See page 11 for more information about this years’ Optrafair competition

www.topcon.co.ukSpring 2013 | Optrafair show edition

In this issueHospital to the High StreetEnsuring the correct referred path is taken. Page 3

AMD Project OverviewDeveloping a dedicated profit making clinic. Page 10

Topcon’s Optrafair CompetitionEnter for FREE at... www.topconcompetition.co.uk Page 11

Topcon Returns to TanzaniaInstalling a new NW8F mydriatic colour fundus camera. Page 12

Topcon Celebrates 80th AnniversaryBringing innovation to eyecare professionals worldwide. Page 2

lthough ultraviolet ra- diation is invisible to the human eye, most people are aware of the effects of UV through sunburn, and tanning beds. A great deal (>97%) of mid-range ultraviolet (almost all UV above 280nm and most above 315nm) is blocked by the ozone layer, and would cause much damage to living organisms if it penetrated the atmosphere. After atmospheric filtering, only about 3% of the total energy of sunlight at the zenith is ultraviolet, and much of this is near-ultraviolet that does not cause sunburn. An even smaller fraction is re-sponsible for sunburn and the

formation of vitamin D (peak production between 295 and 297nm) in all organisms that make this vitamin (including humans). The UV spectrum thus has many effects, both beneficial and damaging, to human health such as eyes. High intensities of UV light are hazardous to the eyes, and exposure can cause welder’s flash (photokeratitis or arc eye) and has been linked to eye damage, including cata-racts, macular degeneration, pingueculae and pterygia and photokeratitis that can cause temporary vision loss. UV light is absorbed by molecules known as

Optegra, the specialist eye hospital group, is the first in the UK to offer patients the advanced LensAR Fem-tosecond Cataract Laser by Topcon. Available at its new Optegra Eye Hospital, Lon-don, the LensAR system will be operated by a team of con-sultant ophthalmic surgeons led by Sundeep Kheterpal, Di-rector of Laser Cataract Sur-gery for Optegra. Mr Kheterpal said: “Optegra has invested in this latest equipment to ensure Dangers of Ultraviolet

Radiation to Children’s EyesA

Optegra First to Offer LensAR™ Cataract Laser Surgery in the UK

chromophores, which are pre-sent in the eye cells and tis-sues. Chromophores absorb light energy from the various wavelengths at different rates – a pattern known as absorp-tion spectrum. If too much UV light is absorbed, eye struc-tures such as the cornea, the lens and the retina can be damaged. To protect your eyes from harmful solar radiation, sun-glasses should block 100% of UV rays. Frames with a close-fitting wraparound style provide the best protection because they limit how much stray sunlight reaches your eyes from above and beyond

we continue to offer the best possible service to our pa-tients. Suitable for treatment of patients having both cata-ract surgery and ClarivuTM permanent lens replacement, the LensAR system has been designed to enhance the ac-curacy of surgery.” The advantages of LensAR include full 3D custom imag-ing (CSI) of each individual eye – both posterior and ante-rior – to ensure precision and reproducibility. This enables the laser technology to per-form laser incisions which are

Continued on page 10

Continued on page 3

Outlook bright Max 17C

Win £10,000off your next Topcon purchase

Sundeep Kheterpal MA FRCS MRCOphth, Consultant Ophthalmic Surgeon

News2 Optrafair 2013 | Topcon Times

Topcon Celebrates its 80th Anniversary

more info

ith technological ad- vances in both optom-etric and ophthalmic sectors reaching new heights, do you worry about the implications to you and your patients of such technologies malfunctioning? Following extensive re-search and upon suggestions from customers, Topcon are proud to introduce their top five Topcon Technical Support Service options: » TopCare/All-Inc Contract

– this covers your instru-ment for call-outs to your location, spare parts, and labour to ensure that your instrument stays fully func-tional. Guaranteed response time within 48 hours to provide a solution and free loan instruments to cover repairs (subject to availabil-ity). Annual service visit not included.

What would you do if...

» Planned Preventative Main-tenance (PPM) Contract – an annual service visit to clean, service, calibrate, check electrical safety and equipment functionality, to ensure the integrity of your instrument.

» Remote Support Contract – remote connection to your PC or server via the inter-net to diagnose and resolve your software issues.

» Remote Backup – daily back up of your IMAGEnet i-Base and OCT data, and any oth-er software/data to a secure off-site location, giving you peace of mind that all your data is safe.

» Non-contract support – tel-ephone, remote connection to your PC or an engineer visit to site, to resolve the problem you are experienc-ing. Each of the services will be individually charged at the standard rate.

Deep range imaging. See further beneath the surface than we have ever seen before…

In 2007 Topcon introduced the first Fourier Domain (Spectral Domain) OCT machine. Other manufacturers followed with similar solutions. These ad-vancements enabled far more detail to be recorded although tissue penetration remained similar, the difference in cap-ture technique allowed for faster capture of more scans bringing to the market 3D im-agery as cubes of data, hence the name 3D OCT. Whilst this was the given name to the Top-con instrument, 3D OCT was soon adopted as the generic term for Spectral or Fourier Domain OCT machines. This year, Topcon launch the next generation of OCT technology, Swept Source

OCT – a whole new concept to OCT capture. Many manufac-turers have developed ways to illustrate particular levels of the retina in high detail, Cho-roide or Vitreous mode within the Topcon product range and EDI (enhanced depth imag-ing) in others. Swept Source does away with this. Swept Source operates at a higher wavelength (1050nm) which penetrates tissue and structure that lesser wave lengths cannot. Topcon have doubled the speed to 100,000 scans per second, negating the need for complex track-ing facilities that lengthen the capture process. Scans are ac-quired at the same time as a traditional fundus photograph.

