Addenbrooke’s Hospital Introduces Telemedicine for Sight Screening of Premature Babies

To improve time-critical sight screening for premature babies at risk of retinopathy of prematurity (ROP), Addenbrooke’s Hospital’s Eye Department has introduced a new telemedicine service. Led by its Consultant Paediatric Ophthalmologist Louise Allen, the service uses an innovative approach to assessing ROP using the Vantage digital indirect ophthalmoscope from Keeler.

Louise Allen, Addenbrooke Hospital’s Paediatric Ophthalmologist, with a Keeler Vantage indirect ophthalmoscope.

Louise Allen, Addenbrooke Hospital’s Paediatric Ophthalmologist, with a Keeler Vantage indirect ophthalmoscope.

ROP affects around 70% of very early, low birthweight babies and can lead to blindness if not treated promptly with laser surgery. Until now, any babies screened in Eastern neonatal network units and suspected of having severe ROP warranting treatment had to be transferred to Addenbrooke’s for a second opinion. This often involved a long journey across the region in a neonatal ambulance.

“Addenbrooke‘s is the established treatment centre for ROP in the Eastern network,” Louise explained. “That used to mean that any at-risk babies in the region were immediately transferred to us – sometimes over long distances – so we could examine them in person. This was obviously stressful and disruptive for the baby and his/her parents, and it created a significant knock-on effect in the ward, requiring other babies to be moved to other units in the region to free up cot space for the transfer. Also, if I found that the baby’s ROP was not severe enough to treat at that time, he/she would be returned to the original unit, possibly to make the trip again a week or so later for review. It therefore made sense to adopt a new approach.”

This new approach involves seven Vantage indirect ophthalmoscopes being delivered to hospitals throughout the Eastern region. The Vantage allows the capture of digital images which can then be sent anywhere in the world for examination – known as telemedicine. This may transform the way ROP is managed in the UK.

“The joy of telemedicine using an indirect ophthalmoscope is that you can send a high-quality digital image remotely and can get an immediate second opinion without having to physically send the baby,” added Louise. “This means we can eliminate unnecessary transfers and keep the neonatal intensive care cots here free for babies in need. Additionally, the digital indirect ophthalmoscope is more cost effective than other photographic methods and can also be used for training our future screeners. ”

The telemedicine project could not have been possible without support from Addenbrooke’s Charitable Trust (ACT). “The trust was delighted to fund the ROP project so that patients from neighbouring hospitals can benefit from the expertise that Addenbrooke’s has to offer,” commented the ACT’s Chief Executive, Stephen Davies.

Commenting on the project, Keeler’s Research and Development Director, Adrian Beasley, said, “As an engineer there is nothing more rewarding than working on technology that has real human impact. It’s therefore a real privilege to work alongside Louise and the professional team at Addenbrooke’s. I have no doubt that the project will save sight and deliver cost savings for Addenbrooke’s and the Eastern region.”

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Keeler and Accutome win Scottish Ophthalmology Tender

British ophthalmic instrument specialist Keeler and its American sister company Accutome have been chosen by the Scottish Government to supply every optometry practice in Scotland with an Accutome Pachpen Pachymeter.

Almost 800 units will be distributed throughout Scotland, paid for by the Scottish Government’s Primary Care Fund. This roll-out is part of the Scottish Government’s initiative to provide a first class eye care service and improve the screening of sight-threatening and treatable conditions such as glaucoma.

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Accutome’s Pachpen is lightweight, portable, and a highly versatile instrument with a gentle touch probe for patient comfort.  The PachPen’s advanced Digital Signal Processing combined with its 65MHz sampling probe ensures precise and reliable measurement of cornea thickness with +/- 5 microns of accuracy.  Accutome has a long standing history of innovation and superior quality. The original founder of Accutome was one of the early adopters of RK procedures and invented the first pachymeter.

Keeler has had a strong presence in Scotland for many years and understands the needs of the local ophthalmic community.  It also has extensive support and service facilities in place in the country. Through their partnership with Accutome who have extensive experience in ophthalmic diagnostic and ophthalmic ultrasound equipment, the sister companies can provide a formidable range of high quality products to ophthalmologists and primary care specialists.

Keeler and Accutome, both subsidiaries of Halma plc, won the Scottish tender as a result of their close collaboration and their ability to deliver on quality, functionality, price and commitment to on-time delivery.   Abbas Sotoudeh, Keeler’s Managing Director, commented: “The partnership between Keeler and Accutome has enabled us to provide a product of high quality and exceptional value that will enhance General Ophthalmic Services in Scotland.”

