Download All I Want are Contacts

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