eMedicine Specialties > Ophthalmology > Refractive Disorders

Specialty Contact Lenses: Multimedia

Author: Mark Ventocilla, OD, FAAO, Clinical Professor, Michigan College of Optometry; Editor, American Optometric Association Contact Lens and Cornea Section Newsletter; Chief Executive Officer, Elder Eye Care Group, PLC; President, Lakeshore Professional Eyecare, PC
Coauthor(s): Karen K Yeung, OD, FAAO, Director of Optometry, Arthur Ashe Student Health and Wellness Center, University of California at Los Angeles
Contributor Information and Disclosures

Updated: Apr 10, 2009

Multimedia

Diagram of a contact lens.Media file 1: Diagram of a contact lens.
Diagram of a contact lens.

Diagram of a contact lens.

Topographic map shows corneal steepening inferior...Media file 2: Topographic map shows corneal steepening inferiorly. This is typically seen in patients with keratoconus.
Topographic map shows corneal steepening inferior...

Topographic map shows corneal steepening inferiorly. This is typically seen in patients with keratoconus.

Combined rigid gas-permeable–soft contact le...Media file 3: Combined rigid gas-permeable–soft contact lens (SoftPerm; CIBA Vision, Duluth, GA) with faint interface visible between the central rigid gas-permeable portion and the adjacent hydrogel skirt.
Combined rigid gas-permeable–soft contact le...

Combined rigid gas-permeable–soft contact lens (SoftPerm; CIBA Vision, Duluth, GA) with faint interface visible between the central rigid gas-permeable portion and the adjacent hydrogel skirt.

Transplant rejection with central keratic precipi...Media file 4: Transplant rejection with central keratic precipitate and an arcuate epithelial rejection line.
Transplant rejection with central keratic precipi...

Transplant rejection with central keratic precipitate and an arcuate epithelial rejection line.

Lenticulated, aphakic contact lens with a minus c...Media file 5: Lenticulated, aphakic contact lens with a minus carrier. Note that the fluorescein is thick peripherally.
Lenticulated, aphakic contact lens with a minus c...

Lenticulated, aphakic contact lens with a minus carrier. Note that the fluorescein is thick peripherally.

Child with a spherical, silicone elastomer lens (...Media file 6: Child with a spherical, silicone elastomer lens (SilSoft lens; Bausch & Lomb, Rochester, NY) in the left eye.
Child with a spherical, silicone elastomer lens (...

Child with a spherical, silicone elastomer lens (SilSoft lens; Bausch & Lomb, Rochester, NY) in the left eye.

Painted polymethylmethacrylate (PMMA) lens used a...Media file 7: Painted polymethylmethacrylate (PMMA) lens used after traumatic iridodialysis on the right eye to relieve persistent photophobia.
Painted polymethylmethacrylate (PMMA) lens used a...

Painted polymethylmethacrylate (PMMA) lens used after traumatic iridodialysis on the right eye to relieve persistent photophobia.

Debris trapped under a flap created during laser ...Media file 8: Debris trapped under a flap created during laser in situ keratomileusis (LASIK) with resultant diplopia. This condition was resolved with a SoftPerm (CIBA Vision, Duluth, GA) contact lens.
Debris trapped under a flap created during laser ...

Debris trapped under a flap created during laser in situ keratomileusis (LASIK) with resultant diplopia. This condition was resolved with a SoftPerm (CIBA Vision, Duluth, GA) contact lens.

Bitoric lens fit on a patient with 7 diopters of ...Media file 9: Bitoric lens fit on a patient with 7 diopters of corneal toricity.
Bitoric lens fit on a patient with 7 diopters of ...

Bitoric lens fit on a patient with 7 diopters of corneal toricity.

LifeStyle rigid gas-permeable, bifocal lens (The ...Media file 10: LifeStyle rigid gas-permeable, bifocal lens (The LifeStyle Company, Inc, Morganville, NJ). Note that proper centration ensures good distance acuity and effective near add.
LifeStyle rigid gas-permeable, bifocal lens (The ...

