5.1.1.Chooses, fits and orders soft lenses. Flashcards

1
Q

Range of Soft lenses available, their materials & designs

Daily Spheres

A
  • Serima Sphere (SiH) (Visco Vision - easyvision unique), Linarial (SiH) (Coopervision MyDay), 1 Day Moist (Hydrogel) (J+J)
    • Materials:
      • Serima - SiH, Linarial - Stenfilcon A (3rd gen), 1 Day Moist - Etafilcon A
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2
Q

Range of Soft lenses available, their materials & designs

Daily Torics

A
  • —> Linarial Torics (SiH) (Coopervision MyDay Toric), 1 Day Oasys Astig (SiH), 1 Day Moist Astig (Hydrogel)
    • Materials:
      • Linarial - Stenfilcon A, 1 Day Oasys Astig - Senofilcon A, 1 Day Moist Astig - Etafilcon A
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3
Q

Range of Soft lenses available, their materials & designs

Daily Multifocals

A
  • —> 1 Day Moist Multifocal (Hydrogel), Total 1 Multifocal (SiH - for longer wearing time) (Alcon)
    • Materials:
      • 1 Day Moist Multi - Etafilcon A, Total 1 Multi - Water gradient; Delefilcon A; Front surface: Aspheric, Back surface: Spherical; Core WC = 33%, Surface WC > 80%
      • Exceptional comfort from low coefficient of friction & high wettability but hard to remove
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4
Q

Reusable Spheres

A
  • Opteyes & Opteyes XR (SiH (price sensitive), Uvicia Plus (SiH), Verius (SiH) (Visco Vision - Easyvision Unique)
    • Materials:
      • Opteyes - Comfilcon A (3rd gen), Uvicia Plus - Fanfilcon A (3rd gen), Verius - SiH
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5
Q

Reusable Torics

A
  • Opteyes Toric & Optyeyes Toric XR (Coopervision Bioinfinity) (SiH (price sensitive), Acuvue Oasys Astig, Uvicia Plus Toric (SiH) (Coopervision Avaria Vitality)
    • Materials:
      • Opteyes - Comfilcon A (3rd gen), Acuvue Oasys Astig - Senofilcon A, Uvicia Plus - Fanfilcon A
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6
Q

Reusable Multifocals:

A
  • Opteyes Multifocal – again, because it has a high success rate (as much as any
    multifocal can!)
  • Irisian Multifocal (Alcon - air optix) – sometimes useful for older px’s where finger dexterity is an issue, these have quite a stiff modulus being older generation SiH and can be easier to handle. This is a 2nd formulation of a first generation SiH. In the second formulation, it has been surface treated with a plasma coating
  • Vusion Multifocal (Coopervision Proclear) – if a hydrogel needs to be used, virtually same design as Opteyes.
  • Materials: Opteyes - Comfilcon A, Irisian - Lotrafilcon B, Vusion - Omafilcon B
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7
Q

Toric Multifocals

A

Opteyes Multifocal Toric (new)

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8
Q

Lenses for Extended Wear

A
  • Coopervision Bioinfinity
  • Acuvue Oasys
  • Air Optix Aqua
  • Purevision 2??
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9
Q

Materials Generally:

A
  • Linarial - Stenfilcon A (3rd gen)
  • Acuvue Moist - Etafilcon A (hydrogel)
  • Acuvue Oasys - Senofilcon A (2nd gen)
  • Uvicia Plus - Fanfilcon A (3rd gen)
  • Opteyes - Comafilcon A (3rd gen)
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10
Q

3rd Gen SiH:

A
  • Aquaform technology - The advanced silicone channels in the material transport oxygen so efficiently that less raw silicon is required. This sustains inherent wettability and facilitates optimal water content.
    • Also means less cross linking so lower modulus. No surface treatment or internal wetting agent – novel polymer
    • Long chain silicone core with hydrophilic groups attached, therefore no surface treatment or wetting agents needed to render surface hydrophilic
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11
Q

2nd Gen SiH:

A

Rely on internal wetting agents to render lens surface hydrophilic

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12
Q

1st Gen SiH:

A

Relies on surface plasma treatment

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13
Q

Lectures to read:

A

Lecture 7 Cl materials
Lecture 9 CL materials

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14
Q

Makes Appropriate choice of Lens parameters

A

Pg 79 of 3rd Student Zone PDF

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15
Q

Makes adjustment to lens for best fit

A
  • Steep fit (flatter needed) - Decrease diameter (lower sag) or increase BC
  • Flat fit (steeper needed) - Increase diameter (higher sag) or decrease BC
  • Generally just change manufacturer
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16
Q

Writes order for Soft lens

A
  • Brand
  • Name of lens
  • BOZR
  • TD
  • Power
17
Q

How to determine whether a patient is suitable for CL wear?

A
  • Presence of an active eye disease, inflammation or injury such as corneal abrasion.
  • Use of medications (including eye drops) that are contraindicated with contact lenses or care solutions e.g. beta blockers
  • Allergy to contact lens materials or care solutions.
  • Inability to adhere to lens care instructions either due to age, illness, disability or other conditions.
  • Inability to insert and remove contact lenses without help.
  • History of non-compliance with wearing and replacement schedules as well as lens care instructions.
  • Moderate-Severe dryness - chronic blepharitis
  • Health conditions such as diabetes (refractive error unstable). Diabetes also increases MK risk
  • Pterygium obstructing lens from fitting