Professional Documents
Culture Documents
Keratoconus
is a non-inflammatory eye condition in which the normally round dome-shaped cornea progressively thins causing a cone-like bulge to develop
Corneal Topography
Is a non invasive medical imaging technique for color mapping the surface curvature of the cornea This instrument has become for the last years a part of the checking room Computerized Corneal Modeling System (CMS) is used to evaluate (type and size) corneal shapes
NIPPLE CONE
Advanced keratoconus, K readings 5.20 to 6.40mm
OVAL CONE
The most common, K readings 5.80 to 7.20mm
KERATOGLOBUS
Wide area at the center of the cornea blow off the shape of the cornea K readings 6.60 to 7.80mm
Vision loss the cornea gradually thins and becomes misshaped. The cornea surface becomes irregular similar to the shape of a cone from the I.O.P . Opaque cornea An advanced stage of the keratokonus, where the cornea cracks and becomes opaque, in this stage the only solution is a corneal transplant
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Specially designed RGP lenses Soft contact lenses designed specifically for Keratoconus Piggy back - soft contact lenses to "carry" a gas permeable lens Soft lens with a hard center Scleral contact lenses
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RGP Lenses
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RGP Lenses
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Asymmetric
Especially designed for PMD
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Excellent vision day and night, no glare (pin hole) Hi level of comfort for many hours High oxygen material for corneal health Easy to fit and adapt Available to all
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Case history Total check up with slit lamp Evaluate tear quality and quantity Refraction and free vision quality Topography check of the cornea
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Selecting the first choice Trial Lens Evaluate fitting with slit lamp using fluorescien for GP lenses Changing the lens if needed Over refraction Ordering the lens
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Fluorescien pattern
The most common is the THREE POINT TOUCH Avoid having air bubbles
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Special !!
K.
Try to use the Soft K. for all types of distorted cornea. First check with Trial Lens after 30 minutes and change if necessary Final check for fitting and over refraction after at least 2 hours. Cleaning !! Using daily cleaner & H2O2 systems
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Call the patient for regular checkups Give the patient solutions for taking care of his lenses Demonstrate and give written instruction of how to take care his lenses Instruct your patient to call you immediately when he feels any change in: