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custom stable™ | SPOTLIGHT
 
 
 
 
CASE STUDIES, TIPS & RESOURCES – JUNE 2016 EDITION
 
 
 
 
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CAN,T FLIGHT THIS FEELING ANYMORE
  Josh Adams
 
THE CUSTOM STABLE AURORA
BRINGS BACK THE COMFORT
 
Derek Louie, MSc, OD, FAAO
Clinical Associate Professor, Ophthalmology
Casey Eye Institute
Oregon Health & Science University
 
June 1, 2016
 
CASE REPORT
A fifty-eight year old presented for re-evaluation of multifocal contact lenses. She had been previously successfully wearing translating bitoric multifocal GP lenses. As an anesthesiologist, these lenses were causing decreased comfort, intermittent dryness and intermittent blur due to her very specific visual tasks.

Multifocal soft toric lenses were attempted without success.

She currently wears her progressive addition lenses for work but finds these may also cause blur depending on the operating room set up.

Her past ocular history was unremarkable for other eye conditions. No previous injury or significant ocular or systemic disease in either eye. All ocular findings were unremarkable including dilated fundus exam.
 
REFRACTIVE ERROR
+1.25-2.50x002   20/20 (dominant eye)
+1.75-3.75x011   20/20
Add: +2.00
 
KERATOMETRY READINGS
47.60/45.20 @ 170
49.20/45.5 @ 013
 
OCULUS | PENTACAM HOLLADAY Report
 
PLAN
Custom Stable Aurora multifocal lenses were recommended as an evolutionary step, to address her task specific focal distances, symptoms of dryness and increase stability of her visual correction.

Lenses were selected based on diagnostic fit from a Custom Stable Elite 14.8 fitting set and over-refraction.
 
INITIAL LENS ORDER:
RE: Aurora (dominant)
BC: 7.85
Rx:+3.50/+2.00 add
OAD: 14.8 LCZ: 0.5 flat
SLZ: +4/0
Material: Optimum Extra
Tint: clear
 
LE: Aurora BC: 7.67
Rx:+3.25/+2.25 add
OAD: 14.8 LCZ: 0.5 flat
SLZ: +8/0
Material: Optimum Extra
Tint: Blue
 
The patient was able to apply and remove scleral lenses and reported excellent initial comfort at dispense. VA was 20/20-2 and 20/40 (OS), 20/25 and 20/20 (OS) near. The patient was instructed to practice application and removal and wear lenses regularly for 2 weeks before re-evaluation.

At follow up visit, the patient reported no problems with application and removal along with excellent comfort overall with mild edge awareness left eye. The patient also reported blur at distance left eye that was bothersome.
 
OCULUS | PENTACAM HOLLADAY Report
 
ON EVALUATION: (4 hours of wear reported):

RE: 100 microns clearance over central cornea, clearance over limbus, toric markings at 3/9 with good apposition to sclera 360. +/-0.50 no improvement in VA 20/20- distance, 20/25 near

LE: 150 microns clearance over central cornea, clearance over limbus, toric markings at 3/9 with moderate edge lift along flat meridian temporal>nasal. -1.00 OR improves distance to 20/25-2, 20/25 near. 20/20- distance, 20/25 near

With OR OS:
20/20 OU
20/25 near, comfortable intermediate VA @ habitual computer monitor

A second left lens was ordered, no changes to the right lens was indicated:
LE: Aurora
BC: 7.67
Rx:+2.50/+2.25 add
OAD: 14.8 LCZ: 1 flat
SLZ: +6/0
Material: Optimum Extra
Tint: Blue
 
ADDITIONAL COMMENTS
The patient reported excellent comfort, good vision at most distances during the day, and was asked to return in 1 year for annual eye health and vision examination or sooner if symptoms arise.
 
 
 
 
 
custom stable ™
 
The Custom Stable™ is a life changing scleral lens that can transform your practice. It fits easy, has exceptional visual acuity and provides all day comfort. With its ability to vault the cornea and create a natural tear lens the Custom Stable™ is a great fit for regular and irregular corneas that need the best in comfort and performance. Contact Valley Contax today to get started.
 
valleycontax.com  |  800-547-8815  |  contax@valleycontax.com
 
 
 
 
 
OPTIMUM  byCONTAMAC
 
For superior performance and comfort Valley Contax recommends Optimum GP materials by Contamac for the Custom Stable line of lenses.
 
 
 
 
 
FIRST PAIR FREE | RISK FREE  
 
custom stable | ELITE
 
FITTING SET OFFER
 
60 DAY MONEY BACK GUARANTEE + FIRST FIT FREE
 
Order our 12 lens Custom Stable Elite fitting set at the discounted price of $300 and we’ll give you
your first pair free! Plus if you’re not completely satisfied, return the fitting set within 60 days for a full
refund! Call, email or chat live via our website to take advantage of this amazing offer!
 
 
800-547-8815  |  contax@valleycontax.com  |  valleycontax.com
 
 
 
custom stable™ |  TRAINING COURSE
 
youtube
 
 
  Want to learn to fit the Custom Stable lens? It’s easy, just visit our website and take the Custom Stable Training Course. It’s free, just watch the 17 minute video and complete the quiz. You’ll receive a certificate of completion and a coupon once you’ve passed.  
 
 
 
About Valley Contax
 
Valley Contax is the world’s leading independent custom contact lens manufacturer. Since 1981 we’ve built a reputation and following for exceptional products and customer service. From our state-of-the-art facilities in Springfield, Oregon we staff the industry’s most talented lab technicians, customer care representatives and consultants. Contact us today, we’d love to get to know you.
 
 
Valley Contax
 
 
Custom Stable Fridays: Hands-on Education
 
Want to hit the fast track to learning how to fit the Custom Stable™? Join us for one of our Custom Stable Friday sessions. This is a hands-on approach to learning everything you need to know about fitting, application and removal at our state of the art facilities in Springfield, Oregon. Check our website or contact us for available dates and more info.
 
 
Hands-on Education
 
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