Smart Vision Exam Demo

How to run a refraction exam during a pandemic? A few key points to remember

  1. Wear a face mask and gloves during the exam
  2. Use alcohol wipes to clean the device (including the eye cup) after each patient
  3. Keep 6 feet of physical distance between store employees and patients

Best Practices for Telemedicine Prescribing

Get ready to learn from veteran Doctor and legal expert, Dr. David Silverman on telemedicine platform best practices and prescribing.

Dr. Silverman takes a deep dive into the language and best practices to communicate with doctors and technicians on the Smart Vision Labs telemedicine platform.

About Dr. David Silverman, M.D., Esq.

Dr. Silverman, M.D., Esq. is a Board Certified Ophthalmologist and active fellow of the American Academy of Ophthalmology. He has practiced Ophthalmology for over two decades; since completing his Residency at the University of Texas Medical Branch in Galveston, Texas in 1992.

Graduating Magna cum Laude with a degree in Cellular Molecular Biology, Dr. Silverman then attended Eastern Virginia Medical School in Norfolk, Virginia where he graduated with Honors. He then completed a year of training in Internal Medicine at the Greater Baltimore Medical Center before entering and completing his Ophthalmology residency.

Later in his career, Dr. Silverman found that he enjoyed moonlighting as a professor at a local university where he taught Human Anatomy and Physiology courses to aspiring doctors and nurses. This helped him rediscover his love for teaching, and he joined the faculty at the University of Kansas Medical Center so that he could help teach the ophthalmologists of tomorrow.

Most recently, Dr. Silverman returned to private practice, and he is now a member of the Eye Clinic and Laser Institute in the Space Coast region of Florida.


Detecting Cataracts with Remote Wavefront Aberrometry

How the SVOne is detecting cataracts with remote Wavefront Aberrometry

Detecting cataracts and referring for comprehensive care:

Our wavefront refraction technology has the ability to detect early signs of cataract development. In this case, we demonstrate how our optometrists/ophthalmologists use Smart Vision Labs’ telemedicine platform to detect signs of early-stage cataracts and send for a comprehensive cataract referral.

The patient is an elderly gentleman visiting one of SVL’s partner eyewear retail locations. Patient went through the wavefront refraction test, and the data was reviewed by a licensed ophthalmologist. The doctor referred the patient for cataract evaluation. There are 3 data points standing out about the patient.

  1. Patient age is 75 years old, in the high possibility zone of developing cataracts.
  2. Patient’s unaided Visual Acuity for both eyes is 20/200.
  3. The wavefront images for both OD and OS show symptoms of light blockage in lens pathway; indicated by the red circles.

Exploring Mobile Vision Care

Good Hope Ministries distributes over 10,000 pairs of reading and prescription glasses a year in Malawi Africa using their SVOne device. The Good Hope team travels to about 90-100 villages each year, in 2019 they helped about 15-60 patients in each rural village.

Good Hope has received a second SVOne will now be able to open a walk-in eye clinic at their head office in February. They are expected to see at least 20-30 people a day in their new office.

All glasses are given free of charge in the villages and at the home base clinic, they charge $1.00 for a pair of glasses.

They are also able to give away 40-60 pairs of reading glasses in each village. Good Hope also visits four prisons in Malawi and distributes glasses there. They have tried other autorefractors, but now only use the SVOne. The SVOne works very well for the mobile vision care they provide.

 


The Future of Optical Retail is Convenience

Customer Spotlight: Modern Day OptX

What technology do you use in your optical store? 

I’ve used Smart Vision for three years.  My newest store technology creates an accurate 3D scan of your face; Capturing your biometric measurements. Customers can move and see themselves in a custom pair of glasses that fit them perfectly. They can see exactly how the frame looks from different angles. You can design 8 billion pairs of glasses.

Why do you work with Smart Vision Labs? 

The Smart Vision Exam works with people’s schedules. One thing I hate is making an appointment, the Doctor’s office, for example, and I’m waiting for an hour or two. I have been not double booked but triple booked for my appointment.

I want to be on people’s schedules. My availability for an eye exam is from 11:30-7. When you’re available, get an eye exam. The exam takes 5-10 minutes; it’s inexpensive, and 99% of the time right. We can get it right for our customers. I work with the fast-pace New Yorkers, and I’m on their schedule.

What do you want to accomplish with your business? 

I want to offer high-end products at the lowest price. By investing in technology, I don’t have as many overhead costs. I can give my customers a convenient high-end product at a lower price.


