Happy New Year! Can you believe that it is 2020? This is the year that eyecare practitioners have been eyeing for years, and we have a lot in store for you in Contact Lenses Today, Contact Lens Spectrum, and at the Global Specialty Lens Symposium. We have plenty of coverage planned to meet the needs of both entry-level and advanced contact lens practitioners, including a new quarterly COPE-approved continuing education program centered around scleral contact lenses; the first installment appears in the January issue of Contact Lens Spectrum (https://www.clspectrum.com/issues/2020/january-2020/taking-the-mystery-out-of-scleral-lenses). We look forward to providing you with the very best coverage of all things contact lenses in 2020!
Jason J. Nichols, OD, MPH, PhD
X-Cel Expands Atlantis Scleral Product Line
X-Cel Specialty Contacts announced the extension of its Atlantis Scleral product line. The new line extension offers the ability to independently adjust the central sag (up to 200 microns in 50-micron steps), quadrant-specific landing zone options (up to 250 microns in each quadrant in 25-micron steps), and quadrant-specific limbal vault zone options. Two new fitting sets have been designed; a 15.5mm diameter, 12-lens set for existing set holders and a 24-lens set for new users containing 14.5mm, 15.5mm, and 16.5mm diameters. The company says that it is also introducing a new comprehensive yet simplified fitting guide.
CooperVision Launches Best Practices Student Scholarship Program
CooperVision, Inc. announced the launch of its first-ever Best Practices Scholarship Program. The scholarship—offered to outstanding third-year optometry students—is an expansion of the company’s annual Best Practices initiative (EyeCareBestPractices.com), which recognizes optometric practices that advance the profession through innovation, industry leadership, and the provision of exceptional patient experience. Three scholarship recipients will receive an all-expenses-paid trip to the 2020 Best Practices Summit.
To be eligible, applicants must be third-year students currently in good academic standing at a U.S. optometry school. They must demonstrate leadership and participation in school and community activities, honors, and additional optometry-related experience. Applicants must also be able to attend the Best Practices Summit on May 3 to 5, 2020.
Applications for the scholarship will be accepted through Jan. 10, 2020. To apply, students must submit a current resume as well as a one-minute video explaining their goals to one day impact the field of optometry and discussing how attending the Best Practices Summit would help. For more information or to apply, visit https://coopervision.com/practitioner/best-practices-summit-student-scholarship. Scholarship recipients will be announced in March 2020.
Contamac US Inc. Announces Marty Dalsing’s Retirement; New Management Team Appointed
Contamac US, Inc. announced two new senior appointments: Jessica Labriola will become vice president, Operations, while John Hibbs will become vice president, Commercial. Both are internal promotions and will become effective April 1, 2020. Ms. Labriola is currently in charge of professional services and customer relations for North America, while Mr. Hibbs is Contamac US, Inc.’s national accounts manager. Both will report to Philipp Polonyi, chief commercial officer of parent company Contamac Ltd.
The announcement follows the news that Martin “Marty” Dalsing, Contamac US, Inc.’s director of Global Strategy and New Business Development, will be retiring at the end of March. Mr. Dalsing and his wife Deanna were instrumental in founding Contamac US, Inc. in 2002, and he played a key leadership role in developing the company as a full board member.
CooperVision Expedites Shipment Times for Select Biofinity XR Toric Parameters
CooperVision, Inc. is now stocking select parameters of its Biofinity XR toric contact lenses at its global distribution center in West Henrietta, NY. Although Biofinity XR toric remains a made-to-order product for many prescriptions, especially for patients who have higher refractive errors, the following parameter range is now stocked and available to ship next day to customers: plano to – 6.00D (0.50D steps), axes of 10° to 180° (10° steps), and – 2.75D cylinder. CooperVision is also stocking trial lenses in the same parameters. Orders placed directly through CooperVision and select authorized distributors will ship the following business day.
Biofinity XR toric lenses are available in sphere powers from +10.00D to –10.00D (0.50D steps after ± 6.00D), with cylinder powers from – 2.75D to – 5.75D (0.50D steps) and axes of 5° to 180° in 5° steps.
Symposium to Cover Ocular Surface Disease
The Twin Cities Ocular Surface Disease Symposium will be held March 21 and 22 in Minneapolis. The program, which is geared toward both optometrists and ophthalmologists, will include lectures covering a variety of ocular surface disease topics, including dry eye, neurotrophic keratitis, eyelid disease, and more. In addition, there will be two panel discussions titled “How Would You Treat This Patient.” Hands-on workshops will also provide with the opportunity to learn proper techniques with ocular surface disease devices. Attendees will be able to earn up to 12 COPE or CME credits. For more information or to register, visit https://twincitiesosd.com.
Join Us at GSLS 2020
Just a few weeks till the fun begins at the 2020 Global Specialty Lens Symposium (GSLS) to be held Jan. 22 to 25, 2020 at the Tropicana Hotel, Las Vegas. This meeting will include insightful presentations by international experts in the field, hands-on demonstrations, and valuable continuing education credits. Attendees will also have the opportunity to talk to the 60+ exhibitors about their cutting-edge products and services. Don’t miss out, register today.
Which of the following topics do you think is the most important for us to cover in 2020?
