CONTACT LENSES TODAY

May 7, 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.


Update on Keratitis Infections
The Centers for Disease Control (CDC) announced this week that it has confirmed 102 cases of Fusarium keratitis, with another 12 possible cases and 81 cases still under investigation in 31 states the U.S. Due to a lag in reporting, the CDC only has complete data for 58 cases. Of those, 56 are contact lens wearers, 32 reported using Bausch & Lomb’s (B&L) ReNu with MoistureLoc, 15 reported using ReNu MultiPlus, seven reported using an unspecified ReNu brand, three used Advanced Medical Optics’ (AMO) solutions and three more used solutions from Alcon. Some cases reported using more than one type of solution, so the solution categories are not mutually exclusive.
In a statement released in response to the new data, B&L says, “It would be expected that the distribution of lens care products associated with these cases would be roughly proportional to the products’ relative market share.” The company admits, however, that the 57% share of cases preliminarily reported for the MoistureLoc formulation is disproportionately higher than its U.S. market share of less than 10%. B&L says this disproportionate representation is the reason the company voluntarily withdrew MoistureLoc while the investigation continues. The company also notes that in the small sample of cases analyzed by the CDC so far, the 27% representation of ReNu MultiPlus is well below its approximate 40% market share.
B&L also  announced that a small number of cases — less than five — have been reported  in Europe and are under investigation, but do not represent any unusual trend  in that region. A spokesperson for B&L also says media attention and the  company’s outreach efforts have resulted in increased patient and practitioner scrutiny.

May is Healthy Vision Month
Healthy Vision Month is an annual observance sponsored by the National Eye Institute (NEI) of the National Institutes of Health (NIH) and the National Institute for Occupational Safety and Health (NIOSH). This year’s focus is on steps employers and employees can take to reduce the number of job-related eye injuries. More than 2,000 U.S. workers require medical treatment for eye injuries on a daily basis, more than 800,000 per year. Many injuries occur because employees are wearing the wrong eye protection, protection that doesn’t fit or no protection at all. The initiative will also reinforce the importance of regular, comprehensive eye exams as the first step to avoid eye injuries on the job, because poor vision can affect work performance and safety. For additional information, visit http://www.healthyvision2010.nei.nih.gov/hvm.

Campaign Focuses on AMD Awareness
Prevent Blindness America and the Macular Degeneration Partnership, are sponsoring a new AMD education campaign, “My Eye Health: In the Wink of An Eye,” with funding from (OSI) Eyetech and Pfizer Ophthalmics. The program is aimed at educating patients about the signs and symptoms of AMD and the importance of early detection. The organizations say a new study shows only 55% if those over the age of 65 are aware of wet AMD and less than 10% know vision can deteriorate rapidly with the disease. The study also shows more than half of adults over the age of 65 don’t know about available treatment options for AMD. Free vision screening and seminars for older American will take place in 15 cities as part of the program. National public service announcements will feature Actress Betty White. The campaign’s web site at http://www.myeyehealth.org provides additional information and offers free Amsler grids, as well as instructions for monitoring vision at home. Call 1-866-702-3237 for more information.

ACUVUE® ADVANCE™ Brand Contact Lenses for ASTIGMATISM help unmask low cylinder astigmats. Correcting astigmatism used to be a choice between clear, stable vision or long-lasting comfort. For low cylinder astigmatic patients this meant a spherical or aspheric lens prescription that masked their condition.
Now, you have a chance to unmask these patients. Because of Accelerated Stabilization Design, ACUVUE® ADVANCE™ for ASTIGMATISM offers crisp, stable vision regardless of the activity. Because of patented HYDRACLEAR™ Technology the new lens provides immediate and all-day comfort.
Now, patients might not have to tolerate even a low level of blur that comes with masking their astigmatism.

