Bausch + Lomb’s Ultra for Presbyopia offers a 3-Zone Progressive design, mirroring the successful PureVision2, providing a predictable and easy fitting experience for presbyopic patients.

Understanding Presbyopia and Contact Lens Correction

Presbyopia, the age-related loss of near focusing ability, necessitates vision correction solutions like multifocal contact lenses. Ultra for Presbyopia addresses this by utilizing a 3-Zone Progressive™ design. This design provides a smooth transition between distance, intermediate, and near vision, mimicking natural accommodation. Successful correction requires careful consideration of the patient’s spectacle prescription and lifestyle, ensuring optimal visual acuity and comfort with these specialized lenses.

Patient Assessment & History

Comprehensive evaluation, including refraction and a detailed lifestyle questionnaire, is crucial for successful Ultra for Presbyopia fitting, tailoring the lens to individual needs.

Comprehensive Eye Examination

A thorough eye examination is the foundation for successful Ultra for Presbyopia fitting. This includes assessing visual acuity, refraction, pupil size, and evaluating the overall health of the ocular surface; Particular attention should be given to detecting any corneal abnormalities or dry eye conditions, as these can impact contact lens comfort and performance. Accurate measurements are essential for optimal lens selection and a positive patient experience, ensuring clear and comfortable vision.

Refraction for Presbyopia

Refraction for presbyopia requires careful consideration of both distance and near corrections. Utilize vertex-corrected refraction, employing least minus/most plus techniques to minimize accommodative lag. Determine the add power needed for comfortable near vision, and document both monocular and binocular additions. Accurate refraction is crucial for selecting the appropriate Ultra for Presbyopia lens power, maximizing visual clarity at all distances.

Detailed Patient Lifestyle Questionnaire

A comprehensive lifestyle questionnaire is vital. Assess typical reading distances, digital device usage, and occupational demands. Inquire about visual needs while driving and performing hobbies. Understanding the patient’s daily routines informs lens selection and ensures optimal visual performance with Ultra for Presbyopia. This detailed assessment guides personalized contact lens fitting strategies.

Lens Selection: Initial Power Choice

Begin with the spherical equivalent from the patient’s spectacle prescription to determine the initial Ultra for Presbyopia lens power, streamlining the fitting process.

Using Spectacle Prescription for Initial Lens Selection

Bausch + Lomb Ultra for Presbyopia simplifies initial power selection by utilizing the patient’s existing spectacle prescription. Specifically, the spherical equivalent derived from this prescription serves as the foundational starting point. This approach leverages familiar refractive data, minimizing guesswork and promoting a more efficient fitting process. Careful consideration of the spectacle prescription ensures a comfortable and visually effective initial lens choice, setting the stage for successful presbyopia correction with these advanced contact lenses.

Spherical Equivalent Calculation

To determine the initial lens power for Ultra for Presbyopia, accurately calculate the spherical equivalent (SE) from the patient’s spectacle prescription. This is achieved by adding half of the cylinder power to the sphere power (Sphere + (Cylinder/2)). The resulting SE value directly informs the starting lens power, streamlining the fitting process and enhancing the likelihood of first-fit success. Precise SE calculation is crucial for optimal visual acuity.

Considering Add Power

When selecting the initial power for Ultra for Presbyopia, carefully consider the patient’s add power. While the spherical equivalent guides the distance correction, the add power influences near vision. For Dailies Total1 Multifocal, a +0.25D add is often utilized per eye, guided by manufacturer fitting tables. However, individual needs may necessitate adjustments to optimize near visual performance and patient comfort.

Fitting Guide: Bausch + Lomb Ultra for Presbyopia

Ultra for Presbyopia utilizes a 3-Zone Progressive design, building upon the established success and fitting principles of the PureVision2 for Presbyopia lens.

3-Zone Progressive Design Explained

The Ultra for Presbyopia lens features a unique 3-Zone Progressive design, effectively addressing varying visual needs. The distance zone provides clear far vision, while the intermediate zone supports comfortable computer use. Crucially, the near zone facilitates clear reading, all seamlessly blended for natural vision at all distances. This design mirrors the proven PureVision2, offering a familiar and successful fitting approach, maximizing first-fit success rates and patient satisfaction by catering to diverse lifestyle demands.

First Fit Success Rate & PureVision2 Correlation

Bausch + Lomb reports significant first-fit success with Ultra for Presbyopia when utilizing the established fitting guide originally developed for the PureVision2 for Presbyopia lens. A study involving 39 eye care professionals refitting 441 presbyopes demonstrated this strong correlation. This indicates a predictable fitting experience, leveraging existing knowledge and minimizing chair time, ultimately boosting efficiency and patient outcomes with this advanced lens technology.

Determining Eye Dominance

Eye dominance is assessed by alternately placing a +1.50 trial lens over each eye; the eye exhibiting blurrier vision is considered the dominant eye.

