Topcon RDx®

Perform refraction from anywhere with RDx

One central hub. Complete remote eye care.

Now more than ever, you need to grow your practice beyond your physical location and deliver quality eye exams from virtually anywhere. Topcon RDx® is an innovative ocular telehealth platform that allows you to connect to your office remotely and conduct comprehensive eye exams, without sacrificing the quality care you provide.

Remote Access to Quality Care

Topcon’s CV-5000S automated phoropter integrates with RDx remotely, allowing you to perform refractions from anywhere.

Automation and Practice Efficiency

Utilize the benefits of integrated remote video conferences between you, your staff and patients while connecting and controlling the devices within your practice; in real-time.

Patient Convenience

Deliver quality eye exams for your patients at a time and place that is convenient and safe for them.

Are you ready to grow your practice with the latest innovation in ocular telehealth?

Now is the time to connect and remotely operate your devices.

Key Features

  • SERVE MULTIPLE LOCATIONS – Deliver quality eye exams from any office location – or even your home. Access to care is independent of the practice location and one optometrist can cover multiple locations at the same time.
  • GENERATE PRESCRIPTIONS – Easily generate printable glasses prescriptions after each remote refraction.
  • REMOTE REFRACTIONIST CENTER – Perform the exams yourself or delegate to our highly skilled refractionists who will operate your Topcon CV-5000S automated phoropter and acuity testing suite to perform an accurate subjective manifest refraction.

One central hub with Topcon RDx + Eyefinity 

Securely transmit patient demographics from Eyefinity Practice Management or AcuityLogic™ to the RDx telehealth platform, empowering you to quickly search and retrieve patient records without any additional data entry.

RDx and Crystal Integration

As part of the RDx growing ecosystem, you can now enjoy the seamless connectivity between RDx and Crystal Practice Management software, empowering you to reduce costs and increase efficiency through decreased paperwork, minimize human error in the transfer of data, and most importantly, improve your patients’ health.

Ready to learn more?

Schedule your demo today.

Simply use the form below and your local Topcon Healthcare representative will be in touch soon. For technical support, please click here.

Frequently Asked Questions

How does RDx work?

RDx connects you to your exam room via video conference and allows you to perform a guided subjective exam and consultation using your remotely-operated CV-5000S. When the refraction is finished, you may consult with the patient in real time and generate a glasses prescription.

How will I access my patient’s charts as the remote doctor?

In conjunction with Topcon’s Harmony data management software, RDx gives you access to your patients’ health history (imported from your EHR), imaging and clinical data within the RDx telehealth platform, so you have all of the information you need during the virtual visit. 

What will my patient experience as part of the RDx visit?

Your patient will be greeted and checked in by your usual front desk staff. They will be shown into the remote exam room by one of your staff members and seated in front of the automated phoropter. You (the remote doctor) will be connected to the exam room and will appear on TV monitor. The entire refraction will be completed remotely. After the patient is satisfied and the best prescription is determined, the prescription is available for the doctor to review and sign.

What does my technician need to do during an RDx remote consultation?

Your technician will greet the patient and perform all of the pretests. When complete, your technician uploads  the pretest results to RDx software and moves the Patient Card in the RDx software into the “Ready for Exam” status. This is when you join the live video session and begin interacting with the patient. When you’re ready to begin the remote refraction, the technician ensures the phoropter head is correctly positioned in front of the patient. When the exam ends, your technician will escort the patient out of the exam room.

Remote Refractionist Service Frequently Asked Questions


What is the Remote Refractionist Center and how does it work?

The Remote Refractionist Center provides subjective manifest refraction services via a face-to-face, fully interactive remote connection. Our highly skilled refractionists can use the Topcon CV-5000S automated phoropter and acuity testing suite to perform an accurate subjective manifest refraction on patients anywhere in the country. There is a complete real time face-toface audio and video connection between the refractionist and patient, allowing the typical and necessary communication to yield a correct prescription.

What are some benefits of the Remote Refractionist service?

Our remote refractionist services can improve efficiency in your practice by allowing patients to be refracted while you are examining and counseling other patients, increasing workflow and patient capacity, while maintaining top quality care. Additionally, this service can reduce staffing challenges, alleviating the difficulties of recruiting and training staff with refraction skills. Also, remote refractionists can reduce wait times and allow more quality face-to-face counseling time, which improves patient satisfaction.

