NCLE RGP SPHERICAL, FRONT, BACK, AND BI-TORIC SELECTION 

Thanks for the kind words. Makes me want to produce more content!

Congrats! I know that is a great feeling to pass that test! 💪

Glad the video was helpful!

Hi, Luke! I’m so glad the videos are helpful for you. I’d appreciate you sharing the channel to extend its reach. You’ve got this 💪

Thanks for watching, Holden. CRUSH IT 💪

Thanks for watching 📺 Good luck 👍🏼

Way to go! I really appreciate you sharing your feedback. CONGRATS!

@@nclecontactlenstraining Thank you!!

Hi, Isabel. I really appreciate you watching! 🙂

Haha very good 😊

Love this feedback! Thank you SO MUCH for sharing. Congrats!!! 😊

Hi, Paulina! Thank you for your support. I am very glad that you find these videos helpful to supplement your studies 📚

Reading this comment makes me so happy 😊 Thank you for watching!

Thank you friend!

Hey, Jordan! Thanks for watching/subscribing... You’ve got this 💪

@@nclecontactlenstraining I passed! Thanks again!

@@jordancausey1812 Heck yes!!! Congrats 😊

I appreciate you watching! 😊

I really appreciate you watching. Thank you!!!

Test on friday!!

How exciting! You’ve got this 💪 👁

Glad you found these videos, too! Sure hope they help 😊

Eeekk..taking mine June 14th! Good luck to you

Just 12 more days ‘til you are NCLE certified! 🙌

@@yvettegarcia527 ahhh how exciting!! Good luck! I’m a ball of nerves right now going over all of this content over and over again.

@@mariahrivera7135 did you pass??

You da man, Eric! Thanks for watching 📺

I can definitely put up a soft lens video. The reason that I have not had much content on soft lenses is mainly due to their ease of fitting. I try and tackle the topics that are most often troublesome. Perhaps a video “when you should for soft lenses” or “when you should not fit soft lenses” would be a great addition. Thanks for watching!

You’re welcome!

Thank you for watching, Maria!

Hi, Lysbeth. That is correct. If the lens is +/- 4 diopters in either major meridian we need to compensate. That being said you more than likely will only see the minus cyl variation on the NCLE 😃

I was surprised also, thank you for asking this question, answer is very helpful!👌

@@nclecontactlenstraining thank you, I've never heard about vertexing the Cylinder!👌

Hi, Johanna. I will be added more videos soon and I know that I need to add one on follow-up care. Stay tuned 📺 Thanks for watching 😊

@@nclecontactlenstraining I’m taken my ncle in February and I need help on those follow ups.. thank you so much for all your help your videos are Great !

Hi, Aide! Sounds like a great video topic to explore. Most definitely!

ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-iIduVc9HNEs.html

Congrats on passing! The best review for the practicals is definitely the simulations on the website. Just get online and review those for 20 minutes a night for a few weeks and you should be good. Way to go 💪

Without reviewing the video, which I highly dislike listening to myself speak 😂, the above example shows all of the cylinder on the cornea (Ks match refracted cyl). If the lens was fit “on k” the power would be -1.00 sph as there is no need to compensate VD and the GP lens can handle the astigmatism. Thanks for watching! 😊

Great question, Michelle! WTR astigmatism is more “forgiving” than ATR or oblique. This is because the lens will tend to move in the direction that the cornea is the steepest (so a WTR cornea will have the lens drift up and down versus side to side). As you can imagine, a lens moving up and down is more comfortable and visually acceptable than side-to-side. So prettymuch, treat oblique astigmatism as you would ATR for most examples. Hope that helps 😱 😬

Thank you! This helps!

Hey! Thanks for watching. Typically, once the Rx is in minus cylinder form you can start with the sphere power for the first RGP trial lens. For example: -2.00 -1.00 x 090 You could prescribe a -2.00 sphere Then do an over refraction on the patient (refract them with the contact lens in situ) to see if you need to adjust the strength. If you fit flatter than K or steeper than K you will need to follow the SAM and FAP rules covered in other videos. Hope this helps! Sam

@@nclecontactlenstraining Great. Thank you

Glad you are finding the videos helpful! My best advice would be to pair the videos up with a great question, answer and explanation book. Hit those practice questions hard 🥊

@@nclecontactlenstraining thank you!

