I was recently reminded again why tap water should not be used in the care of contact lenses. The outcomes can be devastating in terms of the potential for complications, the most serious of which can be microbial keratitis. Make sure that this is an important step in both your and your staff’s patient education regimen.
Jason J. Nichols, OD, MPH, PhD
B+L Launches Ultra for Presbyopia
Bausch + Lomb (B+L) announced the introduction of Bausch + Lomb Ultra for Presbyopia contact lenses, a monthly replacement silicone hydrogel lens that combines the company’s innovative MoistureSeal technology,1 which delivers exceptional end-of-day comfort, with the 3-Zone Progressive design found in Biotrue ONEday for Presbyopia daily disposable contact lenses.
According to the company, the combination of these advanced proprietary technologies provides presbyopic patients exceptional comfort and outstanding vision at near, intermediate, and distance2 while also providing eyecare professionals (ECPs) the convenience of easy and predictable lens fitting.1,2
The 3-Zone Progressive design utilized in the new lenses also allows ECPs to achieve an easy, predictable fit across all powers and from patient to patient through consistent add power across the powers.2 By combining this consistency with the need to only use two add powers and using the B+L Ultra for Presbyopia simplified fitting guide, ECPs are also able to streamline the multi-focal fitting process.2
The Bausch + Lomb Ultra for Presbyopia contact lenses will begin distribution in March 2016.
1. Data on file. Bausch & Lomb Incorporated. Rochester, NY; 2015.
2. Thirty-nine ECPs (from 10 countries) refitted 422 existing soft contact lens wearing presbyopes into PureVision2 Presbyopia lenses. Patients returned for follow-up.
Who Will You Nominate to Honor as the Most Influential People in Contact Lenses?
We have had over 150 individuals nominated but it is not too late to add your choices to the list. A feature article in September’s Contact Lens Spectrum’s 30th Anniversary Issue will present the 30 most influential people in the field of contact lenses over the last 30 years (1986-2016). The list may include anyone (practitioners, researchers, educators and industry leaders) who has made a significant impact in the field of contact lenses over the last 30 years – people who have contributed or are contributing to the betterment and/or advancement of contact lenses during this period.
We are asking you to nominate people for this honor. There is no limit to your nominations, so please put forward all those you think are worthy of this distinction. Please include any comments about the specific accomplishments of your nominees. Nominations are due by March 18, 2016. Please send your nominations to firstname.lastname@example.org.
Alcon announced the upcoming release of a limited supply of kits for new wearers of Dailies AquaComfort Plus contact lenses. Created to help transition new wearers into contact lenses, the kits include the following:
Contact Lens Insertion and Removal Instructions
Annual Supply Value Pack includes a high-value rebate and coupons for Alcon over-the-counter products
Dailies Family consumer brochure
Carrying case for lenses with a mirror to help with insertion
Conveniently packaged in a kit that the patient can use to take everything from the ECP’s office
Dailies AquaComfort Plus trial contact lenses (ECP office inserts)
A limited number of kits are available from Alcon sales representatives in the U.S. ECPs may ask Alcon Vision Care sales representatives for more information.
CooperVision, Inc. has unveiled the 2015 Best Practices. This inaugural class of 10 honorees was chosen after a nationwide search for eyecare practices that thrive, to recognize and celebrate visionary, innovative and even unexpected aspects of care delivery that best serve patients and elevate the profession.
All U.S. optometry practices currently fitting contact lenses were eligible to submit themselves for consideration. Candidates were evaluated and honorees were selected by a panel of judges including Jason Compton, OD, FAAO, Compton Eye Associates and an AOA board member; Alan Glazier, OD, FAAO, Shady Grove Eye and Vision; Andrew Sacco, OD, FAAO, Sacco Eye Group; Gary Orsborn, OD, MS, FAAO, FBCLA, CooperVision’s Vice President, Global Professional and Clinical Affairs; and Michele Andrews, OD, Director of Professional Affairs, North America, CooperVision. Evaluation was based on insights and experiences shared about the practices’ innovation, patient experience, and business culture.
