Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
All I Want are Contacts Presenter Jill J Luebbert Course Description Performing a contact lens suitability can lay a solid foundation for a happy contact lens patient. This course will help you design a contact lens screening process to help with the contact lens candidate and to help ensure a proper contact lens selection. Course Objectives Upon completion of this course the attendee will Be able to communicate effectively with contact lens candidates Accurately screen contact lens candidates for contact lens fitting Professionally guide the contact lens candidate into contact lens fitting options Audience Contact Lens Technicians Content Level Intermediate Course Length 1hr Course Format Lecture Handouts All I Want are Contacts Presenter – Jill J Luebbert, CPOT, ABOC Detailed Course Outline Introduction What do patients expect? “All their friends just got contacts” “Can’t I just take some home?” What makes your office different? Professional Caring Why should you begin with a contact lens suitability? To determine if the patient can wear contacts to their satisfaction To set reasonable expectations for contact lens wearing To determine the best fitting contact lens To educate the patient What is the motivation? To match an special outfit So they don’t have to wear glasses on vacation So they don’t need to wear glasses to read (presbyopes) For convenience For sports Tired of glasses Can’t see without glasses How responsible is the patient Financial Care and Handling of the lens Maintaining scheduled lens replacement schedule Following Doctor’s guidelines for future appointments Age Teen “Post-teen” Presbyopic Past experience None Previous contact lens wearer (5+ years ago) Discontinued due to Vision Comfort Money 2 minutes 2 minutes 3 minutes 3 minutes 2 minutes 3 minutes Hassle Medical Background Allergies Seasonal Medications Birth Control Lid Evaluation Palpebral aperature Average size 9 – 10 mm Tension Loose skin???? Ptosis How much of the cornea is involved? Pupil Size Sufficient for optical zone of contact lens Enables patient to see in Daylight Dim lighting / night Blink Rate Complete blinker Flutter blinker Average blink rate is 10 -15 times per minute Refraction Sphere Cylinder Spherical Equivalent (+/- 0.75) Multifocal Corneal Sensitivity Cotton Wisp to test Tears Breakup time Using fluorescein and blue cobalt filter Minimum of 10 -15 seconds “how long for the first dry spot to appear? is it followed by continued breakup of tear film? Production Schirmer Tear Test Readings of 15 – 20 mm in 5 minutes in normal Test both eyes at same time Phenol Red Thread Test 70mm cotton thread Similar to Schirmer Test Takes 15 seconds Corneal Evaluation 2 minutes 3 minutes 2 minutes 1 minute 3 minutes 2 minutes 6 minutes 4 minutes Use fluorescein and cobalt blue filter Observe for uniformity Will not absorb into RGP’s Will absorb into soft contact lenses Flush eye several times with sterile irrigating solution before placing lens on eye Keratometry Average K’s are 42.00D to 46.00D Flat K readings (41.00D-) Steep K readings (47.00+) Astigmatism With the rule Against the rule Irregular Evaluate Eyelashes Long Short Hands Rough Tended Finger nails Tended Bite off Finger tips Course Medium Lifestyle Occupation Hobbies Expectations Reasonable Willing to commit to doctors expectations “So what about contacts?” Is the patient a good candidate? Alert patient to expectations and limitations What contact to recommend? Use your suitability results to help determine You have laid the groundwork Opportunity to Communicate Educate 3 minutes 3 minutes 3 minutes 2 minutes 3 minutes 3 minutes 3 minutes