Contact Lenses in Ophthalmic Practice

Abstract

Even with the advances in intraocular lens technology and the growing diversity of refractive surgery techniques, the role of contact lenses in ophthalmic practice has only increased. This is due in part to the great strides in materials, technology, expanding applications (both refractive and therapeutic) for contact lenses, and the clear recognition that contact lenses will always be an important tool for the ophthalmologist. With the fitting of contact lenses as a medical art, requiring a thorough understanding of anatomy, physiology and optics of the eye, this practice is formulaic only in part. The rest of contact lens practice requires sound medical judgment and decision- making that comes only with "hands-on" experience. The authors address this need by starting with a didactic approach that incorporates frequently-asked questions and straightforward answers so that the ophthalmology resident, intermediate contact lens practitioner, and optometrist will find this to be an indispensable resource. Preface -- 1 Design and nomenclature of contact lenses -- 2 Indications, contraindications, and selection of contact lenses -- 3 The routine contact lens examination -- 4 The role of the ophthalmic assistant in contact lens practice -- 5 The importance of tear film evaluation in the candidate for contact lens wear -- 6 Corneal topography and contact lenses -- 7 How to fit rigid spherical contact lenses -- 8 Follow-up after fitting rigid gas permeable lenses -- 9 Fitting spherical hydrophilic soft contact lenses for daily and extended wear -- 10 Disposable and planned replacement contact lenses -- 11 Astigmatism and toric contact lenses -- 12 Presbyopia and contact lenses -- 13 Contact lens fitting in aphakia -- 14 Pediatric contact lenses -- 15 Fitting contact lenses after refractive surgery -- 16 Contact lens fitting after corneal transplantation -- 17 Contact lens fitting after ocular trauma -- 18 Keratoconus -- 19 Cosmetic and prosthetic contact lenses -- 20 Therapeutic contact lenses -- 21 Maintenance and handling of contact lenses -- 22 Complications associated with contact lens use -- 23 Complications associated with material, deposits, and lens design in rigid, gas permeable lenses -- 24 Lid and conjunctival complications associated with contact lens use -- 25 AIDS and contact lenses -- Index.