menu trigger  menu trigger

Blog

Patient Outcome: Post-PKP Corneal GP Lens Fit

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.

CONTINUE READING

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

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.

CONTINUE READING

How to Empirically Fit Corneal GPs

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.

  1. Standard Spherical GP
    Less than 3.00D Astigmatism
  2. Specialty GP Designs
    Toric lens options: base, front surface, bi-toric designs
  3. 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

CONTINUE READING

Patient Outcome: Successful InSight Scleral Lens Fitting of Corneal Transplant

Dr. Lechlitner

Optometrist: Stephanie Lechlitner, O.D.
Practice: Oak Hill Eye Care, Austin, Texas
Patient: 72 YO Female
Condition: Repeat Corneal transplant and repaired retinal detachment OD

Presentation:
Patient presented with high myopia OU. Irregular corneal surface OD due to corneal graft.

Ocular History:
The patient has been functioning with monocular vision for about 10 years. She experienced a failed corneal transplant and recently experienced a full retinal detachment OD.

Prescribed lenses:
InSight scleral in Optimum Extra 100Dk material with Hydra-PEG surface treatment.

                  Base Curve       Power       Diameter       SAG PC
OD             6.96                    -14.50       15.6                4.342 Toric
OS             6.78                    -8.50         15.6                4.393 Toric

Outcome:
OU VA 20/25
The patient is over the moon with how well these scleral lenses are working and is very grateful for this technology.

Learn more here

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

CONTINUE READING

All rights reserved. | Quality Terms & Conditions