I could not live without…

The Medmont e300

Co-owner of Earlam and Christopher in Taunton, Sarah Farrant, shares details of a tool that she would not be without in the practice’s dry eye clinics

Sarah Farrant using the Medmont

As independent prescribers, my husband and I strive to ensure that our independent practice is a leading provider of clinical care. We are part of an acute community eyecare service, and an integral part of this is providing eye disease management, and therefore the practice has a thriving dry eye clinic.

When running my dry eye clinics, I couldn’t live without my Medmont e300. I see three or four patients a day at these half-hour appointments and this technology is an important part of the way that our practice differentiates itself from others. The ability to video the tear film and play this back to patients, which the Medmont allows, and make comparisons after a course of treatment, is exactly what engages patients in their treatment plan.

It also helps to provide a unique selling point that helps generate those important referrals from friends and family.

Dry eye support

I have had an interest in dry eye since I began practising in 2003 and I now find the Medmont’s reliability and capabilities to be vital in practice.

With an ageing population, lifestyles and air-conditioned environments, I believe that we will see an increased demand for this kind of diagnostic technology over the next few years.

I also believe that up to a third of patients coming into the practice are suffering from some degree of dry eye, including most post-menopausal women. It is such an under-diagnosed and under-managed condition.

"The Medmont gives me the confidence to more effectively manage these patients and to describe myself as a dry eye specialist"

Owning an independent practice, we need a USP to differentiate ourselves and the Medmont is important in this respect. Our practice upgraded from the Keratron Scout topographer in 2015 because the Medmont is more accurate at capturing the data required. 

The advantage of the Medmont over the tool we used to use is that it provides full corneal coverage, capturing data limbus to limbus, which is significantly better. The auto-capture function of the Medmont is also much quicker and easier, which helps with chair time. 

In terms of accuracy, the Medmont is also superior as it analyses 102,000 points with 9600 measured, while the competitor tool analyses just 70,000 points with 7168 measured. The accuracy of the Medmont is increased further by the fact it utilises 32 border rings, which is four more than the competitor.

Device benefits

By filming 10 seconds of the tear film break-up and recording this for future clinic reference, I have a tangible way of monitoring the progress of treatment, and this really helps with compliance.

This full-tear film assessment and analysis of how quickly the tear film breaks up is supplemented with an examination of the glands, lids and lashes, which aids a comprehensive diagnostic and treatment plan for each patient. The Medmont gives me the confidence to more effectively manage dry eye patients and to describe myself as a dry eye specialist.

In addition to its uses within the dry eye clinic, the Medmont has significant benefits when fitting soft contact lenses and sclerals, as patients can see the wetting performance of the lens. Again, this provides a degree of care and engagement for patients, and in turn instils great confidence in the practice.