Non compliance in contact lens patients
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This document discusses key aspects of eye care including the roles of practitioners, clinics, patients, and the contact lens industry. It outlines best practices for practitioners such as effective listening and motivation. It recommends clinics provide consistent advice, minimum wait times, and continued care. Guidelines are provided for patient general hygiene, lens wear, and lens care. The contact lens industry is urged to develop effective lens care systems since all patients will be at least partially non-compliant.
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This document outlines the process for contact lens fitting, which includes patient screening, preliminary examinations and measurements, trial lens fitting, lens dispensing, and aftercare. The preliminary examinations involve assessing the anterior segment, measuring keratometry, corneal and pupil size, lid characteristics, and tear production. Trial lens fitting involves selecting lenses of varying parameters until an optimal fit is achieved based on criteria like centration and movement. After fitting is complete, patients are instructed on lens care and insertion/removal and scheduled for follow-up visits to monitor fit and address any issues.
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It is useful in heterophoria, nystagmus, convergence insufficiency, managing diplopia and maintain binocular single vision.
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. amblyopia is treated firstly.
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- diplopia training.
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SPECTACLES should be prescribed in every cases.
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. amblyopia is treated firstly.
. anti- suppression therapy.
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- amplitude improvement.
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This document discusses various anomalies of accommodation and convergence that can cause asthenopia (eye strain) including presbyopia, accommodative insufficiency, ill-sustained accommodation, accommodation inertia, paralysis and spasm of accommodation, as well as convergence insufficiency, paralysis, and spasm. It describes the causes, clinical features, and treatment options for each condition. The management typically involves optical correction, orthoptic exercises, and in some cases surgery to improve binocular vision and reduce symptoms.
RGP lens care and maintenance
1) Proper care and maintenance of RGP contact lenses involves regularly cleaning, rinsing, and disinfecting the lenses to remove deposits, decrease microbes, and increase wettability.
2) The care system typically includes a daily cleaner, rinsing solution, disinfecting solution, weekly protein remover, and rewetting drops if needed. Proper storage in a lens case is also important.
3) Hands must be washed with soap and dried before handling lenses. Lenses should never be rinsed with water and should only be handled using the recommended solutions and techniques.
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Retinoscope, types of retinoscope and uses of retinoscope
-Introduction to retinoscopy and objective refraction
-Retinoscopy
- In spherical ametropia
- In astigmatism
- Others: strabismus, amblyopia, pediatric pt.,
cycloplegic refraction
-Static and Dynamic Retinoscopy
-Problems seeing reflex during retinoscopy
-Errors in retinoscopy
Objective of retinoscopy and objective refraction
-To locate the far point of the eye conjugate to the retina
- Myopia or hyperopia
-Bring far point to the infinity by using appropriate lenses
- Determines amount of ametropia by retinoscopy and objective refraction
References:
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-Primary Care Optometry by Grosvenor T.,
-Borish’s Clinical Refraction by Benjamin W. J.,
-Theory And Practice Of Optics And Refraction by AK Khurana
-Retinoscopy-Student Manual by ICEE Refractive Error Training Package (2009)
-Clinical Optics and Refraction By Andrew Keirl, Caroline Christie
-Clinical Refraction Guide - A Kumar Bhootra
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Follow me to get in touch with optometric and ophthalmic updates.
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3) Following an eye doctor's instructions on cleaning, disinfecting, storing, and replacing contact lenses helps prevent eye damage.
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This document provides instructions for caring for and maintaining Forge Ortho-K contact lenses. It emphasizes proper hygiene and cleaning to minimize the risk of eye infections. Key points include: only using recommended solutions to clean lenses; inspecting lenses for damage before wearing; inserting and removing lenses using proper technique; and seeking immediate care if abnormal symptoms occur like pain or redness.
Care of Ophthalmic lenses.pptx
The document discusses the proper cleaning procedure for ophthalmic lenses, which includes using water, lens wipes, microfiber cloth, and rubbing alcohol. The best cleaning option mentioned is to use a lens cleaner solution of isopropyl alcohol and a microfiber cloth.
Compliance & patient alliance
Patient compliance with contact lens wear and care is important to avoid complications. Non-compliance can be unintentional due to misunderstanding instructions, or deliberate by ignoring advice. Three key factors are proper hand washing, cleaning lens cases regularly, and using care solutions as prescribed. Practitioners should provide clear written and verbal instructions, check understanding, and encourage compliance through regular follow ups.