On 3rd December 2012 Topcon hosted its inaugural i-Clarity User Group Meeting in Solihull to provide an op-portunity to review i-Clarity to ensure users are maximising the benefits for their practices, as well as sharing ideas and to provide input into future de-velopments. The day commenced with

i-Clarity User Group, a great success

a review of the key features including new enhancements from recent releases and the new integration with Topcon OCT; fundus cameras & digi-tal capture systems. Rob Ward, i-Clarity designer, discussed “Putting i-Clarity at the heart of your Accounts” which met with a great deal of interest. Announcing the launch of i-Clarity & Captiv8 inte-gration, Dr Trusit Dave of Optimed spoke about Captiv8 which provides a fantastic platform for practices to mar-ket to their client base as well as providing truly amazing 3D animations. Captiv8 can be delivered, through i-Clarity, to

patients as one offs, or incor-porated in a recall system or as part of a specific marketing campaign. Optometrist, Nick Rumney of BBR Optometrists, being one of the first customers to install i-Clarity, told the Group how he adapted it for his prac-tice, making it pay and max-imising ROI. Nigel Bedford, Product Manager of i-Clarity stated “feedback from the attendees was extremely positive and it provided a great opportunity to exchange ideas to make sure i-Clarity continues to grow with the needs of our ever in-creasing user base”.

Contact Topcon t: 01635 551120 e: medical@topcon.co.uk

more info

Manchester Royal Eye Hos-pital (MREH) and Moorfields Eye Hospital are amongst the early adopters of this ground-breaking technology. Profes-sor Paulo Stanga from MREH said “the Topcon DRi OCT-1 Atlantis has revolutionised our diagnostic facilities. With Swept Source OCT, we have been able to easily view out-er retinal structures, such as Outer Retina Tubulation in AMD, with higher resolution than with Fourier Domain OCT technology. Reaching this diagnosis has spared some patients unnecessary intravitreal anti-VEGF injec-tions. Also, for the first time we have been able to view in vivo the anatomy of the cortical vit-reuos in higher detail. Having the most advanced technol-ogy available is important to quickly reach a diagnosis and manage complex vitreoretinal cases. Working with Topcon on Swept Source OCT technology and to have the first new OCT machine at the MREH is a tes-tament to our commitment to the very best eye care.”

In September 2012, Topcon Corporation has marked 80 years of bringing innovation to eyecare professionals worldwide.

Our customers and dis-tributors are the driving force behind our growth and suc-cess and we will continue to serve them with innova-tive products and solutions. We hope you enjoy a trip down memory lane as shown in the chart below. We have selected several products that have revolutionised the eyecare industry in the last 80 years.

From its start in 1932, man-ufacturing optical equip-ment including binoculars and cameras, to today with its product line that includes the KR-1W Wavefront Ana-lyser and the DRI OCT-1 deep range imaging OCT, Topcon continues to set the stand-ard of bringing new technol-ogy to eyecare professionals. Topcon has been in Europe since 1970 with Topcon Europe headquarters in The Nether-lands, and several subsidiaries in Denmark, France, Germany, Ireland, Italy, Poland, Portugal, Spain, Sweden, and the UK.

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See, Discover, Explore

3Topcon Times | Optrafair 2013

hortlisted as one of the Building Better Health-

care Awards project winners, Moorfields clinical manage-ment team made the deci-sion to invest in the very best OCT technology available by rolling out 18 new OCT-2000 units across all its clinics. Headed by Rhani Bhogal MSc BSc (Hons) Head of Clinical Technical Services of Moorfields Eye Hospital and supported by key management within Topcon GB, a detailed program was written to ensure no down time was lost during the upgrade and installation of all units over a short window of time. The installation of all units was heralded a massive success by all involved and as such shortlisted as the Build-ing Better Healthcare Awards project winner. With over 20,000 patient records requir-ing 24/7 access, there was in-deed no room for error in this massive project.

Moorfields Eye Hospital install 18 Topcon OCT units Moorfields Eye Hospital invest again in the very best OCT technology for their patients.

With today’s evolving practice we can now ensure the correct referral path is taken by our patient. McPherson Optometry in Aberdeen like many, have in-vested heavily in equipment

Hospital to the High Streetsuch as OCT. With this in mind, NHS Grampian have revolutionised their acute eye-care service. The Eye Health Network, jointly led by optom-etrist Stephen McPherson and consultant ophthalmologist Rebecca Ford, formalises ap-propriate eye care by the cor-rect clinician in a convenient location. Optometry is promoted as the first point of contact for all eye problems. The Eye Health Network has protocols for treating common eye conditions, and a locally enhanced service agreement permitting co-prescribing with general practice for acute an-terior uveitis (non granuloma-

Surgical News

Precise IOL Power Calculation is no longer a dream – it’s a reality!

Many surgeons have been worried about keratometry from the previously avail-able devices when it comes to astigmatic correction, the ALADDIN comes with placid based topography. The ALADDIN was devel-oped with three key points in mind: speed, accuracy and ease of use. The ALADDIN uses optical low coherence interferometery and because of its design is thought to be able to measure a very high percentage of eyes regardless of type of cataract. The topographer analyses ap-proximately 1000 datapoints at a 3mm diameter. This topogra-phy based keratometry figure is provided for use within IOL calculation formulae. In addition, the ALADDIN has three summary reporting layouts: the IOL Power report for overview of IOL spherical power for any given IOL model or IOL formula for both eyes; the Measurement report for overview of all measurements made for both eyes; and theALADDIN report for overview of important topographical and papillary features of both eyes that influence premium IOL choice.

