ADVANCED CLINICAL APPLICATIONS AND TROUBLESHOOTING IN SCLERAL LENSES
|
|
- Edward Stokes
- 6 years ago
- Views:
Transcription
1 ADVANCED CLINICAL APPLICATIONS AND TROUBLESHOOTING IN SCLERAL LENSES Langis Michaud, OD Jason Jedlicka, OD Disclosures Langis Honorarium and research grants Alcon Cooper Allergan Bausch*Lomb Johnson * Johnson Blanchard Labs Shire Santen Jason Consultant to Bausch and Lomb SVP Honorarium: Oculus Allergan Advanced Applications and Troubleshooting Front surface wetting Fogging / Debris in the Tear Reservoir Dealing with conjunctival landmarks Conjunctival prolapse 1
2 FRONT SURFACE WETTING ISSUES Managing Scleral Lens Surface Issues Impact is mainly on vision, not comfort Anterior surface deposits Causes Anterior segment pathological conditions Blepharitis Rosacea Atopic condition Poor tear film chemistry Especially in severe eye dryness Oily substances Mascara, make-up, soap Lens material reduced wettability Photo: L.Michaud Drying of the lens surface ultimately allows deposits to form Photo: M.Lipson 2
3 1. Treat ocular surface issues Lid hygiene Omega 3s Medication 2. Stabilize tear film Dry eye management Lubrication Medication Management Managing Scleral Lens Surface Issues Monitor for changes to the Lid Wiper Management 3. Select material with low wetting angle Plasma treated lenses Hydra Peg as an option 4. Customize care regimen Alcohol based cleaner Hydrogen Peroxide Enzyme treatment including Progent Pre and post Hydra Peg Sindt, C. Rev. Contact Lenses 04/2015 3
4 Hydra Peg Is a 90% water surface polymer that creates a mucinlike hydrophilic surface to the contact lens Active ingredient: polyethylene glycol (PEG) Caroline P. GSLS poster Management 5. Patient education Ask patients about hand soaps, lotions, makeup and eye creams. Change hand soap to either contact lens hand soap or acne treatment hand soap without lotion additives. Apply makeup, facial moisturizers after lenses are applied. 6. On eye management Moisten a cotton swab or removal plunger with solution and clean the surface on-eye. Managing Scleral Lens Surface Issues How does putting a liquid reservoir over the corneal surface impact the feedback mechanism to the brain that governs basal tear production? After 15 minutes in a scleral lens 4
5 Managing Scleral Lens Surface Issues Remember that wearing a scleral lens increases the surface area of the ocular surface that is exposed by increasing the palpebral aperture Puts increased demand on the tear layer Managing Scleral Lens Surface Issues Using a drop of lubricant on a lens tool or a cotton tip applicator and rubbing the lens surface while on eye can also help when removing the lens is not practical Adding conditioner to the lens applicator at the time of insertion may also help with initial non-wetting issues FOGGING / DEBRIS IN THE TEAR RESERVOIR 5
6 Fogging / Debris Debris is a common problem that can impact vision Usually takes a few hours to get bothersome for most patients Can be seen at slit lamp at follow up Left lens no complaints Symptomoatic fogging / debris 6
7 What is it? Maria Walker, OD, published findings in October 2014 of 5 subjects with post lens tear fogging vs. 4 subject without post lens tear fogging Proteins and mucins were the same in each group Lipids were significantly elevated in the post lens tear reservoir in 4 of the 5 subjects with fogging Pacific Uni ersit Where is it coming from? 7
8 After 2 minutes After 4 Minutes no manipulation After 4 minutes 8
9 Debris Debris will follow path of tear exchange / fluorescein when applied Most commonly channels under the lens superior / temporal, but can come from anywhere there is a loose fitting relationship Can be improved by steepening the landing zone in the meridian that the debris is migrating in from Debris Manage with notch, microvault, or EyePrint Pro 9
10 Tight Lens Related Fogging?? Or is it just tight in one meridian and loose in the other? How do we get rid of it? Optimize lens fit to eliminate lens movement and tear exchange Use of toricity in the landing zone of scleral lenses what % of your fits are in toric haptics? Increasing lens toricity eliminates / Significantly reduces fogging 10
11 DEALING WITH CONJUNCTIVAL LANDMARKS Conjunctival Landmarks Some patients have abnormal conjunctival or scleral issues such as pinguecula or blebs Conjunctival Landmarks These can be dealt with several ways: Go smaller if feasible Go larger is shallow enough and close enough to the limbus Notch the lens Microvault EyePrint 11
