Customer Case Study #1
Overwhelming Support from Patients

ISHINKAI GROUP, AKASHI FUTAMI NIIMI EYE INSTITUTE

The AKASHI FUTAMI NIIMI EYE INSTITUTE, opened on August 2, 1999, is the flagship facility of the ISHINKAI GROUP. Since its opening, the clinic has been providing a comprehensive range of eye care services, including same-day cataract surgery, glaucoma surgery, strabismus surgery, contact lens and eyeglass prescriptions, detailed examinations following three-year-old health checkups, and orthoptics training for amblyopia and strabismus.
To accommodate the increasing number of patients, the clinic relocated to its current location in November 2014 and now has three examination rooms.

From the early stages of GAP development, Dr. Niimi has provided invaluable feedback and insights, offering perspectives that extend beyond just being a user of the diagnostic device.

新見先生
Dr. Koji Niimi

■ Key Points of This Case Study

  • ― In a patient survey conducted at the clinic, 68% responded that test performed with GAP was better compared to traditional visual field tests.
  • ― For future tests, 76% of patients expressed a preference for GAP.
  • ― GAP, known for its excellent portability, is installed in the waiting area in front of the consultation room.

Please tell us about your current examination operation structure

Our clinic is equipped with the latest examination devices. We have prepared a spacious examination room to ensure patients can relax during their examinations. Additionally, we have considered accessibility needs, such as wheelchair users. Examinations are conducted on a reservation basis. For visual field tests, we have two conventional devices from Humphrey and this GAP in operation.

The two devices from Humphrey are installed in a dark room, while the GAP is set up in a bright examination room or in the waiting area in front of the consultation room. At our clinic, unless instructed otherwise by a physician, patients can choose whether to use the GAP or the conventional device for their examinations.

Were there any challenges in your examination operation structure before implementing GAP?

There were many patients who needed visual field tests, making it difficult to schedule appointments. We were considering adding a third Humphrey device, but we were struggling with the limited space available for a darkroom.
At that time, we came across the first model of GAP, which allowed elderly patients to undergo visual field tests in a relaxed position in a well-lit room. We felt this might be a good solution and decided to install it.

How do patients react to GAP?

The feedback from patients has been extremely positive. According to a survey conducted at our clinic, 68% of patients reported that they preferred the visual field tests conducted with GAP over conventional visual-field testing devices. They also expressed a preference for using GAP for their future tests.

Comments from patients include:

  • It's less stressful.
  • At first, I was confused because I wasn't used to it, but it was comfortable.
  • I think it will be easier to take the test once I get used to it.
  • Comparing to the traditional testing method, it was much easier to go through, and the lights were easier to see.
  • The traditional method made me feel uneasy and tired because of the dark room, but this time I was able to relax during the test.
  • If the results are the same, the head-mounted type is more comfortable and faster.

Feedback from CO (Certified Orthoptists) includes:

  • It's easier because we don't need to occlude one eye.
  • It's easier to explain the procedure to the patients taking test for the first time, which shortens the total time required, including before and after the test.

How did you feel about the GAP test
compared to the traditional visual field tests
you have taken before?

How did you feel about the GAP test compared to the traditional visual field tests you have taken before?
  • Preferred GAP
  • Preferred conventional
    testing devices
  • No preference
  • No response

Which method would you prefer for
your next test?

Which method would you prefer for your next test?
  • GAP
  • Conventional testing devices
  • No preference
  • No response

On the other hand, we have also received feedback from patients stating, "I feel a bit of pressure when adjusting the device to my head, and it is uncomfortable to wear it while wearing a mask," and "It would be better if the device was a bit lighter."

Please tell us about the operational structure of the system:

Our clinic uses the electronic medical record system provided by Findex, allowing us to refer to the results of visual field tests conducted with GAP through the visual field monitoring software "C-Peri". Physicians can explain the results to patients using the MD slope and visual field threshold map displayed on the monitor.
(*For electronic medical records other than those from Findex, the results can be referenced in PDF image files.)

Additionally, "C-Peri" offers the "G-QuiCC" feature, which is effective for follow-up observations. This feature estimates the disease type and condition from the patient's intraocular pressure and visual field MD value and displays the candidate target intraocular pressure. This is particularly useful during busy outpatient consultations. Furthermore, by inputting the administered medication, it is also possible to verify the effects of the medication.

What expectations do you have for GAP in the future?

If it can also measure contrast sensitivity, wouldn't the scope of GAP's use expand, such as before and after cataract surgery. Currently, we are researching binocular visual function tests, but since the medical devices that can perform these tests are no longer being manufactured, we would like GAP to include the functionality to measure them.
(*The measurement of contrast sensitivity is currently under development.)

Dr. Niimi, thank you for your cooperation in the interview.

ISHINKAI GROUP,
AKASHI FUTAMI NIIMI EYE INSTITUTE

Address:
901-1 Higashi-Futami, Ftami-cho, Akashi city, Hyogo Prefecture