Table 1.
Technical data | Values |
---|---|
Total diameter | 13.70 mm (HydroCone K12) |
14.00 mm (HydroCone K34) | |
| |
Base curve | 7.20 to 8.40 D |
| |
Sphere | −40.0 to +40.0 D |
| |
Cylinder | −0.01 to −8.00 D |
| |
Axis | 0–180° |
| |
Center thickness | Standard K12 = 0.42 mm, K34 = 0.52 mm |
Range of thickness: 0.3520.59 mm | |
| |
The Fitting Assessment Procedure | |
First contact lens choice | |
It is suggested working with trial lenses with cylindrical power −0.01 D | |
Keratoconus classification | |
First apply topographical indications or follow the rules: | |
Vcc > 0.6 and/or keratometry > 6.8: grade 1 or 2 (choose HydroCone K12) | |
Vcc < 0.6 and/or keratometry < 6.8: grade 3 or 4 (choose HydroCone K34) | |
Diameter and base curve selection | |
Add 0.8 diopters to the average K value and then select a trial lens | |
HydroCone K12/total diameter = 14.00 mm | |
HydroCone K34/total diameter = 13.70 mm | |
Further steps | |
The first lens helps to validate base curve and total diameter | |
The patient should wait for 30 min | |
Dynamic stabilization marks should be evaluated to measure the stabilization axis | |
Push-up test should be done | |
The fitting curve should demonstrate typical fitting of characteristics of a standard soft lens fit | |
If the fitting curve is too flat, there will be excessive movement and/or edge lift and then switch to a steeper trial lens | |
Little or no movement and/or edge impingement would indicate the fitting curve is too steep and then switch to a flatter trial lens | |
Overrefraction should be done | |
Prescription should include both spherical and cylindrical errors with its axis | |
In case of glare and/or halo, you can request to enlarge the optical zone |
D: diopter and Vcc: best spectacle corrected visual acuity.