Cornea in Contact Lens wear
This document discusses contact lens wear and corneal health. It outlines the key factors for successful contact lens wear, including 12 hours of comfortable wear and good end-of-day comfort. It also discusses consumers' priorities around contact lens health and definitions of a "healthier contact lens." Silicone hydrogel lenses are highlighted as improving oxygen transmission and reducing complications compared to conventional lenses. Proper lens care, handling, materials selection and follow-up care are emphasized to prevent complications and support corneal health with contact lens wear.
Introduction to Ophthalmic Dispensing
A dispensing optician fits eyeglasses and contact lenses according to prescriptions. They receive on-the-job or home study training. Responsibilities include filling prescriptions, assisting customers in selecting frames and lenses, and performing quality checks. Administrative duties involve organizing records, payments, and inventory. Valuable skills include physics, anatomy, math, precision work, and computer/communication abilities. Optometrists at optical shops listen to patients, communicate effectively, obtain consent, show care and compassion, and keep their skills and knowledge up to date.
Procedure of semi permanent eyelash extensions
This document outlines the procedure for applying semi-permanent eyelash extensions. It details preparing the work area, positioning the client correctly, cleansing the eye area, applying pads under the bottom lashes, selecting and applying individual false lashes to natural lashes, and removing pads when complete. Troubleshooting tips include checking lash alignment, lifting stuck lashes from pads, and fanning lashes before opening eyes to prevent irritation from adhesive fumes.
Aftercare and follow up visit of contact lens_ Tariq Al Fayad
Aftercare visits for contact lens wearers are important to monitor for any complications and ensure long term successful wear. The first visit should be 2-3 weeks after initial fitting to assess vision, lens fit and comfort. Regular follow ups allow objective examination of the eye with and without lenses and monitoring for issues like dryness, deposits, corneal staining or changes in vision. Abnormal signs are managed by addressing lens fit, care or replacing lenses if needed to maintain healthy contact lens wear.
Soft disposable contact lens.pptx
This document provides information on soft disposable contact lenses, including:
1) It defines disposable contact lenses and discusses their brief history from development in the 1980s to expanded options now available.
2) It classifies contact lens replacement schedules and discusses the ideal candidates and contraindications for disposable lenses.
3) It summarizes the advantages and disadvantages of disposable lenses from the perspectives of both contact lens wearers and eye care practitioners.
4) It provides details on various types of disposable lenses including daily disposables, biweekly, monthly, and yearly options.
5) It lists several popular brand examples and specifications for different disposable lens types.
Types of pediatric contact lens [autosaved]
This document discusses pediatric contact lens fitting and evaluation. It begins by outlining the advantages of contact lenses over glasses for children, including a wider field of view. Key considerations for fitting include small eye size, tear production, and compliance. Conditions that may require lenses include refractive errors, amblyopia treatment, and aphakia following cataract surgery. Evaluations include testing visual acuity and ocular health. Lens options discussed are silicone, hydrogel, and rigid gas permeable lenses. Special fitting considerations for aphakic children include initially high powers of +20D to +35D, depending on age.
Contact Lens Deposits, Contact lens Aftercare, Overview of care and Maintenance
Conatct lens deposit
Any lens surface coating or lens matrix formation which is not flushed or rinsed from the lens by tears during blinking. In effect, anything that remains on the surface despite blinking is deposit.
