my day multifocal fitting guide



MyDay Multifocal Fitting Guide: A Comprehensive Plan

MyDay Multifocal lenses offer a streamlined, three-step fitting process designed for accuracy and ease, supporting practitioners in achieving successful multifocal contact lens fittings․

MyDay Multifocal lenses represent a significant advancement in daily disposable multifocal technology, designed to provide exceptional vision correction for presbyopic patients․ These lenses utilize a unique Binocular Progressive System, aiming to deliver smooth, continuous vision at all distances – far, intermediate, and near․

CooperVision, a leading manufacturer, has prioritized simplifying the fitting process with resources like the OptiExpert fitting software․ MyDay Multifocal lenses are crafted for comfort and breathability, utilizing silicone hydrogel material․ They cater to a wide range of prescriptions, offering both spherical and toric options, making them a versatile choice for diverse patient needs․ The goal is to enhance patient satisfaction and simplify presbyopia management․

Understanding Multifocal Contact Lens Technology

Multifocal contact lenses, much like progressive eyeglasses, correct both distance and near vision within a single lens․ They achieve this through multiple concentric zones with varying powers․ MyDay Multifocal employs a Binocular Progressive System, meaning the distance power is often fitted on one eye and the near power on the other, optimizing binocular vision․

This differs from monovision, where one eye is fully corrected for distance and the other for near․ The design aims for a more natural visual experience, reducing the need for the brain to switch focus․ Successful fitting relies on accurately determining the appropriate ADD power and considering the patient’s binocular vision needs․

Who are Ideal Candidates for MyDay Multifocal Lenses?

MyDay Multifocal lenses are excellent for presbyopic patients – those experiencing age-related difficulty with near vision – who desire a comfortable and convenient vision correction solution․ Ideal candidates have a stable prescription and are motivated to wear contact lenses daily․

Patients who struggle with reading or intermediate tasks, and those dissatisfied with reading glasses, often benefit․ Those with moderate to high astigmatism may also be suitable, particularly with toric multifocal options․ A comprehensive eye exam and discussion of lifestyle needs are crucial to determine candidacy and manage expectations regarding adaptation and visual performance․

The 3-Step MyDay Multifocal Fitting Process

CooperVision’s approach simplifies multifocal fitting with an initial assessment, parameter selection, and over-refraction/evaluation, ensuring optimal vision and comfort․

Step 1: Initial Assessment & Refraction Update

Begin with a comprehensive patient history, focusing on visual demands at all distances – near, intermediate, and far․ A thorough refraction update is crucial, including both distance and near corrections․ Accurately determine the patient’s ADD power, as this is fundamental to successful multifocal lens selection․

Consider lifestyle factors; activities like computer use or reading significantly influence ADD power needs․ Confirm the patient’s binocular vision status, assessing accommodative amplitude and phoria at near․ This initial step establishes a solid foundation for subsequent parameter choices, maximizing the potential for a comfortable and effective multifocal fit․ Prior to lens selection, verify the patient’s corneal health and tear film quality․

Step 2: Contact Lens Parameter Selection

Following the initial assessment, select the appropriate contact lens parameters․ Begin with Distance Prescription Determination: utilize the patient’s updated refraction to establish the base power for the contact lens․ Then, move to ADD Power Selection; this is often based on the spectacle ADD, but adjustments may be needed based on the patient’s visual demands and binocular vision assessment․

CooperVision’s OptiExpert fitting software can assist in this process, providing initial parameter suggestions․ Consider starting with a low ADD power and increasing it if needed․ Remember to account for spherical equivalent when selecting toric multifocal lenses․ Carefully document all parameter choices for consistent follow-up․

Distance Prescription Determination

Accurate distance prescription is foundational for successful MyDay Multifocal fitting․ Utilize the updated spectacle refraction as a starting point, but remember contact lenses induce a slight minus shift․ Consider over-refracting slightly to ensure clear distance vision․ For toric patients, precisely determine the spherical equivalent – this is crucial for initial lens selection․

