Fitting Guide for Rigid and Soft Contact Lenses / Edition 3

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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

From The Critics
Reviewer: Brian D. Marshall, OD (TLC The Laser Center)
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 anexcellent 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: 9780801651823
  • Publisher: Mosby, Incorporated
  • Publication date: 1/28/1990
  • Edition description: Older Edition
  • Edition number: 3
  • Pages: 613

Table of Contents

Pt. I Fundamentals
1 Anatomy and Physiology of the Cornea 3
2 Basic Terminology 13
3 Assessment of the Prospective Contact Lens Wearer 35
4 Examination of the Anterior Ocular Surface and Tear Film 45
5 Patient Selection: Finding the Right Lens for the Right Patient 59
6 Soft Lenses: Characteristics, Advantages, and Disadvantages 71
Pt. II Basic Fitting for the Student and Small-Volume Fitter
7 Office Evaluation and Verification of Soft Lenses 85
8 General Guidelines for Fitting Soft Lenses 93
9 Fitting Methods for Soft Lenses 105
10 Handling of Soft Lenses: Insertion, Removal, and Wearing 119
11 Care Systems of Soft Lenses 127
12 Tinted Contact Lenses 143
13 Problems Associated with Soft Lenses 151
14 History of Contact Lenses 167
15 Systems for Rigid Lens Fitting 169
16 Handling of Rigid Lenses: Insertion, Removal, and Wearing 189
17 Office Modification of Rigid Lenses 201
18 Welting, Storing, and Cleaning/Disinfecting Rigid Lenses 211
19 Adaptive Symptoms to Rigid Lenses 223
20 Fitting Problems and Their Solutions 229
21 Complications of Rigid Lenses 251
22 How to Ensure That Rigid Lenses Conform to Order Specifications 257
23 Rigid Gas-Permeable Lenses: Materials, Designs, and Fitting 271
24 Rigid Aspheric Gas-Permeable Contact Lenses 299
Pt. III Fitting Guide for More Advanced Fitters
25 Keratoconus 307
26 The Correction of Astigmatism with Contact Lenses 323
27 Toric Lens Fitting Methods: Case Examples 337
28 Fitting the Presbyope with Bifocal Contact Lenses: Rigid and Soft 343
29 Special Uses for Rigid and Soft Lenses 369
30 Aphakic and Pseudophakic Rigid and Soft Lenses 379
31 Extended-Wear Lenses 389
32 Disposable and Frequent Replacement Contact Lenses 411
33 Therapeutic Contact Lenses 419
34 Practical Problems and Their Solution: Case Analyses 435
35 Corned Topography and Computerized Contact Lens Fitting 453
Pt. IV Complications of Contact Lens Wear
36 Problems Associated with Current Care Systems 465
37 Endothelial Response to Contact Lenses 501
38 Epithelial and Subepithelial Complications of Contact Lenses 505
39 Serious Corneal Complications of Contact Lenses and Their Management 511
40 Contact Lens Wear and Ocular Allergy 517
Pt. V Contact Lens Practice
41 How to Start a Contact Lens Practice 527
42 Management of a Contact Lens Practice 533
43 Practical Business Aspects of an Advanced Contact Lens Practice 545
44 The Role of Contact Lenses in a Refractive Practice 553
45 Computers in a Contact Lens Practice 561
46 Cosmetics and Contact Lens Wear 571
47 Acquired Immunodeficiency Syndrome and Contact Lenses 577
48 Overview of Ophthalmic Photography 581
Glossary 595
Supplementary Readings 607
Appendices 623
A Thickness Conversion Table 625
B Conversion Table for Diopters to Millimeters of Radius 626
C Conversion of Spectacle Lens Power Worn at Various Distances to Equivalent Contact Lens Power (Vertex Conversion) 628
D Table of Sagittal Values 630
E Conversion Table Relating Diopters of Corneal Refracting Power to Millimeters of Radius of Curvature 632
F Compensation of Effect of Vertex Distances When Plus Lens Is Moved Away from the Eye 634
G Compensation for Effect of Vertex Distance When Plus Lens Is Moved Toward the Eye 636
H Optical Constants of the Eye 638
I Sagittal Relationship of Various Base Curves and Diameters 639
J Dioptric Curves for Extended Range of Keratometer 640
K Edge Thickness Changes as a Function of Lens Power (for Base Curve 7.6 mm) 642
L Estimating Visual Loss 643
M Drugs Commonly Used in Ophthalmology 644
N Abbreviations in Clinical Use 649
O Vision and Driving 650
P Acanthamoeba Keratitis: CLAO Policy Statement, Revised May 1989 652
Q Translations of Commonly Asked Questions and Commands 655
R Principles of Informed Consent 662
S Basic Optics and Physiology 664
Index 675
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