Fitting Corneal Scleral GP’s
The Lens of The Future
About Us…
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Family Owned
Over 60 years of
Experience
25 Years of Clinical
Experience
Optoform Lathing
Technology
What is a Corneal Scleral?
Advantages of Corneal
Scleral Lenses
GP Optics
 Soft Lens Comfort
 Increased Rx Retention
 Patient Savings
 Increased Profit Margins
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Lens Specifics
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Available in SV, Multifocal, Toric, KC
and Reverse Geometry Designs
Individually Designed
Aspheric Curves
Available in Boston XO, XO2 and HDS 100
Fenestrated or Non-Fenestrated
Patient Selection
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Current soft lens wearers (Especially Toric)
New Fits
Keratoconus / PMD
Post PKP
Synergeyes wearers/failures
Emerging Presbyopes
Dry Eye Patients
Patients with GPC
Fitting Tips
Diagnostic versus Empirical Fitting
Greater fitting success with 8 lens Diagnostic set.
Can Be fit empirically with ALL measurments;
 Refraction plus GP over-refraction
 HVID measurement
 Manual K’s
 NO need for topograhphy
What to expect
Thinner tear layer
(15 versus 80 microns)
 Minimal movement +/- 1/2mm
 Great comfort from initial insertion
 Patients who say you are not putting
that Frisbee in my eye!
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OCT Profile
Trouble Shooting
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Problem - Tight Fit
Vessel drag
Trapped air bubbles
Trapped Debris\Mucin
Limbal Compression ring
Discomfort post removal
Popping sound when removing
360 ring of seal-off usually around
IPC
Seal Off
Keratoconus Fit
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Start with Diagnostic lens
Let Diagnostic lens settle 20 minutes
Over refract (Sphere Power Only)
Note where lower lens edge rests
Lift Upper Lid to observe fit
Expect 2-3 mm central bearing
Keratoconus OCT
Photo Credit Dr. Peter Wilcox
Corneal Scleral Lens Care
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Peroxide based system
Optimum CDS
Avoid all preservatives
Use DMV for removal
Progent or Polish every 6 months
Thank You!
www.CustomCraftLens.com
Photo / Oct courtesy of Dr. Peter Wilcox