Contact lens

Clinical Pocket Guide

5th edition

Table of Contents
 Table of Contents

General CL Info
Key questions
CL-related red eye questions
Conversion charts
ICD-9 codes
Tear film evaluation
The Association of Optometric Contact Lens CL solution sampling guidelines

Educators (AOCLE) is a non-profit organization Bottle size (lubricants, gels, lid hygiene)
Ophthalmic dyes
committed to fostering the highest levels of
education in the areas of cornea and contact lenses Soft Lenses
and supporting the faculty in these areas at each Soft lens assessment

of the North American schools and colleges of Soft lens ID / markings

.
Soft lens replacement schedules
optometry.
. Silicone hydrogels
. Daily disposables
. Soft multifocals
Soft lens care
For more information and an electronic version
of this pocket guide, consult our website at; GP Lenses
www.aocle.org GP design
. GP materials
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 Key Questions for Contact Lens Wearers Vertex Distance Conversion Table
• Do you like wearing your contact lenses? What could be done to make them better?
• Are your lenses comfortable? Do your eyes feel dry while wearing your lenses?
Spectacle Lens Plus Lens Minus Lens Spectacle Lens Plus Lens Minus Lens
• Do you see well at both distance and near with your lenses?
• How long have you worn your lenses today & on average?
4.00 +4.25 -3.87 9.25 +10.37 -8.37
• How old is this pair of lenses? How often do you replace your lenses?
• What care system do you use and how do you use it? How long have you been using this solution? 4.25 +4.50 -4.00 9.50 +10.75 -8.50
• When was the last time you replaced your lens case? 4.50 +4.75 -4.25 10.00 +11.37 -8.87
• Do you experience any ocular redness, irritation, drying, itching or discomfort? If yes, after how many hours 4.75 +5.00 -4.50 10.50 +12.00 -9.37
of contact lens wear? 5.00 +5.25 -4.75 11.00 +12.75 -9.75
• Do you sleep or nap in your lenses? How long? Would you like to?
5.25 +5.62 -5.00 11.50 +13.37 -10.12
• Would you be interested in toric/multifocal/1-day/colored lenses?
• Do you have any questions about your contact lenses? 5.50 +5.87 -5.12 12.00 +14.00 -10.50
5.75 +6.12 -5.37 12.50 +14.75 -10.87
CL Related Red Eye Questions 6.00 +6.50 -5.62 13.00 +15.50 -11.25
6.25 +6.75 -5.75 13.50 +16.12 -11.62
• Chief Complaint: • Do you wear contact lenses? • Other considerations 6.50 +7.00 -6.00 14.00 +16.75 -12.00
–– Which eye is red? –– Does the problem go away –– Allergies (medicine/
–– How long has the problem when you take your CLs off? environment) 6.75 +7.37 -6.25 14.50 +17.50 -12.37
existed? –– What type/brand? –– Biomicroscopy /Staining
7.00 +7.62 -6.50 15.00 +18.25 -12.75
–– Are symptoms getting better, –– How many hours do you –– Lids and Lashes
worse or the same? usually wear your CLs? –– Conjunctiva 7.25 +8.00 -6.62 15.50 +19.00 -13.00
–– Is there pain? –– How old is your current pair? –– Injection (localized,
7.50 +8.25 -6.87 16.00 +19.75 -13.50
–– Rate pain on a scale from 1 –– How often do you throw out circumlimbal)
to 10, 10 being the worst. your CLs? –– Cornea 7.75 +8.50 -7.12 16.50 +20.50 -13.75
–– What kind of discharge are –– How often do you sleep/nap –– Infiltrate (location, size,
8.00 +8.87 -7.25 17.00 +21.50 -14.12
you experiencing? in your CLs? depth)
–– Are you sensitive to light? –– What kind of CL solution do –– Edema 8.25 +9.12 -7.50 17.50 +22.25 -14.50
–– Has there been a change in you use? –– A/C reaction
8.50 +9.50 -7.75 18.00 +23.00 -14.75
your vision? –– When did you last change –– Previous occurence
–– Have you had (or been your lens case? –– Recent travel 8.75 +9.75 -7.87 18.50 +23.75 -15.12
around someone with) a
9.00 +10.12 -8.12 19.00 +24.75 -15.50
cold or flu?
–– Have you self treated? For 12mm vertex distance Fcl = Fspec / 1-D Fspec

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Diopter/mm Radius Conversion Diopter/mm Radius Conversion

Diopters Radius (mm) Diopters Radius (mm) Diopters Radius (mm) Diopters Radius (mm) Diopters Radius (mm) Diopters Radius (mm)

37.00 9.121 43.00 7.848 49.00 6.887 55.00 6.14 61.00 5.53 67.00 5.04
37.25 9.060 43.25 7.803 49.25 6.852 55.25 6.11 61.25 5.51 67.25 5.02
37.50 9.000 43.50 7.758 49.50 6.818 55.50 6.08 61.50 5.49 67.50 5.00
37.75 8.940 43.75 7.714 49.75 6.78 55.75 6.05 61.75 5.47 67.75 4.98
38.00 8.881 44.00 7.670 50.00 6.75 56.00 6.03 62.00 5.44 68.00 4.96
38.25 8.823 44.25 7.627 50.25 6.72 56.25 6.00 62.25 5.42 68.25 4.95
38.50 8.766 44.50 7.584 50.50 6.68 56.50 5.97 62.50 5.40 68.50 4.93
38.75 8.708 44.75 7.541 50.75 6.65 56.75 5.95 62.75 5.38 68.75 4.91
39.00 8.653 45.00 7.500 51.00 6.62 57.00 5.92 63.00 5.36 69.00 4.89
39.25 8.598 45.25 7.458 51.25 6.59 57.25 5.90 63.25 5.34 69.25 4.87
39.50 8.544 45.50 7.417 51.50 6.55 57.50 5.87 63.50 5.31 69.50 4.86
39.75 8.490 45.75 7.377 51.75 6.52 57.75 5.84 63.75 5.29 69.75 4.84
40.00 8.437 46.00 7.336 52.00 6.49 58.00 5.82 64.00 5.27 70.00 4.82
40.25 8.385 46.25 7.297 52.25 6.46 58.25 5.79 64.25 5.25 70.25 4.80
40.50 8.333 46.50 7.258 52.50 6.43 58.50 5.77 64.50 5.23 70.50 4.79
40.75 8.282 46.75 7.219 52.75 6.40 58.75 5.74 64.75 5.21 70.75 4.77
41.00 8.231 47.00 7.180 53.00 6.37 59.00 5.72 65.00 5.19 71.00 4.75
41.25 8.181 47.25 7.142 53.25 6.34 59.25 5.70 65.25 5.17 71.25 4.74
41.50 8.132 47.50 7.105 53.50 6.31 59.50 5.67 65.50 5.15 71.50 4.72
41.75 8.083 47.75 7.068 53.75 6.28 59.75 5.65 65.75 5.13 71.75 4.70
42.00 8.035 48.00 7.031 54.00 6.25 60.00 5.63 66.00 5.11 72.00 4.69
42.25 7.988 48.25 6.994 54.25 6.22 60.25 5.60 66.25 5.09 72.25 4.67
42.50 7.941 48.50 6.958 54.50 6.19 60.50 5.58 66.50 5.08 72.50 4.66
42.75 7.894 48.75 6.923 54.75 6.16 60.75 5.56 66.75 5.06 72.75 4.64
337.5/ radius = diopters 337.5/ radius = diopters

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 ICD-9 Codes ICD-9 Codes
Refraction Adherent corneal leucoma 371.04 Conjunctiva Inflammation of eyelid. unspecified 373.90
Hyperopia 367.00 Phthisical cornea 371.05 Acute conjunctivitis, unspecified 372.00 Entropion. unspecified 374.00
Myopia 367.10 Corneal deposit. Unspecified 371.10 Acute atopic conjunctivitis 372.05 Senile entropion 374.01
Astigmatism regular 367.21 Corneal pigmentations anterior 371.11 Chronic conjunctivitis, unspecified 372.10 Mechanical entropion 374.02
Astigmatism irregular 367.22 Corneal pigmentations stromal 371.12 Simple chronic conjunctivitis 372.11 Cicatricial entropion 374.04
Anisometropia 367.31 Corneal pigmentations posterior 371.13 Chronic follicular conjunctivitis 372.12 Trichiasis of eyelid without entropion 374.05
Presbyopia 367.40 Corneal edema. Unspecified 371.20 Vernal conjunctivitis 372.13 Ectropion. unspecified 374.10
Amblyopia (unspecified) 368.00 Corneal edema. Secondary 371.22 Other chronic allergic conjunctivitis 372.14 Senile ectropion 374.11
Corneal edema due to wearing Blepharoconjunctivitis, unspecified 372.20 Mechanical ectropion 374.12
Cornea of contact lenses 371.24 Angular Blepharitis 372.21 Cicatricial ectropion 374.14
Corneal ulcer. Unspecified 370.00 Folds in descemet’s membrane 371.32 Contact blepharoconjunctivitis 372.22 Lagophthalmos. unspecified 374.20
Corneal ulcer. Marginal 370.01 Rupture in descemet’s membrane 371.33 Conjunctivitis, unspecified 372.30 Ptosis of eyelid. unspecified 374.30
Ring corneal ulcer 370.02 Corneal degeneration 371.40 Rosacea conjunctivitis 372.31 Paralytic ptosis 374.31
Central corneal ulcer 370.03 Senile corneal changes 371.41 Pingueculitis 372.34 Blepharochalasis 374.34
Superficial keratitis. Unspecified 370.20 Recurrent corneal erosion 371.42 Pterygium, unspecified 372.40 Lid retraction or lag 374.41
Punctate keratitis 370.21 Band-shaped keratopathy 371.43 Pinguecula 372.51 Hemorrhage of eyelid 374.81
Filamentary keratinis 370.23 Corneal degeneration salzmann’s nodular 371.46 Conjunctival concretions 372.54 Edema of the eyelid 374.82
Vernal keratoconjunctivitis 370.32 Corneal degeneration peripheral Symblepharon 372.63 Retained foreign body of the eyelid 374.86
Limbal and corneal involvement (ex. Terrien’s) 371.48 Scarring of conjunctiva 372.64 Dermatochalasis 374.87
in vernal conjunctivitis 370.32 Hereditary corneal dystrophy. Unspecified 371.50 Conjunctival hyperemia 372.71
K sicca - not sjogren’s 370.33 Other anterior corneal dystrophies 371.52 Conjunctival hemorrhage 372.72 Lacrimal System
Exposure keratoconjunctivitis 370.34 Keratoconus. Unspecified 371.60 Conjunctival edema 372.73 Dry Eye. unspecified
Neurotrophic keratitis 370.35 Keratoconus. Stable 371.61 Conjunctival cysts 372.75 (tear film insufficiency unspecified) 375.15
Keratoconjunctivitis. Unspecified 370.40 Keratoconus - acute hydrops 371.62 Epiphoria. unspecified 375.20
Corneal neovascularization. Unspecified 370.60 Corneal ectasia 371.71 Eyelids and Adnexa Epiphoria due to excessive lacrimation 375.21
Localized vascularization of the cornea 370.61 Corneal anesthesia and hypoesthesia 371.81 Blepharitis. unspecified 373.00 Epiphoria due to insufficient drainage/ 375.22
Pannus (corneal) 370.62 Corneal disorder due to contact lens 371.82 Hordeolum external 373.11 Lacrimal system. NOS 375.90
Ghost vessels (corneal) 370.64 Corneal disorder. Unspecified 371.90 Horneolum internal 373.12
Keratitis. Unspecified 370.90 Corneal abrasion 918.10 Chalazion 373.20 Other Disorders of the Eye
Corneal opacity. Unspecified 371.00 Corneal foreign body 930.00 Eczematous dermatitis of eyelid 373.31 Pain in or around eye 379.91
Corneal opacity. Minor 371.01 Complications of corneal graft 996.51 Contact and allergic dermatitis of eyelid 373.32 Redness or discharge of the eye 379.93
Corneal opacity. Peripheral 371.02 Parasitic infestation of eyelid 373.60
Corneal opacity. Central 371.03 Other inflammation of eyelids 373.80

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Pre-Ocular Tear Film (POTF) evaluation CL solution sampling guidelines
White light evaluation Normal observations Contact Lens Solutions
Specular reflection of the ocular surface regular, smooth surface –– Sample one (1) starter kit per new contact lens fit/refit/change of solution and consider a written
Blink complete, 12-15/min (<TBUT) recommendation of the product to promote compliance
good apposition with the globe along the entire lid margin (no –– Document the recommended product in the medical record
Lid apposition –– Do not offer the patient multiple sample kits
entropion/ectropion)
–– Do not offer the patient different starter kits, as this will contribute to poor compliance
Punctum open and good apposition –– Educate the patient on the importance of contact lens case hygiene, which is why a new case is included in
Debris in the POTF minimal to none each starter kit. Recommend replacing the case every 1-3 months
TMH Inf > Sup (0.2-0.4mm) –– Do not break-up starter kits to provide patients with individual components
Tear Meniscus slight coloration, no frothing or foaming, little to no debris, –– Using the latest scientific data, consider any potential CL/Solution incompatibilities to guide your choice
movement with blink towards the punctum of solution
–– Explain to the patient how long the sample is likely to last and what to do thereafter (fill an Rx, return for
Viscosity moderate movement a follow-up visit, etc.)
Lashes clear, no debris
Meibomian glands easily expressed with clear liquid secretions Rewetting drops
Vital Staining Normal observations –– Sample one (1) bottle of rewetting drop during the eye examination and consider providing a written
recommendation to promote compliance
TBUT > 10 seconds –– Document the recommended product in the medical record
Fluorescein staining < grade 1 –– Do not offer the patient multiple sample bottles
Rose bengal/ Lissamine green < grade 1 –– Explain to the patient how long the sample is likely to last and what to do thereafter (fill an Rx, return for
Jones Test patent nasolacrymal system a follow-up visit, etc)

Tear Tests Normal observations General considerations

Schirmer (w/o anesthesia) 5-10 mm/5 min –– Use your discretion in sampling when it may be difficult for a patient to get to a pharmacy (weekends,
PRTT / CTT >10 mm /15 sec evenings, holidays)
NIBUT >Fluorescein TBUT –– To promote compliance, explain to the patient why you have chosen that product, since not all products
ULMS/LWE no staining are the same
–– Educate the patient that generic products are usually not the same as the latest brand name products and
LIPCOF none
may change in formulations from year to year
Tear ferning Type I or II (Rolando’s criteria) –– Instruct the patient to check the expiration dates on all medications, including contact lens solutions
Tear osmolarity <308 mOsm/L –– Promote an annual supply of contact lenses once the fit is complete to promote compliance
MMP-9 (InflammaDry) <40ng/ml –– Review manufacturer’s recommendations with respect to the given product
–– Use the AOCLE Healthy Habits tear-off pads to educate novice wearers or as a review with habitual wearers

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Bottle Size: Lubricants/Rewetting drops
Brand Name Manufacturer Preservative Bottle Size Brand Name Manufacturer Preservative Bottle Size
Advanced Eye Relief Dry Eye Rejuvenation (USA) B+L BAK/ED 15mL Refresh Tears Allergan Purite 15mL / 30mL
Aquify Comfort Drops (Canada) Alcon Phosphoric Acid 10mL Refresh Ultra (Canada) Allergan Purite 15mL
Bion Tears Alcon none unidose Refresh Classic/Refresh Plus Allergan none unidose

Blink Contacts Abbott OcuPure 2mL/10mL ReNu Multiplus Lubricating/Rewetting B+L Sorbic Acid/ED 8mL
ReNu Rewetting Drops B+L Sorbic Acid/ED 15mL
Blink Gel Tears Abbott OcuPure 10mL
Retaine CMC Lubricant (USA) Ocusoft none unidose
Blink Tears Abbott OcuPure/none 15mL/30mL/unidose
Retaine HPMC Lubricant (USA) Ocusoft none 10mL
Clerz Plus Lens Drops Alcon Polyquad/ED 5mL/8mL/15 mL
Retaine MGD Ophthalmic Emulsion (USA) Ocusoft none unidose
COMPLETE Blink-N-Clean Abbott PHMB 20mL
Sensitive Eyes Drops B+L Sorbic Acid/ED 15mL/30mL
COMPLETE Lubricating/rewetting Abbott PHMB 15mL
Soothe Hydration (USA) B+L Sorbic Acid/ED 15mL
FreshKote (USA) Focus Polixetonium 15mL Soothe Long Lasting (USA) B+L BAK/ED 15mL
GenTeal Lubricant Eye Drops Alcon GenAqua 15 mL Soothe Preservative Free (USA) B+L None unidose
I-Drop/ I-Drop PM (Canada) I-Med none unidose Soothe Xtra Protection Emollient (USA) B+L Polyquaternium/ED 15mL
I-Drop Plus/ I-Drop Pur Gel (Canada) I-Med none 10mL Systane Alcon Polyquad/none 15mL / 30mL/ unidose
Liposic Ophthalmic Drops (Canada) B+L Cetremide 10mL Systane Balance Alcon Polyquad 10mL
Moisture Eyes (Canada) B+L BAK 15mL Systane Contacts (USA) Alcon Polyquad 12mL
Oasis Tears/ Oasis Tears Plus / Multidose Oasis none /EDTA unidose/10mL Systane Gel Drops Alcon Polyquad 10 mL

OPTI-FREE RepleniSH Rewetting Drops Alcon Polyquad/ED 10mL Systane ULTRA Alcon Polyquad/none 5mL/10mL/unidose
Tears Naturale II Alcon Polyquad 15mL / 30mL
OPTI-FREE PureMoist Rewetting Drops Alcon Polyquad/ED 12mL
Tears Naturale Forte Alcon Polyquad 15mL / 30mL
Refresh Celluvisc Allergan none unidose
Tears Naturale Free Alcon none unidose
Refresh Contacts Allergan Purite 15mL
Tears Plus (Canada) Allergan Chlorobutanol 15mL
Refresh Endura (Canada) Allergan none unidose
TheraTears AVR PBS/ none 15mL/ 30mL/ unidose
Refresh Liquigel Allergan Purite 15mL/30mL
TheraTears CL drops (USA) AVR PBS 10 mL
Refresh Optive (USA) Allergan Purite 15mL/ 30mL TheraTears Liquid Gel PF (USA) AVR none unidose
Refresh Optive Advanced Allergan Purite/none 10mL/unidose
ED = Edetate Disodium PBS= sodium perborate
Refresh Optive Sensitive (USA) Allergan none unidose GenAqua = Sodium Perborate PHMB = polyhexamethylene biguanide

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Bottle size: Gels/Ointments/Inserts Ophthalmic Dyes
Brand Name Manufacturer Preservative Bottle Size Dyes Brand Name Composition Format
Duolube (Canada) B+L none 3.5g tube Fluorescein Fluorets, Ful Glo, Bio Glo, Diofluor Fluorescein sodium 1 mg strip
GenTeal Gel Alcon Sodium perborate 10g tube Glo Strips Fluorescein sodium 0.6 mg strip
GenTeal Nightime PM Alcon none 3.5g tube Dry Eye Test (DET) Fluorescein sodium 0.12 mg strip
Lacrisert Valeant none 5mg/insert Minims Fluorescein Fluorescein sodium 2.0% unit dose
Liposic Gel (Canada) B+L Cetremide 10g tube Fluorescein (large molecule) Fluoresoft Fluorescein sodium 0.35% solution
Refresh Lacrilube Allergan none 3.5/7g tubes Soft Glo Flurexon disodium 0.5mg strip
Refresh PM Allergan none 3.5g tube Fluorescein/anesthetic Fluress, Fluorox Fluorescein Sodium 0.25% Benoxinate Hydrochloride 0.4% solution
Retaine PM (USA) Ocusoft none 5g tube Fluorocaine Fluorescein Sodium 0.25% Proparacaine HCl 0.5% solution
Soothe Night Time (USA) B+L none 3.5g tube Flura-Safe Flurexon disodium 0.35% Benoxinate Hydrochloride 0.4% solution
Systane Lubricant Eye Gel (USA) Alcon Polyquad 10g tube Minims Lignocaine/ Fluorescein Fluorescein 0.25%, Lignocaine 4.0% unit dose
Systane Night-Time Ointment (USA) Alcon none 3.5g tube Fluorescein/Lissamine Fluramene 1% fluorescein Sodium 0.5% Lissamine Green solution
Tear Gel (Canada) Alcon Cetremide 10g tube Lissamine Green Lissamine green Lissamine green 1.5 mg strip
Tears Naturale PM Ointment Alcon none 3.5g tube Rose Bengal Rose Glo rose bengal 1.5 mg strip

Bottle Size: Lid Hygiene Products Soft Lens Fit Assessment

Brand Name Manufacturer Preservative Format good tight loose
Baby Eyelid & Eyelash Cleanser Ocusoft PHMB 20 pads/box Centration full, equal full, equal superior, decentered
Blephagel Thea none 30 g tube Lens covers cornea completely completely nasal exposure
Blephaclean Thea none 20 pads/box after blink clear, after blink blur,
Blephasol Thea none 100ml Acuity clear, stable
blur = steep clear = flat
i-Lid Cleanser (USA) NovaBay Hypochlorous acid 40ml
i.lid'nlash /wipes I-MED Methylparabens /borate, PEG 50ml /60 pads/box perceptible
Movement less more
Lid Scrub Original Eyelid Cleanser Ocusoft Quaternium-15 30 pads/ box; 50mL foam 0.25 - 1.0 mm
Lid Scrub Plus Eyelid Cleanser Ocusoft PHMB 30 pads/ box; 50mL foam Other: Over-K(after blink) clear, stable clear, blur = steep blur, clear = flat
Oasis Lid & Lash Gel Cleanser (USA) Oasis Methylparabens 50ml Push-up test easy difficult easy
Systane Lid Wipes Alcon EDTA, Benzyl alcohol 30 pads/ box Rapid (forced blink) smooth movement slow movement excessive movement
Theratears Sterilid/Theralid AVR EDTA, Sodium hydroxide 48mL foam
TheraTears SteriLid Gel (USA) AVR EDTA, Sodium hydroxide 15mL Soft CL Selection Guideline
Liposomal Sprays Diameter = HVID + 2mm (usually 14.0 - 14.5)

Brand Name Manufacturer Preservative Format If 3 base curves available: flat K < 42.00 = flatter BC If 2 base curves available: flat K ≤ 44.00 = flat BC
42.00 - 45.00 = middle BC flat K ≥ 44.25 = steep BC
Tears Again Advanced Ocusoft EDTA 15mL
flat K > 45.00 = steeper BC

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Soft Lens Identification Markings Soft Toric Markings

Bausch + Lomb Products Avaira Toric/XR

Biofinity Toric
No markings B+L inversion indicator Biomedics Toric
1-Day Acuvue Moist for Astigmatism Frequency 55 Toric/XR Air Optix for
Biotrue ONE day PureVision OASYS for Astigmatism Proclear Toric XR astigmatism

Biotrue ONE day for presbyopia Softlens 38: S=8.4 BC; M=8.7; F=9.0

ALCON (formerly Ciba Vision) Products

No markings Lens Markings

Dailies Total 1 Air optix Night & Day Aqua: CIBA Z4##=8.4 BC; CIBA Z6##=8.6 Extreme H2O Toric
Multifocal Toric Freshlook Toric/ Proclear Toric
Focus Dailies (sphere/MF) Air Optix Aqua: CIBA X6##= 8.6 BC Proclear Colorblends marks represent 15° either side
Freshlook Colorblends Air Optix for astigmatism: CIBA B7## = 8.7 BC

Air Optix MF: CIBA PL/PM/PH ##= low/med/high add

Freshlook (Colors, Dimensions, handling tint): FL inversion indicator

F L

Vistakon Products
No markings 1 2 3 Inversion Indicator PureVision Toric Focus DAILIES Toric
marks represent 30° either side Purevision2 for astigmatism DAILIES ACP Toric
Acuvue OASYS (astigmatism/presbyopia) 1 Day Acuvue Acuvue OASYS
cylinder power
1 Day Acuvue Moist Acuvue 2 indicator

