Aphakia
Objectives of this lecture:
1. To understand contact lens applications in aphakia
1.Why Contact Lenses
a. Poor IOL Candidate
b. Reduced Magnification
c. Restricted Field
2. Fitting (RGPs)
a. 4-6 weeks after
surgery
b. Often RGPs due to eye
health, vision, and handling
c. High Dk RGP with minus lenticular
d. Fit steeper than k
3. Hydrogels
a. (1) Poor fit with
RGPs
(2) Infant (Silsoft Super Plus)
(3) Low cylinder
b. Use EW material
c. Can they handle lenses?
d. Complication
rate much higher due to:
(1) Thickerlens
(2) Extended wear (30 days?)
(3) Decreased tear volume
e. Replace lenses
often; patients can come to office for cleaning and disinfection.
Otherwise RTC q 6 mo.