Moreover, very detailed data on every single measure-ment feature such as the cor-neal topography can also be printed directly from the indi-vidual data screens. The ALADDIN is an excit-ing addition to the available biometry machines. It is ex-tremely fast and convenient to use, especially if one consid-ers that one automatically gets a topography within the series of measurements. It stands ca-pable of rapidly becoming the gold standard for refractive cataract surgeons.

ataract surgery is one of the most routinely and accurately performed opera-tive procedures worldwide. Patients and surgeons alike have very high expectations for the outcomes after cataract surgery, therefore modern cat-aract surgery is also referred to as a phaco-refractive pro-cedure. Conventional optical biometers provide accurate in-

formation for determining the spherical power of the IOL, but lack information to com-pletely understand the refrac-tive properties of the optical system of the eye. Since the advent of inter-formetry techniques, the mar-ket has been dominated by the IOLMaster and now there is a recent addition in the form of the ALADDIN from Topcon.

more consistent and precise than ever before. The imag-ing is fully automated and there are multiple screens for ultimate accuracy and detail, leading to a most highly-in-formed diagnosis and accu-rate surgical procedure.” The LensAR technology, (which is CE Marked), is very user-friendly and comfortable for the patient. The servo-controlled docking system has a ‘no corneal touch’ liquid patient interface for greater patient comfort which avoids

Continued from front page

any compression or distortion to the cornea. The treatment algorithms have been optimised for each cataract grade and this pur-pose designed integrated sys-tem is highly efficient and can eliminate or significantly re-duce the amount of ultrasound energy required to complete the cataract removal. LensAR can be used in both sterile and non-sterile environments and with its retracting laser head, allows unrestricted access to the treated eye after the laser procedure.

tous), herpes simplex keratitis and marginal keratitis. Eye Health Network Optom-etrists have access to a Clinical Decision Unit. This is a dedi-cated unit within the Hospi-tal Eye Department staffed by nurses to assist with patient queries and allow booking of patients to urgent, routine or specialist clinics. It can be ac-cessed by telephone for urgent advice or electronically by email for routine referral. More than 70% of sympto-matic eye problems present-ing to optometry are treated to resolution and the number of patients requiring urgent assessment at ophthalmology has since reduced by 58%.

Simply contact Topcon (GB) Ltd,t: 01635 551120e: medical@topcon.co.uk

more info

Simply contact Topcon (GB) Ltd,t: 01635 551120e: medical@topcon.co.uk

more info

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Optegra First to Offer LensAR™ Cataract Laser Surgery in the UK

Free Remote Support for 1 year

Purchase a TopCare contract on new product or All-Inclusive contract on existing product and receive 12 months remote support for free. RRP £155.88 per annum or £12.99 per month

Conditions: *Only practices who have an OCT, retinal camera or photographic slitlamp. *PC must have internet connection

t: 01635 551120 e: medical@topcon.co.uk www.topcon.co.uk

Topdeals

Topdeals Special offers across the entire Topcon range. All offers end 30th April 2013. Subject to stock availability. Call 01635 551120 or email medical@topcon.co.uk

Auto refractors/Keratometers

KR-800 & RM-800

KR-800 £5,520Auto refractor/keratometer Saving £920 (RRP £6,440)

RM-800 £4,650 Auto refractor Saving £770 (RRP £5,420)Key features: smaller with 180° tiltable screen allow-ing small footprint; incorporates rotating prism for best objective refraction results; down to 2mm pupil; easy-to-read colour LCD display; auto capture for fast, reliable data collection; built-in printer and IMAGEnet i-base connection.

TRK-1P

Huge saving £11,995Saving £5,241 (RRP £17,236)4 in 1 instrument; refractometer/kerato-meter/tonometer and pachymeter. Key features: quick measurement acquisition of four key optometric tools in a single footprint.

KR-1

NB. Tables and tops where required are not included. All prices exclude VAT. Images for illustration purposes only.

4 Optrafair 2013 | Topcon Times

NEW

Reduced to £7,250Saving £1,653 (RRP £8,903)Auto refractor/keratometer featuring all the accuracy of the rotary prism, now also comes with a rotating operator screen. This allows the operator to be sat alongside the patient or behind, meaning the unit can be placed in a cor-ner and requires a very small footprint.

Analysers & Topographers

KR-1W

Now £21,995Saving £6,508 (RRP £28,503)Wavefront analyser Key features: can meas-ure the complete archi-tecture of the whole eye in order to select the best possible IOL solu-tion.

CA-200F

Only £5,250Saving £1,373 (RRP £6,623)Corneal topographer Key features: simulated Wavefront and Zernike analysis; video for live fluorescein capture of the cornea – used for checking contact lens fits. Can be used as a standalone measurement instrument or connect to a PC to database its patient’s results for future comparison.

Henson 8000

Only £6,700Saving £572 (RRP £7,272)Visual fields analyser offers both full threshold and suprathreshold test strategies; ZATA tests included, which signifi-cantly speed up thresh-old test; DVLA approved. Complete on table with printer.

Henson 7000

Just £3,590Saving £405 (RRP £3,995)Central field analyser Key features: complete visual field analysis in less than two minutes per eye; suprathreshold testing; can be controlled via standard laptop or PC; portable; motorised adjustable patient unit for increased comfort.

MPS II

Introductory offer £3,995Saving £2,000 (RRP £5,995)Macular pigment screener Key features: repeat-able analysis software; low cost and small footprint; portable; LED flicker photometry; links to Windows PC. (Laptop not included)

NEW

Slit Lamps & accessories

Lensmeters

LM-8 & 8C

Now only £795Saving £218 (RRP £1,013)Key features: newly designed eyepiece minimises shading effect; easy conformation of internal scale and target observation; irri-tation free measurement.

CL-100PL

Only £1,425Saving £356 (RRP £1,781)Computerised Lensmeter Key features: fast and accurate measurement data for all types of hard and soft contact lenses; simple and easy to understand graphic display for ADD power and S.C.A. data.

CL-300PDL

Now £2,150Saving £522 (RRP £2,672)Key features: modern design, colour LCD screen; ‘Green Beam’ laser technology. Comes complete with printer and can link to Topcon i-Base refraction software.