LifeStyle rigid gas-permeable, bifocal lens (The LifeStyle Company, Inc, Morganville, NJ). Note that proper centration ensures good distance acuity and effective near add.

This lens fit depicts a desirable apical clearanc...Media file 11: This lens fit depicts a desirable apical clearance fit with a small amount of superior peripheral edge lift. Refitting the patient with a small lens or one with steepened peripheral curves is likely to resolve the edge lift and to improve any discomfort.
This lens fit depicts a desirable apical clearanc...

This lens fit depicts a desirable apical clearance fit with a small amount of superior peripheral edge lift. Refitting the patient with a small lens or one with steepened peripheral curves is likely to resolve the edge lift and to improve any discomfort.

This lens fit depicts an excessively steep lens w...Media file 12: This lens fit depicts an excessively steep lens with a resultant air bubble.
This lens fit depicts an excessively steep lens w...

This lens fit depicts an excessively steep lens with a resultant air bubble.

The patient whose eye is depicted in this image p...Media file 13: The patient whose eye is depicted in this image presented with poor vision as a result of Salzmann nodules. The best lens to use first in this patient is a spherical lens.
The patient whose eye is depicted in this image p...

The patient whose eye is depicted in this image presented with poor vision as a result of Salzmann nodules. The best lens to use first in this patient is a spherical lens.

The spherical lens fit depicted shows inferior de...Media file 14: The spherical lens fit depicted shows inferior decentration with marked corneal toricity.
The spherical lens fit depicted shows inferior de...

The spherical lens fit depicted shows inferior decentration with marked corneal toricity.

This image depicts corneal neovascularization in ...Media file 15: This image depicts corneal neovascularization in a 31-year-old professional football player with keratoconus.
This image depicts corneal neovascularization in ...

This image depicts corneal neovascularization in a 31-year-old professional football player with keratoconus.

Soft, disposable, daily-wear contact lens fitted ...Media file 16: Soft, disposable, daily-wear contact lens fitted in a 44-year-old woman.
Soft, disposable, daily-wear contact lens fitted ...

Soft, disposable, daily-wear contact lens fitted in a 44-year-old woman.

More on Specialty Contact Lenses

References
Further Reading

References

  1. Barisic A, Dekaris I, Gabric N, et al. Comparison of diffractive and refractive multifocal intraocular lenses in presbyopia treatment. Coll Antropol. Oct 2008;32 Suppl 2:27-31. [Medline].

  2. Gil-Cazorla R, Teus MA, Hernandez-Verdejo JL, De Benito-Llopis L, Garcia-Gonzalez M. Comparative study of two silicone hydrogel contact lenses used as bandage contact lenses after LASEK. Optom Vis Sci. Sep 2008;85(9):884-8. [Medline].

  3. Gil-Cazorla R, Teus MA, Hernandez-Verdejo JL, De Benito-Llopis L, Garcia-Gonzalez M. Comparative study of two silicone hydrogel contact lenses used as bandage contact lenses after LASEK. Optom Vis Sci. Sep 2008;85(9):884-8. [Medline].

  4. Zadnik K, Barr JT, Steger-May K, Edrington TB, McMahon TT, Gordon MO. Comparison of flat and steep rigid contact lens fitting methods in keratoconus. Optom Vis Sci. Dec 2005;82(12):1014-21. [Medline].

  5. Thakrar V. Scleral contact lenses: then and now. Eye Care Review. Feb 2007;47-48.

  6. Sindt C. Scleral lens basics. Contact Lens Spectrum. Oct 2008.

  7. Ye P, Sun A, Weissman BA. Role of mini-scleral gas-permeable lenses in the treatment of corneal disorders. Eye Contact Lens. Mar 2007;33(2):111-3. [Medline].

  8. Wolter-Roessler M, Küchle M. Correction of aphakia with retroiridally fixated IOL. Klin Monatsbl Augenheilkd. Dec 2008;225(12):1041-4. [Medline].