OptiExpert and ACUVUE Multifocal lens fitting calculators can aid in this step, offering suggested starting parameters․ Always confirm refraction stability before finalizing the distance power․ Document the spherical equivalent and cylinder/axis carefully․ A well-defined distance prescription minimizes adaptation issues and optimizes overall visual performance․

ADD Power Selection

Selecting the appropriate ADD power is vital for comfortable near and intermediate vision․ Begin with the patient’s existing spectacle ADD power, but be prepared to adjust․ A lower ADD power is often preferred initially, promoting smoother transitions and reducing near add fatigue․ Consider the patient’s visual demands – near-intensive tasks may require a slightly higher ADD․

Utilize fitting calculators as a guide, but prioritize patient feedback․ MyDay Multifocal lenses offer a range of ADD powers; start conservatively and refine based on subjective responses․ Document the chosen ADD power meticulously․ Remember, a precise ADD power ensures optimal near vision without compromising distance clarity․

Step 3: Over-Refraction and Lens Evaluation

Following initial lens application, perform an over-refraction to fine-tune the prescription․ Assess distance, intermediate, and near vision at various distances, noting any discrepancies․ Encourage the patient to articulate their visual experience – clarity, comfort, and any distortions․ Binocular balance is crucial; address any imbalances identified during evaluation․

Evaluate lens fit, centration, and movement․ Confirm adequate corneal coverage and minimal decentration․ Observe for any signs of corneal stress or discomfort․ MyDay Multifocal lenses are designed for comfort, so any issues should be addressed promptly․ Document all findings and adjustments made during this critical evaluation step․

Key Fitting Parameters & Considerations

Optimal lens performance relies on careful consideration of base curve, diameter, and toric options to ensure comfort, stability, and clear vision correction․

Base Curve Selection for Optimal Fit

Selecting the appropriate base curve is crucial for successful MyDay Multifocal lens fitting․ A well-fitted base curve ensures proper lens-to-cornea alignment, impacting both comfort and visual acuity․ Generally, steeper base curves are considered for patients with a flatter cornea, and flatter base curves for steeper corneas․

Practitioners should consider the patient’s corneal topography when determining the ideal base curve․ Utilizing diagnostic sets allows for evaluating lens movement and centration, key indicators of a good fit․ Insufficient lens movement can lead to corneal hypoxia and discomfort, while excessive movement can cause fluctuating vision․ MyDay Multifocal lenses offer a range of base curves to accommodate diverse corneal shapes, optimizing the overall fitting experience and visual outcomes․

Diameter Considerations for Comfort & Stability

Lens diameter significantly influences both patient comfort and lens stability with MyDay Multifocal lenses․ A properly sized diameter ensures adequate coverage of the cornea without excessive interaction with the eyelids, minimizing irritation and dryness․ Larger diameters generally provide greater stability, particularly for patients with larger palpebral fissures․

However, an overly large diameter can lead to lens binding and discomfort․ Practitioners should assess lid tightness and corneal coverage during the fitting process․ MyDay Multifocal lenses are available in a limited range of diameters, designed to fit a broad spectrum of patients․ Careful consideration of these factors is essential for achieving optimal lens performance and patient satisfaction․

Toric Multifocal Fitting: Addressing Astigmatism

MyDay Multifocal Toric lenses effectively correct both refractive error and astigmatism simultaneously, offering a superior visual experience for astigmatic presbyopes․ Accurate assessment of corneal astigmatism is crucial, utilizing keratometry or corneal topography․ Proper axis alignment is paramount for optimal vision and lens stability․

The fitting process involves selecting the appropriate toric power and axis, alongside the ADD power for near vision correction․ CooperVision’s fitting tools, like OptiExpert, can aid in parameter selection․ Monitoring lens rotation and patient feedback is essential to refine the fit and maximize visual acuity at all distances․ Successful toric multifocal fitting requires careful attention to detail․

Utilizing Fitting Calculators & Tools

CooperVision’s OptiExpert and ACUVUE calculators assist clinicians with MyDay Multifocal lens selection, streamlining the fitting process and improving accuracy․