SL-D7

Special price £5,530Saving £923 (RRP £6,453)Key features: magnification up to 40x; Haag Streit style illumination system; serves as a delivery system for Topcon’s slit lamp OCT device. Comes with full range of filters and can accept both ‘R’ & ‘T’ type tonometers.

SL-D4

Huge saving £4,420Saving £736 (RRP £5,156)Key features: magnification up to 40x, easily converts to accept a digital camera system (DV or DC3) allowing for high quality imag-es to be captured and stored.

NB. Tables and tops where required are not included. All prices exclude VAT. Images for illustration purposes only.

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5Topcon Times | Optrafair 2013

Photocoagulators

PASCAL Streamline

From £55,000Key features: short pulse duration; con-tinuous laser pulse directed by three high speed galvanometers; precise pat-tern spacing; safety checks of galvo po-sition and power.

PASCAL Streamline 577

From £65,000Key features: less scatter compared to 532 nm or other ‘yellow’ wavelengths (561/568 nm); less patient discomfort; less ‘spread’ after treatment; more efficient. Gives more consistent la-ser lesions without the need for con-stant power adjustments throughout the procedure.

Optional integrated

video teaching system

available from £10,995

DC 3

Only £3,034Saving £1,009 (RRP £4,043)Offers still, as well as live view.

SL-2G

Reduced to £2,852Saving £475 (RRP £3,327)Key features: latest LED technology, which gives very good illumi-nation with exceptional reliability.

SL-3G

Just £3,300Saving £552 (RRP £3,852)Key features: very bright optics and up to 16x mag-nification.

DV 3

Only £2,995Saving £851 (RRP £3,846)Higher reso-lution live im-age compared to DC 3, suits those people who want to record video more than still images.

Digital camera systems fits SL D8z; SL-D7; SL-D4 & SL-D2 slit lamps

Digital camera systems fits SL D8z; SL-D7; SL-D4 & SL-D2 slit lamps

6 Optrafair 2013 | Topcon Times

OCTs & Retinal Cameras

3D OCT-2000

Massive saving £39,995Saving £10,000 (RRP £49,995)Ocular Coherence TomographerKey features: 50,000 b-scans per second; high resolution colour still and live fundus image capture. Includes glaucoma; drusen, optic disc and Ganglion Cell analyses.

TRC-NW300 Non-mydriatic

Now only £12,680Saving £2,112 (RRP £14,792) Key features: auto focus, auto exposure & auto shoot; auto small pupil detection; built in 8.2Mpx camera and free i-Base software.

3D OCT-2000 FA+

Massive saving £49,995Saving £10,000 (RRP £59,995)Ocular Coherence TomographerKey features: in addition to all of the functions and speed of the 3D OCT, the FA plus also has Auto Fluorescence, Red Free and Fluo-rescein Angiography of the fundus.

TRC-NW8 Non-mydriatic TRC-NW8FA+ Non-mydriatic

Reduced to £18,700Saving £3,123 (RRP £21,823)Key features: in addition to all of the NW 8 functions, the FA Plus model offers Red Free, and Fluorescein Angiography & Auto Fluo-rescence imaging using an additional internal CCD camera. Comes complete on table with PC and software.

TRC-NW8F Non-mydriatic

Only £15,842Saving £2,641 (RRP £18,483)Key features: in addition to all of the NW 8 functions, the F model offers RF 7 Fluores-cein angiography using an additional internal CCD camera. Comes complete on table with PC and software.

NB. Tables and tops where required are not included. All prices exclude VAT. Images for illustration purposes only.

Did you know you can trade-in your old non-myd camera? Price subject to age and condition

Special offer £13,297Saving £2,216 (RRP £15,513)Key features: auto-shoot, auto-focus and auto-capture; available in 85°, 45°, 30° an-gles; panoramic overview with optional mo-saic module; stereo photography. (Inc. 16Mpx D7000 Nikon digital camera; table; PC and i-Base advanced software.

NEW

One small step for Topcon, one giant leap for the profession.

Make sure you visit the Topcon stands G80, G90, H80, H90

t: 01635 551120 e: medical@topcon.co.uk www.topcon.co.uk

smaller, lighter, faster, smarter, simply better...

the Maestro has landednew 3D OCT-1

Auto

Fluorescence

Auto

Fluorescence

7Topcon Times | Optrafair 2013

Topdeals

Miscellaneous

Topdeals from Topcon. Call 01635 551120 or email medical@topcon.co.uk

NB. Tables and tops where required are not included. All prices exclude VAT. Images for illustration purposes only.

SP 3000 Endothelial microscope

Massive saving £14,252Saving £2,375 (RRP £16,627)Non contact; auto capture endothelial micro-scope comes complete with analysis software. Key features: three image capture modes (auto, semi-auto, manual); fast 3D auto align-ment; five fixation targets allow simultaneous measuring; IMAGEnet i-base connection.

CV-5000s with KB50 controller

Now only £7,750Saving £2,108 (RRP £9,858) This latest product in the range is even more flexible allowing it to be used in conjunction with dedicated controller; PC or iPad.

CT 1 & 1P Non Contact Tonometer

CT 1 £5,950Saving £1,453 (RRP £7,403)

CT 1P £6,600Saving £1,635 (RRP £8,235)Key features: smaller; easier to use soft air puff to minimise patient discomfort; fully au-tomatic; high accuracy; in built printer (1P model) and compatible with IMAGEnet i-base.