Customer Spotlight: Empowering your Store

After using SVL for over two years, what stories do you have with your customers? 

We had a customer in her early-twenties visit our LA stores. She did a quick Smart Vision exam and had a pair of glasses later that day, she put them on and walked over to the mirror. She started screaming at the top of her lungs, yelling bloody murder. “I can see every line on my face.” She saw every detail in her face. It was a scary day in the store. This customer wouldn’t have glasses without SVL. The retail optician environment was key to helping this customer. She didn’t believe she needed glasses. We encourage her to try the Smart Vision exam in what ultimately helped her to have corrected vision. Now that she’s aware she does not see 20/20, she is more likely to go to an eye Doctor.

Why did you choose Smart Vision Labs?

What appealed to us about SVL was the convenience for customers. A lot of our clientele work within Hollowood and are short on time. People don’t have time, but they need to see. We still recommend they schedule a visit with their Doctor, but our customers need something that works for them today. You can’t always squeeze in a Dr’s appointment in your schedule, but you can still squeeze in an SVL exam. A Doctor can’t be there seven days a week, but an optician can. These are some of the benefits of a retail optician environment. We have a Doctor at some of our locations and still work with Smart Vision.

How has SVL made a difference in your business? 

When customers bring in their prescriptions, we fill it correctly, but they are only going to see as well as that prescription. With SVL, we can see the visual acuity and Dr’s notes and make sure the patient’s expectation and the prescription are aligned. There is an expectation of, “you made my glasses, why am I not seeing perfectly.” We can only send them back to their optometrist. Using SVL, we can get that feedback to the Doctor immediately. We have more of a direct impact on getting our customers the right pair of glasses. I think it’s a win. It lets us fully take care of our customers.

Any tips for SVL users?

We have a document that we have created that encourages customers to get a Doctor eye visit and explains that the SVL isn’t a comprehensive eye exam. We clarify that the customer still needs to go to a Doctor for the eye health check. I recommend being transparent about this not being a replacement for an eye exam.


Customer Spotlight: Becoming Profitable in 3 Months

Customer Spotlight with National Optical

How long did it take you to make a profit with the SVOne?

I broke even in about three months. I twas quite fast! We used to lose clients when they were told they had to wait for the one day that the doctor was in. With SVOne, however, I can do the exams every day. This has made business more stable and consistent. It’s less stressful and I save $500/week on human resources and other expenses.

Who is your average customer?

Our location is in a supermarket in Brooklyn that is busy with shoppers, so I get a variety of customers who come from diverse backgrounds. I get a mix of both walk-ins and word of mouth referrals.

How do customers respond to Smart Vision Exams? 

They love it for the convenience, speed, and accuracy. The exams take only five minutes. Vision exams used to be a three-person or two-person process. Now, it’s a one-person process. It’s more personable this way.  Since I am the only one doing the refractions and recommending lenses, they trust me more, and I can form closer relationships with them.  I have built a very strong personal connection with a lot of my clientele after using the SVOne device.

What tips about using the SVOne can you share?

The darker the room, the better. Turn off the lights as much as possible. I take the machine into a dark room so that I can catch the refraction quickly.


back to school vision testing - Smart Vision Labs

A Successful School Year Begins with a Proper Vision Screening

For both parents and children, back-to-school season can be a bittersweet time of the year. Those peaceful end of July/August evenings blissfully leads you into the start of a brand new school year. But unfortunately, before you know it the first day of school is suddenly this upcoming Monday. How did that happen? You’ve been sitting around watching the news on Sunday evenings only to be interrupted every 15 minutes by a Staples or Target advert reminding you to get your back-to-school shopping done while the sales still last. And on top of that you’ve been receiving bi-weekly letters from your children’s schools reminding you to get them to the doctor’s office for their yearly physicals, dental checkups, and – most importantly, of course – their vision exams, so nothing will stand in the way of their learning. But did you actually remember to do any of that yet? Well, if you’re anything like my parents were, chances are you didn’t and the last weekday before the start of the school year is a chaos-ridden extravaganza, consisting of having just about every back-to-school errand known to mankind to do in just that one day. But what if I were to tell you that you could enjoy the end of your summer, and still get at least one of those tasks – obviously the most important one – checked off your to-do list? (Hint: it’s the vision exam – big surprise there).

