• Full refraction and eye examination
• Keratometry
• Initial lens selection and assessment
• Is comfortable
• Is centred well, even in upward gaze, with full coverage of limbus
• Provides adequate, smooth movement in all directions of gaze
• Displays smooth push-up test response
• Gives sharp, stable keratometry mires immediately after blinking
• May give poor centration
• May give unstable vision
• Can cause discomfort
• Try steeper BOZR (when available)
• Does not move adequately
• Resists push up test with lower lid
• Can cause blanching or nipping of limbal conjunctival vessels.
(This should be avoided at all costs as it can lead to corneal complications)
• Try flatter BOZR (when available)
• Of 20 minutes or more allows a more accurate assessment
of fit and comfort
•
“Good fit” criteria should still apply
• To determine the best sphere power which gives optimum
visual acuity
• If visual acuity is variable or poor check for flat/steep fitting lens
or the need of a cylindrical
correction
• Please refer to Lens Care section
• For fitting advice and details of our computerised empirical calculation service please provide the patients ‘K’ readings, spectacle prescription and Back Vertex Distance and we will be happy to supply the finished lens specifications
• Specify lens type, BOZR, total diameter, back vertex power, cylinder power and axis