March 7, 2026

Why Oculoplastic Surgeon Dr. Sismanis Chooses Carrot

A headshot of Dr. Dimitrios Sismanis from Virginia Oculofacial Surgeons
Sarah Kersting-Herbert

Key Take Aways

  • Carrot simplifies insurance-compliant visual field testing for oculoplastics. Automated testing allows technicians to set up exams quickly without constant supervision while producing reliable, insurance-ready documentation.

  • Streamlined workflows improve efficiency for surgical practices. Carrot reduces staff burden compared to traditional tabletop perimeters and eliminates the need for dedicated testing personnel.

  • Reliable visual field data support faster clinical decision-making. In one case, Carrot testing helped identify orbital swelling and visual decline early, enabling timely treatment and avoiding emergency surgery.

  • Patients prefer the VR testing experience. The lightweight headset is easier and more comfortable than traditional perimeters while still allowing standard taping and untaping protocols for ptosis evaluations.

  • The subscription model reduces equipment risk and maintenance costs. Carrot provides ongoing software updates and dependable performance without the need for large capital purchases or costly maintenance.

Introduction

Dr. Sismanis specializes in oculoplastic and reconstructive surgery. During a recent interview, we discussed the challenges in ophthalmic care, particularly insurance requirements and the need for reliable testing methods. The conversation revolved around how Carrot (formerly Virtual Field) technology has become a game-changer in this arena. Exams used: Superior 36, 30-2 BOLT.

Insurance Challenges

Year after year, dealing with insurance has become increasingly complex. The key to navigating this intricate landscape lies in having a dependable testing environment, preferably automated. You want a system that doesn’t require a dedicated staff to operate. With some traditional systems, you need a person on it around the clock, and even then, the results can be less than satisfactory. 

On the contrary, Carrot technology has emerged as a breath of fresh air. Technicians can set it up and practically walk away. It’s become a go-to choice because it’s reliable and makes the insurance process smoother.

Streamlined Process

What’s really appreciated about Carrot is how it streamlines everything. It simplifies the process of presenting insurance-ready data, making life easier for practitioners. It’s also worth noting that the headset still allows for the use of the standard taping and untaping protocol, which is great.

Enhancing Patient Care

Speaking of patients, Carrot technology has had a significant impact on their care. It’s not just about insurance compliance; it’s about real-time monitoring. For instance, there was this case where a patient had swelling in their eye socket and visual deterioration. We did a Virtual Field test, identified the problem, and got her to the hospital, putting her on steroids. Subsequent tests while in the hospital showed her condition improving. We managed to avoid emergency surgery because Virtual Field was there to expedite her care. Also, patients really do love Virtual Field and prefer it over tabletop perimeters for its ease of use and comfort.

Subscription Model

The subscription model for Carrot technology is no brainer. No need to keep buying new devices, or paying for maintenance, and downtime is minimal. It’s really given us peace of mind.

A headshot of Dr. Dimitrios Sismanis from Virginia Oculofacial Surgeons

Dr. Dimitrios Sismanis, Virginia Oculofacial Surgeons

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