Deposit Formation:
Tear protein(lysozyme) are attached to the lens
Tear evaporates and leave residue on the lens
After protein are deposited, other components of the tear film (such as mucin) may adhere to protein
Over time, Layers build up and structural changes take place(e.g. Denaturation)
Factors influencing lens deposition:
o Individual difference in tears
o Lens materials
o Care system
o Wearing schedule
o Environment
o Patient hygiene
Types of Deposits:
1. TEAR RELATED:
• Protein
• Lipid
• Jelly bumps
2. NON-TEAR RELATED:
• Fungi
• Lens discoloration
• Mercurial deposits
• Cigarette residues
• Surface combination
• Rust spots
1. Protein deposits:
• Are a semi-opaque or translucent film usually thin whitish and superficial
• Have a frosted glass appearance
• may cover lens surface partially or full
• Cause the lens surface to become hydrophobic
• Can crack and peel if thick
Factors favoring a buildup of protein on a contact lens:
• short BUT
• Ionic binding capacity
• Inadequate cleaning especially of the lens periphery
• Altered blinking
• Heat disinfection
• Tear deficiency or altered tear composition
• Chronic allergies and GPC
2. Lipid Deposits
• Appears as greasy, smooth, and shiny adherent films on both RGP and soft contact lenses
• Best observed between blinks
• Appears as a thick
• oily coating
Lipids involved includes:
• phospholipids,
• neutral fats,
• triglyceride,
• cholesterol,
• cholesterol esters,
• fatty acids
Origin: mainly from meibomian gland
Predisposing factors:
• Tear film quality
• Slow blink pattern
• Poor lens compliance
• Careless use of inappropriate cosmetics/lotions
3. Jelly Bumps
• Appear as a clump of raised translucent mulberry like deposits
• Typically form in inferior
• exposed portion of lens
• Occur more frequently in high water, ionic, EW lenses
Predisposing factors
• Quality of tear film
• Poor blinking
• Lens surface contamination
• Aphakia cleaning consequences
• Large and numerous jelly bumps lead to wearer discomfort
• Large deposits can cause the lens to attach to the upper lid so that each blink causes excessive lens movement
• When located within pupil zone-visual acuity can fluctuating
• Maya also cause mechanical irritation of tarsal conjunctiva
• In extreme case, may cause CLPC
4. Inorganic Deposits
• Calcium carbonate deposits
• Calcium phosphate deposits
Appearance:
• White crystalline specks
• Can be small or large
• Rough surface
• Penetrate lens surface if severs
5. Fungal Deposits
Appearance:
• Filamentary growth on and into lens
• Usually white, brown or black
Fungal formation
• Spores on lens surface from eye or environment
• Proliferates to large visible growth
eye disorders .pptx
The document discusses various refractive errors and eye conditions including:
- Refractive errors like myopia, hyperopia, and astigmatism which cause blurred vision and can be corrected with glasses or contacts.
- Eye conditions like strabismus, hordeolum, blepharitis, entropion, and ectropion. Strabismus is eye misalignment while the others involve eyelid inflammation or turning.
- Causes, symptoms, diagnosis, and treatment are described for each condition. Conservative treatments include eyeglasses, contact lenses, warm compresses, and eye drops. Some conditions may require incision and drainage or surgery.
disposable contact lenses
1. The document discusses the benefits of disposable contact lenses and frequent replacement programs (FRP) for providing healthier contact lens wear. It notes that consumers prioritize healthier lenses that do not cause infections or complications.
2. Disposable and FRP lenses are presented as ways to eliminate obstacles to successful contact lens wear like deposits, films, irritation and reduced comfort by replacing lenses frequently. They provide benefits like superior comfort, hygiene, and convenience.
3. The document outlines different types of disposable and FRP lenses available based on modality, wearing time, material, correction, and discusses their advantages over traditional lenses in promoting ocular health, satisfaction, and retention of contact lens wearers.
MS Eye and Vision Disorders
This document discusses key topics related to ophthalmic nursing including:
1. Identifying eye structures and their functions, diagnostic tests for vision assessment, and management of ocular disorders.
2. Defining low vision and blindness, assessing and managing low vision, and demonstrating orientation techniques.
3. General discharge instructions for patients after ocular surgery and strategies for patient safety in ophthalmology.
Chapter 019
The document discusses principles of care for patients with visual or hearing impairments. It covers risks to sensory structures and functions, and how nurses can help protect and restore vision and hearing through artificial devices. Key points include dual sensory impairment potentially leading to cognitive decline; ensuring patient understanding through communication adjustments; and prioritizing safety when caring for those with sensory alterations. Guidelines are provided for eye and ear irrigation and care of contact lenses, hearing aids, and comatose patients' eyes.
Contact Lenses
The document summarizes key aspects of contact lens fitting and evaluation. It discusses the anatomy relevant to contact lenses including the tear film and cornea. It then covers common contact lens materials and parameters like oxygen permeability. The document outlines a typical contact lens examination including case history, fitting evaluation, and patient education on proper lens care.
