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Fitting Corneal Scleral GP’s

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

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  1. Fitting Corneal Scleral GP’s The Lens of The Future

  2. About Us… • Family Owned • Over 60 years of Experience • 25 Years of Clinical Experience • Optoform Lathing Technology

  3. What is a Corneal Scleral?

  4. Advantages of Corneal Scleral Lenses • GP Optics • Soft Lens Comfort • Increased Rx Retention • Patient Savings • Increased Profit Margins

  5. 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

  6. 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

  7. 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

  8. 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!

  9. OCT Profile

  10. 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

  11. Seal Off

  12. 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

  13. Keratoconus OCTPhoto Credit Dr. Peter Wilcox

  14. Corneal Scleral Lens Care • Peroxide based system • Optimum CDS • Avoid all preservatives • Use DMV for removal • Progent or Polish every 6 months

  15. Thank You!www.CustomCraftLens.com Photo / Oct courtesy of Dr. Peter Wilcox

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