In refractive surgery and corneal transplants,
"nothing is slowing down."
THE PRACTICE: Sandra C. Belmont, M.D., F.A.C.S., is director of
the Laser Vision Correction Center and Corneal Service at New York Weill
Cornell Medical Center of New York Presbyte-rian Hospital, where she also
directs the Corneal Fellowship Program.
LOCATION: Dr. Belmont's practice is in New York City.
PRACTICE SUMMARY: Dr. Belmont specializes in corneal transplants and
refractive surgery.
In 1984, she completed her fellowship with
Richard Troutman, M.D. He taught her his techniques for corneal
transplantation.
Since 1988, Dr. Belmont has practiced at the
Weill Cornell Medical Center. For the past 3 years, she's been director of the
Laser Vision Correction Center and Corneal Service. She works with a staff of
eight: an accountant, a secretary, a bookkeeper, a fellow, a coordinator, an
ophthalmic assistant and two laser assistants.
SURGICAL FOCUS: Dr. Belmont performs 70% laser vision correction and
30% corneal transplants.
Recently, she started performing
laser-assisted in situ keratomileusis (LASIK) on cornea patients. "I
usually wait 2 years after the transplant -- 1 year after the sutures have been
removed. I perform the procedure if the patient's refraction is stable. So far
the results have been very good."
PREFERRED INSTRUMENTS: VISX Star S2 excimer laser, Sunrise Hyperion LTK
System, Moria CB microkeratome and Chiron ACS keratome.
PREFERRED MEDICATIONS: "We use TobraDex for a week
post-op."
GROWTH AREAS: "The whole laser refractive area is
growing."
Dr. Belmont is an investigator for the
Sunrise Technologies U.S. clinical trials of laser thermal keratoplasty (LTK)
for hyperopia. She has treated more than 200 patients with the procedure. Both
she and her patients have been pleased with the results. "As soon as the
procedure is over," says Dr. Belmont, "I commonly hear, 'Wow, I can
see the hands on my watch!'"
Dr. Belmont says she believes that "the
Sunrise Hyperion LTK System will become the procedure of choice for farsightedness
because of its excellent safety profile, effectiveness, low learning curve for
physicians, and ease of treatment for patients."
She adds, "Excimer procedures and LTK
aren't mutually exclusive. Rather, they can be complementary for surgeons who want
to be able to treat both myopia and hyperopia."
SLOW SPOTS: "I have such a narrow focus that nothing is
slowing down."
MANAGEMENT PHILOSOPHY: "I try to establish a rapport with my patients
by giving them individual attention.
"When in surgery, my staff and I
function as a team. We routinely interchange jobs. We don't set up an assembly
line. That's not my way of practicing medicine."
Our aim is to get the job done so the
patient sees well and is satisfied.
BUSINESS STATS (2000)
Overhead |
50% |
Refractive surgery volume increase |
20% |
Corneal transplants volume increase |
10% |
Sandra C. Belmont, M.D., is an associate
professor of clinical ophthalmology at New York Weill Cornell Medical Center.