For more extensive case study information, please refer to the publications section of this website.
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This Hertford practice has been established for over 30 years, formerly known as KW Pullum Optometry and Contact Lens Practice at two locations on the Ware Road, before moving to our current premises at 73 Railway Street in 2004. As well as dealing in all aspects of modern optometry and dispensing, we specialise in contact lenses, especially for applications in cases of Keratoconus, corneal transplant and some ocular surface conditions. In conjunction with Innovative Sclerals Ltd, we offer a specialised resource for Scleral lens clinical practice and manufacturing. - Scleral lens practice seminars
The date of our next two day scleral lens seminar in conjunction with Innovative Sclerals Ltd is March 22nd and 23rd, 2012. Hertford Optometry and Contact Lens Practice73 Railway StreetHertfordHertfordshireSG14 1RPThe first day is to illustrate the indications and essential fitting proceses, the second is mostly a practical session with demonstration of Scleral lenses 'in action'. For further information please contact
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This patient suffered an acoustic neuroma at age 52. The tumour was successfully excised, but leaving a residual facial nerve palsy with consequent poor lid closure on the right side. The continuous exposure led to gross scarring and vacularisation, and unaided vision of counting fingers.
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The congenital cataract was removed but following post surgical complications, the eye was left with counting fingers only. Approaching her mid teens, she became more appearance conscious and asked if any non surgical option was available to improve the appearance.
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A corneal lens had been worn successfully in the early stages after diagnosis, but gave increasing discomfort as it aggravated a proud epithelial nebula, seen here at the apex of the cornea. A corneal transplant was offered, but the patient declined, preferring to try further contact lens options.
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There was a rapid development of a very protrusive globic type corneal profile lead to significant visual loss over a four year period leaving no worthwhile improvement with spectacles. Rigid corneal lens fitting was unsuccessful due to discomfort and instability of the lens in situ. The other eye had developed hydrops, which had more or less resolved, but refitting with contact lenses had been postponed. The profile was much the same as the right eye, having a similar outcome with corneal lenses prior to the hydrops episode.
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