Complete Course in Dispensing
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Intraocular Lenses and Spectacle Correction
MEDICAL POLICY POLICY TITLE INTRAOCULAR LENSES, SPECTACLE CORRECTION AND IRIS PROSTHESIS POLICY NUMBER MP-6.058 Original Issue Date (Created): 6/2/2020 Most Recent Review Date (Revised): 6/9/2020 Effective Date: 2/1/2021 POLICY PRODUCT VARIATIONS DESCRIPTION/BACKGROUND RATIONALE DEFINITIONS BENEFIT VARIATIONS DISCLAIMER CODING INFORMATION REFERENCES POLICY HISTORY I. POLICY Intraocular Lens Implant (IOL) Initial IOL Implant A standard monofocal intraocular lens (IOL) implant is medically necessary when the eye’s natural lens is absent including the following: Following cataract extraction Trauma to the eye which has damaged the lens Congenital cataract Congenital aphakia Lens subluxation/displacement A standard monofocal intraocular lens (IOL) implant is medically necessary for anisometropia of 3 diopters or greater, and uncorrectable vision with the use of glasses or contact lenses. Premium intraocular lens implants including but not limited to the following are not medically necessary for any indication, including aphakia, because each is intended to reduce the need for reading glasses. Presbyopia correcting IOL (e.g., Array® Model SA40, ReZoom™, AcrySof® ReStor®, TECNIS® Multifocal IOL, Tecnis Symfony and Tecnis SymfonyToric, TRULIGN, Toric IO, Crystalens Aspheric Optic™) Astigmatism correcting IOL (e.g., AcrySof IQ Toric IOL (Alcon) and Tecnis Toric Aspheric IOL) Phakic IOL (e.g., ARTISAN®, STAAR Visian ICL™) Replacement IOLs MEDICAL POLICY POLICY TITLE INTRAOCULAR LENSES, SPECTACLE CORRECTION AND IRIS PROSTHESIS POLICY NUMBER -
View to Define Contact Lens Discomfort And
Contact Lens Discomfort, Vision Correction Preferences, and Accommodative Treatment in Presbyopic and Non-Presbyopic Contact Lens Wearers Dissertation Presented in Partial Fulfillment of the Requirements for the Degree Doctor of Philosophy in the Graduate School of The Ohio State University By Erin Marie Rueff, OD, MS Graduate Program in Vision Science The Ohio State University 2018 Dissertation Committee Melissa Bailey, OD, PhD, Advisor Donald Mutti, OD, PhD Teng Leng Ooi, PhD Loretta Szczotka-Flynn, OD, PhD ii Copyrighted by Erin Marie Rueff 2018 iii Abstract Discomfort is the most cited reason for dissatisfaction with and discontinuation of contact lens wear. Most discomfort is attributed to dry eye-type etiologies, but uncomfortable contact lens wearers commonly show few objective signs of dryness, and treatments aimed at eliminating dryness often fail. Uncomfortable contact lens wearers, however, also report symptoms that are similar to binocular vision and accommodative disorders. Research in our laboratory suggested that uncomfortable wearers have an increased incidence of accommodative insufficiency and led us to hypothesize that contact lens discomfort is influenced by symptoms associated with visual discomfort and accommodative fatigue. The projects described in this dissertation sought to better understand how accommodative decline in presbyopes affects comfort and contact lens discontinuation and how alleviation of accommodative demand in non-presbyopes via a multifocal contact lens affects discomfort and satisfaction with contact lens wear. Presbyopes, a group with known accommodative insufficiency, are also known for being particularly uncomfortable contact lens wearers. Few studies, however, have specifically addressed presbyopic reasons for contact lens discontinuation. The first experiment in this dissertation describes a survey study that aimed to determine why presbyopes discontinued contact lens wear and how factors like vision and comfort influenced dropout. -
Professional Fitting And
