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contact lenses fitting for KCN

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Hossein Mirzaie
Hossein Mirzaie

The document discusses contact lens fitting for patients with keratoconus. It describes the natural progression of keratoconus and importance of early diagnosis. Various contact lens fitting techniques are discussed for early and advanced keratoconus, including apical bearing, apical clearance, and three-point touch methods. Fitting approach depends on topographic characteristics and involves achieving optimal clearance, centration and comfort.

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Contact lens fitting and keratoconus Sedaghat M.R M.D MASHAD EYE RESEARCH CENTER Khatam-al-Anbia Hospital
Natural Course ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PATIENT CONSULTATION ,[object Object],[object Object],[object Object],[object Object]
Optical Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Optical Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SPECTACLE MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Optical Therapy ,[object Object]
Contact Lens Management ,[object Object],[object Object],[object Object],[object Object]
Contact Lens Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contact Lens Management ,[object Object],[object Object]
Contact Lens Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contact Lens Management ,[object Object],[object Object],[object Object],[object Object],[object Object]
Contact Lens Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contact Lens Management ,[object Object],[object Object],[object Object],[object Object],[object Object]
Contact Lens Management ,[object Object],[object Object],[object Object],[object Object]
Contact Lens Management Apical Bearing ,[object Object],[object Object]
Contact Lens Management Apical Bearing ,[object Object],[object Object],[object Object],[object Object],[object Object]
Contact Lens Management Apical Bearing- Flat fitting ,[object Object],[object Object],[object Object],[object Object]
Contact Lens Management Apical Bearing- Flat fitting ,[object Object],[object Object]
Contact Lens Management Apical Bearing- Flat fitting
Contact Lens Management Apical Clearance ,[object Object],[object Object],[object Object]
Contact Lens Management Apical Clearance ,[object Object],[object Object]
Contact Lens Management Apical Clearance
Contact Lens Management Apical Clearance ,[object Object],[object Object],[object Object]
Contact Lens Management Apical Clearance ,[object Object],[object Object],[object Object],[object Object]
Contact Lens Management Apical Clearance vs Apical Bearing ,[object Object],[object Object],[object Object],[object Object]
Contact Lens Management Apical Clearance vs Apical Bearing ,[object Object],[object Object],[object Object],[object Object]
Contact Lens Management Three - point Touch
Contact Lens Management Three - point Touch
Contact Lens Management Three - point Touch ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contact Lens Management Three - point Touch-steep fitting
Contact Lens Management ,[object Object],[object Object],[object Object]
Contact Lens Management ,[object Object],[object Object],[object Object]
Keratoconus Topographic Characteristics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Early & Advanced keratoconus
Early Keratoconus ,[object Object],[object Object],[object Object]
Early Keratoconus Superior Alignment Fitting Technique ,[object Object],[object Object],[object Object],[object Object]
Early Keratoconus Superior Alignment Fitting Technique
Early Keratoconus Superior Alignment Fitting Technique ,[object Object],[object Object],[object Object]
Early Keratoconus Superior Alignment Fitting Technique ,[object Object],[object Object],[object Object],[object Object],[object Object]
Early Keratoconus Superior Alignment Fitting Technique ,[object Object],[object Object],[object Object]
Early Keratoconus Superior Alignment Fitting Technique ,[object Object],[object Object],[object Object]
Early Keratoconus Superior Alignment Fitting Technique ,[object Object],[object Object],[object Object],[object Object]
Early Keratoconus Superior Alignment Fitting Technique ,[object Object],[object Object],[object Object],[object Object],[object Object]
Early Keratoconus Three Point Touch Fitting Technique ,[object Object],[object Object],[object Object],[object Object],[object Object]
Early Keratoconus Three Point Touch Fitting Technique ,[object Object],[object Object],[object Object],[object Object],[object Object]
Early Keratoconus Three Point Touch Fitting Technique ,[object Object],[object Object],[object Object],[object Object],[object Object]
Early Keratoconus Three Point Touch Fitting Technique ,[object Object],[object Object]
Early Keratoconus RGP Fitting Approach ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Early Keratoconus RGP Fitting Approach ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Early Keratoconus RGP Fitting Approach
Early Keratoconus RGP Fitting Approach ,[object Object],[object Object],[object Object],[object Object],[object Object]
Best – fit contact lens / KCN
Best – fit apical clearance and good fluorescein circulation
