It’s not a typical day in the office without a parent asking, “Does my child really need glasses?” When working with a patient with 2.00D of myopia, the answer is obvious, but what about when even you’re not sure if you should prescribe or hold off for another year? While there are some guidelines to help us make this decision, we also have our own clinical experience to rely on when making the final call.
Q: I have been seeing a patient with mild cataracts for routine care, and he has been finicky about every one of his contact lens and spectacle prescriptions. I referred him for a cataract evaluation, and the surgeon implanted a multifocal lens. The patient is very unhappy. What went wrong?
If we are compelled to ﬁ t the vast majority of our frequent replacement wearers in silicone hydrogel, why do we hesitate when prescribing for daily disposable wearers?