PROFESSIONAL FITTING AND INFORMATION GUIDE PARAGON RG-4™ Manufactured in Paragon HDS® 100 (paflufocon D) RIGID GAS PERMEABLE CONTACT LENSES FOR CORNEAL RESHAPING OVERNIGHT WEAR 1 TABLE OF CONTENTS Page Introduction 3 Product Description 3 Actions 6 Indications (Uses) 6 Contraindications 6 Warnings 6 Adverse Effects (Problems and What to Do) 6 Precautions 6 Selection of Patients 6 Fitting Concept 7 Predicting Lens Results 7 Clinical Study Data 7 Risk Analysis 7 Fitting Paragon RG-4™ Contact Lenses for Corneal Reshaping 8 Pre-fitting Examination 8 Initial Lens Power Selection 8 Initial Lens Diameter Selection 8 Initial Lens Base Curve Selection 8 Initial Lens Evaluation 8 Characteristics of a Tight Lens 9 Characteristics of a Loose Lens 9 Diagnostic Lenses 9 Corneal Reshaping Problem Solving 10 Follow-Up Care 12 Recommended Initial Wearing Schedule 12 Myopic Reduction Maintenance Lens (Retainer Lens) Wearing Schedule 13 Handling Of Lenses 13 Patient Lens Care Directions 13 Vertex Distance and Keratometry Conversion Charts 13 How Supplied 13 Reporting Of Adverse Reactions 14 2 INTRODUCTION Paragon RG-4™ Contact Lenses for Corneal Reshaping produce a temporary reduction of myopia by reversibly altering the curvature of the cornea. The Paragon RG-4™ contact lenses are manufactured from Paragon HDS® 100. A slight reduction of the curvature of the cornea can reduce the excessive focusing power of the myopic eye. If the amount of corneal reshaping is precisely controlled as is the objective of Paragon RG-4™ lens design, it is possible to bring the eye into correct focus and completely compensate for myopia. After the contact lens is removed, the cornea retains its altered shape for all or most of one’s waking hours. -
Opticians Handbook 2005
Opticians’ Handbook 2005 Sponsored by Safilo and Varilux Advertisement A Jobson Publication Opticians’ HANDBOOK We are very interested in your comments and sugges- Welcome... tions on this handbook as well as additional topics that you would like to see covered in the future. Please email Dear Reader, us at [email protected]. We look forward to hearing from you. Sàfilo USA and Essilor of America are delighted to pro- duce this Opticians’ Handbook. 4 The Patient Experience For the first time a frame and lens company have come together to compile a resource The Prescription Claudio Gottardi 6 President & CEO, Sàfilo USA guide about continuing educa- tion. It is our goal with this Handbook to give the optician 8 Definitions the tools to grow their profes- sional knowledge. Continuing Education is a 9 PD & Segment Height critical factor in the growth of our industry. It allows the opti- cian to keep pace with technol- 12 Techniques and Technology of Frames Mike Daley ogy changes in frame and lens President, Essilor Lenses materials, treatments and Lenses—Materials, Treatments and Designs designs. It ensures that each patient can receive the high- 18 est level of customer satisfaction. It also provides our com- mitment to new products. 20 Choose and Use Sunwear More Effectively Use this Handbook to locate the next conference near- est you, web classes available in areas of technical inter- est or review this text to improve skills and overall expert- 22 AR Lenses ise. We’ve also added a listing of states that license Opticianry and the CE requirements for re-licensure. -
Ultimate the ^ ABO Study Guide Version 7/2016
Ultimate The ^ ABO Study Guide Version 7/2016 "Opticianworks.com was truly a game changer for me! The basic (free) ABO Guide was good for helping me pass the ABO, but then I discovered the paid portion. It was there that I found endless tools, in the form of videos, charts, explanations, formulas, and links, that opened my eyes to all that was possible, both in passing my necessary tests, and in becoming a true professional. Thank you for creating and maintaining such a professional and detailed resource, and at such an affordable price, too! I am a fan of quality overall, wherever I find it. So many things are shoddily done these days, but the quality of your site truly shows. Heck, I happen to live near John and he even had me over for a 1:1 practice session! Where else are you going to find that kind of customer service?” Pam DiPrima 7/2016 __________________________________________________________ “OpticianWorks is by far the best thing I've spent so few dollars on in the past few months. For $10 a month, I have had my expectations exceeded and so much more than the study guides for the ABO/licensing exams. My daily questions get answered immediately, and at my request, study guides and "problems" get emailed to me for practice. This is my career I'm talking about, and without being properly prepared for my exams, to obtain certifications and licenses, I'm just another minimum wage statistic. What do you spend $10 on, on a DAILY basis? Lunch with a coworker? A movie without the popcorn and drink? What if you could spend only $10 a MONTH and get yourself fully prepared as an optician? You can! Worth it. -
