Pat Caroline shares his wisdom on presbyopic correction

At the ninth meeting of the CIBA VISION sponsored Specialist Club^® world renowned presenter Pat Caroline gave valuable tips on maximising success in presbyopic correction. Here you can download the video of Pat Caroline's presentation. For a summary of the contents, please see below.


This video is available to download in three parts. The video is in Windows Media Player format.

A broadband connection is recommended to download these video files. Right click on each link and choose "Save as" to download the files to your computer.

Right click here to download Part 1 - 15 mins 40 seconds of video (60MB)
Right click here to download Part 2 - 17 mins 25 seconds of video (67MB)
Right click here to download Part 3 - 15 mins 27 seconds of video (60MB)

Summary of the Video

Delegates enjoyed a full day's programme which attracted 4 CET points at the Thorpe Park Hotel near Leeds on October 17th 2006.

The day started with a key note lecture on "How to Optimise Presbyopia with Contact Lenses". Pat Caroline is Associate Professor of Optometry at Pacific University College of Optometry in Forest Grove Oregon and Assistant Professor of Ophthalmology at the Oregon Health University in Portland Oregon. The presbyopic patient offers a huge opportunity as only 4% of those over 50 requiring a prescription are wearing contact lenses. Professor Caroline reminded us of the challenges of fitting an aging eye and how important patient motivation is.

In a review of monovision he suggested a useful tip on using a +1.50 blur test for dominance as opposed to preferential sighting. Pat described a technique of hyperopic corneal reshaping with RGP lenses which is using ortho-K to induce a reading add in one eye. There followed a review of multifocal RGP designs and advice on how to incorporate prism for optimal positioning of translating lenses. The importance of pupil size was stressed, particularly when considering that the geometric centre of the lens normally differs from the visual axis. We were also reminded to consider the refractive index when prescribing RGP aspherics, the higher adds being much easier to achieve with high index materials. Finally, in a comprehensive and fascinating lecture, Professor Caroline presented information on multifocal soft and hybrid lens designs.

When you have watched the video, Click here to answer some multiple choice questions to get CET points.

Specialist Club membership is open to all those registered with the GOC and having an interest in contact lenses. To join go to http://specialist.cibavision.co.uk/