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What are the steps in manufacturing a GP lens?
1. cutting and preparation of polymer
2. machining (cutting + polishing base curves, cutting + polishing front curve, finishing)
3. in-office modification
Who cuts and prepares the polymer?
polymer manufactures
How is polymer cut and prepared for CL use (steps)?
1. purity and quality of raw materials are evaluated
2. refrigerate material
3. tested for impurities using distillation
4. polymerization
What are the ways for the polymer material to be prepared?
1. rods
2. sheets
3. buttons
What shape of polymer is received by CL lab?
button
How is machining done?
almost always by lathe cutting
What is the downside to lathe cutting?
can be inconsistent because it is:
-produced with slow, shallow cuts
-needs constant application of liquid air coolant
Do GPs usually undergo machining or molding?
machining more common
What are the advantages of GP molding instead of machining?
1. eliminates inconsistencies
2. improvements in curing techniques needed to improve material stability
How does a GP undergo both machining and molding (combination)?
molded back surface
lathe front curve/power curve + lenticulars
What is the downside to high Dk in terms of manufacturing?
more difficult to manufacture:
-slower speeds
-slower polishing
-need to use reduced heat
What part of the RGP is cut first?
back surface
How do they make the back surface of the RGP?
cut a concave radius with a lathe
what is used to polish the base curve?
pitch
soft waxes
pellon pads
What step is taken after cutting and polishing the base curve?
verify base curve
What is the first step in making the front curve of a RGP?
mount button on an arbor with water soluble wax
Which curve makes up the RGP power?
front curve
When is the lens blanked reduced to its final thickness?
when making the front curve
When is lenticulation performed?
when cutting the front curves of the lens
What parts of the GP are verified?
1. BCR
2. Power
3. Edge + optics
4. Zone widths
5. Blend
6. CT
what are the strategies used to verify the GP?
1. checking every lens
2. statistical process control
what is statistical process control?
sampling and control of equipment → only a small # of lenses are selected and verified
What are the advantages to in-office modification of GPs?
faster for dr
faster for patient
Which lenses should not be modified in office?
1. high Dk lenses
2. lenses with plasma or other coatings
what are the surface coatings/treatments?
1. plasma
2. polyethylene glycol (PEG)
What is plasma?
highly excited ionized gas consisting of electrons
fourth state of matter
how is plasma handled?
materials are treated with cold plasma gas in a reaction chamber
shipped wet to practitioner
how does plasma coating affect GPs?
improved lubricity, wetting and bond strength
Why is plasma coating used on GPs?
1. removes residues from manufacturing process
2. increases wettability - decrease in wetting angle
3. helps adaptation period
What does PEG do for GPs?
coats the lens with mucin like (similar to tears) hydrophilic shell
Why is polyethylene glycol used in CLs?
improves surface wettability
How should you care for coated GPs?
use non-abrasive cleaner (no polish or Boston products) until 6 months → then can use abrasives