CL Aftercare

Question 1

Factors affecting recall

Answer 1

• corneal pathology
• corneal physiology
• application of the lens
• compliance
• acute problems

Question 2

H&S

Answer 2

1. type of lens
2. how often
3. time of I&R
4. vision D+N
5. age of current pair
6. cleaning regime
7. sleep/shower/swim in them?
8. back up glasses
9. redness/pain/itchiness/dryness
10. allergies
11. meds
12. occupation + hobbies
13. driving
14. VDU use
15. smoker
16. Comfort 1-10

Question 3

Tests with lenses in

Answer 3

• VA
• over refraction
• over keratometry
• lens surface assessment
• fitting assessment
• lens eye interaction

Question 4

Tests with lenses out

Answer 4

• keratometry
• topography
• lens inspection
• refraction
• slit lamp assessment

Question 5

Problem solving - Redness

Answer 5

• lens causing problem?
• which layer is inflamed
• conj redness with injected limbus + pain = corneal problem
• diagnosis

Question 6

Problem solving - Comfort

Answer 6

• bilateral/unilateral
• there when lens removed - yes = ocular problem
• ocular lubricants provide relief - yes = mechanical source

Question 7

Problem solving - Poor vision

Answer 7

• better w/o lens = lens problem
• sustained vision loss after removing lens = ocular problem
• bilateral
• worse after blink = movement
• improved after blink = tight