12 Lens Notches Notch Size Needs to be wide enough to not constrict obstacle Form semi-sealed fit with no movement Too deep or wide of a notch can cause bubbles Better with smaller diameter lenses Watch IOP in blebs carefully Lens Notches When Ordering Measure depth and width Pictures always help lab Consider keeping a notched trial in office Conjunctival Landmarks 12
13 MicroVaults Microvault measurements Microvault needs to be roughly 5 degrees inferior to the horizontal meridian or at axis 175 Microvault: 3.0 mm wide Located at axis 175 Peak at lens edge 250 microns max elevation 13
14 Lens with Microvault CONJUNCTIVAL PROLAPSE Conjunctival Prolapse 14
15 Why Prolapse? Conjunctival Prolapse Benign? Managing Prolapse? Many claim there is no reason to try to resolve it Conjunctiva can become adhered to limbus over time and create vascularization Reduce limbal clearance if possible, move to toric / quadrant specific design if and when available, or monitor 15
16 Lens selection To avoid troubles.. + Determining Lens Diameter Factors to Consider HVID corneal diameter Ocular health Type of cornea/ocular surface Endothelial cell layer status Potential troubleshooting issues Handling Risk/benefits ratio
17 + 1
18 + Customized scleral lenses + Oblate scleral lenses Goal: To reduce central clearance when found excessive Clinical applications: oblate corneas Post Lasik /RK Post-graft Design: central curve is made flatter while the fit over the limbus and at the edge remains the same Flatter central curve generates less negative power + 17
19 + 2
20 New clinical applications To lower minus power of scleral lenses Prolate Corneas Keratoconus Irregular corneas To reduce induced lens HOA and spherical aberrations of the eye To improve presbyopic correction Reduced minification Effective more add power Seeing through a -25D + Eye Print Pro + 18
Advanced Fitting of Scleral Lenses
Advanced Scleral Lens Fitting Advanced Fitting of Scleral Lenses Jason Jedlicka, OD, FAAO Indiana University Evalua?ng fit at follow up Evalua?ng landing zone Dealing with as?gma?sm in the over refrac?on
More informationIntroducing a lens that can take your scleral fitting to a higher plane.
Introducing a lens that can take your scleral fitting to a higher plane. Alden Optical s newest specialty lens has arrived: Zenlens, a mini-scleral, fully vaulting lens co-designed with Jason Jedlicka,
More informationIntroducing an enlightened scleral lens designed specifically for regular corneas.
ZEN TM RC scleral lenses Introducing an enlightened scleral lens designed specifically for regular corneas. NEW ZEN RC ALL THE BENEFITS OF ZENLENS SCLERAL LENSES IN A SMALLER DIAMETER. The Zen RC lens
More informationIrregular Cornea. ROSE K2 Soft TM. Practitioner s Fitting Guide
Irregular Cornea ROSE K2 Soft TM Practitioner s Fitting Guide ROSE K2 Soft Applications Design ROSE K2 Soft is a daily wear soft lens for irregular corneas. ROSE K2 Soft is a 3 month replacement lens when
More informationFITTING GUIDE. Applications. Design Options OPTIMUM OXYGENATION FOR LONG-TERM CORNEAL HEALTH
OPTIMUM OXYGENATION FOR LONG-TERM CORNEAL HEALTH FITTING GUIDE Applications Design Options NORMAL PROLATE CORNEAS PRESBYOPIA ASTIGMATISM EMERGENT OR FRUSTE KERATOCONUS SOFT CONTACT LENS INTOLERANT SMALL
More informationFITTING GUIDE. Applications. Design Options THE CRISP, CLEAR VISUAL ACUITY OF A GP LENS MEETS THE HYDRATING COMFORT OF A SOFT LENS
THE CRISP, CLEAR VISUAL ACUITY OF A GP LENS MEETS THE HYDRATING COMFORT OF A SOFT LENS FITTING GUIDE Applications Design Options NORMAL PROLATE CORNEAS PRESBYOPIA ASTIGMATISM EMERGENT OR FRUSTE KERATOCONUS
More informationFITTING GUIDE PRACTITIONER S ROSE K2 KC ROSE K2 NC ROSE K2 IC ROSE K2 PG NIPPLE CONE IRREGULAR CORNEA POST GRAFT
Keratoconus Nipple Cone Irregular Cornea Post Graft PRACTITIONER S FITTING GUIDE NIPPLE CONE IRREGULAR CORNEA POST GRAFT Four lens designs... One simple systematic approach to fitting Featuring Easy-to-fit
More informationfamily of lens designs fitting guide ICD is Exclusively Manufactured In
TM family of lens designs fitting guide ICD is Exclusively Manufactured In paragon 1 Select Initial Diagnostic Lens: Identify the Corneal Condition Normal Depth Eyes Normal Shapes Median Flat KReading
More informationG.P. MULTIFOCAL LENSES: A FITTING WORKSHOP
G.P. MULTIFOCAL LENSES: A FITTING WORKSHOP Susan J. Gromacki, OD, MS, FAAO, FSLS Daniel G. Fuller, OD, FAAO, FSLS Cornea, Contact Lenses and Refractive Technologies Section The American Academy of Optometry
