Soft Contact Lens Troubleshooting Nacor (A+ Guaranteed)

Pt. Has worn soft lenses for 15 years He has come in on an unscheduled basis as he notices reduced vision OS and a mild burning sensation. After CL removal, he notices that vision still seems reduced with spectacles. VA is reduced to 20/80 OS, no improvement with over-refraction or pinhole. The biomicroscope reveals a central coalesced area of staining. What is wrong with this patient? correct answers Abrasion or ulcer New wearer comes for an unscheduled follow-up visit. They wear hydrogel monthly lenses. She comes in without the lenses on and complains of discomfort immediately upon insertion. What is the solution correct answers Edge Tear/damage Inspect the lens with or without slit lamp Care regimen: ReNu Fresh Wearing time 8-10 hrs. VA OU 20/20 Patient complains of dry eyes and increased lens intolerance. She received her lenses in April and it is now November. She finds the symptoms to be worse at work. Possible solution? correct answers Preservative sensitivity Pregnancy Any new medications or systemic issues? What is her environment like? It's fall and the heat may have been turned on. She may need a vent deflector or a humidifier Patient is a new CL wearer. She wears the lenses for awhile, but can't increase time above about 8 hrs. Possible solution? correct answers If fitting in a lens material known to be good for dry eyes and using hydrogen peroxide disinfection or daily disposable wear doesn't help, consider dry eye therapy- Steroids, fish oil, lid scrubs and massage, lubricants and then refit What are two common reasons that patients have decreased vision with cls? correct answers They switched the lenses or the lens is inverted Rx OD -2.25-0.75X180 OS -2.50-0.50 X180 K's OD 42.00/42.75 @90 OS 42.00/42.50 @90 TBUT 9 seconds OU CL's OU -2.50/8.7/AV Oasys VA OD 20/25-3 OS 20/20-2 She comes for follow-up complaining of reduced vision with the contact lenses only. What should you do? correct answers Can try toric lens in the right eye with aspheric in the left What could possible problems be if the patient is complaining of decreased VA with both cls and specs? correct answers 1. Ocular condition 2. Edema