Contact Lenses Flashcards

1
Q

Contact Lens

A

A corrective, cosmetic, or therapeutic lens usually placed on the cornea of the eye. Contact lenses usually serve the same corrective purpose as conventional glasses, but are lightweight and virtually invisible.

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2
Q

Wearing Schedule Categories

A

Daily disposable, extended wear or frequent replacement

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3
Q

Daily Disposable

A

Soft Contact Lens applied after waking and removed before going to sleep. Worn only one day and then disposed of.

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4
Q

Extended Wear Contact Lenses

A
  • Approved for wearing twenty- four hours. Includes sleeping with lenses on the eye.
  • Available for continuous, or overnight wear that ranges from one week to thirty days.
  • Usually soft contacts, but can be RGPs also.
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5
Q

Frequent Replacement Contact Lenses

A

Soft contact lenses that are only used for a specified period of time, such as 2 week, 1 month or 3 months. Rigid gas permeable (GP) lenses and some specialty soft lenses are meant to be replaced annually.

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6
Q

Contact Lens Types

A

1.) Soft contact lens

2.) Rigid contact lens (rarely used)

3.) Rigid Gas-permeable/ Gas-permeable (GP) contact lens,

4.) Hybrid lenses.

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7
Q

What Is A Contact Lens Wearing Schedule?

A

How long each type of contact lens is made to be worn.

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8
Q

Disposable

A

To be discarded according to a prescribed schedule. They may be discarded after one day, one week, two weeks, one month after starting routine wear

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9
Q

Soft Contact Lens

A
  • Made from polymers or materials that absorb water.
  • Always kept in solution to keep them from drying out/breaking.
  • Very flexible and comfortable.
  • Last shorter than GPs.

*Harder to handle, but they are easier to adjust to.

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10
Q

What Is Water Content in Soft Contact Lenses?

A

How much fluid the lens polymers contain. Low water content typically has 38% water or less. High water content usually has 55% or greater water in it.

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11
Q

Rigid Contact Lenses “Hard Lenses”

A

*Rarely used
*Made of polymethylmethacrylate (PMMA).
*Didn’t allow oxygen to flow to cornea resulting in corneal edema/swelling.

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12
Q

Gas-Permeable Contact Lenses (GP)

A
  • Replaced Rigid Lenses “Hard Lenses.
  • Made from polymers and plastic materials that are oxygen-permeable.
  • Less comfortable can be drier, but provide sharper vision.
  • Also known as rigid gas-permeable, or simply gas-permeable (GP) lenses.
  • Usually last longer than soft contact lenses.
  • Easier to handle.
  • Custom made for patient.
  • Come in single vision, toric and bitoric, multifocal and ortho-k. Also scleral lenses.
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13
Q

Routine Contact Lens Care

A

Includes cleaning, rinsing, and disinfecting as needed. Done after the lenses are removed from the eye, not before wearing. If stored in case:

1.) Dump all solution out from the case wells
2.) Rub case with clean finger for at least five seconds
3.) Can use more solution to clean it out. Then dump it again. Best to avoid using tap water.
4.) Store case upside down with lids off/open.

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14
Q

Contact Lens Fitting/ I&R (Insertion And Removal) Training

A

Patient is instructed on:

1.) Handling procedures (always wash hands before handling the lenses, how to tell if the lens is inside out, right lens vs. left lens etc.)
2.) How to Apply and remove the lenses.
3.) How to care for them at the dispensing visit.

Given a wearing schedule to follow in order to gradually build up the amount of time the lenses are in the eye. They will also be given a schedule of follow-up visits so the health of the eye and the contact lenses may be evaluated on a regular basis. Encouraged to adhere/comply with, the prescribed regimens.

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15
Q

Three S’s rule for daily disposable contacts

A

Do not
1.) Sleep
2.) Shower
3.) Swim
In them.

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16
Q

Contact Lens Parameters

A

Measurements on a contact lens that correlate with the shape of the patient’s eye

17
Q

Base Curve Radius (BCR; BC)

A

Primary curve on the posterior (backside of lens). Curve designed to approximate the shape of the cornea (front part of eye) measured in millimeters. Can be measured using Keratometer or Radiuscope.

18
Q

What Determines The Contact Lens Power?