More informationSlide 1. Slide 2. Slide 3. Richard Dorer NCLE
Slide 1 Heart of America 2014 Richard Dorer NCLE richarddorer@gmail.com Slide 2 I am a paid representative and consultant of Blanchard Contact Lens. I represent Blanchard Contact Lens in the Mid-Western
More informationDynamic Ophthalmic Software for today s market. Automated Grading System
Dynamic Ophthalmic Software for today s market Automated Grading System AOS Anterior is a new device agnostic software designed to analyse digital images of the eye and automate the grading scale for (1)
More informationFitting Manual Use with kerasofttraining.com
Fitting Manual Use with Fitting Manual: Contents This fitting manual is best used in conjunction with KeraSoft IC online training. To register, please visit www. 01 Kerasoft IC Design - Outlines the KeraSoft
More informationSOFT (HYDROPHILIC) CONTACT LENSES DAILY WEAR FOR PLANNED REPLACEMENT OR DAILY DISPOSABLE. PRACTITIONER FITTING GUIDE July 2009
BIOMEDICS 55 (ocufilcon D) BIOMEDICS 55 Toric (ocufilcon D) BIOMEDICS 55 Multifocal (ocufilcon D) SOFT (HYDROPHILIC) CONTACT LENSES DAILY WEAR FOR PLANNED REPLACEMENT OR DAILY DISPOSABLE PRACTITIONER FITTING
More informationAn Interesting Use of Bausch and Lomb s KeraSoft IC Lens
An Interesting Use of Bausch and Lomb s KeraSoft IC Lens Nate Schlotthauer, OD 2012 Michigan College of Optometry Cornea and Contact Lens Resident Introduction: The KeraSoft IC lens, introduced to the
More informationShowcasing the Innovative Lens Design Portfolio that will Maximize Your Patient s Vision. Carri Russell, FCLSA, COT
Showcasing the Innovative Lens Design Portfolio that will Maximize Your Patient s Vision Carri Russell, FCLSA, COT Family business that was established in 1976 Headquarters in Dallas/Ft. Worth, Texas Long
More informationPROFESSIONAL FITTING GUIDE
PROFESSIONAL FITTING GUIDE FluoroPerm 92 (paflufocon A) Rigid Gas Permeable Contact Lenses for Daily Wear with Tangible TM Hydra-PEG FluoroPerm 60 (paflufocon B) Rigid Gas Permeable Contact Lenses for
More informationClearKone Restoring vision. Changing lives.
ClearKone Restoring vision. Changing lives. For additional information on fitting ClearKone, please visit www.fitsynergeyes.com to view fitting videos, case studies, NaFL pictures and more. FITTING GUIDE
More informationFitting Manual Use with
Fitting Manual Use with The KeraSoft IC Lens for and Other Irregular Corneas The KeraSoft IC is a front surface asphere or aspheric toric prism ballasted lens with balanced overall thickness and wavefront
More informationBlepharo-Induced OSD: No Match for Scleral Lenses
Page 1 of 6 RCCLFullContent Blepharo-Induced OSD: No Match for Scleral Lenses Real-life cases offer proof that this modality can relieve symptoms of ocular dryness. By Melissa Barnett, OD 9/15/2014 Scleral
More informationMultifocal Contact Lenses. Steps for Success. Disclosures. Patient Selection. Presbyopic Soft Contact Lenses: Options for Success
Disclosures Outside Consultant Presbyopic Soft Contact Lenses: Options for Success Precilens Coopervision Research Funds Bausch and Lomb Brooke Messer, OD, FAAO, FSLS Cornea and Contact Lens Institute
More informationTangible Hydra-PEG: A Novel Custom Contact Lens Coating Technology Designed to Improve Patient Comfort and Satisfaction
Tangible Hydra-PEG: A Novel Custom Contact Lens Coating Technology Designed to Improve Patient Comfort and Satisfaction Christine W. Sindt, OD, FAAO Director, Contact Lens Service Clinical Associate Professor
More informationAdvanced Fitting Guide
Advanced Fitting Guide Keratoconus Pellucid Marginal Corneal Degeneration Corneal Ectasia Corneal Graft Irregular Cornea Post Refractive Surgery Astigmatism Chronic Dry Eye Sports 1 Innovators of Software,
More informationFOR FREQUENT REPLACEMENT SOFT HYDROPHILIC CONTACT LENSES PRACTITIONER FITTING GUIDE
AVAIRA (enfilcon A) AVAIRA Toric (enfilcon A) & AVAIRA Multifocal (enfilcon A) FOR FREQUENT REPLACEMENT SOFT HYDROPHILIC CONTACT LENSES PRACTITIONER FITTING GUIDE Part Number: PFG01012 Page 1 of 13 Table
More informationcase report Scleral lens fit based on OCT data
Page 1 of 5 I-site Amsterdam Netherlands i-site@netherlens.com Home Archive September 2009 Downloads case report Scleral lens fit based on OCT data Key words: scleral lens, ocular coherence tomography,
More informationIntroduces The OK -EX -Total Tear Layer Control- Features. What is the OK-EX? Multi-Axis Toric Option.
