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Icd 16 5 Eng V2.1 PDF

ICD(tm) 16. Sphere semi scleral GP lens has a close match of tangent lens shape to tangent eye surface. Practitioners simply choose from a 14-lens fitting set and assess three principle fitting zones: apical clearance, limbal clearance and scleal landing fit from corneal topography.

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Natalija Takač Sadorski
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294 views2 pages

Icd 16 5 Eng V2.1 PDF

ICD(tm) 16. Sphere semi scleral GP lens has a close match of tangent lens shape to tangent eye surface. Practitioners simply choose from a 14-lens fitting set and assess three principle fitting zones: apical clearance, limbal clearance and scleal landing fit from corneal topography.

Uploaded by

Natalija Takač Sadorski
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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The ICD 16.

5 Sphere Semi Scleral GP Lens


With a close match of tangent lens shape to tangent eye surface, the ICD16.5
design provides an exceptional first fit success rate. Practitioners simply choose from
a 14-lens fitting set and assess three principle fitting zones: apical clearance, limbal
clearance and scleral landing fit from corneal topography which is ideal for
assessment of corneal pathologies across the widest area of the cornea. ICD16.5
can just as easily be fitted from corneal topography, such as the Medmont E300,
which offers the widest corneal measurement available.
ICD 16.5 was developed by a prestigious group of clinicians with Paragon
materials technology and represents a powerful combination when industry and
clinicians come together. It is manufactured under license at Soflexs lens facility in
Israel.
ICD 16.5 addresses the urgent need to fit corneas with conditions ranging from:

Bulging corneal transplants


Corneal transplants
Keratoconus
Kerato-globus
Pellucid marginal degeneration
Post refractive surgery
Normal shaped corneas.
The simplified fitting approach that ICD 16.5 employs, combines Paragon HDS
100 material, which will benefit novice to expert scleral lens fitters and patients alike.

Fitting procedure:
1. Determine sagittal depth at a chord diameter of 15mm, add 400 microns for
apical clearance or use the 'quick start guide' for empirical fitting. Evaluate the
Central Clearance Zone (CCZ) to verify there is 300-400 microns of central
clearance.
2. If significant edge lift is present, select a lens with increased sagittal depth.
Upon achieving acceptable CCA and SLZ it is recommended you allow lens
to "settle" on the eye for a minimum of 60 minutes.
3. Evaluate each zone for proper fit:
Central Clearance Zone - CCZ
Diagnostic lens should completely vault central cornea.
Limbal Clearance Zone - LCZ
Diagnostic lens should completely vault limbus.
Order modified LCZ if necessary:
A "+" step change in LCZ creates a larger sagital depth
A "-" step change, in LCZ creates less sagital depth
Each step expect 25 microns more / less central clearance.
Scleral Landing Zone - SLZ
Diagnostic lens should land with full weight on sclera.
The ideal peripheral alignment/bearing of the lens can also be noted by
the absence of fluorescein near the edge. View the SLZ for excessive
edge lift or excessive tightening (blanching).
Order a modified SLZ if necessary:
A "+" step change in the SLZ increases the sagital depth, (tightens the SLZ)
A "-" step change in the SLZ decreases the sagital depth, (loosens the SLZ)
The ICD 16.5 (Paragon) lens has a planar limbal clearance zone that is intended to
vault the limbus and can be adjusted by tangent angle.

Lens Care:
Care of these lenses is identical to care of gas permeable lenses (GPL).
Before handling contact lenses, wash your hands and dry them thoroughly.
It is advisable to have the lenses cleaned at a laboratory every three months.
1. Wet the lens with hydrating solution a few minutes before removal from the
eye.
2. Remove the lens and place it on the palm of your hand.
3. Put a few drops of cleaner under and in the concave part of the lens.
4. Rub both sides of the lens with the index finger, for approx. 2030 secs.
5. Rinse the lens thoroughly in saline solution.
6. Immerse the lens in conditioner in a clean case.
7. Repeat the process with the second lens.

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