VM Report Weighs in on Top Labs
WHOLESALE COVER TOPIC HEAVYWEIGHTS VM Report Weighs In on Top Labs BY ANDREW KARP / GROUP EDITOR, LENSES + TECHNOLOGY NEW YORK—Fast. Flexible. Resourceful. Responsive. These quali- ties, along with good value, are what eyecare professionals look for Top Labs’ Vital Stats in a wholesale optical laboratory. • The total net sales for all 25 Top Labs, including both However, the customers of the industry’s largest wholesalers, VM’s supplier-owned lab networks and independent labs, will Top Labs, set the bar higher. They demand the latest lens designs, climb to $2.8 billion in 2015, up 8.3 percent from 2014. materials and coatings, and an extensive choice of name brand and • The total Rx sales for the Top Labs will hit $2.5 billion, private label products. When they have questions about technical a 7.8 percent increase over 2014. issues or product availability they want answers instantly. They • Collectively, the Top Labs will produce a total of want rapid turnaround, and sometimes even same-day service. 152,585 Rx jobs per day, (approximately 38.1 million As VM’s newly released 2015 Top Labs Report shows, these Rx jobs annually), a 6 percent increase over 2014 Wholesale Heavyweights deliver all this, and more. This exclusive • Rx sales for the Top 5 Supplier-Owned Lab Networks will report, based on our annual survey, ranks independent wholesalers climb to $2 billion, a 7.7 percent increase from 2014. and supplier-owned lab networks according to their projected Rx • The Top 5 will collectively produce 121,300 Rx jobs per sales and productivity. -
Metrology and Simulation with Progressive Addition Lenses
Metrology and Simulation with Progressive Addition Lenses by Dulce Gonzalez Utrera Copyright c Dulce Gonzalez Utrera 2018 A Dissertation Submitted to the Faculty of the College of Optical Sciences In Partial Fulfillment of the Requirements For the Degree of Doctor of Philosophy In the Graduate College The University of Arizona 2 0 1 8 3 Acknowledgments First and foremost, my sincere appreciation and gratitude to my advisor Dr. Jim Schwiegerling for his mentorship, his guidance and his constant support throughout these years. I would also like to thank the committee members Dr. Dae Wook Kim and Dr. Ron Liang, for their valuable feedback. Thank you to my collegues in the Visual and Ophthalmic Optics Lab: Eddie LaVilla, Brian Redman, Carmen Paleta, Carl Chancy, William Duncan, Ashley Valdez, Yu Yan, Sean Ashley, Jieun Ryu, Martin Chao-Hsiung Tseng, Ethan Tank, Soheila Boo- jari, Yuqiao Han for their valuable comments and help throughout the completion of my PhD . I would like to thank Mar´ıaand Mohan for being true friends and my support through- out these years. Your friendship has been irreplaceable. I am thankful to Oscar, whose constant encouragement and endless patience have helped me come this far. Thank you to my family, especially to my parents and my brother without whom I would not be here. Finally, all my gratitude to Liliana, Poonam, Sandra, Phillipi, Rodolfo, Itzel, Itzel, Gaby, Pabli, Ismael, Juan Manuel and all my friends for making my time in Tucson a unique experience. I would like to acknowledge CONACyT and TRIF University of Arizona for their financial support. -
Optical Theory Simplified: 9 Fundamentals to Becoming an Optical Genius APPLICATION NOTES
LEARNING – UNDERSTANDING – INTRODUCING – APPLYING Optical Theory Simplified: 9 Fundamentals To Becoming An Optical Genius APPLICATION NOTES Optics Application Examples Introduction To Prisms Understanding Optical Specifications Optical Cage System Design Examples All About Aspheric Lenses Optical Glass Optical Filters An Introduction to Optical Coatings Why Use An Achromatic Lens www.edmundoptics.com OPTICS APPLICATION EXAMPLES APPLICATION 1: DETECTOR SYSTEMS Every optical system requires some sort of preliminary design. system will help establish an initial plan. The following ques- Getting started with the design is often the most intimidating tions will illustrate the process of