Keplr-600X120-Above Article-Network of Docs Nelson

Elevated lesions of the conjunctiva such as pingueculae and pterygia oftentimes present challenges in fitting the patient desiring refractive correction with contact lenses. These lesions can be irritated and thus become inflamed from a contact lens that has a less-than-optimal fit.

Historically, management usually meant fitting a small diameter corneal RGP lens or soft lens which avoided the lesion(s) either by a smaller diameter or vaulting it completely in a large, often custom, design.

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Thomas Arnold
Associate Editor, Specialty Contact Lenses for Dr. Tom Arnold is a graduate of the University of Houston College of Optometry. He holds a Bachelor of Science degree in Business Administration from the University of Northern Colorado. During this training, he participated in vision outreach programs in Mexico, Guatemala, and with the Bureau of the Indian Health Service. His externship was completed at the Indian Health Service Hospital in Santa Fe, New Mexico. Dr. Arnold spent two years as a research assistant for the Early Treatment Diabetic Retinopathy Study at the University of Texas Medical School in Houston. He opened his Today's Vision practice in Sugar Land in 1992. Currently, Dr. Arnold is the VP of the Board of Today's Vision Licensing Corporation. His primary professional interests are diseases of the eye, specialty contact lenses and the management of refractive laser eye surgery. Dr. Arnold is passionate about scleral contact lenses and their ability to help patients struggling with compromised vision related to the cornea. He is also a Fellow of the Scleral Lens Education Society.

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