Fitting Guide for Rigid and Soft Contact Lenses: A Practical Approach / Edition 4

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Updated and revised, the fourth edition of this reader-friendly reference presents straightforward guidelines for proper contact lens fitting. Covering today's full range of contact lens types, it also explores how to manage some of the major complications of contact lens wear. Devoid of extraneous optical theory, it focuses on the "hands-on" information that readers need to know in order to provide complete well-eye care.

Guide to lens fitting for students, small-volume practitioner & advanced fitters/complications/med. practice.

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Editorial Reviews

Doody's Review Service
Reviewer: Brian Marshall, O.D.(Marshall Family Eye Care)
Description: This is a comprehensive guide for the practitioner in fitting all types of contact lenses. The previous edition was published in 1990.
Purpose: It is intended to provide the busy practitioner a concise, instructional guide to fitting and managing all types of contact lenses. Because contact lens technology has changed so drastically in the past several years, this book is timely and worthwhile. The authors have done a great job of incorporating new technology with the established material in this book.
Audience: According to the authors, this book is written for both the student and practitioner. It is a great book for all practitioners, but it is specifically geared towards the student or resident who is learning this information for the first time. The authors are all credible authorities in the area of contact lens management, most having academic affiliations.
Features: The book begins with the background information necessary for fitting patients with contact lenses. Next it describes in depth all types of contact lenses and outlines instructions in the fitting of each type. Managing complications is also adequately covered. Photos and illustrations are valuable for the reader to visualize fitting relationships. Overall the book did an adequate job in this regard, but more photos showing hard lens fitting patterns would have been helpful. In addition, the section on orthokeratology could have been expanded. Lastly, this book includes a section on the business aspects involved in managing a contact lens practice.
Assessment: This is an excellent teaching aid for all students and residents who desire to learn the art of contact lens fitting. It can't replace clinical experience, but it does provide a solid foundation for learning. Because the technology involved in this area changes so rapidly, this new edition was badly overdue. This book compares favorably overall with other books in the area mainly because it is current. However, there are other books with better photos and diagrams.
Expands the second edition of 1984 from 32 to 45 chapters. Provides information to assist the fitter in the practical management of a contact lens practice. Covers the new modalities of gas-permeable, extended-wear, disposable, and bifocal lenses. Includes 48 full-color and 18 two-color illustrations. Annotation c. Book News, Inc., Portland, OR (

3 Stars from Doody
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Product Details

  • ISBN-13: 9780323014403
  • Publisher: Elsevier Health Sciences
  • Publication date: 11/1/2001
  • Edition description: REV
  • Edition number: 4
  • Pages: 736
  • Product dimensions: 7.50 (w) x 10.40 (h) x 1.30 (d)

Table of Contents

Part I: Fundamentals

1 Anatomy of Physiology of the Cornea
2 Basic Terminology
3 Assessment of the Prospective Contact Lens Wearer
4 Examination of the Anterior Ocular Surface and Tear Film – Joshua E. Josephson
5 Patient Selection: Finding the Right Lens for the Right Patient
6 Soft Lenses: Characteristics, Advantages, and Disadvantages

Part II: Basic Fitting: An Approach to Lens-Fitting and Small Volume Fitter

7 Office Evaluation and Verification of Soft Lenses
8 General Guidelines for Fitting Soft Lenses
9 Fitting Methods for Soft Lenses
10 Handling of Soft Lenses: Insertion, Removal, and Wearing
11 Care Systems for Soft Lenses
12 Tinted Contact Lenses – Harold A. Stein and Leroy G. Meschel
13 Problems Associated with Soft Lenses

Section Two: Rigid Lenses

14 History of Contact Lenses
15 Systems for Lens Ordering
16 Insertion and Removal Techniques
17 Office Modification of Rigid Lenses – Penny Cook Pilliar and Karosh Nikeghbal
18 Lens Solutions for Cleaning and Disinfecting Rigid Lenses
19 Adaptive Systems for Rigid Lenses
20 Fitting Problems and Their Solutions
21 Complications of Rigid Lenses
22 How to Ensure Your Rigid Lenses Are What You Ordered – G. Peter Halberg and Harold A. Stein

Section Three: Rigid Gas-Permeable Lenses

23 Rigid Gas-Permeable Lens (RGP): Materials, Design, and Fitting – Harold A. Stein and Phyllis Rakow
24 Rigid Aspheric Gas-Permeable Contact Lenses – Phyllis Rakow

Part III: Fitting Guide For More Advanced Fitters

25 Keratoconus
26 The Correction of Astigmatism with Contact Lenses
27 Toric Lens Fitting – Peter R. Kastl
28 Fitting the Presyope Bifocal Contact Lens: Rigid and Soft – Lynn Maund
29 Special Uses for Rigid and Soft Lenses
30 Aphakic and Pseudoaphakic Rigid and Soft Lenses
31 Extended-Wear Lenses
32 Disposable Contact Lenses – Melvin Freeman
33 Therapeutic Contact Lenses – James V. Aquavella
34 Practical Problems and Their Solutions: Case Analysis – Harold A. Stein and Jean-Pierre Chartrand
35 Corneal Topography and Computerized Contact Lens Fitting – Michael A. Ward

Part IV: Complications of Contact Lens Wearer

36 Problems Associated with Current Care Systems – James E. Key and John F. Morgan
37 Endothelial Response to Contact Lenses
38 Epithelial and Subepithelial Complications of Contact Lenses
39 Serious Corneal Complications of Contact Lenses and Their Management
40 Contact Lens Wear and Ocular Allergy – Peter Doshik

Part V: Contact Lens Practice

41 How to Start a Contact Lens Practice – James E. Key and Carole L. Mobley
42 Management of a Contact Lens Practice
43 Practical Business Aspects of a Contact Lens Practice
44 The Role of Contact Lenses in a Refractive Practice
45 Computers in a Contact Lens Practice – Alan Mandelberg
46 Cosmetics and Contact Lens Wear
47 AIDS and Contact Lenses – Charles B. Slonim
48 Overview of Ophthalmic Photography – Csaba L. Martonyi


Supplementary Readings


A Thickness Conversion Table
B Conversion Tables for Diopters to Millimeters of Radius
C Conversion of Spectacle Lens Power Worn at Various Distances to Equivalent Contact Lens Power
D Table of Sagittal Values
E Conversion Table Relating Diopters of Corneal Refracting Power to Millimeters of Radius of Curvature
F Compensation for Effect of Vertex Distances When Plus Lens Is Moved from the Eye
G Compensation for Effect of Vertex Distances When Plus Lens Is Moved Toward the Eye
H Optical Constants of the Eye
I Sagittal Relationship of Various Base Curves and Diameters
J Dioptric Curves for Extended Range of Keratometer
K Edge-Thickness Changes as a Function of Lens Power (for Base Curve 7.6 mm)
L Estimating Visual Loss
M Drugs Commonly Used in Ophthalmology
N Abbreviations in Clinical Use
O Vision and Driving
P Acanthamoeba Keratitis: CLAO Policy Statement Revised May 1989
Q Translations of Commonly Asked Questions and Commands
R Principles of Informed Consent
S Basic Optics and Physiology

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