- The TECNIS SYMFONY® lens implant VIDEO is on-line and available for you and your patients here!
- Dr. Ballon has written more about and published on-line: What is an extended depth of focus lens? TECNIS SYMFONY® Tap Here!
- The Harman Eye Clinic has a new executive director. read the news release.
- A dedicated number, 360-474-2561, for your convenience! Refractive Surgery Consultant, Pam Miller, looks forward to working with your office to help your patients achieve their vision goals in refractive surgery, be it LASIK/PRK or Lifestyle Lens Implants. Or, when your patient is in the office, you can request an appointment in a timely fashion by clicking below.
In our quest to provide better care for your patients, we began performing dropless cataract surgery after January 1st of this year. As you know, some patients still need drops for inherent conditions such as epiretinal membrane, diabetic macular edema, etc.Over 90% of patients need no eyedrops after surgery, but as many as one in ten may develop “rebound inflammation” after the intravitreal steroid effect wears off. These patients typically present 3 weeks out from surgery with iritis symptoms such as redness, irritation or photophobia. They respond well to initiation of topical steroids. They may call the office (invariably Friday at 4:30PM!) and we call in a prescription for Pred Forte and have them schedule as soon as convenient, usually within a couple of days.
We are moving up our 1 month follow-up appointment to 3 weeks and suggest you do this also. Please inform us if you have a patient with rebound inflammation (by way of your post-op form), as we are trying to assess the percentage of patients who have “rebound inflammation”. Nationally others are reporting 9%, but we are seeing about 6%. Our patient population is 95%+ Caucasian which may skew the data, as darkly pigmented patients are thought to be more apt to get inflammation. In any case, we feel having to start drops in less than 10% of cases is a small price to pay to avoid drops for 90% of patients, and decreasing the risk of endophthalmitis from 1:2000 to 1:20,000.Best Wishes, Bruce, Bruce and Natalia
For your patients:
Surgeons and their schedules
FORMS FOR CO-MANAGEMENT
Doctors Referral Form:
Postoperative Follow-Up Protocol
Please note that DropLess Cataract Surgery has changed the “one-month” follow up appointment to “three weeks”. (See Letter of January 2016 above.)
PO Cataract, Multifocal Lens Implant, YAG and Minor Lasers:
For multifocal and accommodative lens implants:
The Harman Eye Clinic
903 Medical Center Drive, Arlington WA 98223
360-474-2561 360-435-8595 FAX 360-435-5233