Clinic Training Revitalvision

RevitalVision clinic training
Yair. Yahav,
1/16/2018
1/16/2018 1 1
12.10.2009 www.revitalvision.com
12.10. 09 www.revitalvision.com
Training Agenda
• What is RevitalVision & how does it work?

• The science, technology and clinical data
• Treatment indications – who are the
potential patients?
• Clinical protocol
• Treatment process
• Important tips
• Technical training - Hands on
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Treatment indications
RevitalVision primarily improves Contrast

Sensitivity!
Main 3 categories:
• Patients with low CS
• Patients with BCVA range 20/30 – 20/200
• Patients with low refractive error, who wish to
improve uncorrected vision
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General criteria
• Age 9 and up
• Motivated and committed
• Cognitive intact
• Stable vision
Exclusion criteria:
• Diabetes (unbalanced)
• Diplopia
• Epilepsy
• Chronic migraines
• Pregnancy
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Attention disorder (untreated)
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Amblyopia
Indications:
• Age – 9 and up
• BCVA – 20/30 – 20/100
• Anisometropia , strabismus, both,
deprivation, unknown, bilateral,
unilateral
• Eye deviation should not exceed
8°prism-diopters
• Can tolerate full correction
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Amblyopia
Clinical protocol:
• Patient has to be best corrected, adapt prior to training,
and wear the correction all day through the training
period
• If anisometropia is higher then 3.5 diopters, patient
should prescribed with contact lenses
• Training is done while the dominant eye is blurred with
semi-transparent cover
• Patient should keep the blurred eye open
underneath the cover.
• Bilateral amblyopia – with 2 eyes open
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40 training sessions
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Amblyopia
Improvement follow-up:
• BCVA
• Stereopsis
• BC Contrast Sensitivity
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Post Cataract
Indications:
• When no further surgery is required (PCO)
• None satisfied patients, which clinical
examination indicates low CS or BCVA – lower
than 20/30
• Patient with low refractive error, who desire to
improve uncorrected vision
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Post Cataract
Clinical protocol:
• Treatment is done with habitual eyewear
• If VA difference is higher than 0.3 LogMar, the
dominant eye should be occluded (while the
lesser eye is treated.)
• 30 training sessions
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Post Cataract
• Habitual VA
• Habitual CS
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Post Refractive Surgery
Indications:
• None satisfied patients with low CS
• Low refractive error
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Clinical protocol:
• Treatment is done without correction or
with training glasses
• If VA difference is higher than 0.3 LogMar,
the dominant eye should be occluded
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• Unaided VA
• Unaided CS
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Low Vision
Indications:
• Age – 9 and up
• BCVA – 20/30 – 20/200
• Low CS
• Stable Vision
• Central vision
• Nystagmus, AMD, RP, Keratoconus,
Corneal scar (limited experience)
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Low Vision
Clinical protocol:
• Patient has to be best corrected to insure
optimal signal from the retina
• Eye occlusion - according to needs
• Very low vision – should do a trail session to
insure they can handle the visual task.
• Some patients may need to sit closer to
screen
• 40 – 50 training sessions
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Low Vision
• BCVA
• BC Contrast Sensitivity
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Presbyopia
Indications:
• Age – 40 to 55
• Early presbyopia up to +1.5 addition
• Uncorrected near vision J1- J4
Goal of treatment to improve uncorrected

near vision in two lines
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Presbyopia
Clinical protocol:
with training glasses.
• Uncorrected near VA
• Uncorrected near CS
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Low Myopia
Indications:
• Age 9 and up.
• Stable refraction
• Uncorrected distance vision 20/30 – 20/60
• Refraction up to 1.5SPH and 0.75CYL
Goal of treatment to improve uncorrected

distance vision in 2.5 lines
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Low Myopia
Clinical protocol:
with training glasses.
• Uncorrected distance VA
• Uncorrected distance CS
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Treatment Process
• Eye examination – exclude or include

• Find out if the patient motivated &
committed
• Find out if patient has suitable computer
• Patient should sign consent form
• Prescribe optical correction if needed
• Schedule guided training session
• Follow up with periodic exams
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Technical training
• Creating new patients in the system

• Guided session
• Follow up patient performance
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Documents/forms
• ETDRS - visual acuity chart (A4)

• Treatment consent forms
• Patient information brochures
• Examination forms
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Refund policy & process
• Coordinate expectations
• Sign formal consent forms
• Patient met treatment criteria
• Patient met treatment tasks
• Did not improve 1 line VA by median
periodic examination
• Patient requested to stop
• Patient refunded by the clinic
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Tips
• Patient selection
• Coordinate expectations
• Motivation & commitment
• Follow up and feedback
• Compliance
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Hands on
END
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Clinic Training Revitalvision

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RevitalVision clinic training

• What is RevitalVision & how does it work?

RevitalVision primarily improves Contrast

Goal of treatment to improve uncorrected

Goal of treatment to improve uncorrected

• Eye examination – exclude or include

• Creating new patients in the system

• ETDRS - visual acuity chart (A4)

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