Mrs Elizabeth RalphMrs 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. 

29/08/2020: Dry Eye Clinics commence in Leyland in September.

30/07/2020: The world unique InflammaDry test to detect and measure inflammation in dry eye and contact lens discomfort patients avalable from Beth Ralph and Andrew D Price

01/07/2020: As from learly September 2020 dry eye and contact lens patients can also be seen in Nantwich, Cheshire by Mr Andrew D Price. Email patients@adp-eyecare.co.uk

21/06/2020: As from late August 2020 dry eye and contact lens patients can also be seen in Southport, Merseyside by Mr Andrew D Price. Email patients@adp-eyecare.co.uk

12/06/2020: As of mid-June 2020 we are starting to put our Contact Lens and Dry Eye Clinics together in our diaries, extending and spacing appointments further apart so that safe distancing and clinical standard hygiene measure can be effective, this along with an anticipated demand for appointments indicates that patients who would like to see Beth or me are encouraged to contact us as soon as possible. Please email Andrew Price patients@adp-eyecare.co.uk  or Elizabeth Ralph beth.ralph19@icloud.com

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.

 

 

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Contact Lens Clinic Brochure

Eye ExaminationMrs 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!
Healty Tears

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?

Contact Lense: Eye ExaminationA 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?

Good MorningContact 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, Nantwich or Southport 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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