Mrs Elizabeth Ralph

Professional Services Consultant
Contact Lens Specialist

Contact: beth.ralph19@icloud.com

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Consultation via Webcam

Dry Eye Clinic Video

Latest News

LATEST NEWS! This column will carry the latest news for ADP-EyeCare patients and/or prospective patients. 

23/05/2020:  Dry Eye Clinic Video published - watch here.

03/05/2020:  Remote non-urgent consultations with Andrew D Price, now available 7 days/week, day or evening by phone or Webcam Consult. Send initial email to patients@adp-eyecare.co.uk  

03/05/2020: A collaborative agreement between private ophthalmology and Andrew D Price at the Dry Eye/Contact Lens Clinic of ADP-EyeCare at Focus-In Opticians of Rhyl. See more.

04/04/2020: Lipiflow page discusses treatment. See In-Practice/Clinic Professional Treatments under Dry Eyes Clinic menu-point.

25/03/2020:  New feature of the ADP-EyeCare website is the downloadable, savable, optionally printable Contact Lens Referral documents with all fields open for text. Go to ADP-EyeCare where you will find it under the Contact Lens Menu Point.

15/03/2020: Latest Covid-19 guidance for professionals and patients in regard to contact lens and spectacle wear can be fiund here https://www.abdo.org.uk/news/experts-respond-to-covid-19-contact-lens-misinformation/

22/02/2020: New feature of the ADP-EyeCare website is the downloadable, savable, optionally printable Dry/Watery Eye/Blepharitis Referral documents with all fields open for text. Go to ADP-EyeCare where you will find it under the Dry/Watery Eye Menu Point.

05/02/2020: The use of two new instruments for diagnosis and treatment of dry eye and contact lens discomfort included in appointments - Me-Check and MyMask. See Mr Andrew D Price - Portfolio.

22/01/2020 ADP-EyeCare announce a new dry eye clinic will commence in Stoke-on-Trent in the first week of March 2020, in addition to the current one in North-Wales. To find out more email Andrew D Price FBDO(Hons)CL , COA: patients@adp-eyecare.co.uk  

07/01/2020: Contact lens wearers who would like to improve their hours of comfort please see 'Clinical Trials - Can You Help?'

28/12/2019: 'Monovision' where one eye is corrected for distance and the other for near, is sometimes an option for cataract/refractive surgery. It is vital you have the opportunity to judge if this is suitable for you before surgery, this can be done easily as part of the Cataract or Refractive Surgery Referral Clinic. The 'target' prescription is then known in advance and is provided to the surgeon.

07/12/2019: Mrs Elizabeth Ralph FBDO CL joins ADP-EyeCare, providing specialist services in the East Midlands. 

28/10/2019: Do you have Colour Blindness/Colour Vision Deficiency (CVD)? A unique contact lens is available that may help you differentiate colours more easily. Read more. Email: patients@adp-eyecare.co.uk   

26/10/2019:  Wear glasses/contact lenses currently and would like to consider reducing or eliminating your need for them by refractive surgery, or you require cataract surgery and thinking of a private procudure? We can offer information and examinations to assess your sutability. Email: patients@adp-eyecare.co.uk 

 

 

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Contact Lens Clinic Brochure

Andrew D PriceMrs Elizabeth Ralph and I prescribe a large range of contact lenses (legally they are medically devices so only registered Contact Lens Opticians, optometrists and doctors are allowed to do this). I also provide first-class aftercare services to support your successful wear. Many lens options are available, which can be a little bewildering, I will give you expert guidance.

We hold specialist qualifications in contact lens practice and teach other practitioners on the subjects of contact lenses and dry eye, our aim is to find the lens type that suits your lifestyle and gives you the best possible vision and comfort. Every eye is unique, we use exams and tests to identify pre-existing conditions that all too often are the cause of lens wear not being successful – if you have stopped contact lens wear in the past, as many do, it could well be these conditions, which can be improved, were missed.

If you have been told you are not suitable for contact lenses a second opinion could be worthwhile. We particularly welcome the more interesting cases: astigmatism; multifocal; post-ocular surgery; post-LASIK; myopia control, etc.

We like to think we are always looking for steps forward in our examinations and care for our patients, so not every test, exam, treatment, therapy or product is delivered in the same way by every practitioner at the same time, as we evaluate and constantly look to improve our already excellent results.

