Does your patient have any of the following indications AND the motivation to wear multifocal contact lenses?
Learn how Moshe Schwartz, OD creates a successful, efficient, and enjoyable fitting experience through patient communication.
Careful Manifest Refraction
Perform solid refraction at distance and near. Don’t use an old refraction.
Accurate Pupil Size
Success depends on an accurate pupil size measurement. Document the device and room lighting used during measurement.
K Readings and HVID
HVID is crucial if the patient experiences fit issues with in-office contact lenses. If no measurement is provided, an average HVID of 11.8mm will be used.
Evaluate the trial lenses on-eye and download our checklist to record the following:
YES: Dispense lenses and follow up in 1 week. Expect improved vision with adaptation time. Wait before making any changes.
NO: Take monocular visual acuities and perform over-refraction using loose handheld lenses. Evaluate what the distance over-refraction does to the near vision and vice versa. Record the patient’s chief complaints and contact consultation.
Many times, we find that suboptimal visual acuity can be attributed to pupil size and the manner in which the multifocal optics are distributed. SpecialEyes consultants are trained to decipher which change will be most appropriate -a multifocal zone change versus a power change.
Prior to making changes for vision, always confirm: