Steps to take before fitting
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Full refraction and eye examination
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Keratometry
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Select diameter required 2-3mm larger than HVID
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Select Base Curve according to corneal curvature, but with a flattening differential relative to the diameter of the lens shown below:
Lens Diameter
12.50mm
13.00mm
13.50mm
14.00mm
14.50mm & 15.00
Order Base Curve Flatter Than Flattest K By:
0.30mm - 0.40mm
0.40mm - 0.60mm
0.60mm - 0.80mm
0.80mm - 1.00mm
1.00mm - 1.20mm
Good Fit
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Comfortable
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Good centration with full coverage of limbus, even in upward gaze
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Adequate smooth movement in all directions of gaze
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Good recovery on push-up test
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Carry out over-refraction and order exchange lens if required

Flat Fit
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May give poor centration
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May give unstable vision
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Can cause discomfort
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Try steeper base curve (If available)
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Over-refraction

Steep Fit
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Displays inadequate or no movement
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Resists push up test with lower lid
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Can cause blanching
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Try flatter base curve (If available)
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Over-refraction