CooperVision’s OptiExpert Fitting Software

OptiExpert, developed by CooperVision, is a valuable tool designed to simplify the MyDay Multifocal fitting process․ This software leverages a comprehensive database and advanced algorithms to predict optimal lens parameters based on patient refraction and lifestyle needs․

It facilitates initial lens selection, considering factors like spectacle refraction, ADD power, and patient visual demands․ OptiExpert helps practitioners efficiently navigate the available parameters, reducing chair time and increasing first-fit success rates․ The software also provides valuable insights into lens performance predictions, aiding in informed decision-making․

Furthermore, OptiExpert supports toric multifocal fittings, accounting for astigmatism correction alongside multifocal needs․ It’s a key resource for maximizing fitting efficiency and patient satisfaction with MyDay Multifocal lenses․

ACUVUE Multifocal Lens Fitting Calculators

ACUVUE offers convenient online fitting calculators to assist practitioners in selecting appropriate parameters for ACUVUE Multifocal contact lenses․ These tools are designed to complement, not replace, professional clinical judgment․ They aid in determining the optimal ADD power and distance prescription based on patient-specific data․

The calculators consider factors such as spectacle refraction, corneal curvature, and patient lifestyle to provide personalized recommendations․ They streamline the fitting process, offering a starting point for lens selection and reducing the need for extensive trial sets․

It’s crucial to remember these calculators are intended as a convenience and should be used in conjunction with a thorough patient assessment and careful over-refraction to ensure optimal vision and comfort․

Troubleshooting Common Fitting Challenges

Addressing distance, near, and intermediate vision complaints requires careful over-refraction and parameter adjustments to optimize visual acuity and patient satisfaction․

Addressing Distance Vision Complaints

When patients report blurry distance vision with MyDay Multifocal lenses, a thorough evaluation is crucial․ Begin by confirming the refraction and ensuring accurate lens ordering․ Consider a slight increase in the distance power, or a reduction in the ADD power, to shift the focus․

Evaluate the lens fit; a poorly centered lens can induce aberrations․ Assess the patient’s binocular vision; imbalances can affect distance clarity․ If issues persist, explore alternative lens designs or parameters․ Remember, a small adjustment to the ADD power can significantly impact distance acuity, optimizing the visual experience for the wearer․

Utilize diagnostic sets to fine-tune the prescription and ensure optimal visual performance․

Managing Near Vision Issues

If patients experience difficulty with near vision while wearing MyDay Multifocal lenses, begin by verifying the ADD power is appropriate for their reading distance․ A slight increase in ADD power may be necessary to enhance near acuity․

Assess the patient’s posture and reading habits; these can influence near vision demands․ Ensure adequate illumination during near tasks․ Consider a lens with a higher ADD power if the patient frequently engages in prolonged near work․

Diagnostic fitting sets are invaluable for refining the ADD power and optimizing near vision performance․ Rule out accommodative dysfunction as a contributing factor․ Patient education regarding reading distance and lens wear is also essential․

Resolving Issues with Intermediate Vision

Intermediate vision challenges with MyDay Multifocal lenses often require a careful balance between distance and near prescriptions․ Adjustments to the ADD power can significantly impact intermediate clarity․ A lower ADD power may improve intermediate vision, but could compromise near performance․

Consider the patient’s visual demands; frequent computer use necessitates optimized intermediate vision․ Utilize diagnostic sets to fine-tune the lens design and power for their specific needs․ Evaluate the patient’s pupillary response and ensure adequate pupil size for multifocal lens function․

Encourage patients to report specific intermediate vision tasks where difficulties arise, allowing for targeted adjustments during follow-up appointments․

Post-Fitting Management & Follow-Up

Successful outcomes rely on thorough patient education regarding proper lens care, handling, and wear schedules, alongside diligent follow-up assessments․

Patient Education on Lens Care & Wear

Comprehensive patient education is paramount for MyDay Multifocal lens success․ Emphasize the importance of proper hand hygiene before handling lenses, and demonstrate correct insertion and removal techniques․ Patients must understand the daily disposable nature of MyDay Multifocal – lenses are not to be reused․

