DreamLens Test Supplement
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Vision Shaping Treatment Certification Course

The DreamLens™ for Vision Shaping Treatment Certification Course Welcome to the DreamLens Certification Course. This handout is designed to accompany the online or in-person certification process for this exciting product for contact lens corneal reshaping. This handout supports the presentation you will watch that introduces you to Bausch & Lomb Vision Shaping Treatment™ for the temporary reduction of myopia and will provide you information and certify you on the DreamLens Design. Please keep in mind that this certification test is not meant to take the place of detailed training on...

created by the annular tear pool under a steeper second or reverse curve. High Dk Material Boston® Equalens® II – Dk 85* (ISO/Fatt) • Outstanding stability • Excellent wettability • Ideal for overnight wear – Approved for daily wear, extended wear and overnight ortho-k • Red and Yellow Buttons – Convenient differentiation for patients between Right (Red) and Left (yeLLow) lenses The Boston Equalens II material has been available for a number of years in North American and has been FDA approved for extended wear since 1991. It provides a significant amount of oxygen exchange having a Dk of...

This zone, comprised of one or more curves, is typically 0.6 to 1.0mm wide depending on the design of the shaping lens. Let’s start the DreamLens Certification process. Here are the directions for completing your Answer Sheet. • If you decide to change your answer draw an “X” through the answer you do not want to be counted 3rd Curve = Alignment Curve/Fitting Curve Mark your choice on the answer sheet by completely coloring-in the circle on the answer sheet • Closely aligns peripheral cornea providing a bearing zone • Optimizes shaping lens centration Choose the best answer from among those...

Beware of those patients with higher amounts of myopia, low corneal eccentricity measurements and flat corneas. Against the rule astigmatism greater than three quarters of a diopter can also be problematic, in that this reshaping process may induce even higher amounts of against the rule astigmatism. These types of patients may not be as well-suited for vision shaping treatment. Also, proceed with caution with previous GP and PMMA lens wearers. These patients should remain out of their lenses until the corneal and refractive measurements have stabilized, often 2 to 4 weeks or more. Patient...

Vision shaping treatment should also be discontinued if you observe any corneal hypoxia or staining greater than Grade 2. Care and Maintenance • It is important for the wearer to check that the lenses are moving before attempting removal. • Instill several drops of rewetting solution just before sleep and upon waking. Question 9: Which patient symptoms with vision shaping treatment are of most concern to the contact lens practitioner? • Instruct patients to contact office for guidance on management of bound lenses. • In some cases, a DMV remover may be required. Question 10: What is the...

In the study approximately 72% of the subject’s myopia was decreased after the first night of wear and after one week the process is mostly complete with a marked reduction in myopia. Double Reverse Curve vs. Tangent Periphery Double reverse curve In this study over 90% of patients did not require a lens change in the first month. Tangent Periphery There are two general types of Ortho-K or shaping lenses on the market today, the double reverse curve and the tangent periphery lenses. • Eyes with –5.00D and less: – 84.8% achieved 20/25 or better – 92.6% achieved 20/30 or better – 95.1%...

And finally, the patient should be able to function without thinking about their vision during those daytime hours. Patient Selection • • • • • • Corneal scarring can cause atypical shaping results in the area of the scar. If the scar is in the visual axis unwanted distortion could develop. Age/gender Occupation/personality types Hobbies/lifestyles Rx Eye or general health conditions Past correction history Patient selection is a critically important factor for success with the DreamLens for vision shaping treatment. Along with the spectacle prescription and ocular measurements consider the...

redistributed corneal tissue starting to fill in the steeper areas of the cornea. Notice the 90 degree meridian no longer has the welldefined dumbbell pattern and the curvature in this meridian had decreased. Unfortunately, the flat meridian flattened more than the steep meridian resulting in an increase in the amount of cylinder. If the area of steepness was smaller and the amount of flattening greater causing more tissue to be displaced, then the cylinder would have been reduced. Choose patients who have less than 1.50D of with the rule astigmatism and where their amount of cylinder is...

and the data will be extracted from the topographer and transferred into program for lens calculation. DreamLens Software Importing into DreamLens Software Total Communication by E-mail We have attempted to simplify the ordering process by setting up an electronic email communication mechanism. Here is a flow diagram of how to place an order using the proprietary DreamLens Software. For a normal order the data is sent to the help desk at your DreamLens distributor lab. The help desk will review the record to make sure there are no questions on the order. The lens will be fabricated to the...

Have the staff instruct insertion and removal. Consider dispensing a DMV to remove the lenses as the DreamLens is larger than a standard GP lens and can be more difficult to remove with traditional removal techniques. Advise the patient to apply a drop of lubrication solution before the lens is inserted to provide a thicker film for the lens to rest on, thus decreasing the chance for lens adhesion. Pressing the confirm button will take you to the order screen shown above where you can ensure that the data inputted is correct. Choose which method you want to use to order the lenses. Use...