Course curriculum

  • 1

    Intro to Lumen and what we represent

    • Mission Statement - long and short form

    • WIG - Wildly important goal

    • If Disneyland Ran Our Office

    • If Disneyland Ran Our Office Summary
  • 2

    Perception

    • As A New(ish) Graduate

    • Good Resources

    • What Type Of Doctor Are You?

    • Addendum - Firefighting 101 - What To Say
  • 3

    Crystal EHR

    • Intro to Crystal

    • Adding New Patients to Crystal

    • Scheduling an Exam

    • Importing New Patient Forms

    • Crystal Runthrough #1

    • Crystal Runthrough #2

    • Crystal Runthrough #3

    • Crystal Runthrough #4
  • 4

    In-Office Communication

    • Tick Tick

    • Slack

    • Temporary Info

    • Where we store our data
  • 5

    Weave

    • Introduction to Weave

    • Weave Payment Emails

    • Weave payment search and new patients
  • 6

    Exam Flow

    • Reviewing pretest data

    • Case history

    • The actual exam - data gathering

    • End of exam - Four R's

    • End of Exam - Health recommendations

    • Be different, but in a good way!

    • Optical handoff

    • Myopic children - end of exam

    • Addendum - Pretest Glitch Workarounds

    • Addendum - Set TickTick Reminders!
  • 7

    Optical Background Knowledge

    • Our lens packages

    • Essilor lenses & anti-glare

    • Some notes before watching the next video...

    • Vision Source private-label lenses & anti-glare

    • Essilor & Vision Source Lenses In Practice

    • Neurolens - types and lens design

    • Essilor lens types - SV #1

    • Essilor lens types - SV #2

    • Computer progressives #1

    • Computer progressives #2

    • Progressive patient education

    • Expected Rx change effects

    • Newest Essilor PAL - Varilux XR

    • Compensated lens non-adapts
  • 8

    Optical - Prescribing in the chair

    • Essilor/Vision Source

    • Neurolens

    • Additional tire analogy and also A+ A- vision
  • 9

    Contact Lens Background Knowledge

    • Crystal contact lens progression

    • Update to Crystal CL tab - Quoting and Trials-Ordering

    • Contact lens track sheet

    • Ordering contact lens trials

    • Ordering Contact Lens Trials For Backup Purposes

    • Differences between soft, scleral, OK lenses

    • Vision Source Contact Lens Equivalents

    • Tracking down soft contact lens orders
  • 10

    Contact Lens Prescribing In The Chair

    • Dailies

    • Presenting Fees
  • 11

    Track Sheet Review

    • Copays, optical, and products

    • Updated Numbers

    • Exam/Optical Track Sheet

    • Updated track sheet - 1.25.24

    • Updated track sheet - 3.12.24
  • 12

    Insurance

    • VSP + Eyemed CL copays

    • Eyemed Contact Lens Designation

    • Using Contacts or Glasses Benefits

    • Medically neccessary copays

    • Update re: med nec copays

    • Lens Replacements For Medically-Necessary Insurance Patients

    • Odd Situation - A Scleral In One Eye and Soft CL In The Other

    • Tip - Always Collect The Copay

    • Minimum Prescription For Insurance

    • Prism Notation In Crystal

    • Eyemed CL Pricing Quiz

    • Medically Necessary Form on Eyemed

    • Difference between KC bill codes and Eyemed Med Nec Levels

    • Weird Eyemed CL Plan

    • Weird Eyemed plan with no coverage despite it stating availability
  • 13

    Prescribing Tips

    • Glasses tips

    • Contact lens tips

    • Prescribing prism

    • Interesting optical case - DD

    • Interesting optical NL case - JG

    • Interesting atropine / OK case - loves glasses
  • 14

    Treehouse Eyes - Myopia Management

    • Myopia management decision-making

    • Treehouse Eyes Myopia Management Fees

    • Green Folders

    • Myopia Consult 1

    • Myopia Consult 2

    • Myopia Consult 3

    • Wave or Euclid lenses

    • Ordering Soft Multifocal Contact Lenses

    • Ordering Atropine through OSRx

    • Axial Length Measurement Frequency.

