Fitting Corneal Scleral Fitting Corneal Scleral GP’sGP’s

The Lens of The FutureThe Lens of The Future

About Us…About Us…

Family OwnedFamily Owned Over 60 years of Over 60 years of

Experience Experience 25 Years of Clinical 25 Years of Clinical

ExperienceExperience Optoform Lathing Optoform Lathing

TechnologyTechnology

What is a Corneal Scleral?What is a Corneal Scleral?

Advantages of Corneal Advantages of Corneal Scleral LensesScleral Lenses

GP OpticsGP Optics Soft Lens ComfortSoft Lens Comfort Increased Rx RetentionIncreased Rx Retention Patient SavingsPatient Savings Increased Profit MarginsIncreased Profit Margins

Lens SpecificsLens Specifics

Available in SV, Multifocal, Toric, KCAvailable in SV, Multifocal, Toric, KC

and Reverse Geometry Designsand Reverse Geometry Designs Individually DesignedIndividually Designed Aspheric CurvesAspheric Curves Available in Boston XO, XO2 and HDS Available in Boston XO, XO2 and HDS

100100 Fenestrated or Non-FenestratedFenestrated or Non-Fenestrated

Patient SelectionPatient Selection

Current soft lens wearers Current soft lens wearers (Especially Toric)(Especially Toric) New FitsNew Fits Keratoconus / PMDKeratoconus / PMD Post PKPPost PKP Synergeyes wearers/failuresSynergeyes wearers/failures Emerging PresbyopesEmerging Presbyopes Dry Eye PatientsDry Eye Patients Patients with GPCPatients with GPC

Current soft lens wearers Current soft lens wearers (Especially Toric)(Especially Toric) New FitsNew Fits Keratoconus / PMDKeratoconus / PMD Post PKPPost PKP Synergeyes wearers/failuresSynergeyes wearers/failures Emerging PresbyopesEmerging Presbyopes Dry Eye PatientsDry Eye Patients Patients with GPCPatients with GPC

Fitting TipsFitting Tips

Diagnostic versus Empirical FittingDiagnostic versus Empirical Fitting

Greater fitting success with 8 lens Diagnostic Greater fitting success with 8 lens Diagnostic set.set.

Can Be fit empirically with ALL Can Be fit empirically with ALL measurments; measurments;

Refraction plus GP over-refractionRefraction plus GP over-refraction HVID measurementHVID measurement Manual K’sManual K’s NO need for topograhphyNO need for topograhphy

What to expectWhat to expect

Thinner tear layer Thinner tear layer

(15 versus 80 microns)(15 versus 80 microns) Minimal movement +/- 1/2mmMinimal movement +/- 1/2mm Great comfort from initial Great comfort from initial

insertioninsertion Patients who say you are not Patients who say you are not

putting that Frisbee in my eye!putting that Frisbee in my eye!

OCT ProfileOCT Profile

Trouble ShootingTrouble ShootingProblem - Tight FitProblem - Tight Fit

Vessel dragVessel drag Trapped air bubblesTrapped air bubbles Trapped Debris\MucinTrapped Debris\Mucin Limbal Compression ringLimbal Compression ring Discomfort post removalDiscomfort post removal Popping sound when removingPopping sound when removing 360 ring of seal-off usually around 360 ring of seal-off usually around

IPCIPC

Seal OffSeal Off

Keratoconus FitKeratoconus Fit

Start with Diagnostic lensStart with Diagnostic lens Let Diagnostic lens settle 20 minutesLet Diagnostic lens settle 20 minutes Over refract (Sphere Power Only)Over refract (Sphere Power Only) Note where lower lens edge restsNote where lower lens edge rests Lift Upper Lid to observe fitLift Upper Lid to observe fit Expect 2-3 mm central bearingExpect 2-3 mm central bearing

Keratoconus OCTKeratoconus OCTPhoto Credit Dr. Peter WilcoxPhoto Credit Dr. Peter Wilcox

Corneal Scleral Lens CareCorneal Scleral Lens Care

Peroxide based systemPeroxide based system Optimum CDSOptimum CDS Avoid all preservativesAvoid all preservatives Use DMV for removalUse DMV for removal Progent or Polish every 6 monthsProgent or Polish every 6 months

Photo / Oct courtesy of Dr. Peter WilcoxPhoto / Oct courtesy of Dr. Peter Wilcox

Thank You!Thank You!

www.CustomCraftLens.comwww.CustomCraftLens.com