designing a simple detector step, but identifying several important specifications of the or emitter system. GOAL: WHERE WILL THE LIGHT GO? Although simple lenses are often used in imaging applications, such as a plano-convex (PCX) lens or double-convex (DCX) in many cases their goal is to project light from one point to lens, can be used. another within a system. Nearly all emitters, detectors, lasers, and fiber optics require a lens for this type of light manipula- Figure 1 shows a PCX lens, along with several important speci- tion. Before determining which type of system to design, an fications: Diameter of the lens (D1) and Focal Length (f). Figure important question to answer is “Where will the light go?” If 1 also illustrates how the diameter of the detector limits the the goal of the design is to get all incident light to fill a detector, Field of View (FOV) of the system, as shown by the approxi- with as few aberrations as possible, then a simple singlet lens, mation for Full Field of View (FFOV): (1.1) D Figure 1: 1 D θ PCX Lens as FOV Limit FF0V = 2 β in Detector Application ƒ Detector (D ) 2 or, by the exact equation: (1.2) / Field of View (β) -1 D FF0V = 2 tan ( 2 ) f 2ƒ For detectors used in scanning systems, the important mea- sure is the Instantaneous Field of View (IFOV), which is the angle subtended by the detector at any instant during scan- ning. -
Varilux Pro Reading Card
Hold this card at a comfortable distance See the difference withVarilux ® lenses. (about 16 inches from your face) 1 20/40 J7 (20/20 at 32 inches) It happens gradually. Little by little, it gets harder to read, work at the computer, or play sports. That’s because over time, the PROGRESSIVE Sharp vision and smooth Hold this card at a comfortable reading distance muscles in our eyes weaken, causing most of us to need glasses. LENSES transitions at any distance (about 16 inches from your face). Now look up into the distance. This is your far distance vision. Anywhere you look—near, far, and everywhere in between— Varilux progressive lenses are designed to restore sharper vision and smooth transitions from one field of vision to another, so you 2 20/30 J6 (20/20 at 24 inches) get vision so natural it’s as if the lens and the eye are working together as one. Extend the card out from you and move your chin up and down. Notice the smooth transition and your ability to read ® at all distances near and far. Enjoy your new Varilux lenses from the start. Try these tips and talk to your Eyecare Professional about 3 20/25 J3 (20/20 at 20 inches) maximizing the benefits of your new Varilux progressive lenses: Our proprietary LiveOptics™ process puts you first, combining the latest • research with wearer testing. It’s a process unique to Varilux, designed to Start wearing your new glasses immediately discover how people really see, so that we can help give you the most natural • Wear your new glasses continuously vision possible. -
Techspec® Precision Aspheric Lenses Precision Techspec® by Edmund Optics by Edmund High Numerical Apertur High Numerical Gener Designed and Manufactur Designed
Edmund Optics® BROCHURE ASPHERIC LENSES ® COPYRIGHT 2017 EDMUND OPTICS, INC. ALL RIGHTS RESERVED 1/2017 RIGHTS RESERVED ALL 2017 EDMUND OPTICS, INC. ® COPYRIGHT PRODUCTS & CAPABILITIES Contact us for a Stock or Custom Quote Today! UK: +44 (0)1904 788600 | GERMANY: +49 (0)721 6273730 [email protected] | FRANCE: +33 (0)8 20 20 75 55 www.edmundoptics.eu/aspheres-17 CNC POLISHING CAPABILITIES Edmund Optics® is a premier manufacturer of aspheric lenses, producing thousands of precision polished aspheres each month. Lenses are manufactured from a variety of Schott, Ohara, and CDGM glasses, fused silica, and a multitude of fluoride and crys- talline materials. Edmund Optics® utilizes state-of-the-art CNC equipment for coarse and fine grinding and polishing of aspheric lenses with convex or concave geometries. Deterministic figure correction through Magneto-Rheological polishing is available for the ulti- mate in precision (see MRF Polishing Capabilities). Aspheric Manufacturing Capabilities Commercial Precision High Precision Diameter 10 - 150 mm 10 - 150 mm 10 - 150 mm Diameter Tolerance +0/-0,100 mm +0/-0,025 mm +0/-0,010 mm Asphere Figure Error (P - V) 5 