FITTING STEPS

STEP 1 : SCREENING
EASY CALCULATION
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Effectiveness is related to “Target Power” and “Shape of cornea”.
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Generally, the higher the Target power is, the less effective it is.
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Our recommended way to judge applicability is the calculation formula:
(Flatter meridian) - (Target power) ≧ 39.00
For example, if the Flatter meridian is 44.00 D, target power under -5.00 D

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)

DETERMINE THE TARGET POWER (TP)
REFER TO SPHERICAL REFRACTION
Target Power ≒ Spherical Refraction
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Referring to KRT data:
Target Power =-3.00
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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:


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

LENS SPECIFICATION SUMMARY

POSSIBLE RANGE TO ORDER
Fitting Curve Range
39.00D ~ 47.00D (0.25D increment)
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Target Power
-1.00D ~ -8.00D (0.25D increment)
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Cylinder Power (Toric)
-1.00DC, -1.50DC, -.2.00DC, -2.50DC, -3.00DC
(0.50DC increment)
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Lens Diameter
10.2 mm
10.6 mm [Standard Diameter]
11.0 mm

STEP 3 : FITTING CONDITION
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Criteria for the fitting condition after 15 minutes of lens wear
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Lens is proper centered.
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Lens move 1~2 mm at blinking.
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A proper doughnut pattern is achieved, and also the optical zone as wide as 3 mm.
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Vision correction needed by patient should be obtained and stable, and wearing feeling is comfortable.
GOOD FITTING
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Criteria for fitting condition after 15 minutes of lens wear
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Lens is proper centered.
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Lens move 1~2 mm at blinking.
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A proper doughnut pattern is achieved, and also the optical zone as wide as 3 mm.
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Vision correction needed by patient should be obtained and stable, and wearing feeling is comfortable.

TIGHT FITTING
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narrow optical zone
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less moving
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insufficient tear exchange

LOOSE FITTING
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the lower edge of the lens has clearance from the cornea
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Loose moving
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tear pass through the reverse curve (channelling)

TROUBLE SHOOTING - STANDARD PROCEDURE
Example : 43.00 / -4.00 / -1.00 / 10.6




* 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.


