Instructions and Care of CRT

Teach patients to gently loosen, lubricate, and remove lenses in the morning. Adherence increases as lenses build up surface protein, so have them use enzyme and surfactant cleaners regularly. At first, we schedule follow-up visits in the morning to check for adherence and monitor the immediate effect when a lens is removed. After ten days, we want to see how the patient is seeing at the end of the day. I continue to alternate the follow-up appointments between morning and afternoon. The first week, I will usually see the patient at one day, four days, and one week. If all is well, we progress to two weeks, one month after that, and then six-month intervals.