Contact Lens Parameter Guide

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  contact lens parameter guide: Manual of Contact Lens Prescribing and Fitting Milton M. Hom, Adrian S. Bruce, 2006 Part I. Basic Concepts -- 1. Anatomy and Physiology -- 2. Anterior Segment Disease and Contact Lenses -- 3. Examination and Instrumentation -- 4. Patient Selection new -- 5. CL optics new -- Part II. Gas-Permeable lenses -- 6. Gas-Permeable Lens Design and Fitting -- 7. Gas-Permeable Lens Fitting and Eyelid Geometry -- 8. Gas-Permeable Lens Fluorescein Patterns -- 9. Gas-Permeable Lens Materials -- 10. Modification and Verification -- 11. Gas-Permeable Lenses for Astigmatism -- 12. Gas-Permeable Lens Care and Patient Education -- 13. Gas-Permeable Cases -- Part III. Soft Lenses -- 14. Soft Lens Design, Fitting, and Physiologic Response -- 15. Soft Lens Materials -- 16. Soft Contact lenses and the Tear film -- 17. Soft Contact Lenses for Astigmatism -- 18. Soft Contact Lens Care and Patient Education -- Part IV. Extended wear -- 19. Gas-Permeable Extended Wear and Complications -- 20. Soft Extended Wear and Complications -- Part V. Special Topics -- 21. Dry Eyes and Contact Lenses -- 22. Monovision and Bifocals -- 23. Translating Bifocals -- 24. Keratoconus -- 25. Post-Penetrating Keratoplasty -- 26. Aphakia -- 27. Refractive Surgery and Contact Lenses -- 28. Pediatric Contact Lenses -- 29. Orthokeratology -- 30. Colored lenses -- 31. Scleral lenses -- Appendix A: Extended Keratometer Range with +1.25 D and -1.00 D Lenses -- Appendix B: Vertex Conversion Table of Plus and Minus Powers -- Appendix C: Keratometer Conversion (Diopter to Millimeters).
  contact lens parameter guide: Clinical Manual of Contact Lenses Edward S. Bennett, Vinita Allee Henry, 2019-09-09 Up to date, easy to use, and well-illustrated,Clinical Manual of Contact Lenses, 5th Edition, helps both students and practitioners fit, evaluate, and troubleshoot contact lens issues in everyday practice. Written by renowned experts in the field, this practical guide is designed for quick access to key information, and includes sample cases, nomograms, and proficiency checklists that summarize and emphasize important points. Thoroughly revised content ensures you'll have the most current guidance on rigid gas permeable lens design and fitting, soft lens problem solving, orthokeratology, bifocal correction, and much more.
  contact lens parameter guide: Clinical Contact Lens Practice Edward S. Bennett, Barry A. Weissman, 2005 This comprehensive text and reference addresses the full scope of contemporary contact lens science and practice. With two expert editors and 100 first-rate contributors, the book presents practitioners and students in optometry and ophthalmology with key facts on corneal anatomy, recent research, contact lens design, patient evaluation, clinical applications, patient education, and complications of contact lens wear. More than 600 illustrations complement the text. Clinical Contact Lens Practice will be the standard text for required contact lens courses and will be an invaluable everyday reference for practitioners.
