We received a few comments from readers regarding last week’s editorial discussing the use of hydrogen peroxide. It is fair to say that practitioners are passionate about its efficacy, but the discussion seems to be centered around the best scenarios in which it should be used. We thank the readers who commented and look forward to more discussion on this topic in the future. Here is a sampling of what our readers said.
“I still reserve peroxide systems for people who have problems or for specific situations, such as patients with one rigid lens and one soft lens. My caution with peroxide and patients injuring themselves with misuse keeps me prescribing multipurpose solutions for standard soft lenses.
My general rule of thumb for long-time users of peroxide with standard soft lenses is: If you are using peroxide, you should probably be using one-day contact lenses instead and no solution.
Of my scleral lens patients, roughly half use standard GP solutions and half use peroxide.”
–Tom Devetski, OD, Director, Medically Necessary Contact Lenses at Duke University Eye Center
“If I can't fit the patient into a one-day disposable contact lens, then I'll recommend a hydrogen peroxide care solution for the less disposable contact lens. My philosophy is: Why wait for a problem when I can prevent it in the first place. Most patients won't ‘burn’ their eyes, and for those that do, they'll only do it once.”
– Karen K Yeung, OD, Senior Optometrist at UCLA ASHE Student Health
Jason J. Nichols, OD, MPH, PhD
J&J to Recall Some Lenses in Taiwan
Johnson & Johnson Vision Care Co. announced that it will recall 500 boxes/six batches of its Acuvue daily disposable contact lenses from the Taiwan market due to possible quality problems, according to Taiwan’s Food and Drugs Administration.
The company’s notice said that the problematic products were found to have irregularities from the manufacturer’s production line on the surface of the lenses and in the lens solution. Therefore, the company decided to initiate a recall of the products from Taiwan. So far, no consumers have reported being affected by the defective products.
Affected lenses have the following lot numbers: 3957490106, 3957490109, 3957500101, 3957500102, 3957500109, and 3957510105.
ABB Optical Group Announces Expansion into Canada
ABB Optical Group announced its expansion into the Canadian market beginning in 2020. The company will start its expansion by servicing FYidoctors, a doctor-owned provider of eye care and ophthalmic products and services in Canada, and FYidoctors’ Independent Alliance clinics.
2019 AAO Resident Travel Fellowship Recipients Announced
In addition, the American Academy of Optometry Foundation (AAOF), in collaboration with the Fredric and Marion Rosemore Family Foundation, announced the 2019 recipient of the Fredric Rosemore Low Vision Educational Grant: So-Yeon Sharon Lee, OD, an assistant professor at Nova Southeastern University College of Optometry. She will receive a grant for her project “Managing visual comfort and function in patients with low vision using Acuvue Oasys with Transitions contact lenses,” which is intended to improve the quality of life for the visually impaired. The grant is designed to enable institutions to provide care and support personnel directly related to the field of low vision.
In Memoriam: Professor Robert Fletcher, FCOptom
Professor Robert Fletcher, FCOptom, who died at the age of 94 on Aug. 5, became the first Professor of Optometry outside of the United States in 1966 when he was appointed as chair at City University in London. Throughout his career, he made important contributions to optometric research and education around the world.
With Norman Bier, MPhil, he pioneered early scleral contact lenses and prosthetic lenses. He also designed optometric instruments, including, in 1960, the first European vision screener, a device which led to a significant increase in eye assessments in the workplace.
During a teaching career spanning seven decades, Professor Fletcher taught more than 15,000 optometrists in London and several thousand more in more than 20 countries. Others benefited from his 150 publications and 16 textbooks. Professor Fletcher also helped establish optometry courses at the University of Kongsberg in Norway. Other countries where he established optometry courses include Italy, Hong Kong, Malaysia, Nigeria, Ethiopia, Israel, Iceland, and Portugal.
In retirement, Professor Fletcher worked with Luigi Lupelli, a former student who became the first professor of contact lenses in Italy, to design an acrylic osteo-odonto-keratoprosthesis implant, which has given some sight to many hundreds of people worldwide who have poor vision.
His wife, Muriel, predeceased him by just three weeks. He is survived by their two daughters.
Treehouse Eyes Opens Eight New Locations
Treehouse Eyes announced the opening of eight new centers. In collaboration with select practices, Treehouse Eyes is bringing its proprietary brand of myopia management directly into select primary care practices across the country.
