On a semi-regular basis, we try to summarize the most important activities, initiatives, and general developments happening in the field of contact lenses. And, we generally do this using the notorious “Top 10 list.” What do you think belongs on the list this year? Please send your thoughts on the topic to email@example.com.
Jason J. Nichols, OD, MPH, PhD
JJV Announces Acuvue Oasys with Transitions Light Intelligent Technology
Johnson & Johnson Vision (JJV) announced Acuvue Oasys with Transitions Light Intelligent Technology, a contact lens that provides wearers with vision correction and a dynamic photochromic filter that helps to continuously balance the amount of light entering the eye. These contact lenses quickly and seamlessly adjust from clear to dark to help the human eye manage different types of light and varying intensities of brightness throughout the day, according to the company.
Acuvue Oasys with Transitions has received 510(k) clearance from the U.S. Food and Drug Administration and is indicated for the attenuation of bright light. The two-week reusable, spherical contact lens will be marketed by Johnson & Johnson Vision Care, Inc. and will be commercially available in first half of 2019. The lenses were developed through a strategic partnership between Johnson & Johnson Vision and Transitions Optical.
Seed Co. Ltd. Acquires Contact Lens Precision Laboratories Inc.
Seed Co. Ltd. announced the acquisition of Contact Lens Precision Laboratories Ltd. (CLPL). As of Apr. 9, 2018, CLPL is now a wholly owned subsidiary of Seed.
CLPL produces specialty and custom lenses that are sold in more than 40 counties, and the company has manufactured and marketed contact lenses for more than 50 years from the United Kingdom under the UltraVision and Kerasoft brand names.
Seed has plans to develop higher-quality contact lenses by using CLPL’s advanced design and optical analysis technology, according to the company. It also intends to expand its United Kingdom and Ireland sales.
CLPL further plans to use Seed’s skills and specific knowledge on the mass production of frequent replacement contact lenses in the specialized soft lens industry. CLPL says it will be able to expand its specialty lens manufacturing while applying greater price competitiveness. CLPL will also take advantage of Seed’s marketing network, especially in Asia.
Diane Angell and John Clamp, joint CEOs of CLPL and UltraVision, respectively, will continue in this position after CLPL becomes a subsidiary of Seed. Seed will in turn send a number of non-executive directors to CLPL and UltraVision and exchange junior engineers with UltraVision.
Vision Care Expert Launches ManageMyopia.org
Thomas Aller, OD, has launched an educational and informational website, ManageMyopia.org. The clinically reviewed resource will feature the latest data highlights from research and peer-reviewed journals on leading-edge therapies for myopia, with a focus on evidence-based clinical data, practical treatment options, and hands-on management strategies.
Dr. Aller, who has been conducting myopia control research for more than 25 years, is the clinical content editor and curator for the site. He holds several patents in the field of myopia and has collaborated with leading myopia researchers. He is currently a visiting scholar at the University of California, Berkeley School of Optometry as well as an adjunct professor, University of Houston College of Optometry. Additionally, Dr. Aller is on the Clinical Guidelines Committee for the International Myopia Institute, a scientific, clinical advisor for TreeHouse Eyes, and is on the advisory board for Visioneering Technologies, Inc.
The ManageMyopia.org website is made possible by an unrestricted educational grant from Visioneering Technologies, Inc.
Opternative has launched EZRx, a software solution that enables eyecare practitioners (ECPs) to include digital refractions and visual acuity tests on their websites.
According to the company, EZRx, powered by Opternative, helps ECPs increase revenue, retain current patients, and deliver new patients through referral channels and increased access points. Opternative’s partnership with ECPs is a result of recommendations made by the company’s Medical Advisory Board and optometric advisers.
Avedro Names James Schuermann Chief Business Officer
Avedro, Inc. announced that James F. Schuermann has joined the company as chief business officer (CBO). Mr. Schuermann will lead the global government affairs, health economics and reimbursement, communications, sales, field service, marketing, and business development functions and will report to Avedro’s CEO, Reza Zadno.
