Each and every year for over 20 years we have printed our annual “Contact Lens Event of the Year” in our January editorial of Contact Lens Spectrum. The event is something that stood out in the field of contact lenses in the prior year (2015) that has momentous impact on or interest related to contact lenses. We always solicit for your feedback on this event as well. If you have thoughts about the 2015 Contact Lens Event of the Year, please email us at email@example.com.
Jason J. Nichols, OD, MPH, PhD
Naidoo Appointed CEO of
Brien Holden Vision Institute
The board of the Brien Holden Vision Institute announced the appointment of Professor Kovin Naidoo to the position of CEO. Professor Naidoo was appointed Interim CEO following the passing of Professor Brien Holden in July 2015.
Professor Kovin Naidoo is an academic, former anti-apartheid activist and political prisoner, optometrist and an internationally celebrated public health leader. His professional life has been dedicated to delivering eye care to people in need through research, public health and entrepreneurship.
He has served as the Head of Optometry at University of KwaZulu-Natal (UKZN), South Africa, and as the co-founder and CEO of the African Vision Research Institute. Naidoo was a co-founder of Clear Vision Optical franchise and has been on numerous boards throughout his career including most recently the Vision Impact Institute.
Naidoo has also served in many elected/voluntary positions including Africa Chair of the International Agency for the Prevention of Blindness, trustee of VISION 2020: The Right to Sight, a member of the World Council of Optometry Governing Board, and member of the World Health Organization Refractive Error Working Group. He is founder and Chair of African Vision which is establishing cataract surgical services in the public sector. He also chairs the SA Red Cross Air Mercy Services Board of Trustees.
Artoptical.com Now Mobile Friendly
Art Optical Contact Lens, Inc. introduced a new practitioner-focused, interactive website. The Art Optical website has been updated to current web standards and is now fully responsive for mobile devices. As visitors switch from a desktop computer to a tablet or phone, www.artoptical.com will automatically respond to accommodate for resolution and screen size, making the content widely-accessible and easy-to-read on all devices.
Art Optical strives to maintain a dynamic and informative experience for web visitors, so keeping the site current is key. With the aid of a new content management system, providing new information and updates at artoptical.com will now be quick and easy. Site navigation has been improved, and the extensive supply of custom lens fitting tools and practice management resources have now been placed intuitively, making technical information on custom lenses easier to find.
In addition to the mobile-enhanced design and platform overhaul, artoptical.com also provides an online custom lens ordering portal and features specialty lens training webinars/videos, published articles on topics of interest to specialty lens fitters, a newsletter archive, a calendar of events, and more. The new site is ready to explore at www.artoptical.com.
Don’t Miss the 10th Global Specialty Lens Symposium
The 10th Global Specialty Lens Symposium will be held January 21 – 24, 2016 at Caesars Palace Las Vegas, Nevada. The GSLS is a must-attend meeting, brought to you by Contact Lens Spectrum, focusing on the successful management of ocular conditions using today's specialty contact lenses. This meeting will include insightful presentations by international experts in the field, hands-on demonstrations of cutting-edge products and valuable continuing education credits.
The 2015 event was attended by almost 600 registrants from 36 countries, 42 states, Puerto Rico and Guam. It continues to be the largest conference of its kind in the U.S.
Join your peers in 2016 for the 10th anniversary in Las Vegas! Visit www.GSLSymposium.com for more information and to register.
Beeman Inaugurated President of the CLSA
Jane J. Beeman, COA, FCLSA was inaugurated as the 32nd President of the Contact Lens Society of America (CLSA) during the recent CLSA Educational Meeting in Nashville, Tennessee.
Beeman has been an active member of the CLSA for over twenty years, serving two terms on the Board of Directors.
Throughout her career, Beeman has been an active advocate for the contact lens field and is a frequent guest speaker and clinical trainer at leading academic and professional practices around the world. She recently returned from her third trip to China as a consultant on the expanding topic of Orthokeratology fitting and proper follow-up procedures. She has authored articles in leading technical journals such as Contact Lens Spectrum and EyeWitness.
Prior to joining Visionary Eye Associates, she was the Director of Professional Relations at Bausch + Lomb-North American Vision Care and Polymer Technology. In 1994, she was also appointed to the National Contact Lens Examiners Board of Directors where she served as the Exam and Continuing Education Committee Chair. In that position, she helped establish advance level certification testing and continuing education standards for contact lens technicians in the U.S. and Canada.