The latest practices to join the Treehouse Eyes network are Insight Vision Center Optometry in Costa Mesa, CA, Drs. Thanh Mai and Valerie Lam; Focal Point Optometry in Fullerton, CA, Drs. Alvin Arellano and Michelle Kirk; Pacific Rims Optometry in San Francisco, Dr. Selena Chan; Visionary Eye Care in Tampa, Drs. Jennifer Brady-Cook and Michael Cook; Warm Springs Optometric Group in Fremont, CA, Drs. Michael Fauria and Susan Pirrone; Neuro-Vision Associates of North Texas in Plano, TX, Dr. Charles Shidlofsky; Premier Vision in Amarillo, TX, Dr. John Todd Cornett; and Birmingham Vision Care in Bloomfield Township, MI, Drs. Harriet C. Pelton and Patricia Poma-Nowinski.
AIO, BCLA, GOC to Tackle Illegal Practice
The Association for Independent Optometrists and Dispensing Opticians (AIO) and the British Contact Lens Association (BCLA) have joined together in an initiative to work closely with the General Optical Council (GOC) to drive out the illegal sale of contact lenses across the United Kingdom.
While the GOC already has a dedicated London-based team that investigates complaints about illegal contact lens sales, it does not have a physical presence across the country. The plan is that members of AIO and BCLA will become the "eyes and ears" on the High Street and will identify U.K.-based online suppliers to ensure that investigation and any follow-up enforcement action, taken in association with Local Trading Standards Officers, is fully effective.
BHVI Realigns Organizational Structure
Brien Holden Vision Institute (BHVI) announced that Dr. Arthur Back joins the organization as managing director of VisionCRC, its science arm. According to BHVI, Dr. Back and Professor Padmaja Sankaridurg, head of BHVI’s Global Myopia Centre, will continue to develop sustainable, collaborative, commercial models. To support the science, marketing agency Brand New You will be BHVI’s new marketing partner.
Luneau Technology Announces Appointments
Luneau Technology announced the appointment of Lon Dowell to the role of national director of Sales. Mr. Dowell joins the Luneau Technology USA leadership team with more than 20 years of experience in the ophthalmic industry, leading sales, marketing, and project teams.
Luneau also named two industry veterans to key supervisory roles for the growing field service team. The Field Service Supervisory team will utilize its extensive experience in the ophthalmic and optometric field to ensure that customers receive the best installation, preventive maintenance, and service on Briot, Weco, and Visionix products, according to the company. Ron Reed is Luneau Technology USA’s Field Service Supervisor for the Eastern half of the United States. He brings 34 years’ experience as an ABO certified optician. Rick Bowles will lead Luneau’s Field Service team for the Western half of the United States. He started in optical with Briot USA in 2003.
Candace Bevil Joins Blanchard Contact Lenses
Blanchard Contact Lenses announced its recent hire of Candace Bevil, LDO, NCLE, COT, ABO. She is responsible for establishing and nurturing professional relationships with eyecare providers in the Southeast region of the United States, while also providing them with fitting consultation for Blanchard’s scleral and GP lens portfolio. Ms. Bevil has 27 years of experience in the ophthalmic field and has spent the last 11 years at Premier Ophthalmology in Georgia.
CooperVision Sites Earn BREEAM and LEED Sustainability Certifications
Two newly constructed CooperVision sites in Europe have been awarded prestigious certifications for their sustainable design and operation.
Its new Southampton, England secondary packaging and distribution facility has earned a BREEAM ”Excellent” rating. Located in the recently-completed Mountpark development, the site incorporates high-efficiency LED lighting as well as lots of natural light. The facility also encourages electric car use with integrated charge points.
Additionally, the company’s new distribution center in Madrid, Spain has earned LEED Certification. This warehouse was constructed with intelligent LED and natural lighting plus onsite solar power generation to meet a portion of its energy needs. It also recycles 100 percent of cardboard, plastic, and wood pallets and is located near public transit options. The Madrid site is also home to CooperVision’s Iberia Center of Innovation, designed to provide clinical and practice management education to eyecare professionals.
Both sites employ a combination of renewable energy sources.
EyeKinetix Available from Konan Medical
Konan Medical announced that EyeKinetix is U.S. Food and Drug Administration (FDA) Listed and now available for sale. Konan’s second-generation pupillograph, EyeKinetix features the same objective as its predecessor, RAPDx—automated test to assess relative afferent pupillary defects in less than one minute.
EyeKinetix is delivered with Konan’s proprietary, precision color and luminance calibration system on a tablet/PC with a free 90-day trial of ColorDx CCT HD, Konan’s color vision diagnostics test.
Only 2 Weeks Left: Call for Papers and Posters
The Global Specialty Lens Symposium (GSLS) Program Committee invites the submission for the presentation of Paper and Poster Case Reports or Research Abstracts at GSLS 2020 to be held Jan. 22 to 25, 2020, in Las Vegas. The committee seeks topics including clinical case reports, case series, and clinical and basic research on all aspects of contact lenses (such as materials, designs, lens care) in addition to related topics such as corneal and ocular surface disease, diagnosis and treatment approaches, and practice management. The poster competition will be judged in two categories: Clinical and Research.
