Eyeworld

59 EW INTERNATIONAL January 2015 and intraocular lens-based, for presbyopia correction. Not a one-man team The London Vision Clinic research team has published approximate- ly 1 paper per month for the last several years, meaning that this small private clinic is publishing more than many university depart- ments. Publishing research papers has multiple benefits. It not only puts the clinic on the map of the academic community, but also pro- vides feedback into our standard of patient care, outcomes, safety, and enhancement rates. Therefore, we can show patients real data on what we are offering rather than pulling statistics from other centers on what a procedure provides. It means that our patients are receiving better in- formed consent information, which we find is very reassuring to them during the process. The research team is led by Timothy Archer, a mathematician whose main role is as in-house programmer and data analyst. Marine Gobbe, PhD, an optome- trist, is another full-time member of the research team and brings her expertise in research protocols and wavefront aberrations. The team also consists of 3 full-time laser technicians who each run their own research projects. Robust data systems In the last 12 years of practice, the clinical data generated at the London Vision Clinic has turned into an automated and continuous loop: All patient data is entered into our NexTech EMR system, which is exported to a custom outcomes analysis spreadsheet that can be used to automatically perform out- comes analysis and compare results between up to 5 manually selected groups at one time as well as gener- ating matched control groups. Because of the data systems in place at the clinic, the team is always seeking new ways to improve patient outcomes. Personalized treatment options have become possible at the London Vision Clinic with its robust data system as a powerful tool. We have daily real-time outcomes analysis. At any point, we have a tab on what our outcomes are—information that we can use to update a nomogram just like that. EW References 1. Reinstein DZ, Silverman RH, Coleman DJ. High-frequency ultrasound measurement of the thickness of the corneal epithelium. Refract Corneal Surg. 1993;9:385–387. 2. Reinstein DZ, Archer TJ, Dickeson ZI, Gobbe M. Transepithelial phototherapeutic keratectomy protocol for treating irregular astigmatism based on population epithelial thickness measurements by Artemis very high-frequency digital ultrasound. J Refract Surg. 2014;30:380–387. 3. Reinstein DZ, Archer T. Combined Artemis very high-frequency digital ultrasound-assist- ed transepithelial phototherapeutic keratecto- my and wavefront-guided treatment following multiple corneal refractive procedures. J Cataract Refract Surg. 2006;32:1870–1876. 4. Reinstein DZ, Rothman RC, Couch DG, Archer TJ. Artemis very high-frequency digital ultrasound-guided repositioning of a free cap after laser in situ keratomileusis. J Cataract Refract Surg. 2006;32:1877–1882. 5. Reinstein DZ, Archer TJ, Gobbe M. Refractive and topographic errors in topog- raphy-guided ablation produced by epithelial compensation predicted by three-dimensional Artemis very high-frequency digital ultrasound stromal and epithelial thickness mapping. J Refract Surg. 2012;28:657–663. 6. Reinstein DZ, Archer TJ, Gobbe M. Improved effectiveness of trans-epithelial photothera- peutic keratectomy versus topography-guided ablation degraded by epithelial compensation on irregular stromal surfaces. J Refract Surg. 2013;29:526–533. 7. Reinstein DZ, Carp GI, Archer TJ, Gobbe M. Stromal surface topography-guided custom ablation as a repair tool for corneal irregular astigmatism. J Refract Surg. 2014 [In Press]. Editors' note: Dr. Reinstein is medical director and founder of the London Vision Clinic, London. He has financial interests with ArcScan and Carl Zeiss Meditec (Jena, Germany). Contact information Reinstein: dzr@londonvisionclinic.com www.euretina.org Nice 15 th EURETINA Congress 17–20 September 2015 Acropolis, Nice, France Abstract Submission Deadline 15 March 2015 /EURETINA EURETINA @EURETINA

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