Features Optimum Control and Results for High Myopia Hyperbolic Treatment Zones for Maximum Flattening Dual Aspheric Reverse and Alignment Zones for Improved Lens Centering Topographical / Empirical /
More informationTrouble Shooting Guide for Ortho-K lenses
Trouble Shooting Guide for Ortho-K lenses The basic design of the third generation e Lens for Orthokeratology 1. Optic Zone (Base curve, Compression zone, BC) width 5.6 to 6.4mm 2. Fitting curve (second
More informationThe War against Corneal Warpage
Page 1 of 5 I-site Amsterdam Netherlands i-site@netherlens.com Home Archive April 2010 Downloads The War against Corneal Warpage Key words: Corneal Warpage, Corneal Topography, Soft Lens Fit, (R)GP lens
More informationFITTING GUIDE. Duette Hybrid Contact Lenses Duette Progressive Hybrid Contact Lenses - Center Distance - Center Near
FITTING GUIDE Duette Hybrid Contact Lenses Duette Progressive Hybrid Contact Lenses - Center Distance - Center Near P R O G R E S S I V E The unique advanced-technology Duette hybrid contact lenses are
More informationUsing Orthotool Software
Using Orthotool Software OrthoTool 101010 (2008) Original Design with 5 Curves. You can just use the new version 2013 Toric RC, AC & PC only with OT 2008 so far Hyperopic ortho-k GP lens design Aspheric
More informationDESIGNED FOR SUCCESS...GUARANTEED TO FIT
This is a supplement to the main Flexlens fitting guide and does not contain all the warnings, precautions and directions for use found in the main fitting guide. Please refer to the main fitting guide
More informationIMPORTANT: Please read carefully and keep this information for future use.
IMPORTANT: Please read carefully and keep this information for future use. This fitting guide is intended for the eyecare practitioner, but should be made available to the patient upon request. The eyecare
More informationSiesta 100. Training + Certification Guide. Bringing eye care professionals the finest quality, custom GP lens designs.
o r t h o k er a t o l o g y Training + Certification Guide Bringing eye care professionals the finest quality, custom GP lens designs. 800-792-1095 tfoptics.com Training and Certification Corneal Shape
More informationPre-Fitting - History
Pre-Fitting History taking External exam Prescriptions Keratometry/Topography Lens Selection Soft and RGP Insert and Removal (I&R) Tools Stacy Campbell NCLE-AC, COA Eye Care Associates scampbell@eyecare1.com
More informationNormalEyes Guidelines For Successful Fitting RIGID GAS PERMEABLE SCLERAL CONTACT LENSES. Manufactured in Paragon HDS 1OO (paflufocon D)
NormalEyes 15.5 Guidelines For Successful Fitting RIGID GAS PERMEABLE SCLERAL CONTACT LENSES Manufactured in Paragon HDS 1OO (paflufocon D) FOR DAILY WEAR PARAGON VISION SCIENCES Just watch us 2012 Paragon
More informationIMPORTANT: Please read carefully and keep this information for future use.
IMPORTANT: Please read carefully and keep this information for future use. This fitting guide is intended for the eye care practitioner, but should be made available to the patient upon request. The eye
More informationBringing you value and support
Bringing you value and support Bausch + Lomb, Boston Materials Adding Value. Expand the custom contact lens business through product, services, technology GP materials Soft lens materials Licensing of
More informationParagon CRT Dual Axis Quick Reference Guide
Paragon CRT Dual Axis Quick Reference Guide DUAL CRT AXIS PARAGON CRT DUAL AXIS OPTIONS TO COMPENSATE FOR PERIPHERAL CORNEAL ELEVATION DIFFERENCES Most eyes with corneal astigmatism manifest a significant
More informationLecture 2 Slit lamp Biomicroscope
Lecture 2 Slit lamp Biomicroscope 1 Slit lamp is an instrument which allows magnified inspection of interior aspect of patient s eyes Features Illumination system Magnification via binocular microscope
More informationConsulting Bausch+Lomb/Valeant, NovaBay (Avenova), Google, Allergan, Vistakon, Alcon
Contact Lenses and Dry Eye Joe Barr, OD, MS, FAAO Emeritus Professor, The Ohio State University barr.2@osu.edu Financial Disclosures Stock holder: Envision, Access Media (not a major shareholder) SMM,
More informationWhat s a Corneal GP Lens?