This patient had surgically miotic pupils, nystagmus, deprivation amblyopia, vitreous prolapse, and peripheral iridectomy. This image shows aphakia OS secondary to congenital cataract. With a custom soft contact lens, best-corrected visual acuity was 20/30.
We thank Dr. Chung 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.
SPECIALTY LENS SPACE
Karen DeLoss, OD
Options for Astigmatism
Corneal astigmatism is easy to manage with a variety of options these days. Most commonly, soft toric lenses are prescribed for patients; however, they can have vision limitations. Many patients who have a higher astigmatism of 2.50D or more complain of reduced quality of vision with toric soft lenses. And, while some patients are able to continue in these lenses with some management and education, others are better managed with either a customized soft toric, a GP lens, a scleral lens, or even a hybrid lens.
For GP contact lens wearers, those who have localized central astigmatism of less than 2.00D may be able to utilize a spherical lens. For those patients who have higher astigmatism or when a spherical design does not work, a back-surface toric design might be an option. However, for patients who have > 2.50D of cylinder, a bitoric design is preferred.1
Another option is to consider a scleral lens for those patients who have high astigmatism. While the exact amount of cylinder that can be corrected with a scleral has not been reported, I find that patients do well with a spherical power design, as the tear film will neutralize most of the remaining astigmatism. If required, practitioners can opt for a front-surface toric scleral design to help improve vision. Personally, if feasible, I prefer to keep it simple. Finally, don’t rule out hybrid lenses that can be designed especially for this patient population.
1. Bennett E, Layfield K, Lam D, Henry V. Correction of High Astigmatism. In Bennett ES, Henry VA, eds., Clinical Manual of Contact Lenses 4th Ed. Philadelphia, PA: Lipincott Williams & Wilkins; 2014:344-366
MATERIALS & DESIGNS
David L. Kading, OD
New Year 2020!
It’s here. What are your goals for the year? What are you looking to accomplish that is different and better compared to last year? If you are not taking advantage of 2020, you are missing out. Father time is doing half of the marketing for you, it is time for you to do a little to help him out. Here is how I am looking to make this year unique.
1) I am going to try to introduce 20 more patients to contact lenses each month who otherwise would choose glasses. Daily disposable lenses are an affordable way to get patients into lenses on a part-time basis. You could consider a no-risk trial period with a reduced fitting fee for the first year. You could offer a discount on the purchase of lenses for the first year. Or, you could consider a discount on the fitting with the purchase of a pair of glasses. There are some good options.
2) I am going to engage my team better on marketing ideas. My team interacts with patients more than I do. Having had a full-time marketing person, I have come to realize that my team is just as good if not better with ideation for how to grow the practice. And they want to help. They want other people excited about the work that they are doing.
3) I am going to have more enjoyable, better engaging team meetings. Some people need to have team meetings. I have three offices, and each office meets weekly to go over its “great game of business” board. We review projected sales based on where we are for the month along with our anticipated expenses for the month. Each team member is responsible for bringing a number to the board, and the whole team gets to see whether we are heading toward a profit (of which they get a portion). This has made our team meetings engaging, but now it is time to show them how to better make money and reduce our expenses. Getting them better engaged in how the business works is going to make them better stewards of the work that we have to do.
Make 2020 your best year. Make it the year that you gain the most clarity for your business or patient care.
Effect of Multipurpose Care Solutions Upon Physical Dimensions of Silicone Hydrogel Contact Lenses
Interactions between contact lens multipurpose solution (MPS) components and the contact lenses with which they are used are both lens and solution dependent. As such, lens dimensional changes may arise after cleaning and immersion cycling in different lens care solutions over different time courses. In this study, the dimensional stability of five planned-replacement silicone hydrogel lenses (lotrafilcon B, comfilcon A, senofilcon A, senofilcon C, and samfilcon A) over 30 cycles in three different MPSs (Biotrue, Opti-Free Express, and Opti-Free Puremoist) was evaluated. Measurements of diameter, sagittal depth, power, roundness, and center thickness were obtained prior to, during, and after 30 cycles of cleaning and storage.
Diameters of all lenses increased when soaked in Express or Biotrue, but held the International Standards Organization (ISO) tolerance over the full course of 30 disinfection cycles; however, the diameters of comfilcon A, senofilcon A, senofilcon C, and samfilcon A lenses soaked in Puremoist exceeded ISO tolerance after between four and nine immersion cycles. In contrast, the diameter of lotrafilcon B held tolerance. Similarly, all lenses cycled in Express or Biotrue held tolerance for sagittal depth, while in Puremoist only lotrafilcon B held tolerance. All lenses became less round in all MPSs but held tolerance for both power and central thickness.
Given the lack of reported clinical issues with Puremoist when used with lenses other than lotrafilcon B, the authors proposed that it may be appropriate to revisit the ISO test methods and tolerances to determine whether they are still applicable for silicone hydrogel lenses.
Smith SM, Zhu D, Pierre D, Gilbert JL, Chinn JA. Effect of multipurpose care solutions upon physical dimensions of silicone hydrogel contact lenses. J Biomed Mater Res B Appl Biomater. 2019 Dec 26. [Epub ahead of print]