NEW

Refraction stands

IS-500E

Now £1,597Saving £478 (RRP £2,075)Refraction stand Key features: compact design; includes dou-ble instrument table; small footprint; fresh and bright colour op-tions available. Optional: chart projector arm, trial lens drawer. NB: Need to add chair

IS-1P

Only £6,953Saving £2,604 (RRP £9,557)Refraction stand with elevation Key features: parallel sliding table, modular concept with the added benefit of table eleva-tion. Available in various different colour & chair options. NB: Need to add chair

IS-600 III

Only £2,980Saving £881 (RRP £3,861)Refraction stand Key features; versatile re-fraction stand; double ta-ble; vision tester arm and chair; LED reading light; dimming of room light; dimming of slit lamp illu-mination; safety stopper. NB: Need to add chair

IS-1

Just £3,138Saving £1,347 (RRP £4,485)Refraction stand with elevation Key features: modular concept with the added benefit of table eleva-tion. Available in various different colour & chair options. NB: Need to add chair

IS-1D

Only £4,215Saving £1,539 (RRP £5,754)Three table refraction stand Key features: rotation arm for three separate instruments; table el-evation and electro mag brake. Complete with chair and is suitable for disabled patients. Avail-able in various colour & chair options. NB: Need to add chair

NEW NEW NEW NEW

Ocular products

Very small and ergonomic slit lamp. Ideal for domicilliary use or where space is at a premium. Big slit lamp features for portable usability, including fixation targets; 10x & 16x magnifications.

Now only £3,400 (RRP £3,900)

Pulsair IntellipuffNon contact tonometer Small, compact and can be mounted on the wall or desk. It has a low pressure puff of air and light-weight ergonomic handpiece. Benefits from no on-going disposable costs.

Just £2,995

KAT ‘T’ Applanation tonometer Goldmann style applanation tonometer which can fit to any slit lamp with a tonom-eter plate. This is the removeable type.

Now only £680 (RRP £840)

KAT ‘R’ Applanation tonometer Goldmann style applanation tonometer which can fit to any slit lamp with a top mount on the microscope housing. This is the fixed type.

Now only £745 (RRP £895)

Free iPhone 4 adapter (worth £299) or Free carrying case (worth £100) when you buy a PSL portable slit lamp

PSL Portable slit lamp

Specialist OphthalmoscopeQuick & easy dial up with unique Morton Lens Track; slimmer design & comfortable fit; 50% Lighter & 30% brighter than previous models. Widest Lens range - +44D to -45D.

Now only £725

Professional Ophthalmic setIncludes: an ophthalmoscope and a retino-scope; 2 Lithium Handles; spare bulbs; protec-tive case and instructions CD. Excludes charger.

Now only £895

Professional RetinoscopeAvailable in streak or spot option. Includes: 3.6 volt handle; brow rest and CD instructions. Excludes charger.

Now only £470

Lithium Mini Charger for 3.6V instrumentsThe single charger allows you to charge and use at the same time!

Now only £100

Vantage Plus LED Slimline BIOKey features: new premium intelligent optics (IOS) (patent pending) – meaning that when you change the aperture the optics and mir-rors automatically adjust for you, without the need to flip another lever. Lightweight & well balanced for maximum comfort; unique wire-less patented technology; small & compact.

Now only £2,900 (RRP £3,315)

For the latest special offers email buykeeler@topcon.co.uk or call 01635 551120

Buy Keeler

NB. All prices exclude VAT. Images for illustration purposes only.

Top Deals8 Optrafair 2013 | Topcon Times

Colour Vision test 38 plate Ishihara test

Now only £18024 plate Ishihara test

Now only £150

Colour Vision test

Mainster Wide Field lens

Maxlight 90 or 78 lens

Single Mirror Gonio lens

Four Mirror Mini Gonio lens

Maxfield 90D or 78D lens

Now £138Saving £22 (RRP £160)Both 90D and 78D lens-es are popular choices for high resolution and wide field non-contact fundus examinations, us-ing a slit lamp. Available in 5 colours: gold; red; purple; blue or green.

Now £140Saving £10 (RRP £150)Has a single mirror set at 62°. Compact knurled ring simplifies 360° view-ing of the anterior cham-ber angle. Static Gonio FOV 170°.

Now £106Saving £11 (RRP £117)Oculars Maxlight range of lenses are made of CR39 and offer excellent detail non-contact fundus ex-amination. Available in 5 colours: gold; red; pur-ple; blue and green.

Now £199Saving £17 (RRP £216)The Posner Gonio lens is one of the most popular Gonio lenses offering 4 mir-rors all set at 62° for mini-mal rotation. Small diame-ter flange is convenient for eyes with small palpebral fissures.

Now £399Saving £34 (RRP £433)Mainster wide field fun-dus lens gives up to 127° FOV and is suitable for use with pan retinal pho-tocoagulation. Image binocularity across the entire field of view.

Classifieds9Topcon Times | Optrafair 2013

Classifieds – items for sale

Retinal Cameras

TRC-NW100

Integrated chip, complete with software. Not on NSC approved list. £2,000

TRC NW8

Camera and relay only Will need to add a Nikon Digital camera and i-Base software. £8,250

Ex-demonstration / loan products. Subject to availability – first come first served. One year warranty provided as standard. Call 01635 551120 or email medical@topcon.co.uk for more information.

Henson 8000

Visual fields analyser Key features: offers both full threshold and su-prathreshold test strate-gies; ZATA tests included, which significantly speed up threshold test; DVLA approved. £5,250

CL-2800

(with TM-2) Key fea-tures: automated lens recognition, which picks up a progressive lens and shifts the display to a progressive layout. Complete with lens trans-mission meter. £3,750 PHP Foresee

AMD screener Key fea-tures: full measurement capability with database. £1,500

Analysers and Screeners

CA-200F

Corneal topographer Key features: stand alone in-strument; built in PC with 8 inch touch screen; easy operation; automatic best image selector; automatic pupil recognition; built-in WiFi connection. £3,995

Miscellaneous

SP-3000

Specular microscope Key features: three image cap-ture modes (auto, semi-auto, manual); fast 3D auto alignment; five fixation targets allow simultane-ous measuring; integrated colour monitor and data analysis. £8,995

