L4 - CL H+S

Question 1

Lens parameters

Answer 1

Material
O2 transmissibility (Dk)
H2O content (%)
Power (spherical, toric, multifocal)

Question 2

Lens design

Answer 2

Tricurve 
Bicurve
Aspheric
Toric
Multifocal

Question 3

Current CLs H+S

Answer 3

Type? 
How long wearing today? 
How old current lenses? 
How often worn? How many hours a day?
How often replaced? 
Ever slept with lenses in?
Swim or shower with lenses in? 
Rate CL fit /10? Comfort change throughout day? 
Rate DV/IV/NV? 
Use eye drops?

Question 4

Case Compliance

Answer 4

How old current case? 
How often case replaced?
How and when case cleaned? 
What solution? 
How often solution replaced?

Question 5

RFV

Answer 5

Reason for visit - check? Fit? Problem?

Question 6

LEE

Answer 6

Last eye exam:
In date rx?
Vision /10 with specs?
Better vision with spec or CL?

Question 7

LCLC

Answer 7

Last contact lens check: 
Any problems since? 
Redness?
Pain? 
Dryness? 
Infection?

Question 8

Discomfort on CL insertion/ sudden onset

Answer 8

Foreign body, damaged lens, decentered lens, conjunctival irritation from chemical.
Remove lens rinse and reinsert, replace lens, recentre, cease lens wear for 24 hours then reinsert.

Question 9

Discomfort after a period of wear

Answer 9

Lens deposit, lens surface dehydration, trapped debris, toxic reaction to solution, CL related papillary, conjunctivitis (CLPC)
Replace lens, wet or remove, remove rinse and reinsert, remove and seek advise

Question 10

Discomfort after lens removal

Answer 10

Corneal abrasion, SEAL, corneal inflammation, infection.

Replace lens, wet or remove, remove rinse and reinsert, remove and seek advise

Question 11

Discomfort periodically

Answer 11

Lens surface drying, environmental factors.

Blink exercise, refit with new material, avoid the environment.

Question 12

Constant blurred vision

Answer 12

Switched lens, incorrect prescription, residual astigmatism, warped lens.

Switch back, retract and prescribe new lens, refit with RGP, replace lens.

Question 13

Fluctuating vision

Answer 13

Lens deposit, loose fit, lens inside out.

Replace, refit, correct.

Question 14

Blurred vision over time

Answer 14

Lens surface drying out, lens deposits.

Wet or replace.

Question 15

Fluctuating vision each day

Answer 15

CLPC, environment, smoke, low humidity.

High lens replacement frequency, refit moisture retentive materials, avoid environment.

Question 16

Flare (ghost images, Diplopia)

Answer 16

Decentred lens, BOZD too small, uncorrected residual astigmatism.

Refit, refit with larger BOZD, refit with RGP.