Nathn... I trust you passed. I failed my 1st round. Ironic I needed to study in the same areas. I'm going back soon for round #2 😊

You’ve got this 💪🏼

Hey! Thanks so much for watching. Remember that ANY LENS WILL ACT MORE PLUS (less minus) the farther away that it gets from the eye. A -4.00 glasses lens would be a -3.75 in contacts. (-3.75 is less minus than a -4.00, you can also think of this as “more plus”) A +10.00 in glasses would be a +11.00 in contacts because it becomes more plus/less minus. Think of it like this - you want the contact lens to mimic the behavior of the glasses, so the contact needs to be a stronger power because it’s on the eye to yield the same visual effect as the glasses Rx which is farther from the eye. Hope this makes sense - let us know when you crush the test 💪🏼

@@nclecontactlenstraining I passed my test today, and it was mainly your videos that did it, with some personal experience as well. The test questions are different, a lot having to do with symptoms and what about the contact is causing it, different cleaning solutions, so I think more videos are needed to address some of these, but overall, the content in your videos helped my pass. Thank you.

@@tmi9885 love hearing this! CONGRATS! Time to celebrate 🍾🎊🎉

Hey Tiffany! First off - Congrats for deciding to take the NCLE advanced exam! You are very correct in that many questions have multiple possible answers. It is all about choosing the BEST option. If you stick to the general rules of thumb you can navigate through some of the more difficult fitting questions. Could we use a bitoric? Sure we could. Could we use a front toric? You bet we can! For the NCLE L-ADV you really need to just logically think through the questions using all of your gained contact lens knowledge.

@@nclecontactlenstraining Thank you , I am hoping I'll past first try but so much to study in very little time. That's the most tricky part for me , I'll be studying the rules , only thing is the rules mentioned here versus my test review book 2 is slightly different for example when we are referring to FST you had mentioned LESS than 1.00D of corneal cyl and my book is saying less than 2.50D of corneal Cyl, so it is just making sure I am studying the right knowledge , and the other thing that is stumping me is the 1/3 2/3rd rule when its coming to BST... I am not understanding that one quite well. I am of course watching your videos they helped a lot for my past exams . Is there any tips or anything else specific you'd recommend me to study for the advanced what I should look out for , for us on the most ? Thank you so very kindly for such a rapid response. -Tiffany H.

@@tiffanyherscu6191 I’m not going to lie I absolutely DESPISED the NCLE-AC when I took it. NONE of the advanced material that I labored over was actually on it. The test is designed so that you literally have to understand how contact lenses work to be able to reason through the answers and select the appropriate one. If I were to start studying for the test again today I would brush up on all Of the basics of contact lenses and have a strong foundation to make educated guesses from. Send me an email and I will be glad to offer you another resource that may benefit you. swinnegrad@universityeye.com You’ve got this 💪🏼

@@nclecontactlenstraining For the Back Surface Toric we know we want more toricity in the back than the front. There is a question that states : The best parameters for a BST would be ? The RX is -1.00-3.00x180 and K's are 41.25 @180 and 43.25 @090 So we have -3.00D of Lenticular and for our K's we have 2.00D of corneal if I multiply my corneal by 1.5D it will give me 3.00D which relatively be Biotic no?? I don't understand the concept quite well where it says a "spherical" front surface when we still have about 2.00D of Lenticular. After applying the 1.5 Rule and it giving me a total of 3.00D that means I have 1.00 D remaining which will be applied to the BACK to make it a BST to compensate the remainder of 1.00D? I am so sorry for all these questions I am bombarding you with , just need to understand the concept which can be quite confusing to grasp.

@@tiffanyherscu6191 This is an excerpt from an article I wrote. I hope it helps with this topic! If there is greater than 3D of corneal cylinder and the corneal and refracted cylinder do not equal each other use a bitoric lens. Think bitoric when you see an unusually high level of astigmatism and the measurements do not reflect the below statement... Back toric lenses are never ideal because they will induce astigmatism. Use back toric lenses when the refractive cylinder is around 50 percent greater than the corneal toricity. On the test when you see this ratio they probably want a back toric lens... Ex. Ks 42.00/44.00 x 180 Rx -1.00 -3.00 x 090

He mentions you have to compensate for vertex distance, and he has videos that go into that further.