Case Histories

Case #2 - 45 yr old white female presented with keratoconus in OD and  graft in OS

Case #3 - 45 yr old white female presented  with poor vision and base torics

Case #4 - 42 yr old white male D.P. "poor comfort & lens pooping off"

Case #5 - 53 yr old white male - J.E., presented unable to successfully wear any lenses

Case #1

50 yr old male presented with keratoconus

Topography

OD Video

B.C. 7.67  11.2 diameter

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Case #2

45 yr old white female presented with keratoconus in OD and  graft in OS

Topography

Patient's old lenses - bitoric, B.C. 8.08/7.58  8.9 diameter

OS - Graft

OD - B.C. 6.89  11.2 diameter w/ 9.4 OZ (flat p.c.) tight B.C. & edge lift

B.C.7.03  11.2 diameter w/ 9.4 OZ, B.C. too flat

OS - B.C. 7.85  11.0 diameter w/ 9.2 OZ

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Case #3

45 yr old white female presented  with poor vision and base torics

Parameter of old lenses

OS Topography - psuedo globus keratoconus not typical base toric

Toric 8.13/7.63   -3.50  9.2 diameter, rides high, poor fit

B.C. 8.04  -1.00  11.2 diameter w/ 9.4 OZ DIL, V.A. better than toric - B.C. too steep

B.C. 8.23  -1.12  11.2 diameter w/ 9.4 OZ DIL,  flatter B.C. good comfort and V.A.

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Case #4

42 yr old white male D.P. "poor comfort & lens pooping off"

OS Topography

OS - 6.75  11.2 diameter w/ 9.4 OZ, pop out left eye, B.C. too flat

OS - 6.62  11.2 diameter w/ 9.4 OZ, steeper B.C., good fit

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Case #5

53 yr old white male - J.E., presented unable to successfully wear any lenses

OD Topography

OD - B.C. 7.67  11.2 diameter w/ 9.4 OZ  1 step flat edge lift, a little large, rest O.K.

OD - B.C. 7.67  11.0 diameter w/ 9.2 OZ  1 step flat edge lift, smaller diameter, best fit.

side by side comparison

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