Scleral Faqs

Total Page：16

File Type：pdf, Size：1020Kb

PRINCETON EYE GROUP SCLERAL CONTACT US: FAQS Princeton Eye Group Office: 900 Easton Ave, Suite 50 WHY ARE SCLERAL LENSES SO Somerset, NJ 08873 COMFORTABLE? Website: princetoneyegroup.com Phone: 609.921.9437 Scleral lenses vault over the cornea and rest on the white portion of the eye (sclera), which is less sensitive. They fit under the eyelid, resulting in comfort & stability. DR. TIFFANI METHVIEN FIRM LENSES LARGER LENSES ADVANCED SPECIALTY Sharp Vision Comfort & Stability CONTACT LENSES Dr. Tiffani Methvien received her Doctorate from the Pennsylvania College of Optometry along WHY DO SCLERAL LENSES OFFER with a certificate of excellence in patient care. SUPERIOR VISION? Additionally, she holds a Bachelor of Arts from HOW They are manufactured in Gas Permeable (GP) material Rider University. She focused on specialization which provides a smooth optical surface and excellent vision in contact lenses while working with Dr. Edward even if your cornea has an irregular shape. Scleral lenses Boshnick at Global Vision Rehabilitation Center SCLERAL treat astigmatism and are available with bifocal options. in Miami, FL. Dr. Methvien received recognition from Visionary LENSES WHAT IS THE ‘LIQUID BANDAGE’ Optics and Conforma Labs for excellence in EFFECT? patient care treatment with contact lenses. She CAN HELP YOU works closely with Dr. Miedziak in managing Scleral lenses provide extra moisture for healthy eyes, keratoconus focusing on providing customized as well as for patients with severe dry eyes. The space care of corneal diseases and pathology with the between your eye and the back of the scleral lens acts as latest in contact lens technology, including fitting a fluid reservoir that provides constant moisture & comfort. and educating on the use of Scleral Lenses. Scleral lenses can be life changing, offering SCLERAL NEW amazing comfort & vision. Imagine what you can do if you could see better? Please ask us more LENSES TECH about these lenses and if they can help you! MANAGING CORNEAL SCLERAL CENTER OF EXCELLENCE IRREGULARITY Dr. Methvien offers one of the Keratoconus most advanced scleral lenses Pellucid Marginal Degeneration called the LATITUDE that uses Corneal Dystrophy / the data from your eye to Degeneration design a lens that matches Post-Corneal Transplant every ‘hill & valley’ of your Post-LASIK, Post-PRK eye. It’s like making the best fitting custom suit for you from a scan of your body! MANAGING OCULAR SURFACE DISEASE Severe Dry Eye Syndrome Exposure Keratitis Neurotrophic Keratitis SHARP COMFORT Systemic Autoimmune VISION Disorders If you cannot see clearly through Graft-versus-Host Disease glasses or regular contact lenses, we have state of the art technology to Stevens-Johnson Syndrome MADE JUST help you see clearly and comfortably. HYDRATION FOR YOU SHARP VISION CORRECTION The sMap3D measures FOR NORMAL CORNEA your eyes with extreme accuracy (1 million points!) to make customized High Astigmatism In Partnership with contact lenses designed especially for Multifocal for Presbyopia you!.

Copy Link

Recommended publications

Scleral Faqs
www.scleralcenter.com SCLERAL FAQS CONTACT US: Office: 501 E. Palm Valley Blvd. WHY ARE SCLERAL LENSES SO Round Rock, TX 78664 COMFORTABLE? Website: www.scleralcenter.com Scleral lenses vault over the cornea and rest on Phone: 512.248.2424 the white portion of the eye (sclera), which is less sensitive. They fit under the eyelid, resulting in comfort & stability. JAVIER R. ZAMORA, OD Dr. Zamora is the co-founder of Advanced Eye Care & Surgery and has been fitting specialty contact lenses since 1998. He is a graduate of the University of Texas at Austin and the University of Houston College of Optometry. FIRM LENSES LARGER LENSES Sharp Vision Comfort & Stability DEBBIE A. ZAMORA, OD Dr. Zamora is the co- founder of Advanced Eye WHY DO SCLERAL LENSES OFFER Care & Surgery and has SUPERIOR VISION? been fitting specialty contact lenses since They are manufactured in Gas Permeable (GP) 2001. She is a graduate HOW material which provides a smooth optical surface of Tulane University and the University of Houston and excellent vision even if your cornea has an College of Optometry. SCLERAL LENSES irregular shape. Scleral lenses treat astigmatism and are available with bifocal options. CAN HELP YOU DEBRA A. WARE, OD WHAT IS THE ‘LIQUID BANDAGE’ Dr. Ware has been fitting EFFECT? specialty contact lenses since 1998. She is Scleral lenses provide extra moisture for healthy a graduate of Baylor eyes, as well as for patients with severe dry eyes. University and the The space between your eye and the back of the University of Houston scleral lens acts as a fluid reservoir that provides College of Optometry.
[Show full text]
Dry Eye in Patient with Clinical History of Chronic Blepharitis and Chalaziosis Edited by Dr
year 10 num b e r 2 4 e y e d o c t o r m a r ch- a p r i l 2018 CLINICAL CASES OF LUCIO BURATTO Dry eye in patient with clinical history of chronic blepharitis and chalaziosis edited by Dr. Maria Luisa Verbelli, Dr.Alessia Bottoni Observation and 1 anamnesis Arrives at our observation at CIOS, Italian Center for Dry Eye at CAMO, a 56-year-old patient with blepharitis, redness, ocular burning and abundant mucous secretion present in both eyes. Furthermore, an enlarged lymph node is seen in the right laterocervical site. At ocular anamnesis the patient reports chronic blepharitis from the juvenile age, multiple chalazion in both eyes, an operation for right Fig. 1 Handpiece for the application of the pulsed light of the Eye-Light instrument upper eyelid chalaziosis in 2006 (4 upper eyelid chalazion , 3 in the lower); negative anamnesis for these pathologies in the family. The patient is shortsighted since adolescence, has not had any other eye operations and has no ocular allergies. The general anamnesis does not report major systemic diseases or medication intake. On objective examination of the anterior segment we find bilaterally: reduced lacrimal meniscus, posterior blepharitis, obstruction of all the Meibomian glands of the upper and lower eyelids, conjunctival hyperemia with dry spots, transparent cornea, transparent crystalline. The no contact tonometry is 15 mmHg in RE, 16 mmHg in LE. The OCT of the macula does not show changes in both eyes. The BUT is 4.9 seconds in RE, and 15.6 seconds in LE.
[Show full text]
Scleral Lenses and Eye Health
Scleral Lenses and Eye Health Anatomy and Function of the Human Eye How Scleral Lenses Interact with the Ocular Surface Just as the skin protects the human body, the ocular surface protects the human Scleral lenses are large-diameter lenses designed to vault the cornea and rest on the conjunctival tissue sitting on eye. The ocular surface is made up of the cornea, the conjunctiva, the tear film, top of the sclera. The space between the back surface of the lens and the cornea acts as a fluid reservoir. Scleral and the glands that produce tears, oils, and mucus in the tear film. lenses can range in size from 13mm to 19mm, although larger diameter lenses may be designed for patients with more severe eye conditions. Due to their size, scleral lenses consist SCLERA: The sclera is the white outer wall of the eye. It is SCLERAL LENS made of collagen fibers that are arranged for strength rather of at least two zones: than transmission of light. OPTIC ZONE The optic zone vaults over the cornea CORNEA: The cornea is the front center portion of the outer Cross section of FLUID RESERVOIR wall of the eye. It is made of collagen fibers that are arranged in the eye shows The haptic zone rests on the conjunctiva such a way so that the cornea is clear. The cornea bends light the cornea, overlying the sclera as it enters the eye so that the light is focused on the retina. conjunctiva, and sclera as CORNEA The cornea has a protective surface layer called the epithelium.
