1. Patient MC 33 yo Caucasian male Engineer
Diagnosed with Keratoconus 7-8 years ago
Presented to Cornea service at Duke from referral of outside doctor
c/o poor vision in GP’s, halos, poor vision at night
Medical History: Allergies
Medications: Allegra, Flonase

2. Exam Data VA with GP’s (from Cornea note) OD: 20/30 PH 20/20
OS: 20/ PH NI
Intacs was scheduled and performed OS
6 weeks after Intacs procedure, pt MC presented to Contact Lens Clinic

3. Exam Data Pt would like to have Intacs OD once OS is stable
Reports that vision seems better but ghosting lower portion of vision
Current GP
OD:-3.25Sph/7.50/9.0 ORx -1.00Sph 20/25
Manifest Rx OS: x /30-

4. Patient MC

5. Patient MC Final fit: OD: -4.00 Sph/ 7.46 / 9.0 Boston ES 20/25
OS: Rose K2IC -4.00/7.50/11.0 flat PC Boston XO 20/25
1 year later
Reports intermittent discomfort with GP OS
Manifest Rx:
OD: x /25+
OS: x /25
VA in GP’s:
OD: 20/25
OS: 20/30

6. Patient MC Final Fit: OD: -2.75 Sph/7.46BC/9.0 OAD Boston ES 20/25+2
OS: Jupiter Sph; 7.34BC; 15.6 OAD; 8.6 OZD; 7.54/1.7; 8.7/.9; 12.75/.5; 14.25/.4 20/25+2
3 months later…
MC returns, so happy with Jupiter lens that wants OD refit with Jupiter too

7. Patient MC
Jupiter
OD: Sph, 7.34BC, 16.0, 8.6OZ, 7.54/1.9, 8.7/.9, 12.75/.5, 14.25/.4 20/20-2
OS: Sph, 7.50BC, 16.0, 8.6OZ, 7.70/1.9, 8.7/.9, 12.75/.5, 14.25/.4 20/25