Are they for me?

Some people want to wear lenses occasionally, for socialising or sports, while others want to wear them all the time because they may get better vision, for convenience or just to have a different look.
The advances in contact lens materials and designs in recent years have led to

  • Improved quality of vision
  • Ease of use and handling
  • More comfortable wear
  • A wider range of prescriptions

Many people who thought, or have been told, that they were unsuitable for contact lenses may now have this option open to them.

We may choose not prescribe lenses to be slept in – studies have shown the risk of serious eye infections is six times higher with these lenses. We like to provide full contact lens care for our patients, so do not prescribe or provide after-care related to lenses obtained other than from the practice itself. The supply of lenses is legally restricted, rather like medicines, for good reasons, some companies providing lenses choose not to observe the letter, or even the spirit, of the law and provide ‘substitutes’ or even fake labelled lenses. Your eyes, and our ability to sleep well, is too precious to take these risks!

Prescribed contact lenses and given up before?

Every eye is unique, we use exams and tests to identify pre-existing conditions that all too often are the cause of lens wear not being successful – if you have stopped contact lens wear in the past, as many do, it could well be these conditions that can be improved were missed.

What are the symptoms?

The symptoms can be varied in nature and degree, they can occur more in some environments and when doing certain tasks.

Common contact lens symptoms can include:
  • Burning/stinging
  • Grittiness
  • Light sensitivity
  • Eye redness
  • Variable vision/eye tiredness
  • Contact lens discomfort
  • Excessive watery eyes!

Sometimes these symptoms only occur, or are worse in warm, dry, air conditioned environments, in the office or on aircraft. Certain tasks such as reading, using a computer or driving can also exacerbate the problems. If this sounds familiar I can almost certainly help.

What is causing the symptoms?

The eye’s surface and lids need to be at an optimum for successful contact les wear, in many patients it isn’t; there may be an insufficiency of quantity of tears, a reduction in the quality of tears or a combination of both. Recent research has shown the quality of tears to be the most common factor. The good news is once the specific problem is identified simple treatments can help in the vast majority of cases. For these people replacing one type of lens with another, without identifying the underlying cause rarely helps significantly.

How am I prescribed contact lenses?

A starting point is a recent ‘general eye exam’ or ‘sight-test’ and then as a specialist Contact Lens Practitioners we will see you for a consultation.  Unless you are currently wearing contact lenses when we may prefer to evaluate your contact lens wear first. We will carry out a detailed examination. During either 40 minute appointment you will complete a clinical questionnaire, we will discuss the various lens options that are appropriate to you and examine the surface of your eye and test your tears. We will then have an in-depth discussion on how best to proceed. If you wish, provided you are suitable, an order will be placed for initial assessment lenses.

At your next appointment you will be assessed wearing the lenses and again reviewed around a week later – at this point if all is well we will then place an order for further lenses.

You will be taught on how to place and remove your lenses. You will be shown how to care for them, what to do and what not to do. Once we are confident in your ability to handle your lenses correctly you will be able to take them away. Most patients are successful at this first ‘teaching’ appointment, but don’t worry if you are not – we will give you as many appointments as you need to achieve this.

What type of lenses?

Contact lenses are now available in soft, rigid and hybrid materials. They can be made to single vision or multifocal prescriptions and can correct astigmatism. There are pros and cons to every design and these will be explained to you once we have examined your eyes and discussed your needs.
Regular lens replacement has proven to be the healthiest way to wear lenses that are changed daily, fortnightly or monthly. Rigid lenses should be changed at around twelve months.

What are the charges?

Because there are so many designs, care products and frequency of replacement it is not possible to provide accurate charges in general information such as this. We will be able to give you some indication as we know more about your interest in specific lenses and past eye history, we can even give you some approximate ideas by email and then specific charges if we meet.

What do I do next?

Email Mr Andrew D Price FBDO(Hons)CL, COA: This email address is being protected from spambots. You need JavaScript enabled to view it. to discuss further, with a view to arranging an initial appointment in my North Wales clinic or Mrs Elizabeth Ralph FBDO CL This email address is being protected from spambots. You need JavaScript enabled to view it. in the East Midlands. 

Personal portfolios can be found here: Mr Andrew D Price FBDO(Hons)CL, COA and Mrs Elizabeth Ralph FBDO CL.

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