B&
L

A
1 Day Acuvue Tru-Eye sphere power indicator

M OK

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Recommended Soft CL Replacement Schedules
FDA Group I (non-ionic, <50% water) FDA Group IV (ionic, >50% water)
1 Day Replacement 1 Day Replacement
B+L SofLens (MF) DW Centennial Bioclear 1 Day (Canada) DW
Centennial/Sauflon Definition AC Everyday (Canada) DW
CooperVision Clearsight/Biomedic 1-day (sphere/toric) DW
2 Week Replacement J&J 1-Day Acuvue (sphere) DW
B+L SofLens 38 DW J&J 1-Day Acuvue Moist (sphere/ astig) DW
CooperVision Biomedics 38 DW (US)
DW/EW (7 day) Canada 2 Week Replacement
Alcon Freshlook (sph/ astig) EW (7 days)
CooperVision Biomedics 55 Premier EW (7 days)
FDA Group II (non-ionic, >50% water) J&J Acuvue 2 DW
1 Day Replacement
Alcon DAILIES AquaComfort Plus (sphere/ astig/ MF) DW 1 Month Replacement
Alcon Focus DAILIES (sphere/ astig/ MF) DW Alcon Focus Softcolors Monthly EW (7 day)
Centennial Definition AC (Canada) DW
Alcon Freshlook One-Day DW CooperVision Frequency 55 (sphere/ astig/ MF) DW
B+L Biotrue ONEday (sphere/ MF) DW
B+L SofLens daily disposable (sphere/ astig) DW FDA Group V (Silicone Hydrogel)
CooperVision Proclear 1-Day (sphere/ MF) DW 1 Day Replacement
Alcon DAILIES Total 1 DW
Menicon Miru 1-Day DW
J&J 1-Day Acuvue TruEye DW
Sauflon Clariti 1 Day (sphere/ astig/ MF) DW
2 Week Replacement Sauflon Fresh Day (US) (sphere/ astig/ MF) DW
B+L SofLens Toric for Astigmatism EW (7 days)
CooperVision Biomedics XC DW 2 Week Replacement
CooperVision Proclear EP (MF) DW CooperVision Avaira (US) (sphere/ astig) DW
Hydrogel Vision Extreme H2O 59% (Thin / Xtra) DW J&J Acuvue OASYS (sphere/ astig/ MF) EW (7 day)
Hydrogel Vision Extreme H2O 54% DW Menicon Premio (sphere/ astig) EW (7 day)

1 Month Replacement
1 Month Replacement Alcon Air Optix Aqua (sphere/ astig/ MF) EW (7 day)
CooperVision Proclear (sphere/toric/MF/MF-Toric) DW Alcon Air Optix Night & Day Aqua CW (30 day)
CooperVision Proclear Multifocal (astig) DW Alcon Air Optix Colors DW
CooperVision Proclear Multifocal XR DW B+L Bausch+Lomb ULTRA DW
Hydrogel Vision Corp Extreme H2O 54% toric DW B+L PureVision/PureVision2 (sphere/astig/MF) CW (30 day)
Hydrogel Vision Corp Clarity H2O DW CooperVision Biofinity (sphere/ astig/ MF) DW/EW US
DW/EW/CW Canada
CooperVision Encore 100 (Canada) (sphere/ astig) DW
FDA Group III (ionic, <50% water) LOGIC Logic Max DW
3 months Sauflon Clariti 1 month (US) (sphere/ astig/ MF) DW
Metrosoft Metro Optics DW Sauflon Clariti elite (US) DW

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 Silicone Hydrogels (SiHy): Sphere
Silicone Hydrogels: Sphere Company Lens name material Diam BC H2O % Dk Dk/t Modulus Surface treatment
1-Day Spherical ALCON (formerly Ciba Vision) DAILIES Total 1 delefilcon A 14.1 8.5 33-80 140 156 0.7 Water gradient SiHy

J&J 1-Day Acuvue TruEye * narafilcon A 14.2 8.5/9.0 46 100 118 0.66 none - internal wetting agent (PVP)

Sauflon (Centennial) Clariti 1 Day * somofilcon A 14.1 8.6 56 N/A 86 0.5 AquaGen

Sauflon Fresh Day* (US) somofilcon A 14.1 8.6 56 N/A 86 0.5 AquaGen

2 weeks Spherical Cooper Avaira (US) enfilcon A 14.2 8.4/8.5 46 100 125 0.5 aquaform, PEG

J&J Acuvue OASYS* senofilcon A 14.0 8.4/8.8 38 103 147 0.69 none - internal wetting agent (PVP)

Menicon Premio (Europe) asmofilcon A 14.0 8.3/8.6 40 129 161 0.90 nanogloss

1 month Spherical ALCON (formerly Ciba Vision) Air Optix Aqua lotrafilcon B 14.2 8.6 33 110 138 1.0 plasma treatment

ALCON (formerly Ciba Vision) Air Optix Night & Day Aqua lotrafilcon A 13.8 8.4/8.6 24 140 175 1.5 plasma treatment

ALCON (formerly Ciba Vision) Air Optix Colors lotrafilcon B 14.2 8.6 33 110 138 1.0 plasma treatment

B+L Bausch+Lomb ULTRA samfilcon A 14.2 8.5 46 114 163 0.7 MoistureSeal Technology

B+L PureVision balafilcon A 14.0 8.3/8.6 36 91 101 1.1 plasma oxidation

B+L PureVision 2 balafilcon A 14.0 8.6 36 91 130 1.1 plasma oxidation

Cooper Biofinity comfilcon A 14.0 8.6 48 128 160 0.75 aquaform

Cooper Biofinity XR comfilcon A 14.0 8.6 48 128 160 0.75 aquaform

Cooper Encore 100 * (Canada) enfilcon A 14.2 8.4/8.5 46 100 125 0.5 aquaform

LOGIC Logic Max unifilcon B 14.2 8.6 49 N/A 68.1 0.68 Advanced Comfort Technology

Sauflon Clariti 1 month* (US) filcon II 3 14.1 8.4/8.8 58 N/A 86 0.5 AquaGen

Sauflon Clariti elite* (US) somofilcon A 14.2 8.6 56 N/A 86 0.5 AquaGen

* UV blocker data provided by companies Dk/t values for -3.00 D

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 Silicone Hydrogels (SiHy): Toric & Multifocal
Company Lens name material Diam BC H2O % Dk Dk/t Modulus Surface treatment
1-Day Toric Sauflon Clariti 1 Day Toric* (US) somofilcon A 14.3 8.6 56 N/A 57 0.5 AquaGen

Sauflon Fresh Day for Astigmatism* (US) somofilcon A 14.3 8.6 56 N/A 57 0.5 AquaGen

Multifocal Sauflon (Centennial) Clariti 1 Day Multifocal* somofilcon A 14.1 8.6 56 N/A 86 0.5 AquaGen

Sauflon Fresh Day Multifocal* (US) somofilcon A 14.1 8.6 56 N/A 86 0.5 AquaGen

2 weeks Toric CooperVision Avaira Toric (US) enfilcon A 14.5 8.5 46 100 91 0.5 aquaform. PEG

J&J Acuvue OASYS for Astigmatism * senofilcon A 14.5 8.6 38 103 129 0.69 none - internal wetting agent (PVP)

Menicon Premio Toric (Europe) asmofilcon A 14.0 8.6 40 129 172 0.9 nanogloss

Multifocal J&J Acuvue Oasys for Presbyopia * senofilcon A 14.3 8.4 38 103 147 0.69 none - internal wetting agent (PVP)

1 month Toric ALCON (formerly Ciba Vision) Air Optix for Astigmatism lotrafilcon B 14.5 8.7 33 110 108 1.0 plasma treatment

B+L PureVision 2 for Astigmatism balafilcon A 14.5 8.9 36 91 91 1.1 plasma oxidation

B+L PureVision Toric balafilcon A 14.0 8.7 36 91 91 1.1 plasma oxidation

CooperVision Biofinity Toric comfilcon A 14.5 8.7 48 128 116 0.75 aquaform

CooperVision Encore 100 Toric * (Canada) enfilcon A 14.5 8.5 46 100 91 0.5 aquaform

Sauflon (Centennial) Clariti toric* somofilcon A 14.4 8.7 56 N/A 57 0.5 AquaGen

Multifocal ALCON (formerly Ciba Vision) Air Optix Aqua Multifocal lotrafilcon B 14.2 8.6 33 110 138 1.0 plasma treatment

B+L PureVision MultiFocal balafilcon A 14.0 8.6 36 91 101 1.1 plasma oxidation

B+L PureVision 2 for Presbyopia balafilcon A 14.0 8.6 36 91 130 1.1 plasma oxidation

