MX2 & Meibox
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Dry Eye Protocol from one of our happy Meibox customers:
“Most of what we do currently happens after a patient has been identified as having Dry Eye Disease. For initial visits, we use an abbreviated version of the OSDI questionnaire – it helps to tease out the more non-intuitive aspects of dry eye (such as watering). All patients identified as having dry eye have a Tearlab on file. For patients that use artificial tears multiple times a day, or whose osmolarity is under 300, but complain of dry eye symptoms, the next step is getting a Meibox.
Depending on the severity of the MGD we will make some recommendations. Our simplest recommendation is Avenova, Hydroeye and some sort of heated mask. We then see these people back in 2 months, especially if they have used some oral supplement. In our office, we do sell Hydroeye, Avenova, and the DERM mask from eyeeco. Before we used the Meibox, I sold one mask every 2 months. In February 2018 alone, we probably sold over 100 masks packaged with Avenova and Hydroeye. The way I see it, the Meibox is indispensable to dry eye treatment. I didn’t want an ABN getting in the way, so we don’t charge for it.
So many people have come to us stating that they had been to 2 or 3 different practices and we were the only ones who picked up the MGD. They are unbelievably grateful which is also great PR for our practice.
For routine eye exams (vision insurance) we do the same thing as above. The only exception are CL fits where the Meibox hasn’t yet been a standard for us. I just spoke with my optometrist about using the Meibox and we will most likely be doing this as well.
As for support material, we have many things available. I made a Meibox Poster that shows people what their glands look like, as well as, discusses the nuances of dry eye / pathophysiology. We use brochure racks in each exam room: eye eco, Hydroeye, Retain (our MGD OTC drop of choice), and Avenova. On our back waiting room TV, we display movies discussing meibomian gland dysfunction and what dry eye symptoms are the most common. In each exam room I also have screen savers that discuss the mask, Hydroeye, and Meibomian Gland Dysfunction. So we make certain that patients hear about dry eye at least three different times in the office, outside of my technicians and the physicians. (Brian, adminstrator)