  contact lens parameter guide: Contact Lens: Fitting Guide Ajay Kumar Bhootra, 2014-01-30 This book is a concise guide to contact lens fitting for optometrists and trainees. Beginning with an introduction to contact lenses and the pre-contact lens fitting eye examination, making sure a patient is suitable for wearing contact lenses, the following chapters describe the fitting of different types of corrective lens – soft, toric and rigid gas permeable. Separate chapters examine the use of therapeutic contact lenses, used to protect the eye whilst it heals after injury or infection, rather than to correct vision; and lenses for presbyopia, age-related long-sightedness. Key points Concise guide to contact lens fitting for optometrists and trainees Detailed discussion on pre-contact lens fitting eye exam and patient suitability Describes various types of corrective lenses Includes chapters on therapeutic lenses and contact lenses for presbyopia
  contact lens parameter guide: Essential Contact Lens Practice Jane Veys, John Meyler, Ian Davies, 2002 * Part of a successful series published originally in Optician and on www.optometryonline.net * Highly illustrated in full colour throughout * Specially designed and prepared * Practical approach * Builds from basics and covers recent developments in contact lens practice
  contact lens parameter guide: The Columbia Guide to Basic Elements of Eye Care Daniel S. Casper, George A. Cioffi, 2019-07-01 This unique resource is a practical, easy-to-use guide for the non-ophthalmologist healthcare provider as they encounter patients with eye complaints and other concerning ophthalmic conditions. The Columbia Guide to Basic Elements of Eye Care is specifically designed with the non-ophthalmologist in mind, and provides a foundation of basic eye anatomy and physiology, functional analysis, pathology, and concepts in eye care. Each chapter delivers an accessible summary of various ophthalmic diseases and conditions, all of which are frequently encountered in everyday practice. These chapters provide in-depth discussions on a wide range of topics, from testing and examination procedures to management protocols, referral guidelines and expected frequency of follow-up for each disorder. Complete with hundreds of high-quality, descriptive illustrations and clinical photographs, The Columbia Guide to Basic Elements of Eye Care presents clear, understandable explanations of basic eye anatomy, physiology, disease and treatment for non-ophthalmic practitioners and students. In doing so, this guide provides a framework for determining the normal versus the abnormal, helping the reader recognize which patients require referral, and identify which conditions are developing, require urgent treatment, or can be routinely followed. Non-ophthalmologist healthcare providers and students alike will find this book, written by leaders in the field, a practical resource to consult as they encounter patients with treatable but potentially sight-threatening conditions.
  contact lens parameter guide: The Optician Training Manual 2nd edition David S. McCleary, 2018-07-15 The must-have optical training system whether you are an optometrist, ophthalmologist, or optical manager responsible for training opticians or are an optician trying to better your skills. Training opticians, new and seasoned, is a daunting task. Are new opticians ready to hit the floor running? Are seasoned opticians remembering the principles that make a good pair of glasses great? These are the questions this book will answer in an easily implemented fashion. Not a text filled with equations and theory never used clinically. This book is written with how you actually practice in mind. Extensive use of short 'Focus Points' help highlight important principles. Understanding of clinical relevance is primary objective of this book, and as such it aims to take you from ordinary to extraordinary in your ability to create and deliver excellence in your optical career. With this book you will be able to analyze every part of a pair of glasses, pick the best frame for a patients face, learn which lens options complement each other (and which ones don't), be able to research contact lens parameter availability, understand symptoms of the most common eye diseases, and separate yourself from the average optician by addressing special circumstances many opticians may handle incorrectly. In addition to ophthalmic optics, you will learn techniques for improving sales and service to help you stand out in the mind of your patients. For example, making each patient a spokesperson for the practice, how to diffuse the dissatisfied patient, increasing your average dollar sale without being a salesperson, troubleshooting, and many more patient-centered skills necessary to keep your patients coming back again and again. This book is unlike others in that it emphasizes clinical relevancy, has extensive training on improving patient perception of quality and service, has forms for copying and using immediately to improve efficiency and patient care, and helps you formulate goals for both professional and personal achievement. Second edition includes discussion on digital lenses and lab knowledge for the non-lab optician.
  contact lens parameter guide: The Contact Lens Manual Andrew Gasson, Judith Morris, 1998 The Contact Lens Manual has become established as one of the world's leading practical textbooks in the field of contact lenses for both students and experienced practitioners alike. Free CD-Rom by Tony Hough included with publication Fully revised and updated New and expanded sections
  contact lens parameter guide: Contact Lenses in Ophthalmic Practice Mark J. Mannis, Karla Zadnik, Cleusa Coral-Ghanem, Newton Kara-José, 2006-05-11 Even with the advances in intraocular lens technology and the growing diversity of refractive surgery techniques, the role of contact lenses in ophthalmic practice has only increased. This is due in part to the great strides in materials, technology, expanding applications (both refractive and therapeutic) for contact lenses, and the clear recognition that contact lenses will always be an important tool for the ophthalmologist. With the fitting of contact lenses as a medical art, requiring a thorough understanding of anatomy, physiology and optics of the eye, this practice is formulaic only in part. The rest of contact lens practice requires sound medical judgment and decision- making that comes only with hands-on experience. The authors address this need by starting with a didactic approach that incorporates frequently-asked questions and straightforward answers so that the ophthalmology resident, intermediate contact lens practitioner, and optometrist will find this to be an indispensable resource.
