Presbyopia

Meyler, John; Ruston, David

doi:10.1016/b978-0-7020-6660-3.00023-x

Cited by 5 publications

(10 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There are fundamentally two ways of fully correcting presbyopia with soft contact lenses: multifocal lenses and monovision …”

Section: Preserving Ocular Healthmentioning

confidence: 99%

“…Clearly, multifocal contact lenses now constitute a significant proportion of all soft contact lenses prescribed to presbyopes. Rigid contact lenses can also be fitted to correct presbyopia in either simultaneous vision or alternating designs …”

Section: Preserving Ocular Healthmentioning

confidence: 99%

“…Monovision correction involves the use of single vision lenses to correct one eye for distance vision (usually the dominant eye) and the other eye for near vision. Using this approach, incremental changes of as little as 0.25 D can be prescribed as presbyopia progresses.…”

Section: Preserving Ocular Healthmentioning

confidence: 99%

“…Additional assessments are required for toric lenses (for example, to asses cylinder axis alignment and stability) and multifocal lenses . As well, the lens surface, examined under the slitlamp biomicroscope, should be covered with an even tear film that is maintained for at least 10 seconds following a blink .…”

Section: Preserving Ocular Healthmentioning

confidence: 99%

See 3 more Smart Citations

Rethinking contact lens aftercare

Efron

Morgan

2017

Clinical and Experimental Optometry

View full text Add to dashboard Cite

The evolution of contact lens technology and clinical practice over the past three decades has been remarkable, with dramatic improvements in material biocompatibility, better lens designs and care systems, and more flexible and convenient modalities of wear. However, our approach to the aftercare examination has remained conservative, with the general modus operandi having not fully evolved from the difficult, early years of fitting non-regular replacement rigid and low water content hydrogel lenses. In this paper, we review current aftercare practice and in particular, the preferred frequency that lens wearers should return for routine visits and the appropriateness of regulations governing contact lens prescription expiry. Four key clinical reasons for conducting a routine aftercare visit are identified: preserving ocular health, maintaining good vision, optimising comfort and ensuring satisfactory lens fitting performance. Commercial reasons for conducting aftercare visits are also considered. A decision matrix is presented to help practitioners decide on an appropriate time interval between routine aftercare visits. The first aftercare visit should always take place within one to two weeks of lens dispensing. After this, the following time intervals between routine aftercare visits are advised as a general guideline: soft daily disposable, 24 months; soft daily reusable and rigid daily wear, 12 months; soft and rigid extended wear, six months. These aftercare visit frequencies may need to be adjusted when rapid rates of refractive change are anticipated, such as every six months during child/teenager myopic progression and every 12 months during the advancement of presbyopia. Numerous clinical caveats for varying these recommended aftercare frequencies are also discussed. Those new to lens wear should be seen within the first two months of lens dispensing. Regulatory authorities charged with the responsibility of stipulating the validity of a contact lens prescription should continue to allow optometrists to set an expiry date relevant to the circumstances of individual lens wearers.

show abstract

“…There are fundamentally two ways of fully correcting presbyopia with soft contact lenses: multifocal lenses and monovision …”

Section: Preserving Ocular Healthmentioning

confidence: 99%

Section: Preserving Ocular Healthmentioning

confidence: 99%

Section: Preserving Ocular Healthmentioning

confidence: 99%

Section: Preserving Ocular Healthmentioning

confidence: 99%

See 2 more Smart Citations

Rethinking contact lens aftercare

Efron

Morgan

2017

Clinical and Experimental Optometry

View full text Add to dashboard Cite

show abstract

“…31 Table 1 combines three main areas that have been reported as being important for successful CL fitting in presbyopes according to textbook sources. The first being the refractive correction at distance; significant spherical refractive correction is considered a factor influencing good success [10][11][13][14][15][16] whilst a high amount of astigmatism is generally considered a possible factor leading to failure. 12,14 The second group of factors appears to be good ocular health; tear film and ocular surface quality are important factors influencing success.…”

mentioning

confidence: 99%