Walker Shaffer, OD, of Eyecare of Lehi in Lehi, Utah, says that an upgrade to the Optovue Solix brought immediate benefits to the practice that he and Collin Gray, OD, co-own. Dr. Shaffer was familiar with the practice before becoming an owner. He worked there as a technician for founder Robert Gray, OD, Dr. Collin Gray’s father. As a newer generation of owners, the two are looking for efficiencies and patient care enhancements that support additional revenue.
The practice makes Solix imaging routine. “We do a mandatory fundus screening essentially for everybody,” Dr. Shaffer says. A single capture produces fundus photos plus an OCT wellness scan. The team also uses the instrument’s OCT‑Angiography (OCT-A) and ganglion cell complex (GCC) metrics for more sensitive posterior segment screening, while the anterior segment OCT and topography support specialty lens fittings and corneal work. “Combining those capabilities on one platform means technicians can gather comprehensive data without moving patients between machines.”
In less than three minutes, the technicians can capture images that add a wealth of diagnostic information without lengthening visits. Because the Solix consolidates multiple imaging needs into a single capture, clinicians spend less time chasing results and more time acting on them. That efficiency directly elevates care. The practice catches early signs of glaucoma, age-related macular degeneration and diabetic retinopathy sooner and schedules targeted follow ups. “That image alone has helped me catch two early glaucoma patients that I wouldn’t have otherwise,” he says, citing recent days where OCT metrics triggered a timely glaucoma workup.
As the practice’s “retina guy,” he finds that exciting. “I’ve caught early signs of diabetic retinopathy damage or glaucoma damage and even retinal pigment variation that doesn’t show up well on other photos,” he says. Dr. Gray focuses more on anterior segment and contact lens fits. He appreciates that Solix “allows for scleral lens fits and measurements down to the micron, which is essential for the 30-50 micron adjustments I need for precise fittings,” he says. Plus, “this is all captured in one shot, and we use it for all fittings.” So Solix is an integral part of the everyday workflow at the practice.
Solid ROI
Because of its widespread use and functionality, financially, the Solix pays back its value in multiple ways. Dr. Shaffer notes the introduction in January 2025 of a CPT code for OCT-A services (92137) as an important turning point. “As soon as we had that CPT code launch, we began using it,” he says. With flat or declining standard OCT reimbursements, “having that OCT angiography code is nice for a revenue stream standpoint. And it’s justifiable for the conditions I typically manage that have a vascular component,” he says.
Reimbursement for advanced OCT captures helps shorten the equipment’s payback period. The code covers unilateral or bilateral OCT-A imaging of the posterior segment, including the retina. It covers patients with conditions such as diabetic retinopathy, AMD (wet/dry) and vascular occlusions.
Beyond fee‑for‑service reimbursement, the single‑platform model reduces capital expenditures with fewer dedicated devices, the equipment footprint and staffing or workflow inefficiencies.
Increasing Throughput
By combining fundus photography, OCT and OCT‑A in one workflow, the Solix lets the practice “do more without spending more workup time,” Dr. Shaffer says. Technicians can acquire the images quickly, freeing clinicians to see additional patients or devote extra time to complex cases. While the clinic’s total patient count is influenced by many factors, the Solix enables higher throughput and better use of clinical time. Dr. Shaffer cites more effective screening, faster triage and smoother patient flow. “For how much data you’re getting, it’s probably the highest ROI as far as time investment,” he says.
The device also strengthens education and word‑of‑mouth referrals. “Having an image to see and show patients has been huge,” Dr. Shaffer says. Visuals help patients understand why screening matters and why follow‑up is necessary. That clarity reinforces the practice’s reputation as a technology‑forward, preventive clinic and drives referrals.
Dr. Shaffer places the Solix at the heart of the practice’s shift to proactive care: comprehensive, fast imaging that improves early detection, streamlines workflow, creates a reimbursable service line and enhances patient communication. “We are implementing a more proactive and preventive care model and Solix is really right at the center of all of it,” he says.
OPTOVUE SOLIX OCT/OCT-A BY VISIONIX
Dr. Collin Gray earned his doctorate from the University of Houston College of Optometry, where he held multiple leadership roles and received several honors, including Teaching Assistant of the Year and a Clinical Letter of Excellence. He specializes in myopia control, dry eye, and aesthetics. Dr. Gray serves on the Utah Optometric Association Board, teaches optometrists nationwide on advanced dry eye treatments, and is Associate Faculty at Rocky Mountain University of Health Professions, supporting clinical training and dry eye research.
Dr. Walker Shaffer earned his Bachelor of Vision Science and Doctor of Optometry degrees from the Pacific University College of Optometry in 2024. During his training, he developed a strong clinical foundation in ocular disease management and specialty contact lenses. He joined Eyecare of Lehi following graduation, where he provides comprehensive eye care with special interests in glaucoma, macular degeneration, diabetic eye disease, and specialty contact lens fittings.
This article originally appeared in Vision Source OD magazine in March 2026.
Disclaimer: The views and experiences expressed are those of the individual user. They may involve off-label use of the medical device, which is not endorsed or approved by the manufacturer.