With the Smart Vision Exam, anyone from the ages of 12 to 65 can get their vision tested in as little as 5 minutes. With no appointment necessary, that maximum 10-minute trip to a Smart Vision Exam site will not cut into any of the time reserved for impatiently waiting for your daughter to make the life-or-death decision over which set of highlighters to buy at Staples. Super important stuff. So with that quick and convenient trip for a vision screening, you will then receive an updated prescription in as little as 24 hours. Might as well even get one for yourself while you’re at it.

Many schools offer in-school vision screenings at the start of the year, the ones I attended included. But often times, the person administering the exam – typically the school nurse – is not a trained professional. The margin of error on an improper vision exam consisting of just reading a snellen chart is remarkably high. This type of in-school screening is in no way a sufficient alternative for a proper vision exam, as in most cases, the person administering the test is not well-equipped to detect the patient’s refractive error. Full disclosure: I went to public school in the early 2000s and perhaps this is just commentary on the fact that my school nurse was one of my classmate’s unqualified grandmothers who had a little too much free-time to offer up. Regardless, I passed the in-school screenings with flying colors. It wasn’t until I received a proper vision exam that I realized I had been walking around for years with a -1.50 error in both eyes. Thanks, Nurse Janet.

in school vision testing - Smart Vision Labs
At developing ages where eyesight is likely to change frequently, getting your vision checked is especially crucial. With the help of Dr. Mark Rosenfield and the SUNY College of Optometry, we conducted a clinical study to test our SVOne autorefractor in its ability to measure refractive error in a pediatric population. The results concluded that the device is more than capable of doing so, and might even be a better option for pediatric patients. The American Academy of Pediatrics, as well as other ophthalmological organizations, recommend a handheld autorefractor for measuring such error as, “it is quick, requires minimal cooperation from the child and is especially useful in the preverbal, preliterate, or developmentally delayed child.” The clinical study also reiterates that given that most in-school screenings are performed by school nurses and/or volunteers untrained to perform retinoscopy, handheld autorefraction can be a very valuable and important asset to ensure proper exam results. You don’t say.

Aside from the benefits of accurate vision-screening results, the Smart Vision Exam is perfectly suited for the reluctant-to-go-to-the-doctor’s-office type of child. Another full disclosure: I was that child. Upon my first trip to the optometrist for a proper vision-screening and eye exam, the dilating eye drops, the puff of air test for eye pressure, and even just the overall extremity of the machines in the optometrist’s office gave me some substantial anxiety. And, as is the case for many healthy children, I had no signs pointing towards eye disease and left the office – with remarkably dilated pupils, I might add – only having needed a pair of glasses.

The American Academy of Ophthalmology claims that in the young adult, the rate of development for significant eye disease is very low until the age of 40, at which it then begins to steadily increase. Additionally, they recommend only one comprehensive medical eye exam at some point before reaching the age of 40. A routine comprehensive exam under that age unnecessarily escalates the cost of eye care, when a simple vision screening will more than suffice. So if stuck with an “I refuse to go the doctor” type of child, consider just simply visiting an optical store carrying the Smart Vision Exam, where they will be tested by a device that looks like a glorified iPhone, be in and out in about 5-10 minutes, and you’ll be free of that obligation for a guilt-ridden trip to the ice cream parlor after a doctor’s appointment. Not to mention it’s substantially cheaper than a comprehensive eye exam. Seems like a rather obvious decision.

Before you know it, summer is going to be over, school will resume, and morning commutes to work are going to hampered by yellow school buses’ and their impressive ability to always drive well below the speed limit. Back-to-school errands are already stressful and time-consuming enough. Let the Smart Vision Exam facilitate at least just one of those. Amidst that back-to-school craze, don’t brush aside the importance of vision testing. With our exam, you’ll have plenty of time left to enjoy your last summer days. And if you’re lucky, you might even save yourself some more time for that coveted errand of school-supply shopping.

learn more about telemedicine and how it can increase your optical store's business - Smart Vision Labs

Issy Bonebrake is a born-again New Yorker living down in the Village. She considers herself to be a self-proclaimed, cautiously optimistic futurist. As a classic rock aficionado, she enjoys binge watching rockumentaries from the coziness of her less than 500 square footage apartment. Issy was 8 years old when she realized the remarkable incompetence of in-school vision screenings.