In his new role, Mr. Schuermann will oversee the expanded commercialization of Avedro’s cross-linking drugs and devices, including the expansion of sales territories and reimbursement supporting the United States and continued expansion in key international markets in Europe and Asia. He brings more than 20 years of global medical device experience and joins Avedro from Medtronic, where he served as vice president and general manager of Mechanical Circulatory Support (MCS).
Alcon Partners with ECPs on Presbyopia Awareness Month Initiatives
April’s Presbyopia Awareness Month offers a unique opportunity for eyecare practitioners (ECPs) to help their presbyopic patients lose their readers or even protect them from the inconvenience of wearing reading glasses in the first place. To help, Alcon is increasing multifocal resources and training opportunities to support contact lens fitting efficiency and presbyopic patient satisfaction. To help patients understand the signs of presbyopia and how multifocal contact lenses can help them see clearly at all distances, visit www.LoseYourReaders.com.
In addition, Alcon has more than doubled its hands-on multifocal contact lens trainings in its in-house Alcon Experience Center. The company is also increasing offerings of its proprietary Multifocal Fit Training Road Shows, taking the trainings directly to practitioners’ offices. Alcon also recently launched a new multifocal contact lens fitting process that leads to an 18% improvement in first lens success compared to the previous fitting guide, according to the company.
Oasis Introduces a Pen Style Inserter to Its Punctal Occlusion Products
Oasis Medical Inc. revealed its new pen style inserter for use with the Soft Plug Silicone Punctum Plugs. The new pen style inserter is designed to be cradled between the index finger and thumb with the punctum plug release button positioned beneath the finger (user-determined) that will be used to gently press and release the plug upon placement.
The initial packaging configuration being released is of the new pen style inserter with Soft Plug Silicone Punctum Plugs preloaded and sterile. The box will contain six sealed trays holding one inserter and one plug. Oasis plans to gradually release a two pack and an economy pack.
Alcon Introduces Systane Complete
Alcon introduced Systane Complete, a new formula designed to provide soothing relief for every major type of dry eye. According to the company, Systane Complete uses intelligent moisture and lipid delivery to enhance delivery of the active ingredient across the surface of the eye and to stabilize the tear film. Its nano-droplet technology allows for fast-acting hydration, tear evaporation protection, and long-lasting relief for a patient’s eyes. Each drop includes the active demulcent propylene glycol, which spreads across the surface of the eye.
EyeGate Issued New Patent for Iontophoretic Contact Lens Technology
EyeGate Pharmaceuticals, Inc. announced that the United States Patent and Trademark Office (USPTO) has issued the company a patent covering the utility of its iontophoretic contact lens.
This is the first issued patent covering the iontophoretic contact lens. The patent relates to a multi-layer contact lens for ocular therapy, comprising a reservoir adapted to contain an electrically-charged therapeutic compound and an electrode providing iontophoretic current to the charged compound to propel it into the ocular tissue. The iontophoretic contact lens provides an easy, potentially improved technique for delivery of therapeutics to the retina, according to Eyegate.
BHVI Updates Myopia Calculator
An update to the Brien Holden Vision Institute (BHVI) Myopia Calculator has added features that include an “ethnicity” option, and it is now also available in Mandarin and Spanish.
Originally launched in 2017, the free web-based tool runs on a range of electronic devices and merges individual patient information with different optical and pharmacological treatment options to illustrate the impact on their future level of myopia.
The added “ethnicity” option now enables users to switch between “Asian” and “Caucasian.” The estimated annual progression is calculated using data from the BHVI database (for Asian ethnicities) and published meta-analysis (for Caucasian ethnicity).
