Dr. H NaCl patter RSb

Practice: Illinois College of Optometry
Patient: 86 YO Female
Condition: Keratoconus, s/p PKP OS

Presentation:
Patient has a history of long term corneal GP wear for keratoconus. She presented for new corneal GPs after undergoing cataract surgery and a corneal transplant OS.

Ocular History:
Keratoconus, cataract surgery OD, cataract surgery OS, dry eye disease, allergic conjunctivitis, s/p PKP OS.

Prescribed Lenses:
RSB OS

The RSb Lens is our post-refractive surgery lens, reverse geometry configuration.
Learn more

Outcome:
Patient was 20/200 with her glasses and with the RSB lens, her VA improved to 20/25+. She is thrilled with her VA and improvement in quality of VA.

Help More Patients in Your Area:
Find the Illinois College of Optometry on our Physician Locator page as a specialty contact lens practice. Is your practice on the map? Check here.

Dr. Shelby Gross

Optometrist: Shelby Gross, OD
Practice: Heights Vision Specialists
Patient: 78 YO Male
Condition: Post LASIK & Cataract

Presentation:
OD: -4.00 -2.50 x 090
OS: – 0.75 -0.75 x 045

Patient doesn’t want to wear glasses, “Anything but Glasses.” Conventional lenses aren’t working for him. He has difficulty seeing his lenses and ends up poking his eye when trying to insert them.

Ocular History:
LASIK and cataract surgery OU. Patient had a retina detachment with a scleral buckle in his right eye. Severe dry eye.

Prescribed Lenses:
RSb front toric lens OD for monovision. Dr. Gross started him on a therapeutic regimen to optimize the ocular surface.We selected a well tinted corneal GP to assist in handling the lens during insertion.

OD: -4.00 -3.50 x 090

The RSb Lens is our post-refractive surgery lens, reverse geometry configuration.
Learn more

Outcome: BCVA 20/20
He is very happy with the outcome.

Help More Patients in Your Area:
Find Heights Vision Specialists on our Physician Locator page as a specialty contact lens practice. Is your practice on the map? Check here.

Simple & Straightforward

Fitting corneal GPs is easier than you think. Getting started is easy – no diagnostic fit set is required for most Metro Optics GP lens designs.

Note: Keratoconus can be fit empirically, but chair time is reduced by using a diagnostic set. We offer a complimentary ComfortKone Quick Fit Set. Learn more here.

Order GP lenses empirically, without any lens design calculations. Simply send the following patient information to consultation.

Exam Information

Corneal Topography
Keratometry Readings (Auto-K works well)
Manifest Refraction
Pertinent Patient History (surgery, trauma, past contact lens wear)

This information helps us understand the corneal shape & curvatures we are attempting to fit. If you don’t have a topographer, that’s okay!

GP Lens Designs

All major brand materials are available including Hyper Dk materials.

Standard Spherical GP
Less than 3.00D Astigmatism
Specialty GP Designs
Toric lens options: base, front surface, bi-toric designs
Metro Progressive Multifocal GP
Presbyopic patients
Up to 3.00D ADD

sphere (left) versus toric (right)
Spherical Lens on Left & Toric Lens on the Right

4. MetroSeg Translating Bifocal GP
Segmented Bifocal
Up to 3.00D ADD
5. RSa or RSb Post – Surgical GP
Post-surgical lens
Vaults central corneal irregularity

RS stands for Refractive Surgery
RSa: Spherical configuration
RSb: Reverse geometry configuration

Hydra-PEG

You have the option to Hydra PEG the lens which is a 90% water PEG (polyethylene glycol) coating that is covalently bonded to the surface of the lens. Hydra PEG improves wettability, comfort and clarity.
Learn more

Do What You Can

If you don’t have all the information listed above, don’t worry! Our experienced consultants can design a lens based on the details you provide. The more accurate information we receive, the faster we can get the final lens to you.

We are here to support you every step of the way!

Sincerely,
Your Metro-Optics Team

CONSULTATION: 800-223-1858
EMAIL: info@metro-optics.com

Dr. Kat Eye Society

Optometrist: Dr. Katherine Tran, O.D.
Practice: Eye Society, Houston, TX
Patient: 30 YO Female
Condition: Severe Dry Eye Disease

Presentation:
Patient presented with extreme dry eye and was previously advised against wearing contacts. She expressed a preference for contacts over glasses.

