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GP lens eye Rounds

ASTIGMATISMMaterial Selection

Ed Bennett, OD, FAAO, FSLS

Material Selection – based upon oxygen permeability – has been divided into three categories, all pertaining to fluoro-silicone/acrylate materials:1

Low Dk (25 – 49). These materials have the benefit of rigidity and flexural resistance. They are a viable option for daily wear myopic patients.

High Dk (50 – 99). These materials are best indicated for daily wear hyperopic patients (i.e., a +3D lens has approximately twice the center thickness of a -3D lens; hence, a material with twice the Dk of a -3D lens is necessitated. Likewise, corneal multifocal and keratoconic/post-surgical patients benefit as well.

Hyper Dk (≥ 100). These materials are indicated for all extended wear – including overnight wear of orthokeratology designs – and scleral lenses.

References
  1. Bennett ES, Young R. Material Selection. In Bennett ES, Henry VA. Clinical Manual of Contact Lenses, 5th ed., Wolters Kluwer, Philadelphia, PA, 2020:108-133.
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