Cornea and Contact Lens Institute of Minnesota. Specialty Contact Lenses and Vision Management

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1 Cornea and Contact Lens Institute of Minnesota Specialty Contact Lenses and Vision Management

2 We focus on specialty contact lenses. is a leading national resource for specialized contact lenses and eye care. Patients and doctors from all parts of the world rely on our expertise to treat complex corneal conditions using the most advanced contact lens technology and vision care techniques. While we do enjoy comprehensive eye exams, most people seek out our services for specific care of difficult vision conditions that can be treated using highly specialized contact lenses. We are pioneers in the use of scleral lenses, creating our own designs and working with lens manufacturers to improve their products. We offer the widest range of contact lenses available to treat a variety of vision disorders as well as for cosmetic or prosthetic purposes. Beyond being a destination for patients seeking specialty contact lenses for specific treatments of their disorder, we are experts at managing their eye condition. We are very familiar with surgeries or other treatments that improve vision quality, and work very closely with the most qualified doctors who perform them. is the first step for patients who need a comprehensive resource to manage a complex vision condition. Patients with difficult vision problems such as keratoconus, dry-eye syndrome and progressive myopia may be able to significantly improve their sight through proven treatment options using specialized contact lenses. We manage overall vision health. Our services cover a wide spectrum of eye care needs. Patients come to us looking for treatments that let them see better immediately and will help maintain their vision and eye health over time. Our doctors have experience with the most complex vision disorders. Contact lenses can be used to correct a wide variety of vision problems or to manage painful eye conditions. Opthalmologists and optometrists often refer patients to the Cornea and Contact Lens Institute of Minnesota who are in need of advanced treatments such as: Scleral Lenses Keratoconus Management Corneal Transplant Care Multifocal Contact Lenses Prosthetic Contact Lenses Orthokeratology (Ortho-K) Myopia Control Dry-Eye Syndrome Management LASIK/Cataract Surgery Management Glaucoma Testing

3 Scleral Lenses Scleral lenses are larger than standard soft contact lenses and cover the entire cornea. Because the larger lens vaults across the corneal surface and rests on the less sensitive sclera, the white part of the eye, these lenses are often more comfortable for people with keratoconus and other corneal abnormalities. Scleral lenses are designed to fit with little or no lens movement during blinks, making them more stable on the eye. The Cornea and Contact Lens Institute of Minnesota offers many types of scleral contact lenses. In addition to keratoconus, we make custom scleral lenses for vision correction of corneal transplants, LASIK-gone-wrong and radial keratotomy. Scleral lenses can also be used to protect the cornea and relieve dry eye symptoms related to Sjögren s syndrome, graft-versushost disease (GVHD) and Stevens-Johnson syndrome. The size of lens used often is determined by the degree of complexity of the condition. Milder forms of keratoconus and irregular astigmatism from refractive surgery often are easily managed with scleral lenses at the smaller end of the spectrum. Smaller scleral and mini-scleral lenses can be easier to apply and can be less costly. More complex conditions, including advanced keratoconus, corneal transplants or severe ocular surface diseases can benefit from the use of larger scleral lenses, which have the capacity to hold more fluid and bridge large changes in corneal curvature. Scleral lenses cover the entire cornea and can be used to treat a variety of difficult vision disorders. Corneo-scleral lenses are a smaller version of scleral lenses, and can provide good comfort and vision for those with or without eye disease, like patients with high astigmatism. Keratoconus One of the most common conditions we treat is keratoconus, a distortion of the shape of the cornea causing significant visual impairment. Scleral Lens Fluid Reservoir Vision for people with keratoconus can often be corrected with special types of lenses Sclera Cornea that mask the irregular cornea, effectively replacing it with a smooth, perfectly shaped optical surface. We offer all lens correction options, including hybrids, piggybacking, custom soft and scleral contact lenses. We treat keratoconus beginning with a thorough exam of the cornea using the advanced Keratograph 5M, a non-contact device that precisely measures corneal topography. We use the high resolution images and graphical reports to both determine the most appropriate treatment and monitor progression over time. Multifocal Contact Lenses Contact lenses can also eliminate the need for bifocals or reading glasses. We offer advanced lens designs that allow multiple focal ranges in a single lens, allowing correction of close-up and distance viewing. Working with labs in the U.S. and abroad, we help develop and test new soft and gas permeable multifocal contact lenses. As industry leaders, we often have access to lenses months before they are available to most clinicians.

