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Types of Contact Lenses Explained

The document discusses various types of contact lenses, including soft toric lenses for astigmatism, RGP toric lenses for high astigmatism, aspheric rigid lenses for specific eye conditions, pediatric contact lens fitting, managing presbyopia, and treatment options for keratoconus. Each section outlines the characteristics, benefits, and fitting considerations of the lenses. The importance of early visual correction in children and the various lens options available are also emphasized.

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0% found this document useful (0 votes)
12 views7 pages

Types of Contact Lenses Explained

The document discusses various types of contact lenses, including soft toric lenses for astigmatism, RGP toric lenses for high astigmatism, aspheric rigid lenses for specific eye conditions, pediatric contact lens fitting, managing presbyopia, and treatment options for keratoconus. Each section outlines the characteristics, benefits, and fitting considerations of the lenses. The importance of early visual correction in children and the various lens options available are also emphasized.

Uploaded by

moonstarpretty
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Danny Chhun

04/26/2025
202B

Final Project

Unit 1 Soft Toric Contact Lenses

Toric lenses AKA lenses with astigmatism. Soft toric lenses are often used for
those who play sports/outdoor activities and for those who work in a dusty environment.
Astigmatism occurs as a result of the eye not being completely round. The eye with
astigmatism is often referred to as more football shaped than basketball. Soft toric lenses
also come with markings indicating the thickest portion of the lens and acts as a weight
system to ensure the axis is orientated correctly. These lenses are also great for those
suffering from GCP. Soft toric lenses powers can range between +30D to -30D. Base
curves and diameters are limitless. More often than not soft toric contact lenses are
preferred over RPG’s.

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Unit 2 RGP Toric Lens Design

RGP toric lenses are used for those with large amounts of prescribed astigmatism,
large amounts of corneal astigmatism and or smaller diameters. RGP toric lenses can also
be used when soft contact lenses need to be flatter or steeper. Quality of vision is
optimized with the use of RGP’s. RGP’s also allow for more oxygen into the eye are are
more permeable than soft lenses. There are 3 types of RGP Toric Lenses, front, back and
bitoric. Over-refractions needed to fit RGP toric lenses. RGPs have better physiology,
visual characteristic, ease of care and handling than soft lenses. Labs can create more
accurate lenses with RGPs than soft lenses.

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Unit 3 Aspheric Rigid Lenses

RGP were first developed by the following individuals, Forknall, Elliot, Neff,
Feinbloom, Nissell, Rueben, Salvatori and Soper. The radius of an aspheric lenses in
known as a portion of the conic section where the horizontal cut is perpendicular to
center of axis is a spherical or circular base. If the cut is made into anything other than
perpendicular then the section created are eppisodial, parabolic, and or hyperbolic. E
Values are also important with aspheric rigid lenses. E Values are the shapes of the
aspheric curves. This ranges from 0 to greater than 1.0. Sagittal depth of aspheric lenses
correlate with E Value and is the distance between the center of the base curve and line
drawn from one edge to another. Sagittal depth increases with diameter and decreases
with eccentricity. Aspheric designs are best suited for patients with Keratoconus, corneal
surgery or grafts.

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Unit 4 Pediatric Contact Lens Fitting

Visual correction is extremely important at an early age and must be corrected as


soon as it is detected. If not, permanent vision impairment is highly likely. Your vision at
birth is about 20/800. There are several reasons why children need contacts. These
include aphakia, trauma, strabismus, anisometropia, amblyopia and cataracts. Contacts
are preferred over glasses in such cases as with high prescriptions and the fact that
glasses lead to minification and or magnification while contacts do not. Contacts reduce
the changes in image size giving patients a more accurate picture. With large differences
in prescription between eyes, contacts may be the only choice. Types of contacts for
children include, rigid gas permeable or RGP, soft, silsoft, disposable and planned
replacement. Allen cards and E games are tools that can be used to determine a child’s
visual acuity. One of the most important parts for children to be fitted with contact lenses
is that both the child and parent must be properly educated and willing.

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Unit 5 Managing Presbyopia with Contacts

Presbyopia is a natural age related eye condition where seeing up close becomes
more difficult. Presbyopia is caused by lens losing its flexibility thus making it harder to
change and focus of near objects. Loss of accommodation usually occurs around age 40
and continues until about age 60. Several contact lens choices can be used to help treat
presbyopia. This includes mono vision lenses, bifocal contact lenses or regular contact
lenses and using reading glasses. Bifocal contact lenses are normally the preferred choice.
Determining the optical zone is a critical step on fitting patients with presbyopia.

