Mastering the Simplified Multifocal Contact Lens Fitting Process

[AdminWolf]

In the past, multifocal contact lens fitting was time-consuming and involved a great deal of trial-and-error to get an acceptable fit.

In this final webinar in our series on presbyopia, Milana Matz, OD of North Suburban Vision Consultants in Deerfield, IL, will walk us through Alcon's "Simplified Multifocal CL Fitting Process".

This process has resulted in high rates of fit success, including 80% success with 1 lens per eye, and 96% success with 2 lenses or less per eye!

Dr. Matz will review the process, and several real-life case studies of presbyopic patients fit into multifocals. We hope to see you there!

 

[AdminWolf]

By the way, Paul plans to attend this one live, we want this session to be somewhat interactive -- he comes from a generation where fitting MF lenses was fraught with difficulty, so i'll be curious to hear what he thinks about this process and modern multifocals in general...

 

[Paul Farkas]

Dr. Matz will review the process, and several real-life case studies of presbyopic patients fit into multifocals. We hope to see you there!

This Webinar is designed to attract those who have hesitated fitting mutifocals because of a perception that it requires specialized expertise and great amount of chair time.

The Webinar is a step by step cook book approach to success with minimum chair time required.

 

[Paul Farkas]

By the way, Paul plans to attend this one live, we want this session to be somewhat interactive -- he comes from a generation where fitting MF lenses was fraught with difficulty, so i'll be curious to hear what he thinks about this process and modern multifocals in general...

I was one of the earliest proponents of mono vision. There are still many mono vision patients wearing contact lenses. There is a large market for this group who might appreciate binocular vision with multifocal.

Full disclosure: My wife, (Adam's mom) was one of the earliest monovision users. She now has post cataract implants, using a mono vision prescription.

For sure spending an hour interactively participating with the speaker might allow you to re-think adding multifocal as a choice for presbyopes.

 

[AdminWolf]

Hope to see everyone at tonight's show. it should be a fun one, since Paul is venturing out of the house to take part.

Looking for some good back-and-forth about multifocals, probably won't be difficult with Captain Monovision next to me...

see ya there!
ad

 

[Paul Farkas]

For those who are gun shy dealing with multifocal contact lenses. A very simple cook book approach.

The market is poised. Alcon is doing their bit with consumer marketing.

Your practice should have baby boomers wearing mono vision. They are ready to use both eyes for distance, intermediate and near.

Your generation x contact lens patients are reaching presbyopia. They are a really market.

Any questions? This is the place to ask.

 

[Masoome Rezaee]

REGISTER HERE View attachment 24224
REGISTER HERE​

In the past, multifocal contact lens fitting was time-consuming and involved a great deal of trial-and-error to get an acceptable fit.

In this final webinar in our series on presbyopia, Milana Matz, OD of North Suburban Vision Consultants in Deerfield, IL, will walk us through Alcon's "Simplified Multifocal CL Fitting Process".

This process has resulted in high rates of fit success, including 80% success with 1 lens per eye, and 96% success with 2 lenses or less per eye!

Dr. Matz will review the process, and several real-life case studies of presbyopic patients fit into multifocals. We hope to see you there!


*** CEwire2020 Updates ***

Early Registration for CEwire2020 opened this week! Participants at this webinar will get the latest course updates and news about the event. Don't miss it!

I missed this webinar. Can I watch it anywhere?

 

[Jeff Kiener]

Welcome Masoome! We are honored by your presence. Please continue to post!

 

[Paul Farkas]

I missed this webinar. Can I watch it anywhere?

You should be able to see this Webinar which is archived.

If that is difficult there are numerous additional multifocal webinars archived on the Webinar link...
https://www.odwire.org/community/forums/webinars.68/

Please inform your fell Iranian optometrist colleagues of the useful educational source offered by ODwire.org.

 

[Masoome Rezaee]

You should be able to see this Webinar which is archived.

If that is difficult there are numerous additional multifocal webinars archived on the Webinar link...
https://www.odwire.org/community/forums/webinars.68/

Please inform your fell Iranian optometrist colleagues of the useful educational source offered by ODwire.org.

thank you

 

[Masoome Rezaee]

Welcome Masoome! We are honored by your presence. Please continue to post!

thank you Jeff . it's my pleasure!

 

[Masoome Rezaee]

You should be able to see this Webinar which is archived.

If that is difficult there are numerous additional multifocal webinars archived on the Webinar link...
https://www.odwire.org/community/forums/webinars.68/

Please inform your fell Iranian optometrist colleagues of the useful educational source offered by ODwire.org.

can I ask a question about fitting multifocal contact lenses here?

 

[Jeff Kiener]

Yes. Good luck sorting out the right answers!

