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Simplifying Soft Torics - SECO2011.com

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<strong>Soft</strong> Toric Lens Fitting – The Simpler Way<br />

BACKGROUND<br />

Astigmatism and its prevalence<br />

A short history of toric soft lenses (TSLs).<br />

Who to fit with TSLs<br />

TORIC SOFT LENS (TSL) DESIGNS<br />

Methods of stabilization<br />

Factors affecting stabilization<br />

Branded toric soft designs<br />

FITTING TSLs - PREPARATION<br />

Empirical vs. diagnostic fitting<br />

Hydrogel vs. silicone hydrogel<br />

Replacement period<br />

Selection of design/brand<br />

FITTING TSLs – POWER DETERMINATION<br />

Refraction<br />

Vertex correction<br />

Cross-cylinder calculations<br />

- BREAK -<br />

FITTING TSLs – AXIS DETERMINATION<br />

TSL vs Rx axis<br />

Assessment of orientation<br />

Adjustment for rotation<br />

FITTING TSLs – LENS FIT ASSESMENT<br />

Settling time<br />

Basic soft lens fit<br />

Orientation stability<br />

CUSTOM TSLs<br />

Who to fit with custom TSLs<br />

Fitting procedure<br />

Examples<br />

PROBLEM SOLVING<br />

Discomfort<br />

Poor VA<br />

Unstable vision<br />

Corneal staining<br />

Other physiological problems<br />

CASE EXAMPLES & DISCUSSION

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