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FITTING STEPS

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STEP  1 : SCREENING

EASY CALCULATION

  • Effectiveness is related to “Target Power” and “Shape of cornea”.

  • Generally, the higher the Target power is, the less effective it is.

  • Our recommended way to judge applicability is the calculation formula:   

 

(Flatter meridian) - (Target power)  â‰§ 39.00

 

For example, if the Flatter meridian is 44.00 D, target power under -5.00 D

 

 

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ESTIMATION FROM TOPOGRAPHY PATTERN

Non-applicable eyes that cannot be well- centered 

if fitted with BOC sphere

RECOMMENDATION :

Prescribe BOC TD ( Toric Design) ,

if corneal astigmatism > -1.50DC

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STEP 2 :  CHOICE OF 1ST TRIAL LENS - BOC TD (TORIC)

 

PHASE 1  : Determine the Fitting Curve referring to Flattest of Keratometery  (Flat K) data.

PHASE 2 : Determine the Target Power by Spherical Refraction is recommended

PHASE 3 : Determine the Cylinder Power (CYL)  via topographer .

 

PHASE 4 : Diameter is 10.6 mm ( standard diameter for trial lens)

 

DETERMINE THE  FITTING CURVE (FT) 
REFERRING  TO FLATTEST OF KRT DATA

Fitting Curve ≒ FLAT K (43.00)
Target Power  = ?

Cylinder Power = ?
Diameter = 10.6 (Standard Size)

BOC TD K READING R1.jpg

DETERMINE THE TARGET POWER (TP) 
REFER TO SPHERICAL REFRACTION

Target Power ≒ Spherical Refraction 

​

Referring to KRT data:

Target Power  =-3.00

 

​

BOC TD K READIING SPH.jpg

DETERMINE THE CYLINDER (CYL) VIA TOPOGRAPHER

HOW TO DETERMINE THE CYLINDER (CYL)?

 

Average Elevation Difference between the flattest and the steepest meridians at 4mm of topographer. Refer below:

 
BOC TD CYL - TOPO.jpg
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IF TOPOGRAPHERS IS NOT AVAILABLE

 

Calculate the difference between Steepest K and Flattest K 

STEEP K - FLAT K  is recommended CYL ( CYL-2.00DC)

1st Choice Trial lens as follow :

Fitting Curve (FC) = 43.00

Target Power (TP) = -3.00D

Cylinder Power (TC) = -2.00DC

Diameter (D) = 10.6mm

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LENS SPECIFICATION SUMMARY

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POSSIBLE RANGE TO ORDER

Fitting Curve Range

39.00D ~ 47.00D (0.25D increment)

​

Target Power

-1.00D ~ -8.00D (0.25D increment)

​​

Cylinder Power  (Toric) 

-1.00DC, -1.50DC, -.2.00DC, -2.50DC, -3.00DC

(0.50DC increment)

​

Lens Diameter

10.2 mm 

10.6 mm [Standard Diameter]

11.0 mm 

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STEP 3 : FITTING CONDITION

  • Criteria for the fitting condition after 15 minutes of lens wear

  • Lens is proper centered.

  • Lens move 1~2 mm at blinking.

  • A proper doughnut pattern is achieved, and also the optical zone as wide as 3 mm.

  • Vision correction needed by patient should be obtained and stable, and wearing feeling is comfortable.

GOOD FITTING

  1. Criteria for fitting condition after 15 minutes of lens wear

  2. Lens is proper centered.

  3. Lens move 1~2 mm at blinking.

  4. A proper doughnut pattern is achieved, and also the optical zone as wide as 3 mm.

  5. Vision correction needed by patient should be obtained and stable, and wearing feeling is comfortable.

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TIGHT FITTING

  • narrow optical zone

  • less moving

  • insufficient tear exchange

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LOOSE FITTING

  • the lower edge of the lens has clearance from the cornea

  • Loose moving

  • tear pass through the reverse curve (channelling) 

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TROUBLE SHOOTING - STANDARD PROCEDURE

Example : 43.00 / -4.00 / -1.00 / 10.6

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* Please check the fitting & RX before changing specifications

PATIENT 'S INSTRUCTION 

Refer to instruction for use , be sure to consult the patient regarding lens handling and lens care.

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