Registration Now Open for CEwire2016
ODwire.org announced that registration is now open for CEwire2016, its second annual virtual optometric conference. CEwire2016 will be held live online on January 16-17, 2016 from 11:00am - 7:00pm. EST both days, and all lectures and the exhibit hall will then be available on-demand to all U.S. and international registrants for an additional 90 days.
CEwire2016 features over 45 COPE-approved CE lecture hours on a wide variety of topics for ODs to fulfill their mandatory CE requirements. All courses are newly developed for 2016, including one track devoted to ophthalmology, covering topics such as co-managing LASIK, cataracts and ocular plastics, as well as ocular manifestation of systemic disease. The conference also will feature a large virtual exhibit hall where attendees can view materials, access show discounts on products and services, and interact live with participating vendors.
Registration by January 4, 2016 includes a special rate of $129 for individual practitioners and a group rate of $199, which covers two or more doctors in a practice as well as free attendance for their staff. Conference organizers note that this year, registration is free to all optometry students.
Profits from CEwire2016 will be distributed to The American Optometric Foundation and Volunteer Optometric Services to Humanity (VOSH)/International. Last year’s conference raised over $20,000 for three separate charities related to optometry and eye care.
To register or learn more about CEwire 2016, and to review your state’s CE requirements and allowed internet hours, visit www.cewire2016.com.
Don't touch that nodule! Melissa Barnett, OD, FAAO, FSLS, Sacramento, CA
This is a slit lamp image using white light with fluorescein of a scleral lens on an eye with Salzmann’s Nodular Degeneration. Distinctive signs of Salzmann's Nodular Degeneration include superficial bluish-white elevated lesions located peripherally on the cornea. The lesions are composed of dense, irregularly arranged collagen tissue with hyalinization between the epithelium and Bowman’s layer or beyond.
We thank Dr. Barnett for this image and we 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 an explanation of the photo and your full name, degree or title and city/state/country.
OCULAR SURFACE UPDATE Katherine M. Mastrota, MS, OD, FAAO
Diabetes and Dry Eye
It is our practice as eye doctors to review the patient’s medical history prior to clinical examination. If a patient is a known diabetic, we are certain to dilate the patient to assess for any retinal pathology associated with the disease. We appreciate that our patient’s risk of pathologic change increases with the duration and severity of their diabetes. But I ask you, do you evaluate for dry eye in these same patients? Diabetes mellitus is an identified risk factor for dry eye syndrome. The prevalence of dry eye syndrome has been reported to be upwards of 50% in diabetic patients.1 Core to this association is that diabetic patients may suffer from polyneuropathy. Corneal nerves may be involved in this generalized neuropathy, reducing the reflex-induced lacrimal secretion and blink rate. Additionally, reduced corneal sensitivity can cause patients with dry eye signs to be asymptomatic. It is up to the practitioner to actively evaluate for dry eye disease in diabetic patients and treat to prevent ocular surface damage in long-term disease.
1. Manaviat MR, Rashidi M, Afkhami-Ardekani M, Shoja MR. Prevalence of dry eye syndrome and diabetic retinopathy in type 2 diabetic patients. BMC Ophthalmol. 2008 Jun 2;8:10.
Contact Lens Options for Keratoconus and Other Irregular Cornea Conditions Are Out There… Keep an Open Mind
I have made this point so many times before in prior columns here in Contact Lens Today as well in journal editorials and during lectures I have given both to eyecare professionals and to patients who suffer from keratoconus. I am so pleased to see that the pendulum has swung where ECPs are now offering numerous options to their patients to address their irregular cornea conditions with various contact lens options. To further support these efforts two papers were recently published that evaluate the performance of specialty soft contact lenses for the management of keratoconus and other irregular cornea conditions. One looked at clinical performance outcomes and the other looked at quality of life impact outcomes.