AOA Announces 2018 National Optometry Hall of Fame Inductees and Award Winners
The American Optometric Association (AOA) and Optometry Cares-The AOA Foundation have announced this year’s selections for induction into the National Optometry Hall of Fame. Since 1998, the National Optometry Hall of Fame has recognized and honored doctors of optometry who have made significant and long-lasting contributions to the optometric profession.
In other AOA news, the following 2018 Award winners will be recognized at the 2018 Optometry’s Meeting Opening General Session. The Optometrist of the Year Award recognizes David Redman, OD, for his outstanding service on behalf of the profession and the visual welfare of the public. The Young Optometrist of the Year Award recognizes Matthew Jones, OD, who has been in practice less than 10 years and demonstrates remarkable leadership when serving the profession, patients, and his community. The Paraoptometric of the Year Award recognizes Carol Lovell, CPOT, CPOC, for her significant contributions to the profession of paraoptometry. The Optometric Educator Award recognizes Mark Swanson, OD, for outstanding service on behalf of the profession, optometric education, and the visual welfare of the public. The Distinguished Service Award recognizes Joseph Mallinger, OD, for his unusually significant contributions to the profession of optometry.
2018 ARVO Student Travel Fellowship Recipients Announced
The American Academy of Optometry announced the recipients of the 2018 Student Travel Fellowship Awards. The travel fellowships will allow six students to present their research at the Association for Research in Vision and Ophthalmology (ARVO) 2018 annual meeting. Following are the 2018 recipients and their respective schools.
Supported by Johnson and Johnson, The Vision Care Institute, LLC:
Jessica Jasien, University of Alabama at Birmingham School of Optometry
Daisy Shu, BOptom(Hons)/BSci, University of New South Wales School of Optometry and Vision Science
Laura Pardon, OD, MS, University of Houston College of Optometry
Katie Bales, University of Alabama at Birmingham School of Optometry
Hannah Burfield, University of Houston College of Optometry
Supported by the American Academy of Optometry:
Billie Beckwith-Cohen, DVM, MBA, University of California, Berkeley School of Optometry
The Academy administers travel fellowships to encourage optometry students, optometric residents, and students in eye- and vision-related graduate programs to attend key national meetings and exchange scientific ideas on research. Fellowships are awarded primarily for accomplishment and potential in optometric research and education and are evaluated by the Academy’s Research Committee.
Applications for student travel fellowships for the Academy’s annual meeting, Academy 2018 San Antonio, will be available in July 2018. For more information visit http://www.aaopt.org/students/stf.
If you haven’t voted yet in this month’s poll…
Have you observed increases in any of the following categories of infectious keratitis in your contact lens-wearing patients?
This images shows an oblate scleral lens design over a cornea that has 16 radial keratotomy (RK) incisions. The oblate, or reverse curve, design aligns very well with the flattened corneal apex. A small application bubble is visible superiorly. This patient achieved 20/30 vision despite a central scar.
We thank Dr. Arnold for this image and welcome photo submissions from our other readers! It is easy to submit a photo for consideration for publishing in Contact Lenses Today. Simply visit http://www.cltoday.com/upload/upload.aspx to upload your image. Please include a detailed explanation of the photo and your full name, degree or title, and city/state/country.
CARE SOLUTION CORNER
Andrew D. Pucker, OD, PhD
Contact Lenses Can Change Lives
Over the course of our careers, many of us have had the opportunity to provide care to the underserved. Each of these days was met with challenges, and we can learn a great deal about providing care to atypical patients in nonstandard ways. In my experience, most of these patients lacked health insurance, and many of them had complex health issues that made their lives more challenging or even perpetuated their homelessness.1
Consider a case of longstanding poor distance and near vision that only mildly improved with glasses. Upon further evaluation, it was determined that this patient, an immigrant who spoke limited English, had high myopia secondary to bilateral staphylomas. After obtaining some additional lifestyle history, it was determined that she might benefit from GP contact lenses, an option that she was open to trying. The local contact lens laboratory was contacted to determine whether the patient could benefit from an assistance program. After some simple paperwork, a successful fit was achieved with free contact lenses, which improved her vision from hand motion to about 20/70 acuity OD/OS.
