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    9 habits for multifocal contact lens fitting success

    Avoid fitting pitfalls by applying these habits to your everyday routine


    5. Don’t overwork the lenses

    Whether you’re working with hair gel, paint, bread dough, or multifocal contact lenses, don’t over work it. Sometimes the best results come when you stop yourself and walk away.

    Multifocal contact lens fitting is no different.

    Related: Embracing new contact lens technology

    6. Procedures with both eyes open

    I use flippers to see if changing one lens will improve the patient’s binocular vision. I over-refract one eye at a time, but I do not occlude. If the answer is ambiguous, leave it as is—even if the acuity is not perfect.

    It may be difficult for the multifocal patient to identify improvements with a lens change, so it’s best to avoid switching the lens unless he is consistent in reporting potential improvement with over-refraction.

    Related: 5 reasons to upgrade patients from monovision to multifocals

    7. Real-world targets

    The two most important things a patient wants to see is her phone and the road. Oculus has developed a multifunctional and impressive digital chart, called Vissard 3D, that tests dynamic vision by showing a license plate as the car drives away.1

    Short of that, we must head to a window or the parking lot. This may not be practical in every office, but it’s certainly a miss if we don’t ask every patient to pull his phone out and check the clarity. It’s no help to either of us if he finds out later he can’t see what’s most important to him.

    Crystal M. Brimer, OD, FAAO
    Dr. Brimer is a graduate of UNC-Chapel Hill and Southern College of Optometry. She is a fellow of the American Academy of Optometry and ...


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    Optometry Times A/V