Ocular History:
The patient is a high myope with bilateral astigmatism. She can only count fingers without correction.
OS: -6.00 -1.00 x 031
OD: -6.25 -0.75 x 145

Vision: 20/400 OU

Prescribed lenses:
Standard GP Sphere in Optimum Infinite Blue, a hyper-Dk material, delivering 180 Dk, with Hydra-PEG surface treatment to optimize wettability and comfort.
Learn more here

Outcome:
OU BCVA: 20/20

The patient loved the lenses immediately! She was thrilled to experience clear vision and was excited that she could wear contacts. She comfortably wears her contacts for 10 hours a day, & her dry eye symptoms have improved.

Help More Patients in Your Area:
Find Eye Society on our Physician Locator page as a specialty contact lens practice. Is your practice on the map? Check here.

Optometrist: Dr. Stephen Hakimi
Practice: Pasadena Eye Associates
Patient: 50 YO female
Condition: Unilateral Keratoconus

Ocular History:
The patient wore RGPs successfully for many years but began experiencing reduced vision and clarity in her left eye. She was highly sensitive to even minor prescription changes of 0.25 Diopters, which triggered associated symptoms such as headaches and stomach aches.

Treatment:
Dr. Hakimi fit her left eye in the ComfortKone Lens, FDA Cleared for the indication of Keratoconus.

Outcome:
The ComfortKone lens provided stable vision with improved clarity and comfort, helping her eyes work together alleviating her discomfort.
Learn more here

Help More Patients in Your Area:
Find Pasadena Eye Associates on our Physician Locator page as a specialty contact lens practice. Is your practice on the map? Check here.

ECP: Esmeralda De La Torres
Practice: Kelsey-Seybold Main Campus
Patient: 25 YO Female
Condition: Undiagnosed Keratoconus

Ocular History::
A 25-year-old female patient presented with 20/400 OD and 20/200 OS. She was able to see although everything was blurry. Her vision was better as as a young child and progressively deteriorated as she grew up to where she was counting fingers by age 25.

Treatment:
Once the patient was properly diagnosed with Keratoconus, Esme was able to successfully fit her in the FDA Cleared ComfortKone RGP Lens.
Learn more here

Outcome:
BCVA:
20/50 OD
20/40 OS

The patient cried in the chair when she was able to see clearly for the first time in her life. Her aunt said, “Next is your driver’s license!” The patient was overwhelmed with joy.

Help More Patients in Your Area:
Find Kelsey-Seybold on our Physician Locator page as a specialty contact lens practice. Is your practice on the map? Check here.

Optometrist: Dr. Brian Cox
Practice: Spring Eye Care, Spring, Texas
Patient: 51 YO Male Elevator shaft technician
Condition: Advanced Keratoconus

Background:
Rx:
OD -35.25
OS -32.25

Steep Ks
OD 66.5 D
OS 66.5 D

This was the last reading taken in 2021
Unable to get a current reading
Corneal scarring
Vision: patient is unable to see
With lenses he’s still off the chart

Treatment:
Doc fit patient in the ComfortKone RGP Lens FDA Cleared for Keratoconus with piggy back DT +1.00

Outcome:
Corrected vision 20/40 OU

Help More Patients in Your Area:
Dr. Cox on our Physician Locator Page as a specialty contact lens physician. Is your practice on the map? Check here.

Keratoconus corneal topography both eyes

Optometrist: Erin Koetter
Practice: Eye Hub, Houston, TX
Patient: 31 YO Female Engineer
Condition: Undiagnosed Keratoconus

Background:
She had no clue that she had undiagnosed Keratoconus. She was functional at 20/400 OD and OS. She was told she had “lazy eyes.”

Treatment:
Once the patient was properly diagnosed with Keratoconus, Dr. Koetter successfully fit her in the ComfortKone RGP Lens and referred her for corneal cross-linking (CXL).
Learn more here

Outcome:
After fitting her successfully in the ComfortKone Lens, her vision is now 20/20 OU. She was floored. She had no idea what the world could even look like.