Over the years, this patient has improved her ability to speak English, obtained gainful employment, and integrated into American culture, feats that at least partly can be attributed to her being fit with contact lenses.
While we all wish that this patient’s initial misfortune was a rarity, a large portion of homeless people have uncorrected visual disorders, and sometimes these conditions are best corrected with contact lenses.1 Therefore, keep an open mind and give back to your community when you have a chance. When you find a patient in need, help him or her find an assistance program, donate your own time, and help change a life. Some people of low socio-economic status are good candidates for contact lenses, and when given the necessary assistance, they too can be successful with contact lenses and the pursuit of the American dream.
1. Kaduszkiewicz H, Bochon B, van den Bussche H, Hansmann-Wiest J, van der Leeden C. The Medical Treatment of Homeless People. Dtsch Arztebl Int. 2017 Oct;114:673-679.
MATERIALS & DESIGNS
David L. Kading, OD
Corneal GP Lenses—Still Alive and Kicking
Despite what some may think, corneal GP lenses are alive and well. Although they are not experiencing significant growth and have, largely, taken a back seat to sclerals, millions of patients are still wearing corneal GP lenses.
Who is wearing them, and when should they be used? That is a great question that has not changed in decades, nor has the answer. Once adapted, most patients tolerate corneal GP lenses extremely well.
When they center well and have ideal optics, they remain a mainstay for patients who have irregular corneas. Though off-label, corneal GPs are also an ideal modality for myopia control through orthokeratology. For patients who have dry eye, they can provide an excellent alternative to soft lenses that may dehydrate during the day. Corneal GP lenses provide excellent vision for patients who have significant amounts of cylinder; they can be customized in nearly infinite ways. For presbyopes, corneal GPs do an excellent job of creating exceptional vision due to our ability to modify their optic zones and amounts of asphericity.
GP lathes at the laboratories are getting better and better. The ability to create lenses is way beyond what it was 15 years ago. So, if you have not considered corneal GP lenses for your patients this week or month, start a discussion with patients with whom you are struggling. The solution just may be to go back to what used to work so well.
Scleral Contact Lens Thickness Profiles: The Relationship Between Average and Centre Lens Thickness
The purpose of this study was to develop a methodology to reliably determine the thickness profile of scleral contact lenses and to examine the relationship between the center and average lens thickness for a range of lens designs and back vertex powers.
High-resolution images of 37 scleral trial lenses (Epicon LC [Capricornia Contact Lens], Rose K2 XL [Menicon], and ICD 16.5 [Paragon Vision Sciences]) were captured using an optical coherence tomographer. Their thickness profiles were generated after correcting for known measurement artifacts. Center lens thickness values were compared with manual lens gauge measurements, and repeatability was assessed by comparing average thickness values derived from orthogonal meridians of each lens.
The imaging technique displayed a high level of agreement with a manual lens gauge for center thickness measurements; mean difference 5μm ± 9μm (95% LoA –14μm to +23μm), and a very high level of repeatability; mean difference between orthogonal meridians 1μm ± 3μm (95% LoA –6μm to +8μm). Lens thickness profiles varied between lens designs, with distance from the lens center, and with back vertex power. Increasing back vertex powers resulted in a significant over- or underestimation (up to 33% for high minus powers) of the average lens thickness based on the center lens thickness.
The authors concluded that the thickness of scleral contact lenses varies with distance from the lens center and the back vertex power. The average lens thickness value derived from the entire lens provides a more appropriate representation of the true lens thickness and should be used in the calculation of scleral lens oxygen transmissibility.
Vincent SJ, Alonso-Caneiro D, Kricancic H, Collins MJ. Scleral contact lens thickness profiles: The relationship between average and centre lens thickness. Cont Lens Anterior Eye. 2018 Mar 16. [Epub ahead of print]