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Scleral Multifocal Follow Up

Our 55 year old scleral multifocal patient arrived for her follow up today.

▪️As a refresher, she is a post LASIK patient with dry eyes and seeking a multifocal option. She has high demands at intermediate and near.

▪️She states her right eye feels uncomfortable near the superior temporal area of her eye. Left eye has no discomfort issues.

▪️Her distance vision is “great” but computer and reading are lacking at work.

▪️No issues with insertion and removal.

▪️Distance vision was 20/20 in each eye and 20/30 “double” at near.

▪️She did accept a +0.50 at distance in each eye with loose lenses. At near, she accepted +1.00.

▪️Slit lamp exam showed great central clearance and to me, the edges looked great. However it concerned me that she was having some discomfort in the right eye in the superior temporal area.

▪️You can see with the OCT images, there is a clear difference between the 11:00, 12:00 and 1:00 positions. There is excessive limbal vault and the transition to landing is harsh in that area.

▪️Once again, Keri from Blanchard Contacts helped me design some new lenses. We are adding +0.50 to each lens and also increasing the near power to +2.75 to try and help improve her intermediate and near. For the right eye, we are decreasing the limbal vault by 125 um and steeping the edge.

▪️Will keep you posted on her next dispense!

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