Excessive vaulting with trapped bubble
Inadequate vaulting with apical touch
TIPS FOR PARAMETERS SELECTION IN KCN THREE POINT TOUCH NORMAL LENS DESIGN ROCK & EXCSSIVE EDGE LIFT
Advanced Keratoconus Topographic Characteristics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Advanced Keratoconus Topographic Characteristics, Nipple Cone ,[object Object]
Advanced Keratoconus Topographic Characteristics, Oval Cone ,[object Object],[object Object],[object Object],[object Object]
Advanced Keratoconus Topographic Characteristics, Globus Cone ,[object Object],[object Object],[object Object]
Advanced Keratoconus Fitting Process ,[object Object],[object Object],[object Object],[object Object],[object Object]
Advanced Keratoconus Fitting Process, Nipple Cone ,[object Object],[object Object],[object Object],[object Object],[object Object]
Advanced Keratoconus Fitting Process, Nipple Cone
Advanced Keratoconus Fitting Process, Nipple Cone, Fitting Set
Advanced Keratoconus Fitting Process, Oval Cone ,[object Object],[object Object],[object Object],[object Object],[object Object]
Advanced Keratoconus Fitting Process, Oval Cone
Advanced Keratoconus Fitting Process, Oval Cone, Fitting Set
Advanced Keratoconus Fitting Process, Globus Cone ,[object Object],[object Object],[object Object],[object Object],[object Object]
Advanced Keratoconus Fitting Process, Globus Cone
Advanced Keratoconus Fitting Process, Globus Cone, Fitting Set
Keratoconus Fitting Process, Over Refraction ,[object Object],[object Object],[object Object],[object Object]
Keratoconus Fitting Process, Lens Dispensing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Semi-Scleral GP Lenses ,[object Object],[object Object],[object Object],[object Object]
Semi-Scleral GP Lenses Fitting Process ,[object Object],[object Object],[object Object],[object Object],[object Object]
Semi-Scleral GP Lenses Fitting Process
Soft lenses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Soft lenses ,[object Object],[object Object],[object Object]
Advantages of soft contact lens ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Disadvantages of soft contact lens ,[object Object],[object Object]
Disadvantages of soft contact lens ,[object Object],[object Object]
Keratoconus Soft CL ,[object Object],[object Object],[object Object],[object Object]
Keratoconus Soft CL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Keratoconus Traditional Piggyback Lenses ,[object Object]
Keratoconus Traditional Piggyback Lenses, Fitting Process ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Keratoconus Traditional Piggyback Lenses, Fitting Process ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Keratoconus Traditional Piggyback Lenses
Keratoconus Traditional Piggyback Lenses
Keratoconus Custom Piggyback Lenses ,[object Object],[object Object]
Keratoconus Custom Piggyback Lenses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Keratoconus Custom Piggyback Lenses, Fitting Process ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Keratoconus Custom Piggyback Lenses, Fitting Process ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Keratoconus Custom Piggyback Lenses, Fitting Process
Keratoconus Hybrid Lenses, Saturn Lens ,[object Object],[object Object],[object Object],[object Object]
Keratoconus Hybrid Lenses, Softperm Lens ,[object Object],[object Object],[object Object]
Keratoconus Hybrid Lenses, Softperm Lens ,[object Object],[object Object],[object Object],[object Object]
Keratoconus Hybrid Lenses, SynergEyes ,[object Object],[object Object],[object Object],[object Object]
Keratoconus Hybrid Lenses, SynergEyes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Keratoconus Hybrid Lenses, SynergEyes, Fitting Process ,[object Object],[object Object],[object Object]
Keratoconus Hybrid Lenses, SynergEyes, Fitting Process ,[object Object],[object Object],[object Object],[object Object]
Keratoconus Hybrid Lenses, SynergEyes, Fitting Process
Keratoconus Hybrid Lenses, SynergEyes, Fitting Process
Contact lens fitting and keratoconus
Contact lens fitting and keratoconus
Contact lens fitting and keratoconus
KCN lens selection based on type of cone
Different types of RGP lens designs for KCN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Different types of RGP lens designs for KCN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Soper contact lens / KCN bicurve-10 lenses Apical clearace manner
Soper contact lens / KCN bicurve-10 lenses Apical clearace manner
VAULTING EFFECT (sagittal value of lens )
McGuire contact lens / KCN BCR -4 PCR-3 type - Apical clearace manner
Rose –K contact lens ,[object Object]
Rose –K contact lens 85% first fit success complex lens geometry computer- generated peripheral curve system
Rose –K contact lens ,[object Object],[object Object]
Rose –K contact lens
Rose –K contact lens ,[object Object],[object Object],[object Object]
Rose –K contact lens ,[object Object],[object Object],[object Object]
Ni-Cone contact lens / KCN 3 separate BCRs -1 PCR
Bennett contact lens / KCN Three point touch fitting
Bennett contact lens / KCN Three point touch fitting
Contact lens / KCN problem solving
CLEK contact lens / KCN mild to moderate KCN -
KCN TRIAL LENSES
 
 
 
 
 
 
 
 
 

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