  contact lens parameter guide: Contemporary Scleral Lenses: Theory and Application Melissa Barnett, Lynette K. Johns, 2017-11-03 Contemporary Scleral Lenses: Theory and Application, provides comprehensive information about scleral lenses. Chapters of this volume have been contributed by renowned scleral lens experts and cover a variety of interesting topics. These topics include the history and evolution of scleral lenses, basic scleral lens structure, optics and customizable features of scleral lenses, analysis of ocular surface shape, ocular surface topography and advances in optometry technology. These topics give readers an explanation of how to utilize diagnostic equipment in optometry practice and enables practitioners to employ a scientific and objective approach to scleral lens fitting. Key features of this volume include: - A straightforward approach to ophthalmic examination flow, evaluation and documentation - A review of Scleral lens care and handling - Descriptions of a variety of complex medical and ocular indications for scleral lenses - Strategic tips to promote your own scleral lens practice - A unique perspective of esteemed corneal specialists regarding the collaborative care of the patient This textbook is a suitable reference for ophthalmology students and practitioners. This text will assist practitioners in enhancing their scleral lens practice by providing them useful information for improving patient vision, ocular surface rehabilitation and quality of life.
  contact lens parameter guide: National Library of Medicine Current Catalog National Library of Medicine (U.S.), 1993 First multi-year cumulation covers six years: 1965-70.
  contact lens parameter guide: Contact Lens Practice E-Book Nathan Efron, 2016-11-27 In this thoroughly revised and updated third edition of Contact Lens Practice, award-winning author, researcher and lecturer, Professor Nathan Efron, provides a comprehensive, evidence-based overview of the scientific foundation and clinical applications of contact lens fitting. The text has been refreshed by the inclusion of ten new authors – a mixture of scientists and clinicians, all of whom are at the cutting edge of their specialty. The chapters are highly illustrated in full colour and subject matter is presented in a clear and logical format to allow the reader to quickly hone in the desired information. - Ideal for an optometrist, ophthalmologist, orthoptist, optician, student, or work in the industry, this book will serve as an essential companion and guide to current thinking and practice in the contact lens field. - Highlights of this edition include a new chapter on myopia control contact lenses, as well are completely rewritten chapters, by new authors, on keratoconus, orthokeratology, soft and rigid lens measurement and history taking.
  contact lens parameter guide: Contact Lenses Harold Aaron Stein, 1997 This manual provides basic, practical contact lens information that allows you to gain the knowledge, understanding and skills necessary to perform contact lens fitting.
  contact lens parameter guide: Ophthalmologic Drug Guide Douglas J. Rhee, Kathryn A. Colby, Lucia Sobrin, Christopher J. Rapuano, 2010-11-25 to follow
  contact lens parameter guide: Contact Lenses Ken Daniels, 1999 The Basic Bookshelf for Eyecare Professionals is a series that provides fundamental and advanced material with a clinical approach to clinicians and students. A special effort was made to include information needed for the certification exams in ophthalmic and optometric assisting, as well as for surgical assistants, opticians, plus low vision, and contact lens examiners. Perfect for the optometric and ophthalmic tech, this well-illustrated text includes detailed how-to's that will make contact lens fitting and patient education easy. The author starts with ocular anatomy and how it is affected by contact lens wear. Other topics include lens design and materials, patient selection and examination procedures, and fitting of both soft and rigid lenses (including astigmatic designs). Information on patient instruction, care of products, lens verification/modification, complications, and special fitting situations are also covered.
  contact lens parameter guide: The Contact Lens Manual Andrew Gasson, Judith A. Morris, 2010-07-08 The Contact Lens Manual continues to meet the needs of a new generation of optometrists, dispensing opticians, contact lens practitioners and students who require clear and reliable information for fitting a complete range of contact lenses. The fourth edition of this best-selling classic, now in full colour throughout, provides the most up-to-date guidance in all aspects of today's lenses in a practical and easy to use manual. Featuring new developments in lens types, care regimes and current practices, this manual offers a complete package to help readers expand their lens knowledge, improve fitting and optimise patient care. - The authors use a down-to-earth practical approach to distil years of experience into one handy volume. - A bullet point style makes the information easily accessible. - Key information is presented so it can be quickly located. - Practical tips, clinical pearls, helpful advice, and warnings are presented in boxes so readers can see at a glance what to do. - Features updates to all chapters and lens types with a wealth of new information on silicone hydrogels, toric soft lenses, rigid gas-permeable fitting and patient after care. - Presents a new chapter on dry eyes with expert guidance on treatment and practical management advice. - Includes an expanded illustration programme and page design with full colour throughout including colour-coded sections and boxes to highlight key information for easier learning. - Electronic access to brand new video footage of lens and eye care regimes, along with over 100 clinical photographs, images from the book, simulations and calculation tools.
