Tackling a 10-mm Pupil with Post-LASIK Glare

30th May 2024

I have no idea what LASIK (laser eye surgery) surgeons are thinking when they perform surgery on engineers with large pupils, let alone engineers with 10-mm pupils when dark adapted (Figure 1). Figure 1. 10-mm dark adapted pupil. Such an engineer sought out our office for a scleral fitting...

Read more

Comfortable Customizing

23rd March 2022

Never a dull moment in our industry. Although this past period will surely be remembered as ‘the COVID era’, there are so many new and exciting developments going on that maybe in the future, all of these technological advances may outweigh the negative vibes of COVID for our industry....

Read more

Reclaiming Vision: Scleral Lens Fitting After Acanthamoeba Infection

31st July 2024

Introduction Acanthamoeba is a free-living unicellular protozoon commonly found in fresh water and soil. The protozoa can be found in two forms: a metabolically active trophozoite and a resistant cyst. Acanthamoeba keratitis (AK) is an infection primarily associated with soft contact lens wearers who demonstrate improper contact lens hygiene...

Read more

A Fisherman’s Tale – New hyper Dk material eliminates episodes of microcystic edema

31st July 2019

Penetrating 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 more

Introducing a new addition to the Optimum family of materials

01st February 2019

The 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 more

Optimum Infinite: responding to an industry desire for a hyper Dk GP lens material

26th March 2019

Optimum Infinite is Contamac’s first Hyper Dk GP contact lens material to be approved by the FDA. Introducing Optimum Infinite in Las Vegas, the home of gambling, has a certain irony as new products are never guaranteed to become popular, despite years of rigorous development. There are, however, several good...

Read more

Keratoconus and Scleral Lenses

04th August 2020

Patient 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 more

Scleral Lens Management of Soft Contact Lens Induced Limbal Stem Cell Deficiency

03rd November 2023

Introduction Limbal stem cell deficiency (LSCD) results in dysfunction and/or loss of the stem cells in the basal limbal area. These cells are responsible for maintaining and replenishing the corneal epithelium. This change in corneal tissue composition results in conjunctival epithelial ingrowth, persistent epithelial defects, chronic inflammation, and neovascularization.1,5 There...

Read more