What are the credentials of the Remote Refractionists?

Our refractionists have significant clinical training, having spent a minimum of several years working in traditional optometric and ophthalmic clinics refracting patients in the typical way, with close oversight and feedback from an OD or MD. Many of our refractionists have the COA designation.

What is included in the service the Remote Refractionists will provide?

Our refractionists do all of the typical steps in a subjective refraction, including communication with patients to yield the most appropriate and correct prescription. The prescription will be made ready for the doctor to review and sign. This service is designed to remove the duties of subjective manifest refraction from the doctor.

What will my patient experience as part of the refraction completed by the Remote Refractionist?

Your patient will be greeted and checked in by your usual front desk staff. They will be shown into the remote exam room by one of your staff members and seated in front of the automated phoropter. The remote refractionist will be connected to the exam room and will appear on TV monitor. The entire refraction will be completed remotely. After the patient is satisfied and the best prescription is determined, the prescription is available for the doctor to review and sign.

How can I access a Remote Refractionist?

If RDx is configured for you to use a Remote Refractionist, the ‘Request Remote Refraction’ option is displayed under Available Actions in the Request Remote Exam dialog box in RDx. From there, the user can select the available Remote Refractionist and an exam lane.

When are Remote Refractionists available (hours/days)?

Remote refractionists are available during normal business hours. It is our goal and commitment to provide this service at any time there is a clinical need.

Which states do Remote Refractionist Specialists cover?

We currently have coverage for all U.S. states.

How will I pay for the service?

Payment is on a per-exam basis. Minimums may apply.

Is the service provided in accordance with HIPAA policies and procedures?

Yes. Our system is fully compliant with HIPAA.

Topcon RDx Digital Brochure

Topcon RDx Datasheet

Getting Started with Ocular Telehealth

Benefits of Remote Refraction

As an optometrist who has spent years manually and digitally refracting patients, heading into a virtual realm has required a slightly different approach to the way I practice; however, the remote refraction process is not that different from using the CV-5000S digital phoropter in the office. The main difference is that rather than using a manual control panel in the examination room, the clinician is instead using a computer interface and mouse at a remote location to control the phoropter head. I like that the Topcon RDx platform is intuitive and easy to start using. A technician is still needed to set up and align the patient before the refraction starts, but once the program is up and running, the sequence of steps is the same as an in-person refraction. The more we use the technology, the more seamless and integrated it’s becoming in our day-to-day clinical examinations.

Patient & Provider Benefits of RDx Technology

In practice, we have found that the patients’ early experience with this new way of refracting has been overwhelmingly positive. After a recent remote refraction on a patient, the young woman gave us her impression of the process: “I was told prior to my exam that I would be getting a remote refraction from a clinician that would be offsite. This new examination process was so easy and was as if the doctor was still in the room with me!” She liked the efficiency that remote refraction offered, noting: “It’s nice just to be able to walk in, have a seat, video connect with the doctor and start the refraction process. I really liked that I didn’t have to wait. Sometimes in busy practices the doctors are running behind schedule, but with the remote refraction, I was able to get in front of the video screen with Dr. Ngo right away and he quickly refracted me and provided a new prescription.” This patient also appreciated the additional flexibility and convenience that remote refraction offered. She said, “You have more choices now based on your schedule or what doctor you prefer to see, because the doctor does not have to physically be in the office to see you. For people who are super busy and have fast-paced lifestyles, I think the convenience and time savings with remote refraction is going to be a big value moving forward.” As an eye care provider, I also value flexibility in my professional life. Remote eye exams and refractions are especially helpful if I am travelling, unable to make it into one of our offices or need to work from home. In the past, one of the main drawbacks of being an eyecare professional was that you couldn’t provide care to patients and work from home at the same time. Now that we have the ability to remotely conduct eye exams, including refractions, that opens up options for doctors who may mix in-person and remote work, switching between the two to suit their personal needs and allowing a better quality of life.