CV-5000

Automatic phoropter head (complete with KB-50 & p/s) Key features: compact design; fast lens rotation; comfortable op-eration; near chart LED illumination. KB-50 is equipped with a large col-our LCD touch screen dis-play. £6,600

SL-D8ZSKey features: continuous zoom magnification of up to 32x; six filters: blue, red-free, UV-cut, IR-cut, ND and amber; oblique illumi-nation; optimal clarity, col-our resolution and depth of field. Can be integrated with DV-3, DC-3 and SL-SCAN-1 £6,395

OCTs

3D OCT-2000

50Khz Tomographer with PC Key features: high resolution fundus image; high resolution b-scan image. £34,500

SL SCAN-1 OCT

Slit lamp based Fouri-er Domain OCT (inc PC but excluding table) Key features: anterior and posterior segment OCT imaging; real time OCT imaging during slit lamp examination; compat-ible with most handheld lenses; scan length up to 12mm. £16,725

Lensmeters

MPOD

Macular pigment / AMD screener w/laptop Key features: repeatable with analysis software; low cost and small footprint; port-able; LED flicker photom-etry; links to Windows PC. (laptop not inc.) £3,400

Once they’ve gone, they’ve gone forever! Fresh stock is being added all the time, so call 01635 551120 or email medical@topcon.co.uk for the latest deals.

Digital Slit lamps

SL-D7

Key features: 6x, 10x, 16x, 25x and 40x magnification; six filters: blue, red-free, UV-cut, IR-cut, ND and am-ber. Can be integrated with DV-3, DC-3 and SL-SCAN-1 £5,750

CT-80A

Computerised non con-tact tonometer £3,995

CL-200PDComputerised lensmeter Key features: easy to use; green light reading beam; smart design with consist-ent results; colour LCD screen; improved lens ta-ble; contact lens measure-ment; fast and easy to load printer; small and conveni-ent accessory box. £1,500

KR-8800Auto Kerato / Refractome-ter Key features: unique ro-tary prism technology; un-surpassed accuracy; ease of use; IMAGE-net i-Base connection. £3,995

TRK-1P

Key features: 4 func-tions in 1 compact device. Complete auto alignment system, combined with a refractiometer, a keratom-eter, a non-contact tonom-eter and a pachymeter. Rotary Prism Technology for high accuracy and im-proved reliability. £7,895

News10 Optrafair 2013 | Topcon Times

the periphery of your sunglass lenses. Our eyes are ten times more sensitive to UV light than our skin and children’s eyes are at the greatest risk of UV dam-age. Big pupils and clearer lenses mean up to 70% more UV light reaches the retina than in an adult’s eye, there-fore it’s especially important for kids to protect their eyes from the sun. Experts say nearly 50% (or more) of our lifetime exposure to UV rays may occur by the age of 18, as many children spend significantly more time outdoors than the average adult. According to the Eyecare

David van der Klooster Product Marketing Manager Topcon Europe Medical B.V Editor

Continued from front page

Trust “Ideally all children – and adults – should wear good quality sunglasses and a peaked hat when spending any time outdoors. It’s espe-cially important for parents to safeguard their children’s eyes when they are playing on the beach or by water where there is a lot of reflected light.” Brimmed hats and sun-shades attached to prams and pushchairs will generally pro-vide adequate protection for babies and very young chil-dren. Children’s sunglasses should always carry the Eu-ropean Standard CE mark or the British Standard BSEN 1836:1997 as this guaran-tees that the sunglasses offer a safe level of UV protection. ‘Toy’ sunglasses or those not providing at least 99% protec-tion from UVA & UVB can ac-tually cause more damage be-cause the tinted lenses dilate the pupil allowing more UV light to enter the eye.

UV light transmittance mode of CL-300

Knowing how much UV light is actually transmitted through optical glasses and sunglasses is crucial for eye protection. Topcon’s lens me-ter, the CL-300 series is ca-pable of measuring the actual UV transmittance using a sin-gle light source (LED) with a standard fixed wavelength of 365nm. The CL-300 measures the UV light transmittance on that particular wavelength of 365nm in UVA spectrum. (32-400nm). The choice of using a LED with a wavelength of 365nm in the CL-300 is be-cause this wavelength is very close to the wavelength of vis-ible light (400nm), and there-fore giving us information of the whole UV spectrum below 365nm. Depending on the glass characteristics conditions we

can assume that all UV light transmittance with a wave-length shorter than 365nm is less than the measured per-centage of UV light transmit-tance displayed on the touch screen of the CL-300. The UV transmittance mode along with the new UV measurement function, the CL-300 is a comprehensive

tool for any optometrist in determining the level of UV protection in glasses to pre-vent any damage. Some additional features of the CL-300 are: LCD touch panel, compact slim body, smooth lens table, green measurement light beam and automatic mono, bi- and multifocal detection.

In June 2012, James Cook University Hospital Depart-ment of Ophthalmology in-troduced Topcon’s Synergy patient data management and storage system to their two clinic sites at Teeside and at Friarage Hospital, North Al-lerton. Synergy has been installed in order that all clinical imag-es from retinal cameras, digi-tal slit lamps, visual field ana-lysers and optical coherence tomographers can be stored on one central server and then viewed across the whole trust. The clinician only has to ac-cess one main Synergy data-base to find the patient images and then view this information using nothing more than Mi-crosoft’s own Internet Explorer. Kay Henderson, Senior Ophthalmic Science Practi-tioner commented that the trust’s intention was to further expand the ‘paperless’ record system provided by Synergy with the addition of more di-agnostic instruments in the fu-ture such as corneal topogra-phy and ophthalmic ultrasound.