Slide 1 What s a Corneal GP Lens? Richard Dorer NCLEC Blanchard Contact Lens Inc. 800-367-4009 x 131 richarddorer@gmail.com www.blanchardlab.com Slide 2 Endorsements I am a paid representative and consultant
More informationCrystalens AO: Accommodating, Aberration-Free, Aspheric Y. Ralph Chu, MD Chu Vision Institute Bloomington, MN
Crystalens AO: Accommodating, Aberration-Free, Aspheric Y. Ralph Chu, MD Chu Vision Institute Bloomington, MN Financial Disclosure Advanced Medical Optics Allergan Bausch & Lomb PowerVision Revision Optics
More informationOptometrist Private ophthalmologists
Public hospital Post-operative follow up Specialist diagnosis Screening service Optometrist Private ophthalmologists Ophthalmic diagnostics anywhere, anytime TEARSCOPE (Tear Film Screening) The scattered
More informationThe soft approach to RGPs
CET CONTINUING EDUCATION & TRAINING Sponsored by 1 CET POINT The soft approach to RGPs Part 3: don t let torics put you in a spin 46 Mark Tomlinson BSc (Hons), MCOptom, FBDO (Hons) Most practitioners acknowledge
More informationPACKAGE INSERT FOR DAILY WEAR CORNEAL AND SEMI-SCLERAL LENSES
PACKAGE INSERT FOR DAILY WEAR CORNEAL AND SEMI-SCLERAL LENSES Acuity 100 (hexafocon A) Rigid Gas Permeable Contact Lenses Spherical and Aspheric Lenses for Myopia and Hyperopia Toric Lenses to Correct
More information10/25/2017. Financial Disclosures. Do your patients complain of? Are you frustrated by remake after remake? What is wavefront error (WFE)?
Wavefront-Guided Optics in Clinic: Financial Disclosures The New Frontier November 4, 2017 Matthew J. Kauffman, OD, FAAO, FSLS STAPLE Program Soft Toric and Presbyopic Lens Education Gas Permeable Lens
More informationSpherical VS Aspheric. BC Flatten Faster creating extra force at RZ
Spherical VS Aspheric BC Flatten Faster creating extra force at RZ Aspheric BOZ As Function Of Treatment Zone (Back Optical Zone) BC Radius Flatten Faster Towards Edge Of BOZ OZD=5.2 mm OZD=6.0 mm Fitting/Reverse
More informationSoft CL Multifocals Design and Fitting. Soft Multifocal Lens Designs. Issues Surrounding Multifocals. Blur Interpretation. Simultaneous Vision Designs
Soft CL Multifocals Design and Fitting Mark Andre, FAAO Associate Professor of Optometry Pacific University Mark Andre, FAAO is affiliated with CooperVision, as a consultant. Issues Surrounding Multifocals
More informationSmall lens. Great freedom.
thezeisslens.com Contact Day 1, the comfortable daily lens. For active moments without glasses. Small lens. Great freedom. thezeisslens.com I like to be active and on the move during my free time. I will
More informationOPH 260 BASIC CONTACT LENS CONCEPTS
OPH 260 BASIC CONTACT LENS CONCEPTS COURSE DESCRIPTION: Prerequisites: OPH 121 and OPH 141 Corequisites: None This course introduces the theory of contact lens fitting. Emphasis is on rigid and soft contact
More informationCorneal Mapping over the Contact Lens. Challenge: Getting the Most out of Soft Contact Lens Multifocals
Contact Lens Management of the Challenging Patient Disclosures: Alcon Bausch + Lomb SpecialEyes Valley Contax Vistakon Contact Lens Challenges Matthew J. Lampa, OD, FAAO lampa@pacificu.edu Challenge: Getting
More informationIMPORTANT: Please read carefully and keep this information for future use.
IMPORTANT: Please read carefully and keep this information for future use. This fitting guide is intended for the eyecare practitioner, but should be made available to the patient upon request. The eyecare
More informationExperience with correcting myopia with different types of contact lenses
Experience with correcting myopia with different types of contact lenses Edward BENNETT Refer this article as: Bennett, E., Experience with correcting myopia with different types of contact lenses, Points
More informationWhat s New in Ocular Biomechanics?
What s New in Ocular Biomechanics? The International Congress of Wavefront Sensing & Optimized Refractive Corrections Wavefront Course January 28, 2006 Torrence A. Makley Research Professor Department
More informationIrregular Corneas. Expanding Your Lens Options for SPECTRUM. Experts discuss a customized soft lens that delivers visual acuity and comfort.