--ADVERTISING

AMO Appoints New Head of Eye Care Group
Richard A. (Randy) Meier, executive vice president of operations and chief financial officer for Advanced Medical Optics (AMO), has assumed the additional responsibility of president of the Eye Care Group. Mr. Meier’s appointment follows the retirement of James C. Cooke, formerly president of the Eye Care Group.
"I am confident in Randy’s ability to take the Eye Care Group forward. As the chief architect of AMO's rationalization and repositioning initiative, he has a direct and deep understanding of Eye Care’s challenges and opportunities," says AMO President and CEO Jim Mazzo. "In addition, he has been integral to the overall growth and financial performance of AMO, demonstrating his leadership capabilities and vision for the business."

Global Keratoconus Congress 2007
Mark your calendars for the first-ever Global Keratoconus Congress to be held January 26-28, 2007 in Las Vegas. The Global Keratoconus Congress is an assembly of experts in the field of patient care, teaching and research. They will share the latest information on this chronic sight-threatening condition that affects one in 2,000 people. Attendees will learn about the latest approaches to contact lens fitting, surgical techniques, clinical research and appropriate third-party reimbursement for medically necessary contact lens care. Manufacturers and laboratories that support the care of these patients will assist in demonstrating the usefulness of their latest products and treatments. More information will be coming soon.

Abstract: Contact Lens Solutions Vs. Acanthamoeba Strains
Researchers in Austria recently conducted a study to determine the susceptibility of Acanthamoebae to various contact lens disinfecting systems. They tested ten solutions, including one new system, for effectiveness against cysts of three Acanthamoeba strains. They were mainly interested in incubation time of eight hours and cyst quantities of 10
3 and 104, respectively. Results showed Boston Advance cleaner (polyaminopropyl biguanide, chlorhexidine) for storage of GP lenses destroyed the cysts of all strains at either concentration within one hour of exposure. MeniCare Plus (polyhexamethylene biguanide) also destroyed 103 cysts of all strains, however within one hour, had only killed 104 cysts of two strains within one hour. It killed all cysts after eight hours of exposure. Disinfecting solutions for soft contact lenses did not kill 104 cysts of either strain after eight hours of incubation time. Researchers concluded that two of tested solutions destroyed the cysts of all strains. One, which combined two amoebicidal ingredients, destroyed all cysts after only hour of exposure.
Hiti K, Walochnik J, Maria Haller-Schober E, et al. Efficacy of Contact Lens Storage Solutions against Different Acanthamoeba Strains. Cornea. 2006 May;25(4):423-7.

Editor's Commentary: AOA Awards Experts
At this year's American Optometric Association (AOA) meeting in Las Vegas, the Dr. Donald Korb Award for Excellence, 2006 will be awarded to Richard M. Hill, O.D., Ph.D., Robert B. Mandell, O.D., and Kenneth A. Polse, O.D. All are well known for their research in the cornea and contact lens field. CLToday salutes these great researchers. They have taught us much over the years about the cornea, oxygen, and contact lenses. Look for their lecture at this years meeting in June. These are truly some of the greatest researchers ever in our field. To them we say, “Thank you!”

Fitting Tip: GP Wetting Issues
When trying to overcome the wetting problem that sometimes occurs with GP lenses, I’ve had success with the following method. Clean the lens thoroughly and rub with Boston cleaner. Rinse well and immediately follow the same steps with Boston conditioner. You can even do this after using another cleaner and even polishing two to three times. It’s certainly worked more than it hasn’t.
Robert Maynard, O.D.
Phoenix


Best of the Month
Dr. Jay Petersma, submitted the “Best Fitting Tip of the Month” for April. His tip may be seen in the, April 9, 2006 edition of CLToday.

The Global Orthokeratology Symposium presents "Fundamentals of Corneal Reshaping" — a newly formatted educational experience for 2006. Held in conjunction with the Southern California College of Optometry, this 2-day course designed for the novice or new orthokeratology practitioner will focus on patient selection, corneal topography, choosing a design — plus "live" fitting and next-day follow-up with actual patients. Go to http://www.GOS2006.com for more information.
--ADVERTISING


This month at http://www.siliconehydrogels.org, consider prescribing silicone hydrogels for pediatric patients, evaluate the effectiveness of “no rub” multipurpose solutions, and read part two of our Academy 2005 synopsis.

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; Change or Remove your e-mail address; 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. ©2006 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.