Distance Eye Dominance Test with Trial Lenses

To ascertain distance eye dominance, utilize a +1.50 loose handheld trial lens. Binocularly assess vision with the lens placed alternately over each eye, utilizing the patient’s updated distance correction. The eye through which binocular vision appears blurrier when the +1.50 lens is applied is identified as the dominant eye. This simple technique aids in optimal lens placement and visual performance with Ultra for Presbyopia, ensuring comfortable and clear distance vision.

Trial Lens Fitting & Evaluation

Ultra for Presbyopia fitting involves over-refraction techniques and careful assessment of visual acuity at distance, intermediate, and near to optimize patient outcomes.

Over-Refraction Techniques

Over-refraction is crucial when fitting Ultra for Presbyopia lenses. Begin by over-refracting the trial lenses, typically +0.25 to +0.50, to assess residual astigmatism or refine the spherical power. This helps identify any needed adjustments for optimal vision correction. Carefully monitor patient responses, noting any improvements or changes in clarity at all distances. Document all findings meticulously to guide subsequent parameter modifications and ensure a successful fit.

Assessing Visual Acuity at Distance, Intermediate & Near

Evaluate visual acuity at distance (20/20 or better), intermediate (18-20 inches – 20/40 or better), and near (14-16 inches – 20/30 or better) with Ultra for Presbyopia trial lenses. Utilize standardized charts and consistent lighting. Compare acuity with the patient’s spectacle correction. Note any discrepancies, as they indicate the need for power adjustments to optimize vision at each focal point, ensuring comfortable and clear sight.

Subjective Refinement

Patient feedback is crucial; inquire about clarity, haloes, and glare. Address complaints by fine-tuning power, potentially adjusting both distance and near corrections for optimal vision.

Patient Feedback on Vision Clarity

Thoroughly question the patient regarding their visual experience at all distances – far, intermediate, and near. Specifically, ask about clarity, sharpness, and any distortions. Encourage detailed descriptions of their daily visual tasks and how the lenses perform during those activities.

Probe for any subjective sensations like a “swim” or “wave” effect, which might indicate over- or under-correction. Understanding their perception is vital for successful refinement.

Addressing Complaints: Haloes, Glare & Distortion

Haloes and glare often suggest issues with lens fit or residual astigmatism. Reduce lens power slightly or consider a toric option if astigmatism is significant. Distortion can stem from incorrect addition power or adaptation challenges.

Carefully over-refract and reassess intermediate and near vision. Patient education regarding adaptation is crucial; these symptoms often diminish with continued wear.

Fitting Adjustments & Parameter Changes

Power adjustments optimize vision; consider base curve and diameter for comfort and stability. Refine parameters based on subjective responses and objective findings.

Adjusting Power for Optimal Vision

Power adjustments are crucial for maximizing visual acuity at all distances. If distance vision is compromised, slightly reduce the power. Conversely, for near vision issues, a modest power increase may be necessary. Remember to adjust one eye at a time, carefully monitoring the patient’s subjective response. Small increments – typically 0.25D – are recommended to avoid over-correction and maintain comfortable binocular vision. Prioritize patient feedback throughout the refinement process, ensuring optimal clarity and comfort.

Base Curve & Diameter Considerations

Base curve and diameter significantly impact lens fit and comfort. While Ultra for Presbyopia generally fits well with existing parameters, adjustments may be needed. A flatter base curve can improve centration, while a steeper one enhances stability. Diameter adjustments address corneal coverage; larger diameters offer greater comfort for dry eyes. Monitor for corneal staining and ensure adequate tear exchange during follow-up visits to optimize both fit and patient well-being.

Follow-Up Visits & Monitoring

Follow-up is crucial to evaluate lens comfort, vision, and overall fit; assess long-term performance and address any emerging patient concerns promptly.

Evaluating Lens Comfort & Fit

During follow-up, thoroughly assess patient reported comfort levels, noting any sensations of dryness, irritation, or foreign body. Evaluate lens centration, movement, and overall fit using slit-lamp biomicroscopy. Confirm adequate corneal and conjunctival health, looking for any signs of hypoxia or inflammation. Patient satisfaction regarding both comfort and vision is paramount for successful wear, ensuring long-term compliance and positive outcomes with Ultra for Presbyopia.

Long-Term Vision Assessment

Schedule follow-up appointments to monitor visual performance over time, typically after one week, one month, and then periodically. Re-evaluate distance, intermediate, and near visual acuity to ensure continued clarity. Assess for any changes in prescription or lens performance, addressing any emerging visual complaints promptly. Consistent monitoring optimizes the long-term success of Ultra for Presbyopia and patient satisfaction.

Troubleshooting Common Fitting Issues

Address distance vision complaints by refining power or considering base curve/diameter adjustments; resolve near difficulties with add power modifications for optimal clarity.

