Two Simple Steps to MULTIFOCAL FITTING SUCCESS
2022-11-10 12:16:41
The Alcon multifocal portfolio helps meet theneeds of your presbyopic patients —and your practice
The Alcon Multifocal3:2:1 Advantage
3
Multifocalcontact lenses
Presbyopiacorrection forany lifestyle
2
Replacementschedules
Daily and monthlyschedules increaselens replacementcompliance
1
Innovativeoptical design
Precision ProfileTMDesign paired with asimple and uniquefitting process
An easy 2-step initial fitting process provento promote fit success
ALCON MULTIFOCAL PORTFOLIOFITTING GUIDE
STEP 1: INITIAL LENS FIT
Start with a new spectacle Rx to begin the Alcon Multifocalcontact lens fi t or refit in a different Alcon Multifocallens material.
Determine initial contact lens power using vertex-corrected,most PLUS, spherical equivalent distance Rx, then add+0.25D for each eye.
Determine the lowest acceptable spectacle ADD, then selectthe contact lens ADD (LO, MED, HI) using this chart.
Allow for 5–10 minutes of real-world exposure(outside the exam room) before assessing visual performance.
STEP 2: DISTANCE OVER-REFRACTION
With both eyes open, use hand-held lenses to perform distanceover-refraction on each eye separately, by adding plus in0.25D steps until patient reports decline in distance vision.
Verify results binocularly by having the patient look at distanceand near objects through the hand-held lenses.
Apply new lenses based on the over-refraction (keeping theADD the same), if needed.
If vision is functional, dispense trial lenses for a 5–7 dayreal-world evaluation and schedule a follow-up visit.
Through extensive research, Alcon has refined the fitting process forits unique multifocal design, enabling high rates of fit success
80%
Fit success
with 1 Lens per eye
96%
Fit success
with 2 lenses orless per eye
More than 9/10 ECPs agreed
that DAILIES TOTAL1® Multifocal contactlenses are easy and efficient to fit
*With the latest fitting process for Alcon multifocal contact lenses
Consistent power profileacross the optic zone forall ADD powers
In order to have a smooth powerprofile to minimize aberrations, thePrecision Profile™Design continuesto add minus power in the peripheryof the lens. This additional minusoften results in a plus power over-refractionat distance.
Follow the 2 simple initial multifocal fitting steps
1
Determine initial lens powers usingvertex-corrected, most plus, sphericalequivalent distance Rx
Add +0.25D for each eye
Select lens ADD per lowest acceptablespectacle ADD
Spectacle ADD
Up to +1.25
+1.50 to +2.00
+2.25 to +2.50
Both Eyes
LO
MED
HI
Give patients 5-10 minutesto adapt outside of theexam room
2
With hand-held lenses, perform distanceover-refraction on each eye
Add plus in 0.25D steps until blur atdistance and verify binocularly
Apply new lenses (with same ADD), if needed
Dispense trial lenses for a 5- to 7-dayevaluation and schedule follow-up
Follow up in 5-7 days
Watch the process here! >
More tips for multifocal success
It’s a partnership
—understand patients’ needs andclearly communicate yourrecommendations
Establish and reinforce
realistic expectations
before and after fitting
Follow the fit guide
every time you fit Alcon multifocalcontact lenses (including when refittinginto a new Alcon lens material)
References: 1. Alcon Multifocal Contact Lenses: Fitting Guidelines. 2019. 2. Merchea M, Evans D, Kannarr S, et al. Assessing a modified fitting approach for improved multifocal contact lensfitting success. Presented at the Annual Meeting of the American Optometric Association, June 20-24, 2018, Denver, CO. 3. Bauman E, Lemp J, Kern J. Material effect on multifocal contact lensfitting of lenses of the same optical design with the same fitting guide. Presented at the British Contact Lens Association Clinical Conference & Exhibition, June 9-11, 2017, Liverpool, UK.4. Merchea M, Akerman DH, Mathew J, Mack C. Patient and ECP satisfaction in the United States with a novel water gradient daily disposable multifocal contact lens. Poster presented at theAnnual Meeting of the American Optometric Association, June 21-26, 2017, Washington, DC. 5. Alcon data on file, 2008.
Important information for AIR OPTIX® plus HydraGlyde® Multifocal (lotrafilcon B) contact lenses:
For daily wear or extended wear up to 6 nights for near/far-sightedness, presbyopia. Risk of serious eye problems (i.e., corneal ulcer) is greater for extended wear. In rare cases, loss of visionmay result. Side effects like discomfort, mild burning or stinging may occur.
See product instructions for complete wear, care, and safety information.
©2022 Alcon Inc. US-DTM-PRA-2200003
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Two Simple Steps to MULTIFOCAL FITTING SUCCESS https://digital.optometricmanagement.com/articles/two-simple-steps-to-multifocal-fitting-success