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Additional Uses of Scleral Contact Lenses Reply

Journal of Optometry

Scleral lenses have truly gained increased popularity over the last few years.  Not only are they remarkable at addressing irregular astigmatism, they have an amazing way of optimizing vision and comfort.  Another mode of treatment explored by practitioners is its way of addressing ocular surface disease.  In these cases, the scleral lenses serve as a therapeutic device in rehabilitating the ocular surface.

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[Sep 02, 2014]
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Scleral Contact Lens Filling Solutions 1

Off label use of 0.9% Sodium Chloride Inhalation Solution for Scleral Contact Lenses

(See the Video Here:  Video Quick Tip)

Is it just me, or is everyone fitting scleral contact lenses now a days?  Why not, technology has come quite a long way in recent years. When fit correctly , these designs can now allow us to offer our patients an incredible option in both comfort and acuity. Read more

[Dec 31, 2013]
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Specialty Contact Lenses for the Irregular Cornea Reply

ScleralStandardRGP

Fitting an irregular cornea is a challenging but rewarding task.  The ability to take a patient who would otherwise require surgery and provide them with remarkable vision is truly an art.   Thankfully, technology has brought us to a place where this fitting process is becoming more and more mainstream allowing a greater number of patients to benefit from this technology. Read more

[Jun 04, 2013]
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Posted in Gas Permeable Lenses, Scleral Contact Lenses, Soft Lenses, TheRightContact.com | Tagged , , , , , , ,

Red Eyes and Scleral Contact Lenses 1

redEye

What is your differential diagnosis for a scleral lens red eye?

For the last few years, there has been a burst in popularity for scleral contact lenses.  Whether seeing it from the perspective of the manufacturers designing newer options, or from the practitioner moving patients out of previous rigid lens designs, this is no longer a trend but has become common place. Read more

[May 24, 2013]
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Having difficulty with that RGP fit? 4

Contact Lens Fitting

While in optometry school, we definitely received a good foundation for specialty contact lens fitting.  I have to admit though, I didn’t take full advantage of it back then.  My success with specialty lens fits didn’t come until I made the personal decision to “jump right in”.

Nowadays, there are many resources available to the practitioner.  You have online tutorials, Vimeo, YouTube, and webinars.  There are even sites , like the one provided by the Gas Permeable Lens Institute (www.gpli.info/) that are dedicated to simple and advanced contact lens training.  There is certainly a lot to choose from, but at the end of the day, remember these contact lens companies want your business.  I have yet to find a company’s consultation department unwilling to walk you through the most basic to the most advanced fitting questions.

Just starting out and unsure if you want to commit to purchasing a fitting set, there is a good portion of lenses that can be fit empirically.  If you can provide your refraction and keratomety, that’s all they really need.  You don’t have to worry about back toric vs. bitoric or SAM/FAP.   Most manufacturers will be able to create a lens from just those readings.  They will actually do the calculations for you.  You can even email images or videos.  They can literally walk you right through the fitting process.  Companies such as Art Optical and Blanchard Contact Lens are pretty good about return policies and modifications.  Once again, there is your safety net.  Get your feet wet.

When you decide to take it a step further and consider a fitting set, you have a lot of options.  My recommendation would be to do your standard GP’s empirically and to invest in a scleral lens kit.  To me this is giving you more BANG for your BUCK!  Think about it, the scleral fitting philosophy is vaulting the cornea.  A sclera lens can manage just about any irregular cornea.  Whether you are talking about keratoconus, pellucid marginal degeneration, post graft, etc., you are vaulting over the irregularity.   My personal favorite is the MSD by Blanchard Contact Lens but there are many others with varying options.

Those more comfortable with soft lenses have the next generation soft lenses for keratoconus.  Designs such as the KeraSoft IC as well as the NovaKone (the one I use) have taken a new look at the way practicioners are treating keratoconus.  Unfortunately these cannot be fit empirically but the success of these lenses is well documented.

[Aug 22, 2012]
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