[Show full text]
Frequency and Risk Factors of Symptomatic Dry Eye Disease at Tertiary Care Eye Hospital, Karachi
Biostatistics and Biometrics Open Access Journal ISSN: 2573-2633 Research Article Biostat Biometrics Open Acc J Faisal’s Issue - January 2018 Copyright © All rights are reserved by Muhammad Faisal Fahim DOI: 10.19080/BBOAJ.2018.04.555639 Frequency and Risk Factors of Symptomatic Dry Eye Disease at Tertiary Care Eye Hospital, Karachi Shaheerah Gul1, Adil Salim Jafri1, Muhammad Faisal Fahim2* 1Department of Ophthalmology, Al-Ibrahim Eye Hospital, Pakistan 2Department of Research & Development, Al-Ibrahim Eye Hospital, Pakistan Submission: November 27, 2017; Published: January 19, 2018 *Corresponding author: Muhammad Faisal Fahim, M.Sc (Statistics), Statistician, Research & Development Department, Al-Ibrahim Eye Hospital, Isra postgraduate Institute of Ophthalmology, Karachi, Pakistan, Tel: ; Email: Abstract Objective: To determine frequency and risk factors of symptomatic dry eye disease at tertiary care eye hospital, Karachi. Material & Methods: This was a descriptive cross sectional study carried out at Al-Ibrahim Eye Hospital, Isra postgraduate Institute of Oph- thalmology, Karachi from March to October 2016. Non-Probability purposive sampling technique was used for data collection. Inclusion criteria give consent. Symptoms of dry eye were assessed using Tear breakup test (TBUT) test. SPSS version 20.0 was used to analyze data. were patients aged ≥ 21 years and on the basis of dry eye symptoms. Exclusion criteria were other systemic eye disease and those who did not Results: A total of 100 patients 65 female and 35 male were diagnosed with dry eye syndrome. The age group of 21-30 years having the high- est frequency of 34 patients, whereas after the 50 years of age the frequency of patients decreases to 21.
[Show full text]
Clinical Findings and Management of Posterior Vitreous Detachment
American Academy of Optometry: Case Report 5 Clinical Findings and Management of Posterior Vitreous Detachment Candidate’s Name, O.D. Candidate’s Address Candidate’s Phone number Candidate’s email Abstract: A posterior vitreous detachment is a degenerative process associated with aging that affects the vitreous when the posterior vitreous cortex separates from the internal limiting membrane of the retina. The composition of the vitreous gel can degenerate two collective ways, including synchysis or liquefaction, and syneresis or shrinking. Commonly, this process of separation occurs with the posterior hyaloid resulting in a Weiss ring overlying the optic nerve. Complications of a posterior vitreous detachment may include retinal breaks or detachments, retinal or vitreous hemorrhages, or vitreomacular traction. This case presentation summarizes the etiology of this ocular condition as well as treatment and management approaches. Key Words: Posterior Vitreous Detachment, Weiss Ring, Vitreous Degeneration, Scleral Depression, Nd:YAG Laser 1 Introduction The vitreous humor encompasses the posterior segment of the eye and fills approximately three quarters of the ocular space.1 The vitreous is a transparent, hydrophilic, “gel-like” substance that is described as a dilute solution of collagen, and hyaluronic acid.2,3,4 It is composed of 98% to 99.7% water.4 As the eye matures, changes may occur regarding the structure and composition of the vitreous. The vitreous functions to provide support to the retina against the choroid, to store nutrients and metabolites for the retina and lens, to protect the retinal tissue by acting as a “shock absorber,” to transmit and refract light, and to help regulate eye growth during fetal development.3,4 Case Report Initial Visit (03/23/2018) A 59-year-old Asian female presented as a new patient for examination with a complaint of a new onset of floaters and flashes of light in her right eye.
