About Vista Ophthalmic Consulting

 

Vista Ophthalmic Consulting provides expert technician training and workflow optimization for ophthalmology practices across the United States. Led by a Certified Ophthalmic Medical Technologist (COMT) and Certified Diagnostic Ophthalmic Sonographer (CDOS) with nearly twenty years of hands-on clinical experience, we specialize in equipping ophthalmic teams with the skills, structure, and confidence they need to deliver efficient, high-quality patient care. I partner with practices of all sizes; retinal specialists, general ophthalmologists, neuro-ophthalmologists, glaucoma and corneal specialists in private practice or academic institutions, to offer customized on-site and virtual training for the continued development of technicians and ophthalmic photographers. 

 

Most ophthalmic practices are short-staffed, overworked, or undertrained and they struggle with:

• Technician turnover and onboarding
• Workflow inefficiencies
• Diagnostic imaging inconsistencies
• Compliance and documenation quality   

• And these are exactly the pain points Vista Ophthalmic Consulting can solve.

 

My expertise in the field of ophthalmology ranges from screening new and established patients to assisting ophthalmic surgeons in the operating room and all else in between. I have come to learn what works in this field of medicine in terms of efficiency, proficiency, and having a low turnover rate. These three components are essential to having a strong and successful ophthalmic practice. 

 

Services

 

Vista Ophthalmic Consulting offers a variety of services for ophthalmic assistants, technicians, technologists, and diagnostic photographers. I provide training in two critical areas, which are the backbone of the clinic. The first is the staff that screens the patients, and the second is the staff that performs the diagnostic testing.

For the assistants and technicians, I teach:

1. History and Documentation

2. Visual Assessment

3. Pupil Assessment

4. Tonometry (I-Care, Tonopen, Goldman)

5. Manual Keratometry

6. Manual Lensometry

7. Refraction and Retinoscopy

8. Pharmacology (Eyedrops)

9. Ocular Motility Testing

10. Understanding Prisms

 

For ophthalmic assistants/technicians and photographers who want to brush up on their skills or who are new to diagnostics, I teach:

1. Optical Coherence Tomography of Posterior and Anterior Segments 

2. Fluorescein and Indocyanine Green Angiograms

3. Full Field and MF Electroretinograms

4. B-Scan and A-Scan ultrasonography (obtaining proper measurements of lesions using axial, transverse, and longitudinal scanning via the B-Scan method, along with identifying other retinal pathologies, and also obtaining precise axial length measurements for proper IOL selection in preparation for surgery via the A-Scan method.

Understanding the physics of ultrasound, probe positioning, gain settings, and correlation.

5. UBM Ultrasonography (Identifying Iris lesions, IOL Dislocation, Shallow A/C, etc).

6. IOL Master and Lenstar Modalities for Axial Length Measurements and Keratometry Readings.

7. Obtaining Axial Length by Immersion and Contact Technique

8. Confocal Scans of the cornea to identify the type of infection. (Bacterial, Fungal, or Viral)

9. Slit Lamp Photography (Understanding Retro-Illumination, Sclerotic Scatter and Slit Beam Lighting)

10. Pentacam, Topography and Advanced Visual Fields

 

Career Advancement

 

I also provide services via Zoom for any staff member who wants to advance their career in ophthalmology by preparing them for the Certified Ophthalmic Assistant (COA), Certified Ophthalmic Technician (COT), Certified Ophthalmic Medical Technologist (COMT), and Certified Diagnostic Ophthalmic Sonographer (CDOS) examinations. 

 

 

In addition, I evaluate clinic workflow by shadowing staff and identifying bottlenecks that may hinder efficiency. I also assess the strengths and weaknesses of ophthalmic technicians to strategically place them in roles that maximize productivity and enhance overall clinic performance. 

 

Whether you're onboarding new technicians, broadening your service offerings, or streamlining operations, Vista Ophthalmic Consulting helps drive measurable improvements in team performance and patient care. I focus on optimizing roles to boost job satisfaction and reduce turnover. Let me help you build a stronger, more confident, and efficient clinical team. 

 

Training Packages

 

1. Standard Full Day Training (On-Site)

$1500/day (plus travel if outside local area)

• Core skills training for ophthalmic assistants and technicians

• Customize to your clinics equipment and workflow

• Covers basic imaging, pre-testing, patient flow, and more

• Up to six staff members per session

• Additional staff members for all training packages ($250)

 

2. Specialty Training (On-Site)

$1750/day (plus travel if outside local area)

Advanced Training for specialized imaging & diagnostics:

• B-Scan and A-Scan Ultrasound
• Fluorescein and ICG Angiography
• Confocal Microscopy and Endothelial Cell Counts
• Slit Lamp Photography (ideal for retina, cornea, and surgical specialty clinics)
• Full Field and Multi-Focal ERGs

 

3. Remote Consulting & Training (Virtual via Zoom)

$500 per session (two hours)

• Live, interactive, sessions, tailored to your team
• Great for onboarding, skills refreshers, or image review
• Perfect for small clinics or satellite locations

 

4. Half Day Training (On-Site)

$1000/half day

• Condensed, focused sessions
• Ideal for smaller teams or follow-up training visits
• Includes on-site instruction, Q&A, and quick assessments

 

5. Weekly (On-Site) Training Package

$5000/four days (save $1000)

• Ideal for larger clinics, new technician onboarding, or full department refresh
• Flexible scheduling over one week
• Combine standard and specialty modules

 

6. Need Something Custom?

We offer tailored consulting and training solutions for:

• Multi-location practices
• Staff certification prep
• Imaging Protocols
• Clinic workflow optimization

 

Contact me for a personalized quote and availability

 

 

You can request a consultation by completing the form below.