Contact lenses air optix
There are two main types of contact lenses: hard and soft. Hard contact lenses are made of plastic, silicone, or fluoropolymers and hold their shape firmly over the eye. Soft contact lenses are made of flexible plastic and are more comfortable but require daily removal. An eye doctor can help determine which type is best based on an individual's lifestyle and eye health factors. Proper cleaning and disinfecting of lenses is important to prevent infection.
contact lenses in children[1].pptx
Contact lenses can be fitted on children to correct vision problems from birth defects like congenital cataracts. They are also used for therapeutic purposes like patching an eye during vision therapy. The main indications for contact lenses in children are to treat congenital cataracts, aphakia following cataract surgery, trauma, and refractive errors. They provide an alternative to glasses for activities like sports. Proper fitting is important and may require use of anesthetics to reduce stress for children.
Eye safetyatworkrev
This document discusses eye safety in the workplace. It notes that creating a safe work environment is a shared responsibility of employers and employees. Employers are required to assess eye hazards, minimize them where possible through engineering controls, and provide appropriate protective eyewear to workers. Employees should use protective eyewear when hazards are present and report any new hazards. About 2,000 US workers suffer eye injuries each day, with risks highest in construction, mining, agriculture, and manufacturing. Common causes of injuries include flying debris and chemicals. A variety of protective eyewear like safety glasses and goggles can help prevent injuries depending on the hazard. Proper selection, use, and care of eyewear can reduce risks. Knowing first aid
Sunwear by Optom.Het Vora
This document provides tips for optometrists and optical staff to sell more prescription sunglasses and sunwear. It discusses educating patients about UV protection and the importance of sunglasses in the exam room. Specific strategies are outlined, including testing patients' current eyewear for UV protection, prominently displaying sunwear options throughout the office, and offering discounts to encourage add-on sunwear sales. The document also recommends developing a specialty in tinted lenses for various sports to customize care for active patients.
Similar to Non compliance in contact lens patients (20)
Aftercare and follow up visit of contact lens_ Tariq Al Fayad
Aftercare and follow up visit of contact lens_ Tariq Al Fayad
Contact Lens Deposits, Contact lens Aftercare, Overview of care and Maintenance
Contact Lens Deposits, Contact lens Aftercare, Overview of care and Maintenance
More from Hossein Mirzaie
Marketing an optometric practice
This document defines marketing and its importance for optometric practices. It discusses several key marketing activities an optometric practice can implement, including marketing during patient visits, patient recall efforts, between-visit communications, new patient marketing, and special events. It provides guidance on developing marketing messages, product merchandising, pricing strategies, signage, brochures, websites, and referrals. The document emphasizes that marketing is more than just advertising and helps build a practice's brand identity and perception in order to improve financial performance.
Mba monograph13 0412_marketinganoptometricpractice
This document provides recommendations for optometric practices to develop effective marketing strategies. It recommends that practices create an annual marketing plan with goals and budgets. The plan should include strategies to market to existing patients during visits, such as communicating the value of annual eye exams and the practice's services. It also recommends ways to market to new patients through brochures, signage, and external advertising. Effective marketing, planning, and patient recall systems can increase annual revenue and attract new patients.
Presbyopia
Presbyopia is the loss of accommodation that occurs with aging. It results in a decreased ability to focus on near objects and is caused by lenticular and extralenticular changes within the eye. Symptoms typically begin around age 40 and accommodation is completely lost by ages 50-60, affecting 100% of the population. Treatment options include reading glasses, bifocal and multifocal contact lenses, refractive surgery such as LASIK, and intraocular lens implants. Newer treatments being researched include corneal inlays and injectable accommodating intraocular lenses.
Goldman applanation tonometry
The document discusses various techniques for measuring intraocular pressure (IOP), including Goldmann applanation tonometry, Perkins tonometry, non-contact tonometry, and digital evaluation. Goldmann applanation tonometry is described as the most accurate method. The document provides details on properly using Goldmann tonometry, including preparing the patient, aligning the probe, applying the correct amount of force, and interpreting the results. Contraindications and sources of error are also reviewed.
Myopia
This document provides an overview of myopia, including its classification and associated pathological conditions. It discusses the different types of myopia such as axial myopia, refractive myopia, pathological myopia. It also classifies myopia based on factors like rate of progression, anatomical features, age of onset and degree. Several ocular disorders and systemic conditions associated with myopia are described. Pathological changes in highly myopic eyes are outlined along with tools to monitor for complications. Key fundus signs of degenerative myopia are highlighted.
keratometry
The keratometer is an instrument used to measure the curvature of the cornea, which provides information such as the radii of curvature, astigmatism level and direction, and presence of distortions. Keratometry is important for contact lens fitting, monitoring keratoconus, and determining intraocular lens power for cataract surgery. There are two main types - single-position keratometers measure two meridians simultaneously while double-position keratometers measure one meridian at a time. The procedure involves aligning and focusing the instrument before taking radius and astigmatism measurements from the scales.