CooperVision Biofinity Multifocal comfilcon A 14.0 8.6 48 128 142 0.75 aquaform

Sauflon (Centennial) Clariti multifocal* filcon II 3 14.2 8.7 55 N/A 86 0.5 AquaGen

* UV blocker data provided by companies Dk/t values for -3.00 D

20 << Table of Contents >> 21

 Daily disposables: Sphere
Company Lens name material FDA Diam BC H2O % Dk/t Specifics

Spherical ALCON (formerly Ciba Vision) DAILIES AquaComfort Plus nelfilcon A 2 14.0 8.7 69 26 Triple action moisture (AquaRelease™)

ALCON (formerly Ciba Vision) Focus DAILIES nelfilcon A 2 13.8 8.6 69 26 AquaRelease™

ALCON (formerly Ciba Vision) Freshlook One-Day nelfilcon A 2 13.8 8.6 69 26 blue/gray/green/pure hazel

ALCON (formerly Ciba Vision) DAILIES Total 1 delefilcon A 5 14.1 8.5 33-80 156 Water gradient SiHy

B+L Biotrue ONEday* nesofilcon A 2 14.2 8.6 78 42 Aspheric, HD optics

B+L SofLens daily disposable hilafilcon B 2 14.2 8.6 59 24 Aspheric, HD optics

Centennial Bioclear 1 Day * (Canada) filcon IV 1 4 14.1 8.6 56 30 Advanced edge technology + AquaAtract

Centennial Clariti 1 Day * (Canada) filcon II 3 5 14.1 8.6 56 86 Advanced edge technology, aspheric

Centennial Definition AC Everyday (Canada) methafilcon A 4 14.2 8.6 55 30 Aspheric

CooperVision Biomedics 1-Day * ocufilcon B 4 14.2 8.7 52 24

CooperVision Proclear 1-Day omafilcon A 2 14.2 8.7 60 37 Aspheric front surface

CooperVision ClearSight 1 Day* (US) ocufilcon B 4 12.0-15.0 8.0-9.2 52 17

J&J 1-Day Acuvue * etafilcon A 4 14.2 8.5/9.0 58 26 Inversion 1-2-3

J&J 1-Day Acuvue Moist * etafilcon A 4 14.2 8.5/9.0 58 26 Inversion 1-2-3, Lacreon technology

J&J 1-Day Acuvue TruEye * narafilcon A 5 14.2 8.5/9.0 46 118 Inversion 1-2-3 SiHy

LOGIC Logic 1 Day* (Canada) wetfilcon A 14.0 8.6 58 38 Advanced Comfort Technology (ACT), aspheric

LOGIC Logic 1 Day Colours (Canada) wetfilcon A 14.0 8.6 58 35 Advanced Comfort Technology (ACT)

Menicon Miru 1-Day hioxifilcon A 2 14.2 8.6 57 19 Aberration control design, Flat pack technology

Sauflon Fresh Day* (US) somofilcon A 5 14.1 8.6 56 86 AquaGen

* UV blocker data provided by companies Dk/t values for -3.00 D

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 Daily disposables: Toric & Multifocal
Company Lens name material FDA Diam BC H2O % Dk/t Specifics

Toric ALCON (formerly Ciba Vision) Focus DAILIES Toric nelfilcon A 2 14.2 8.6 69 26 AquaRelease™, double thin zone, cyl 0.75/1.50
ALCON (formerly Ciba Vision) DAILIES AquaComfort Plus Toric nelfilcon A 2 14.4 8.8 69 26 Triple action moisture (AquaRelease™)
B+L SofLens daily disposable for Astigmatism hilafilcon B 2 14.2 8.6 59 18 Aspheric, HD optics, cyl 0.75/1.25/1.75
CooperVision Biomedics 1 Day Toric* ocufilcon D 4 14.5 8.7 55 18 cyl 0.75/1.25/1.75
CooperVision ClearSight 1 Day Toric* (US) ocufilcon D 4 14.5 8.7 55 20 cyl 0.75/1.25/1.75
J&J 1-Day Acuvue Moist for Astigmatism * etafilcon A 4 14.5 8.5 58 31 Blink stabilized design, Lacreon technology
Sauflon Clariti 1 Day Toric* (US) filcon II 3 5 14.1 8.6 56 86 SiHy
Sauflon Fresh Day for Astigmatism* (US) somofilcon A 5 14.3 8.6 56 57 SiHy, AquaGen
Multifocals ALCON (formerly Ciba Vision) Focus DAILIES Progressives nelfilcon A 2 13.8 8.6 69 26 AquaRelease™, center-near aspheric
ALCON (formerly Ciba Vision) DAILIES AquaComfort Plus Multifocal nelfilcon A 2 14.0 8.7 69 26 Triple action moisture (AquaRelease™)
B+L Biotrue ONEday for Presbyopia* nesofilcon A 2 14.2 8.6 78 42 Aspheric, HD optics, Hypergel
CooperVision Proclear 1 Day Multifocal omafilcon A 2 14.2 8.7 60 37 Pc technology, aspheric optics
Sauflon (Centennial) Clariti 1 Day Multifocal * (Canada. UK) somofilcon A 5 14.1 8.6 56 86 Center near design
Sauflon Fresh Day Multifocal* (US) somofilcon A 5 14.1 8.6 56 86 AquaGen

* UV blocker data provided by companies Dk/t values for -3.00 D

24 << Table of Contents >> 25

 Soft Multifocals

Company Lens name material Diam BC Add Type

1-Day Spherical ALCON (formerly Ciba Vision) Focus DAILIES Progressives nelfilcon A 13.8 8.6 prog add to +3.00 center-near aspheric, AquaRelease

ALCON (formerly Ciba Vision) DAILIES AquaComfort Plus Multifocal nelfilcon A 14.0 8.7 add: low, med, high

B+L SofLens Multi-Focal polymacon 14.5 8.5/8.8 low: <+1.50, high: +1.75-2.50 center-near design, front surface aspheric

B+L Biotrue ONEday for presbyopia nesofilcon A 14.2 8.6 Aspehric, HD optics, Hypergel

CooperVision Proclear 1 Day Multifocal omafilcon A 14.2 8.7 add: +1.00 to +2.50 Aspheric, center near

Sauflon (Centennial) Clariti 1 Day Multifocal * somofilcon A 14.1 8.6 low: <+2.25, high: +2.25-3.00 center near design, aspheric back surface

Sauflon (Centennial) Fresh Day Multifocal* (US) somofilcon A 14.1 8.6 low: <+2.25, high: +2.25-3.00 center near design

2-4 weeks Spherical CooperVision Biomedics/Proclear EP omafilcon A 14.4 8.7 add: +1.25 center distance, aspheric intermediate and near

J&J Acuvue Oasys for Presbyopia* senofilcon A 14.3 8.4 add: low, med, high center distance, with zonal aspheric stereo precision

1 month Spherical ALCON (formerly Ciba Vision) Air Optix Aqua Multifocal lotrafilcon B 14.2 8.6 add: low, med, high

B+L PureVision Multi-Focal balafilcon A 14.0 8.6 low: +1.50, high +1.75 to +2.50 center near aspheric optics

B+L PureVision 2 for Presbyopia balafilcon A 14.0 8.6 low: +0.75-1.50, high: +1.75-2.50 center near aspheric optics

Blanchard (Canada) Multi X benzG 3X 14.5 8.8/9.1 add: up to +2.25 S-form progression profile

CooperVision Biofinity Multifocal comfilcon A 14.0 8.6 add:+1.00 to +2.50 D and N lens

CooperVision Proclear Multifocal omafilcon A 14.4 8.7 add: +1.00 to +2.50 D and N lens

CooperVision Proclear Multifocal XR omafilcon A 14.4 8.4/8.7 add: +1.00 to +4.00 D and N lens

Sauflon (Centennial) Clariti multifocal* filcon II 3 14.2 8.7 low: <+2.25, high: +2.25-3.00 center near design, aspheric back surface

Toric CooperVision Proclear Mutlifocal Toric omafilcon A 14.4 8.4/8.8 add: +1.00 to +4.00 D and N lens, cyl up to 5.75

