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OUR SERVICES AT PAUL MOLDOVANOS OPTOMETRIST

At Paul Moldovanos Optometrist we understand that each patient has unique needs. We therefore offer many custom solutions for the whole family, from spectacle lenses for your unique working distance, to custom made contact lenses for either lifestyle needs, to slow down the progression of your child’s myopia, or to drastically improve visions in cases like Keratoconus, post corneal grafts etc.

SPECTACLE LENSES

Paul Moldovanos Optometrist Gentleman with glasses

SINGLE VISION LENSES

Single vision lenses are the most prescribed lenses for people between the ages of 0 to 40. These lenses can be coated with a Transitions™ tint or left clear. At our practice, they always come with a hard coat for scratch resistance. Another add-on is an Anti-Reflex Coat (ARC).

VARIFOCALS

Varifocals are generally prescribed to people over 40 who cannot focus at near anymore. As opposed to single vision lenses, they have three zones of focus-far (driving and TV), middle (PC and workbench) and near (reading).

OFFICE LENSES

Think of these lenses as a hybrid between single vision readers and varifocals. They offer a clear vision from near distance through to the PC screen distance and up to the interview distance (around 2 metres). They cannot be used for driving, but they have an advantage over varifocals in that the side distortions are negligible and they are also ideal for larger screens.

COATINGS

  • Today’s lenses don’t only come with hard coatings for scratch protection, but also anti-reflex coatings(ARC) for bothersome reflections off PC screens and headlights.
  • In addition there is a blue blocker available that reduces your exposure to the blue light that is emitted from the screens. See our blog-post on this subject: http://www.paulmoldovanos.co.za/are-your-screens-making-you-blue/
  • Sunglass tints have also evolved. We offer golf-specific, fishing and water sport-specific, and mountain bike and road bike-specific tints, as well as tints for shooting.
  • Feel free to contact us via phone or email, or pop into our rooms for a free, no obligation chat with one of our eye-care professionals, if you need more information.

CONTACT LENSES

SOFT CONTACT LENSES

  • Softs are the most popular type of contact lenses and offer an alternative to spectacles.
  • They are either used full-time or part-time for sports and lifestyle needs.
  • They correct myopia (nearsightedness), far-sightedness and are also available as varifocals.
  • The replacement frequency is either monthly or daily; we will help you choose the right one.

RIGID CONTACT LENSES

  • Also known as RGP, these are generally, but not always, indicated in cases where soft lenses do not work.
  • If the cornea (the front surface of your eye) is unevenly shaped, hard lenses act as a mould for a tear layer that cancels out the surface imperfections and restores vision.
  • They can be uncomfortable, especially with an associated dry eye, and can dislodge too, and that’s where SCLERAL LENSES have the advantage.

 

SCLERAL CONTACT LENSES

  • These lenses have been both the most exciting, challenging and rewarding of my career.
  • They have also been the most positively received lenses due to their stability and comfort, as well as being the only contact lenses that mask the symptoms of dry eye disease.
  • As with hard lenses, Sclerals are indicated in cases where the corneal surface is irregular. Some examples are Keratoconus, post-Corneal Grafts, unmanageable dry eye, Sjogren’s Syndrome, post-LASIK and post-RK complications, Steven-Johnson Syndrome, Pellucid Marginal Degeneration, Corneal injury, high Myopia and Astigmatism.
  • Sclerals are much larger (17 to 20 mm), than hard lenses, which vary from 8 to 10 mm. They do not float on the tear layer, but actually rest on the white part of the eye (the sclera), hence their name.
  • If you are not succeeding with your current contact lenses, either due to poor vision, poor comfort, dry eye, or a combination of the above, give our Scleral lenses a chance. With hundreds of successful fits since their introduction in 2014, we would love to provide the opportunity to give you clear, comfortable vision.

A 17.5 mm scleral lens on a Keratoconus eye.

A 17.5 mm scleral lens on a Corneal Graft eye. Note the graft is decentred superiorly.

An OCT image showing the profile of a scleral fit on another Corneal Graft. Note how the host cornea is much thinner than the previous example, resulting in a bigger gap between the lens and the eye. The tear layer is the great equaliser though.

An OCT image of the limbal junction-where the “colour meets the white of the eye”. Note to the left of the picture, how the lens lands on the white part of the eye, one of the unique properties of this lens.

An OCT image showing the profile of a scleral fit on a Corneal Graft. Note the junction of the graft and how the lens closely follows the eye’s contour.

RIGHT TO SIGHT

  • Our Right to Sight packages aimed at the budget-conscious and those patients who don’t have medical aid. The packages include an examination, lenses with hard coat only and a frame from a selection.  Fitting fees (labour) is also included.
  • The prices can change for higher prescription powers, but most powers fall within these prices below:

Single vision stock: R980.00            Bifocals: R1,600.00            Varifocals: R2,400.00          

  • One can order add-ons to this package deal like anti-reflex coats, tints, frame upgrades etc.

LABORATORY ON PREMISES

We have a spectacle lab on the premises.

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