Costs of Reverse Geometry RGP Lenses

Discussion in 'Optometry Archives' started by Dave Schell, Jan 19, 2004.

  1. Dave Schell

    Dave Schell Guest

    Can someone give me a ballpark figure for Reverse Geometry RGP lenses?
    I had RK 10 years ago, with all of the typical problems - right eye
    is not correctable through glasses or softlens. I've read much about
    the reverse geometry lenses, but haven't seen any dollar figures. I'm
    looking for the lenses cost itself, not the fitting fees. Thanks.
    Dave Schell, Jan 19, 2004
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  2. Dave Schell

    drfrank21 Guest

    These are considered specialty type lenses;the cost varies depending
    on where you live(obviously) and are not fit by a lot of providers.
    Some providers do a blanket fit fee including cl's, fitting and follow
    ups and do not separate fees from the cl's but a general ballpark would
    be from $100 to $200 per lens. I've had luck with them with post graft
    patients (corneal transplants) and keratoconus. Have not done any (that I
    can recall) on a post-rk. Mostly good success with aspheric gas perm
    designs or even regular rgp designs on rk'ers.Have you seen anybody
    about this??

    drfrank21, Jan 20, 2004
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  3. Dave Schell

    Dr. Leukoma Guest

    (Dave Schell) wrote in
    I regularly fit post-RK patients, quite a few actually compared to the
    average doctor. Most of the time if I don't use a soft lens - and I will
    assume that you have tried a soft lens already - I have to use a reverse
    geometry RGP. I maintain a large number of different sizes and designs to
    shorten the fitting process, but even then it can take several hours of
    total chair time. The cost of chair time can vary depending on the
    practice location, overhead, etc. In order to get this number, the
    optometrist will typically divide it between the professional services
    component and the materials component. I like to keep it all in the
    professional services component so that the patient can see that I am not
    over-charging on the materials, but charging for my time and expertise.
    Typically the inexperienced doctor will undercharge because they
    underestimate the time and materials involved. I think Dr. Frank was close
    on the price of the lenses, but he didn't include the professional services

    Dr. Leukoma, Jan 21, 2004
  4. Dave Schell

    Dave Schell Guest

    (drfrank21) wrote in message Thank you for your response. I tried softlens and I still had some
    double vision. My optometrist than went directly to reverse geometry
    RGP lenses without trying "regular" RGPs. I've since have had someone
    tell me that reverse geometry lenses should be the last course of
    action as they cause additional stress on the eye over time and that I
    should have tried non-revgeo lenses first. It sounds as if you
    Dave Schell, Jan 25, 2004
  5. Dave Schell

    Jan Guest

    The only way to fit a correct RGP lens in your case due to the special shape
    of your cornea is a special made RGP with a special backcurve lensdesign.
    Normally a cornea is steeper in the central area comparing to the periferal
    area where yours is flatter due to the RK.
    Your cornea shape is not a "normal" one and therefore the need of a special
    made RGP, absolutly non standaard or regular, is recommended

    I've since have had someone
    The person who told you this is a professional in contactlensfitting?

    Jan (normally Dutch spoken)
    Jan, Jan 25, 2004
  6. Dave Schell

    Dr. Leukoma Guest

    (Dave Schell) wrote in
    I disagree with the advice given. On Thursday I gave a presentation at the
    Contact Lens and Eyecare Symposium, summarizing three years' worth of data
    on fitting post-refractive surgery patients with RGP reverse geometry
    lenses. They do not cause additional stresses on the eye, and are
    typically my first option.

    Dr. Leukoma, Jan 25, 2004
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