In the months to come, the 2015 Best Practices will be broadly recognized and presented with opportunities to help educate and elevate the profession through the telling of their stories across the United States. In addition, honorees are invited to attend an educational meeting at CooperVision’s research and development facilities in Pleasanton, CA.
CooperVision will open 2016 Best Practices submissions later this year. The intention is to make the Best Practices program an annual event as part of CooperVision’s commitment to showcasing the dedication of eyecare practitioners to their patients and communities. To stay up to date on this process and learn more about this year’s honorees, visit www.eyecarebestpractices.com and follow the initiative on Facebook and on Twitter.
SLS Receives COPE Accredited CE Provider Recognition
The Council on Optometric Practitioner Education (COPE), a nationally recognized accreditation program for optometric continuing education (CE) courses, has approved the Scleral Lens Education Society (SLS) as a COPE accredited CE provider. COPE approved CE providers are the only organizations approved to offer continuing education courses for optometrists on behalf of optometric licensing boards.
In order to achieve COPE accredited CE provider status, SLS completed a rigorous application process and successfully demonstrated adherence to COPE’s rules and regulations as a COPE-Approved Administrator/Provider. SLS is committed to presenting high quality CE courses focused on the science and art of fitting all designs of scleral contact lenses.
The SLS is a non-profit organization committed to teaching contact lens practitioners the science and art of fitting all designs of scleral contact lenses for the purpose of managing corneal irregularity and ocular surface disease. SLS supports public education that highlights the benefits and availability of scleral contact lenses.
Clear Care Plus with HydraGlyde Named Eye Care Product of the Year in Consumer Survey
Alcon was recently awarded Product of the Year for Clear Care Plus with HydraGlyde in the Eye Care category of the 2016 Consumer Survey of Product Innovation. Product of the Year Award selection is based on a nationally representative survey of 40,000 consumers, across 29 categories. This is the first-ever Product of the Year Award for Alcon.
Clear Care Plus with HydraGlyde is the only hydrogen peroxide contact lens cleaning solution with Alcon’s proprietary HydraGlyde Moisture Matrix technology, providing outstanding cleaning and disinfection with long-lasting comfort. It was launched in 2015 and is available in most mass drug and grocery retailers.
Post-Refractive Ectasia Following RK Brayden Lundquist, OD, Memphis, TN
This image shows a patient with post-refractive ectasia following radial keratotomy. Notice the flat central cornea profile, infero-central steepening and exaggerated elevation. UCVA: 20/100 OD and OS. Patient achieved 20/20 at distance and near when we employed an oblate scleral design with increased mid-peripheral vault, using a flatter base curve to avoid the inferior corneal elevation.
We thank Dr. Lundquist 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, MS, FAAO
Can Children Safely Wear Contact Lenses?
Contact lens compliance in children is often a concern for patients and doctors alike;1-3 however, are these concerns founded? Are children (ages 8-12 years) really going to be cleaning their contact lenses with saliva or habitually sleeping in their contact lenses? Doctors may also be hesitant to fit children with contact lenses because they may feel that fitting them may take additional chair time.2 While all of these issues could be true on an individual basis, adults included, children have similar risk to teens (ages 13-17 years), an age group that is commonly fit with contact lenses.3 In fact, children and teens are able to wear their contact lenses for a similar amount of time each day. In addition, both groups feel that contact lenses improved their social acceptance, appearance, ability to play sports, and overall satisfaction with their vision correction.1, 4 Children and teens are at equally low risk of developing contact lens complications or being noncompliant.3 And while it may take slightly longer to fit children with contact lenses compared to teens, this additional time is usually associated with the insertion and removal training step, which is a task that is typically performed by office staff.2
It is your job to change the perceptions of our patients and their parents. Talk to them about the benefits. Hang signs in your office. Provide them with informational handouts. By proactively offering cosmetic contact lenses to eligible children, we can be a part of supporting their educational and social development.
