proclear multifocal toric fitting guide - Walmart

1 proclear multifocal toric fitting guideD L E N S : D O M I N A N T E YEDIAMETER mm DISTANCE VISIONS pherical central zone( mm) INTERMEDIATE AND NEAR VISIONA spherical annular zonePROGRESSIVE plus power( mm) LENS EDGEN L E N S : N O N - D O M I N A N T E Y EDIAMETER mm NEAR VISIONS pherical central zone( mm) INTERMEDIATE ANDDISTANCE VISIONA spherical annular zonePROGRESSIVE minus power( mm) LENS EDGED L E N S : D O M I N A N T E YEDIAMETER mm DISTANCE VISIONS pherical central zone( mm) INTERMEDIATE AND NEAR VISIONA spherical annular zonePROGRESSIVE plus power( mm) LENS EDGEN L E N S : N O N - D O M I N A N T E Y EDIAMETER mm NEAR VISIONS pherical central zone( mm) INTERMEDIATE ANDDISTANCE VISIONA spherical annular zonePROGRESSIVE minus power( mm) LENS EDGE cast molded back surface toric with inverse prism ballast at 3 and 9 o clock provides superior stability (markings at 3 and 9 o clock).

2 After determining patient s spectacle refraction at distance and at near (16 in.):1) Determine dominant eye. (Consider fogging with a + lens.) 2) Place the D lens on the dominant eye and the N lens on the non-dominant eye.* Note: Vertex Sphere if over ) Evaluate visual acuities under normal light conditions for distance and near vision, first binocularly then monocularly, if necessary. PlEaSE rEfEr to thE baCk of thiS guide for morE iNformatioN oN thE imPortaNCE of moNoCular VErifiCatioN. adjust the toric component of the prescription first, then adjust the multifocal needed to fit the proclear multifocal toric :Spectacle rx, k reading, Dominant Eye, aDD Powerspectacle rx addoD x180 + x160 + Dominantlens distance nearbinocularly 20/20 20/20D lens 20/20 20/40 or better N lens 20/40 or better 20/20fitting eXampleVisual acuitY eXpectations> base curve< base curveBase curVe recommendationsuggested multifocal lensoD x180 + DoS x160 + N* Select the spectacle rx aDD power.

3 If aDD is in between available aDD powers, round down to lower aDD Easy to Fit Balanced Progressive Technology 1) Do not attempt to use fitting methods used by other lenses: always fit off spectacle ) leave the lights on. always perform the entire examination in normal light to prevent pupil ) use loose trial lenses for the over refraction (always use +/- up to a maximum of +/- ). Do not use a ) balanced Progressive technology allows for independent adjustment of either distance sphere power or aDD power of a maximum of +/- this means the aDD can be changed up to +/- without affecting the distance sphere power and vice versa on the same ) Visual acuity of 20/25 or 20/30 is acceptable after initial fit even if the lens rotates +/-15 degrees.

4 If patient is seeing 20/25 or 20/30, let the patient leave and return a week later to see if the lens has stabilized. if everything is stable, let the patient leave with the lenses. if the lens is not stable, make any necessary adjustments to the axis first, then ) i f you are refitting a patient from monovision, have the patient remove the lenses worn for monovision at least 48 to 72 hours before being fit in proclear multifocal toric to allow the brain to adjust from being fit in monovision. XlitEraPro029-2monocular Verification is a must if a proBlem eXists with Visual the initial fit, you should first check binocular vision. if vision is not to Va expectations (listed on front), you need to perform monocular Verification.

5 A common misconception is that if there is a problem with distance, it is in the D lens. Since both lenses incorporate distance, intermediate, and near vision, often the problem with the distance vision will be in the N parametersfor multifocal consultation, call cVspo 866-316-9358sphere powermaterialadd powerwearingschedulewatercontentBase curVe(mm)diameter(mm)lens carelens powerhandlingtint+ to (in steps after +/- )omafilcon a59% or disinfection + to + ( steps)D lensN lensfiPS 5 to 180 (in 5 steps) to ( steps)Daily Wearlightbluemultifocal toric fitting tips eXample #1 eXample #2 spectacle rX oD: x 180 add + D lens oD: x 180 add + D lens oS: x 180 add + N lens oS: x 160 add + N lens final contact lens rX oD.

6 X 180 + D lens oD: x 180 add + D lens oS: x 180 + N lens oS: x 160 add + N lens Binocular Vision 20/20 Distance 20/60 Distance 20/60 Near 20/20 Near proBlem Near Vision Not acceptable Distance Vision Not acceptable do not assume proBlem is in the n lens do not assume proBlem is in the d lens monocular Vision D lens: N lens: D lens: N lens: Distance: 20/20 Distance: 20/40 Distance: 20/20 Distance: 20/60 Near: 20/60 Near: 20/20 Near: 20/40 Near: 20/20 proBlem is in the d lens near Va proBlem is in the n lens distance Va solution add + to aDD power, vision is now 20/40 over refract to distance sphere power, (which is normal D lens near Va) vision is now 20/40 (Which is normal N lens distance Va) final contact lens rX oD: x 180 + D lens oD: x 180 add + D lens oS: x 180 + N lens oS: x 160 add + N lens 2007 CooperVision, inc.

7 CooperVision and Eye Design, See beyond the ordinary, and proclear are registered trademarks of the Cooper Companies, inc. its subsidiaries or affiliates. balanced Progressive and fiPS are trademarks of the Cooper Companies, inc. its subsidiaries or affiliates. mf 7/07-Coo-CVS-PrC-2751