Contact Lens SPECTRUM NOVEMBER 2013 Expanding Your Lens Options for Irregular Corneas Experts discuss a customized soft lens that delivers visual acuity and comfort. Sponsored by Custom Lab Channel Business
More informationHioxifilcon D Soft Contact Lenses for Daily Wear
1 of 7 PROFESSIONAL FITTING GUIDE FOR Hioxifilcon D Soft Contact Lenses for Daily Wear CAUTION: FEDERAL LAW RESTRICTS THIS DEVICE TO SALE BY OR ON THE ORDER OF A LICENSED PRACTITIONER DESCRIPTION OF LENSES
More informationCAUTION - Federal (USA) law restricts this device to sale by or on the order of a licensed practitioner
PROFESSIONAL FITTING AND INFORMATION GUIDE for the 55 Spherical/Aspheric, 55 Spherical/Aspheric Blue, 55 UV Spherical/Aspheric, 55 UV Spherical/Aspheric Blue, 55 UV Spherical/Aspheric Color, 55 Toric,
More informationRefractive Surgery: Vance Thompson, MD, FACS Refractive Surgeon. Oculeve Wavetec Zeiss Mynosys LRG Equinox Precision Lens ORA Amaken EXCELLens
Refractive Surgery: My Way Vance Thompson, MD, FACS Refractive Surgeon Vance Thompson Vision Sioux Falls, SD Disclosures Abbott Medical Optics Alcon Avedro Calhoun Euclid Systems EyeBrain Medical Forsight
More informationWave Front Topography. ReSeeVit Evolution Topography Module for Modi Topographer
Wave Front Topography ReSeeVit Evolution Topography Module for Modi Topographer Introduction The aberrations in the central optical zone have a greater effect than those closer to the edge. From an optical
More informationOCULUS Keratograph 4. Topographer. We focus on progress
OCULUS Keratograph 4 Topographer We focus on progress Ophthalmologist Versatile and precise For me the Keratograph 4 is an indispensable device for diagnosis and surgical planning. Its automatic measurement
More informationWhat is Wavefront Aberration? Custom Contact Lenses For Vision Improvement Are They Feasible In A Disposable World?
Custom Contact Lenses For Vision Improvement Are They Feasible In A Disposable World? Ian Cox, BOptom, PhD, FAAO Distinguished Research Fellow Bausch & Lomb, Rochester, NY Acknowledgements Center for Visual
More informationOptical Connection, Inc. and Ophthonix, Inc.
Optical Connection, Inc. and Ophthonix, Inc. Partners in the delivery of nonsurgical vision optimization www.opticonnection.com www.ophthonix.com The human eye has optical imperfections that can not be
More informationTORIC AND MULTIFOCAL GP AND SCL PRESCRIBING Edward S. Bennett OD, MSEd, FAAO
1 2 3 4 5 6 1 TORIC AND MULTIFOCAL GP AND SCL PRESCRIBING Edward S. Bennett OD, MSEd, FAAO l Dr. Bennett is a consultant to the Contact Lens Manufacturers Association SOFT TORICS: Good Candidates l Astigmatic
More informationHARD TORIC CONTACT LENSES ASTIGMATISM DEFINITION AND OPTIC BASIS
Mario Giovanzana Milano 20.06.01 HARD TORIC CONTACT LENSES ASTIGMATISM DEFINITION AND OPTIC BASIS An astigmatism, according to Whevell (1817) has been defined as astigmatism or astigmatic ametropia; the
More informationCare of your rigid gas permeable contact lenses
Patient information contact lens service Care of your rigid gas permeable contact lenses Please read all of the instructions carefully. You can also watch a video guide on lens insertion, removal and care
More informationCONTACT LENSES FOR KERATOCONUS & ALL IRREGULAR CORNEAS
CONTACT LENSES FO KEATOCONUS & ALL IEGULA CONEAS Technical Fitting Guide HYDOGEL www.kerasoft.co.uk KeraSoft IC Technical Fitting Guide Introduction The KeraSoft IC is a soft contact lens designed to fit
More informationaoa.org/spv Sponsored by a grant from
Sponsored by a grant from Define vision relative to common paradigm Identify and discuss appropriate options for refractive error of the athlete Understand when contact lenses are preferred vs. spectacles
More informationThe Aberration Structure of the Keratoconic Eye
The Aberration Structure of the Keratoconic Eye Geunyoung Yoon, Ph.D. Department of Ophthalmology Center for Visual Science Institute of Optics Department of Biomedical Engineering University of Rochester
More informationintroducing The Only Naturally Wettable Two-Week Silicone Hydrogel
introducing The Only Naturally Wettable Two-Week Silicone Hydrogel Avaira: Experience Wettability That s More Than Surface Deep Thanks to CooperVision s unique Aquaform technology, new Avaira two-week
More informationGonioscopy Wet-Lab. About Me. About Me Gonioscopy. Indications for Gonioscopy. Billing Gonioscopy 12/13/2012. Code: 92020
