Scleral lens fitting guide

Candidates may review “ A Guide To Scleral Lens Fitting, 2nd Edition”, which you can download here. 30mm ( 300 microns). Originally designed in by Dr. Solving Scleral Lens Complications This illustrated guide can help correct and avert adverse events with large- diameter lenses.

Discussion over what exactly is a semi- scleral lens, for example, or how to define a corneo- scleral lens is ongoing. Scleral GP designs, like our Atlantis lens, have been known to offer comfort as well as, or better than a conventional soft lens. Scleral lens fitting guide. Center thickness ( CT) of the lens itself which will be listed on the manufacturer’ s invoice. As the editor of the guide, I had the pleasure of working with an international team of over twenty experts in the field – from all.

Lens Design: The SynergEyes VS scleral lens vaults the entire cornea and limbus and lands on the sclera. On top of that, the Eaglet Professional Affairs team will coach you in your first lens fits until you are fitting like an expert. Atlantis Scleral. 75 x 180, select the - 1. 0 LENS NUMBER 1- 9 ECCENTRICITY FSEO, FSE1 or FSE2 FITTING PRINCIPLES OF THE BOSTONSIGHT SCLERAL LENS The process of fitting BostonSight SCLERAL lens is based on identifying the. Scleral wear experience.

Onefit MED provides practitioners with complete control over their scleral lens designs and fits. Allow the lens to settle for a minimum of 10 minutes prior to evaluation. Please note you must be logged in to take the quiz. Top 10 complications of scleral lenses I. In other types of contact lens fitting, the aim is to match the curvature of the lens as close as possible to the shape of the cornea. Preparation, Cleaning & Sterilization 1. Many insurance policies will not reimburse properly for a scleral lens fitting or for the lenses themselves. ] This guide is based on an extended literature search on the subject of scleral lens fitting and provides an overview of the latest knowledge and understanding on this exciting vision correction method.

X- Cel’ s specialty GP lens designs are a great option for patients who are unhappy with their vision with conventional soft contact lens wear and are an excellent solution for patients with keratoconus. Practitioners turn to BostonSight SCLERAL for the exceptional design, value, and support that comes with our scleral lens fitting system. This guide serves as an introduction to scleral shape, scleral topography and scleral lens design as. Evaluating a scleral lens on the eye after settling 20- 30 minutes results in proper assessment. It offers you: Lens diameters of 16. These lenses are the most comfortable contact lenses I have ever worn over the past 30+ years of having to wear contact lenses.

Fluid- ventilated, gas- permeable scleral contact lens is an effective option for managing severe ocular surface disease and many corneal disorders that would otherwise require penetrating keratoplasty. Corneal shapes, eccentricity, and sagittal height all influence the fitting relationship of the scleral lens. Multiple fitting sets are not necessary to fit oblate and prolate corneas, as is often the case with other available scleral lens designs. In the following article, three practitioners will discuss the different types of scleral contact lenses and the advantages of the different scleral lens types as well as offer their tips for fitting and troubleshooting.

Zenlens scleral lens, co- designed with Jason Jedlicka, OD, fully vaults the cornea and allows you to fit a wide variety of corneal shapes and sizes using a single fitting set and fitting philosophy. Specialty GP Lenses Filter Products. 0mm, it was one of the pioneering designs that started the modern scleral lens industry. BostonSight SCLERAL Fitting Guide Innovation I Education 4 SCLE RAL LENS SET SERIES EYE R vs.

In each of the examples below, the CT is 0. Scleral lens fitting guide. The Latitude lens is a premium freeform customized lens design which may be reserved for more complicated fits involving a larger degree of irregularity, scleral toricity, asymmetric keratoconus/ ectasias, pingueculas and patients who have had multiple failed fits, to name a few. Robert Breece, with diameters ranging from 15 to over 18. Alden Optical’ s® newest specialty lens has arrived: Zenlens™, a mini- scleral, fully vaulting lens co- designed with Jason Jedlicka, OD. Lens cylinder is available in either - 1.

The popularity of the scleral lens modality is colossal amongst specialty contact lens practices and continues to grow in general optometric practices. 0 mm— appropriate for a wide range of corneal sizes. While many individuals who use scleral lenses have worn soft or corneal GP lenses in the past, the process for applying and removing scleral lenses may take some practice. SCLERAL LENS FIT SCALES Front Surface of Lens Center Thickness ( CT) Clearance 300 Microns. Use Rx Fitting Resource to determine a starting lens. The entire scleral lens fitting process can take several visits to determine the optimal lens for each eye.

Introducing a lens that can take your scleral fitting to a higher plane. Select a lens based on experience and this fitting guide which is based on the fitting protocol of the Visser Contact Lens Practice. ] This guide is based on an extended literature search on the subject of scleral lens fitting and provides an. A Guide to Scleral Lens Fitting ( 2 ed.

A new version of this guide is available here. Each set will have a fitting guide which will recommend a lens to begin the process. A guide to scleral lens fitting [ monograph online]. Jedlicka is owner and director of the Cornea and Contact Lens Institute of Minnesota, Edina, Minn. Now for the first time, with certain patients, wearing a scleral lens made with the Infinite material under extended wear conditions can be considered.