  contact lens parameter guide: A Clinical Guide to Soft Contact Lenses Michael R. Spinell, 1979
  contact lens parameter guide: The Strength of Competition in the Sale of Rx Contact Lenses: An FTC Study , 2005
  contact lens parameter guide: Contact Lenses James V. Aquavella, Gullapalli N. Rao, 1987
  contact lens parameter guide: Faxon ... Librarians' Guide to Serials , 1991
  contact lens parameter guide: Orthokeratology John Mountford, David Ruston, Trusit Dave, 2004 This unique resource demystifies the subject of orthokeratology and provides practical information for all those interested in the technique. Critical, balanced, and informative, it thoroughly evaluates the literature and evidence, gives sensible guidelines for practice, and features an international approach. This text is modern, comprehensive, and contains a wealth of color illustrations.
  contact lens parameter guide: Clinical Manual of Contact Lenses Edward S. Bennett, Vinita Allee Henry, 2013-08-20 Designed to be used as a quick reference, this fourth edition of the Clinical Manual of Contact Lenses allows readers to easily find the topic and information they need without having to search through an entire chapter to find it. Rigid gas permeable lens design and fitting, soft lens problem-solving, astigmatic management, and bifocal correction are just a few of the subjects covered in this manual. Each chapter includes sample cases to reinforce and demonstrate the practical nature of the topic, with nomograms and proficiency checklists summarizing and emphasizing the important points. With this guide, students and practitioners will have a dependable resource to help fit, evaluate, and troubleshoot any contact lenses, especially specialty designs for years to come.
  contact lens parameter guide: Contact Lenses Susan Stenson, 1987
  contact lens parameter guide: Clinical Manual of Contact Lenses Edward S. Bennett, Vinita Allee Henry, 2009 Thoroughly revised and updated--and now in full color for the first time--this manual is a complete, current, and convenient how-to guide to fitting, evaluating, and troubleshooting contact lenses, particularly specialty contact lens designs. The book is the perfect quick reference to consult during a patient's examination and a user-friendly study guide for boards. Each chapter includes clinical cases, nomograms, and a proficiency checklist. This edition has over 200 new illustrations, including 169 full-color photographs. Coverage includes new information on silicone hydrogels, disposable lenses, and new lens designs, materials, and care systems, as well as significant updates on clinical topics such as orthokeratology and bifocals. The contributors represent sixteen schools and colleges of optometry.
  contact lens parameter guide: Contact Lens Primer Monica Chaudhry, 2007
  contact lens parameter guide: Specialty Contact Lenses Carol A. Schwartz, 1996 Designed especially for the busy practitioner, this book offers concise, easy-to follow instructions for fitting each type of specialty contact lens. Useful appendices cover basic fitting, lens care and dispensing, modification, complications, liability, and malpractice.
  contact lens parameter guide: Contact Lens Fitting Frank J. Weinstock, 1989
  contact lens parameter guide: Encyclopedia of Biomaterials and Biomedical Engineering Gary Wnek, Gary Bowlin, 2008-05-28 Written by more than 400 subject experts representing diverse academic and applied domains, this multidisciplinary resource surveys the vanguard of biomaterials and biomedical engineering technologies utilizing biomaterials that lead to quality-of-life improvements. Building on traditional engineering principles, it serves to bridge advances in materials science, life sciences, nanotechnology, and cell biology to innovations in solving medical problems with applications in tissue engineering, prosthetics, drug delivery, biosensors, and medical devices. In nearly 300 entries, this four-volume Encyclopedia of Biomaterials and Biomedical Engineering, Second Edition, covers: essential topics integral to tissue engineering research: bioreactors, scaffolding materials and fabrication, tissue mechanics, cellular interaction, and development of major tissues and organs being attempted by researchers worldwide; artificial lungs and muscles, bio-artificial livers, and corneal, dental, inner ear, and total hip implants; tissue engineering of blood vessels, heart valves, ligaments, microvascular networks, skeletal muscle, and skin; bone remodeling, bone cement, and bioabsorbable bone plates and screws; controlled drug delivery, insulin delivery, and transdermal and ocular implant-based drug delivery; endovascular stent grafts, vascular grafts, and xenografts; 3-D medical imaging, electrical impedance imaging, and intravascular ultrasound; biomedical, protein adsorption, and in vivo cardiovascular modeling; polymer foams, biofunctional and conductive polymers, and electroactive polymeric materials; blood–material interactions, the bone–implant interface, host reactions, and foreign body responses and much more.