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Student of the Year Award Announced at AOP Awards

Keeler sponsored the Association of Optometrists ‘Student of the Year’ award at this year’s AOP Awards in November. Winners were revealed at a special black tie gala dinner at the NOC in Birmingham, and Shaimil Shah was announced as Student of the Year.

A Cardiff University optometry undergraduate, Shaimil has been inspirational in establishing an optometry community among his fellow undergraduate peers. He achieved this by refreshing the optometry school’s buddy system and establishing the Boots Varsity Cup, a day of sports and socialising with the pharmacy school at the University.

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Image caption: Host Fergus Walsh presents the award to Shaimil Shah (centre), with Keeler’s Laura Haverley

The buddy system assigns a trio of undergraduates from other years within the school to new undergraduates entering the programme. This helps new students settle into university life by supporting them both academically and socially, with an ‘optom family’.

Laura Haverley, Marketing Manager at Keeler, commented: ‘Keeler would like to congratulate Shaimil on his well-deserved Student of the Year award. We are delighted to sponsor this award at the AOP event. It is important to recognise the good work of up and coming optometrists, they are the future of the industry and it’s exciting to see such bright talent around.”

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Keeler Hosts Students from Aston University

Keeler recently hosted forty optometry students from Aston University at its headquarters in Windsor. Keeler is the only ophthalmic instrument manufacturer in the UK which provided students with the opportunity to tour the factory and learn how ophthalmoscopes were made; students also had the chance to learn how to make their own. In-depth knowledge of the making and operation of these products helps equip students with the practical side of diagnostic care, allowing them to implement eye care with confidence.

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Attending students covered the first, second and third years of the Bachelors Optometry programme at Aston, a course reported as first in the UK in the Sunday Times University Guide 2015 and the Complete University Guide 2016.

Laura Haverley, who hosted the students at Keeler, commented: “It was a privilege to meet with the future of optometry and host them here. We had a great day and I hope the students left with valuable knowledge that will help them with their course and future career.”

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Keeler Introduces Disposable Applanation Prism

Keeler has introduced a new disposable applanation prism, Tonomate, to facilitate safe and fast Goldmann applanation tonometry.

Tonomate prisms are manufactured to the high quality associated with the Keeler brand and designed to fit most applanation tonometer prism holders. Each prism is individually packed in sterile packaging and can be fitted easily without requiring direct contact.  The prism is discarded after use to streamline eye examinations and prevent the cross-infection of diseases between patients that can be transmitted via the tear film.

Tonomate prisms are ideal for use with D-KAT, Keeler’s digital applanation tonometer. D-KAT is available in R-type and T-type variants for -H- style slit lamps and as a Z-type model for Z-style slit lamps. It features fewer moving parts compared to conventional applanation tonometers and an LED display makes it easy to read in the dark.

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David Keeler Retires from Keeler Instruments Inc. after 50 Years of Service

Keeler says goodbye and thank you to David Keeler, who recently retired as President of Keeler Instruments Inc. after 50 years of service.

David Keeler, whose grandfather began the Keeler ophthalmic manufacturing company in 1917, joined the family business in 1965 after qualifying as a dispensing optician. He moved to Philadelphia, USA in 1972 as President of Keeler Instruments Inc. where he led a team, supplying Keeler’s high-quality, diagnostic products to ophthalmologists and optometrists.

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Keeler USA held a retirement party in David’s honour which was attended by family, friends, employees both past and present, customers, industry contacts and the press.

Jobson Medical Information LLC, publishers of the oldest and most respected Journals Review of Optometry and Review of Ophthalmology attended the event and presented David with its annual Lifetime Achievement Award.  Such an award is typically only awarded to doctors who make outstanding contributions to the eye care industry. David is the first recipient who is not a doctor.

Andrew Williams, CEO of Keeler’s parent company, Halma, thanked David ‘for his immense contribution and his 50 years of service to the Keeler Group in his role as President of Keeler Inc.’ and wished David ‘a long and happy retirement.’

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Keeler Supports Public Health Students’ Learning with Training Day

Keeler recently hosted 15 students from the London School of Hygiene & Tropical Medicine at its headquarters in Windsor. The students, studying on the MSc in Public Health for Eye Care programme, spent the day gaining hands-on training on key eye instruments.

The training included maintenance and device care of Keeler direct ophthalmoscopes, non-contact and applanation tonometers, and desktop and portable slit lamps. In-depth knowledge of these ophthalmic diagnostic products will help equip students with the skills to undertake field projects and implement eye care with confidence.

