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Troubleshooting Guide
 
CLINICAL OBSERVATION
 
 
High-riding lens. (Display: Common Symptoms-Fitting Goal-Remedy)
 
Lens rides temporally. (Display: Common Symptoms-Fitting Goal-Remedy)
 
Low-riding lens. (Display: Common Symptoms-Fitting Goal-Remedy)
 
Lens that centers. (Display: Common Symptoms-Fitting Goal-Remedy)
 
Lens rides nasally. (Display: Common Symptoms-Fitting Goal-Remedy)
COMMON SYMPTOMS High-Riding Lens
Excellent near, excessive minus over-refraction to achieve good distance.
   
FITTING GOAL  
Lower the lens to pick up more distance power in the center of the lens.
   
REMEDY PLUS LENSES (+)  
Steepen B.C. by 0.10mm
and/or
Decrease lens diameter by 0.3mm
Last Alternative
Increase lens center thickness by 0.05mm
   
REMEDY MINUS LENSES (-)  
Steepen B.C. by 0.10mm
and/or
Decrease lens diameter by 0.3mm
Last Alternative
Increase lens center thickness by 0.05mm TOP OF PAGE

 
COMMON SYMPTOMS Lens Rides Temporally
Near is usually excellent, distance requires additional -0.50D to -0.75D.
   
FITTING GOAL  
Get lens to center more to pick up more distance power in the center of the lens.
   
REMEDY PLUS LENSES (+)  
Increase lens diameter by 0.3mm
and/or
Steepen B.C. by 0.10mm.
   
REMEDY MINUS LENSES (-)  
Increase lens diameter by 0.3mm
and/or
Steepen B.C. by 0.10mm.
TOP OF PAGE

 
COMMON SYMPTOMS Low-Riding Lens
Good to excellent distance, near almost non-existent.
   
FITTING GOAL  
Try to achieve an upper lid attachment, making the greater plus power on the periphery of the lens available for near tasks.
   
REMEDY PLUS LENSES (+)  
Flatten B.C. by 0.10mm
and/or
Increase lens diameter by 0.3mm and specify a minus carrier.
   
REMEDY MINUS LENSES (-)  
POWER < -4.00D Flatten B.C. by 0.10mm
and/or
Specify a minus carrier.
POWER > -4.00D Flatten B.C. by 0.10mm
and/or
Reduce lens diameter by 0.3mm. TOP OF PAGE

 
COMMON SYMPTOMS Lens That Centers
Excellent distance, reading is difficult.
   
FITTING GOAL  
Get the lens to translate upward upon downward gaze.
   
REMEDY PLUS LENSES (+)  

Flatten B.C. by 0.10mm
and/or
Increase lens diameter by 0.3mm and specify a minus carrier.

   
REMEDY MINUS LENSES (-)  
POWER < -4.00D Flatten B.C. by 0.10mm
and/or
Specify a minus carrier.
POWER > -4.00D Flatten B.C. by 0.10mm
and/or
Reduce lens diameter by 0.3mm. TOP OF PAGE

 
COMMON SYMPTOMS Lens Rides Nasally
Distance is difficult and near vision is almost non-existent.
   
FITTING GOAL  
Must get lens to center as much as possible, nasal displacement will never lead to good reading.
   
REMEDY PLUS LENSES (+)  
DIAMETER < 9.4mm
Increase lens diameter by 0.3mm and specify a minus carrier.
DIAMETER > 9.4mm
Specify a minus carrier.
   
REMEDY MINUS LENSES (-)  

DIAMETER < 9.4mm
POWER < -4.00D
Increase lens diameter by 0.5mm and specify a minus carrier.

POWER > -4.00D
Increase lens diameter by 0.5mm.

DIAMETER > 9.4mm
POWER < -4.00D
Reduce lens diameter by 0.5mm and specify a minus carrier.

POWER > -4.00D
Reduce lens diameter by 0.5mm.
TOP OF PAGE


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