μm 0,632 - 1,5 µm < 0,312 µm Vertex Radius (Asphere) ±1% ±0,1% ±0,05% Radius (Spherical) ±0,3% ±0,1% ±0,025% ® COPYRIGHT 2017 EDMUND OPTICS, INC. ALL RIGHTS RESERVED 1/2017 RIGHTS RESERVED ALL 2017 EDMUND OPTICS, INC. ® COPYRIGHT Power (Spherical) 2λ λ/2 λ/10 Irregularity (Spherical) λ/2 λ/4 λ/20 Sag2 25 mm max. 25 mm max. 25 mm max. Typical Slope Tolerance1 1 μm/mm 0,35 μm/mm 0,15 μm/mm Centering (Beam Deviation) 3 arcmin 1 arcmin 0,5 arcmin Center Thickness Tolerance ±0,100 mm ±0,050 mm ±0,010 mm Surface Quality (Scratch Dig) 80-50 40-20 10-5 Aspheric Surface Metrology Profilometry Profilometry Interferometry Slope specification: Diameter PV (Height) Sag (μm) θ Center Thickness Slope Window (1mm) Figure 1: Slope error quantifies the rate of change Figure 2: General geometry of an aspheric lens. -
The Hong Kong Progressive Lens Myopia Control Study: Study Design and Main Findings
The Hong Kong Progressive Lens Myopia Control Study: Study Design and Main Findings Marion Hastings Edwards, Roger Wing-hong Li, Carly Siu-yin Lam, John Kwok-fai Lew, and Bibianna Sin-ying Yu PURPOSE. To determine whether the use of progressive addition a block randomized procedure to ensure matching of 207 spectacle lenses reduced the progression of myopia, over a myopic subjects between the ages of 6 and 15 years, who 2-year period, in Hong Kong children between the ages of 7 received either bifocals with ϩ1.00 D addition, bifocals with and 10.5 years. ϩ2.00 D addition or SV lenses.6 After a follow-up period of 3 METHODS. A clinical trial was carried out to compare the pro- years there was no evidence that myopia progression had been gression in myopia in a treatment group of 138 (121 retained) reduced by bifocal lens wear. This study had subjects with a ϩ wide age range and had a high dropout rate. subjects wearing progressive lenses (PAL; add 1.50 D) and in 7 a control group of 160 (133 retained) subjects wearing single Pa¨rssinen et al. also found no difference in progression of vision lenses (SV). The research design was masked with ran- myopia, in 240 Finnish children aged between 9 and 11 years, ϩ dom allocation to groups. Primary measurements outcomes between a bifocal group (wearing 1.75 D addition), an SV were spherical equivalent refractive error and axial length group wearing spectacles for constant use, and an SV group (both measured using a cycloplegic agent). -
LDII16 Lens Design II
Lens Design II Lecture 8: Special correction features I 2016-12-07 Herbert Gross Winter term 2016 www.iap.uni-jena.de 2 Preliminary Schedule 1 19.10. Aberrations and optimization Repetition Zero operands, lens splitting, lens addition, lens removal, 2 26.10. Structural modifications material selection Correction with aspheres, Forbes approach, optimal location 3 02.11. Aspheres of aspheres, several aspheres 4 09.11. Freeforms Freeform surfaces Astigmatism and field curvature, thick meniscus, plus-minus 5 16.11. Field flattening pairs, field lenses Achromatization, axial versus transversal, glass selection 6 23.11. Chromatical correction I rules, burried surfaces secondary spectrum, apochromatic correction, 7 30.11. Chromatical correction II spherochromatism 8 07.12. Special correction topics I Symmetry, wide field systems,stop position 9 14.12. Special correction topics II Anamorphotic lenses, telecentricity 10 21.12. Higher order aberrations high NA systems, broken achromates, induced aberrations 11 04.01. Further topics Sensitivity, scan systems, eyepieces 12 11.01. Mirror systems special aspects, double passes, catadioptric systems 13 18.01. Zoom systems mechanical compensation, optical compensation color correction, ray equivalent model, straylight, third order 14 25.01. Diffractive elements aberrations, manufacturing 15 01.02. Realization aspects Tolerancing, adjustment 3 Contents 1. Symmetry 2. Camera lenses 3. Stop position 4. Vignetting 4 Principle of Symmetry . Perfect symmetrical system: magnification m = -1 . Stop in centre of symmetry . Symmetrical contributions of wave aberrations are doubled (spherical) . Asymmetrical contributions of wave aberration vanishes W(-x) = -W(x) . Easy correction of: coma, distortion, chromatical change of magnification front part rear part 2 3 1 5 Symmetrical Systems Ideal symmetrical systems: .