CONTACT LENSES TODAY

February 25, 2007

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.


Jury Finds CIBA Engaged in False Advertising
In a U.S. District court in New York City, a jury determined that CIBA Vision willfully engaged in false advertising and promotion to eye care professionals about its O2Optix contact lenses. According to a lawsuit filed in Sept., 2004 by Johnson & Johnson Vision Care, CIBA Vision falsely claimed that 90 Dk/t is a critical minimum level for the avoidance of severe hypoxic stress in daily wear of contact lenses. The jury also found the company deliberately offered misleading description and representation of J&J’s Acuvue brand. As part of the ruling, CIBA was ordered to pay damages to J&J, according to J&J.
    A spokesperson for CIBA Vision says the company is pleased with the outcome of this case. According to CIBA Vision, J&J was seeking approximately $7 million in damages. The jury awarded J&J about $150,000 and required that it pay the J&J costs.

Insite Vision Enters Agreement with Inspire
InSite Vision has granted Inspire Pharmaceuticals exclusive rights to commercialize AzaSite for ocular infection in the U.S. and Canada.
AzaSite is a topical anti-infective treatment for bacterial conjunctivitis, which is currently under new drug approval (NDA) review by the Food and Drug Administration (FDA). It contains the drug azithromycin and DuraSite, InSite’s patented drug delivery system. If approved, AzaSite will be the first antibiotic with a once-daily regimen after initial dosing.

AOA Launches Grant Program
The American Optometric Association (AOA) has launched its Keeping Injuries Down in Sports (K.I.D.S.) state association grant program, sponsored by Liberty Sport. The grants provide funding assistance for projects that support public education and awareness of the prevention of sports-related eye injuries through the use of appropriate personal protective eyewear. A total of $100,000 is available for the state grants with each grant worth up to a maximum of $10,000. You can apply through your state association by April 16. Only one application per state is permitted, though it may contain multiple projects.
    The AOA will evaluate and track all projects. Collaborations with other health associations and/or public agencies are allowed and must reflect broad-based sponsorship. The official application form and instructions are available at http://www.aoa.org/kids-grant.xml.

Patients Report Comfort, Crisp Vision with ACUVUE® OASYS™ What are contact lens wearers saying about the ACUVUE® OASYS™ Brand Contact Lenses with HYDRACLEAR™ Plus? In a recent study, 92% of patients reported the ACUVUE® OASYS™ Brand Contact Lenses felt fresh and maintained natural moisture in adverse environments. 74% reported comfort while on the computer and 83% said they forgot they were wearing contact lenses when wearing the ACUVUE® OASYS™ Brand. And, 80% reported that ACUVUE® OASYS™ felt as natural as their own eyes. Also, 90% of patients reported crisp, clear vision at every moment.
--ADVERTISING

VSP Launches Company Blog
VSP Vision Care has announced the launch of its company blog, which is meant to be a conduit for company leaders to share their thoughts and invite the interchange of ideas on a wide range of topics. Readers will have the opportunity to communicate directly with VSP leaders on an evolving spectrum of subjects including eyecare innovations and healthcare advancement. The blog also features an RSS feed capability that alerts subscribers to new content. Visit http://www.vspblog.com.

Upcoming Meetings
The Orthokeratology Academy of America will hold its 2007 education meeting from April 20-22 at the University of Houston College of Optometry. The meeting features over 16 hours of COPE-approved CE and includes both beginner and advanced ortho-k training. Visit http://www.okglobal.org for more information.
    The Bronstein Contact Lens Seminar has announced its 2008 meeting will take place in Scottsdale, Ariz., from Jan. 11-13, 2008. For more information, call the Arizona Optometric Association at 602-279-0055.

Vistakon Appoints new Director, Professional Affairs
Carol Alexander, O.D., F.A.A.O., has joined Vistakon as Director, Professional Affairs. She will begin her transition to the company in July. Dr. Alexander is a private practitioner with more than 20 years experience. She is a past president of the Ohio Optometric Association and has also served on several national AOA committees in the areas of regulation and legislation.

