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A Response to: Letter to the Editor Regarding "Aflibercept 8 mg Versus Faricimab Treat-and-Extend for Diabetic Macular Edema or Neovascular Age-Related Macular Degeneration: A Bayesian Fixed-Effect Network Meta-analysis of Clinical Trials".

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Related Experiment Video

Updated: Mar 26, 2026

In vivo Structural Assessments of Ocular Disease in Rodent Models using Optical Coherence Tomography
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THINKING LEAN: Improving Vitreoretinal Clinic Efficiency by Decentralizing Optical Coherence Tomography.

Natalia F Callaway1, Joyce H Park, Jacqueline Maya-Silva

  • 1Byers Eye Institute at Stanford, Stanford University School of Medicine, Palo Alto, California.

Retina (Philadelphia, Pa.)
|January 28, 2016
PubMed
Summary

Decentralizing optical coherence tomography (OCT) significantly reduced patient wait times by 74% and total clinic time by 36% in a vitreoretinal clinic. This lean process improvement enhances patient flow and clinic efficiency.

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Area of Science:

  • Ophthalmology
  • Health Services Research
  • Medical Technology

Background:

  • Vitreoretinal clinics often experience long patient wait times, impacting overall efficiency.
  • Improving patient flow is crucial for optimizing resource utilization and patient satisfaction.

Purpose of the Study:

  • To evaluate the impact of decentralizing optical coherence tomography (OCT) devices on patient wait times and clinic efficiency.
  • To determine if moving OCT from a central suite to technician rooms improves patient flow in a vitreoretinal setting.

Main Methods:

  • A randomized, single-center clinical trial was conducted over one month.
  • The intervention involved decentralizing OCT devices into technician screening rooms, compared to a centralized photography suite.
  • Total clinic and wait times were recorded for return patients.

Main Results:

  • Decentralized OCT reduced patient wait times by 74% (mean difference = 15.9 minutes, P < 0.0001).
  • Total time spent in the clinic decreased by 36% (mean difference = 22.9 minutes, P < 0.0001).

Conclusions:

  • Decentralizing OCT is an effective lean process application for enhancing vitreoretinal clinic efficiency.
  • This strategy significantly reduces both patient wait times and overall appointment duration.