Interviewer: I am talking with Dr. Marcie of Borel Ophthalmologist. And the subject matter is the OCT, can you describe just how it operatings in basic?
Dr. Marcie: We have the ability to by just merely having the patient search in to the gadget we can easily image some layers of the retina. We may see, it's virtually like an oral x-ray where we may picture the origin of the tooth. So with this we could see within the cells of the retina to see if there is any type of disease procedures taking place.
Interviewer: And is it something that you use for all patients or are there specific people that you target?
Dr. Marcie: There is an added charge for it yet we do advise that our people have this done on a yearly basis. Often we do it a lot more typically if we are tracking an ailment procedure. Yet for screening second when clients come in for their fundamental detailed eye examination, we suggest that they have this browse doinged this that we may see if the retina is healthy and balanced.
Interviewer: Are there particular particular kinds of illness or eye ailments that you are trying to find that can be uncovered with the OCT?
Dr. Marcie: Yes absolutely very early glaucoma. We may pick-up glaucoma you know, six years earlier compared to what could be gotten, six year earlier compared to just how we used to identify whether patient had glaucoma or not since we are in fact putting out the nerve fiber layer and the tool itself will certainly make an assessment based upon normal exactly what the top quality of the nerve fiber layer is. And since that really isn't generally you know, seen when you search in examination. This tool can give us even more information and earlier details compared to exactly what we generally may get.
Interviewer: Are you discovering that people appreciate that you have this sort of sophisticated innovation?
Dr. Marcie: Yes, quite so. Yeah, they think that, you know it's sort of room age. Just what we may do now, and they do value that we, that we are checking out trying to recognize from the early and that we've, you know, that we have a tool that may do that.
I find that the patients that are most curious about having us done are those that have genealogy of macular degeneration.
They have a mom or granny or aunt or a person who went blind or have reduced eyesight from macular weakening. And those are the ones whose like, yeah I like to know.
Interviewer: What was it regarding it that made you feel you needed to spend in this for your practice?
Dr. Marcie: Because I can easily see points that I normally couldn't see, that I can easily see within the tissue of the retina which, you know, there is no other method to do that.
I believe that I could be conclusive about a prognosis. Somebody states do I have macular degeneration and I could inform them yes or no. So truly, you know, it includes a part of definitiveness about the diagnosis.
Interviewer: You had actually mentioned that specific individuals make use of to readjust it to the browse even more than once a year. Exist specific threat factors that directs you to that recommendation?
Dr. Marcie: Yes there are, and a person with, so if we that there is condition and we wish to track it and to see if it's acquiring worse or receiving much better then we will have him been available in more often. If there is something that looks like it's, you know, it's most likely that, if we discover something that could be progressive like glaucoma then we have them can be found in a lot more commonly to ensure we can easily see exactly what's the rate of adjustment overtime because illness progress.
Interviewer: You had pointed out that there is an additional cost to the client, so you have a sense of exactly what percentage of people are prepared to pay a bit added in order to have this solution?
Dr. Marcie: I would say regarding perhaps 65-70 %. Due to the fact that it's not expensive, I suggest, it's under $30.00. If they have, the means we do this is if they get an optomap retinal analysis then its $39.00, if they acquire both the optomap and the OCT its $66.00 so what's that $37, no $27.00.
So it's just $27.00 to have this done. If they just do it and don't do anything else then it's, we ask for $36.00 for it.
But if they do it in mix then its only $27.00 which is incredible we enjoy.
Due to the fact that eye doctor when you visit their technique they are announcing you know, hundreds of bucks to have actually the OCT done.
Interviewer: Speaking of which is, would you say that having an OCT is normative for an optometric method or does it established you apart?
Dr. Marcie: It establishes us apart, it sets us apart. There are incredibly few methods that have an OCT optometric techniques and really few ophthalmological techniques that have them also. Just the, you understand, the retina specialist have them, but there really aren't y that lots of and I have no idea their truths so don't quotation me on it. However it would certainly be appealing to know exactly how lots of general ophthalmology methods in fact have an OCT
. Interviewer: Are there other kinds of modern technology or devices that you are looking to bring in to the workplace also to include on to this or you excel with this right now?
Dr. Marcie: I do not believe we need this. We were informed that the only various other method in Northern California that you throw away the optomap and the OCT for evaluating is in the Eureka.
Interviewer: Great, so I think we have obtained a feeling, are there any other elements regarding the OCT that you would certainly such as to add that you feel you have missed?
Dr. Marcie: Well I mean the criterion of take care of tracking glaucoma and modifications in glaucoma and that's an additional factor why we believe it's so crucial for us to use this innovation.
I mean for very early condition destination tracking glaucoma, tracking macular openings at the retinal membranes and lets see, and I think for just what I like is that for those clients that have history, household history of macular deterioration when we see that there are no adjustments to their retina in the layer of the eye that gets damaged with macular generation I mean it simply produces an actually delighted patients.
Since they understand definitively that they do not have it currently in time.
Dr. Marcie: And so that's I like that, because they do not need to stress now. For you know and then we will do following year yet it merely, you know, it takes the inquiry from it. It cleans their worries concerning it.
Interviewer: Right-right and are there particular, is there a certain tale that stands apart in your mind of a patient that didn't understand and possibly wouldn't have learnt about a specific illness and with this you have the ability to you understand, find it and help in the therapy of it by discovering it earlier was that a regular everyday incident or is there certain ...?
Dr. Marcie: It's a daily, it's a regular daily incident but yet another point that we can easily do is we could picture anterior chamber angles with it and in the past we have not had any kind of tools for really imaging it and conserving that image overtime and without really touching the eye and placing a you understand gooey compound and a diagnostic lens on the eye and now we may do it without needing to do what is called gonioscopy.
So yes, we found some slim positions in people that really would have been, they would not have decided to have the various other examination done because it's uncomfortable. We could do it in a comfy method it does not touch examination and we have located some slim positions that we delivered out to be managed. We got some glaucoma, we got some optic neuritis and it's rather on-the-spot you understand.
You don't need to wait for a lab to provide its outcome, that's the other really stunning thing regarding OCT. It doesn't touch the eye and there is no hanging around time.
