CO-MANAGED CARE

Just as you may have a team of doctors managing a heart or diabetic condition, so too can you have a team of eye care professionals managing your eye care.  Co-management is the process of eye care professionals working as a team to provide a patient’s care. In most cases, this occurs when an optometrist such as the doctors at Bissell Eye Care provide the initial evaluation and care after the surgery with an ophthalmologist performing the surgical procedure. Often the optometrist has been the patient’s trusted eye care provider for years. This is especially valuable to patients as they have established a doctor patient relationship with our office over the years.

Co-managed care provides an additional check and balance between the patient and surgeon, with an optometrist assisting the patient’s questions and concerns.

LASIK/Cataracts Co-Management

In LASIK, “co-management” is the term commonly used to describe a situation when an optometrist provides pre-op and post-op care with an ophthalmologist providing surgery. For example, an optometrist will provide the initial LASIK, All-Laser Lasik, PRK, LASEK or any other refractive surgery evaluation, and then care for the patient after the surgery.

Some factors Bissell Eye Care will take into account to determine which surgery may be right for you:

  • An overall health assessment will be conducted to determine if any systemic diseases are present that may impair your ability to heal such as autoimmune or immunodeficiency diseases.
  • Corneal health including dry eye disease, thin corneas, irregular corneas, or corneal diseases such as keratoconus are considered.
  • Stability is determined by your eyeglass prescription.
  • Analysis of your retinal health ensures there is no other ocular disease present that would prevent you from achieving 20/20 vision after laser vision correction.
  • Candidacy for some refractive surgeries may be limited due to lifestyle and occupation.

Patient Benefits for co-managed care:

  • Familiarity with your optometrist and the convenience of pre- and post-operative follow-up.
  • A central hub of patient care coordination.
  • Often less costly depending on copays and insurance deductibles.

Bissell Eye Care has working arrangements with eye surgeons and specialized eye care doctors to provide many of the surgical services such as cataract surgery, laser surgery, refractive surgery, retinal detachments, retinal tears and hemorrhages. You can be assured that your eyes will be comprehensively managed by the best eye care professionals.

About the author: John D. Bissell, owner of Bissell Eye Care and Tri-State Low Vision Services, offers comprehensive eye examinations for the entire family, ocular disease detection and treatment, eye glasses, sun glasses, active wear, contact lenses, and low vision examinations for those with significant vision loss. He has undergone specialized training for treatment of low vision by the International Academy of Low Vision Specialists utilizing customized telescopic eyeglasses, prisms and telescopic implants for patients who qualify. The practice accepts most types of vision and health insurance plans.

DITCHING YOUR PRESCRIPTION GLASSES FOR GOOD!

Perhaps now is the time to look into laser eye surgery. While it is not a perfect solution 100% of the time it is pretty close and continues to get safer and more accurate as technology improves. Next time you have your annual eye exam ask about the benefits of laser eye surgery and how it could help to improve the quality of your life.

When a patient decides that they may want to look into laser surgery one of the first questions I receive is, “is it safe” followed by “will I ever need glasses again”? Like any surgery there are some risks involved. While there are very few major problems that result from the surgery it is important to talk both your optometrist and your eye surgeon about all risks and the how complications can be handled.

On to the question about glasses. While most corrective eye surgeries bring your eyes to better than 20/20 vision there is still the chance that you could need glasses after surgery or later down the road. It is impossible for the surgeon to be 100% accurate in predicting how your eyes will react to the surgery. There is the chance that following the surgery you still may need glasses to assist in seeing clearly. Most people however choose to have additional surgeries to get the errors corrected. Also as we age our prescription will change and you may find that years down the road you may either need to have surgery again or may find the need to wear glasses for either distance or close up.

While there are many different types of surgeries, talking with your optometrist can help determine the proper procedure for you. They also, being in the industry, can best recommend a surgeon who has a good reputation and specialize in the surgery you wish to move forward with. Remember, they are your eyes and don’t be afraid to ask questions. If your surgeon doesn’t answer your questions or avoids them, it may be time to move on and find someone who can.

About the author: John D. Bissell, owner of Bissell Eye Care and Tri-State Low Vision Services, offers comprehensive eye examinations for the entire family, ocular disease detection and treatment, eye glasses, sun glasses, active wear, contact lenses, and low vision examinations for those with significant vision loss. He has undergone specialized training for treatment of low vision by the International Academy of Low Vision Specialists utilizing customized telescopic eyeglasses, prisms and telescopic implants for patients who qualify. The practice accepts most types of vision and health insurance plans.