 

[Masoome Rezaee]

REGISTER HERE View attachment 24224
REGISTER HERE​

In the past, multifocal contact lens fitting was time-consuming and involved a great deal of trial-and-error to get an acceptable fit.

In this final webinar in our series on presbyopia, Milana Matz, OD of North Suburban Vision Consultants in Deerfield, IL, will walk us through Alcon's "Simplified Multifocal CL Fitting Process".

This process has resulted in high rates of fit success, including 80% success with 1 lens per eye, and 96% success with 2 lenses or less per eye!

Dr. Matz will review the process, and several real-life case studies of presbyopic patients fit into multifocals. We hope to see you there!


*** CEwire2020 Updates ***

Early Registration for CEwire2020 opened this week! Participants at this webinar will get the latest course updates and news about the event. Don't miss it!

I had a patient who wanted to try multifocal lense. Distance refraction was plano and add +0.75D . I tried a pair of Baush and Lomb trial lenses plano/low add. Distance vision was 20/20 but she complained about blur vision in near. I followed the rule and add +0.25D distance overrefraction so +0.25 low add right eye and +0.50 low add left eye. But she said distance vision is declined through window ( actual outdoor environment)
Finally I ordered plano/low add for the dominant eye and plano high add for non dominant eye. here's my question. Why guidelines in the video didn't help me? Where was I wrong?

 

[Jeff Kiener]

I like your first and third approach.

The low add in the multifocal should have provided good enough near vision for a person needing a +0.75 add. I would have tried that first as well.

But sometimes things don't go as planned.

Your second approach was OK, but I would not have "overplussed" the dominant eye. I would have tried to just overpluss the non-dominant eye, which I think you did.

Your third approach should work...it's very much like your second approach, but you don't overpluss the dominant eye, and the distance vision should stay clear.

If the patient still doesn't like the distance vision, you may have to eliminate the dominant eye lens altogether, and just work with the non-dominant eye.

Good case!

 

[William R. Hall]

I had a patient who wanted to try multifocal lense. Distance refraction was plano and add +0.75D . I tried a pair of Baush and Lomb trial lenses plano/low add. Distance vision was 20/20 but she complained about blur vision in near. I followed the rule and add +0.25D distance overrefraction so +0.25 low add right eye and +0.50 low add left eye. But she said distance vision is declined through window ( actual outdoor environment)
Finally I ordered plano/low add for the dominant eye and plano high add for non dominant eye. here's my question. Why guidelines in the video didn't help me? Where was I wrong?

Emmetropes, early presbyopia, and MF is a poor mix in my opinion.

 

[Masoome Rezaee]

Emmetropes, early presbyopia, and MF is a poor mix in my opinion.

She didn't like glasses

 

[Masoome Rezaee]

I like your first and third approach.

The low add in the multifocal should have provided good enough near vision for a person needing a +0.75 add. I would have tried that first as well.

But sometimes things don't go as planned.

Your second approach was OK, but I would not have "overplussed" the dominant eye. I would have tried to just overpluss the non-dominant eye, which I think you did.

Your third approach should work...it's very much like your second approach, but you don't overpluss the dominant eye, and the distance vision should stay clear.

If the patient still doesn't like the distance vision, you may have to eliminate the dominant eye lens altogether, and just work with the non-dominant eye.

Good case!

Thank you
I'll try your suggestion next time

 

[William R. Hall]

She didn't like glasses

Then she might have to settle for 20/Okay.

 

[Jeff Guthrie]

I had a patient who wanted to try multifocal lense. Distance refraction was plano and add +0.75D . I tried a pair of Baush and Lomb trial lenses plano/low add. Distance vision was 20/20 but she complained about blur vision in near. I followed the rule and add +0.25D distance overrefraction so +0.25 low add right eye and +0.50 low add left eye. But she said distance vision is declined through window ( actual outdoor environment)
Finally I ordered plano/low add for the dominant eye and plano high add for non dominant eye. here's my question. Why guidelines in the video didn't help me? Where was I wrong?

The only place you were wrong was in selecting this patient for multifocal contact lenses. Her uncorrected vision is not yet bad enough for her to accept the limitations of multifocal contact lenses. Try again in five years.

 

[Charles A McBride]

It was a good experience for you Masoome. You learned something important. Multifocal soft lenses are nowhere near as good as the manufacturers represent. -Charlie

 

[Jeff Kiener]

You guys are negative, negative, negative.

 

[Scott Blahnik]

If the patient still doesn't like the distance vision, you may have to eliminate the dominant eye lens altogether, and just work with the non-dominant eye.

It should have been step 1: +.75 sphere or +.50 sphere OS only. Don't be hatin'