Scleral lens flexture5/17/2023 Valuable information, along with handouts and training videos are available online at The larger, orange DMV inserter is for scleral lens insertion, and the smaller, white one is for removal. Once you are ready to look at the lens in the slit lamp, use a Wratten filter to assess the fluorescein more efficiently.Ī well-trained staff can make all the difference in the world, so take the time at an office meeting to review with them these new lenses and how they are different from the others used in your practice. Avoiding these problems will keep you from having to bring the patient back to the slit lamp after inserting each lens. It is also handy to have a pen light with a blue filter to look for air bubbles immediately after insertion. A patient will appreciate an apron to protect their clothing. During the fitting, you can add fluorescein to the bowl, which can get a bit messy. It can be helpful to cut the bottom off the large inserter to make sure that it does not adhere to the lens. These products can be hard to find at local retailers, so be sure to have an online option available to your patients if you are not selling them in your office.Īcquire scleral lens inserters and removers as well. ![]() ![]() PuriLens Plus (PuriLens) and NaCl 0.9% are off-label but safe to use. Lacripure (Menicon) and ScleralFil (Bausch + Lomb) are FDA approved for scleral lenses. ![]() Use sterile, preservative-free solution to fill the bowl prior to insertion. There are a few extra items that are beneficial to have in the office before you get started. Technicians also need to get comfortable working with patients in this position. Most soft lens wearers can insert their lenses while standing in front of their bathroom mirror however, scleral lens insertion requires the patient to have their head parallel to the floor with their chin tucked to their chest. The insertion and removal techniques for scleral lenses are vastly different than those for soft lenses. When a lens is inserted improperly, air bubbles that inhibit vision and make fitting assessment difficult appear. Do a little research to find a product and manufacturer that will fit well into your practice. Many companies also offer education and certification courses on their websites to get you familiar with their products. These products can be researched online, and their fitting guides are often downloadable. Another good early patient is someone who can achieve good vision in a corneal lens but is not happy with their comfort.Īlthough there are several manufacturers of scleral lenses, you don’t need to start off with multiple fitting sets. A good first fit would be a single vision lens on top of a normal or mildly ectatic cornea. Are you looking to fit diseased or healthy corneas? Do you want to offer multifocal lenses to your patients? It makes sense to start simple and move to more advanced cases as you become more confident. ![]() Now that you have made the commitment to offer this technology, you need to think about the kinds of patients you want to fit. Sclerals can provide even your most challenging patients the comfort and vision they deserve. If you have a slit lamp, sterile saline and fluorescein, then you are ready to begin! You likely already have the knowledge and equipment needed to get started. This does not need to be the case when it comes to fitting scleral lenses. The thought of implementing the latest optometric trends into your practice may motivate you in a grand lecture hall however, upon returning to the scheduled routine of daily life in practice, your inspiration and motivation often dwindles away. A s the scope of practice expands throughout the country, optometrists stay up-to-date by attending conventions and completing continuing education classes.
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