Good multifocal toric lenses?

Discussion in 'Optometry' started by JMU07, Jun 14, 2008.

  1. JMU07

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    For all you practicing docs -

    Are there any good multifocal toric CL's that you would recommend for someone with a high plus and a significant amount of cyl? The office I worked at (and have been seen at for years) doesn't normally fit these, I guess there is probably a low success rate for people with this type of Rx, but I was wondering if anyone had any information to the contrary. I know they'd be expensive.

    (I didn't want to list a specific Rx, in case that would make it look as though I were asking for "medical advice" which I know isn't allowed!)
     
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  3. janne1720

    janne1720 New Doctor

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    Cooper has a multifocal toric lens that I have tried twice, once was a crash and burn, but I had previous problems even fitting regular toric lenses on her, (Ever see a fitting mark act like a second hand on a clock, rotating 360 10 degrees every blink?) while the other was a success from the patient's standpoint. I'd give it a shot.
     
  4. eyestrain

    eyestrain Member

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    How high plus and how high cyl? I've tried to fit a couple of the cooper toric multifocals with not much success. Some of that probably has to do with patient expectations. If you get them to be realistic, I think you stand a much better shot.
     
  5. JMU07

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    She's about a +6.00 -3.50. She wore RGP's for years... switched to soft lenses a few years back but she's always needed reading glasses with them. Her Rx is maxed out in her current lenses, so I was wondering if she had any other options besides going back to the RGP's. I don't think she's ever been fully satisfied with contacts so she's not expecting to go into her next exam being able to see everything. :)
     
  6. KHE

    KHE Senior Member
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    It was likely a mistake to have taken her out of the RGPs. I would go with either an RGP bifocal lens or a synergeyes lens. With an Rx like that, soft toric lenses are highly unlikely to be successful.
     
  7. drbizzaro

    drbizzaro Varilux/Essilor Advocate

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    i have had excellent success with proclear multifocal torics.... one sidenote though: check for faulty lenses (lenses with creases), as about 2/10 lenses have been faulty (i think it was a bad batch)
     
  8. IndianaOD

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    RGP definitely the way to go. I do better with CVUE multifocal toric than PC.
     
  9. cpw

    cpw It's a boy !!!
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    Do they have these out in disposables yet ? or are they just vials ? I see my Cooper rep once every 2 years or so. *sigh*

    I've been meaning to try to the Synergeyes. I have calls in to the rep about them. Anyone else tried them and liked them? Can you get them bitoric?
     
  10. JMU07

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    Thanks for the tips, everyone! :)
     
  11. drbizzaro

    drbizzaro Varilux/Essilor Advocate

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    cpw,

    yep, they are disposables now (proclear toric multifocal)- and you can order trials for your patients...

    i also love synergeyes, but i've only ordered them in spherical (not sure about the bitoric availibility)...
     
  12. IndianaOD

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    Not impressed with Synergeyes. Extremely expensive and haven't worked well for my patients.
     
  13. EyeBaller

    EyeBaller SUNY-O Class of 2008

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    Synergeyes aren't available in toric.. not yet anyway.

    I had the chance to use them a few times.. very mixed results. Cost is usually the biggest barrier though.
     
  14. IndianaOD

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    Not toric, but the RGP center will correct up to around -2.00 astig just like a normal RGP
     

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