Professional Documents
Culture Documents
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Check Your patients Expectations Different Solutions for Different patients Chair Time Needed From You & Your patient
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Reduce Expectations
All Multifocal systems are a compromise
As with glasses - every one needs time to adapt !
i.e.- Multifocal glasses distort size and form , one can see only through the tunnel.
Unlike glasses, with contact lenses you walk naturally and can read in all directions !
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Adaptation Time!
Normally between 1 to 4 weeks This can be even longer due to the need to change the lens power.
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Introducing Soflexs
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Lens Design
Molding Manufacturing System Center Reading Power Spherical Back Surface Unique Front Surface Complimentary Edge Curve Thickness Control. (C.T. & T.T.)
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True aspheric optics with a continuous gradient of power that is truly optical from edge to edge. Greater amount of ADD correction with minimal impact on contrast sensitivity. Usable ADD is contained along a shorter radius of the axial center of the lens in a usable optical area. Produces far greater amounts of ADD correction than is possible with any other manufacturing process.
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Dispo Multi
Reading
Intermediate
Distance
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Lens Parameters
Dispo Multi
Base Curve: Diameter: Sph. Power: ADD: Material: Water Content: Visibility Tint:
8.70 14.2
+6.00 to 7.00 DS
Unique Add, up to +2.25DS Methafilcon A 55.0% Blue
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Keratometry measurements : horizon & vertical 7.40< (KV +kH)/2 < 8.00 Pupil size 3.0 to 5.0 mm
Refraction For the Best Vision Sphere: SPH. Myopes - red & green equal. Hyperopes - moves to the red
Select the first choice Dispo Multi lens by using the table Lens Power Selection
Give the lenses to your patient and call him after one week for recheck
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50 to 60 years old
NV Power Lens power
7.50 7.25 7.00 6.75 6.00 5.50 5.50 5.00
0.50 0.25 0.00 -0.25 -0.50 -0.75 -1.00 -1.25 -1.50 -1.75 -2.00
-1.25 -1.50 -1.75 -2.00 -2.25 -2.50 -2.75 -3.00 -3.25 -3.50 -3.75
0.50 0.25 0.00 -0.25 -0.50 -0.75 -1.00 -1.25 -1.50 -1.75 -2.00
-1.00 -1.25 -1.50 -1.75 -2.00 -2.25 -2.50 -2.75 -3.00 -3.25 -3.50
0.50 0.25 0.00 -0.25 -0.50 -0.75 -1.00 -1.25 -1.50 -1.75 -2.00
-0.75 -1.00 -1.25 -1.50 -1.75 -2.00 -2.25 -2.50 -2.75 -3.00 -3.25
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Hyperopes - Best sphere for contact lens +0.25 to +0.50DS. Near vision OK . Far vision will improve within 7 days. Use the Toric Eye-Q above -0.75DS cyl.
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Lens Care
Daily cleaning Disinfecting
with Proprietary brands of: - hydrogen peroxide systems - one step systems - multi purpose solutions systems
Rinsing
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Troubleshooting
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Introducing the
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Advantages
of Eye-Q
Fitting is as simple as single vision lenses Provides superior optics for all ranges Provides superior comfort Has addition of up to +2.25 DS (+2.75 HI ADD) Has full range of powers
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Lens Design
C.N.C Lathe cut Manufacturing System Center Reading Power Spherical Back Surface Unique Front Surface Geometry Complimentary Edge Curve Thickness Control. (C.T. & T.T.)
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Lens parameters
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cont.
Make Over refraction only binoculary in outside vista, with 0.25DS steps. Lens movement should be about 0.7 to 1.0mm.Change lens if necessary. Fit the Improved mono vision system when far vision incorrectly blurred - use single vision lens for the dominant eye best sphere power +0.25DS.
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The Toric
Eye-Q
Toric Multi Focal Version. The best solution for Astigmatic Presbyopic Patients. Back Toric Design - The Toric Lite Front Multi Focal Design - The Eye-Q
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FITTING EXAMPLES:
RIGHT EYE:
Rx: -5.50/-0.25 x 160 Kr: 7.65/7.55
RIGHT EYE:
Rx: +3.50 Kr: 7.45/7.40
LEFT EYE:
Rx: -4.50 Kr: 7.65/7.65
LEFT EYE:
Rx: +4.25 Kr: 7.40/7.47
ORDER:
ORDER:
Toric Eye-Q
Lens parameters:
Base Curve Range: 8.1 , 8.4 , 8.7 , 9.0 , 9.3 Diameter: 14.50 mm Spheric Power Range (distance): +4.00DS to 7.00DS (stock range) Cylinder Power: ANY Axis: ANY Add Power: Unique Add up to +2.25DS (+2.75 HI ADD) Effective Optic Zone: 9.00 mm Material: GM3 - Gmma+Vp Water Content: 58.0% Visibility Tint: blue
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Toric
Eye-Q
Fitting Tips
Fit the Toric Eye-Q when the corneal cyl. is above -0.75DS Fit the normal Eye-Q as a trial lens with the sphere power, make over refraction to evaluate the final prescription sphere power and cyl. power. Use the Toric LITE fitting instruction to evaluate the final lens B.C.
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Toric
Eye-Q
Generally the dot sign will be at 6 oclock Normal and high binocularity is the first key to success with this system. Use the Eye-Q lens when the cyl. Is lenticular
or residual Use the improved mono vision system where you do not reach good far or near vision.
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TROUBLESHOOTING
Far or / and Near Vision are not satisfactory !
Over refracted R+L binocular in 0.25DS steps and change lenses respectively.
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Lens Care
Daily cleaning Disinfecting
with Proprietary brands of: - hydrogen peroxide systems - one steps systems - multi purpose solutions systems
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High motivation & good fitting practice are the keys to success when fitting Multifocal lenses.
Soflex Dispo Multi
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