Eyeprint Prosthetics Indications

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EyePrint Prosthetics Indications Optical Correction Ocular Protection Ocular Comfort Keratoconus Neurotrophic Pinguecula Pellucid marginal Keratitis Pterygium degeneration Ocular Surface Disease (Dry Eye) Scarring Post LASIK ectasia Graft vs Host Scleral Patch Grafts Post Radial disease Extreme Dry Eye Keratometry Steven Johnson Corneal Syndrome High Wind/Dust Transplants Ocular Cicatricial Environments High Myopia / Pemphigoid Hyperopia Chemical Burns Aphakia Stem Cell Failure The impression makes the difference EyePrint Impression Process Takes only 2 minutes Comfortable and gentle No anesthetic necessary Unique Like a Fingerprint Virtual Eye vs. “Real” Eye Lens design in EyePrint Software OCT of lens on patient’s eye Custom Peripheral Design Lens design in EyePrint Software OCT verified Predictable Central & Limbal Clearance EyePrint Software Designed OCT Verified Case 1: Trauma from cooking skewer Case & Photos: Dr. Ryan McKinnis Case 2: Stevens Johnson Syndrome Eye after one year in an Wearing a notched scleral lens Eye prior to being fit for sclerals EyePrintPRO (The granulomas resolved themselves) Case & Photos: Dr. Christine Sindt Case 3: Trauma resulting open globe and aphakia Case & Photos: Dr. Bruce Baldwin Case 4: Corneal Transplant Upper lid Touch First EyePrint Best scleral First EyePrint (Horizontal) Case & Photo: Dr. Bruce Baldwin Case 5: Pinguecula Elevation Based After 3 years in an EyePrintPRO Peripheral Notching (Pinguecula resolved itself) Case & Photos: Dr. Christine Sindt Case 6: Bleb Back surface of lens vaulting bleb EyePrintPRO device on actual eye 3D model of eye Lens in EyePrint Design Software Case & Photos: Dr. Stephanie Woo Coming Soon: High Order Optics For more information: Contact the EyePrintPRO Team: ► Christine Sindt, OD FAAO [email protected] ► Keith Parker, NCLEC [email protected] ► David Slater, NCLEC [email protected] ► Gabi von Roedern Or visit: [email protected] www.EyePrintPRO.com.

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Differentiate Red Eye Disorders
Introduction DIFFERENTIATE RED EYE DISORDERS • Needs immediate treatment • Needs treatment within a few days • Does not require treatment Introduction SUBJECTIVE EYE COMPLAINTS • Decreased vision • Pain • Redness Characterize the complaint through history and exam. Introduction TYPES OF RED EYE DISORDERS • Mechanical trauma • Chemical trauma • Inflammation/infection Introduction ETIOLOGIES OF RED EYE 1. Chemical injury 2. Angle-closure glaucoma 3. Ocular foreign body 4. Corneal abrasion 5. Uveitis 6. Conjunctivitis 7. Ocular surface disease 8. Subconjunctival hemorrhage Evaluation RED EYE: POSSIBLE CAUSES • Trauma • Chemicals • Infection • Allergy • Systemic conditions Evaluation RED EYE: CAUSE AND EFFECT Symptom Cause Itching Allergy Burning Lid disorders, dry eye Foreign body sensation Foreign body, corneal abrasion Localized lid tenderness Hordeolum, chalazion Evaluation RED EYE: CAUSE AND EFFECT (Continued) Symptom Cause Deep, intense pain Corneal abrasions, scleritis, iritis, acute glaucoma, sinusitis, etc. Photophobia Corneal abrasions, iritis, acute glaucoma Halo vision Corneal edema (acute glaucoma, uveitis) Evaluation Equipment needed to evaluate red eye Evaluation Refer red eye with vision loss to ophthalmologist for evaluation Evaluation RED EYE DISORDERS: AN ANATOMIC APPROACH • Face • Adnexa – Orbital area – Lids – Ocular movements • Globe – Conjunctiva, sclera – Anterior chamber (using slit lamp if possible) – Intraocular pressure Disorders of the Ocular Adnexa Disorders of the Ocular Adnexa Hordeolum Disorders of the Ocular
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Controversies in Scleral Lenses 2019 Curvature Versus Elevation
Controversies in Scleral Lenses Normal Keratoconus PMD Keratoglobus 2019 Curvature versus Elevation Axial Display Elevation Map Power Map Height Map Axial Display Elevation Display Patient CB Moderate KC Axial Display Map +180um +180 +379 +379um Elevation Display -110 - 276 Elevation Map 655 Above the 290 microns Micron Sphere Height -276um Differential Depression Below the -110um Sphere N = 87 Patients 127 CL Fits Less than 350um Greater than 350um Patients with 350um or less of corneal elevation difference (along the greatest meridian of change) have an 88.2% chance of success with a corneal GP lens. The Re-Birth of Scleral Lenses Glass Scleral Lenses 1887 Molding Glass Scleral Lenses Average 8.5 High DK Scleral Materials Traditional Corneal / Scleral • Menicon Z Dk = 163 Shape • B & L, Boston XO2 DK = 141 • Contamac, Optimum