We at Contact Lenses Today hope you are off to a fantastic New Year! As always, think ahead in terms of your practice and strive to implement new technologies into your day-to-day routine. Instead of being status quo, strive to move ahead in your patient care—attend a new lecture, write an article for a journal, or implement a new routine into your daily habits. There are many new tools out that will allow you to take the next step. Determine your goals and make your vision a reality. Our best to you and yours in 2016!
Jason J. Nichols, OD, MPH, PhD
Alcon Launches Air Optix Colors Color Studio iOS App
Alcon has recently launched the Air Optix Colors Color Studio app for iOS devices. The Air Optix Colors Color Studio app is optimized for use on iOS mobile devices, allowing users to upload a photo and virtually “try on” any of the nine colors of Air Optix Colors contact lenses.
Revamped for mobile and tablet, the Color Studio app is equipped with new functionality, including the ability to compare two contact lens colors, and virtually try on individual makeup items to create a custom look. Free download is available for iOS devices from the App Store.
CooperVision & Its Employees Donate $125,000 to Optometry Giving Sight
A joint effort of CooperVision, Inc. employees and the company has resulted in a $125,000 donation to Optometry Giving Sight in support of the 2015 World Sight Day Challenge. This marks the fourth consecutive year that employees organized creative fundraisers, with matching funds pledged by The Cooper Companies.
More than twenty CooperVision sites worldwide generated funds through activities including a 5K walk/run, family carnival, “Celebrate Vision” month, t-shirt sales, a barbeque and more. CooperVision is an Optometry Giving Sight Global Gold Sponsor.
In addition to its employee-led donations to the World Sight Day Challenge, CooperVision generates additional funds for the organization through industry initiatives. These include offering contact lens patients the opportunity to donate eligible rebates to the cause, which itself has produced close to $300,000 in funding to date.
Still Time to Register for the 2016 GSLS
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 GSLS 10th anniversary in Las Vegas! Visit www.GSLSymposium.com for more information and to register.
PEN Offering Four Seminars in January on Coding and Compliance
Primary Eyecare Network (PEN), a division of ABB Optical Group, is offering four billing and compliance seminars throughout California in January.
The half-day seminars will be led by industry expert John McGreal, OD, who will speak about 2016 billing changes and updates covering: CPT codes, including HCPS and E/M coding procedures; Medicare Place of Service and PQRS codes; the Office of Inspector General's (OlG) Work Plan and best practices for audit lists; fee schedule updates; and common billing issues encountered since the ICD-10 transition.
Dr. McGreal will be joined by compliance expert Ann Bina, who will cover new issues as well as preventative measures to ensure eye care practices are compliant with Medicare regulations.
The seminars will take place from 7am to 12:30pm on January 16, 17, 23 and 24. For more information including locations and to register, visit PrimaryEye.net or e-mail email@example.com.
Spherical Peripheral Haptic Scleral Lens on a Toric Sclera Jaime Ibanez, OD, Villavicencio, Colombia
The image shows a spherical PC scleral lens on a toric sclera (WTR orientation). Typically, the superior area of the sclera is occluded by the upper lids. The above image depicts a decentered lens (inferior/temporal), despite retraction of the lids. Toric peripheral haptics lenses are known to reduce or eliminate meridional impingement/edge lift and hence improve comfort. The emerging technologies and systems (3D mapping and impression) will help us accurately measure the scleral toricity and its orientation which help us design rotationally stable scleral lenses.
We thank Dr. Ibanez 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
Contact Lens Noncompliance 101
While I was in optometry school, I was taught to not ask if my patients sleep in their contact lenses but how often they sleep in their contact lenses. This lesson about compliance obviously still sticks with me today, but what does it mean to be compliant and how complaint is the typical contact lens patient?
Contact lens compliance can be generally defined as properly handling, cleaning, and wearing (e.g., discarded at appropriate time) contact lenses.1 While these instructions may seem simple, they actually require patients to be knowledgeable about a long list of healthy habits, which is a likely reason why up to 90% of patients are noncompliant in one way or another.2-4 Some of the more frequently encountered poor behaviors include unprescribed overnight wear, improper contact lens replacement, improper contact lens rubbing/rinsing, lack of hand washing, exposure to non-sterile water, and topping off solutions.3,4
Most patients believe that they are compliant (~85%) when they are in fact not,2,3 which means that a good first step to curtailing this epidemic should be to educate our patients about proper contact lenses use.5,6 With that said, informed patients still frequently fail to comply,2 and in these situations it might be best to change treatment plans (e.g., refit from a daily wear to a continuous wear schedule contact lens for patients who sleep in their contact lenses) to better meet our patients’ needs and help them be more compliant.