* UV blocker
Data provided by companies

26 << Table of Contents >> 27

 Soft Contact Lens Care
Multi Purpose Solution
Trade Name Manufacturer Disinfectant/ Preservative Wetting agent Buffer Other
Biotrue B+L PHMB 0.00013%, Polyquarternium 0.0001% Hyaluronan, poloxamine Sodium borate/Boric acid EDTA, pH 7.5
Complete Easy Rub Formula AMO PHMB 0.0001% Poloxamer 237 Phosphate EDTA
OPTI-FREE Express ALCON Polyquad 0.001%, Aldox 0.0005% Tetronic 1304 Sodium Citrate EDTA (chelating agent)
OPTI-FREE PureMoist ALCON Polyquad 0.001%, Aldox 0.0006% HydraGlyde, Tetronic 1304 Boric acid EDTA (chelating agent)
OPTI-FREE RepleniSH ALCON Polyquad 0.001%, Aldox 0.0005% TearGlyde Sodium Borate Designed for SiHy lenses
renu fresh B+L PHMB 0.0001% Poloxamine (surfactant) Sodium borate/Boric acid EDTA, HYDRANATE (chelating agent)
renu sensitive B+L PHMB 0.00005% Poloxamine (surfactant) Sodium borate/Boric acid EDTA
RevitaLens OcuTec AMO Polyquaternium-1 0.0003%, Alexidine 0.00016% Tetronic 904 (surfactant) Sodium borate decahydrate/ Boric acid EDTA (chelating agent)
Sauflon All in One Lite Sauflon Polyhexanide 0.0001% poloxamer Sodium phosphate EDTA (chelating agent)
Tromethamine phosphate,
SoloCare Aqua (Canada) Menicon Polyhexanide 0.0001%, ED 0.025% Dexpanthenol, Poloxamer 407 NaCl, disodium hydrogen phosphate
Sodium dihydrogen phosphate
PHMB: polyhexamethylene biguanide

Peroxide
Trade Name Manufacturer Disinfectant/ Preservative Wetting agent Buffer Other
AOSept Plus* (Canada) ALCON 3% H2O2 Phosphate Platinum disk

Clear Care* ALCON 3% H2O2 Phosphate Platinum disk, pluronic 17R4

Oxysept UltraCare AMO 3% H2O2 Phosphate Neutralizing tablet (catalase, hydroxypropyl methylcellulose, cyanocobalamin)

One Step (US) Sauflon 3% H2O2 Poloxamer Phosphate Platinum disk

Ocusoft Lens Care System Ocusoft 3% H2O2 Phosphate Platinum disk

PeroxiClear* B+L 3% H2O2 Poloxamer 181 Phosphonic acid Platinum disk, triple-moist technology (PG, carbamide, poloxamer 181)

* compatible with GP lenses

28 << Table of Contents >> 29

Gas Permeable Lens Design Gas Permeable Lens Design
Bennett Method Mid K Method
Gas Permeable Base Curve Selection (Minus Lenses) OAD 8.5mm 9.0mm 9.5mm
Corneal Cylinder Base Curve BC avg K avg K - 0.50D avg K -1.00D
plano - 0.50D 0.50 - 0.75D Flat OZ 7.3mm 7.8mm 8.3mm
0.75 - 1.00D 0.25 - 0.50D Flat
ICR/W BC +1.0mm/0.2 BC +1.0mm/0.2 BC +1.0mm/0.2
1.25 - 1.50D On K - 0.25 Flat
1.75 - 2.00D 0.25D Steep PCR/W BC + 3.0 to 5.0mm/0.4 BC + 3.0 to 5.0mm/0.4 BC + 3.0 to 5.0mm/0.4
2.25 - 2.50D 0.50D Steep
10.50/0.4 11.25/0.4 12.25/0.4
2.75 - 3.00D 0.50 - 0.75D Steep
For plus lenses fit 0.25-0.50D steeper than those recommended for minus lenses. K > 45.50 use smaller OAD
K < 41.50 use larger OAD
Tetracurve Design Tricurve Design
> 8.8mm OAD < 8.8mm OAD
GP Center Thickness Estimation (non-ultrathin designs)
SCR = BCR +0.8mm/0.3mm SCR = BCR + 1.0mm/0.3mm
Power 20 to 49 Dk 50+ Dk
ICR = SCR + 1.0mm/0.2mm PCR = SCR + 2.0mm/0.3mm -1.00 0.18 0.19
PCR = ICR + 1.4mm/0.2mm -2.00 0.16 0.18
-3.00 0.14 0.16
Both should be blended medium ideally -4.00 0.14 0.15
OAD of 8.4-8.8 for >45.50D K reading and decrease OZD -5.00 0.13 0.14
OAD of 9.4-9.6 for <41.50D K reading and increase OZD >-6.00 0.13 0.14

Adjustments of Base Curve and Power Rules of Thumb

0.25 D change in Power for each BC change of 0.05mm Increase center thickness 0.02mm for high Dk materials
SAM (Steeper Add Minus) or FAP (Flatter Add Plus) Increase center thickness 0.02mm for each diopter of corneal astigmatism
Flatten BC 0.25D (0.05mm) for each increase in OAD & OZ of 0.5mm Plus lenticular for >-5.00 and minus lenticular for -1.50 into plus powers, CN bevel for -4.00 to -6.00
Steepen BC 0.25D (0.05mm) for each decrease in OAD & OZ of 0.5mm

30 << Table of Contents >> 31

GP Material Guide
Name Type DK W.A. R.I. S.G. Name Type DK W.A. R.I. S.G.
Alberta Lens S* SA 66 8.6 1.475 1.13 Optimum Classic* FSA 26 12 1.45 1.19
Alberta Lens SM-2* SA 45 9.0 1.48 1.12 Optimum Comfort* FSA 65 6 1.44 1.17
Accucon FSA 25 <25 1.46 1.16 Optimum Extra* FSA 100 3 1.43 1.16
Boston II SA 12 20 1.47 1.13 Optimum Extreme* FSA 125 6 1.43 1.15
Boston IV SA 19 17 1.47 1.10 Optimum HR 1.51* FSA 50 33 1.51 1.04
Boston EO* FSA 58 49 1.43 1.23 Optimum HR 1.53 FSA 26 42 1.53 1.04
Boston Equalens* FSA 47 30 1.44 1.19 Paragon HDS* FSA 58 14.7 1.45 1.16
Boston Equalens II* FSA 85 30 1.42 1.24 Paragon HDS HI* FSA 22 44 1.54 1.12
Boston ES* FSA 18 52 1.44 1.22 Paragon HDS 100* FSA 100 42 1.44 1.10
Boston XO* FSA 100 49 1.42 1.27 Paragon Thin* FSA 29 12.8 1.46 1.14
Boston XO2* FSA 141 38 1.42 1.19 Paraperm EW SA 56 26 1.47 1.07
Flosi* FSA 26 23.5 1.46 1.12 Paraperm O2 SA 16 23 1.47 1.12
Fluorex 300 FSA 30 12.6 1.47 1.11 SA 18* SA 18 <25 1.49 1.13
Fluorex 500 FSA 50 13.3 1.46 1.11 SA 32* SA 32 <25 1.47 1.10
Fluorex 700 FSA 70 15.3 1.46 1.10 SGP I SA 22 <30 1.48 1.13
Fluoroperm 30 FSA 30 12.8 1.47 1.14 SGP II SA 44 <30 1.47 1.13
Fluoroperm 60 FSA 60 14.7 1.45 1.15 SGP 3 FSA 44 <20 1.48 1.13
Fluoroperm 92 FSA 92 16 1.45 1.10 Sport-Sight (30) FSA 30 12.0 1.47 1.14
Fluoroperm 151 FSA 151 42 1.42 1.10 Tyro 97* FSA 97 23 1.44 1.19
Hybrid FS FSA 31 0 1.45 1.18 PMMA XXX 0 18 1.49 1.20
Hydro2 FSA 50 <5 1.46 1.15
Menicon Z* FSA >163 24 1.44 1.20
ONSI-56* FSA 56 7.2 1.45 1.21 SA = Silicone Acrylate W.A. = Wetting Angle
OP-2 FSA 15.9 17 1.47 1.12 FSA = Fluorosilicone Acrylate R.I. = Refractive Index
N/A = Not Available S.G. = Specific Gravity
OP-3 FSA 30 21 1.46 1.12
* = UV Blocker
OP-6 FSA 60 26 1.45 1.11
OP-10 FSA 97 23 N/A 1.13
O-Perm F30 SA 31 <25 1.47 1.09
O-Perm F60 FSA 62 19.2 1.45 1.13
Optacryl 60 SA 18 25 1.47 1.13

