Professional Documents
Culture Documents
USES:
Cosmetic shells
Distorted corneas
Keratoconus, Pellucids
Surface disease
Lid deformatories
Decentered pupils
Water sports
TYPES OF HAPTIC LENSES
Preformed
-set parameters
-usually lathe cut
Molded
SUPPLIES:
INSERTION TECHNIQUE
With shell filled, have patient look down as far as they can
Lift upper lid up and away from the eye
Insert the shell and material under upper lid
-it helps to slightly rotate the shell as you put it in
Be sure to hold shell up away from the cornea (against back
of lid)
While holding shell handle, have patient look up
With patient looking up, pull the lower lid out from under
the shell using the tape as a handle.
Next have patient look at fixation point
Material will set up in 1-2 minutes after mixing water with it
-plenty of time to insert it but can not waste time
When excess material on lid does not stick to finger on touch
it is ready to remove.
Pulling lower lid out from
under shell.
When material set, remove excess from the lids and top
of shell
Have patient look up, while holding handle use the lower
lid to break suction under lower edge of impression
Clay dam made around the eye model, model is coated with a
releasing agent and more dental stone poured onto the model.
Final lens must have clearance over the cornea and limbus.
If lens rests on cornea or limbus it will be uncomfortable.
A coarse file is used to further finish the lens. Once the general
shape is reached, the bottom is filed flat in order to eventually
achieve a uniform edge.
EDGING THE LENS
Shape the edge with a file and then remove file marks with a
fine emery paper.
EDGING THE LENS
Using a permanent ink, felt pen mark a spot over the pooling at
the temporal limbus just below the upper lid for the fenestration.
This position makes the fenestration relatively unnoticeable.
FENESTRATING THE LENS
1. Drilling fenestration
with 1 mm hand-
held drill bit.
2. Beveling the
fenestration opening
DETERMING BACK OPTIC RADIUS
Back radius should be about 0.3 mm flatter than cornea. Can
determine by coating back surface with ink and then touching
the lens down on polishing lap, changing laps until it matches
the back surface.
At this point the lens can be put on the eye and the fit evaluated.
There should be clearance over the cornea and limbus usually
with a small bubble over the temporal limbus.
ADVANTAGES:
DISADVANTAGES:
The lens may not be round but oval with largest section
going temporal. Different optic and haptic radii are
available.
PERFORMED HAPTIC LENSES
POWER DETERMINATION:
LENS MATERIAL:
Availability:
Boston Foundation for Sight: http://www.bostonsight.org/
PERFORMED HAPTIC LENSES
Fluorosilicone/acrylate: Dk 127
c.t. 0.25-0.39
15-23 mm diameter