Contact Lens Fitting Assistant & Case Documentation
Document contact lens fittings with systematic clinical protocols and patient education
What You Can Do
This skill guides you through complete contact lens fitting workflows—from intake assessment and corneal topology review through lens selection, parameter documentation, fit troubleshooting, and patient education. You capture all clinical data systematically, diagnose fit issues using evidence-based logic, and generate compliance-ready documentation and personalized care instructions that reduce follow-up problems and ensure nothing is missed during consultations.
Features
Captures patient history, refractive data, corneal topology, and lifestyle factors to inform lens selection
Matches patient needs to material, design, base curve, diameter, and power based on clinical parameters
Records all measurements and specifications consistently for audit trails and insurance compliance
Diagnoses fit issues (decentration, edge lift, comfort, vision quality) and recommends refit, adjustment, or referral
Creates personalized care instructions, wear schedules, and expectations tailored to lens type and prescription
Structures documentation for state regulations, insurance requirements, and patient records
Organizes initial assessment, trial, follow-up, and dispensing visits with decision points
Example Output
Example 1: Complex Presbyopia Case
- Intake Summary: 52-year-old presbyope, +1.50 add, mild astigmatism (−0.75 × 180), first-time contact wearer
- Recommended Lens: Simultaneous vision multifocal (soft), trial fit with +2.50 distance / +4.00 near power
- Fitting Notes: Base curve 8.6 mm, lens centered at primary gaze, adequate edge clearance confirmed
- Patient Education: Gradual adaptation period (2 weeks), insertion/removal technique video, cleaning protocol
Example 2: Troubleshooting Decentration
- Problem: Soft toric lens decentering nasally after 4 hours
- Diagnosis: Base curve too steep or insufficient lens mass
- Action Plan: Flatten base curve by 0.3 mm OR increase diameter by 0.3 mm, refit at follow-up
- Documentation: Clinical decision logged with baseline parameters and adjustment rationale
What's Included
- SKILL.md: Complete contact lens fitting protocol with clinical logic and decision trees
- Patient Intake Checklist: Structured form capturing refractive history, ocular health, lifestyle, and material preferences
- Lens Selection Matrix: Decision framework matching patient needs to material (hydrogel, silicone hydrogel, RGP), design (single vision, multifocal, toric), and parameters
- Fit Assessment Worksheet: Documentation template for base curve, diameter, visual acuity, centering, edge clearance, and comfort evaluation
- Troubleshooting Flowchart: Evidence-based logic for diagnosing fit problems and determining clinical actions
- Patient Education Templates: Customizable care instructions, wear schedules, insertion/removal guides, and follow-up expectations
Who It's For
- Opticians — Managing complex fittings, first-time wearers, and troubleshooting recurrent fit issues
- Optometrists — Structuring fitting consultations, ensuring comprehensive documentation, and delegating education tasks
- Dispensing Opticians — Building consistent patient communication and follow-up protocols
- Contact Lens Specialists — Managing multi-visit fittings, specialty designs (keratoconus, post-surgical), and compliance documentation
Best For
- Complex refraction cases (high cylinder, presbyopia, keratoconus, post-surgical eyes)
- First-time contact lens wearer education and training
- Troubleshooting recurrent fit problems (decentration, comfort, vision quality)
- Transitioning patients between materials or designs
- Generating compliance-ready clinical documentation for insurance and state regulations
- Building personalized patient care instructions and follow-up protocols
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