Lomb introduced its Nike Maxsight lens in late 2005 for eliminating
image distortion and improving field of vision in athletes.
According to Nike, the patented Light Architecture. Optics
selectively filter blue light, thereby decreasing chromatic blur,
and manipulate the remaining colors of the visible spectrum to
visually enhance key elements in sporting environments. The lenses
provide light transmission in peak areas of the visual spectrum to
aid in object and contour recognition.
monthly replacement lenses are designed for wear during sporting
activities only. The amber tint is better for fast-moving ball
sports in variable light conditions while the grey-green tint is
good for sports played in bright sunlight. The amber tint allows
longer wavelengths through and filters green out, while the
grey-green tint allows green and red wavelengths through and filters
the blue out.
Nike Maxsight lenses filter out greater than 95 percent of UVA and
UVB light from entering the eye, according to B&L.
following case explains how this lens also benefited one patient
following a corneal injury.
Figure 1. Inferior nasal stromal scar in
the patient's right eye.
the Birmingham Veterans Affairs Medical Center referred patient DC,
a 50-year-old Caucasian male veteran, for contact lens fitting to
the Cornea and Contact Lens Department at The UAB School of
Optometry. He had a squamous cell carcinoma in his right upper lid
that was removed in September 2001. According to DC, while the
surgeon removed the carcinoma with the laser, the laser was too hot
and consequently burned his right cornea, leaving an inferior nasal
stromal scar. Since then he had experienced diplopia, more so at
night than during the day. Figure 1 shows the scar in the right
cornea, and Figure 2 shows DC's corneal topography. His manifest
refraction at this visit was OD +0.75 -8.75 x180 (20/25-) and OS
-1.00 -0.25 x105 (20/15).
trying several GP lenses in late 2004, we successfully fit his right
eye with a semi-scleral lens that had an 8.10mm base curve, 13.5mm
overall diameter and -2.25D power (20/15) with no diplopia and his
left eye with a Night & Day (CIBA Vision) contact lens with an 8.6mm
base curve, 13.8mm diameter and -1.00D power (20/15).
Figure 2. DC's corneal topography before lens fitting.
of a constant change in refraction and vision, DC had consulted a
local optometrist in Nashville, Tenn., who refit his right eye with
a piggyback system consisting of a Night & Day lens with an 8.4mm
base curve, 13.8mm diameter and +0.75D power and a GP lens made of
Boston XO (B&L) with a 7.85mm base curve, 9.0mm overall diameter,
7.6mm optic zone diameter, 0.15mm center thickness and -2.75D power
(20/15). He refit DC's left eye with a Night & Day lens with an
8.6mm base curve, 13.8mm diameter and -1.25D power (20/15). DC uses
+1.50D readers over his contact lenses for near.
2006, DC returned for a yearly eye exam and said his prescription OD
had changed three times in nine months. Both the topography and
manifest refraction showed a marked decrease in astigmatism. He
arrived wearing Night & Day lenses, OD 8.6mm base curve, 13.8mm
diameter, -1.75D power and OS 8.6mm base curve, 13.8mm diameter,
-1.50D power. He had stopped wearing the GP lens OD in November
2005. Figure 3 shows his corneal topography. His manifest refraction
at this visit was OD -1.25 -0.50 x175 (20/20) and OS -1.25 -0.50
x144 (20/20). He saw clearly with Night & Day lenses with an 8.6mm
base curve, 13.8mm diameter and -1.25D in both eyes.
Not Just for Sports
Figure 3. DC's current corneal topography.
visit, DC inquired about the new Nike Maxsight lenses because he was
experiencing glare and halos day and night. He pilots a helicopter
and was experiencing difficulties with stray light during the day.
He had tried the amber lens during the day and the grey-green lens
for night-time glare in his right eye only. He was interested in
wearing the contact lenses in both eyes as needed for glare. The
appearance of his eyes with these lenses didn't bother him.
informed him that this would be an off-label use because these
lenses are meant for sporting activities only. We also told him not
to drive while wearing these lenses.
We fit DC
with Nike Maxsight lenses with an 8.7mm base curve, 14.3mm diameter
and -1.25D power OU (20/20) in both amber and grey-green. We advised
him to try the lenses for a week and return for a progress check.
When DC came back, he reported that he preferred the amber lens for
day time glare and the grey-green lens for night time glare and
haloes. He uses them on and off, and during work hours he wears his
Night & Day lenses. We advised DC to return in one year for a
regular annual exam.
recently contacted DC and learned that he's happy with both tinted
lenses for his daily activities. He also reported that he has
started using them more often during the day because they decrease
his ghost imaging and double vision. Even though the amber tint is
marketed for variable light conditions and grey-green for bright
light, DC found the grey-green lenses to help more during low light
demonstrates that we don't need to limit Nike Maxsight lenses to
patients interested in enhancing their sports performance. We can
also consider them for patients who have glare problems secondary to
DC's response and experience, other patients who've experienced
corneal insult or injury secondary to surgery or post-refractive
surgery (RK, PRK, LASIK or PK) might benefit from wearing Nike
Maxsight contact lenses.
important to keep in mind that you should fit these lenses only
after ensuring that the cornea is stable. Hence, you might fit
Maxsight lenses in addition to a specialty contact lens. Make sure
to inform patients that these are off-label uses of the contact
lens. As long as you provide patients with the do's and don'ts for
Maxsight contact lenses, such patients might find them extremely
helpful and rewarding.