Contact Lens Practice
Contact Lenses have come a long way in the past few years. There are a large variety of lenses for correcting vision or even cosmetic requirements. You get contact lenses that are for daily disposable use or ones that you can wear for a month.
While the choices are innumerable deciding the right contact lens is a complex task.
Given below is a brief introduction of the different kinds of contact lenses and their ideal use. For further details or consultation, do contact our clinic and we will be glad to help you make a medically correct choice.
Soft contact lenses are made of a soft polymer-plastic material combined with a percentage of water. Water allows oxygen to pass through the contact lens material and increases comfort. Many soft contact lenses also provide UV protection. Soft contact lenses are more comfortable than rigid gas permeable contact lenses when first inserted into the eye.
You can get disposable soft contact lenses – which reduce the chances of infection and involve little or no cleaning and offer much greater comfort. The disposable contact lenses also solve the problem of protein deposition as they are not used for a prolonged period of time. The one disadvantage of soft contact lenses is that it is far easier for these lenses to pick up pollutants such as soapy water. This can cause irritation to your eye.
Daily Disposables –
These are used for a day and then disposed. These are convenient as there is no need to clean them and they do not allow protein deposition. It eliminates dry eye and irritation caused due to allergy to contact lens solutions.
These soft contact lenses are made with a new “silicone hydrogel” material and can be worn for up to 30 nights and days. The material prevents protein deposit build up and lessens dry eye irritation.
Coloured contact lenses are a cosmetic application that can offer you a change in personality or appearance. There are four types of colored contact lenses, each offering a slightly different benefit:
These contact lenses are lightly tinted, so you can find your lens if you drop it. Visibility tints don’t change the color of your eyes.
These colored contact lenses have a translucent tint that’s meant to enhance your natural eye color. Enhancement tints are slightly darker than a visibility tint.
These contact lenses have a darker, opaque tints that change the color of your eyes. Color tints come in a wide array of specialty colors, including amethyst, violet, and green.
These colored contact lenses are designed for athletes and sports fans. They enhance certain colors and diminish other colors. For instance, contact lenses for tennis players would enhance optic yellow, the color of tennis balls.
Colored contact lenses are a medical device just like clear contact lenses, even though its application in some cases many be cosmetic. Do not share colored contacts lenses. You need to clean and maintain them just as you would any prescription contact lens.
Soft Toric lenses
Soft Toric lenses have twin power that is possible due to the different curvatures at different angles (one for astigmatism, the other for either myopia or hyperopia). Some soft toric lenses also have a mechanism to keep the contact lens relatively stable on the eye. This prevents movement of the lenses when you blink or look around. Stability of the toric contact lenses is necessary for steady vision.
Multifocal Contact Lenses
Bifocal and multifocal contact lenses work in several different ways, depending on the design and construction of the lens.
There are two basic types of multifocal contact lense designs. They are:
- Translating lenses or “alternating vision” lenses. These lenses demands that your pupil alternates between the two powers, as your gaze shifts upward or downward.
- Simultaneous vision lenses require your eye to be looking through both distance and near powers at the same time. Though this sound illogical, your visual system learns to select the correct power choice depending on how near or far you’re trying to see. Simultaneous vision lenses come in two types:
- Concentric ring designs
- Aspheric designs
How to choose a Bifocal contact lens –
Your eye doctor is the right person to recommend a suitable lens. The choice will depend on your “add” prescription power and your pupil size. But remember, the suitability of the lense and your comfort level cannot be predicted and you might have to try the different types before you settle on one that suits you best.
Rigid Gas Permeable Contact Lenses
Most people know about the soft gas permeable contact lenses, but very few are aware of the Rigid Gas Permeable lenses. These lenses are not to be confused with the old ‘hard” contact lenses. Those were made of a rigid material called PMMA. This material was hard to adjust to and did not permit passage of oxygen.
Rigid Gas Permeable contact lenses actually use more advanced technology than soft lenses. These lenses are made from silicone which allows oxygen to pass thru.
- They are very long lasting
- As they are gas permeable, they do not block oxygen passage
- They offer greater resistance to protein deposition as compared to the soft lenses.
- Some individuals with astigmatism who do not get the desired vision correction with soft lenses also find rigid gas permeable lenses extremely useful.
Boston Scleral Lens
The Fluid Ventilated gas permeable Scleral lenses are a vital component in the management of severe ocular surface disease. Its use results in reducing greatly the disabling ocular pain and photophobia. The main therapeutic benefit of the Scleral lens is provided by the oxygenated aqueous environment they create of the surface of the corneal epithelium. This forms a kind of a barrier that protects the epithelial surface from the impact of exposure to air and the friction caused by blinking and the blink induced movement of the contact lens
Since it avoids all corneal contact while covering irregular astigmatism, the Boston Scleral Lens can rehabilitate vision in eyes that have a variety of corneal disorders, many of which are intolerant to the traditional rigid gas-permeable (RGP) contact lenses.
The following is a partial list of indications for which the Boston Scelral lens may be indicated if spectacles are inadequate in vision correction and the eyes of the patient are intolerant of normal corneal contact lenses.
Corneal ectasia such as keratoconus, pellucid marginal degeneration, keratoglobus.
- Terriens marginal degeneration
- Post keratoplasty
- Corneal surface irregularities
- Astigmatism, Aphakia, and high myopia Severe ocular surface disease.
- Corneal stem cell deficiencies.
- Severe dry eye due to disorders of the lacrimal glands.
- Neurotrophic corneas
- Unrelenting non infectious corneal ulcers and epithelial defects.
Rose K Lens(contact lences)
Rose K Lenses are considered a quantum leap forward in the evolution of lens design for patients suffering from keratoconus. It is today the world’s most frequently prescribed rigid gas permeable contact lens for keratoconus.
The complex geometry can be customized to suit each eye and can correct all of the myopia and astigmatism associated with Keratoconus.
The complex geometry of every Rose K™ contact lens closely mimics the cone like shape of the cornea, for every stage of the keratoconus condition. This results in a comfortable fitting lens and improved sight for patients.
- It’s complex geometry can be customized to suit each eye and can correct all of the myopia and astigmatism associated with Keratoconus
- They are easy to insert, remove and clean
- They provide excellent health to the eye, because they allow the cornea to “breathe” oxygen directly through the lens
- Practitioners have the Rose K™ trial set fitting system which achieves a first fit success in over 80% of patients internationally.