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Contact lens optics

Anatomy & Optics

Key Points

  • •The tear lens formed between an RGP lens and the cornea corrects corneal astigmatism - this is why RGP lenses are first-line for keratoconus and irregular astigmatism
  • •Vertex distance correction is clinically significant for powers >±4 D: moving a minus lens closer to the eye makes it less minus; moving a plus lens closer makes it more plus
  • •Minimum Dk/t for safe daily wear is >24 barrer/cm (Holden-Mertz); for overnight wear >87 barrer/cm (Harvitt-Bonanno)
  • •Daily disposable silicone hydrogel lenses are the safest option with the lowest risk of microbial keratitis
  • •Overnight/extended wear is the single greatest risk factor for contact lens-related microbial keratitis (5-15x increased risk)

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  • Definition
  • Epidemiology
  • Aetiology and causes
  • Pathogenesis
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  • Risk factors and associations

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