Renee Reeder, OD, FAAO
• Masking does not work. Patients with increasing astigmatism also have increasing higher order aberrations. Therefore, fully correcting their astigmatism is critical to improving their vision. This also improves their intermediate digital tasks as well as reading, which is crucial in this day and age and in particular for young patients.
• Gas permeable torics can be ordered empirically with excellent success. Young people adapt very quickly and even adults who may have struggled with vision with soft lenses accept them for the improved clarity.
• New soft designs have improved stability as they have spread the stabilization across two to four zones. Therefore, there is less fluctuation in visual acuity associated with the latest designs. These too can be ordered empirically, saving chair time.