EyeWitness Summer 2010 - 30

wwydwwydww What Would You Do… ydwwydwwydw wydwwydwwyd wwydwwydww
After reading this column, please send your ideas and responses and they will be printed in the next issue. Your response does not have to be a full article, but simply a paragraph or two explaining your ideas on the case history. I really look forward to learning from all of you!
About thE Author Kelly Harris, fclsa, is the Director of contact lens services at the University of Virginia Department of ophthalmology. she has been in the contact lens field for 33 years and is a fellow of the contact lens society of

In the Spring edition of EyeWitness, I presented a case involving a pediatric patient being fit in contact lenses for the first time. The patient had a very challenging prescription and even though I felt he would be best served in gas permeable lenses, requested that a soft lens fit be attempted first.

Review of Information
Keratometer Readings: OD: 41.50@090/45.50@180 OS: 41.50@090/44.75@180 Manifest Rx: OD +3.50+3.00@090 OS +5.00+3.00@087 Preferred Rx: OD +1.00+3.00@090 VA 20 / 20 OS +2.00+ 3.00@087 VA 20/ 25 A soft toric lens fit was attempted, but neither vision nor comfort could be accomplished. The patient agreed to be fit with rigid gas permeable lenses. The patient was fit successfully, but after 8 months returned to the clinic with complaints of poor comfort even though he was forcing himself to wear the lenses for 10 hours a day. With some adjustments, a better fit was achieved and comfort was better, but not optimal. The patient is willing to settle for less than optimal, but I am not. So, I asked… What Would You Do?

america. Kelly’s background includes manufacturing, sales, consultation and specialty lens fitting. she has spent the majority of her career managing specialty contact lens patients including pediatrics, presbyopia, keratoconus, post-surgical and other irregular cornea patients.

A Note From Your Editor:
submit responses to: ledonna@cox.net Please mark subject as: WWyD July2010
in the last edition of What Would You Do?, Kelly presented a case history and asked yoU…the EyeWitness readership for your ideas for managing the patient. we want to Hear from yoU! who are “we,”—the EyeWitness staff, the readership, industry and colleagues. we all learn from each other and whether you are just learning, or have been fitting for years (even a decade), we want you to share your ideas and knowledge with us. so, let’s review the last case history, what Kelly is doing to currently manage the patient and the thoughts and ideas submitted to us in response to the question…What Would you Do?

Ledonna buckner, CoA, FCLsA EyeWitness editor

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c o n ta c t l e n s s o c i e t y o f a m e r i c a

EyEWitnEss summEr 2010

EyeWitness Summer 2010

Table of Contents for the Digital Edition of EyeWitness Summer 2010