The patient's subjective response to questions about vision and comfort in their current lenses can provide an indication as to if a pre-reg in expecting a significant over-refraction
or dry ryes
The means it is even more important to be aware of the relationship between the lens power, tear lens and over-refraction
03] Assuming the patient in Image A has been fitted with the correct lens power, what over-refraction
would you expect, considering the fluorescein pattern observed?
The power along the flattest meridian is obtained by an over-refraction
is a possibility, although not everyone's technique of choice.
After checking the patient's visual acuity and over-refraction
, you'll move on to the slit lamp.
You must take a relevant history and symptoms, perform an over-refraction
, assess the lens fit, carry out an anterior eye slit lamp examination, including tear assessment, and finally, advise the patient on your findings, along with an appropriate recall date--again, all recorded on the College recording sheet.
This means it is even more important for you to be aware of the relationship between the lens power, tear lens and over-refraction
will not be necessary after correction for back vertex distance
Assessment of power is done last by over-refraction
with the contact lens in situ.
The toolkit includes a number of tools to perform tricky eye-related calculations including Visual acuity, LogMAR scorer, Vertex distance calculator, Toric contact lens over-refraction
calculator and Transposition calculator.
When you have achieved a good fit, let the lens settle for at least 10 minutes before performing a final over-refraction
and ordering the lens.