The results are in and are worth noting! More than 75% of those who responded to the May Quick Poll feel that practicing myopia control with contact lenses is “specialty” contact lens fitting (https://www.clspectrum.com/newsletters/contact-lenses-today/may-19,-2019). It is important that we examine this result, but one thing that we certainly can agree on is the need to implement myopia control measures in our clinical practices. Some of my colleagues have even gone so far as to say that eyecare practitioners have an ethical responsibility to practice myopia control in our patient cohorts. Look for more to come in the following weeks on this topic.
Jason J. Nichols, OD, MPH, PhD
Menicon Launches Menicon Bloom Myopia Control Management System in Europe
Menicon Co., Ltd. announced the launch of the Menicon Bloom Myopia Control Management System. The launch features the initial introduction of Menicon Bloom Night, an orthokeratology contact lens therapy for myopia control management. Menicon Bloom Night has been granted CE approval for myopia control management in Europe.
Menicon Bloom Night therapy involves the overnight wear of a specially designed reverse geometry orthokeratology contact lens manufactured in hyper-oxygen-permeable Menicon Z rigid material. Menicon Bloom Night is indicated for the correction of refractive myopia and for control of myopia.
According to the company, fitting Menicon Bloom Night is optimized by the use of Easyfit software. Additionally, a mobile phone application, Menicon's Virtual Dr., has been developed to enhance the monitoring and communication process between eyecare practitioners and patients.
Menicon Bloom Night will be initially launched in The Netherlands, followed soon after with launches in other European markets.
No7 Extends Partnership with CooperVision
No7 has extended its partnership with CooperVision’s specialty eye care division in order to launch specialty contact lenses in the United Kingdom. The extension will see the continuation of contact lenses such as EyeDream for orthokeratology from Procornea and the addition of Onefit mini scleral contact lenses from Blanchard.
2019 BHVI Refreshes Global Myopia Centre
Brien Holden Vision Institute (BHVI) announced that its resource platform, Global Myopia Centre, has been refreshed with several new features, a new look, and user-friendly navigation. The website offers a single sign-on feature for users, which allows them to create their own unique Global Myopia Centre account. According to the company, this provides seamless access to a number of online tools designed specifically to help practitioners who are making the transition to managing myopia—including BHVI’s Myopia Guidelines and Myopia Calculator—as well as “member-only” educational resources and infographics. Also new to the site are feature editorials and academic blogs authored by leading experts in myopia management as well as by emerging researchers at BHVI. The new platform will also host the Myopia Education Program.
ABB Optical Group Announces New Senior Vice President of Operations
ABB Optical Group appointed Tom Calhoun as senior vice president of operations. According to the company, Mr. Calhoun will be responsible for streamlining ABB Optical Group’s business operations for enhanced efficiency and productivity, along with aligning all aspects of the company's operations to deliver best-in-class service to its customers. He comes to ABB Optical Group with nearly 30 years of experience in the healthcare industry.
IACLE to Update Its Flagship Course with ICLC 2020
The International Association of Contact Lens Educators (IACLE) has announced that it will introduce rolling updates to its flagship educational resource, the New IACLE Contact Lens Course (ICLC), starting in 2020. Available online exclusively to IACLE members, the course will be revised and updated at regular intervals by leading authorities in contact lenses, according to the organization. Editors will now review each lecture two years after its completion.
In April, the New ICLC reached a major milestone with the completion of the final lecture, Dry Eye & Contact Lenses, authored by Professor James Wolffsohn of Aston University in the United Kingdom, to reflect the 2017 TFOS DEWS II Report. Work is now under way to translate the current course into key languages.
ABB Optical Group’s Glimpse Live Debuts Smartphone App for ECPs
ABB Optical Group announced that its informatics service, Glimpse Live, has released a smartphone app for eyecare practitioners (ECPs) to track the data and metrics that matter most to their practice.
Available as a native iOS and Android app, Glimpse Mobile features an easy-to-navigate interface with state-of-the-art data encryption, allowing Glimpse customers to access their custom analytics reports anytime from anywhere, safely and securely, according to the company.
