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  • Review of Optometry

Fitting Challenges

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Back at Square One—With a Twist  3/15/2018

When an irregular cornea patient no longer achieves optimal vision with standard soft contact lenses, it’s time to take a step back and consider all of the options, including rigid gas permeable, scleral and specialty soft lenses.
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Double Trouble in Keratoconus  2/15/2018

Typically, patients with significant lenticular astigmatism are not the best candidates for non-toric rigid gas permeable lenses (RGPs). However, RGPs are often ideal for patients with keratoconus—leaving the clinician with some tough decisions when it comes to fitting contact lenses for patients with both conditions.
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One Size Does Not Fit All  11/15/2017

Custom-designed contact lenses can be a big help for your outlier patients. Here’s one case that displays the benefits.

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Fitting CLs Post Trabeculectomy  9/15/2017

The number of patients diagnosed with glaucoma is expected to exceed 70 million by 2020. When pharmacological or laser treatments fail to control intraocular pressure, surgical options such as trabeculectomy can be effective. But what happens when these patients need contact lenses? To prevent fibrosis, the conjunctiva above the bleb is usually treated with mitomycin C or 5-FU, both of which can ...
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Building a Better Bandage Lens  5/15/2017

After a Boston keratoprosthesis (KPro) implantation, many patients are prescribed extended-wear soft contact lenses to protect the cornea and minimize complications such as infections, epithelial defects and stromal melt. However, these lenses are usually standard for every patient, and clinicians do not evaluate the fit. One study found that merely five out of 16 patients ...

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Foggy with a Chance of Clarity  3/15/2017

Here are a few tricks you can use when battling scleral lens fogging.
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The Right Lens for a Corneal Scar  2/15/2017

It’s not easy fitting a five-year-old with a specialty lens to correct irregular astigmatism.
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