About Me Gonioscopy Wet-Lab Marcus Gonzales, OD, FAAO Cedar Springs Eye Clinic (formerly BridgeBuilders Eye Clinic) About Me Gonioscopy Evaluates the anterior chamber angle responsible for the outflow
More informationULTRA-THIN CUSTOM CONTACT LENS FOR KERATOCONUS AND IRREGULAR CORNEAS
ULTRA-THIN CUSTOM CONTACT LENS FOR KERATOCONUS AND IRREGULAR CORNEAS FITTING SET PARAMETERS The Standard Fitting Set is available with 8 x 14.50mm diameter lenses comprising: 6 x STD periphery Base Curve
More informationPrinciples and clinical applications of ray-tracing aberrometry (Part II)
UPDATE/REVIEW Principles and clinical applications of ray-tracing aberrometry (Part II) Alfredo Castillo Gómez, MD, PhD 1 ; Antonio Verdejo del Rey, OD 2 ; Carlos Palomino Bautista, MD 3 ; Ana Escalada
More informationFITTING & PATIENT MANAGEMENT GUIDE
FITTING & PATIENT MANAGEMENT GUIDE 1-DAY ACUVUE Brand (etafilcon A) Soft (hydrophilic) Contact Lenses Visibility Tinted with UV Blocker for Daily Disposable Wear CAUTION: U.S. Federal law restricts this
More information(495) (495)
МЕДТЕХНИКА-СТОЛИЦА (495) 902-59-26 (495) 518-55-99 127 238, г. Москва, Дмитровское ш. 85 ATLAS Corneal Topography Product Overview Model 9000 ATLAS Model 9000 Overview Next-generation corneal topography
More informationWhite Paper. Importance of Rotational Stability and Tear Film Stability in Toric Contact Lens Wearers
White Paper Importance of Rotational Stability and Tear Film Stability in Toric Contact Lens Wearers Jessica Mathew, OD, PhD, FAAO Alcon Medical Affairs, North America Introduction Astigmatism occurs when
More informationSmart-Device Ophthalmic Photography
Smart-Device Ophthalmic Photography Austin Holmes, M.P.H. Clifford M. Terry, M.D. Financial Interest Disclosure: Unrestricted Grant From Terry Eye Institute Overview Creation of Smart-Device Photography
More informationULTRA-THIN SPECIALIST CONTACT LENS FOR KERATOCONUS AND IRREGULAR CORNEAS
ULTRA-THIN SPECIALIST CONTACT LENS FOR KERATOCONUS AND IRREGULAR CORNEAS DIAMETER & PERIPHERY GUIDE KeraSoft Thin s increased flexibility improves drapage over the peripheral cornea. This reduces the need
More informationOCULUS Keratograph 5M Topographer
OCULUS Keratograph 5M Topographer OCULUS Keratograph 5M Topographer The multi-purpose topographer has become an integral part of the ophthalmological and optometric practice. Examiner-independent measurements
More informationDisclosures Over the past year, Matt Kauffman has received. Industry Updates. Fitting Contact Lenses in the Contemporary World
Fitting Contact Lenses in the Contemporary World Maria K. Walker, OD, MS, FAAO, FSLS Matthew J. Kauffman, OD, FAAO, FSLS February 20, 2016 Disclosures Over the past year, Matt Kauffman has received research
More informationbeultra Bausch + Lomb ULTRA TM for the digital age VISION CARE
beultra Bausch + Lomb ULTRA TM for the digital age VISION CARE ON AVERAGE, A PERSON BLINKS 18 TIMES PER MINUTE. 1 when using digital devices, we can blink up to 66% FEWER TIMES PER MINUTE. 1 This may lead
More informationMaterials North America
Materials North America About Lagado The Lagado Corporation is a vision care company committed to research and development. At Lagado, we are passionately dedicated to meeting the needs of custom contact
More informationContents. Corneal Markers, Scleral Depressors
Corneal Markers, Scleral Depressors Contents Ring Markers... 4-1 LASIK Markers... 4-2 LRI/Astigmatism Markers... 4-3 Miscellaneous Markers... 4-4 Scleral Depressors... 4-5 4-B www.storzeye.com 800-338-2020
More informationContact lenses: GP guide to choice and the complications Patsy Terry BSc, MCOptom, DCLP
Contact lenses: GP guide to choice and the complications Patsy Terry BSc, MCOptom, DCLP Patsy Terry describes the properties of the various contact lenses available and how to manage the complications
More informationThe Unique Mu l t i f o c a l S i l i c o n e H y d r o g e l
C2 MULTIFOCAL The Unique Mu l t i f o c a l S i l i c o n e H y d r o g e l C o n t a c t L e n s UNIQUE DESIGN E X C E L L E N T V I S I O N F O R A L L P R E S B Y O P E S VISUAL EXCELLENCE IN SIMULTANEOUS
More informationclear58 (ETAFILCON A) DAILY WEAR SOFT CONTACT LENS (CLEAR AND VISIBILITY TINT WITH UV BLOCKER)
IMPORTANT: Please read carefully and keep this information for future use. This package insert is intended for the eyecare practitioner, but should be made available to the patient upon request. The eyecare
More informationGP LENS UPDATE ADVANCEMENT ONE: AFFILIATIONS GP LENSES IN /20/2014. THE FUTURE OF GPs (Yes: the Future is Bright!) GP Update: Oct.
