Steps in multifocal soft contact lens fitting
by Vivian Lim
1. Pure vision / Soflens
2. Proclear multifocal
3. If ADD +1.50 to +1.75DS --> use too high ADD with additonal -0.25 / -0.50 to distance power
4. Do BV, if not good , do monoVA, distance problem will be caused by near.
5. Air Optix / DACP
6. Near not good --> +0.50 to non dominant , diatance not good --> reduce dominant eye add
7. Proclear
8. Seed 1 day pure
9. Start with type A, regardless of age , near not good --> reduce minus on non dominant eye , distance not good --> icrease minus on dominant eye
10. More plus on non-dominant eye --> +1.25 DS
11. Clariti 1 day multifocal
12. Improve distance --> dominant eye add minus , improve near --> non-dominant add plus