1. Walline JJ, Gaume A, Jones LA, et al. Benefits of contact lens wear for children and teens. Eye Contact Lens. 2007;33:317-321.
2. Walline JJ, Jones LA, Rah MJ, et al. Contact Lenses in Pediatrics (CLIP) Study: chair time and ocular health. Optom Vis Sci. 2007;84:896-902.
3. Walline JJ, Lorenz KO, Nichols JJ. Long-term contact lens wear of children and teens. Eye Contact Lens. 2013;39:283-289.
4. Walline JJ, Jones LA, Sinnott L, et al. Randomized trial of the effect of contact lens wear on self-perception in children. Optom Vis Sci. 2009;86:222-232.
It’s the silly mistakes in life that make us better. We learn from these and hope that next time things will be different. Last year I made a commitment to double my Ortho-k patients. Success was achieved. However, when you elect to tackle more of something, you’re inherently prone to hit some speed bumps along the way. Enter corneal toricity. You see, the cornea is often times toric, as is the crystalline lens. Rarely do we go through the process of calculation of corneal cyl vs. lenticular cyl unless we are fitting a specialty lens. May I make a suggestion from my own simple-minded mistakes? When a cornea has elevation differences, it does not always mean that the patient will have astigmatism. Also true, just because someone has astigmatism, doesn’t mean that the patient will have corneal elevation. Thus to the topographer we go.
When you view the axial and tangential maps on your topographer, flip things over to elevation. Go about 4mm out from center in the superior and inferior maps and note the average of these two, then do the same for the horizontal: nasal and temporal. If these two averages are the same, you have a nearly spherical cornea and a spherical Ortho-k lens will probably work. However, as is the case far more often than I can believe, when the difference is greater than 10, you are looking at a possible need for, and by the time you get to a difference of 30 you almost certainly will need, a lens that has multiple curvatures to compensate for the elevation. Several of the Ortho-K manufacturers and laboratories can help you with this process. If you have found yourself avoiding cylinder patients or scratching your head over spherical patients, who may have a toric cornea after all, it might be time to center your approach with an altered design.
Developments in Contact Lens Measurement: A Comparative Study of Industry Standard Geometric Inspection and Optical Coherence Tomography
The aim of this study was to compare a developmental optical coherence tomography (OCT) based contact lens inspection instrument to a widely used geometric inspection instrument (Optimec JCF), to establish the capability of a market focused OCT system.
Measurements of 27 soft spherical contact lenses were made using the Optimec JCF and a new OCT based instrument, the Optimec is830. Twelve of the lenses analyzed were specially commissioned from a traditional hydrogel (Contamac GM Advance 49%) and 12 from a silicone hydrogel (Contamac Definitive 65), each set with a range of back optic zone radius (BOZR) and center thickness (CT) values. Three commercial lenses were also measured; CooperVision MyDay (Stenfilcon A) in -10D, -3D and +6D powers. Two measurements of BOZR, CT and total diameter were made for each lens in temperature controlled saline on both instruments.
The results showed that the is830 and JCF measurements were comparable, but that the is830 had a better repeatability coefficient for BOZR (0.065mm compared to 0.151mm) and CT (0.008mm compared to 0.027mm). Both instruments had similar results for total diameter (0.041mm compared to 0.044mm).
The authors concluded that the OCT based instrument assessed in this study is able to match and improve on the JCF instrument for the measurement of total diameter, back optic zone radius and center thickness for soft contact lenses in temperature controlled saline.
Coldrick BJ, Richards C, Sugden K, Wolffsohn JS, Drew TE. Developments in contact lens measurement: A comparative study of industry standard geometric inspection and optical coherence tomography. Cont Lens Anterior Eye. 2016 Jan 24. pii: S1367-0484(16)30002-9. doi: 10.1016/j.clae.2016.01.002. [Epub ahead of print]