Basic Contact Lens

Ria Sandy Deneska

Divisi Refraksi, Lensa Kontak & Low Vision
Dept/SMF Ilmu Kesehatan Mata
FK Unair/RSUD dr Soetomo
 Lensa Kontak

Fitting &
Klasifikasi Karakteristik
Peresepan

Common
Perawatan
Problems
Contact Lens Classification
Berdasarkan Material

Soft Lens

RGP

Conventional
hard lens
 Kurang
permeabel thd
oksigen
Kandungan air Penglihatan baik,
sangat kurang koreksi astigmat

Hard Lens
PMMA,
keras, Tahan lama
stabil
Rigid Gas Permeable (RGP)
• Transmisibilitas oksigen
baik
• Nyaman
• Dapat untuk extended
wear
• Koreksi astigmat baik
• Tidak cocok untuk
bandage
• Mudah lepas
 Soft Lens
Bahan : HEMA, non HEMA
(hydrogel) Nyaman
Baru : Silicone Hydrogel

Dapat Tdk dapat

Mudah gores
dipakai saat utk astigmat
& deposit
tertentu tinggi
 Daily
wear
Extended
wear

Wearing schedule
 Frequent
Disposable
Replacement

Daily
Conventional
Disposable
Replacement
Schedule
Ortho Keratology
HYBRID CONTACT LENS
Prosthetic Contact Lens
Bandage Contact Lens
Silicone Hydrogel
(Stappleton et al,2006. Silicone Hydrogel Contact Lenses and the Ocular Surface.
The Ocular Surface.January 2006. Vol 4. No.1)
Karakteristik Lensa Kontak
 1. Kadar air
LOW WATER CONTENT
37,5% - 45% air
cocok utk daily wear

MEDIUM WATER CONTENT

46%-58% air
cocok utk daily dan extended wear

HIGH WATER CONTENT

59%-79% air
utamanya utk extended wear
 2. Oxygen Permeability &
Transmissibility
Oxygen Permeability
= Kemampuan difusi oksigen dari
atmosfer melalui lensa kontak
menuju kornea
Dinyatakan dengan istilah Dk

Utk praktisi, transmisibilitas

oksigen yang sebenarnya, jauh lebih
penting — dinotasikan sbg Dk/t
dimana t = Ketebalan lensa
Fitting & Peresepan Lensa Kontak
 Parameter
 Base Curve
 Power
 Diameter
 BASE CURVE

Soft Lens :
- Diukur K1 & K2
- Diambil flatest K (mm terbesar)
- Flattest K + 0.6
- Satuan mm (terbanyak : 8.4-8.7)
 POWER
Soft Lens : Spherical Equvalent
 Contoh : S-2.00 C-1.00 X 90 – SE : S-
3.00 (power soft lens)
 Jika >4.00 Dioptri – konversi tabel
vertex distance

RGP : diperhitungkan kompensasi BC

 DIAMETER
Soft Lens
• HVID (Horizontal Visible Iris
Diameter) + 2 mm

RGP
• Sudah disediakan pabrik
Common Problems
 Dry Eye

Deposit
Giant Papillary
Conjunctivitis

Keratitis
Care & Maintenance