5.1.1 - CLs - I need to learn!

Daily Cheap Lens - Sphere@ - SiH

• Clariti 1-day - Coopervision

• BC 8.60

• TD: 14.1mm

• Range:

  • -0.50-10.00 (0.25 til -6.00)

  • +0.50 - +8.00 (0.25 til +6.00)

Clariti 1-day Toric - SiH

• BC 8.60

• TD 14.3mm

Ranges;

• Sph: Plano - -6.00DS (0.25) Cyl: -0.75, -1.25, -1.75 - axis in 10 degree steps

  • if cyl -2.25 axis 10, 20, 60-120 and 160-180 in 10 degree steps

• Sph: -6.50 to -9.00 (0.50) Cyl: -2.25 then axis 10, 20, 60-120, 160-180 in 10 degree steps

• Sph: +0.25 to +4.00DS (0.25)

  • cyl: -0.75, -1.25, -1.75

  • axis 10, 20, 70-100, 160-180 in 10 degree steps

Why choose Clariti - 1 day lenses

• Cost effective SiH compared to the likes of Acuvue Oasys (JJ)

• Easy handling for insertion and removal - good for a FT wearer

• SiH unlike those in similar price range such as Acuvue Moist - Somofilicon A

• Toric contains a Prism Ballast stabilisation so there are gentle lid-lens interaction and help it stay in the correct orientation

• Wide range of lens powers to choose from

• Dk/t = 86 - significantly higher than hydrogel lenses at ~25

• Dk/t = 57 in toric lenses

• WetLoc technology - helps with hydration

• Good comfort for long WT

• Class 2 UV blocker - blocks majority of UVA and B

Best daily lens - Sphere only

• Acuvue Oasys Max - JJ

• BC 8.5 & 9.0

• TD 14.3mm

• Range:

  • -0.50-12.00 (0.25 til -6.00)

  • +0.50 - +8.00 (0.25 til +6.00)

Why choose Acuvue Oasys Max?

• Premium lenses designed for enhanced comfort, high oxygen delivery and digital eye screen support

• SiH (Senofilicon A)

• TearStable technology

  • Optimises TF stability

  • Reduced tear evaporation

• OptiBlue Light Filter

  • Aims to reduce light scatter & digital eyestrain

• Dk/t = 121

• Class 1 UV blocker - very very good

• Good for Px with dry eyes, long WT and digital screen use

Good Daily Toric lens - SiH

• Precision1 for Astigmatism

• BC 8.5

• TD 14.5

Range;

• Plano to -6.00DS (0.25) Cyl: -0.75, -1.25, -1.75 Axis 10 to 180 in 10 degree steps

  • Cyl: -2.25 axis: 10,20,70-110 160-180 in 10 degree steps

• -6.50 to -8.00DS (0.50) Cyl: -0.75, -1.25, -1.75 Axis: 10,20, 70-110, 160-180 in 10 degree steps

  • Cyl: -2.25 axis: 10,20,160,170,180

• +0.25 to +4.00 (0.25) Cyl: -0.75, -1.25, -1.75 Axis: 10,20,70-110, 160-180 in 10 degree steps

  • Cyl: -2.25 Axis: 10,20,160,170,180

Why would I recommend Precision1 Toric lenses

• Dk/t = 90 - very high for a toric lens

• SiH

• Class 1 UV blocker - blocks >99% of UV B

• Precision Balance - According to manufacturer less than 5 degree of orientation with each blink - provides strong stability

  • Settles in less than 60 secs

• SmartSurface technology - contains a microthin layer of moisture which gives more stability to the lens

• Contains 2 stabilisation points which help with optimal lens fit and less rotation

What to fit if Px wants a daily multifocal?

• Clariti-1 day MF

• Sphere power: -6.00 to +5.00 in 0.25 steps

• Low ADD: up to +2.25

• High ADD: +2.50 to +3.00

more cost effective than for instance a total 1 multifocal

If Px wants a 2-weekly lens

• Oasys for Astigmatism - JJ

• BC 8.6

• TD 14.50

Monthly Spheres

• Biofinity - Coopervision

• BC 8.6

• TD 14

Range;

• +0.25 to +6.00 (0.25)

• +6.50 to +8.00 (0.50)

• -0.25 to -6.00 (0.25)

• -6.50 to -12.00 (0.50)

Reasons for choosing Biofinity?

• Aquaform technology - naturally hydrophilic material that retains water and stays moist - natural wettability helping to reduces dryness

• Aberration Neutralising system - aspheric front surface - designed to counteract the eyes aberration

• Rounded edges = more comfort

• Cost effective

• SiH

• Dk/t = 160

• High oxygen permeability with low water content so good if dry eyes

• Can seamlessly change to Biofinity XR which contains larger power parameters or Biofinity multifocal

What monthly toric lens would you fit?

• Total 30 toric - Alcon

• BC 8.60

• TD 14.50

Range:

• +6.00 to -6.00 (0.25)

• -6.50 to -10.00 (0.50)

• +6.50 to +8.00 (0.50)

• Cyl: -0.75, -1.25, -1.75, -2.25

• Axis: 10-180 in 10 degree steps

Why would I choose Total30 Toric Alcon

• Precision Balance 8/4 design

  • stabilised at 8 o clock and 4 o clock

  • settles in avg of 60 sec

  • 5 degree rotation in blink

• Water gradient material - ensuring good wettability

• Celligent technology - mimics the human eyes surface which helps resist lipid deposits

• Class 1 UV blocking

• Wide range of parameters

• Dk/t = 123

Spherical Multifocal

Biofinity Multifocal

Toric Multifocal

Biofinity Toric Multifocal

ASDA All purpose solution

Hyocsan Extra

Hycosan plus

Hycosan Dual