Help More Patients in Your Area:
Find Dr. Koetter on our Physician Locator page as a specialty contact lens doctor. Is your practice on the map? Check here.

Health, Happiness & Multifocal Lenses

Metro Optics custom multifocal lenses fill a niche commodity lenses can’t touch.

By using Metro Optics proven presbyopic lens designs, you will realize how simple and rewarding it is to fit custom multifocal contact lenses.

Metro Optics Multifocal Quick Reference:

Our design portfolio includes soft, corneal GP and scleral lens designs proven to enhance the vision of thousands of presbyopic patients:

MetroFocal – Center distance soft multifocal, normal cornea profile, up to 2.50D add power, available in toric parameters for patients with 0.75 to 8.00D cornea astigmatism – best suited for the mild to moderate presbyope who desires a soft lens. Empirically order lenses using manifest and keratometry readings. Available in Definitive 74% SiHy, 60 Dk which provides three times the oxygen to the cornea in comparison to other hydrogels (1).

Metro Progressive – Center distance corneal GP aspheric multifocal, normal cornea profile, up to 2.50D add power, rotation-free optics for patients with less than 2.75D astigmatism, available in back-toric and bi-toric for patients with over 3.00D corneal astigmatism – best suited for the mild-to-moderate presbyope who is a current GP wearer or desires the crispest vision possible in a multifocal design. Empirically order lenses using manifest and keratometry readings.

Metro SEG – Translating crescent bifocal with an aspheric intermediate zone, normal cornea profile, unlimited add power, available in back toric and bi-toric for patients with over 3.00D cornea astigmatism – best suited for the moderate to advanced presbyope who is a current GP wearer or desires the crispest distance and near vision possible. Empirically order lenses using manifest and keratometry readings.

InSight Scleral – Center distance multifocal scleral, normal to highly irregular cornea profiles, up to 3.00D add power, thin design maximizes Dk/t of the chosen lens material – best suited for the mild to moderate presbyope who needs a medically necessary lens for keratoconus, post-surgical ectasia or severe ocular surface disease. Diagnostic fitting is required with live virtual training available with a Metro Optics consultant.

An Infinitely Better Material for Corneal GP and Scleral Lenses

When it comes to quality, Metro Optics ensures all lenses are manufactured with the best materials available in the market. To provide your patients with the healthiest contact lens environment, it is recommended to choose a high dK/t lens material such as Optimum Infinite, which has a hyper oxygen permeability value of 180Dk and a high flexural modulus of 1341MPa, defying the high Dk/low flexural modulus convention (2). This material also has excellent surface wettability, which can be further enhanced through the addition of Tangible hydra-PEG coating to make Infinite the healthiest choice for your corneal GP and Scleral lens wearers.

Metro Cares About Your Practice

Other than manufacturing high quality custom lenses, Metro Optics also provides many benefits to ensure our customers have a profitable custom lens practice. We have always offered 90-day warranties on all lens designs, easy return policies, competitive pricing and expertise consultation to finalize fittings quickly. We will also continue to support our customers by extending warranties on fittings performed prior and during the rebuilding phase of the COVID-19 pandemic. Visit our website at metro-optics.com to learn more about our entire line of custom contact lenses.

PUBLISHED IN THE JUNE 2020 CONTACT LENS SPECTRUM ISSUE

References

Blog

Patient Outcome: Post-PKP Corneal GP Lens Fit

Patient Outcome: Successful RSb Corneal GP Fitting for Post-Surgical Cornea

How to Empirically Fit Corneal GPs

Simple & Straightforward

Exam Information

GP Lens Designs

Hydra-PEG

Do What You Can

Patient Outcome: Successful Treatment of Severe Dry Eye Disease with Standard Spherical RGP

Successful Treatment of Keratoconus with ComfortKone Aspheric Lens

Successful Treatment of Keratoconus with ComfortKone Lens

Successful Treatment of Keratoconus with ComfortKone

Successful Treatment of Keratoconus with ComfortKone

Metro Optics Multifocal Quick Reference

Health, Happiness & Multifocal Lenses

Metro Optics custom multifocal lenses fill a niche commodity lenses can’t touch.

Metro Optics Multifocal Quick Reference:

MetroSoft Max Mild Astigmat

Successful Adult Metro K Fitting-Outcome

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