[Show full text]
Refractive Errors a Closer Look
2011-2012 refractive errors a closer look WHAT ARE REFRACTIVE ERRORS? WHAT ARE THE DIFFERENT TYPES OF REFRACTIVE ERRORS? In order for our eyes to be able to see, light rays must be bent or refracted by the cornea and the lens MYOPIA (NEARSIGHTEDNESS) so they can focus on the retina, the layer of light- sensitive cells lining the back of the eye. A myopic eye is longer than normal or has a cornea that is too steep. As a result, light rays focus in front of The retina receives the picture formed by these light the retina instead of on it. Close objects look clear but rays and sends the image to the brain through the distant objects appear blurred. optic nerve. Myopia is inherited and is often discovered in children A refractive error means that due to its shape, your when they are between ages eight and 12 years old. eye doesn’t refract the light properly, so the image you During the teenage years, when the body grows see is blurred. Although refractive errors are called rapidly, myopia may become worse. Between the eye disorders, they are not diseases. ages of 20 and 40, there is usually little change. If the myopia is mild, it is called low myopia. Severe myopia is known as high myopia. Lens Retina Cornea Lens Retina Cornea Light rays Light is focused onto the retina Light rays Light is focused In a normal eye, the cornea and lens focus light rays on in front of the retina the retina. In myopia, the eye is too long or the cornea is too steep.
[Show full text]
Blepharitis Last Revised in October 2015
Menu Sign in (https://accounts.nice.org.uk/signin) Search... Blepharitis Last revised in October 2015 Changes Back to top Last revised in October 2015 October 2015 — reviewed. A literature search was conducted in October 2015 to identify evidence based guidelines, UK policy, systematic reviews, and key randomized controlled trials published since the last revision of the topic. No changes to clinical recommendations have been made. Previous changes Back to top September 2012 — reviewed. A literature search was conducted in September 2012 to identify evidencebased guidelines, UK policy, systematic reviews, and key RCTs published since the last revision of the topic. No changes to clinical recommendations have been made. April 2011 — minor update. Change to recommendation regarding need for additional contraception during or after a course of tetracycline additional contraception is no longer required when using antibiotics that are not enzyme inducers with combined hormonal methods for durations of 3 weeks or less [FSRH, 2011 (/blepharitis#!references/315093)]. Issued in June 2011. March 2011 — topic structure revised to ensure consistency across CKS topics — no changes to clinical recommendations have been made. September 2010 — minor update. Hydromoor® (hypromellose 0.3% preservativefree single dose eye drops) have been included. Issued in September 2010. March 2010 — minor update. LubriTears® eye ointment has been discontinued. Prescription removed. Issued in March 2010. December 2007 to May 2008 — converted from CKS guidance to CKS topic structure. The evidence base has been reviewed in detail, and recommendations are more clearly justified and transparently linked to the supporting evidence. The clinical scenario structure has been reviewed.
[Show full text]
29 Yo White Female
5/21/2014 29 yo white female CC: Decreased VA OD X few days Women of Vision Present Are We PMHx: 5 months pregnant at Risk for Vision Morbidity MODERATOR BVA: 20/30 OD 20/20 OS Pupils: (-) APD Louise Sclafani O.D. Louise A. Sclafani, OD, FAAO CF: FTFC OD/OS Co-instructors: Jill Autry, OD, Melissa Associate Professor Barnett, OD, Susan Cotter, OD, Diana University of Chicago Hospital Shechtman, OD GOALS It’s a BOY… • Our panel will take on this challenge and discuss this population as it relates to the following conditions optic neuritisOCT Women at Risk: Retinal Issues Fetus maculopathy??? evaluation, AMDnutritional controversy, psychosocial issuesmanagement options with strabismus, ocular concerns for common Diana Shechtman, OD systemic pharmaceuticals, safety issues with [[email protected]] ophthalmic drugs, and the hormonal influence Associate Professor of Optometry at on ocular surface disease NOVA Southeastern University College of Optometry Courtesy of Dr. M Rafieetary CASE PRESENTATION SUMMARY So why would’t ICSC (idiopathic central serous chorioretinopathy) WE (female gender) be stressed out? Serous macular detachment due to RBR breakdown • As ODs we need to place a higher priority on those individuals at increased risk for vision- threatening ocular disease. It has been estimated that the female gender represents 23 of all visually compromised individuals due to inherent risk factors and lack of access to healthcare. Diana Shechtman OD FAAO 1 5/21/2014 Hyperpermeability at RPE site is associated with choroidal Which of the following drugs in Not associated CSR in women circulation disruption/vascular congenstion with ICSC? Quillen et al.