1. Chun MW, Weissman BA. Compliance in contact lens care. Am J Optom Physiol Opt. 1987;64:274-276.
2. Bui TH, Cavanagh HD, Robertson DM. Patient compliance during contact lens wear: perceptions, awareness, and behavior. Eye Contact Lens. 2010;36:334-339.
3. Robertson DM, Cavanagh HD. Non-compliance with contact lens wear and care practices: a comparative analysis. Optom Vis Sci. 2011;88:1402-1408.
4. Ramamoorthy P, Nichols JJ. Compliance factors associated with contact lens-related dry eye. Eye Contact Lens. 2014;40:17-22.
5. de Oliveira PR, Temporini-Nastari ER, Ruiz Alves M, Kara-Jose N. Self-evaluation of contact lens wearing and care by college students and health care workers. Eye Contact Lens. 2003;29:164-167.
6. Donshik PC, Ehlers WH, Anderson LD, Suchecki JK. Strategies to better engage, educate, and empower patient compliance and safe lens wear: compliance: what we know, what we do not know, and what we need to know. Eye Contact Lens. 2007;33:430-433; discussion 434.
As I write this I am an hour away from going home to begin my Holiday. It is the last days of the year and I feel like we have been on a mad dash for the finish line. We had goals for the practice and, fortunately, we met many of them early on, for others we were right up against the twelfth hour trying to finalize things.
As I head into the New Year, I am reminded of what is said about the 140 mile Iron Man Triathlon. You will never win the race in the first 2.4 mile swim, but you can lose it. Just because we have finished off a new year, doesn’t mean that we can stop and relax for January and February. In fact, it is the greatest time for us to carry on the momentum from the previous year, regroup and speed up.
Regardless of your 2015 success or failures, it is time to set the new goals for the year. For me, this includes offering more Ortho-K, increasing my KCN patient base, and fitting more single use Toric and Multifocal patients.
I’m not stopping to breathe, per say, rather we are revamping our in-office and out-of-office marketing efforts to try to find ways to help more patients.
The Influence of Overnight Orthokeratology on Ocular Surface and Meibomian Glands in Children and Adolescents
The aim of this study was to investigate the influence of overnight orthokeratology (OOK) on ocular surface and meibomian glands in children and adolescents.
This prospective, non-comparative study included the ocular surface disease index (OSDI), tear osmolarity, corneal and conjunctival fluorescein staining, tear film breakup time (TBUT), the Schirmer I test, and meiboscore using noncontact meibography. Immunofluorescence confocal microscopy of interleukin-1β (IL1β), interleukin-6 (IL6), epidermal growth factor (EGF), and matrix metalloproteinase (MMP)-9 using impression cytology filter paper was performed. The tests were performed before and at 6, 12, 24, and 36 months after OOK wear.
Fifty-eight subjects using OOK were observed. Significant increases in OSDI score (P=0.0009) and corneal and conjunctival staining score (P<0.0001) were observed compared with baseline values at 36 and 24 months, respectively. Ocular surface and meibomian changes were noted in two patients (3.5%). One patient exhibited an increase in OSDI score, concurrent with a decrease in TBUT at 36 months and minor loss of the meibomian gland at the distal portion of the lower lid at 24 months. The other patients exhibited the development of papillary hypertrophy and meibomian gland distortion at 24 months. No significant changes were detected in IL1β, IL6, EGF, or MMP expression after OOK use.
The authors concluded that, based on the findings, OOK was a relatively safe modality. However, given the potential changes in the meibomian gland and tear film stability, special attention must be paid to children with baseline meibomian gland distortions or a history of allergic conditions.
Na KS, Yoo YS, Hwang HS, Mok JW, Kim HS, Joo CK. The Influence of Overnight Orthokeratology on Ocular Surface and Meibomian Glands in Children and Adolescents. Eye Contact Lens. 2016 Jan;42(1):68-73.