Clinical Skills Certificate Course:

Contact Lenses

 

Course level:

This course is intended for ophthalmic assistants, technicians and technologists.

Course structure:

This course consists of short, illustrated reading segments. There is a quiz at the end of the course. Upon passing the quiz, the user will receive a certificate of completion.

Estimated time to complete:

Two hours.


Short Course Description:

This course on soft and hard (RGP) contact lens fitting includes discussion of indications for wear, history taking, contact lens parameters and verification, wear and replacement schedules, anterior segment examination, fitting variables and techniques, fit evaluation, insertion and removal, lens care, fitting astigmatism, and fitting the presbyope.

For the Detailed Course Description, see below

The course can be purchased via Paypal (you don't need a Paypal account) by using the button below, $10 for 2 months access. More than one course can be purchased at the same time by going to the course catalog. Courses can also be purchased via Authorize.net from the course catalog.

After purchase, the course can be accessed immediately by using the "courses" tab on the top menu bar to link to your "my courses" page.


Detailed Course Description

Basic vs. Specialty Contact Lens Fitting

Soft Contact Lenses, Part 1

Indications for contact lens wear
   cosmetics
   better vision
   artificial iris
   bandage lens

History taking
   why?
   age
   occupation
   medical history
   expectations

Contact lens parameters
   diameter
   base curve
   vault system
   diameter/base curve relationship
   lens thickness
   lens edge design
   water content
   lens materials
   oxygen transmission

Wear and replacement schedules and terminology
   daily wear
   flexible wear
   frequent replacement
   disposable
   extended wear
   continuous wear
   tinted
   decorative

Part 2: Fitting Spherical Soft Contact Lenses

Anterior Segment Examination
   health
   tear production
   lids
   pupil size
   hygiene

Lens Type

Diameter

Base curve

Power

Fit Evaluation
   coverage
   centering
   drape
   movement
   power

Ordering the contact lens

Insertion and removal

Initial wear time

Soft contact lens care

Part 3: Soft Contact Lenses, Fitting Astigmatism and Fitting Presbyopia

Soft lenses for the astigmatic patient
   Does the patient really need astigmatic correction?
   Toric soft lenses vs hard gas permeable lenses
   Cylinder sensitivity testing
   How much astigmatism correction does the patient need?
   Using a trial toric soft lens
   Choosing a trial lens
   Evaluating the fit
   LARS

Soft lenses for the presbyope
   Soft lenses plus readers
   Over-plusing the contact lens power
   Monovision
   determining the dominant eye
   Multifocal soft lenses


Hard Contact Lenses (Rigid Gas Permeables, RGP), Part 1

Introduction

Lens Parameters
   The base curve
      Corneal topography
   Calculating the initial lens power
   The tear lens
   The base curve/ lens power relationship
   Lens diameter and the optic zone
   Other lens parameters

Lens Fitting Designs
   Apical clearance design
   Corneal alignment design

Evaluation of the contact lens fit
   Position and movement
   Condition
   Visual Acuity

Hard Contact Lenses (Rigid Gas Permeables, RGP), Part 2

Evaluation of the contact lens fit
   Flexure
   Residual astigmatism
   Comfort
   Fluorescein pattern
   Corneal and eyelid integrity
      punctate staining
      corneal abrasion
      3 and 9 o'clock staining
      arcuate staining
      dimple veiling
      neovascularization
      polymegathism
      spectacle blur
      orthokeratology

RGP lens inventory management
   Diagnostic fitting
   Empirical fitting

Lens parameter verification
   Reading the lens power
   Reading the diameter
   Reading the base curve (with a radiuscope)
   Reading the center thickness

RGP lens insertion and removal
   Techniques
   General instructions
   Wearing time

RGP contact lens care
   Daily cleaner
   Saline solution
   Enzymatic cleaner
   Disinfection
   General instructions