4 Dry Eye Syndrome Scleral contacts are specially designed to vault over the entire corneal surface and rest on the sclera. The space between the cornea and the back surface of scleral lenses acts as a fluid reservoir to provide comfort for people with severe dry eyes who otherwise could not tolerate wearing contact lenses. Pathologically dry eyes or severe ocular surface disease that might require a large tear reservoir, often are fitted with large scleral lenses because they protect a large surface area and allow the cornea to regrow healthy cells for improved visual function. We help patients manage dry eye syndrome through customized care plans using specially made contact lenses and tear solutions. Ortho-K Orthokeratology, or Ortho-K, is available as a nonsurgical alternative to LASIK and other refractive eye surgeries to correct myopia (nearsightedness). Myopic Cornea Ortho-K Lens Applied Cornea Reshaped Temporarily The first step for advanced vision care. is the place to start for patients who have vision conditions that are difficult to manage. Eye doctors call on us for advanced care plans to help their patients with both acute and chronic corneal diseases. Our advanced contact lens fitting techniques and specialized contact lens options help to improve vision in even the most advanced corneal conditions. While we specialize in managing complex vision care, comprehensive eye care is just as important to us. We offer ongoing care for glaucoma, dry eyes and macular degeneration. For patients who are looking for surgical care for cataracts, laser vision correction or corneal disease, we can provide an objective assessment of their condition and recommend the best surgeon to manage their specific needs. We are co-investigators for ongoing corneal collagen crosslinking studies, a new treatment for keratoconus. leads the region in specialty contact lens services and in the research and development of new contact lens products, as well as comprehensive care of the related eye conditions. After 8 Hours Also known as night-only contact lenses, Ortho-K utilizes special gas permeable contact lenses to temporarily reshape the cornea so patients can see clearly during the daytime after removing the lenses. While vision correction with Ortho-K is temporary, the effects on reducing the progression of myopia, or nearsightedness, are permanent. This makes children with increasing prescriptions excellent candidates for Ortho-K treatment. We are innovators in the field of orthokeratology, having our own unique designs as well as many other commercially available Ortho-K lenses. Ortho-K is also an effective vision correction alternative to LASIK for adults, especially for patients with dry eyes.

5 Jason Jedlicka, OD, FAAO, FSLS Dr. Jedlicka is a residency and fellowship trained optometrist, one of only a few in the nation to have completed dual residencies in contact lenses and anterior segment disease, making him uniquely qualified to manage corneal eye diseases such as keratoconus. He is a consultant to the contact lens industry, conducts clinical research for several manufacturers and has developed his own scleral and orthokeratology lens designs. He is frequently published in eye care magazines and lectures around the world. Dr. Jedlicka is an adjunct clinical faculty member for the Pennsylvania, Illinois and Indiana University Colleges of Optometry, President of the Scleral Lens Education Society, a fellow of the American Academy of Optometry, a board member of the Minnesota Contact Lens Society and a member of the Contact Lens Society of America. Brooke Messer, OD, FSLS Dr. Messer received her doctor of optometry degree from Southern California College of Optometry, and subsequently went on to specialize in Cornea and Specialty Contact Lenses by completing a one year residency. She is highly trained in fitting specialty contact lenses for keratoconus, post surgical corneas, and other corneal diseases, as well as orthokeratology pediatric contact lenses. She has special interests in gas permeable scleral and multifocal lens development. Dr. Messer has authored articles for publications such as Contact Lens Spectrum, and teaches other doctors complex contact lens fitting techniques in classroom and clinical settings. She serves as the optometric liaison for the Minnesota Contact Lens Society, and is a member of the Contact Lens Society of America, the American Academy of Optometry, and the Minnesota Optometric Association. Interlachen Blvd. 100 Vernon Ave. S Sherwood Rd. Eden Ave. Grandview Sq. Cornea & Contact Lens Institute of MN 100 E. Frontage Rd W. 50th St. Eden Ave. EDINA Cornea and Contact Lens Institute of Minnesota Grandview Square 5201 Eden Avenue Suite 150 Edina, Minnesota Fax:

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