Funduscopy
Funduscopy involves examining the inside back portion of the eye, including the retina and optic disc, using instruments like direct ophthalmoscopes, indirect ophthalmoscopes, and biomicroscopes. It is important for eye health because it allows doctors to check for conditions affecting the retina, optic nerve, and blood vessels at the back of the eye.
Optometry, a focus on vision
This document provides information about optometry and the optometric education process. It defines optometry as primary eye care and outlines the roles and responsibilities of optometrists. The document discusses the education path to becoming an optometrist, including undergraduate prerequisites, optometry school curriculum, clinical rotations, residencies, and licensing requirements. It also highlights features of the New England College of Optometry such as their clinical education model, research opportunities, and campus location in Boston.
Astigmatism 2
This document defines and describes astigmatism. It begins by defining astigmatism as a condition where parallel rays of light entering the eye do not focus to a single point on the retina. It then discusses the optics, etiology, classification, types (including corneal, lenticular, total, regular, irregular, with-the-rule, against-the-rule, oblique), and what patients see with different types of astigmatism (simple, compound, mixed). It concludes by covering prevalence based on age, gender, ethnicity and incidence, as well as effects on visual acuity.
Spectacle prescription fulfillment in medical optometry cope approved
This document discusses strategies for optometrists to improve spectacle prescription fulfillment rates. It notes that independent optometrists are losing market share to retail chains in fulfilling prescriptions. The document recommends that optometrists focus on patient satisfaction, professionalism, and loyalty by providing anti-reflective coatings, photochromic lenses, polarized lenses, and educating patients on glare and UV protection to restore and maintain healthy vision. It emphasizes using benchmarks to manage finances and reduce leaks, implementing marketing strategies, and focusing on the patient experience from exam to delivery of their new glasses.
Non surgical management of strabismus .ppt
Non-surgical treatments such as prescription lenses and occlusion therapy can effectively manage certain types of strabismus. Prescribing lenses aims to provide a clear retinal image while balancing accommodation and convergence. For children, the full refractive error is typically prescribed from infancy to preschool age. Occasionally, hyperopic corrections may be reduced in older children or esotropic patients. Occlusion therapy and minus lenses are common non-surgical approaches for intermittent exotropia. Prisms can also effectively treat strabismus, diplopia, and symptomatic heterophoria in some cases.
Biometry
The document provides information on axial length measurement techniques using ultrasound (A-scan) biometry. It discusses average axial lengths, accuracy of measurements, examination procedure, potential sources of error for different techniques, instrument settings, and special measurement considerations. Key points include:
- The average axial length of a normal eye is 23.06mm, ranging mostly from 22-24.5mm.
- Accuracy of A-scan ultrasound is ±0.1mm. Differences between eyes should be ≤0.3mm.
- Potential sources of error include corneal compression, fluid excess, misalignment, inappropriate eye type settings.
- Gates, gain, and eye type settings impact accuracy and must be optimized.
- Special
Contact Lens-Induced Acute Red Eye(CLARE)
This document discusses Contact Lens-Induced Acute Red Eye (CLARE), a sterile inflammatory reaction that causes redness, irritation, mild pain, and photophobia in one eye. It is characterized by redness at the limbus and sterile infiltrative keratitis without anterior chamber involvement or fluorescein staining. Potential causes include bacterial contamination, hypoxia, tight lens fit, or deposits on the lens. The document outlines symptoms, signs, etiology, examination techniques, differential diagnosis, prognosis, and management of CLARE.
Blepharitis
Blepharitis is a common eyelid inflammation that can be caused by bacterial infections or dry eye conditions. It is characterized by scaling or crusting of the eyelashes and eyelid margins. There are two main types - anterior blepharitis, which involves inflammation at the base of the eyelashes, and posterior blepharitis, which affects the glands of the eyelid. Symptoms include burning, irritation, tearing and worsening in the morning. Treatment focuses on eyelid hygiene through warm compresses and lid scrubs to remove scales and debris. Blepharitis can exacerbate dry eye and may cause long-term eyelid changes if left untreated. It may also increase risks of certain inflammatory
Amblyopia treatment dr mirzajani
This document discusses the classification and management of amblyopia. It describes various treatment methods including:
- Optimum optical correction alone can improve amblyopia in up to 77% of patients.