The first study1 evaluated the clinical performance of KeraSoft IC (KIC) soft contact lenses in subjects with irregular corneas. This was a 12-month, prospective, open-label, non-randomized observational study, which enrolled 43 subjects who were 18 years of age or older with irregular corneas. Subjects were fit according to the KIC Fitting Manual (kerasoftic.com). After achieving best fit according to the fitting manual, lenses were assessed for comfort, vision, centration, rotation, and movement. Assessments at the exit visit included logMAR visual acuity with high and low contrast, sphero-cylindrical over refraction, slit-lamp findings, adverse events, and subjective outcomes. From the baseline to 12 months, there was statistically significant improvement in logMAR visual acuity with high contrast (P=0.038), but no significant difference in low-contrast visual acuity was observed (P>0.05). Slit-lamp findings were ≤ grade 1 for the majority of subjects (89%). Two non-serious adverse events were reported for two of the 84 enrolled eyes (two subjects). At 12 months, subjects reported improvements from habitual baseline for comfort and vision, both upon insertion and just before removal of lenses. The authors concluded that clinical outcomes at 12 months showed good visual, safety, and subjective outcomes for subjects with corneal irregularities who wore these contact lenses.
The second study2 was performed to determine the impact of rigid gas permeable (RGP) and silicone-hydrogel keratoconus lenses on the quality of life (QoL) in keratoconus (KCN) patients using the self-reported results from the Contact Lens Impact on Quality of Life (CLIQ) Questionnaire. For a 3 month period 27 consecutive KCN patients who wore RGP contact lenses (conflexair100 UV KE Zeiss-Wöhlk) or soft silicone-hydrogel contact lenses (SHCLs) for KCN (KeraSoft IC- Bausch + Lomb or Hydrocone Toris K-Swiss lens) completed the CLIQ questionnaire. Outcomes showed that the mean CLIQ measure was 42.8±5.5 in RGP group and 39.6±5.5 in SHCLs for KCN group (P=0.06). The authors concluded that RGP lenses and SHCLs for KCN have similar impact on quality of life.
Although both papers presented here evaluated the performance of a single specialty soft lens design, we realize that today there are many designs available that all perform quite well in properly selected cases and they should be considered as an important component of the armamentarium of tools we have today (including corneal GPs, scleral GPs, piggyback/tandem lens systems and specialty designed soft lenses) to address the visual needs of our patients with keratoconus and other causes of irregular corneas.
1. Su S, Johns L, Rah MJ, Ryan R, Barr J. Clinical performance of KeraSoft IC in irregular corneas. Clin Ophthalmol. 2015 Oct 22;9:1953-64.
2. Yildiz EH, Erdurmus M, Elibol ES1, Acar B, Vural ET. Contact lens impact on quality of life in keratoconus patients: rigid gas permeable versus soft silicone-hydrogel keratoconus lenses. Int J Ophthalmol. 2015 Oct 18;8(5):1074-7.
Myopia Control with a Novel Peripheral Gradient Soft Lens and Orthokeratology: A 2-Year Clinical Trial
The researchers’ objective was to evaluate the degree of axial elongation with soft radial refractive gradient (SRRG) contact lenses, orthokeratology (OK), and single vision (SV) spectacle lenses (control) during a period of 1 year before treatment and 2 years after treatment.
This was a prospective, longitudinal, nonrandomized study. The study groups consisted of 30, 29, and 41 children, respectively. The axial length (AL) was measured during 2 years after recruitment and lens fitting.
The baseline refractive sphere was correlated significantly (Spearman's Rho (ρ) correlation = 0.542; P < 0.0001) with the amount of myopia progression before baseline. After 2 years, the mean myopia progression values for the SRRG, OK, and SV groups were -0.56 ± 0.51, -0.32 ± 0.53, and -0.98 ± 0.58 diopter, respectively. The results represent reductions in myopic progression of 43% and 67% for the SRRG and OK groups, respectively, compared to the SV group. The AL increased 27% and 38% less in the SRRG and OK groups, respectively compared with the SV group at the 2-year visit (P < 0.05). Axial elongation was not significantly different between SRRG and OK (P = 0.430).
The researchers concluded that the SRRG lens significantly decreased AL elongation compared to the SV control group. The SRRG lens was similarly effective to OK in preventing myopia progression in myopic children and adolescent.
Pauné J, Morales H, Armengol J, Quevedo L, Faria-Ribeiro M, González-Méijome JM. Myopia Control with a Novel Peripheral Gradient Soft Lens and Orthokeratology: A 2-Year Clinical Trial. Biomed Res Int. 2015;2015:507572. doi: 10.1155/2015/507572. Epub 2015 Oct 28.