Addressing Distance Vision Complaints

If patients report blurry distance vision with Ultra for Presbyopia, begin by carefully over-refracting to pinpoint any residual refractive error. Consider a slight power adjustment, potentially reducing minus or increasing plus power. Evaluate base curve and diameter; a steeper base curve may improve distance acuity.

Confirm proper lens centration and blink patterns. If issues persist, re-assess the spectacle refraction and ensure accurate vertex correction during the contact lens fitting process.

Resolving Near Vision Difficulties

When patients experience difficulty with near vision while wearing Ultra for Presbyopia, a slight increase in plus power is often beneficial. Over-refraction at near is crucial to determine the precise adjustment needed. Verify the add power is appropriate for the patient’s near tasks and working distance.

Assess lens centration and consider a base curve adjustment if necessary to optimize near add performance.

Lens Care & Hygiene Education

Proper handling and cleaning are vital for Ultra for Presbyopia lenses; recommend a comprehensive lens care regimen and approved solutions for optimal health.

Proper Handling & Cleaning Procedures

Instruct patients to always wash and dry hands thoroughly before handling lenses. Emphasize the importance of cleaning lenses immediately after removal, utilizing a multipurpose solution specifically designed for silicone hydrogel materials. Avoid tap water, as it can harbor harmful microorganisms.

Demonstrate proper insertion and removal techniques, stressing gentle handling to prevent tearing. Daily cleaning removes deposits, ensuring comfort and minimizing risk of infection. Cases should be regularly cleaned and air-dried to prevent bacterial growth.

Recommended Cleaning Solutions

Advise patients to use only multipurpose solutions approved for silicone hydrogel lenses, like those containing ingredients to remove protein and lipid deposits. Bausch + Lomb offers solutions specifically formulated for their lenses, enhancing compatibility and performance.

Discourage the use of homemade saline solutions or tap water. Hydrogen peroxide-based solutions require a neutralizing step; ensure patients understand this crucial process. Regular solution changes are vital for optimal lens hygiene and ocular health.

Online Survey Results & Patient Satisfaction

Surveys (n=395) revealed high patient satisfaction with Ultra for Presbyopia, demonstrating strong agreement scores on a 6-point scale, averaging 5 days wear.

Top 3-Box Scores on Agreement Scale

Patient satisfaction, assessed via an online survey, showcased impressive results. The survey utilized a 6-point agreement scale, and analysis focused on the proportion of respondents selecting “Strongly Agree,” “Agree,” or “Slightly Agree” – the top three boxes. These high scores indicate a substantial percentage of patients experienced positive outcomes with Bausch + Lomb Ultra for Presbyopia lenses, confirming excellent clinical acceptance and comfort levels during the approximately five-day trial period.

Average Wear Time (Approximately 5 Days)

Data collected from a survey involving 395 participants revealed the average wear time for Bausch + Lomb Ultra for Presbyopia lenses was approximately five days. This duration allowed for a comprehensive evaluation of lens performance, encompassing comfort, vision quality, and overall patient experience. The five-day trial period provided sufficient time to assess the lenses’ suitability for long-term wear and address any initial adaptation challenges effectively.

Package Insert Information & Resources

For detailed guidance, consult the comprehensive package insert, referenced as UFP.0042.USA.19, providing crucial information regarding Ultra for Presbyopia lens parameters and usage.

Referencing UFP.0042;USA.19

The document UFP.0042.USA.19 serves as a vital resource for practitioners fitting Bausch + Lomb Ultra for Presbyopia lenses. It details crucial parameters, including available powers, base curves, and diameters, essential for successful fittings. This insert also outlines lens care recommendations and contraindications, ensuring patient safety and optimal visual outcomes. Always refer to this document for the most current and complete information regarding these lenses, aiding in predictable and effective presbyopia correction.

Predictable Fitting & ECP Agreement

92% of eye care professionals (ECPs) reported agreement on the ease of fitting with Bausch + Lomb Ultra for Presbyopia, highlighting its predictable performance.

92% ECP Agreement on Fitting Ease

Bausch + Lomb Ultra for Presbyopia demonstrates exceptional fitting simplicity, evidenced by a remarkable 92% agreement rate among eye care professionals. This high level of consensus underscores the lens’s intuitive design and predictable performance. The fitting guide, leveraging the established PureVision2 progressive technology, contributes significantly to this ease of use, allowing practitioners to confidently address presbyopic correction. This positive feedback reinforces its value in clinical practice.

Bausch + Lomb Ultra for Presbyopia provides a compelling solution for presbyopic patients seeking comfortable, high-quality vision correction. Its 3-Zone Progressive design, coupled with a straightforward fitting process – mirroring PureVision2 – ensures predictable success. High ECP agreement on fitting ease and positive patient satisfaction scores highlight its clinical value, ultimately optimizing visual experiences for presbyopes.