  9. Collins RS, McChesney ME, McCluer CA, Schatz MP. Occlusion properties of prosthetic contact lenses for the treatment of amblyopia. J AAPOS. Dec 2008;12(6):565-8. [Medline].

  10. Bennett ES, Weissman BA. Clinical Contact Lens Practice. 2nd ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2005.

  11. Christie CL. Therapeutic contact lenses. Cont Lens Anterior Eye. 1999;22 Suppl 1:S20-5. [Medline].

  12. Mandell RB. Contact Lens Practice. 4th ed. Springfield, Ill: Charles C. Thomas; 1988.

  13. Schwartz C. Specialty Contact Lenses: A Fitter's Guide. Philadelphia, Pa: WB Saunders; 1996.

Keywords

specialty contact lenses, specialty CLs, aphakic contact lens fitting, astigmatism contact lenses, bandage contact lenses, bifocal contact lenses, keratoconus contact lenses, post trauma contact lens fitting, post refractive surgery contact lens fitting, prosthetic contact lens fitting, extended wear lenses, rigid gas permeable contact lens, RGP contact lens

Contributor Information and Disclosures

Author

Mark Ventocilla, OD, FAAO, Clinical Professor, Michigan College of Optometry; Editor, American Optometric Association Contact Lens and Cornea Section Newsletter; Chief Executive Officer, Elder Eye Care Group, PLC; President, Lakeshore Professional Eyecare, PC
Mark Ventocilla, OD, FAAO is a member of the following medical societies: American Academy of Optometry and American Optometric Association
Disclosure: Nothing to disclose.

Coauthor(s)

Karen K Yeung, OD, FAAO, Director of Optometry, Arthur Ashe Student Health and Wellness Center, University of California at Los Angeles
Karen K Yeung, OD, FAAO is a member of the following medical societies: American Academy of Optometry
Disclosure: Nothing to disclose.

Medical Editor

Fernando H Murillo-Lopez, MD, Senior Surgeon, Unidad Privada de Oftalmologia CEMES
Fernando H Murillo-Lopez, MD is a member of the following medical societies: American Academy of Ophthalmology
Disclosure: Nothing to disclose.

Pharmacy Editor

Simon K Law, MD, PharmD, Assistant Professor of Ophthalmology, Jules Stein Eye Institute; Chief of Section of Ophthalmology Surgical Services, Department of Veterans Affairs Healthcare Center, West Los Angeles
Simon K Law, MD, PharmD is a member of the following medical societies: American Academy of Ophthalmology, American Glaucoma Society, and Association for Research in Vision and Ophthalmology
Disclosure: Nothing to disclose.

Managing Editor

Christopher J Rapuano, MD, Professor, Department of Ophthalmology, Jefferson Medical College of Thomas Jefferson University; Co-Chairman of the Cornea Service, Co-Chairman of Refractive Surgery Department, Wills Eye Institute
Christopher J Rapuano, MD is a member of the following medical societies: American Academy of Ophthalmology, American Society of Cataract and Refractive Surgery, Contact Lens Association of Ophthalmologists, Cornea Society, Eye Bank Association of America, International Society of Refractive Surgery, and Pan-American Association of Ophthalmology
Disclosure: Allergan Honoraria Speaking and teaching; Allergan Consulting fee Consulting; Alcon Honoraria Speaking and teaching; Inspire Honoraria Speaking and teaching; RPS Ownership interest Other; Vistakon Honoraria Speaking and teaching

CME Editor

Lance L Brown, OD, MD, Ophthalmologist, Affiliated With Freeman Hospital and St John's Hospital, Regional Eye Center, Joplin, Missouri
Disclosure: Nothing to disclose.

Chief Editor

Hampton Roy Sr, MD, Associate Clinical Professor, Department of Ophthalmology, University of Arkansas for Medical Sciences
Hampton Roy Sr, MD is a member of the following medical societies: American Academy of Ophthalmology, American College of Surgeons, and Pan-American Association of Ophthalmology
Disclosure: Nothing to disclose.

 
 
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