32 << Table of Contents >> 33

Specialty: Large Diameter
Trade Name Manufacturers Diameter (mm) Base Curve/SAG Specifics
Atlantis X-Cel 15-16.5 6.5-9.0 Boston XO and XO2
AVT Scleral Advanced Vison Technologies 16.1-17.1 Many Contamac materials
Comfort SL Accu Lens, Inc 16.2 Many Designed for normal conreas
Custom Stable Valley Contax 14.8, 15.8, 16.8, 17.8 Any BC/SAG Boston XO and XO2, front cylinder toric, laser markings standard
Custom Stable Elite Valley Contax 14.8-16.8 Toric PC and/or Front Toric Boston XO, and XO2, toric landing zone of delta 100-400 um laser markings standard
Custom Stable NEAR Valley Contax 14.8-16.8 Any BC/SAG with Center Near Boston XO and XO2, stable multifocal, near zone laser markings standard
Digiform 15 (RK1, K1, N1, G1, L1) Tru-Form Optics, Inc. 15 (Custom avail.) Any Bitoric, bifocal availability, quadrant specific available, Laser Markings available
Digiform 18 Tru-Form Optics, Inc. 18.0 (Custom avail.) Any Bitoric, bifocal availability, quadrant specific available, Laser Markings available
Dyna Semi-Scleral Lens Dynamics, Inc. 13.5, 14.0, 14.5, 15.0, 15.5, 16.0 5.5 to 8.5 (in .05 steps) Quad Sym if needed
Europa Visionary-Optics 16, 18 and 20 Any Front Toric/Back Toric/Lens Notching/Complete Parameter customization
Perimeter Essilor Contact Lens, ABBA Optical Inc. 14.0-14.8 7.0-7.8 (OZ) Boston XO2 Risk free lenses fit from trial set and customized for each patient
ICD 16.5 ABB Optical Group, Valley Contax 16.5 Based on Sagital Depth Fitting set available / online information available.
iSight GP Specialists 14.2-24 5.50-9.50 Multifocal available
Essilor Contact Lens, ABBA Optical Inc.,
Jupiter Scleral 15.0 - 20.2 With/ Without reverse geometry Fit from trial set and customized for each patient
Visionary-Optics
Jupiter + Scleral Essilor Contact Lens 15.0 - 20.2 With/ Without reverse geometry Fit from trial set and customized for each patient-up to +1.75
Maxim Accu Lens, Inc Many Different Many Custom made
Mini-Scleral ABB Optical Group only to 12.5 Any BC
MSD Blanchard Contact Lens 15.8 and 18.0 360-580 microns Midperipheral zone (decrease, standard, increase, double increase)Available in front toric
NormalEyes 15.5 Paragon 15.5 5.8-10.5 HDS 100, Available in 72 or 21 lens sets
5.90, 6.10, 6.30 to 7.4
One Fit Cone Blanchard 13.8-14.9, 14.3 Standard Tyro97, Boston XO/ XO2
(in 0.10 inc.)
One Fit P+A Blanchard 13.8, 14.3, 14.6 (Standard), 14.9 6.70 - 8.50 mm (in 0.10 inc.) Front toric and multifocal (Fixed +2.25 add)
Puresite Semi-scleral Deiversified Opthalmics, Inc. 14.0-16.0 5.50-7.90 (.20 steps) 13 lens fitting set
ABB Optical Group, Art Optical,
Rose K2 XL 13.6-15.6 (14.6 standard) 5.80-8.40 16 lens fitting set
Blanchard, Valley Contax, X-Cel
Semi-Scleral ABBA Optical Inc. 13.5 Any BC Loaner sets available
SoClear Art Optical 13.0-15.0 Any BC (9.5-5.83) Fitting set strongly recommended - multiple fitting options - presbyopic available
TruScleral Tru-Form Optics, Inc. 18.0 Any Radial Venting
ZenLens Alden 16 and 17 3500 to 6700 microns Edge profiles from steep 3 to Flat 3

34 << Table of Contents >> 35

Specialty: Kone
Trade Name Lens Material Diameter Base Curve Trade Name Lens Material Diameter Base Curve
ABBA-Kone Any Made to order Made to order Conoid Any 8.2 - 10.4 4.0 - 8.0
AccuCone Any 8.4/ 9.0 Made to order CVC Any Made to order Made to order
ACL Kera Any Made to order Made to order Dyna Cone Plus Any 8.0 - 9.9 4.5 - 9.5
Art Keratoconic System Any Made to order Made to order Dyna Intra-Limbal Any 10.0-12.2 (Standard 11.2) 5.6-10.25
AO Kone Any 8.0-10.6 5.0-8.0 Dyna Z Cone + Any Made to order Made to order
Apex Boston XO 7.9-10.3 4.96-8.44 E Kone Any Made to order Made to order
APK Any Made to order Made to order ESC-K Any 8.5-9.5 5.0 - 6.9
Aspheric Cone Any Made to order Made to order G.B.L. Any 11.2 (Standard) / Custom 6.49-9.38
Aspherix K All Boston materials and Aquasil Made to order Made to order GL-Cone Any Made to order Made to order
B-cone Any 6.0-10.8 4.5-12.0 Horizon Kone Boston ES, EO, XO 7.5-9.5 (0.5 steps) 4.5-8.4
Boston Envision Boston ES, EO, XO, XO2 9.3-10.3 7.00-8.30 HydroKone Hioxifilcon A/ Methafilcon A 12.0 - 17.0 4.1 - 9.3
Burger Any Made to order Made to order IKone Boston XO 8.8, 9.6, 10.4 Made to order
C5 Any Made to order Made to order KBA Optimum 6.0-10.8 3.5-11.0
Cak Any Made to order Made to order KeraSoft 2 Hioxifilcon 14.0, 14.5, 15.0 8.0, 8.2, 8.4, 8.6
CarterKone Any Made to order Made to order KeraSoft 3 Silicone hydrogel 14.0, 14.5, 15.0 8.0, 8.2, 8.4, 8.6
C-Cone Any 6.0-10.8 4.85-9.8 KeraSoft IC Silicone hydrogel 14.0 - 15.5 7.4 - 9.4
CentraCone Any 9.0 (standard) 8.6 / 8.2 5.3 - 7.6 K-Max Onsi 56 11.5, 12.0, 12.5 Made to order
CentraCone Bi-Symmetry Any 9.0 (standard) 8.6 / 8.2 5.3 - 7.6 Kone Any Made to order Made to order
Centra PGA - Cone Any 8.2 - 10.5 4.0 - 8.0 Ksphere Any Made to order Made to order
C Kone Any Made to order Made to order K Vault Any 11.0 Made to order
CLCK Any Made to order Made to order McGuire Cone Any Made to order Made to order
Made to order Ni-cone Any Made to order Made to order
Clear Kone Hybrid 14.5
(Vault 100-600) 15.0 (standard) /
Comfort Kone Any 7.8 - 9.5 Made to order NovaKone Hioxifilcon D Made to order
Made to order
Con-Cise Any Made to order Made to order One Fit keratoconus Tyro97, Boston XO/ XO2 13.8/ 14.3/ 14.6 6.9 - 8.5
Conforma-K Any 8.5-9.5 5.0 - 6.9