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Image: MSc students get hands-on with Keeler products

Laura Haverley, Keeler’s Marketing Manager and co-ordinator of the training day, commented: “The aim of the MSc course is to provide eye health professionals with the skills and knowledge to reduce blindness and visual disability around the world. We at Keeler are extremely happy to contribute to their knowledge in any way we can to help achieve this goal.”

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Keeler Scholarship Celebrates its 25th Anniversary with The Royal College of Ophthalmologists

Every two years Keeler awards a scholarship, through the Royal College of Ophthalmologists (RCOphth), to enable a worthy, young ophthalmologist to study and gain knowledge at centres of excellence around the world.

Founded in 1990, the Keeler scholarship programme celebrates its 25th anniversary this year. To celebrate this jubilee the Keeler Trustees held a lecture and special invitation lunch at the RCOphth Congress in Liverpool.

Michael Marmor, Professor of Ophthalmology at Stanford School of Medicine, California delivered a lecture on his specialist topic of Vision and Eye Disease in Art. All previous and present Keeler scholarship winners were then invited to a celebration lunch, along with Keeler Trustees and current council members.

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Michael Marmor delivered a lecture on Vision and Eye Disease in Art

Richard Haynes, winner of the Keeler Scholarship in 2000, attended the event and said, “It was a real pleasure for me to be invited to the Keeler Scholarship celebration. The Keeler Scholarship made a massive difference to my subspecialist training. It allowed me to undergo a vitreoretinal fellowship and complete research projects, both of which led directly to me obtaining my current consultancy post.”

Laura Haverley, Keeler’s Marketing Manager, commented: “The Keeler Scholarship is a great programme to help scholars acquire new skills that benefit the development and progress of ophthalmology in the UK. We’re delighted to have invested in this programme for twenty-five years and look forward to helping more scholars in the future.”

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Keeler Launching Exciting New Products at Optrafair 2014

Optrafair is coming to London and we’ll be there, showing the world our exciting new ophthalmic technology.

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Innovation and optical quality are at the core of our vision and this will be demonstrated once again through developments like the new patent pending LED Retinoscope. This exciting new version of the classic Keeler Retinoscope has several advantages over a bulb Retinoscope, such as better contrast and image quality and longer bulb life, making it more reliable and energy efficient.

Other highlights will be the new D-KAT Digital Applanation Tonometer and the new Symphony Q series Digital Slit Lamp, which features an integrated camera operated by controls mounted on the base unit dashboard, additional background illumination, and Keeler Kapture software. Come along and give these products a ‘test drive’ at stand B54.

Working with distribution partners is a key focus for us, meaning our products will also be available on several distributors’ stands, including BiB Ophthalmic Instruments, Birmingham Optical, Bondeye, Carleton Optical, Hanson Instruments, Mainline Instruments and Topcon.

As usual, we’ll also have our own ‘Eye Shop’ on the stand, where visitors can buy directly from an extensive line of products such as Specialist Ophthalmoscopes, Professional Retinoscopes, KAT, D-KAT and various practice essentials. The popular Pulsair family of Non-Contact Tonometers will also be on show.

Finally, free engraving on Volk lenses is available for any Volk products bought at the stand.

Keeler has been designing and manufacturing ophthalmic devices in the UK for almost 100 years and is still at the forefront of ophthalmic technology.

Optrafair takes place at Olympia, London from the 11th-13th April, 2014.

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Keeler Introduces Symphony Q Series Digital Slit Lamp

Keeler has launched its digital slit lamp, the Symphony Q series. The Symphony Q series comes in two variants: full digital and digital ready units, both of which offer several enhanced features.

The Symphony Q series allows the user to manage the camera exposure and slit lamp illumination from the base unit dashboard, and capture the perfect image using the joystick trigger button to freeze frame and to save the image. Background illumination can be controlled independently of the main illumination to ensure image contrast levels are optimal.

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Keeler Kapture software is an image management system that stores patient data and images. The database allows the import and export of images, with features to add notes and store detailed demographic information. Kapture software has several options, including the ability to upgrade to include video capture, or full network connectivity to allow review stations to be added or for the data to be stored on a server.

The Symphony Q series Digital comes with Kapture software and the camera; the Symphony Q series Digital Ready comes without the software and camera but can be easily upgraded later to a full system by purchasing the Keeler camera module together with Kapture.

For more information about the Symphony Q series, call +44 (0)1753 857177 or email sales@keeler.co.uk

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