Contact lenses-2接触lenses.pptVIP

Contact lenses-2 Advanced Applications of Contact Lenses-2 Complications of contact lens wear Instructor: Areej Okashah 7/1/2010 Orthokeratology: i.e. contact lens corneal reshaping: is the planned application of specially designed RGP contact lenses to reshape the cornea; this temporarily reduces myopic refractive error improves unaided visual acuity. This procedure allows patients to see well enough in order to perform daily activities without the need for spectacle or CLs correction for at least part of the day… Orthokeratology has been practiced for more than 40 years; however its efficacy safety still controversial … Overnight wear of ortho-K is relatively a recent development Remember that conventional rigid lenses have secondary peripheral curves that are progressively flatter than the central (base) curve Modern ortho-K lenses employs a reverse-geometry lenses to produce the desired corneal changes; these lenses have secondary peripheral radii of curvature that are steeper than the back optic zone radius (BCR). This alteration in design allows the lens to re-approach the cornea beyond the base curve which results in improved lens centration. this steeper secondary curve causes the corneal tissue to redistribute radially from the centre of the cornea causing the central corneal epithelium to thin the peripheral epithelium to thicken leading to refractive error changes …. Recently used ortho-k lenses have high oxygen permeability; which makes it possible to apply the lens on extended wear bases or overnight wear schedule Overnight wear of ortho-K lenses advantages include: convenience for patient as no optical devices are required during the course of the day; better ocular health as the wearing time decreased; little adaptation to lens is required; increased effectiveness because there is an increased eyelid pressure from closed eyes rapid eye movement during sleep. could retard myopia progression in children. Ortho-K has been