Detail appropriate cleaning and storage solutions (though daily disposables minimize this need), and highlight the significance of adhering to the prescribed wearing schedule․ Discuss potential signs of complications, such as redness, pain, or blurred vision, and instruct patients to discontinue wear and seek immediate professional attention if these occur․ Reinforce the need for regular comprehensive eye exams․

Follow-Up Appointments & Refinement

Scheduled follow-up appointments are crucial for optimizing MyDay Multifocal lens performance․ A one-week check-up allows assessment of initial adaptation and vision quality․ Evaluate patient responses to distance, intermediate, and near vision tasks, noting any complaints․

Over-refraction may be necessary to fine-tune the prescription․ Consider adjustments to ADD power or lens parameters based on subjective responses and objective findings․ Address any discomfort or handling issues․ Subsequent appointments, potentially at one month and three months, ensure long-term success and patient satisfaction․ Document all changes and patient feedback meticulously․

Available MyDay Multifocal Lens Parameters

MyDay Multifocal lenses boast a comprehensive power range and cylinder availability, encompassing daily disposable options with innovative design features for optimal vision․

Power Range & Cylinder Availability

MyDay Multifocal lenses are available in a broad power range, catering to a diverse patient base․ The spherical power range extends from +0․50D to +6․00D in 0․25D steps, and -0․50D to -6․00D, also in 0․25D increments․ This extensive range ensures a suitable option for many presbyopic corrections․

For astigmatic patients, MyDay Multifocal toric lenses provide excellent vision correction․ Cylinder powers are available up to -2․75D in 0․25D steps, covering a significant portion of astigmatic needs․ Axis options are available in 10-degree increments, allowing for precise alignment and optimal visual acuity․ Stocked and made-to-order options, including daily, bi-weekly, and monthly disposables, further enhance fitting flexibility․

Lens Material & Design Features

MyDay Multifocal lenses are crafted from silicone hydrogel material, specifically Senofilcon A, ensuring high oxygen permeability for comfortable, healthy wear․ This material promotes excellent breathability, reducing corneal hypoxia and supporting long-term eye health․ The lens features a unique binocular progressive system, designed to provide smooth transitions between distance, intermediate, and near vision․

The design incorporates multiple zones of differing power, working in harmony with the eye’s natural optics․ This allows for clear vision at all distances, minimizing the need for reading glasses․ MyDay Multifocal lenses also boast a water content of 59%, contributing to exceptional comfort and wettability throughout the day․

Resources for Practitioners

CooperVision provides comprehensive multifocal fitting guides and Contact Lens Update articles, supporting practitioners with evidence-based knowledge for successful fittings․

CooperVision’s Multifocal Fitting Guides

CooperVision offers robust resources, notably the Binocular Progressive System fitting guide specifically for MyDay multifocal lenses․ This guide was meticulously developed through extensive research involving 58 habitual multifocal contact lens wearers, ensuring a clinically relevant approach․

These guides emphasize a simplified, three-step fitting process, designed to enhance both accuracy and efficiency for practitioners․ They provide detailed insights into parameter selection, over-refraction techniques, and troubleshooting common fitting challenges․

Furthermore, CooperVision’s guides are continually updated with the latest advancements in multifocal lens technology and fitting methodologies, empowering eye care professionals to deliver optimal patient outcomes․ Access to these resources is readily available through the CooperVision website and professional channels․

Contact Lens Update Articles on Multifocal Fitting

Contact Lens Update, a leading professional resource, frequently dedicates issues to evidence-based perspectives on multifocal contact lens fitting․ Issue 69, for example, focuses specifically on advancements and best practices in this area, providing valuable insights for practitioners․

These articles delve into the nuances of multifocal lens technology, including the MyDay multifocal design, and offer practical guidance on patient selection, fitting techniques, and troubleshooting․ They often feature clinical case studies and expert opinions, enhancing understanding and confidence․

Access to Contact Lens Update articles provides practitioners with current, peer-reviewed information to optimize their multifocal fitting success and deliver superior patient care․ These resources are essential for staying at the forefront of contact lens advancements․

Leave a Reply