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	<title>Metro Optics Blog &#187; Corneal Grafts</title>
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		<title>Double Offset Zone Contact lens fit 12/03/2009</title>
		<link>http://metro-optics.com/blog/archives/7</link>
		<comments>http://metro-optics.com/blog/archives/7#comments</comments>
		<pubDate>Tue, 12 Jan 2010 15:02:40 +0000</pubDate>
		<dc:creator>joebrown</dc:creator>
				<category><![CDATA[Corneal Grafts]]></category>

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		<description><![CDATA[Patient presented with highly irregular corneal graft. Inferior region has two distinct areas of protrusion and can be seen in topography images 1 &#38; 2.
Image 1 


Image 2



Prior to visiting our facility, multiple attempts had been made to fit this eye with base toric lenses. All of which failed to achieve an acceptable fit.

Although topography [...]]]></description>
			<content:encoded><![CDATA[<p style="font-family: Arial,Helvetica,sans-serif; font-size: 16px; font-style: normal; line-height: normal; text-align: left;"><strong>Patient presented with highly irregular corneal graft. Inferior region has two distinct areas of protrusion and can be seen in topography images 1 &amp; 2.</strong></p>
<p style="font-family: Arial,Helvetica,sans-serif; font-size: 16px; font-style: normal; line-height: normal; text-align: center;"><strong>Image 1 </strong></p>
<p style="text-align: center;"><img class="alignnone size-full wp-image-10" title="Double Offset - Image 1" src="http://metro-optics.com/blog/wp-content/uploads/2010/01/Double-Offset-Image-11.JPG" alt="Double Offset - Image 1" width="640" height="480" /></p>
<p style="text-align: center;">
<p style="text-align: center;"><strong style="font-family: Arial,Helvetica,sans-serif; font-size: 16px; font-style: normal; line-height: normal;">Image 2</strong></p>
<p style="text-align: center;"><img class="alignnone size-full wp-image-9" title="Double Offset - Image 2" src="http://metro-optics.com/blog/wp-content/uploads/2010/01/Double-Offset-Image-2.JPG" alt="Double Offset - Image 2" width="640" height="480" /></p>
<p style="text-align: center;">
<p style="text-align: center;">
<p style="text-align: left;"><strong style="font-family: Arial,Helvetica,sans-serif; font-size: 16px;">Prior to visiting our facility, multiple attempts had been made to fit this eye with base toric lenses. All of which failed to achieve an acceptable fit.</strong></p>
<p style="text-align: left;">
<p style="font-family: Arial,Helvetica,sans-serif; font-size: 16px; text-align: left;"><strong>Although topography readings are achievable, they fall short of complete accuracy of curvature.</strong></p>
<p style="text-align: left;">
<p style="font-family: Arial,Helvetica,sans-serif; font-size: 16px; text-align: left;"><strong>Our initial design featured the following parameters:</strong></p>
<p style="font-family: Arial,Helvetica,sans-serif; font-size: 16px; text-align: left;"><strong>Primary Base Curve Radius  = 6.20</strong></p>
<p style="font-family: Arial,Helvetica,sans-serif; font-size: 16px; text-align: left;"><strong>Two offset zones, each 2mm from inferior center with Radii of 5.40 and a diameter of 4mm.</strong></p>
<p style="font-family: Arial,Helvetica,sans-serif; font-size: 16px; text-align: left;"><strong>Lens Power  = -9.25</strong></p>
<p style="font-family: Arial,Helvetica,sans-serif; font-size: 16px; text-align: left;"><strong>Overall lens diameter = 9.2mm</strong></p>
<p style="text-align: left;">
<p style="text-align: left;"><strong style="font-family: Arial,Helvetica,sans-serif; font-size: 16px;">This lens produced a 20/30 visual acuity and the fluorescein pattern is featured in image #3. Although this is not a good fit it helped us quickly determine parameter changes for a much improved fit.</strong></p>
<p style="text-align: center;"><strong>Image 3</strong></p>
<p style="text-align: center;"><img class="size-medium wp-image-11 alignnone" title="Double Offset - Image 3" src="http://metro-optics.com/blog/wp-content/uploads/2010/01/Double-Offset-Image-3-300x225.jpg" alt="Double Offset - Image 3" width="300" height="225" /></p>
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