contact lens use Indications & Contraindications

Indications of contact lens use

1. Optical indications include anisometropia, unilateral aphakia, high myopia, keratoconus and irregular astigmatism. Optically they can be used by
every patient having refractive error for cosmetic purposes.

Advantages of contact lenses over spectacles:
(i) Irregular corneal astigmatism which is not possible to correct with glasses can be corrected with contact lenses.

(ii) Contact lenses provide normal field of vision.

(iii) Aberrations associated with spectacles (such as peripheral aberrations and prismatic distortions) are eliminated.

(iv) Binocular vision can be retained in high anisometropia (e.g., unilateral aphakia) owing to less magnification of the retinal image.
 

 (v) Rain and fog do not condense upon contact lenses as

What is ANISOMETROPIA

The optical state with equal refraction in the two eyes is termed isometropia. When the total refraction of the two eyes is unequal the condition is called anisometropia. Small degree of anisometropia is of no concern. A difference of 1 D in two eyes causes a 2 percent difference in the size of the two retinal images. A difference up to 5 percent in retinal images of two eyes is well tolerated. In other words, an anisometropia up to 2.5 is well tolerated and that between 2.5 and 4 D can be tolerated depending upon the