- Occlusion therapy (patching) is the mainstay treatment and guidelines are provided on patching dosage based on age.
- Optical penalization and medical penalization can be used for children who will not wear patches or issues with compliance. Proper follow up is important to monitor progress and compliance with treatment.
optometric prescription
This document appears to be an eye examination report that includes:
- Measurements of vision acuity and prescription strengths for both eyes.
- Notes on conditions like esotropia, exotropia, hyperopia and myopia.
- Details on refraction under red and green filters and additional prescription details.
- Recommendations for follow up eye exams and potential referrals to rule out conditions.
Peripheral refraction in myopia
This document discusses peripheral refraction in myopia. It notes that myopia rates have increased significantly worldwide over recent decades. Near work, education level, ethnicity and genetics are identified as risk factors for myopia development. The key structural change associated with myopia is axial elongation of the vitreous chamber. Studies of peripheral refraction show that myopic eyes tend to have relative peripheral hyperopia compared to emmetropic eyes. This peripheral hyperopic defocus in myopic eyes may drive continued axial elongation and myopia progression. New myopia control contact lenses aim to reduce this peripheral hyperopic defocus to slow myopia progression compared to traditional corrective lenses.
Intermittent exotropia
This document discusses intermittent exotropia, providing details on its clinical characteristics, diagnostic evaluation, and treatment approaches. It notes that IXT is the most common type of exotropia, typically onset in early childhood. Control is assessed using a 5-point scale by observing the eye alignment over 30 seconds before and after dissociation. Control can vary throughout the day. Treatment may include optical correction, occlusion, vision therapy to improve fusion and reduce suppression, and in severe cases, surgery.
Auto perimetry
This document discusses automated perimetry and the interpretation of visual field tests. It covers perimeter logic and identifying field defects, criteria for glaucomatous defects, and detecting glaucomatous progression. Key points include interpreting visual fields systematically using total and pattern deviation plots in 8 zones, criteria for identifying glaucomatous defects including abnormalities in the pattern deviation plot, global indices, and techniques for detecting progression such as the overview program and Glaucoma Progression Analysis. Interpretation requires correlating results with clinical findings and considering factors like learning effects and fluctuation.
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Non compliance in contact lens patients
- 2. Industry Eyecare practitioner patient www.optiran.blogspot.com
- 3. Pricing policy Industry: Product support Research and development www.optiran.blogspot.com
- 4. Devotion to eye care Effective listening Avoid jargon Emphasise keypoints Practitioner Set realistic goals for patient Motivate patient Appointment reminding Importance of regular checkup Reward patient Repeat key points Provide information www.optiran.blogspot.com
- 5. Staff should be informed Consistent advice Individualized appointment Clinic: Minimum waiting time Warm and friendly enviroment Continued care www.optiran.blogspot.com
- 6. General hygiene and handling Patient: Lens wear Lens care www.optiran.blogspot.com
- 7. Failing to wash and dry hands before lens handling Swimming or bathing with General hygiene lenses on and handling Wetting lenses with saliva Reinserting lenses from floor Contaminating lenses with cosmetics Use of inappropriate eye drops Sharing lenses www.optiran.blogspot.com
- 8. Overnight wear of daily wear lenses Extending wearing time or replacement schedule Lens wear: Wearing damaged lens Wearing lenses inside out Wearing lenses beyond expiry date Switching lens brand Wearing lenses when ill Not attending regular chek ups www.optiran.blogspot.com
- 9. Rinsing in tap water Failing to rub and rinse lenses Using incorrect solutions Not storing lenses in lens case Re-using or topping up solutions Lens care Not covering lenses with solution Not storing lenses for recommended time Not replacing case regularly Sharing lens case Not cleaning case and air drying daily Using solutions beyond expiry date Switching to inappropriate solutions www.optiran.blogspot.com
- 10. All patients will be at least partially non-compliant in some aspect of their care regimen It is to contact lens industry to develop effective contact lens care systems www.optiran.blogspot.com