Contact Lenses in Ophthalmic Practice

Description

Even with the advances in intraocular lens technology and the growing diversity of refractive surgery techniques, the role of contact lenses in ophthalmic practice has only increased. This is due in part to the great strides in materials, technology, expanding applications (both refractive and therapeutic) for contact lenses, and the clear recognition that contact lenses will always be an important tool for the ophthalmologist. With the fitting of contact lenses as a medical art, requiring a thorough understanding of anatomy, physiology and optics of the eye, this practice is formulaic only in part. The rest of contact lens practice requires sound medical judgment and decision- making that comes only with "hands-on" experience. The authors address this need by starting with a didactic approach that incorporates frequently-asked questions and straightforward answers so that the ophthalmology resident, intermediate contact lens practitioner, and optometrist will find this to be an indispensable resource. Design and Nomenclature of Contact Lenses....Pages 1-6 Indications, Contraindications, and Selection of Contact Lenses....Pages 7-16 The Routine Contact Lens Examination....Pages 17-21 The Role of the Ophthalmic Assistant in Contact Lens Practice....Pages 22-26 The Importance of Tear Film Evaluation in the Candidate for Contact Lens Wear....Pages 27-36 Corneal Topography and Contact Lenses....Pages 37-56 How to Fit Rigid Spherical Contact Lenses....Pages 57-67 Follow-Up After Fitting Rigid Gas Permeable Lenses....Pages 68-78 Fitting Spherical Hydrophilic Soft Contact Lenses for Daily and Extended Wear....Pages 79-83 Disposable and Planned Replacement Contact Lenses....Pages 84-89 Astigmatism and Toric Contact Lenses....Pages 90-108 Presbyopia and Contact Lenses....Pages 109-124 Contact Lens Fitting in Aphakia....Pages 125-129 Pediatric Contact Lenses....Pages 130-135 Fitting Contact Lenses After Refractive Surgery....Pages 136-159 Contact Lens Fitting After Corneal Transplantation....Pages 160-167 Contact Lens Fitting After Ocular Trauma....Pages 168-180 Keratoconus....Pages 181-190 Cosmetic and Prosthetic Contact Lenses....Pages 191-196 Therapeutic Contact Lenses....Pages 197-203 Maintenance and Handling of Contact Lenses....Pages 204-242 Complications Associated with Contact Lens Use....Pages 243-266 Complications Associated with Material, Deposits, and Lens Design in Rigid Gas Permeable Lenses....Pages 267-280 Lid and Conjunctival Complications Associated with Contact Lens Use....Pages 281-292 AIDS and Contact Lenses....Pages 293-296