36 << Table of Contents >> 37

Specialty: Kone Specialty: Ortho-K
Trade Name Lens Material Diameter Base Curve Trade Name Lens Material Diameter Base curve
BE Retainer Boston Equalens II Made to order Made to order
Opal Cone Any 9.0 - 10.5 5.0 - 11.0
CKR Boston Equalens II Made to order Made to order
Pro-ECC Any Made to order Made to order
Dreamlens Boston XO, XO2, Equalens II Made to order Made to order
QuadraKone Any Made to order Made to order
Emerald Boston XO, Equalens II 9.8 - 10.6 mm Made to order
Rose K Any Made to order Made to order
Jade Boston XO, Equalens II 9.8 - 11.4 mm Made to order
Rose K2 Any Made to order Made to order
MiracLens Boston Equalens II Made to order Made to order
Rose K2 IC Any Made to order Made to order
NightMove Boston equalens II Made to order Made to Order
Rose K2 NC Any Made to order Made to order OK Series Boston XO 8.0 - 12.2 mm Made to order
Rose K2 PG Any Made to order Made to order Orthofocus Boston XO, Equalens II Made to order Made to order
S-cone Any 7.0-11.0 5.4-10.6 Ortho Tool Paragon HDS 100 7.0 - 12.0 (0.5 mm steps) 6.5 - 10.5 mm
SK 2000 Any Made to order Made to order Paragon CRT Dual Axis Paragon HDS , HDS 100 10.5 mm & 11.0 mm Made to order (0.1mm steps)
Boston XO, XO2, Paragon CRT RG4 Paragon HDS 100 10.0-12.0 (0.5mm steps) Made to order (0.1mm steps)
SoClear Asphere Cone 13.0-15.0 5.85-9.00
Optimum Extra, HDS 100
Paragon CRT Standard Paragon HDS , HDS 100, Menicon Z 10.0-12.0 (0.5mm steps) Made to order (0.1mm steps)
Soper Cone Any Made to order Made to order
Super Bridge/E-Lens Boston Equalens II Made to order Made to order
SPH-K Any 8.5 - 10.0 5.0 - 8.0 Vipok Boston Equalens II Made to order Made to order
Super Cone Any Made to order Made to order Wave Boston Equalens II Made to order Made to order
Synergeyes KC Hybrid 14.5 5.7 - 7.10
System 10 Any 5.65 - 10.25 4.82 - 7.34
Specialty: Hybrid
Tru-Kone Boston materials 7.5-10.3 4.8-8.2
Tru-PMD Boston materials Made to order Made to order Trade Name Lens Materials Diameter Base Curve
Ultima-K Any Made to order Made to order Duette HD/Prog/MF Petrafocon A (center)/ Hem-larafilcon A (skirt) 14.5 mm 7.1 to 8.3 (in .2mm steps)
Made to order UltraHealth Petrafocon A (center)/ Hem-larafilcon A (skirt) 14.5 mm Vaults: 50-550 (in 50 µ steps)
Ultrahealth Hybrid 14.5
(Vault 50 - 550)
ClearKone Paflufocon D (center) / Hem-iberfilcon A (skirt) 14.5 mm Vaults: 50-700 (in 50 µ steps)
VKone Any Made to order Made to order
Verage Any 8.7 Made to order SynergEyes A Paflufocon D (center) / Hem-iberfilcon A (skirt) 14.5 mm 7.0 to 8.2 (in .1mm steps)
VIP Cone Any Made to order Made to order SynergEyes KC Paflufocon D (center) / Hem-iberfilcon A (skirt) 14.5 mm 5.3 to 7.1 (in .2mm steps)
X Kone Any Made to order Made to order
SynergEyes Multifocal Paflufocon D (center) / Hem-iberfilcon A (skirt) 14.5 mm 7.0 to 8.2 (in .1mm steps)

SynergEyes PS Paflufocon D (center) / Hem-iberfilcon A (skirt) 14.5 mm 7.2 to 9.0 (in .2mm steps)

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Gas Permeable CL care (soaking and disinfection) Useful Contact Lens websites
Trade Name Manufacturer Preservative Wetting agent / Other Companies Patient info
–– www.abbconcise.com –– www.aoa.org/contact-lenses.xml
–– www.abbott.com (AOA consumer page)
Cleaner: alkyl ether sulfate, ethoxylated –– www.acculens.com –– www.aoa.org/dry-eye.xml (Dry Eye)
DYMED,
alkyl phenol, tri-quaternary cocoa based –– www.acuvueprofessional.com –– www.contactlenses.org
Boston Advance System B+L Chlorhexidine gluconate,
phospholipid, silica gel, titanium dioxide –– www.alcon.com –– www.contactlenssafety.org
ED
Conditioner: PVA, PEG –– www.allergan.com –– www.fda.gov/medicaldevices/productsandmedicalpro-
–– www.artoptical.com cedures/homehealthandconsumer/consumerproducts/
–– www.bausch.com contactlenses/default.htm (Contact Lenses)
HPMC, poloxamine, –– www.blanchardlab.com –– www.mayoclinic.com/health/dry-eyes/ds00463
DYMED,
Boston Simplus B+L hydroxyalkylphosphonate, boric acid, –– www.contamac.com (Dry Eye)
Chlorhexidine gluconate
sodium borate, glucam –– www.coopervision.com –– www.mycontactlenses.org
–– www.essilorcontacts.com –– www.nei.nih.gov/health/dryeye/index.asp (Dry Eye)
–– www.lensdynamics.com –– www.nkcf.org (Keratoconus)
–– www.meniconamerica.com
Benzyl alcohol 0.3%, Lauryl Suldate Salt of imidazoline –– www.oculususa.com Publications
Menicare GP (USA) Menicon
ED 0.5% octylphenoxypolyethoxyethanol –– www.paragonvision.com –– http://eyetubeod.com/ (Advanced Ocular Care)
–– www.sauflonusa.com –– http://journals.lww.com/corneajrnl/ (Cornea)
–– www.specialeyesqc.com –– www.claojournal.org (Eye & CL)
–– www.synergeyes.com –– www.clspectrum.com
–– www.tfoptics.com –– www.contactlensjournal.com (CL & Ant Eye)
Benzyl alcohol, –– www.theratears.com
Optimum GP System Contamac US Sodium bisulfite –– www.contactlensupdate.com
BAC –– www.valleycontax.com –– www.journals.elsevier.com/the-ocular-surface/
–– www.visionary-optics.com –– www.optvissci.com (OVS)
–– www.walman.com
HP Guar, Boric acid, References
Polyquad 0.0011%, Organizations –– http://commons.pacificu.edu/mono/4/
Unique pH (USA) Menicon Tetronic 1304, Poloxamine, –– www.aoa.org/x4783.xml (AOA-CL)
ED 0.01% –– http://softspecialedition.com/
PG, PEG –– www.aaopt.org (AAO) –– www.eyedock.com
–– www.aocle.org (AOCLE) –– www.odspecs.com
–– www.bcla.org.uk (BCLA) –– www.opted.org (ASCO residency website)
DYMED: Polyaminopropyl Biguanide PEG: Polyethylene glycol
–– www.brienholdenvision.org (IER grading scales) –– www.staininggrid.com
ED: Edetate disodium PG: Propylene glycol
HPMC: Hydroxypropylmethyl cellulose PVA: Polyvinyl alcohol
–– www.clao.org (CLAO) –– www.tearfilm.org/dewsreport (DEWS report)
–– www.clsa.info (CLSA) –– www.tearfilm.org/mgdworkshop (MGD report)
–– www.gpli.info (GPLI) –– www.tearfilm.org/tfos_cld_report.php
–– www.iacle.org (IACLE) (CL Discomfort report)
–– www.sclerallens.org
–– www.sjogrens.org
–– www.tearfilm.org (TFOS)

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 Notes
Acknowledgements
We would like to acknowledge the efforts of the following people
for the preparation of this guide;
Etty Bitton (Montreal), Project coordinator
Annie Chang (Ketchum)
Claudine Courey (Montreal)
Jean-Sébastien Dufour (Montreal)
Amber Gaume (UH)
Vinita Henry (UMSL)
Andrea Janoff (NOVA)
Jan Jurkus (ICO)
Susan Kovacich (IU)
Josh Lotoczky (MCO)
Bruce Morgan (MCO)
Carolyn Perugino (Montreal)
My Tien Pham (Montreal)
Marjorie Rah (Boston)
Patrick Simard (Montreal)
Christine Sindt (Iowa)
Ron Watanabe (NECO)

Graphic Design: Denis Latendresse (Montreal)

2014-2016 AOCLE Officers

Chair: Judy Perrigin (UH)
Vice-Chair: Susan Kovacich (IU)
Secretary: Katie Clore (UAB)
Treasurer: Neil Pence (IU)
Past-Chair: Bruce Morgan (MCO)

5th edition 2014

Unit Value: $5.oo Cdn

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would like to thank all of its sponsors
for its support and commitment
towards contact lens education

sponsors

ABB Optical
Advanced Vision Research
Alcon
Allergan
Art Optical
Bausch + Lomb
Blanchard Laboratories
Contamac US
CooperVision
Essilor Contact Lenses
Paragon
SynergEyes
The Vision Care Institute, LLC
TruForm Optics
Valley Contax
Visionary Optics

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