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Spanish Language Support Now Available for Smart Vision Labs

Breaking Down the Barriers to Vision Care

Breaking Down the Barriers to Vision Care

This week, Smart Vision Labs launched a bilingual option to the telemedicine platform, with the addition of a Spanish version of the vision test. As we continue to expand and as the adoption of our platform steadily increases, we released the bilingual platform to support our Spanish-speaking customers in the United States and our international partners. Far too many people, both those in developing countries and even here in the U.S., are up against barriers preventing them from receiving proper vision care. And here at Smart Vision Labs, we are – figuratively speaking – actively tearing down those barriers.

As of 2016, the U.S. Census reported that the number of native-Spanish speakers in the U.S. reached just over 56 million, making up 17% of our population. And according to an American Community Survey report, 29% of Hispanics say they do not speak English well, and a surprising 18% say they do not speak it at all. Consider that before you spend 4 years in college studying some other foreign language to end up only remembering how to order a drink at a bar. How useful.

The immigrant population is continuing to grow, especially the Spanish-speaking population. With English being far from an easy language to learn, we recognized the importance to adapt to the changing status of our population. With this growing population comes the need for more access to healthcare, and specifically to vision care. The number of people living with uncorrected vision is astounding. Through our own research, we discovered that around 25% of people on the road would fail the DMV vision test. What a reassuring statistic that is… With the release of our Spanish version of the vision exam, we’re hoping that we might begin to mitigate this rather large problem as more people will have easy access to proper vision testing.

But in the grand scheme of things, in the U.S., the Spanish version of the exam will help somewhere between 18-29% of the 56 million Spanish-speakers living here. That’s only roughly 3-5% of the entire U.S. population (18% and 29% multiplied by that 17% above for those not mathematically inclined). So let’s not focus on the potential changes to come to vision care in the U.S., but rather the remarkable, positive changes we foresee in vision correction in South America and other Spanish-speaking countries.

Spanish Speaking Version of Vision Testing App - Smart Vision Labs

According to the World Health Organization, an estimated 285 million people worldwide are visually impaired, and about 90% of those people live in low-income settings. However, over 80% of all visual impairment can be prevented or cured. This means that – in a perfect world – we could reduce visual impairment to 57 million people (more math: 285 times 20%). Now I’m not saying this is likely going to happen. Nonetheless, we’re determined to try.

Let’s take a look at Mexico specifically. Optometry Giving Sight estimates that there are 49 million people in Mexico suffering from vision impairment, many because they simply do not have access to vision exams. Another study, conducted by the Pacific University College of Optometry on a humanitarian mission in Mexico, discovered that 60% of those in the study with visual acuity approaching 20/200 could have improved vision through corrective lenses or glasses. Additionally, 50% of all participants in the study showed visual acuity approaching 20/70, and almost 96% of those were corrected that day with lenses. The fundamental problem with vision care in Mexico is the lack of legislation surrounding it. There is little to no repercussion for inaccurate or poor-quality refracting within the country. And without any recourse or system in place to “quality check”, visual impairment in Mexico is seemingly inevitable.*

This is precisely what we at Smart Vision Labs are trying to change by bringing effective and accurate refracting to the country. With our partnerships, and with the potential to expand substantially thanks to the Spanish version of the exam, we’re confident that we will begin to see the percentage of people in Mexico with corrected vision trending upwards. The census in Mexico estimates that only 5% of citizens speak English. Other sources have pointed towards numbers around 12%. Take from that what you wish. Bottomline is that it’s a very low percentage, so let’s not be pedantic about the exact number.

With the release of the Spanish-language vision exam, we plan to attract an increasingly larger customer-base, those that we were potentially missing before due to language barriers. Additionally, with the convenience of an exam requiring no appointment, we continue to try to eliminate other minor barriers preventing people from receiving vision exams. Going forward we plan to increase the number of languages on our telemedicine platform to provide people all over the world access to our vision exam. So keep an eye out. Who knows, maybe someday those years spent studying a foreign language might just finally come in handy.

Issy Bonebrake is a born-again New Yorker living down in the Village. She considers herself to be a self-proclaimed, cautiously optimistic futurist. As a classic rock aficionado, she enjoys binge watching rockumentaries from the coziness of her less than 500 square footage apartment. Issy spent 5 years studying Italian. It has yet proven to be at all useful to her.

Want to learn more about telemedicine? Request a demo today.

learn more about telemedicine and how it can increase your optical store's business - Smart Vision Labs

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*OPTOMETRY IN THE AMERICAS, by Janet L. Leasher, OD, MPH, FAAO and Scott Pike, OD