Tips4EyeDocs Daily for 12/14/2011 No. 2: Last night’s VSP Town Hall meeting + More


Last night I attended the VSP Town Hall meeting held in Fullerton CA and web cast from Hawaii to the East Coast. Here are some takeaway messages that I perceived:

  1. VSP is organized as a not-for-profit taxable entity not unlike Kaiser, Blue Shield and other health care entities
  2. The big gorilla in the market place is Luxottica at $8.5 Billion compared to VSP at $3.5 Billion
  3. VSP has been subsidizing reimbursement of exam fees with their surplus but this might be a temporary measure. Currently, most of the competition are reimbursing at well below the VSP standard.
  4. VSP is trying to enhance the bottom line to doctors (end of period checks) by giving incentives or encouragements to use their own Marchon frame and laboratory ophthalmic products
  5. VSP has entertained the idea of bulk order contact lenses, but cannot force panel doctors to use it as a formulary.
  6. Online sales are inevitable and VSP acknowledges the futility of fighting it. Instead Eyeconic was established
  7. Much discussion about out-of-network. It appears that the pattern of usage prior and after this announcement are the same. Therefore, those who intended to seek out-of-network doctors for their rx fills will do so regardless. Having an out-of-network retail channel affiliate satisfies HR benefits buyers who require it.


  1. 2012 Sunglass trends gives insight of what might be in trend for the Summer of 2012. . The blog includes these trends: cat eyes; quirky shapes; round; sporty; gradient lenses; and contract sunglasses. Spotted on web site via @Insight_Eyecare on Twitter
  2. Aaron Lee’s “6 Unofficial Ways to Increase your Klout scores” (available online at is an excellent article on influencing your Klout scores. To those new to Klout, it is the new metric at many social gatherings and is similar to social ranking except it is a ranking among social media enthusiasts. is the organization behind this and even defines the “score” as the ability “to drive action” by others. If one can influence someone to perform a certain action, then that is influence. In the world of virtual communities, a metric such as a Klout score may be the only tangible acknowledgement of influence.
  3. Blog posting is decidedly an art but driving that pipeline requires a model. Frank Isca has some great tips to keep that creative engine going in his blog post “How to Write Optimized Posts in Under 30 Minutes” (at


Yuan XPing HZHong WCYin DTing Z. Five-year follow-up after anterior iris-fixated intraocular lens implantation in phakic eyes to correct high myopia Eye (Lond). 2011 Dec 2. doi: 10.1038/eye.2011.292. [Epub ahead of print]


  1. Purpose: To evaluate the 5-year follow-up of safety, efficacy, predictability, stability, and complications of anterior iris-fixated phakic intraocular lens (pIOL) implantation to correct high myopia, and patients’ satisfaction after implantation.DesignProspective, nonrandomized, and comparative (self-controlled) trial. MethodsA prospective clinical trial of 84 eyes of 43 patients with high myopia was conducted. Uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BSCVA), refraction, endothelial cell count, intraocular pressure (IOP), anterior chamber depth, slit lamp biomicroscopy, and indirect ophthalmoscope were measured preoperatively and postoperatively.
  1. Results: At the 5-year follow-up, UCVA was significantly improved, with 85.7% of eyes reaching 20/25 or better. No eyes experienced a loss in BSCVA, and 71.4% gained one or more lines of their preoperative BSCVA. There was a significant reduction in spherical errors in all patients after operation. Loss of endothelial cells was observed 3 years after operation and no more loss was observed 4 years after operation in statistical analysis. No increase in IOP was observed 5 years after operation in statistical analysis. No intraoperative complications were observed in this study. However, pigment precipitates of varying intensities on the lens optic were noted in all patients 1 day after operation, and only five eyes were observed to have the pigment residual five years after operation.
  1. Conclusion: At the 5-year follow-up, the implantation of the anterior iris-fixated pIOL was proved to be effective, predictable and capable of reversibility to correct high myopia in phakic eyes. It was a safety addition to the laser refractive surgery. However, longer follow-up with larger numbers of patients is still necessary to evaluate long-term complications.Eye advance online publication, 2 December 2011; doi:10.1038/eye.2011.292.

About Richard Hom OD, MPA

Dr. Hom holds Doctor of Optometry and Masters in Public Administration degrees and practices family eye care and consults on public policy, health information technology and program evaluation.
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