GP LENS UPDATE Ed Bennett OD, MSEd, FAAO ADVANCEMENT ONE: SCLERAL LENSES AFFILIATIONS Contact Lens Manufacturers Association: Consultant and Executive Director, GP Lens Institute THE FUTURE OF GPs (Yes:
More informationCorrection of Presbyopia. with GP Contact Lenses
Correction of Presbyopia with GP Contact Lenses Acknowledgements Development of the Correction of Presbyopia with GP Contact Lenses booklet was supported through an educational grant from Polymer Technology,
More informationKeratoconus contact lenses
Indic ations All Keratoconus. Daily wear. Recommended replacement: < 2 years. Design Aberration control aspheric optics providing outstanding acuity, reduced flare and glare. Unique design that changes
More informationPart 1: Ophthalmic optics Contact lenses. Vocabulary, classification system and recommendations for labelling specifications
Provläsningsexemplar / Preview INTERNATIONAL STANDARD ISO 18369-1 Second edition 2017-08 Corrected version 2017-10 Ophthalmic optics Contact lenses Part 1: Vocabulary, classification system and recommendations
More informationOptometry s Meeting. Tom Quinn s Disclosures. Shalu Pal s Disclosures. Multifocal Contact Lenses Made Simple 5/18/2015
Optometry s Meeting Multifocal Contact Lenses Made Simple Shalu Pal, O.D., F.A.A.O. Tom Quinn, O.D., M.S., F.A.A.O. Tom Quinn s Disclosures Alcon Allergan Alden Optical Bausch + Lomb CooperVision GPLI
More informationIMPORTANT: Please read carefully and keep this information for future use.
IMPORTANT: Please read carefully and keep this information for future use. This fitting guide is intended for the eyecare practitioner, but should be made available to the patient upon request. The eyecare
More informationOPHTHALMIC SURGICAL MODELS
OPHTHALMIC SURGICAL MODELS BIONIKO designs innovative surgical models, task trainers and teaching tools for the ophthalmic industry. Our surgical models present the user with dexterity and coordination
More informationEXCHANGE. Financial Disclosure. Clinical pearls In advanced anterior segment surgery being able to do a IOL exchange is a must. Why Do an Exchange
Financial Disclosure D. Ayres, MD Cornea Service IOLBrandon Wills Eye Hospital EXCHANGE Alcon Allergan AMO Bausch and Lomb TearScience BioTissue Why Do an Exchange Refractive surprise after cataract surgery
More informationCompany. Optimum GP (roflufocon A, C, D & E) Rigid Gas Permeable (RGP) Contact Lens for Daily Wear. Contents. Product name List.
Company Optimum GP (roflufocon A, C, D & E) Rigid Gas Permeable (RGP) Contact Lens for Daily Wear Contents o o o o Product name List FDA Registration Authorization letter by Contamac Ltd. Package Insert
More informationProfessional Fitting and Information Guide
Professional Fitting and Information Guide FOCUS DAILIES FOCUS DAILIES Toric FOCUS DAILIES Progressives DAILIES AquaComfort Plus DAILIES AquaComfort Plus Toric DAILIES AquaComfort Plus Multifocal (nelfilcon
More informationChoices and Vision. Jeffrey Koziol M.D. Thursday, December 6, 12
Choices and Vision Jeffrey Koziol M.D. How does the eye work? What is myopia? What is hyperopia? What is astigmatism? What is presbyopia? How the eye works How the Eye Works 3 How the eye works Light rays
More informationLong-term quality of vision is what every patient expects
Long-term quality of vision is what every patient expects Innovative combination of HOYA technologies provides: 1-piece aspheric lens with Vivinex hydrophobic acrylic material Unique surface treatment
More informationPACKAGE INSERT. FluoroPerm 92 (paflufocon A) Rigid Gas Permeable Contact Lenses for Daily Wear with Tangible TM Hydra-PEG
PACKAGE INSERT FluoroPerm 92 (paflufocon A) Rigid Gas Permeable Contact Lenses for Daily Wear with Tangible TM Hydra-PEG FluoroPerm 60 (paflufocon B) Rigid Gas Permeable Contact Lenses for Daily Wear with
More informationPROFESSIONAL FITTING AND INFORMATION GUIDE
CAUTION: PROFESSIONALFITTINGAND INFORMATIONGUIDE FLOSI(wilofoconA) RigidGasPermeableContactLensesforDailyWear ONSI 56(onsifoconA) RigidGasPermeableContactLensesforDailyWear TYRO 97(hofoconA) RigidGasPermeableContactLensesforDailyWear
More informationPROFESSIONAL FITTING AND INFORMATION GUIDE
PROFESSIONAL FITTING AND INFORMATION GUIDE FOR DAILY WEAR CORNEAL AND SCLERAL LENSES Menicon Z (tisilfocon A) Rigid Gas Permeable Contact Lenses CAUTION: Federal (U.S.A) law restricts this device to sale
More informationBetter Optics Deliver Clear, Consistent Vision
Better Optics Deliver Clear, Consistent Vision Learn how the PureVision2 family can satisfy patients and help build your practice. By Agustin Gonzalez, OD Learning What Patients Want The NSIGHT study provides
More information