Indications
• An alternative to Rigid Gas Permeable lenses for fitting
keratoconic eyes.
• For all stages of the disease, but most often employed in
advanced keratoconus when the patient
has failed to tolerate RGP lenses or RGP lenses are scarring
the cornea.
• Often succeeds when RGP/Soft lens combinations fail.
Description
The posterior surface of the lens consists of a steep
central curve, flatter para-central curve, and a final
peripheral curve. All curves are aspheric with the central
curve computed by a complex polynomial formula; it
approximates hyperbolic aspheres in larger sagittal depths.
The para-central curve is similar in design to the base
curve of a standard soft lens and the 8.6 mm. radius curve
with a 14.8 mm. diameter should fit the majority of eyes.
The anterior surface has a central optical portion, which
quickly tapers to thinner flange curve to maximize oxygen to
the cornea. It has about the same total lens mass as a
standard high plus soft lens. When residual astigmatism
indicates that a toric lens is needed, double slab-off
ballasting is used to stabilize lens rotation.