CONTACT LENSES TODAY

February 5, 2006

Contact Lenses Today® is edited by Dr. Joseph T. Barr and the staff of Contact Lens Spectrum. This week CLToday® reaches more than 12,000 readers in 74 countries.


Eyefinity, Optifacts Interface
Eyefinity and Optifacts Inc. have completed an interface to improve electronic lab order management. With the interface, electronic lab orders submitted through the Eyefinity web site will be sent directly to the lab’s Optifacts management software via the Internet. Optifacts then sends order status information back to Eyefinity, further automating communications and invoice payment processing.

Eyemaginations’ Software Upgrade
Eyemaginations Inc. introduces the latest version of its 3D Eye Office software version 4.1. The 3D animated, computer-based technology is designed to help doctors inform and educate patients. Features of the new version include a simplified user interface, a new screensaver feature, a new animation index with 75 new enhanced 3D animations, a choice of video or sketchpad modes and major additions on various medical diagnoses.

VISTAKON® has begun airing national TV advertising in support of their exciting new contact lens, ACUVUE® ADVANCE™ Brand Contact Lenses for ASTIGMATISM, and to help increase patient visits. One advertisement — titled “Twins” — targets a younger audience and is geared towards first time contact lens wearers with astigmatism. The other — “A Day in the Life” — was created to appeal to a broader, more mature audience, including current toric wearers and dropouts. The commercials are to air on stations such as FOX, WB, MTV, and USA. Tune in!
--ADVERTISING

Abstract: Modified Lenses For Irregular Corneas
In a recent study, South African researchers explored the optical, clinical and subjective performance of a modified countersunk piggyback lens (MCL) for the management of high regular and irregular corneal astigmatism. Ten patients who had failed management with conventional options participated in the study. They found a significant improvement in the uncorrected vision, visual acuity and refractive status when patients wore the MCL. They noted no statistically significant increase in adverse ocular responses and subjects indicated a strong acceptance level for the lens. The investigators conclude the custom piggyback MCL performed successfully in the management of a range of high regular and irregular astigmatic conditions. They also note the lens was well accepted by subjects, despite the additional cost and handling implications of the two lens system.
Mehta M, Bhagwanjee A, Hilliar O. A clinical and optical evaluation of a modified lens for irregular corneae. Clin Exp Optom. 2006 Jan;89(1):30-6.


Editor's Commentary: More Ways To Provide Contact Information
We continue to get feedback on how patients may best communicate with us. I just wish we were all as talented with new phone/PDAs as Dr. Gee.
Dear CLToday: I have a suggestion in regard to the ongoing discussion about allowing patients to get in touch with you. In this day and age, fear is justified ... the world just isn't as safe as it was in the past. However, technology is not the same either!
Make a way for your patients to get in touch with you. E-mail is just perfect. I'm convinced that any health care provider who is truly interested in caring for his/her patients should carry a blackberry, treo, or PDA of his/her preference. That way, your patients may e-mail you and you can return their call or e-mail. I have my e-mail address printed on my business cards and carry my blackberry everywhere I go. If I get buzzed in the exam room, I tell patients they can get me the same way if they need to.
Kevin Gee, O.D., F.A.A.O.
Houston


Fitting Tip: Switching Lenses
When fitting silicone hydrogel lenses on our current contact lens patients, it’s important to note their current replacement schedule. Most patients are perfectly willing to pay a little more to "upgrade" from a current two-week lens to a two-week silicone hydrogel lens. However, if a patient is wearing lenses on a one-month replacement schedule, they may balk at suddenly paying more than double for a lens on a two-week replacement schedule. You may end up refitting the patient with a silicone hydrogel lens for one-month replacement. We have good options with both two-week and one-month lenses. If we pay a little extra attention up front, we can save valuable chair time.
Susan Kovacich, O.D.
Bloomington, Ind.


Best of the Month
Dr. Mark Greenwell of Papillion, Neb., submitted the “Best Fitting Tip of the Month” for January. His tip, “The Difficulties of Year One,” can be seen in the January 8th, 2006 edition of CLToday.

This month at http://www.siliconehydrogels.org, track worldwide trends in silicone hydrogel fitting; examine the dynamic mechanical properties, dynamic wettability and frictional properties of these lenses; read up on successful clinical strategies for maintaining patients‚ comfort and ocular health with extended wear; and review new developments and information that came to light in 2005.

Report adverse contact lens reactions here: http://www.accessdata.fda.gov/scripts/medwatch/ or call (800) FDA-1088.

Access a reporting form for complications you've seen that were a result of contact lenses dispensed without a valid prescription at the Association of Regulatory Boards of Optometry's (ARBO's) Web site: http://www.arbo.org/arbo.asp?dt=R&doc=Complications. Complete and send the form online or print it out and fax it to (866) 886-6164.

Send your favorite tips to tips@cltoday.com -- if your tip is selected as 'Best of the Month,' you'll receive a free golf shirt (see http://www.CLToday.com for details). Please include your full name, degree or title and city/state/country.
Visit Contact Lens Spectrum ( http://www.clspectrum.com ) for interactive clinical posters and issue archives. Visit Contact Lenses Today for our Best Fitting Tips.
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