Professional Documents
Culture Documents
lenses
shorter vertex distance
2. tears
1.
Patient Examination
Specific information to select a contact lens:
o the patients daily activities
o reason for using contact lenses
o If already a contact lens user: the number of years
the patient has worn contact lenses, the current type
of lens worn, the wear schedule, and the care system
used
o whether the patient currently has or previously had
any problems with lens use
o Factors that may suggest an increased risk of
complications
o Other relative contraindications to contact lens use
Patient Examination
Key areas to observe during slit-lamp examination:
the eyelids (to rule out blepharitis or mechanical lid
abnormalities such as trichiasis, ectropion, and
entropion)
the tear film and the ocular surface (to rule out dry
eye)
eyelid movement and blink
Cornea and conjunctiva should be evaluated carefully
for signs of ocular surface disease, allergy, scarring,
symblepharon, or other signs of conjunctival scarring
diseases, such as ocular cicatricial pemphigoid
(mucous membrane pemphigoid)
Patient Examination
Refraction and keratometry to determine
Contact Lens
Selection
A complex process. Optical, biological,
RGP Fitting
RGP Fitting
Base curve
maintains its shape when placed on a cornea
a tear layer forms between the cornea and contact lens
The type of fit is determined by the relationship between
RGP Fitting
Position
The most common type of RGP lens fit
RGP Fitting
The diameter is approximately 2 mm shorter
RGP Fitting
Power
The tear lens power is determined by the base
curve:
On K. The tear lens has plano power.
Steeper than K. The tear lens has plus power.
Flatter than K. The tear lens has minus power.
RGP Fitting
Fit
vision quality, lens movement, and the
fluorescein evaluation
Overrefraction determines whether a power
change is needed
Vision should be stable before and immediately
after a blink the lens covers the optical axis
The peripheral zone of the cornea flattens
toward the limbus the central vault is
determined by base curve and diameter
RGP Fitting
Insufficient movement suggests that the lens is
RGP Fitting
RGP Fitting
Once the lens parameters are determined, the
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