ABB Optical also says that Glimpse Mobile complements Glimpse’s existing desktop application, which integrates with electronic health records and practice management systems to provide in-depth analytics, live benchmarking, employee productivity tracking, monthly SWOT (strengths, weaknesses, opportunities, threats) reports, and daily metrics in an easy-to-understand, snapshot format, among other features.
Ampleye Scleral Quick-Fit Demonstration Video Now Available
To explain the simplified diagnostic fitting process of the Ampleye scleral lens, Art Optical has produced a seven-minute animated instructional video. The video explains the benefits of the incorporated 150-micron toric haptic on Ampleye trial lenses, as well as the consistent limbal lift (LLZ) and scleral landing (SLZ) zones. These diagnostic lens features result in the application of just one diagnostic lens for accurate on-eye assessment, which reduces chair time, minimizes patient stress, and leads to more accurate initial Rx lens orders, according to the company.
In addition to defining the diagnostic set and walking practitioners through the diagnostic assessment steps, the video also explains Ampleye lens construction, adjustments, and lens customization options.
HEA Appoints James Kirchner Executive Consultant for State and Professional Relations
Healthy Eyes Advantage, Inc. (HEA) has appointed James Kirchner, OD, to the newly-created position of executive consultant for State and Professional Relations. In this capacity, Dr. Kirchner will serve as the primary practitioner liaison between HEA and professional associations. Dr. Kirchner joins HEA team members Lorie Lippiatt, OD, executive vice president of Professional Strategies, and Laura Dorris, senior director of Community Relations.
Dr. Kirchner practiced independent optometry for more than 30 years in Lincoln, NE and is a past-president of the Nebraska Optometric Association and the North Central States Optometric Council. Additionally, he served on the Nebraska Board of Optometry, which he chaired for four years. He has spent the last nine years on the business side of the optical industry, most recently as president and CEO of SynergEyes, Inc.
Mat Hamilton Joins VTI as the Executive Territory Manager for Boston
Visioneering Technologies Inc. (VTI), has announced that Mat Hamilton has joined VTI as the executive territory manager to serve eyecare professionals (ECPs) in the Boston Metro Area. In this role, he will support the growth of VTI in this market. Most recently, he was a senior territory sales manager for Alcon for the Boston market.
CooperVision, Lifetime TV Network Partner to Educate Patients
To inform the general public about growing prevalence of digital eye fatigue, the importance of oxygen to eye health, and the advanced contact lens technologies available to help, CooperVision, Inc. partnered with Lifetime’s “The Balancing Act” to produce an educational segment that aired during the show on May 27. The segment featured interviews with Erin Case, OD, and two patients, each with different eyecare needs.
“The Balancing Act” episode featuring contact lenses will air an additional 500 times in National Broadcast Syndication, will appear in approximately 500,000 hotel rooms nationwide, and will be available online at TheBalancingAct.com. In addition, CooperVision has planned a digital advertising campaign featuring the segment, which will run in top media markets through August.
Are measures of axial length required for practicing myopia control in your practice?
A unique view of conjunctival prolapse under a scleral lens. When limbal clearance is excessive, the conjunctiva may be drawn up onto the cornea. Usually the tissue will fall back when the lens is removed. If it remains adhered to the cornea, the concern is that it may lead to neovascularization. Lowering the clearance will usually resolve the issue.
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.
S. Barry Eiden, OD
Monitoring Contact Lens Wearing Comfort with Wearable Technologies
Contact lens comfort (or discomfort) is a major factor in ongoing success for contact lens wear. Contact lens wearing comfort typically has been measured with the use of survey instruments that reflect patients’ perceptions and recollections of their comfort responses during the day. In an effort to get more accurate data and a better idea of the diurnal variations of comfort, researchers recently published results of a study that evaluated a wearable device (the lens awareness logger, LAL) that records subjective lens awareness during contact lens wear.1
The LAL is a compact, electronic event-logging device incorporating a tactile switch and belt-clip. Forty contact lens wearers (20 symptomatic and 20 asymptomatic) took part in a clinical evaluation of the LAL device. Subjects were instructed to wear their habitual soft contact lenses for two days (> eight hours wear) and to use the LAL device. Subjects activated the LAL device immediately prior to lens application and deactivated it following lens removal. If subjects became aware of their contact lenses at any point throughout the wear period, they were instructed to depress the button on the LAL device.
