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custom stable SPOTLIGHT
 
 
 
 
CASE STUDIES, TIPS & RESOURCES – NOVEMBER 2016 EDITION
 
 
 
 
This is a publication of Valley Contax, the world’s leading independent custom contact lens manufacturer. If you enjoy these case studies be sure to subscribe so you never miss an issue.
 
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A BETTER LIFE
 
THE CUSTOM STABLE ELITE RELIEVES SYMPTOMS OF NEUROTROPHIC KERATOPATHY AND CHANGES ANOTHER LIFE
 
 
Cory Collier, OD
US Southeast Education Consultant
Bascom Palmer Eye Institute at Naples
Miller School of Medicine: University of Miami

November 1, 2016

Case Report

Patient: 74 YO White Female, Initials: B.W.

Indication: Neurotrophic Keratopathy

History
BW presented to our clinic following referral from her corneal specialist. The patient was referred for a scleral lens fitting due to Neurotrophic Keratopathy of the left eye. BW developed Neurotrophic Keratopathy following an incident of Herpes Zoster Ophthalmicus approximately 8 months prior. Over the course of several months BW was noted as having varying levels of corneal epitheliopathy and reduced visual acuity that remained unresponsive to preservative free artificial tears (dose: 1 drop every hour in the left eye), punctal occlusion, and hydrophilic bandage contact lenses. At time of presentation to our clinic, BW noted symptoms of severe blurred vision in the left eye and severe redness. No pain was present.
 
 
 
Exam Findings:
 
Visual Acuity
 
Right Left
 
 
 
Distance sc
 
 
 
 
20/25
 
 
 
 
CF @ 1 ft
 
 
 
 
Distance sc Pinhole
 
 
 
 
 
 
 
 
 
PHNI
 
 
 
Slit Lamp Exam
Right Left
 
 
 
Lids/Lashes
 
 
 
 
Normal
 
 
 
 
Normal
 
 
 
 
Conjunctiva/Sclera
 
 
 
 
White and quiet
 
 
 
 
2+ Limbal flush
 
 
 
 
Cornea
 
 
 
 
1+ Punctate epithelial erosions
 
 
 
 
2+ interpalpebral Edema, Haze, No dendrite. 2 x 7 mm epi defect, see image 1
 
 
 
 
Anterior Chamber
 
 
 
 
Deep and quiet
 
 
 
 
Deep and quiet
 
 
 
 
Lens
 
 
 
 
2+ Posterior capsular opacification
 
 
 
 
2+ Posterior capsular opacification
 
 
 
Scleral Lens Fitting
BW was fit in the left eye only with the Custom Stable Elite lens. Parameters are listed below.
 
 
Base Curve
 
 
Diameter
 
 
Sphere
 
 
Lens
 
 
8.65
 
 
16.8
 
 
+2.50
 
 
Custom Stable Elite
 
 
Additional Specifications
 
 
Material
 
 
LCZ: 7.93/7.41;
SLZ pl/-8
 
 
Menicon Z
 
 
Slit Lamp Exam 1 Week Later
Right Left
 
 
 
Lids/Lashes
 
 
 
 
Normal
 
 
 
 
Normal
 
 
 
 
Conjunctiva/Sclera
 
 
 
 
White and quiet
 
 
 
 
1+ injection
 
 
 
 
Cornea
 
 
 
 
1+ Punctate epithelial erosions
 
 
 
 
Epi-defect resolved; 1+ SPK; faint anterior stromal scarring, see image 2
 
 
 
 
Anterior Chamber
 
 
 
 
Deep and quiet
 
 
 
 
Deep and quiet
 
 
 
 
Lens
 
 
 
 
2+ Posterior capsular opacification
 
 
 
 
2+ Posterior capsular opacification
 
 
 
 
 
Outcome
One week following initiation of scleral lens wear the patient’s epithelial defect was completely resolved. The patient has been successfully wearing her scleral lens daily in the left eye without recurrence for several months. Visual acuity improved from count fingers at 1 foot to 20/150.
 
 
Image 1 – Pre-Treatment
 
 
Image 2 – Post-Treatment
 
 
 
 
 
 
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 by Contamac
 
 
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 satisfie, 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
 
 
 
 
UP FOR GRABS ARE 3 X $500 AAO 2017 TRAVEL GRANTS | PARTICIPANTS RECEIVE $5 STARBUCKS GIFT CARD | CUSTOM STABLE CUP
 
AMERICAN ACADEMY OF OPTOMETRY MEETING 2016
 
Will you help your school take home the coveted Optovue Custom Stable Cup
trophy at the 2016 AAO meeting in Anaheim? The winning school receives two
$500 AAO 2017 travel grants and the runner-up one. This is a fun and
competitive way to learn how to fit Custom Stable Elite lenses using Vault
Mapping, the only OCT software designed for specialty lens fitting.
 
 
 
HOW TO PARTICIPATE
 
1) Visit Valley Contax (booth #327) and have one of our expert consultants help you put a Custom Stable lens on eye.
 
2) Visit Optovue (booth #341) and collect the following images:
 
Central corneal clearance
Lens settling
Landing zones
 
3) Return to the Valley Contax booth with your images to collect points for your school and receive your $5 Starbucks gift card.
 
 
 
OPTOVUE
 
OPTIMUM by Contamac
 
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A MEMBER BENEFIT OF THE AOSA
 
 
 
 
AMIGOS EYE CARE
 
We are proud to promote Amigos Eyecare, a student led organization at Pacific University College of Optometry which provides medical eyecare to underprivileged areas around the world. Averaging seven trips worldwide per year, one of the slated trips will be to Tanzania, east-Africa in December 2016.

With the assistance of the The Oregon Sight and Hearing Foundation (a project of the Lions Club) and many other groups which help to collect 'old glasses', students and doctors are able to examine & dispense glasses to those who would otherwise not have access to medical eye care and vision services.
 
This is an area of the world with great need, many of the nomadic people (the Maasai) have never seen a doctor of any sort in their lives. The amount of pathology & blindness in Tanzania is staggering. Ultraviolet light exposure is the leading cause of cataract formation, it can also contribute to macular degeneration and pterygium formation. These three causes of blindness could be reduced significantly by wearing non-prescription sunglasses.
 
amigos@pacificu.edu  |  amigoseyecare.com
 
 
 
custom stable™ |  TRAINING COURSE
 
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  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.
 
 
 
 
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.
 
 
 
valley contax | established 1981
 
valleycontax.com  |  800-547-8815  |  contax@valleycontax.com