For those readers who may not have read the first part of this article here’s a brief recap: I have been describing the case of a typical soft lens dropout patient, Natasha, who works in the office and kindly agreed to participate in our investigation. She would dearly like...
Read moreCould a “Soft Lens Dropout” be a potential patient for the Speciality Lens Practitioner? Patient dropout and the reasons for it have long since been a subject of discussion within both the contact lens industry and profession. Speciality lens manufacturers normally supply lenses for patients who are perhaps more...
Read morePenetrating keratoplasty in patients with keratoconus may provide good long‐term visual rehabilitation. There is a relatively low rate of graft failure in this cohort of patients. Graft rejection has been reported to be 5.8–41% with most rejections occurring in the first 2 years. [1-5]. Irregular and high astigmatism may be common...
Read moreBackground: Ectodermal Dysplasias (ED) are genetic conditions affecting the development of skin, hair, teeth, nails, and sweat glands1. Ocular findings include lacrimal drainage obstruction and hypoplasia, punctal agenesis, distichiasis, trichiasis, meibomian gland alterations and ankyloblepharon with sequelae of chronic dry eye2,3. Complications include chronic ocular pain, neurotrophic keratitis, and...
Read moreThe Optimum range of materials has become established as one of the most popular RGP materials on the market. Recent years have seen remarkable growth in the usage of both ortho-k and scleral lens usage and, in response to this Contamac have developed Optimum Infinite, a hyper-Dk material which cuts...
Read morePatient Lens Design Lens Material Male 44 years Custom Designed Patient History Indication: Keratoconus, Irregular corneas R+L Medical History: • None. No family history of eye disease Ocular History: • Exact time of diagnosis unknown but it was before 1998 • Penetrating graft right eye May 2001 Exam &...
Read moreIntroduction In 2020, the COVID-19 pandemic wrought significant havoc on our healthcare system and daily lives. The implementation of public health measures, aimed at safeguarding the population, reshaped our professional landscape. We witnessed a surge in demand for contact lens fittings, coinciding with the return of our regular wearers...
Read morePatient History A 34-year-old Hispanic female was referred to us by an ophthalmology clinic for a contact lens evaluation. JS was diagnosed with keratoconus when she was 22 years old and claims that the vision worsened each year. She tried multiple pairs of glasses, and then she was finally...
Read moreBackground Orthokeratology may now be best known for myopia management, but its original purpose was to provide freedom from daytime contact lens wear. This case is a reminder that ortho-k still offers an elegant solution to many of the everyday problems associated with conventional methods of vision correction. ITAL...
Read moreIntroduction This patient is a 51 YO female who had bilateral Penetrating Keratoplasties around 30 years ago in Rotterdam. Her grafts have become ectatic over the years and now exhibit signs of Rim Ectasia. This presents itself as a thinning of the host cornea leading to a tilting of the graft and a significant...
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