The mean number of lens awareness events per hour was 1.3, although there was substantial variation among subjects (standard deviation 1.4). The distribution of lens awareness events throughout the contact lens wearing period showed significantly elevated awareness following lens application and prior to lens removal (p < 0.0001). In addition, symptomatic subjects had a statistically higher percentage of LAL events in the second half of the lens-wearing day compared with asymptomatic subjects (p = 0.02). The LAL findings for each subject appear consistent across the two days (i.e., no fatigue or learning effect). The LAL device was well accepted by subjects; 38 of the 40 subjects reported that it was either “very easy” or “fairly easy” to use.
The researchers concluded that the LAL device was able to monitor ocular comfort throughout a period of contact lens wear and was well accepted by subjects. The ability of the LAL device to track ocular awareness events through the day, with high temporal resolution, means that it is likely to be a key tool to further understanding of contact lens-associated discomfort and dry eye disease.
This study is an example of how new technologies can help us better understand the characteristics of subjective responses to contact lens wear. The use of wearable technologies is exploding in all fields, and we can expect to see many practical applications in the very near future.
1. Read ML, Morgan PB, Maldonado-Codina C. A wearable device to monitor ocular comfort. Cont Lens Anterior Eye. 2019 May 13. [Epub ahead of print]
OCULAR SURFACE UPDATE
Katherine M. Mastrota, MS, OD
Can the McKenzie Technique Help Eyes Too?
In our multispecialty facilities, we have all sorts of experts to care for our patients. Physical therapists are located in all of our centers. I learned something new this week from our director of physical therapy; I learned about the McKenzie Technique.
The McKenzie Technique is unique in physical therapy in that it involves patient-driven active exercises, rather than passive therapy, to achieve desired results. The McKenzie Method is a biopsychosocial system of musculoskeletal care emphasizing patient empowerment and self-treatment.
At this point, I’m sure that you are wondering where this fits in with eye care/dry eye/computer vision syndrome. Forward head posture (FHP) is a common neck disease in contemporary society, and it is caused by sitting at a desk for a long time or by prolonged cell-phone viewing. Maintaining a continuous posture leads to damage to the ligaments around the neck and has been associated with headaches.1
One small study demonstrated that modified cervical exercises, based on the McKenzie Technique, brought about an improvement in the FHP that was induced by using a smartphone.2
Could a visit to a physical therapist and patient neck self-care via exercise reduce the impact of digital-use-driven eye symptoms? Likewise, could this therapy maintain work ergonomics for optometrists and/or ophthalmologists who are at risk for back and neck pain? Should we prescribe “neck hygiene”?
Experimental Validations of a Tunable-Lens-Based Visual Demonstrator of Multifocal Corrections
The Simultaneous Vision simulator (SimVis) is a visual demonstrator of multifocal lens designs for prospective intraocular lens replacement surgery patients and contact lens wearers. This programmable device employs a fast tunable lens and works on the principle of temporal multiplexing. The SimVis input signal is tailored to mimic the optical quality of a multifocal lens using the theoretical SimVis temporal profile, which is evaluated from the through-focus Visual Strehl ratio metric of the multifocal lens. This study presents focimeter-verified on-bench validations of multifocal simulations using SimVis.
Two steps are identified as being critical to accurate SimVis simulations. First, a new iterative approach is presented that improves the accuracy of the theoretical SimVis temporal profile for three different multifocal intraocular lens designs—diffractive trifocal, refractive segmented bifocal, and refractive extended depth of focus—while retaining a low sampling. Second, a fast focimeter is used to measure the step response of the tunable lens, and the input signal is corrected to include the effects of the transient behavior of the tunable lens.
The researchers determined that the root-mean-square of the difference between the estimated through-focus Visual Strehl ratio of the multifocal lens and SimVis is not greater than 0.02 for all of the tested multifocal designs.
Akondi V, Sawides L, Marrakchi Y, Gambra E, Marcos S, Dorronsoro C. Experimental validations of a tunable-lens-based visual demonstrator of multifocal corrections. Biomed Opt Express. 2018 Nov 15;9:6302-6317.