Research Article

Clinical Performance of Toris K Contact Lens in Patients with Moderate to Advanced Keratoconus: A Real Life Retrospective Analysis

Table 1

The fitting set parameters and the fitting assessment procedure of Toris K.

Technical dataValues

Total diameter 13.70 mm (HydroCone K12)
14.00 mm (HydroCone K34)

Base curve7.20 to 8.40 D

Sphere−40.0 to +40.0 D

Cylinder−0.01 to −8.00 D

Axis0–180°

Center thicknessStandard K12 = 0.42 mm, K34 = 0.52 mm
Range of thickness: 0.3520.59 mm

The Fitting Assessment Procedure
First contact lens choice
 It is suggested working with trial lenses with cylindrical power −0.01 D
Keratoconus classification
 First apply topographical indications or follow the rules:
 Vcc > 0.6 and/or keratometry > 6.8: grade 1 or 2 (choose HydroCone K12)
 Vcc < 0.6 and/or keratometry < 6.8: grade 3 or 4 (choose HydroCone K34)
Diameter and base curve selection
 Add 0.8 diopters to the average value and then select a trial lens
 HydroCone K12/total diameter = 14.00 mm
 HydroCone K34/total diameter = 13.70 mm
Further steps
 The first lens helps to validate base curve and total diameter
 The patient should wait for 30 min
 Dynamic stabilization marks should be evaluated to measure the stabilization axis
 Push-up test should be done
 The fitting curve should demonstrate typical fitting of characteristics of a standard soft lens fit
 If the fitting curve is too flat, there will be excessive movement and/or edge lift and then switch to a steeper trial lens
 Little or no movement and/or edge impingement would indicate the fitting curve is too steep and then switch to a flatter trial lens
 Overrefraction should be done
 Prescription should include both spherical and cylindrical errors with its axis
 In case of glare and/or halo, you can request to enlarge the optical zone

D: diopter and Vcc: best spectacle corrected visual acuity.