Extreme DK = 125 • B & L, Boston XO DK = 100 • Paragon HDS 100 DK = 100 • Contamac, Optimum Extra DK = 100 • Lagado, Tyro -97 DK = 97 Scleral Shape Cone Angle Circa 1948 Klaus Pfortner New Understandings Argentina Scleral Lens Fitting Objectives Anatomy of a Scleral Lens 1. Central Vault Zone (250 to 400 microns) 2. Peripheral Lift Zone 4 3 2 1 2 3 4 3. Limbal Lift Zone 4. Scleral Landing Zone Ocular Surface Disease Scleral Lens Indications Scleral Irregular Astigmatism Lens • Keratoconus Indications • Pellucid Marginal Degeneration • Post Corneal Trauma • Post keratoplasty • Post K-Pro • Post Refractive Surgery RK, PRK and LASIK • Post HSV and HZV • Athletes • GP stability (rocking) issues Corneal Irregularity
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Pterygium & Pinguecula
Dr. Anthony O. Roberts 9715 Medical Center Drive Pterygium & Pinguecula Suite 502 Rockville, MD 20850 A pterygium is a mass of fleshy tissue that Phone: 301-279-0600 E-mail: [email protected] grows over the cornea (the clear front window of the eye). It may remain small or may grow large enough to interfere with vision. A ptery- gium most commonly occurs on the inner cor- Eye Care Services ner of the eye, but it can appear on the outer Eye Exams corner as well. Glaucoma Testing & The exact cause of pterygia is not well understood. They occur more often Treatment in people who spend a lot of time outdoors, especially in sunny climates. Cataract Surgery Long-term exposure to sunlight, especially to ultraviolet (UV) rays, and Diabetic Evaluation chronic eye irritation from dry, dusty conditions seem to play an important LASIK Eye Surgery role. Dry eye also may contribute to pterygium. PRK Surgery Refractive Procedures When a pterygium becomes red and irritated, eyedrops or ointments can be used to help reduce the inflammation. If the pterygium grows rapidly or is Our Practice large enough to threaten sight, it can be removed surgically. At Shady Grove Ophthal- mology, we understand the Despite proper surgical removal, a pterygium may return, particularly in importance of your vision. young people. Protecting the eyes from excessive ultraviolet light with We are committed to offering proper sunglasses, avoiding dry, dusty conditions, and using artificial tears the highest quality eye care can also help. using the most state-of-the- art technologies. Dr. An- thony Roberts delivers pre- A pinguecula is a yellowish patch or bump on the white of the eye, most mium quality eye care and often on the side closest to the nose.
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Gibberman – Advances in Scleral Lens Technology
ADVANCES IN SCLERAL LENS TECHNOLOGY ALEX GIBBERMAN, OD, FAAO, FSLS 2020 EYECARE, LOVELAND, OHIO A BRIEF HISTORY OF THE WORLD…OF SCLERALS 16th century- Da Vinci concepts. Blown glass shell. No power. 1887-Muller brothers. Thinner blown glass shells 1888- Adolf Fick. Glass lenses first to treat k conus with correction. First to note corneal edema 1889- Dr. Kirstein is born! Also August Muller is first to use scleral to correct for high myopia HISTORY CONTINUED… 1890’s- The use of saline with scleral insertion is introduced 1912- Zeiss makes first diagnostic fitting set Also notable in 1912, Dr Zelczak is born! 1957-PMMA sclerals introduced. 1970s-John James Little and Arthur Irving first to use RGP sclerals 1983-RGP scleral materials updated by optometrist Don Ezekiel MODERN SCLERALS Between the mid 1980s and now, significant material and dk improvements have occurred. Late 1980s- Back toric optics were introduced to sclerals 1992- the first impression based, computer scanned and created lens was made in the UK 2013-EyePrintPro was developed to take an impression and match exact contour of the eye Current- multifocal optics, decentered optics, front toric and back toric optics, prism and higher order aberration correction are all possible Scleral topographers: Getting us closer to empirical fitting. We will discuss in more detail SPECIFICATIONS OF A MODERN SCLERAL LENS? Here is just one example Base Curve 7.50 Diameter 16.1 mm Sagittal Depth: 3500um Toric Peripheral curve, flatten horizontal meridian 100um steepen vertical meridian 200um Front toric overall power -400 -125 x 105 Multifocal Center ADD 2.5mm Zone +250 ADD Nasal microvault or notch to avoid pinguecula Material: Optimum Infinite Dk 200 needs hydropeg coating WHAT A CURRENT SCLERAL LOOKS LIKE SCLERAL TOPOGRAPHERS Eaglet- Eye surface profiler Pentacam- CSP Visionary Optics-Smap3D Latitude Focal Points Focal Points will allow the import of multiple types of scleral topography files such as Eaglet ESP, Pentacam CSP and sMap.