A

The prescription strength (sphere or sphere, cylinder and axis)

19
Q

Are Eyeglass and Contact Lens Rx’s Same Prescription?

A

Not always since eyeglasses sit in front of eyes and contacts sit on eyes.

20
Q

Vertex Distance

A

Distance from where the back of the eyeglass lens rests in front of the eye to where the contact lens rests on the eye.

21
Q

What is contact Lens Overall Diameter (OAD, Diam.) ?

A

Diameter is the size of the lens when measured from edge to edge at the widest point. Small gas-permeable lens is generally 8.50 mm to 9.50 mm. Standard diameter for hydrogel and silicone hydrogel lenses is between 11.0 mm and 15.0 mm. Scleral lenses are another type of larger diameter GP lens which can reach to 22.0mm or higher

22
Q

What Is The Optical Zone Diameter (OZD; OZ)?

A

Central area or zone of the lens that provides optical correction for the patient’s vision. Measured in Millimeters.

23
Q

What Are Peripheral Curves On A Contact Lens?

A

Additional curves on the back surface
of the lens that surround the optical zone. Help tailor the contact lens fit to the individual patient. In a normal eye the cornea is steeper in the center and it flattens toward the periphery. These curves allow the back surface of the contact lens to imitate the gradual sloping of the cornea.

24
Q

Edge And Center Thickness

A

Refers to the thickness of the center of the lens from posterior to anterior surface (center thickness) or the thickness of the lens at the edge

25
Q

Hyperopia/Farsighted Contact Lens

A

Center of the lens is generally thicker. If there is too much weight in the lens, it is more difficult for the lens to stay centered on the cornea. Additionally, the increased thickness of a lens reduces its oxygen permeability.

26
Q

Myopia/ Nearsighted Contact Lens

A

Thinner in the center and thicker at the edges. The edge thickness is an important factor in the comfort of the lens. A thick edge can be a source of irritation to the underside of the eyelids

27
Q

Visibility Tint

A

May be clear or have a tint. Most contact lenses have a visibility tint which allows the lens to be more visible and handled more easily. This type of tint is unnoticeable when the lens is on the eye.

28
Q

Contact Lens Enhancement Tint

A

Used to deepen the color of the patient’s own eye.

29
Q

Contact Lens Cosmetic And Opaque Tint

A

Designed to change the eye color or appearance.

30
Q

Two Main Types of Contact Lens Tints

A

1.) Enhancement
2.) Cosmetic And Opaque

31
Q

Ordering Requirements For Soft Contact Lenses

A

1.) Lens brand/type
2.) Base curve
3.) Overall diameter
4.) Lens power.

ALSO Check to make sure any special instructions are noted and communicated, such as specific color for tint, and special shipping.

32
Q

Ordering Requirements for GPs

A

1.) Lens brand/type
2.) Base curve
3.) Overall diameter
4.) Lens power.
5.) Specify size of the optical zone
6.) Radius of any peripheral curves and width of those curves.
7.) Center thickness

ALSO Check to make sure any special instructions are noted and communicated, such as an identification dot, specific color for tint, and special shipping.

33
Q

Plano

A

Lens with no power

34
Q

Hybrid Contact Lenses

A

Combo of GP and soft lenses. Lasts 6 months. Has GP center and soft contact lens skirt. GP center gives you crisp clear vision and the soft contact lens skirt provides comfort and easy wear.

35
Q

Orthokeratology ( Ortho-K)

A

Special Gas-Permeable contact lenses (GPs) designed to reshape cornea. Lenses are worn overnight and removed in morning. Provides wearer with clear vision throughout the day without glasses or daytime contacts. Can temporarily correct astigmatism, myopia and hyperopia. Not covered by insurance.

36
Q

What Is Myopia Control?

A

Group of methods eye doctors use to slow the progression of myopia in children. This includes special contact lenses, eyeglasses, eye drops and habit changes.

37
Q

What are Bitoric Contact Lenses?

A

Type of gas permeable lens (GP). Both front and back surfaces are toric. A back toric fit is needed when the corneal toricity does not allow a spherical base curve to center properly on the eye

38
Q

Edge Thickness of a Contact Lens

A

An important factor in the comfort of a lens.