Lens Fittings & Evaluations
1. Contact Lens Trial Given.
2. Follow-up appointment at 1-2 weeks.
3. Prescription for Contact Lenses will be dispensed at
follow-up. Rx given if the Doctor and Patient are happy with the vision, fit and comfort it provides. If Doctor
or Patient are not satisfied, a new trial is given and another follow-up appointment is scheduled.
4. Process must be
completed within 90 days. Patient responsibility to schedule and return for follow-up care. No additional charge
for follow-up care if completed within 90 days.
Detailed Explanation of Fitting Process and Policies
contact lens fitting and evaluation process begins with determining the eyeglass prescription that best corrects your
- The eyeglass prescription is compared to your corneal measurements
(shape of the front of your eyes).
- The contact lens material, brand, power, base curve
& diameter are calculated from these measurements.
trial lens is given to be evaluated for centration, coverage, movement, & the vision it provides.
both the patient and the doctor are satisfied with the vision, fit, & performance of the trial lens; a final contact lens
prescription will be provided. This process must be completed within 90 days. This is important as
the contact lens prescription is valid for one year.
remember to wear your contact lenses to your follow-up appointment (unless they are irritating you). If you lose
or tear a trial lens, call the office and let us know.
This is an essential part of
the fitting process as it gives the patient an opportunity to trial the lens before making any purchases of lenses.
In addition, the follow-up appointment allows the Doctor to evaluate the lens after worn for a longer period of
time (insures proper fit).
Contact lenses often feel and fit differently after they
are worn for hours. This is the reason for and importance of the follow-up appointment.
are many different types of contact lenses and we will work together to find the best lens for you.
contact lenses must be evaluated for vision, fit and compatibility of the areas of the eye it rests upon; on an annual basis.
are medical devices. Contact lens prescriptions are regulated in a similar fashion to prescriptions for medications.
Scarring of the cornea could lead to permanent vision loss. The above process reduces complications associated
with contact lenses and is designed to protect the health of your eyes.
The extent of a contact lens prescription
and when a contact lens prescription can safely and accurately be written shall be left to the professional judgment of the
licensed practitioner in the State of Florida.
Handling of Contact Lenses
Always wash your hands before handling the lenses
Keep fingernails clean and free of jagged edges:
especially false fingernails as they have been associated with
Put the contact lens in the case first. Fill
the case ¾ the way full for overnight storage (avoids the lens floating on the surface of the solution) –
Never use water – only solutions.
Keep your case clean and use new solution in your case every day (dirty cases and old solution can
If your lenses have astigmatism: aim the line on the lens toward the bottom of
your eye when inserting.
Inside out lenses flare out on the edges.
Right side lenses curve inward like a bowl.
2-4 h Day 3:
8-10 h Day 5+: Max 12 h
4-8 h Day 4: 10-12
Each day the contacts should feel better. If they feel worse or your eyes are irritated, take out
the contacts & call the office.
Avoid Wearing Contact Lenses for more than 12-14 hours per day
The best habit is to take out your contacts around 8 pm and put your eyeglasses
on for the rest of the evening.
Daily Moisturizing is Recommended: Use Artificial
Tears (Systane or Refresh) in the morning when you wake up and at night before you go to sleep.
Replacement of the lenses varies by brand. The doctor will
indicate your personal replacement schedule during your contact lens fitting.
(front of your eye) is a clear tissue that does not have a blood vessel supply. The cornea derives what it needs by a
pump system on the back surface of its' structure. Pumps need energy to work. The energy the pump needs
to work comes from oxygen. Therefore, the cornea relies on the air-tear exchange to get the oxygen
and nutrients it needs to maintain clarity and function.
When you put a contact
lens over your cornea and close your eyelid over it, your cornea receives decreased oxygen. Contact lenses
with increased permeability for oxygen are still hindered when the eyelid closes over it. This makes the cornea swell
and vulnerable to infection.
Every Contact Lens Wearer Needs a Pair of EYEGLASSES
BioTrue (Bausch & Lomb)
Multi-Purpose Disinfecting Solution
with all soft contact lenses
Clear Care (Ciba Vision)
Free & clear of preservatives
with all contact lenses
Must soak in a specific case for a minimum of 6 hours
Cannot use this solution for rinsing or placing
in the eye
Best cleaning solution. Be careful: improper use may result in a
Opti-free "Express" is not as compatible with silicone hydrogel contact
lenses (Biofinity, Oasys, etc) as Opti-fee "Replenish" or "Pure Moist".
Contact Lens Emergencies
- Symptoms that Constitute a Contact Lens Emergency
- Light sensitivity with a red, painful eye
- Loss in vision
- If you are not sure and suspect something is wrong: Call The Office
- Remove your contact lenses
- Call the office and schedule an urgent or an
- We have a Doctor available 7
days a week during office hours.
- Some strains of bacteria
can penetrate the eye within 24 hours.
- For unusual circumstances when you are unable to get in touch with our office or the
answering service, or if the office is not accessible due to weather or other factors, a back up option would be:
- Bascom Palmer Eye Institute’s Emergency Room is open
365 days a year/24 hours per day:
900 NW 17th
Street, Miami, 33136
39 minutes from office)