NCLE Contact Lens Exam 2: Questions
and answers, VERIFIED/
Selection of Toric lens depends on: - 1) ocular health and exam findings
2) agreement with patient on which best fits their needs
frequency of replacement depends on tendency for coatings, wearing schedule, etc
Other things to keep in...
NCLE Contact Lens Exam 2 : Questions and answers, VERIFIED/ Selection of Toric lens depends on: - ✅✅ 1) ocular health and exam findings 2) agreement with patient on which best fits their needs frequency of replacement depends on tendency for coatings, wearing schedule, etc Other things to keep in mind for toric follow ups and ordering - ✅✅ Order trial lens and perform f/u before ordering multipacks -Power should b e close enough to be functional and allow adaption -VAs with trials can be 20/15 to 20/25 if exact power is not available Demonstrate OR to patient and add it to the CL trial order Do not have to trial every single adjustment made -Follow -ups are meant for making tweaks to the lens parameters, if needed -NEVER finalize and order on the dispense visit Fit may be different esp. if CLs have never been worn before Types of torics - ✅✅ Which type of SCL torics are particularily expensive? - ✅✅ SiHy Daily Dispos ables (DD) Which type of toric lens has a lower dK, and are better for occasional or short -term wear - ✅✅ non-SiHy (hydrogel) daily disposables What is a unique feature of SiHy BiWeekly Torics - ✅✅ UV blocker What are Extended Range (XR) series? - ✅✅ high degrees of sphere and/or cyl more axis choices (1 degree or 5 degree steps) more expensive What does it mean that a soft toric CL is lathe cut? - ✅✅ cutting the secondary/peripheral curve/power with tools on ev ery individual lens, which requires a wait when ordered more parameters more expensive single lens or quarterly For toric lenses, ____________________ is the type of ONLY SiHy lateable lens material - ✅✅ definitive DW - ✅✅ remove nightly to clean and disi nfect, reapply the next day EW how long it it worn? - ✅✅ worn one week at a time FW how long it it worn? - ✅✅ occasional overnight wear CW how long it it worn? - ✅✅ worn for 30 consecutive days (remove once a month) A CW lens _________ (cannot/can) be wor n on a DW wearing schedule - ✅✅ can Most doctors advise against habitually sleeping in torics due to ____________ ________, UNLESS: - ✅✅ lens thickness SiHy and approved for overnight Greatest risk for microbial keratitis is in _____ use - ✅✅ EW Patient management of toric SCLs What are symptoms and recommendations for someone with allergies? - ✅✅ Patient management for toric SCLs What are the symptoms and recommendations for someone with intense near work? - ✅✅ -more problematic with torics b/c t hey are larger and tend to do under the lid -lid interaction affects lens position What are the important things we need to do in a toric CL dispense/follow up? - ✅✅ 1) Obtain history 2) check acuity 3) check compliance 4) note any mislocation 5) determin e any other problems
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