Abstract: Alcohol Delamination of the Epithelium for Recalcitrant RCE
Researchers at Queens Medical Center in the U.K. recently investigated the safety and efficacy of alcohol delamination of the corneal epithelium for recalcitrant recurrent corneal erosion syndrome (RCE). They studied 20 eyes of patients with RCE who remained symptomatic despite topical lubrication and three months of wearing an extended wear bandage contact lens. The causes of RCE were trauma (14 eyes), anterior basement membrane dystrophy (five) and idiopathic (one). They treated patients with alcohol delamination and followed-up at one week, one month and at 12 months. Success was defined as resolution of symptoms after one month of treatment, partial success as significant reduction in symptoms manageable with topical lubricants.
    Two eyes were lost to follow-up, 15 (83%) qualified as successful, three as partially successful. There were no failures or intraoperative complications. One patient developed transient subepithelial haze that resolved with topical steroid treatment, one had a change in refraction, and one patient developed herpectic stromal keratitis two months post-op, which was treated successfully. The researchers conclude that alcohol delamination of the corneal epithelium is a safe and effective method for treating patients with recalcitrant RCE.
Singh RP, Raj D, Pherwani A, Lagnado R, et al. Alcohol Delamination of the Corneal Epithelium for Recalcitrant Recurrent Corneal Erosion Syndrome. Br J Ophthalmol. 2007 Feb;[Epud ahead of print].


Editor's Commentary: Oxygen Matters
The decision of the U.S district court in NYC is interesting (see our first story above). It seems the jury is sure of the Dk/t necessary for daily wear, even if scientists disagree amongst themselves. But we all agree that oxygen is very important, not only for what we see, such as gross corneal edema and neovascularization, but more so for what we can’t see, such as molecular and cellular changes that can lead to real, clinical complications. And, keep in mind that up to two thirds of daily CL wearers occasionally sleep in their lenses.

CLToday Tip: More Tips for Multifocal CLs
Dr. Singh is right on his fitting tip for multifocals (see CLToday, Feb. 18). The problem with ordering these lenses is that it takes a while and most of the time, it takes two to three changes before you can fine tune the fit.
    I fit about three pairs of multifocals a week and have above 80% success, but if I could not fit with an inventory I wouldn't take the time to do them. These lenses work well but both you and the patient must have patience. It usually doesn't take four visits, but I tell patients if they are not willing to take that much time, they need to wear single vision distance Rx plus a reading Rx. I have stopped fitting monovision; it is not right to send people out with one eye to drive.
Robert D. Bard, O.D.
Gainesville, Texas


This month at http://www.siliconehydrogels.org consider the value of measuring corneal oxygen consumption with Eric Papas and learn about the techniques involved. Read into the applications for oxygen transmissibility and how it can be a useful tool in practice. Review potentially damaging effects of lens surface friction with emphasis on the care of toric and multifocal lens wearers, and recognize the different types of upper lid-margin staining to determine variations in silicone hydrogel adaptation.

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 T-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.
CLToday Services: Subscribe; Unsubscribe; submit news to news@cltoday.com; or, fax 1-215-643-3902.
Contact Lenses Today and CLToday are registered trademarks of Lippincott, Williams and Wilkins, Inc. ©2007 Lippincott, Williams and Wilkins, Inc.
This has been a BCI e-mail communication. If you prefer not to receive e-mail from us, please use the following link
to remove your e-mail address from our list: Removal Request | View our Privacy Policy

You are receiving this e-mail because you have agreed to receive e-mail communications from Lippincott, Williams and Wilkins, Inc.
Lippincott, Williams and Wilkins, Inc. - 1300 Virginia Drive Suite 400 Fort Washington PA 19034 | 215-643-8000
Lippincott, Williams and Wilkins, Inc. e-mail program complies with the Federal Can-Spam Act of 2003

Please take a moment to make sure your newsletters don't get marked as spam.
Add cltoday@bci-media.com to your 'approved senders' list or address book.