patient’s medical insurance using CPT Special anterior segment photography with interpretation and report; with specular endothelial microscopy and cell count.
The best eye doctor ever! The CellChek captures high quality images of your corneal endothelium using a patented method that identifies the position of the cellular interface. In other words, to bill specular microscopy at the same time that you are performing a pre-surgical eye examination for cataract surgery, the medical record must document at least one of the coverage criteria discussed and the procedure must be reported with a diagnosis code other than a simple cataract.
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. Use the “Comment” link above to leave your thoughts, and the author will respond.
This test is also needed for patients contemplating implantation of phakic intraocular lenses or refractive surgery. Submit your case studies, clinical pearls, practice management tips, editorial, or other manuscripts. 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.
A secondary consideration is that specular microscopy has clear value from a reimbursement perspective. Using non-contact optical pachymetry, the CellChek provides corneal thickness measurements at all five data sample sites. Finally, it features a small footprint and comes with a table, computer, monitor, and printer.
Galbrecht Eyecare Proudly Sponsors: Physical trauma can occur during cataract surgery or any other anterior segment intraocular surgery. For these patients in particular, physicians need to understand the cornea from a morphological viewpoint. Keep up with our latest articles, news and events.