Course: Contact Lenses: Fitting Astigmatic Patients

Section

General

Domains: Clinical practice, Communication

No CPD Points

Following on from Contact Lenses: Fitting Astigmatic Patients – Soft Lenses, the second part of the course covers the fitting, aftercare and management of RGP contact lens patients.

Before you start the second part of the course, please ensure that you have either completed Contact Lenses: Fitting Astigmatic Patients – Soft lenses or you are familiar with the skills required to fit astigmatic patients with soft toric lenses.

Part two covers the following:

Patient lifestyle and history relevant to contact lens wear
Appropriate RGP lens choice for astigmatic patients
Fitting RGP spherical and toric lenses, including lens designs and assessment of fit
Toric fitting tips and problem solving
The management of common aftercare issues with RGP lenses
Grading scales.

You will meet our patient Jon, and a group of optometrists who discuss his case and what they would consider when fitting patients with RGP lenses. There are a series of videos demonstrating the fitting and ‘on eye’ images that practitioners would see on the slit lamp. Jon then returns for an aftercare appointment. After the peer discussion, an expert presenter covers the signs and symptoms, causes and management of a range of common RGP contact lens complications.

First published: April 2018
Last reviewed: August 2024

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Learning outcomes

Communication

s.2 Communicate effectively with patients

Understand and investigate the relevant symptoms required to be able to fit and manage astigmatic RGP contact lens wearers successfully.

Clinical Practice

s.5 Keep your knowledge and skills up to date

Able to choose, fit and assess successfully RGP lenses and understand which is the most appropriate for an astigmatic patient.
Able to identify and manage RGP complications and so ensure successful RGP contact lens wear.

s.7 Conduct appropriate assessments, examinations, treatments and referrals

Understand the benefits of using grading scales when examining a contact lens patient and writing patient records.

Unit 4 - Fitting RGP lenses (~14 mins)

In this fourth unit we take a closer look at our other patient, Jon, including his work, hobbies, general health, and current prescription. You will then have the opportunity to reflect on the contact lens choices for Jon before watching your peers discussing his options. In the final clip Cheryl Donnelly will give an overview of fitting RGP lenses for astigmatic patients.

Please note: You will need to allow ‘pop ups’ on your browser in order to view this content.

You can work through each section of this course at your own pace and return to any section as many times as you like.

You may find it easier to view this course on a desktop computer or a tablet due to the detailed content. See our FAQ on how to screencast from a phone to a larger screen.

Click below to launch Unit 4.

e-LearningFitting RGP lenses e-Learning

Unit 5 - Assessing RGP lenses (~9 mins)

In the fifth unit we take a look at the assessment of our patient, Jon, and you will have the opportunity to reflect on the fit of his lenses. The panel will then discuss this, and Cheryl Donnelly will give an overview of assessing RGP lenses (spherical and toric).

Please note: You will need to allow ‘pop ups’ on your browser in order to view this content.

You can work through each section of this course at your own pace and return to any section as many times as you like.

You may find it easier to view this course on a desktop computer or a tablet due to the detailed content. See our FAQ on how to screencast from a phone to a larger screen.

Click below to launch Unit 5.

e-LearningAssessing RGP lenses e-Learning

Unit 6 - Management of RGP complications (~14 mins)

In this unit we look at Jon’s contact lens wear after two weeks and three months. You then have the opportunity to reflect on how you would manage this patient, before the panel discusses this. Cheryl Donnelly will then give an overview of managing RGP complications.

Please note: You will need to allow 'pop ups' on your browser in order to view this content.

You can work through each section of this course at your own pace and return to any section as many times as you like.

You may find it easier to view this course on a desktop computer or a tablet due to the detailed content. See our FAQ on how to screencast from a phone to a larger screen.

Click below to launch Unit 6.

e-LearningManagement of RGP complications e-Learning

Unit 7 – Recording and grading scales (~5 mins)

View the short video from Contact Lenses: Core Skills – Fitting and Aftercare on the importance of keeping records and using grading scales and familiarise yourself with the Efron and Brien Holden grading scales below. For more information on viewing Docet videos, including how to watch them in full screen and how to screencast, please go to our FAQs.