In this webinar, Dr. Michael Cymbor presents how the use of the handheld RETeval Device in his practice has changed how he manages ocular disease, especially with regard to diabetic retinopathy and glaucoma. Functional retinal health testing is a vital counterpart to OCT and Fundus photography-it's the missing puzzle piece of the diagnostic puzzle.
Some fascinating cases are presented, including a dramatic DR Assessment result.
Learn more at lkc.com/products/reteval
0:00 - Intro
2:42 - This changes how I treat ocular disease
5:06 - This isn't what you learned in school about ERG
6:00 - Portable electroretinography today
6:14 - The ERG waveform in a nutshell: A-wave, B-wave, and PHnR
7:44 - Why the RETeval works so well in a modern optometric practice
10:08 - Functional testing for two ocular disease states: Diabetic Retinopathy and Glaucoma
11:50 - Advantages of full-field ERG (ffERG) for assessing function for diabetic retinopathy suspects
12:58 - ERG waveform changes (with OCT) as DR progresses
14:14 - LKC's unique DR Assessment Protocol and score using the RETeval
15:54 - Straightforward interpretation of results
17:04 - A normal DR Assessment result
18:16 - An abnormal DR Assessment
19:23 - Glaucoma: Retinal ganglion cell function for early intervention
20:51 - Photopic Negative Response (PhNR) for glaucoma (normal result)
22:11 - Glaucoma PhNR Abnormal result
23:58 - Case #1: ERG confirms clinical picture (No DR pathology)
25:28 - Case #2: ERG shows surprising findings in the unexpected eye (NPDR)
29:16 - Case #3: ERG tracks significant improvement with aggressive diabetic treatment
34:20 - Case #4: ERG confirms clinical picture (glaucoma)
38:55 - Case #5: ERG provides the missing information (glaucoma)
41:05 - Case #6: ERG raises the level of concern (glaucoma)
43:44 - Bonus Glaucoma Case! Pre and post-SLT ERG comparison show significant improvement
47:00 - Is it valid to compare ERG results from visit to visit?
48:13 - How do implicit time, amplitude, and W-ratio interact when assessing glaucoma?
49:35 - I can detect DR stress early with ERG...okay, so, what can I do about that?
52:05 - What amount of change in the PHnR is considered significant?
53:06 - Is there utility for the RETEVAL FOR AMD?
55:26 - PHnR long vs. short protocol: which to use and when?
56:53 - Reimbursements are fairly smooth
57:27 - How do you bill for ERG glaucoma testing?
58:51 - What about DR billing?
Негізгі бет Ғылым және технология How the RETeval Became a Daily Instrument in my Diagnostic Toolkit with Michael Cymbor, OD, FAAO
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