[Show full text]
Perspectives on Presbyopia
PERSPECTIVES ON PRESBYOPIA EXTRA CONTENT FOUR PATIENTS AVAILABLE FIVE EXPERTS BY MARY WADE, CONTRIBUTING WRITER ew presbyopia treatments, such as the corneal inlays Kamra and Raindrop, are slowly wending their way through the U.S. Food and Drug Administration approval process. Entirely new approaches to intraocular lenses (IOLs) are in development internationally. Meanwhile,N patients arrive in your office daily, seeking better vision without reading glasses. What are the best treatments to offer them right now? EyeNet asked five leading refractive surgeons to review four hypothetical patients with pres- byopia or pre-presbyopia. The differing recommendations made by these clinicians illustrate the range of valid approaches. The surgeons emphasize that, in all cases, it’s critical to conduct a thorough assessment, talk with patients about their vision priorities, discuss the pros and cons of various approaches, and mention the option of “watchful waiting”—that is, forgoing treatment for the time being. When patients are considering corrective surgery, one of the surgeon’s most important tasks is to help them form realistic expectations regarding visual outcomes and possible complications. (See “Counseling Caveats.”) For those patients who choose to pursue vision correction surgery, the perspectives presented by these refractive experts can help to guide treatment choices with today’s technologies. BONNIE A. HENDERSON, MD KEVIN M. MILLER, MD J. BRADLEY RANDLEMAN, MD STEVEN I. ROSENFELD, MD, FACS SONIA H. YOO, MD ALFRED T. KAMAJIAN T. ALFRED eyenet 37 eventually need cataract surgery, prior refractive surgery may make accurate refraction difficult and constrain lens choices. It makes sense to leave the corneas pristine in older patients.
[Show full text]
Ocular Complications of Obstructive Sleep Apnea
Journal of Clinical Medicine Review Ocular Complications of Obstructive Sleep Apnea Pei-Kang Liu 1,2,3,4 , Tzu-Yu Chiu 1,2 , Nan-Kai Wang 4 , Sarah R. Levi 4 and Ming-Ju Tsai 5,6,7,8,* 1 Department of Ophthalmology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan; [email protected] (P.-K.L.); [email protected] (T.-Y.C.) 2 School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan 3 Institute of Biomedical Sciences, National Sun Yat-sen University, Kaohsiung 804, Taiwan 4 Department of Ophthalmology, Edward S. Harkness Eye Institute, Columbia University, New York, NY 10032, USA; [email protected] (N.-K.W.); [email protected] (S.R.L.) 5 Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan 6 Sleep Disorders Center, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan 7 Department of Respiratory Care, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan 8 Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan * Correspondence: [email protected]; Tel.: +886-7-3121101 (ext. 5601) Abstract: Obstructive sleep apnea (OSA), the most common form of sleep-disordered breathing, is characterized by repetitive episodes of paused breathing during sleep, which in turn induces transient nocturnal hypoxia and hypercapnia. The high prevalence of OSA and its associated health consequences place a heavy burden on the healthcare system. In particular, the consequent episodic oxygenic desaturation/reoxygenation series and arousals from sleep in patients with OSA have the potential to trigger oxidative stress, elevated systemic inﬂammatory responses, and autonomic Citation: Liu, P.-K.; Chiu, T.-Y.; dysfunction with sympathetic activation.
