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Contact Lens Material Options for the Dry Eye Patient Reply

Contact Lens Material Options for the Dry Eye Patient

When fitting contact lenses, how do you address contact lens dryness?  Let’s say the you confidently ruled out any ocular surface disease issues and the next logical step is a new lens.  Do you have a go-to lens ?  How do you make your decision? Read more

[Feb 13, 2014]
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Assessing Dryness in the Contact Lens Practice Reply

Schirmers Test

(See the Video Here:  Video Quick Tip)

Practitioners… As we all know, being an effective contact lens fitter requires more than just understanding materials and solutions.  We have all been trained to respect these medical devices and we all know that a thorough ocular health evaluation is equally as important.   With experience we quickly see that understanding the ocular surface is not only warranted for good ocular health, but it has a direct relationship on patient comfort and acuity. Read more

[Feb 06, 2014]
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The Push Up Test – Judging More Than Contact Lens Tightness Reply

Push Up Test

When fitting contact lenses practitioners have many tricks/tools at their disposal.  Some of the most important tricks have been around for decades, one of those being the push-up test.  While you may use this test on a daily basis, did you know that the push-up test can reveal more than the tightness of a lens? Read more

[Jan 10, 2014]
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Gas Permeable Contact Lens Staining Patterns Reply

Diffuse Corneal Staining

(See the Video Here:  Video Quick Tip)

How many of you fit rigid lenses?  The truth of the matter is, if you are not doing these fits on a regular basis, it can be very easy to forget the techniques.   Having said that, we can’t avoid it completely.   There is always the possibility that a patient currently using gas permeable contact lenses, ends up in your chair with a problem, and expects you to fix it. Read more

[Dec 15, 2013]
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The “Becherer Twist” – How Will Your Patient Perform in a Soft Toric Contact Lens? Reply

RxPad

(See the Video Here:  Video Quick Tip)

So, what do you know about the “Becherer Twist”?  No… its not a new dance!  This quick test is an oldie but goodie, and can go a long way in saving you chair time.

Let me explain.

We have all been in a situation where our toric lens fits morph into multiple visits and multiple trial options.  So much effort is put into the process only to find out that this particular patient is a poor candidate or is just going to have to deal with some lens limitations.

The “Becherer Twist” is a quick test that will help you determine the patients prognosis for a good fit right from the start.

Here is what you do. Read more

[Oct 06, 2013]
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Judging the Ocular Surface for Contact Lens Use Reply

DSC06036

When starting any contact lens evaluation, a careful examination of the ocular surface is vital. It is this surface where the contact lens resides, and if it is at all compromised, this will greatly affect the success of the fit.  This post will briefly review the key structures at play. A practitioner must have a general understanding of the corneal / conjunctival surface, tear film and eyelids. Read more

[Jul 10, 2013]
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