Thursday, May 22, 2008

Resolving dry eye in RGP wearers

3/9 stain
  • when the corneal surface isn't adequately resurfaced with tears after the blink
  • edge of GP lens holds lid away from corneal surface during blink
  • incomplete blinking
  • may see vascularized limbal keratitis

Adjusting the fit to minimize excessive edge lift and inferior position

Strive for superior lens position by:
  • decreasing diameter
  • reduce CT
  • +/- lenticulars
  • reduce edge clearance
  • steepen PC radius
  • narrow PC width
  • reduce edge thickness

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