James Cook University Hospital introduces ‘Topcon Synergy’

AMD Projects ReviewNew to 2012, were AMD Pro-jects – a joint venture between Topcon and Spectrum Thea, held in Bristol, Manchester and Chesham. There was a combination of interactive lec-tures, workshops and peer dis-cussion which helped answer questions and many other as-pects of AMD that are needed to know to develop a dedicat-ed profit making AMD clinic within your practice by pro-viding ‘best-care’ scenarios. Mike Potts, Consultant Ophthalmologist described the various risk factors for AMD which include smok-ing, family history, obesity and pollutants. Potts felt that most of his elderly macular pa-tients struggle to reach their ‘five a day’ so he recommends supplements and increasing

evidence suggests that, in his view, a useful nutritional sup-plement should always include omega-3. Optometrist Dr Scott Mackie began his presentation with how practitioners may meas-

ure macular pigment levels in practice and offer more tai-lored advice about diet and supplements. Most focus was on the use of flicker photometry and MPOD instrument which has

now been superceded by the MPS II. The main difference between MPOD and the MPS II is that a Data Quality Index (DQI) will now read the curve fit of the graph. Delegates all had ample opportunity to use the MPS II along with a Topcon 3D-OCT. A peer review session fol-lowed where delegates de-cided on the appropriate man-agement of a range of macular disease patients. A workshop with optom-etrist Andy Clark offered ad-vice on how to establish a ded-icated AMD clinic in practice. AMD Projects will continue to be held in 2013 so watch this space for new dates! Edited from a review by Bill Harvey first published in Optician Journal.

Dangers of Ultraviolet Radiation to Children’s Eyes

For more information, contact Topcon now• t: 01635 551120 • medical@topcon.co.uk • www.topcon.co.uk

Cross over to Topcon i-Clarity

We’ve bridged the gap!

We’ve produced i-Clarity – a Practice Management System that provides an end to end solution for busy ophthalmic practices.

» Improves practice efficiency» Intuitive user interface» Tailored patient communications – letter, email, SMS, phone, doc mail» Integrated with fundus and OCT » On-going development in conjunction with User Group feedback

Make sure you visit the Topcon stands G80, G90, H80, H90

News11Topcon Times | Optrafair 2013

2013 Events

13–15 April OPTRAFAIR NEC, Birmingham — Stands G80, G90, H80, H90

26 April 3rd Diabetic Screening Conference, Royal Society of Medicine, London

20 May UKISCRS Cornea & Cataract Day, Hilton Hotel, Liverpool

21–23 May RCO, ACC, Liverpool — Stand K

7–9 June BCLA Manchester Convention Centre — Stand 22

20 June Skills in Retinal Imaging, Diagnosis & Therapy Seminar, Institute of Physics, London

8 July Independents Day, National Motorcycle Museum, Birmingham

9 July Vision for Optometrists, Downing College, Cambridge

15–16 Nov OIA Conference, Stoke on Trent, North Staffordshire

New Practice – New Venture

next 10 years, and how high streets are evolving, as shops have to adapt to the econom-ic environment. We now see more ‘boutique’ stores, offer-ing what the customer wants with traditional high levels of service but at a competitive price. Whilst we need spectacle sales to support the clinical side of the business, Optom-etry is a healthcare profession and clients come to us primar-ily for eye care. There will al-ways be those who want their spectacles as cheaply as pos-

sible but, I believe, there is a significant number who are willing to pay for high qual-ity care, products and service. Our Grade 2 listed Georgian House gives us the opportuni-ty to offer Optometry in a calm inviting environment with all the latest technology. The diagnostic equipment I wanted to be able to offer cli-ents was the best available, and Topcon provided us with the solution for this. We now have the latest 3D-OCT, a slit-lamp with video and stills camera fitted, and a TRK-1P fitted on a rotating 3-table stand. Their I-Clarity software also provided a practice man-agement system that was easy to use and linked to the other equipment. The design of the interior was crucial as it needed to re-flect the character of the build-ing with a modern twist. Our thanks go to Lynx idg, and Mark in particular, who came up with a design that matched our initial vision. With the equipment and the environment we have created, we hope to offer our clients the unique experience of a relaxed atmosphere, comprehensive eye examination and the pri-vacy to choose spectacles, not found in the high street.

fter qualifying in 1980, I remained at the company I had done my pre-registration year with and managed its growth to 5 full time practices with over 30 staff. In 2004 I was able to buy the company with another colleague and enjoy the fruits of my labours for 7 years, by 2011 however I had grown tired of eating lunch in front of a computer screen during 11-14 hour days. In March 2012 I decided to retire from full time Optometry and aimed to undertake some locum work to keep my inter-

est in the profession. However it didn’t take long for close friends and long-term clients to persuade me that I was not ready for retirement and should perhaps consider open-ing my own practice. Since the early 80’s, when we had deregulation, Optometry has moved from independent prac-titioners to multiple chains and supermarket outlets. The number of truly independent practices is rapidly dwindling, so why start one myself? The answer lies in how I see Optometry moving over the

Your chance to see Topcon’s kit in real life...

Number of OCT Patients per month

Topcon’s Optrafair

Competition 2013

» Guaranteed credit approval via Performance Finance Ltd. » Only 20 OCT patients a month required to start making profits » 50 OCT patients a month provides annual PROFIT of £13,200 » 75 OCT patients a month provides annual PROFIT of £23,700 » Save up to £12,500 off next years’ tax bill

£10,000 off your next

Topcon purchase

Following the success of their electronic scratch card competition in 2011, when Topcon gave away a 3D OCT-2000 to Linda Pope Opticians in Cranbrook, Kent, Topcon are proud to be running an Optrafair Competition again. Topcon’s Competition is once again the electronic scratch card, which if won should be taken to their stand at Optrafair (G80, G90, H80, H90) for the chance to win £10,000 off any Topcon product. Conditions apply. Visit www.topconcompetition.co.uk to enter and for more information.