    • Yearly Re-Up Fee Differences For Grandfathered Pricing

    • SMFCL Medical Records

    • Can I Just Have the MiSight Rx?
  • 15

    Orthokeratology-Specific

    • Exam Flow For OK Consult

    • Consult Intro - Difference From Myopic OK Consult

    • Candidacy

    • Consult - Corneal Molding

    • Dispense Protocol

    • Taking NAFL Images

    • OK Preparatory Training Videos Canned Email

    • Follow-Up Protocol

    • Insertion & Removal - Our Procedure

    • Cleaning regimen

    • Ortho-k washout

    • Ordering Euclid OK lenses

    • Consult - Pros & Cons

    • Ortho-K - Doctor FAQs

    • "Comfort" Drops

    • OK Re-Up & Lens Pricing

    • Redesigning Lenses - When It's Probably Not Needed

    • Tracking Shipped OK Lenses

    • Interesting case - DG
  • 16

    Ortho-K Wave Design

    • Important lesson for fine-tuning CSOK landing

    • Selecting Tomos - Difficult - ML

    • Design - Myopic OK SVD low Rx child - GN

    • Design - HOK adult - PM

    • Design - Myopic OK SVD mod Rx child - MW

    • Design - Myopic OK w/ internal cyl - SVD - adult - JM

    • Design - Myopic OK SVD Low Rx - ML - Medmont + Pentacam combo

    • Design - CSOK Mod myopia + high cyl - AC - Used Medmont

    • Design-Myopic OK SVD - Steep Nasal - IH

    • Design- Myopic CSOK -7.00Rx - CB

    • Design - HPOK adult - AD OD - 12.8.23

    • Design - HPOK Adult - AD OS - 12.8.23

    • How to modify existing lens designs

    • How To Modify Off A Previous Previous Design

    • Reordering exact duplicates from Wave IOSS

    • Modify - Easy - CH - Cut Power

    • Modify - Easy - EC - inc TP

    • Modify - Easy - AK - Cut Power

    • Modify - Moderate - AT - Cut Power for SV HOK

    • Modify - Moderate - CY - Cut power for HPOK

    • Dispense Walkthrough JM - CSOK and Corneal myopic OK

    • Dispense Walkthrough SY - CSOK

    • Warning re: Wave's Website

    • Changing materials from Equ2 to XO2

    • Design - HS - High Astigmat - pl-4xx

    • Design - SL - High Myopia CSOK - Axial design

    • Design - SL - High Myopia CSOK Tangential design

    • Design - TK OD - Reviewing and changing Tomos

    • Design - TK OS - Changing tomos

    • Design - TK OS - Tangential Design test

    • Design - Optic Zone considerations

    • Design - IT - Steep Pink Propping up lens

    • Design - AK - Mostly just astigmatism OD

    • Design - AK - Mostly just astigmatism OS - text below

    • 1/18/24 - Design - AD - HOK - Very very mild Dist Rx

    • 2/24/24 - Design - KJ - Mild Myope

    • 2/24/24 - Design + Tomo choosing - SK - Mild myope

    • 4/3/24 - Picking tomos - NA

    • 4/3/24 - Picking topos - NA

    • 4/3/24 - Design - NA - Mild Myope

    • 4/12/24 - Design - KH - Steep Sup Pink Propping Up Lens

    • 5/9/24 - Design - NL - Mild Myope

    • 5/9/24 - Picking tomos and topos

    • Picking tomos and topos and design (see text below the video) - DL

    • Selecting tomos - AC

    • Picking tomos - PM

    • Selecting tomos and topos - NK

    • Picking tomos and topos - BW

    • Picking tomos and topos - RA

    • 7/4/24 - Design - BW - High Cyl

    • 7/4/24 - Design - AC - HPOK

    • Selecting tomos and topos - BK

    • Selecting tomos and topos - JL

    • 7/18/24 - Design - JL - myopic child

    • 6/10/24 - Design RA - HPOK

    • 7/21/24 - Selecting tomos/topos and Design - High myopia child - JD

    • 7/31/24 - Selecting tomos and topos - LS