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Lens for a Patient with Limbal Dermoid and Keratoconus
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Ryan P. Ames, OD, MBA the Chief Complaint Drives the Bus December 2019 This Is One of the Fundamental Concepts in Patient Driv
Ryan P. Ames, OD, MBA [email protected] 888.456.2046 The Chief Complaint Drives the Bus December 2019 This is one of the fundamental concepts in patient driven care and in proper documentation. Nearly every day we see a patient, one will come in complaining of one thing, and we will discover a completely different condition that we feel is more important. They may not even have symptoms of this new condition. The Chief Complaint (CC) or Reason for Visit (RFV) can certainly be doctor directed from a prior visit. But the concept is the same, whether the CC/RFV is doctor directed or patient driven, this is the condition that will become the primary diagnosis. Remember, auditors are often employed by third-party companies and they derive their revenue based on a percentage of what they recover. Therefore, they are going to look for low-hanging fruit that has a high potential for recoupment of payment. The CC/RFV is a very easily identified element of the exam and if the primary diagnosis does not address it, they could deem the entire encounter unnecessary and recoup the payment. The other day I saw a long-time patient with no prior medical diagnosis except a pinguecula. He also had no visual complaints. He came in saying, “I think those white bumps are getting bigger and are sometimes red.” On exam, the vision in his right eye was slightly reduced to 20/25- with no improvement after refraction. During the retinal exam, her appeared to have mild epiretinal membranes and the OCT confirmed that finding.
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Diagnosis and Management of Common Eye Problems
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Pigeucula and Pterygium
What Is a Pinguecula and a Pterygium (Surfer's Eye)? Written By: Kierstan Boyd Reviewed By: James M Huffman, MD Oct. 29, 2020 Pinguecula and pterygium are growths on your eye’s conjunctiva, the clear covering over the white part of the eye. Pinguecula is a yellowish, raised growth on the conjunctiva. It’s usually on the side of the eye near your nose, but can happen on the other side too. A pinguecula is a deposit of protein, fat, or calcium. Pterygium is a growth of fleshy tissue (has blood vessels) that may start as a pinguecula. It can remain small or grow large enough to cover part of the cornea. When this happens, it can affect your vision. Both pinguecula and pterygium are believed to be caused by a combination of exposure to ultraviolet (UV) light from the sun, wind and dust. Avoiding pinguecula and pterygium lf you have had a pinguecula or a pterygium at least once before, try to avoid the things that cause these growths. Here are some ways: ● wear sunglasses to protect your eyes from ultraviolet (UV) light ● protect your eyes from dust by wearing glasses or goggles ● use artificial tears when your eyes are dry Symptoms of pinguecula and pterygium can range from mild to severe. They include: ● redness and swelling of the conjunctiva, mostly while the pterygium grows ● a yellow spot or bump on the white of your eye ● dry, itchy, burning eyes. Or feeling like sand or grit is stuck in your eye ● blurry vision In many cases pinguecula and pterygium do not need to be treated.
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Disclosure Ocular Anatomy and Motility Ocular Anatomy Overview the Human Vision System the Human Vision System Lids and Lacrimal
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Sclera, Choroid, Retina, Oh My! AMIEE HO, OD, FAAO PACIFIC UNIVERSITY
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Cornea and External Disease Robert Cykiert, M.D
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Avoiding Pinguecula and Pterygium
gggdgdgd May Vincent P. Basilice, M.D., P.C. Medical Director Michael S. Conners, M.D., Ph.D. Alexander J. Llinas, M.D., Ph.D. Alex J. Schaffer, O.D. Avoiding Pinguecula and Pterygium Pinguecula and pterygium are growths on your eye’s conjunctiva, the clear covering over the white part of the eye. Pinguecula is a growth that looks like a yellow spot or bump on the conjunctiva. It often appears on the side of the eye near your nose. A pinguecula is a deposit of protein, fat, or calcium. Pterygium is a growth of fleshy tissue that may start as a pinguecula. It can remain small or grow large enough to cover part of the cornea. When this happens, it can affect your vision. Both pinguecula and pterygium are believed to be caused by a combination of dry eye, sand exposure to wind, dust, and ultraviolet (UV) light from the sun. How to avoid pinguecula or a pterygium: If you have had a pinguecula or a pterygium at least once before, try to avoid the things that cause these growths. Here are some ways: Wear polarized sunglasses to protect your eyes from UV rays, wear goggles to protect your eyes from dust and use artificial tears when your eyes are dry. New Trifocal IOL Technology is Now Available The AcrySof® IQ PanOptix® Trifocal IOL is a new cutting-edge multifocal IOL that optimizes intermediate vision without compromising near and distance vision. The PanOptix Trifocal IOL focuses images clearly on the retina at the back of the eye. This allows for sharp vision after cataract removal.
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