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    7 strategies for fitting keratoconus patients

    Improve your fits and offer better outcomes to your patients

    I view treating keratoconic patients as “extreme optometry” because it challenges our ability to correct refractive error unlike any other eye condition. At its core, the treatment is quite simple—get a smooth, rigid surface on the eye to focus light—and indeed, gas permeable (GP) contact lenses have long been the mainstay for improving vision in these patients.

    However, discomfort, handling concerns, and even our own clinical misconceptions can be barriers to successful treatment. In addition, the corneal distortion is often so pronounced that it can be difficult even to get a corneal GP lens to stay on the eye, and patient psychology and practice management issues only add to the challenge.

    Related: Collagen corneal cross-linking for keratoconus

    In my years of specialty practice with keratoconus patients, I have refined the following techniques, and I’d like to share that knowledge.

    Try these seven strategies to improve your keratoconus contact lens prescribing and offer better outcomes to your patients. 

    Brian Chou, OD, FAAO
    Dr. Chou earned his doctorate of optometry at UC Berkeley in 1999 and completed fellowship training in refractive surgery management at ...

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