“It has been invaluable for the macular and glaucoma diagnosis. All our patients have been amazed and think that it is great value for money. Local GP’s confidence in our practice has also been improved as a result of the OCT.Linda Pope Opticians

A

Source: Performance Finance Ltd

12Topcon Times | Optrafair 2013

Coffee break

And finally...

Topcon return to Tanzania

ollowing on from our original successful instal-lation of both a mydriatic colour fundus camera and non–my-driatic OCT back in 2009, The Muhimbili Hospital approached Topcon GB again with a view to purchase a new non-mydriatic Fluorescence Angiography system. With our ‘adopted’ engineer James Mayo back in his home town fresh from his weeklong exposure to the ‘Topcon Way’ we could have simply shipped the equipment overseas com-fortable in the knowledge James could handle the instal-lation alone. That said their original equipment was near-ing its service interval and edu-cation on new equipment re-mains a priority, so we packed up our Clinical Affairs Man-ager (Ben Turley) together with the new kit and dropped them on an aircraft bound for Africa once again. Providing a full service un-der the watch full eye of Ben, to all of the Topcon equipment aquired over the years, James

proved he had clearly enjoyed his visit to the UK and taken a tremendous amount of knowl-edge back home with him. So much so James will be travel-ling to another of our African hospital customers later in the year to carry out routine main-tenance on our behalf. The new NW8F was installed successfully and used instantly by all the staff within the hos-pital due to its intuitive set up. As in the UK more and more clinics are becoming nurse led, and this item of equipment gives the hospital the freedom to capture non-mydriatic colour fundus images independently of the heavily used OCT unit in the adjacent room, together with fluorescein angiography and auto fluorescence images once again highlighting how advanced the eye department of Muhimbili Hospital is com-pared to even some back home in the UK.

What pathology does this Topcon

OCT image illustrate?

Send your entry to the address below and the winner will be chosen at random to receive a £10 M&S voucher.

DRI competition

How to enter Write your answer in the box below and complete the form. Then send this page to: Marketing Dept. Topcon GB Ltd, Topcon House, Kennetside, Bone Lane, Newbury, Berks RG14 5PX

Closing date for all entries is 3rd June 2013.

T&C’s available on request.Name:

Company:

Address:

Tel:

Email:

The Southampton University Gift of SIGHT Appeal raises funds to support research into eye disease undertaken by a team led by Professor Andrew Lotery, who is also a clinician who consults patients in South-ampton Eye Unit. This ensures that all research is patient led moving from ‘bedside’ to re-search and back to patients. Age-related macular degen-eration is the leading cause of sight loss in patients over 70 years of age, although the dis-ease can affect many patients who suffer from early onset macular degeneration. Dis-eases of a similar nature such as Stargardts disease, which is a form of juvenile macular de-generation, and rod and cone dystrophies also lead to re-duced vision.

The research facility in Southampton General Hospi-tal is undertaking genetic and stem cell studies and these pro-jects are seed funded by Gift of SIGHT. Financial support has, for instance, led to a collabora-tive study with the University of Southampton Chemistry De-partment on the provision of a polymer ‘scaffold’. This is used as a base layer on which to cul-tivate retinal stem cells using those taken from adult ocular cells ‘harvested’ from the cor-neal limbus at the front of the eye. The team were delighted when the young chemist in-volved was presented with the overall prize at the SET for Brit-ain Awards in 2011. A new clinical trials area within Southampton General Hospital to facilitate more clini-cal and observational trials has also been furnished recently. Gift of SIGHT were enormous-ly grateful to Topcon GB. and Optegra Solent Eye Hospital for their huge support in sponsor-ing a recent Ball which raised £15,000 to help with funding our research. Without fantastic support such as this we would be unable to continue our pro-jects to beat blindness.

Thousands Raised in aid of Gift of SIGHT

Ben Turley, Clinical Affairs Manager demonstrates the new camera to Dr Christine Mataka, Dorothy Bikurakule, Anna Sanyiwa and Dr ‘John’

Q

Winners of Topcon Times Issue 3 Crossword Competition Elaine Friend – Earlam and Christopher Optometrists, Robert Adie – SpecSavers (Glenroathes), Aysha Salam – St Pauls Eye Unit, Jacyln Deane – Ipswich Hospital NHS Trust, Salvator Camilleri – Dollond & Aitchison (Kensington), Andrew Pinn – Andrew Pinn Optometrists

Crossword Questions and Answers ACROSS: 1. GONIOSCOPY – Examination of anterior chamber angle | 5. YTTRIUM – The ‘Y’ of YAG | 6. ACHROMATOPSIA – Complete colour blindness | 11. CONE – Receptor cell | 12. CANTHUS – Junction in eyelids | 15. PAPILLITIS – Inflammation of the optic disc | 17. PHOTOPSIA – Flashes of light sometimes in early stages of retinal detachment | 18. SNELLEN – Has letters, numbers and shapes used by all | 19. PARESIS – Partial paralysis | 20. MADDOX – Linked with muscle balance testing | DOWN: 2. OPHTHALMIA – Inflammation of the conjunctiva | 3. NYCTALOPIA – Night blindness | 4. SUPPLEMENTS – Some contain vitamins | 7. CONJUNCTIVA – Covers the sclera | 8. RETINOSCOPE – Instrument for measuring eyes refractive error | 9. RODS – Cells in retina | 10. MEIOSIS – Process of cell division | 13. LYSOZYME – Natural disinfecting agent in tears | 14. SCHLEMM – Not a river but has locks | 16. LASER – Acronym involving light

nswer:A

Contact Topcon t: 01635 551120 e: medical@topcon.co.uk

more info

Ailsa WalterFundraiser Gify of Sight Appeal

F

The Gift of Sight Appeal is managed by the University of Southampton which is an ‘Exempt Charity’ (Inland Revenue reference number X19140) as noted in the Second Schedule of the 1960 Charities Act.