  contact lens parameter guide: Clinical Optics and Refraction Andrew William Keirl, Caroline Christie, 2007-10-10 It provides a comprehensive and clinically based guide to visual optics. With its suggested routines and numerous examples, this new book offers a straightforward how to approach to the understanding of clinical optics, refraction and contact lens optics. Designed for easy access, it presents information in a concise format that highlights key, need-to-know points. Part 1 addresses the basic visual optics of the eye along with emmetropia, ametropia and the correction of ametropia with spectacle lenses. Part 2 turns to the optics of contact lenses and the use of contact lenses in vision correction. Numerous worked examples based on real examination questions Practical and user friendly text Over 190 clear line diagrams An essential passport to examination success and a valuable quick reference for practitioners
  contact lens parameter guide: Contact Lenses for Pre- and Post-surgery Michael G. Harris, 1997 This reference discusses the unique management needs of pre- and post-surgical contact lens patients. Topics covered include corneal topography, contact lens applications in the care and treatment of aphakia, fitting therapeutic soft contact lenses, postkeratoplasty contact lens fitting and fitting contact lenses to keratoconic and refractive surgery patients. Throughout, key terms and clinical pearls highlight need-to-know facts.
  contact lens parameter guide: Pediatric Cataract Surgery and IOL Implantation Courtney L. Kraus, 2020-06-04 Pediatric Cataract Surgery and IOL Implantation: A Case Based Guide is a must-have resource for ophthalmologists, surgeons, residents, and fellows who work with pediatric cataracts and their surgical management as well as ancillary readers such as parents or supportive caregivers to a child with cataracts. This book offers a comprehensive overview of the epidemiology of pediatric cataract surgery and considerations surrounding IOL implantation. It addresses pre-operative evaluation and examination, as well as surgical steps and techniques for various pediatric cataract conditions. Chapters begin with an introduction and are followed by discussions that offer expert viewpoints and case studies. In addition, chapters illustrate the complexity of the management of pediatric lens opacities. The book closes with a case-based approach to special considerations in IOL implantation: including considerations in the uveitic patient, placement without capsular support, and cataract surgery in the developing world. Providing thoughtful chapters that seek to expand on the currently available literature without redundancy, this book a solid companion piece to any other text discussing pediatric cataracts.
  contact lens parameter guide: Congenital Cataract Ian Christopher Lloyd, Scott R. Lambert, 2016-10-14 This book aims to assist ophthalmologists in providing the best possible care for children with congenital cataracts. The entire patient pathway is covered, from preoperative assessment through application of the various surgical techniques to postoperative care and management of complications. Among the topics discussed are new developments in molecular genetics relevant to patient evaluation, intraocular lens power formulas, and the findings of the Infant Aphakia Treatment Study. The surgical section describes anterior capsulotomy, lensectomy, selection of intraocular lens (IOL) power, IOL implantation in the capsular bag, posterior capsulotomy techniques, the use of secondary IOLs and iris-fixated IOLs in children, and surgical management in developing countries. Visual outcomes after surgery are also fully addressed, with chapters on the occurrence of strabismus, nystagmus, and poor stereopsis.