When this patient came into the office for evaluation, he was wearing his left scleral lens on his right eye. Luckily, the lenses for both eyes have similar specifications.
We thank Kyriakos Telamitsi 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
Because We "Care"
The Centers for Disease Control and Prevention (CDC)’s Contact Lens Health Week was held from Aug. 19 to 23 of this year. While it’s an opportunity to educate patients about the impact of contact lens wear on the health of their eyes, it is also an important reminder to reflect on our daily clinical practice regarding educating patients. With busy clinics, specialty lens fitting, electronic health records, and patient satisfaction concerns, it is easy for patient education to get lost in the shuffle. A recent publication reported that one-third of contact lens wearers did not recall their eyecare provider discussing lens care and wear. Moreover, fewer than one-half recalled hearing their eyecare provider recommend that they not sleep in their contact lenses. In that same report, the eyecare providers reported sharing contact lens hygiene and care at initial encounters, follow ups, and complication-related visits.1
Publications typically do not differentiate contact lens care and hygiene instruction for specialty lens wear. Tap water has always been a huge concern for corneal GP wearers; however, publications that explain the complications of scleral lens care, hygiene, and wearing habits are mostly unavailable. The majority of contact lens care awareness focuses on soft lens wearers, which got me thinking about how and what I say to my specialty lens wearers. All practitioners should remember to discuss all aspects of contact lenses with all of our lens wearers at their annual visits.
1. Konne NM, Collier SA, Spangler J, Cope JR. Healthy contact lens behaviors communicated by eye care providers and recalled by patients—United States, 2018. MMWR Morb Mortal Wkly Rep. 2019 Aug 165;68:693-697.
MATERIALS & DESIGNS
David L. Kading, OD
Soft Lens Multifocal Myopia Management for Astigmatic Patients
Previously, I wrote about the topic of orthokeratology myopia management for astigmatic patients. A few have responded that they refuse to fit orthokeratology because they only fit soft multifocals on patients. But I suggest giving orthokeratology a try. It is rewarding and has some advantages for younger patients.
I’m not saying that I do not fit soft multifocals for myopia management. In fact, I have selected a daily disposable as my preferred soft multifocal for this purpose. The main drawback, however, is that it does not correct astigmatism.
In these instances, I will discuss with patients and parents upfront that the main reason why we are using the lenses is not for vision correction, but rather for myopia management. I will also share that the child will need to wear over-glasses in instances for which he or she wants crisper vision (e.g., school, video games, go-cart racing, etc.).
In my experience, as soon as we take the focus off of the management of myopia progression, many patients and parents tend to base the success of the lenses solely upon the quality of vision.
When we need to focus on the vision for these children, we will utilize either one of the commercially available toric multifocal lenses that has a distance-center design, or we will order a custom design from a soft lens manufacturer. There are certain advantages to each option, but with children, we usually try to use lenses that have the shortest life span.
Don’t let astigmatism stop you from practicing myopia management on a child. If you choose to go the soft multifocal direction, consider using over-spectacles for additional correction. Or, you can choose from one of the stellar soft toric multifocals that are available on the market.
The Impact of Uncorrected Astigmatism on Night Driving Performance
The purpose of this study was to investigate the effect of uncorrected astigmatism on night driving performance on a closed-road circuit.
Participants included 10 drivers (mean age 24.4 ± 7.0 years) who had low-to-moderate bilateral astigmatism (0.75DC to 1.50DC) and were regular contact lens (CL) wearers. Vision and night driving performance were assessed in a cross-over design with a toric CL and a best-sphere spherical CL. Binocular visual function measures included photopic and mesopic visual acuity (VA), contrast sensitivity (CS), mesopic motion sensitivity, and glare tests (Mesotest II [Oculus] and Halometer). Night-time driving performance was assessed on a closed-road circuit, including measures of sign recognition, hazard detection and avoidance, pedestrian recognition distances, lane keeping, speed, and overall driving score.
Correction of astigmatism with a toric CL significantly improved mesopic VA, photopic and mesopic CS, mesopic motion sensitivity, and reduced glare (p < 0.05) compared to the spherical CL; there were no significant effects of visual correction type on photopic VA. Correction of astigmatism using a toric CL resulted in significant improvements in night driving performance compared to driving with a spherical CL, particularly for sign recognition, avoidance of low-contrast hazards, increased pedestrian recognition distances, and overall driving score (p < 0.05).
The authors concluded that correction of low-to-moderate levels of astigmatism had significant positive effects on night-time driving performance and related tests of visual performance. This has important implications for optical corrections to improve night road safety of drivers who have astigmatism.
Black AA, Wood JM, Colorado LH, Collins MJ. The impact of uncorrected astigmatism on night driving performance. Ophthalmic Physiol Opt. 2019 Sep;39:350-357.