In Contact: Clinical Contact Lens Practice
This book represents some of the knowledge I have managed to gain through many years of clinical contact lens practice. Since my pre-graduate training in the early 1980s the field…
Category: Contact Lenses
The Pharmacology of Contact Lens Practice
Most ocular medications and solutions contain a unique mixture of active ingredients, preservative, drug delivery system, viscosityincreasing agents, buffers and stabilizers, and a vehicle by which all the ingredients are…
Scleral Lenses: When Things Go Wrong
This is the story of contact lens related inflammation, hypoxia, tear film changes, biofilms, infection and their relationship to scleral lens adverse effects
A Non-Surgical Approach to Acute Corneal Hydrops in Optometric Practice
If you can quickly resolve oedema in acute hydrops cases, you'll reduce the need for a transplant Topical hyperosmotic: Can reduce corneal oedema (albeit slowly), and improve acuity Topical steroids:…
Case Report: A Mini-Scleral Lens for Visual Rehabilitation of Corneal Leukoma Adherens
Corneal injury either by trauma, surgery or infection often results in severe scarring and generalised or localised leukoma or white vascularized corneal opacities involving the cornea. The affected eye often…
Case Report: Managing Pellucid Marginal Degeneration and Keratoconus with Corneal and Mini-Scleral Lenses
Keratoconus is a bilateral asymmetric non-inflammatory corneal degeneration characterised by localised corneal thinning which leads to ectasia or protrusion of the thinned cornea causing high myopia and irregular astigmatism that...
Case Report: Managing Keratoconus and a Corneal Graft with Semi-Scleral Contact Lenses
Keratoconus is a bilateral asymmetric non-inflammatory corneal degeneration characterised by localised corneal thinning which leads to ectasia or protrusion of the thinned cornea. The corneal thinning and protrusion can occur...