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Unit 6 Keratoconus

Keratoconus is a non inflammatory condition of the eye with no known origin/


cause. It is a conical protrusion of the cornea. There is no known cure and lead to
permanent vision loss if untreated. Most keratoconus occurs in the temporal or inferior
position. Munsion’s sign is also a symptom of keratoconus. Both eyes are normally
effected but one more so than the other. Contacts give patients better vision than with
glasses. Lenses used to treat keratoconus include RGP and soft lenses, special multi
curved RGP (Soper Cone, McGuire Cone, Rose K, and Ni-cone). The severity of
keratoconus is classified as mild, moderate, advanced and severe. A slit lamp examination
must be performed. Both soft and RGP lenses can be “piggy backed” to help treat
keratoconus.

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Common questions

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Presbyopia management with contact lenses can be approached via options like monovision lenses, which correct one eye for distance and the other for near vision, and bifocal lenses, which have optical zones for both distance and near vision. Bifocal lenses are usually preferred due to their ability to provide multifocal correction in one lens and maintain binocular vision quality, while monovision may affect depth perception. However, fitting bifocal lenses correctly is a complex process requiring accurate determination of the optical zones to suit individual visual needs .

Untreated keratoconus can lead to progressive vision deterioration and permanent vision loss due to the continuous thinning and reshaping of the cornea. Contact lens interventions, particularly using RGP or specially designed lenses like the Soper Cone or Rose K, provide clearer vision and halt further corneal distortion by eliminating the corneal irregularities' visual effects. However, they do not stop the disease progression itself. Regular monitoring and adjusting lens choices can manage symptoms effectively in the long term, improving life quality .

Visual acuity in children can be measured using methods like Allen cards and E games. These tools are designed to be engaging and straightforward, enabling accurate assessments of visual function even in young children who may not yet possess the language skills necessary for standard acuity tests. Such approaches ensure reliable evaluation of vision, facilitating early intervention in conditions requiring corrective lenses .

RGP toric lenses are particularly suitable for large amounts of prescribed or corneal astigmatism due to their rigid design, which allows precise manufacturing and optimizes vision quality. They also allow more oxygen to permeate the eye, which can be beneficial for extended wear. However, soft toric lenses are preferred for sports or outdoor activities as they are more flexible and less likely to dislodge from the eye during movement. Additionally, they are often favored in dusty environments .

When fitting pediatric patients with contact lenses, it's crucial to consider the specific visual correction needs, such as aphakia, trauma, or strabismus, and the preference for contacts over glasses due to minimization or elimination of image size changes. Education is critical for both the child and parents to ensure safe usage, proper lens care, and adherence to wearing schedules. This ensures the contact lenses are used effectively and hygienically, preventing potential complications .

Aspheric rigid lenses offer advantages for keratoconus patients by utilizing a conic section design that provides gradual power changes over the lens surface, which helps in managing irregular corneal shapes. The lenses have an E Value that correlates with the sagittal depth, which can provide tailored fits to the unique corneal profiles seen in keratoconus. This fitting precision helps improve vision by closely matching the conical protrusions of the cornea .

Soft toric lenses are designed with markings that indicate the thickest portion of the lens, which acts as a weight system to ensure the axis is oriented correctly. This design helps maintain the position of the lens on the eye, which is crucial for astigmatism correction, as it is caused by the eye not being completely round. The lens shape helps counteract this irregularity by providing the needed optical power aligned along specific meridians to correct the visual distortion .

Bifocal contact lenses provide benefits in treating presbyopia by allowing wearers to focus on both distant and near objects without needing separate corrective lenses. The efficacy of bifocal lenses in presbyopia treatment relies on proper fitting, requiring precise optical zone determination to meet individual visual needs. Patient adaptation can vary, as some may struggle with adjusting to simultaneous vision correction. Considerations of lifestyle needs, such as reading habits and occupational requirements, must guide the choice between bifocal lenses and alternative options like reading glasses .

E Values in aspheric rigid lenses represent the shapes of the aspheric curves, with a range from 0 to greater than 1.0. These values are essential for determining how the lens will fit against the cornea's surface, relating to the sagittal depth and diameter of the lens. Precise E Values ensure the lens curvature accommodates varying corneal topographies, particularly in conditions like keratoconus, where standard spherical designs may not provide adequate contact or visual correction .

RGP lenses offer better visual acuity for keratoconus compared to soft lenses due to their rigid structure, which masks irregular corneal shapes. However, they may be less comfortable. The piggybacking approach involves wearing soft lenses underneath RGPs to enhance comfort while maintaining the RGP's optical benefits. This technique can stabilize the fit and reduce corneal irritation. The challenge lies in adapting patients to wear two lenses and ensuring proper fitting to avoid oxygen deprivation .

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