4. How to: H&S

Question 1

What are the general health questions asked in H&S?

Answer 1

Current and previous allergies, smoking?

Question 2

Are smokers likely to higher complications with CL?

Answer 2

Yes

Question 3

Why do you ask patients what medications they are taking?

Answer 3

To identify if certain medications have an interaction with the tear film. Explain any ocular signs and find clues about GH (if patient is taking a certain medication it helps you find out if they have a condition).
Identify and eye drops or ointments the patient is using.

Question 4

Why do you ask patients about LEE?

Answer 4

Legal requirement

Question 5

What questions do you ask patients about their glasses?

Answer 5

If they are up to date

Question 6

What 3 conditions are associated with dry eyes?

Answer 6

1. Contraceptive pill
2. Blood pressure meds
3. Anastomosis

Question 7

Is it true that diabetes’s increases the risk of infection with CL?

Answer 7

Yes

Question 8

What do you call a new lens wearer?

Answer 8

Neophyte

Question 9

What clinics should previous CL wearers be booked for?

Answer 9

Aftercare

Question 10

2 categories of CL related patients is?

Answer 10

1. New lens wearer (neophytes)
2. Previous lens wearer

Question 11

Relation between RGP lenses and dusty environments?

Answer 11

When dust enters eyes of patients wearing RGP lenses: the dust accumulates below the lenses and causes discomfort.

Question 12

Relation between high VDU use and CL?

Answer 12

Higher the VDU reduce reduces blinking and leads to dry eyes.

Question 13

Relation of CL wear and swimming?

Answer 13

CL wear while swimming massively increases risk of infection and should be avoided completely.

Question 14

What lenses are avoided in Px that do contact sports such as rugby or martial arts?

Answer 14

RGP lenses are avoided

Question 15

What information is required in Px that wore CL before and stopped?

Answer 15

1. What lens and solution they used?
2. What did they wear them for?
3. How long ago?
4. Why did they stop wearing them?
5. Why do they want to start wearing them again?
6. Have they ever been advised not to wear CL?
7. Dailies, monthly or weekly lenses?

Question 16

When are toric lenses considered?

Answer 16

Greater then -0.75DC need to consider

Question 17

When is CL power different from specs power? And how is this calculated?

Answer 17

When specs power is greater then +/- 4.00DS.
How it is calculated: CL power= F / 1-dF (d is in meter’s)

Question 18

For minus lenses above -4.00DS. CL power and spec lenses relation?

Answer 18

CL power must be lower then specs power.

Question 19

For minus lenses above +4.00DS. CL power and spec lenses relation?

Answer 19

CL power must be higher then specs power.

Question 20

Role of MPS (Multipurpose solution)?

Answer 20

All-in-one solution that cleans and disinfects without the need for other products.

Question 21

3 ways of checking if a lens is the right way round?

Answer 21

1. Check the profile
2. Crease Test
3. Lens marking