In addition, this newly FDA approved material includes a UV lens blocker. Scleral Contact Lenses, The Best Option for Patients with Keratoconus or Irregular Corneas Better Comfort. Currently I average the patient’ s K’ s and then go one lens flatter. A scleral lens, also known as a scleral contact lens and ocular surface prostheses is a large contact lens that rests on the sclera and creates a tear- filled vault over the cornea. The lens has been successfully prescribed to thousands of irregular cornea contact lens patients in 24 Visser Contact Lens Eye Clinics in Europe, as well as in the US.

The EUROPA SCLERAL contact lens is designed to manage mild to severe levels of corneal irregularity and ocular surface disease. Since the SoftPerm ( combination) contact lenses were discontinued, I have spent the past year and a half going through various contact lens possibilities with no luck until my eye doctor suggested Scleral Lenses to me. ) Description A new, updated version of theGuide to Scleral Lens Fittinghas been launched recently. A smooth fitting lens that can recapture vision and comfort for those struggling with keratoconus, dry eye, post- surgery LASIK and corneal transplant complications and so much more.

Ampleye is a 4- Zone scleral lens employing Spline Science Technology to connect and smooth the lens junctions, making each zone independently adjustable. Our efficient fitting process through FitConnect™, designed with your practice in mind, ensures that the patient experiences a smarter fit— right from the start and for the long term. Instrument Aided Fitting with the Eye Surface Profiler ( ESP) will give you the high quality 3D data of the front surface of the eye and the First Lens Fitting Algorithms will guide you to the best results. Figure 6 Conjunctival bunching- up under a full scleral lens. , and secretary of the Scleral Lens Education Society. The Optimum Infinite material is the most oxygen permeable material ever to be approved by the FDA. 6mm, Onefit MED is unique and simplifies the fitting process for a wide range of applications. SLS supports public education that highlights the benefits and availability of scleral contact lenses. Each country has different laws and regulations concerning the practice of eye care. Blanchard Contact Lenses has pioneered the minimalist approach to scleral lens design and fitting with the Onefit™ Scleral Lens Platform – delivering optimal oxygenation for long- term corneal health with minimal lens mass and tear lens thickness.
Paragon Vision Sciences. A Guide to Scleral Lens Fitting is an. FDA Approved for Ocular Surface and Dry Eye Disease! With a standard diameter of just 15. Here is my rookie approach to fitting scleral lenses: 1) Look at the K’ s.

Once “ Start Quiz” is clicked it will count as an attempt, so please be prepared to complete the quiz in its entirety before you proceed. Scleral lens fitting guide. THE SCLERAL LENS THAT’ S CHANGING LIVES. Scleral lenses are designed to treat a variety of eye conditions, many of which do not respond to other forms of treatment. In such cases, I would advise you to create a scleral lens contract.

Lens Materials; GP Lens Solutions. Lens Sizes Lens Shape. This guide serves as an introduction to scleral shape, scleral topography and scleral lens design as well as a.
In most scleral lens designs, the ideal amount of clearance is about 300 microns. Rosenthal, P, Croteau A. [ Revised edition posted 12. The Scleral Lens Education Society ( SLS) teaches contact lens practitioners the science and art of prescribing scleral contact lenses. Scleral lens fitting guide.

GP Scleral Contact Lens - ultimate control of the complete fit! I use the patient’ s keratometry readings to determine my starting point. Be sure to highlight the costs associated with both the fitting and the lenses.

Laser Mark Guide 11 Fitting the Custom Stable Aurora 12. There are three major categories for scleral lenses: restoration and support of the ocular surface, visual rehabilitation and correction of corneal irregularity and pain attenuation. Jupiter Scleral is where is all started for Visionary Optics. For example: K’ s = 46.

The scleral lens provides a smooth refracting surface, and the irregularities of the cornea are cancelled out by the liquid lens between the back of the lens and the front surface of the cornea. Fitting scleral lenses. Eye Contact Lens. A Guide to Scleral Lens FittingDescriptionThis guide is based on an extended literature search on the subject of scleral lens fitting and provides anoverview of the latest knowledge and understanding on this exciting vision correction method. The Clinical Guide for Scleral Lens Success is a collaborative work between the Accademia Italiana Lenti Sclerali ( AILeS) and the Scleral Lens Education Society ( SLS) with the purpose of providing a protocol for scleral lens fitting.

Sclera Profile Flat Meridian SLZ Percent Usage Tip: Flat Profile% Normal Profile% Steep Profile% There is a 60µm change. ( FiguresIf you do not have access to this technology, a diagnostic fitting set is recommended. During the fitting process, we always survey our patients about how the lenses feel in their eyes. Zenlens allows you to fit a wide variety of corneal shapes and sizes using a single fitting set and fitting philosophy. A Guide to Scleral Lens Fitting Description A new version of this guide is available here.
Our patients report comfort is the number one feature they like about their scleral contact lenses. To determine the amount of lens rotation, use a degree scale on the biomicroscope to line up an optic section with the axis mark on the lens.