  contact lens parameter guide: Contact Lens Optics and Lens Design W. A. Douthwaite, 2006-01-01 This title is directed primarily towards health care professionals outside of the United States. The 3rd edition of Contact Lens Optics & Lens Design provides a straightforward introduction and offers solutions to the vast majority of contact lens optics problems likely to be encountered in practice. This edition has been thoroughly updated and contains integral coverage of soft lenses, information on the latest corneal measuring techniques, and expanded coverage of astigmatism and corneal toricity. It includes a new chapter on presbyopia and separate treatment of orthokeratology. Also included on the CD-ROM, is a set of invaluable computer programs, which allow the users to bypass tedious calculations in arriving at best fits. Offers solutions to the vast majority of contact lens optics problems Includes a companion CD-ROM with calculators to resolve fitting problems Revised, expanded, and updated computer programs on CD-ROM New two-color design throughout Color plate section Integral coverage of soft and RGP lenses In-depth information on mean thickness and harmonic mean thickness Discussion of the latest corneal measuring techniques Wavefront aberrations Soft toric lenses discussed in detail New chapter on presbyopia correction and soft lens bifocal design Coverage of orthokeratology and other cutting-edge techniques
  contact lens parameter guide: Oxford Handbook of Ophthalmology Alastair Denniston, Philip Murray, 2014-10-23 Fully revised for its third edition, the Oxford Handbook of Ophthalmology is a concise, systematic guide to all aspects of diagnosis, assessment, and ongoing management of ophthalmic diseases and conditions. Closely aligned with the curriculum for the ophthalmic postgraduate exams, and containing the most up-to-date clinical guidance, and practical advice, this is the essential resource for all those caring for ophthalmic patients. Covering the key information for both trainees and specialists; from clinical methods and the use of ophthalmic instruments, to basic perioperative care and advanced life support protocols. It includes new chapters covering laser procedures and theatre notes, as well as new sections on emerging technologies such as adaptive optics and gene therapy for retinal diseases. With expert advice, the latest clinical guidance, and its easy-reference format, this unique resource provides immediate access to the information you need, when you need it.
  contact lens parameter guide: Field Guide to Lens Design Julie L. Bentley, Craig Olson, 2012 The process of designing lenses is both an art and a science. While advances in the field over the past two centuries have done much to transform it from the former category to the latter, much of the lens design process remains encapsulated in the experience and knowledge of industry veterans. This SPIE Field Guide provides a working reference for practicing physicists, engineers, and scientists for deciphering the nuances of basic lens design.
  contact lens parameter guide: Oxford Handbook of Ophthalmology Alastair K. O. Denniston, Philip I. Murray, 2018 This handbook offers a systematic summary of ophthalmic disease directed towards diagnosis, interim assessment and ongoing management. Now including an extensive online image bank the fourth edition provides rapid access to the information when it is needed, whether in the clinic, theatre or on the ward
  contact lens parameter guide: Fitting Guide for Rigid and Soft Contact Lenses Harold Aaron Stein, Bernard J. Slatt, Raymond M. Stein, 1990 Expands the second edition of 1984 from 32 to 45 chapters. Provides information to assist the fitter in the practical management of a contact lens practice. Covers the new modalities of gas-permeable, extended-wear, disposable, and bifocal lenses. Includes 48 full-color and 18 two-color illustration
  contact lens parameter guide: Textbook of Contact Lenses Rajesh Sinha, Vijay Kumar Dada, 2017-01-31 This book is a comprehensive guide to the complete field of contact lenses for optometrists and ophthalmic assistants. Beginning with an introduction to the evolution of contact lenses and the relevant anatomy and physiology, the following chapters explain the different types of contact lenses, materials and fitting, and lens solutions. Chapters dedicated to the use of contact lenses with certain ocular conditions such as astigmatism, keratoconus and aphakia, are also included. The final sections discuss complications associated with wearing contact lenses and also the fitting of lenses after refractive surgery. The fifth edition has been fully revised to provide the very latest information and features images, diagrams and tables to enhance learning. Key Points Comprehensive guide to contact lenses for optometrists and ophthalmic assistants Fully revised new edition providing latest information in the field Covers all types of contact lenses and potential complications Includes use of lenses with specific ocular disorders and after refractive surgery
  contact lens parameter guide: Contact Lenses Anthony John Phillips, Janet Stone, 1989
  contact lens parameter guide: Primary Care Optometry Theodore P. Grosvenor, 2002 Maintaining the clear and easily understood presentation of concepts that made previous editions so popular, this new edition of Dr. Grosvenor's classic text contains updated information on refraction and binocular vision as well as contact lens practice, functional methods of myopia control, newly-developed methods of refractive surgery, and optometric co-management of ocular surgery.
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