Creating a Premium Practice
By Bret Fisher, MD
One response to the increase in expectations of today’s patients is to create a full-service premium clinic that offers a full range of solutions for all types of visual needs. According to Dr. Fisher, these can include an optical center, a contact lens department, and an on-site surgery center, among other things. He also suggests that surgeons implement the most advanced premium technologies, offer a variety of solutions to optimize the ocular surface, and provide patients with greater convenience in their care. However, the hallmark of a premium practice, he advises, is attention to customer service.
Maslow’s Hierarchy and Managing Individuals
By Jon Hoffenberg
Mr. Hoffenberg, president of YellowTelescope and SEOversite.com, teases out common mistakes many physician leaders make using Maslow’s hierarchy (see Theory of Human Motivation to the right) and warns physicians against confusing their own level in the hierarchy with that of each employee. The most common mistakes include hiring people who are desperate, joking about employment status, not having fun, and lacking opportunity for new challenges.
The Effect of LASIK on Dry Eye Disease
By Christopher E. Starr, MD
The take-home message from Dr. Starr’s article is that all refractive surgeons should have a high suspicion of dry eye disease (DED) in contact lens wearers. Heeding this advice means that surgeons should not finalize preoperative measurements or perform surgery until the DED is fully treated. Treatment of DED patients should continue beyond the surgical intervention and include close surveillance for worsening of symptoms, Dr. Staar concludes.
Extract the Lens
By Daniel S. Durrie, MD
Although the term dysfunctional lens syndrome (DLS) has been around for more than 15 years, surgeons are just now dividing DLS into three stages of severity, each with its own potential surgical treatment. Treatment options in stage 1 include blended vision, monovision, LASIK, and PRK. The treatments in stages 2 and 3 are not as plentiful; in stage 2, refractive lens exchange is often the best option, and in stage 3 it is cataract surgery. Dr. Durrie states that, in stage 2 DLS, ocular scatter and topography tests should be performed to provide the most comprehensive look at the patient’s crystalline lens.