fitting corneal scleral gp’s
DESCRIPTION
Fitting Corneal Scleral GP’s. The Lens of The Future. About Us…. Family Owned Over 60 years of Experience 25 Years of Clinical Experience Optoform Lathing Technology. What is a Corneal Scleral?. Advantages of Corneal Scleral Lenses. GP Optics Soft Lens Comfort Increased Rx Retention - PowerPoint PPT PresentationTRANSCRIPT
Fitting Corneal Scleral Fitting Corneal Scleral GP’sGP’s
The Lens of The FutureThe Lens of The Future
About Us…About Us…
Family OwnedFamily Owned Over 60 years of Over 60 years of
Experience Experience 25 Years of Clinical 25 Years of Clinical
ExperienceExperience Optoform Lathing Optoform Lathing
TechnologyTechnology
What is a Corneal Scleral?What is a Corneal Scleral?
Advantages of Corneal Advantages of Corneal Scleral LensesScleral Lenses
GP OpticsGP Optics Soft Lens ComfortSoft Lens Comfort Increased Rx RetentionIncreased Rx Retention Patient SavingsPatient Savings Increased Profit MarginsIncreased Profit Margins
Lens SpecificsLens Specifics
Available in SV, Multifocal, Toric, KCAvailable in SV, Multifocal, Toric, KC
and Reverse Geometry Designsand Reverse Geometry Designs Individually DesignedIndividually Designed Aspheric CurvesAspheric Curves Available in Boston XO, XO2 and HDS Available in Boston XO, XO2 and HDS
100100 Fenestrated or Non-FenestratedFenestrated or Non-Fenestrated
Patient SelectionPatient Selection
Current soft lens wearers Current soft lens wearers (Especially Toric)(Especially Toric) New FitsNew Fits Keratoconus / PMDKeratoconus / PMD Post PKPPost PKP Synergeyes wearers/failuresSynergeyes wearers/failures Emerging PresbyopesEmerging Presbyopes Dry Eye PatientsDry Eye Patients Patients with GPCPatients with GPC
Current soft lens wearers Current soft lens wearers (Especially Toric)(Especially Toric) New FitsNew Fits Keratoconus / PMDKeratoconus / PMD Post PKPPost PKP Synergeyes wearers/failuresSynergeyes wearers/failures Emerging PresbyopesEmerging Presbyopes Dry Eye PatientsDry Eye Patients Patients with GPCPatients with GPC
Fitting TipsFitting Tips
Diagnostic versus Empirical FittingDiagnostic versus Empirical Fitting
Greater fitting success with 8 lens Diagnostic Greater fitting success with 8 lens Diagnostic set.set.
Can Be fit empirically with ALL Can Be fit empirically with ALL measurments; measurments;
Refraction plus GP over-refractionRefraction plus GP over-refraction HVID measurementHVID measurement Manual K’sManual K’s NO need for topograhphyNO need for topograhphy
What to expectWhat to expect
Thinner tear layer Thinner tear layer
(15 versus 80 microns)(15 versus 80 microns) Minimal movement +/- 1/2mmMinimal movement +/- 1/2mm Great comfort from initial Great comfort from initial
insertioninsertion Patients who say you are not Patients who say you are not
putting that Frisbee in my eye!putting that Frisbee in my eye!
OCT ProfileOCT Profile
Trouble ShootingTrouble ShootingProblem - Tight FitProblem - Tight Fit
Vessel dragVessel drag Trapped air bubblesTrapped air bubbles Trapped Debris\MucinTrapped Debris\Mucin Limbal Compression ringLimbal Compression ring Discomfort post removalDiscomfort post removal Popping sound when removingPopping sound when removing 360 ring of seal-off usually around 360 ring of seal-off usually around
IPCIPC
Seal OffSeal Off
Keratoconus FitKeratoconus Fit
Start with Diagnostic lensStart with Diagnostic lens Let Diagnostic lens settle 20 minutesLet Diagnostic lens settle 20 minutes Over refract (Sphere Power Only)Over refract (Sphere Power Only) Note where lower lens edge restsNote where lower lens edge rests Lift Upper Lid to observe fitLift Upper Lid to observe fit Expect 2-3 mm central bearingExpect 2-3 mm central bearing
Keratoconus OCTKeratoconus OCTPhoto Credit Dr. Peter WilcoxPhoto Credit Dr. Peter Wilcox
Corneal Scleral Lens CareCorneal Scleral Lens Care
Peroxide based systemPeroxide based system Optimum CDSOptimum CDS Avoid all preservativesAvoid all preservatives Use DMV for removalUse DMV for removal Progent or Polish every 6 monthsProgent or Polish every 6 months
Photo / Oct courtesy of Dr. Peter WilcoxPhoto / Oct courtesy of Dr. Peter Wilcox
Thank You!Thank You!
www.CustomCraftLens.comwww.CustomCraftLens.com