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Fitting Corneal Scleral GP’s. The Lens of The Future. About Us…. Family Owned Over 60 years of Experience 25 Years of Clinical Experience Optoform Lathing Technology. What is a Corneal Scleral?. Advantages of Corneal Scleral Lenses. GP Optics Soft Lens Comfort Increased Rx Retention
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Fitting Corneal Scleral GP’s The Lens of The Future
About Us… • Family Owned • Over 60 years of Experience • 25 Years of Clinical Experience • Optoform Lathing Technology
Advantages of Corneal Scleral Lenses • GP Optics • Soft Lens Comfort • Increased Rx Retention • Patient Savings • Increased Profit Margins
Lens Specifics • Available in SV, Multifocal, Toric, KC and Reverse Geometry Designs • Individually Designed • Aspheric Curves • Available in Boston XO, XO2 and HDS 100 • Fenestrated or Non-Fenestrated
Patient Selection • Current soft lens wearers (Especially Toric) • New Fits • Keratoconus / PMD • Post PKP • Synergeyes wearers/failures • Emerging Presbyopes • Dry Eye Patients • Patients with GPC
Fitting Tips Diagnostic versus Empirical Fitting Greater fitting success with 8 lens Diagnostic set. Can Be fit empirically with ALL measurments; • Refraction plus GP over-refraction • HVID measurement • Manual K’s • NO need for topograhphy
What to expect • Thinner tear layer (15 versus 80 microns) • Minimal movement +/- 1/2mm • Great comfort from initial insertion • Patients who say you are not putting that Frisbee in my eye!
Trouble Shooting Problem - Tight Fit • Vessel drag • Trapped air bubbles • Trapped Debris\Mucin • Limbal Compression ring • Discomfort post removal • Popping sound when removing • 360 ring of seal-off usually around IPC
Keratoconus Fit • Start with Diagnostic lens • Let Diagnostic lens settle 20 minutes • Over refract (Sphere Power Only) • Note where lower lens edge rests • Lift Upper Lid to observe fit • Expect 2-3 mm central bearing
Corneal Scleral Lens Care • Peroxide based system • Optimum CDS • Avoid all preservatives • Use DMV for removal • Progent or Polish every 6 months
Thank You!www.CustomCraftLens.com Photo / Oct courtesy of Dr. Peter Wilcox