    • 7/31/24 - Design - LS - HPOK

    • 8/30/24 - Selecting tomos/topos and design - KY - low myope child

    • 8/30/24 - Selecting topos and tomos - DY

    • 8/30/24 - Design - DY - Low myope

    • 9/27/24 - Design - AD - Mod myopic child - Spherical cornea

    • 9/27/24 - Selecting tomos/topos for XL

    • 11/30/24 - Design - PB - Myope with Steep Sup Pink
  • 17

    GP Wave Design

    • GP fit for KC - RT

    • 9/12/24 - Design - BZ - mod myope
  • 18

    Ortho-K Modifications

    • Modifications MW - Residual WTR Cyl - Pentacam/Medmont Mismatch

    • Modification KJ - Residual WTR Cyl - Testing tightening vert blue and oval tx zone

    • Modification HS - Residual WTR cyl on a WTR cyl-only Rx. Already an oval + BC toric

    • Modification AF - Residual WTR Cyl

    • Modification KJ - Residual WTR Cyl

    • Modification KL - Inc Treatment power (TP)

    • Modification - MW - Lid pinning and horizontal mid peri steep

    • Modification LM - Lid Pinned - Undertreated after introducing sF

    • Modification TL - Periphery/mid peri too steep & tx overpowered

    • Modification AT - Glare, small OZ / lens steep, but rotated 90 CW

    • Modification CL - Lens too steep in horizontal and small-ish

    • Modification - LO - Lens steep in horizontal - need more RC height

    • Modification - BW - Lid Pinning - High Cyl - Low Myope

    • Modification - CB - Enlarging OZ due to glare
  • 19

    Ortho-K Reviewing Findings

    • TY - Small residual Rx and whether to redesign - addtl text below

    • MW - Lid pinning, OD lens less comfortable relative to modified OS

    • Week's end review - 5/11/24

    • MU - Maybe horizontally steep? Reviewing hypothetical changes. Text below video.
  • 20

    Top 3 Tips

    • Top 3 Tips To Fine-Tune
  • 21

    Neurolens-specific

    • Candidates

    • Neurolens 1

    • Neurolens 2

    • Neurolens 3
  • 22

    Scleral-specific

    • Warmed Water For Sclerals

    • Temporary Lens Coating

    • Finding Lens Parameters

    • Returning First Variations of Sclerals

    • Other Random Tips

    • For Insurance - Need I&R - Interpretation & Report

    • Keratoconus/Scleral Lens Consult Protocol

    • First Scleral Dispense

    • Common Scleral Questions

    • Discerning multifocal lenses (MF) from the invoice
  • 23

    Scleral Ordering

    • Ordering ARES Lenses Through Valley Contax

    • Default Lens Colors
  • 24

    Rx Check Protocol

    • Optical

    • Optical centers are off

    • Neurolens Rx Check - SK - Compromises and too much prism
  • 25

    Dry Eye

    • Dry Eye Basics
  • 26

    Random Tidbits

    • Referral Doctors

    • LASIK Requirements

    • Creating & Uploading Referrals

    • Checking in BF with Prism

    • How to find missing patients in Nidek and Medmont
  • 27

    Scheduling Patients - General Rule

    • Do Not Violate This Rule
  • 28

    Specialty Contact Lens Warranties

    • Warranties Explainer

    • Specialty Contact Lens Warranties
  • 29

    COVID Protocols

    • COVID Protocols
  • 30

    Phone Consults

    • The most important point

    • Scleral phone consult - aberrations with SMILE

    • Phone Consult for Myopia Management - OK

    • From Staff's Perspective - Precision Calls

    • Phone Consult For Sclerals

    • Myopia management - f/u questions about OK and SMFCLs

    • Myopia management - fairly concise one

    • Myopia consult - 2nd time calling back