I Prosthetic Contact Lens Indications A Sighted Eyes 1

i prosthetic contact lens indications a. sighted eyes 1. corneal abnormalities 2. trauma or post surgical complications 3. iris abn

I Prosthetic Contact Lens Indications
A. Sighted eyes
1. Corneal abnormalities
2. Trauma or post surgical complications
3. Iris abnormalities
4. Pupil abnormalities
5. Red green color deficiency
6. Photophobia
B. Non-sighted eyes
1. Globe abnormalities
2. Corneal abnormalities
3. Lens abnormalities
4. Phthisis bulbi
II Types of Prosthetic Contact Lenses
A. Types of designs
1. Custom hand painted lenses
a. best for light eyes for more exact color match
b. more expensive
c. unlimited number or options
d. greater chair time
2. Standard Stock lenses
a. works well for darker colored eyes
b. less expensive
c. limited options
d. easier to fit in shorter time
B. Pupil options
1. Opaque
2. Translucent
3. Clear
C. Iris options
1. Color Enhancing
2. Opaque
3. Clear
D. Other available options
1. Underprinting
2. Double printing
3. Clear vs. Opaque edge
4. Decentration of pupil
III Patient Data
A.
Case History
B.
Chief complaint: reason for wanting prosthetic contact lens
C.
Clinical examination
1. Abnormal eye being fit with the contact
2. Normal eye to match for the contact
D. Measurements
1. Pupil size in normal, bright and dim illumination
2. Iris color with optional photography
3. Horizontal visible iris diameter
4. Record any other subtle details
IV Prosthetic Contact Lens Manufactures
A. Tinting services including contact lenses
1. Alden Optical
2. CIBA Vision
3. Coopervision
4. Custom Color Contacts
5. Ocu-Ease Optical
B. Tinting services only
1. Adventure in Colors
2. Crystal Reflections
3. Specialty Tint
V Case Presentations
A. Case #1 Standard prosthetic contact lens fit for a patient with
phthisis bulbi
B. Case #2 Unique stock prosthetic contact lens fit for light eyed
patient with
asymmetric pupils to improve photophobia, glare and cosmesis
C. Case #3 Cosmetic fit for heterochromia in an aphakic patient
D. Case #4 Prosthetic contact lens fit for a patient with diffuse
corneal edema and
band keratopathy
E. Case #5 Hand painted contact lens fit for a patient with
heterochromia and asymmetric corneal diameter.
VI Other information
A.
Proper lens care and maintenance
B.
Patient follow up care
C.
Scleral shell vs prosthetic contact lens
D.
Protective glasses for monocular patients