15. How to: Full fitting routine with over refraction

Question 1

What is the purpose of H&S in fitting appointments?

Answer 1

Identify risks factors, need and address expectations

Question 2

Purpose of over-refraction

Answer 2

Optimize VA : Used to identify the trial lens that will be given to patients

Question 3

Lens selection is based on what 4 conditions?

Answer 3

1. Decisions based on H&S
2. Spectacle Rx
3. Anterior eye findings
4. Lens cost

Question 4

How can you help patients make an informed choice?

Answer 4

Inform patients of the options available

Question 5

How do you manage patients with different cyl Rx: 1 is -0.75 and other eye is -0.25?

Answer 5

1. Discuss patients options: sphere or toric
2. Depend on patients requirements
3. Demonstrate difference with trail frame- sphere and toric.
   Allow patient to make a choice/ decision.

Question 6

What is over-refraction?
What is the purpose?

Answer 6

A refraction over the contact lenses.
Purpose: gives information if you need to modify the power of the CL.

Question 7

Over-refraction procedure?

Answer 7

1. Cover LE
2. Record RE VA
3. Duochrome
4. Record VA and OR
5. Repeat for LE
6. Binocular balance
7. Record binocular VA
8. Near VA - Binocular

Question 8

Should you do cross-cyls in OR?

Answer 8

Not at this stage

Question 9

2 conditions when you record OR in your CL Rx is?

Answer 9

1. It improves VA
2. It makes sense with the spectacle Rx