Two and a half years ago, Omar Shakir, MD, MBA, and founder of Coastal Eye in Greenwich,...
Real Results from Two Optometric Practices
How the iOR Shared Suite Model Added Incremental Surgical Revenue from Day One
Optometrists (ODs) are the front door to eye care. They perform 85% of annual eye exams and are first to spot the conditions that require surgery. Yet historically, the moment a patient needs surgery, the OD refers them out — often for little or no co-management fee.
Office-based surgery (OBS) changes that equation and iOR Partners provides the infrastructure for ODs to gain ownership. With an iOR Shared Suite, optometrists can retain surgical patients and capture revenue that was previously lost, without building or managing a surgical suite themselves.
And because one surgical patient is worth nearly triple what that same patient spends on glasses over a decade, OBS doesn't just add revenue — it reshapes practice economics.
How the iOR Shared Suite Model Works
Office-based surgery implementation with zero modification to your practice.
The Shared Suite model lets independent optometric practices enter the surgical market with no capital investment and minimal risk. The practice partners with an iOR surgeon, leases a fully equipped and accredited iOR Suite, pays the surgeon a procedure fee, and retains the remaining surgical revenue. iOR handles accreditation, compliance, staff training, billing support, and operational oversight.
Two Practices, One Result: Surgical Revenue in Less than 60 Days
In 2025, two independent optometric practices partnered with iOR to launch shared suite programs. Neither had offered surgical services before. Both generated revenue within 60 days. Here is what the data shows.
| Practice 1 | Practice 2 | |
| Program period | Oct 2025 - May 2026 (8 months) | Sept 2025 - May 2026 (9 months) |
| First surgery date | Oct 22, 2025 | Sept 2, 2025 |
| Days to first revenue | 42 days | 54 days |
| Total procedures | 84 cases (42 patients) | 43 cases (22 patients) |
| Total surgical revenue | $383,976 | $264,332 |
| Avg. revenue per case | $4,571 | $6,147 |
Practice 1's volume concentrated in RLE and LASIK. Practice 2 earned roughly a third more per case on half the volume, because its mix leaned on RLE and ICL — premium procedures that command a higher price point. Every case came from patients already in the practice, most identified during a routine exam — no new patient acquisition required. That is the floor, not the ceiling.
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Nearly Tripling a Patient’s Lifetime Value
Using $4,571 as the baseline, surgical revenue from one patient is nearly triple what a practice could generate from that same patient buying $1,600 in glasses over 10 years. OBS doesn't add a line item
— it resets the value on every surgical patient.
The iOR Shared Suite model was built specifically for practices that want to participate without the complexity of building their own facility. As these two case studies show, the infrastructure question has been solved. The revenue is accessible. Practices that move first become the surgical eye care destination in their market — and build a program that compounds over time.
What Could OBS Add to Your Practice?
Every practice's mix and patient base is different. We'll model your surgical revenue potential, walk through the Shared Suite economics, and map the path to your first case. Start your practice's feasibilty analysis.