[Show full text]
Review of the Impact of Presbyopia on Quality of Life in the Developing and Developed World
Acta Ophthalmologica 2014 Review Article Review of the impact of presbyopia on quality of life in the developing and developed world Ariana D. Goertz,1 William C. Stewart,2 William R. Burns,3 Jeanette A. Stewart2 and Lindsay A. Nelson2 1University of Nevada, Las Vegas, Nevada, USA 2PRN Pharmaceutical Research Network, LLC, Cheyenne, Wyoming, USA 3Encore Vision, Inc., Fort Worth, Texas, USA ABSTRACT. (Barbero 2013). Everyone eventually Purpose: To examine the public health impact of presbyopia regarding its effect develops presbyopia but symptoms on quality of life (QoL) and society in both the developed and developing worlds. may vary. The major risk factor for Methods: A database was created from articles found on PubMed, the Cochrane presbyopia is age although the condi- Library and Science Direct using the following search terms: presbyopia, QoL, tion may be affected by other factors accommodation, impact, cost, prevention, treatment and public health. Articles including disease, trauma and medica- were accepted into the database if they addressed presbyopia and public health. tions (American Optometric Associa- Results: This study showed in the developed world presbyopic subjects treated tion 2010). with reading glasses suffered a reduction in QoL parameters compared with Presbyopia is classically believed to those who were younger and emmetropic. A small minority of subjects were result from hardening of the lens although other causes have been assessed to be a candidate for additional non-spectacle treatment measures. In described as well such as changes in undeveloped areas, the manifestations of presbyopia were similar to the tissue elasticity and the ciliary body developed world in symptoms, age and reduced QoL.
[Show full text]
Impact of Presbyopia and Its Correction in Its Correction and of Presbyopia Impact Copyright © 2018 Asia-Pacific Academy of Ophthalmology
REVIEW ARTICLE Impact of Presbyopia and Its Correction in Low- and Middle-Income Countries Ving Fai Chan, MSc, PhD,* Graeme E. MacKenzie, DPhil,† Jordan Kassalow, OD, MPH,‡§ Ella Gudwin, MA,‡ and Nathan Congdon, MD, MPH¶ǁ** 10,11 07/24/2019 on BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3XLe684GKHSUkTaSrkQQMT2tZTRYsAPrCn1WjGM14MXk= by https://journals.lww.com/apjoo from Downloaded Abstract: Presbyopia affects more than 1 billion people worldwide, of presbyopic correction with glasses are as low as 10%. The prevalence of presbyopia in LMICs ranges from 43.8% Downloaded and the number is growing rapidly due to the aging global population. 10,12–39 Uncorrected presbyopia is the world’s leading cause of vision impair- to 93.4%. However, most of these studies are of somewhat limited value in understanding the burden of presbyopia, as they from ment, and as with other causes. The burden falls unfairly on low- and https://journals.lww.com/apjoo middle-income countries (LMICs), in which rates of presbyopic correc- largely focus on distance vision, few were population-based, and tion are as low as 10%. The importance of presbyopia as a cause of vision definitions of disease and age group cut-offs also vary. impairment is further underscored by the fact that it strikes at the heart The definition of presbyopia is also potentially problematic. 10,16–19,40,41 of the productive working years, although it can be safely and effectively Many studies define NVI as uncorrected bilateral near treated with a pair of inexpensive glasses. To galvanize action for pro- visual acuity (NVA) worse than N6 or N8 at 40 cm (the 40 cm by BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3XLe684GKHSUkTaSrkQQMT2tZTRYsAPrCn1WjGM14MXk= grams to address uncorrected presbyopia in the workplace and beyond equivalent of less than or equal to 6/12 and 6/15, respectively).
[Show full text]