Utilization Today

In addition to its potential use for many of our routine evaluations, I think remote refraction can help improve access to vision care and fill in service gaps for large and small practices. For example, a patient who has an urgent need for glasses but can’t schedule a live visit with a doctor nearby, could schedule an appointment at a practice offering remote refractions, and quickly obtain a prescription through this virtual service. In addition, high-volume specialty practices that don’t do refractions might consider adding remote capabilities to offer a more comprehensive eye exam for their patients. Another application could be for small optical shops that can’t afford a full-time optometrist but could hire someone part-time to manage remote refractions. While remote refraction is an excellent fit for many patients, certain patients might not be ideal candidates. Those individuals could include patients with large degrees of astigmatism, or those who have conditions such as keratoconus or more complicated pathologies that require in-person or follow-up evaluations. Young children or elderly patients may not be as well-suited for remote refraction. I estimate that 60% to 70% of my patient population might enjoy utilizing this new technology, in particular, “computer-age” patients like Millennials, Generations X and Z who have a comfort level with innovation and virtual technology. In all cases, it will be exciting to see where remote refraction will take eye care now and into the future.

ABOUT THE AUTHOR

Ryan Ngo, OD, is an optometrist at Denny Eye & Laser Center in San Francisco. He formerly practiced at Union Square Eye Care in New York City.

Topcon RDx® and the CV-5000S Digital Phoropter Benefits the Patient and the Practice

Topcon RDx®, an ocular telehealth platform enables eye care providers to connect to their offices remotely and conduct portions of the comprehensive eye exam. Topcon’s CV-5000S automated phoropter integrates with RDx remotely, so practitioners can perform refractions from anywhere.

Read more >

Evolving Refraction Capabilities

Even before COVID was an issue, our New York Citybased eye care practice of optometrists and ophthalmologists had been doing an increasing amount of virtual work. This has been the case for many of us in eyecare; we have been outsourcing our billing operations, front desk services, human resources, and a variety of administrative and clerical functions for many years.

At the same time, the introduction of electronic medical records (EMRs) has increased the level of medical device integration and the exchange of clinical information across the spectrum of eyecare. For example, image management software has made it possible for us to view fundus and OCT images, in addition to findings from corneal topography, biometry, ultrasound, and other digital devices between our offices and networks.

In the clinical realm, while medical specialties such as radiology, pathology and behavioral health have been conducting some form of telemedicine for years, other areas of medicine such as optometry and ophthalmology requiring a close-up view of the patient, have had a slower time making the same leap. A few areas of eyecare have successfully used telemedicine to some degree to monitor patients with, or at risk of retinal pathologies such as diabetic retinopathy or age-related macular degeneration. However, eyecare in general has not utilized remote capabilities to perform portions of the comprehensive eye examination or conduct diagnostic evaluations and tests.

That is all changing with the introduction of new software technology enabling clinicians to perform remote diagnostics, refractions and eye examinations without being physically in front of the patient.

Advancing Refraction Capabilities

There has been an evolution of refraction technology over the years, from conventional subjective refraction to computerized or digital phoropters and now remote operation.

In December 2020, Topcon Healthcare (Tokyo, Japan) introduced Topcon RDx®, an ocular telehealth platform enabling eye care providers to remotely connect to their offices to conduct portions of the comprehensive eye exam. RDx integrates with Topcon’s CV-5000S digital phoropter so practitioners can virtually perform refractions, view supplementary diagnostic information through Topcon’s Harmony data management software, and video consult with the patient in real time.

This new capability offers the patient and provider more exam flexibility, efficiency and an increased level of safety. The doctor and patient are able to virtually meet for the patient’s eye exam, which helps to ensure the patient is presented with timely, high quality eye care while reducing the number of people xnd touch points encountered during an exam. Imagine how much more comfortable the patient might feel in a room with just one technician, while the person performing the exam is in a different location.

From a practice standpoint, this technology has transformed our busy urban clinics. Our remote optometrists are able to quickly move from patient to patient, serving patients in both of our office locations from essentially anywhere.

ABOUT THE AUTHOR

Jay Wisnicki, MD, FAAO, FACS, FAAP, FNYAM is a world-renowned strabismus surgeon. He is the former Chairman of the Beth Israel Ophthalmology Department, but still serves as a clinical professor of Ophthalmology & Pediatrics at Mt. Sinai.

Topcon RDx® and the CV-5000S Digital Phoropter Benefits the Patient and the Practice

Topcon RDx®, an ocular telehealth platform enables eye care providers to connect to their offices remotely and conduct portions of the comprehensive eye exam. Topcon’s CV-5000S automated phoropter integrates with RDx remotely, so practitioners can perform refractions from anywhere.

Read more >