CONTACT LENSES TODAY

May 28, 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.


Menicon and NKL Create Alliance
NKL B.V., the largest GP manufacturer in the Netherlands, has entered into a strategic, long-term alliance with Menicon Co., Ltd. The companies agree to collaborate in all areas of global operations including R&D, manufacturing, logistics, marketing and sales. As a result, NKL will begin to manufacture contact lenses Menicon’s materials and distribute both Menicon lenses and lens care products in the Dutch market. Menicon will distribute NKL’s contact lenses through is European subsidiaries in France, Germany, Spain and the U.K.

Expanded Lens Offerings
  • Bausch & Lomb (B&L) will expand the range of parameters for its PureVision toric lens starting in the first week of June. The new range includes powers from plano to -6.00D in 0.25D steps and from -6.50D to -9.00D in 0.50D steps; cylinders -0.75D, -1.25D and -1.75D and axes 10 to 180 in 10 steps.
  • Hydrogel Vision Corporation has expanded the availability of its Extreme H2O 54% soft contact lenses with a new 14.2mm diameter option. The company says the new diameter is meant for patients with an HVID > 11.8. Available parameters now include: 13.2mm diameter in median base curve and powers from +6.00D to -12.00D (in 0.50D steps over -6.00) and in 14.2mm diameter in median base curve and powers from -0.25D to -6.00D. Free diagnostic sets are available from the manufacturer or authorized distributors. 
  • Vistakon announces ACUVUE OASYS Brand Contact Lenses are now available in a full range of expanded parameters. The new parameters include high minus, from -6.50D to -12.00D, in 0.50D steps and high plus options, from +4.25D to + 6.00D in 0.25D steps and from +6.50D to +8.00D in 0.50D steps.

New Ocu-Ease, Disposable Lens
The new Ocu-Ease Elite soft contact lens from Ocu-Ease Optical is made of methafilcon A and contains 55% water. The disposable lens is tinted for visibility and packed in a blister pack of six. The lens is available exclusively to eye care practitioners.

Dryness = Dropouts What effect does contact lens dryness have in your contact lens practice? Of the 31 million soft contact lens wearers, 21 million, or 67%, self-report that eyes feel dry during contact lens wear. There are nearly 2.7 million contact lens dropouts annually. Many of these dropouts say dryness was a major reason for discontinuing lens wear. Offering patients ACUVUE® OASYS™ Brand Contact Lenses with HYDRACLEAR™ Plus, a lens designed to meet the demands of contact lens wearers in environments that can make eyes feel tired and dry, can keep patients wearing their contact lenses longer and boost your contact lens practice.
--ADVERTISING

Seminar Focuses on Fitting Presbyopes
Bausch & Lomb and ABB Optical, an authorized Boston lab, will host a free COPE-approved dinner seminar in New York on Wednesday, June 7th. The focus of the seminar will be presbyopia fitting strategies. Dinner will be held at the Marriott East Side, NY, beginning at 6:30pm. The seminar will begin promptly at 7:00pm. To RSVP, call Doreen Gaede or Suzy Kearns at 1-800-336-6974, extensions 0561 and 6133, respectively.

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: Multifocal Vs. Monovision for Low-Astigmat Presbyopes
Researchers at the Ohio State University’s College of Optometry in Columbus recently conducted a crossover study of 38 patients to assess visual performance and patient satisfaction with two presbyopic soft contact lens modalities. Patients were randomized into either multifocal (Bausch & Lomb SofLens Multifocal) or monovision (SofLens 59) lenses for one month. Researchers measured performance with high- and low-contrast visual acuity and satisfaction with the national Eye Institute Refractive Error Quality of Life (NEI-RQL) Instruments questionnaire. They also recorded patients’ final lens preference.
      Patients maintained at least 20/20 binocular vision with both multifocal and monovision under high-contrast conditions at distance and near. Under low-contrast conditions, patients loss less than one line of acuity from BCVA with either modality. Under low-contrast conditions at near, multifocal wearers lost five to six letters of acuity versus two letters for monovision wearers. Patients reported worse clarity of vision, more symptoms and an improvement in their appearance with contact lens wear on the NEI-RQL. The majority patients (76%) preferred monovision contact lenses compared with monovision (24%). Researchers conclude this preference is likely due to the excellent visual acuity of the SofLens multifocal with less compromise in stereoacutiy than monovision.
Richdale K, Mitchell GL, Zadnik K. Comparison of multifocal and monovision soft contact lens corrections in patients with low-astigmatic presbyopia. Optom Vis Sci. 2006 May;83(5):266-73.


Editor's Commentary: Workshops Thrive Internationally
I sincerely appreciate this very nice correspondence from Professor Debbie Sweeney and IACLE:

Dear Joe,
We at the International Association of Contact Lens Educators (IACLE) read your Editor's Commentary, "Workshops work" (see CLToday, May 14th) with great interest. As I am sure you are aware, IACLE has been promoting a similar initiative in recent years, and we wanted to share that with you.
      Through our collaboration with IACLE's industry sponsors and educators across the world, it is clear that although a close relationship exists and is in fact common practice between educational institutions and industry, this is certainly not the case everywhere in the world. One of IACLE's aims is to facilitate the valuable connection between educators and industry in our member institutions, particularly in the developing world.
      For example, IACLE promotes Industry Seminars, where representatives from all IACLE industry sponsors are invited to visit our member institutions to present product-related information to students and faculty. We also try to encourage industry to provide hands-on workshops with their products so students and educators can gain first-hand, practical experience with products. IACLE also continually challenges industry to donate trial lenses and care products to the institution for use in their contact lens clinics, as well as lenses for the students themselves. IACLE strongly believes that students who have personally experienced the benefits of contact lenses will be far better at promoting contact lens options to their patients on graduating.
      Through these multi-sponsor, IACLE industry seminars, students and future practitioners gain:
    • Up-to-date knowledge of the contact lenses and lens care products available to them
    • Information about the local contact lens market
    • Practical experience with the products during the hands-on workshops.
      We also firmly believe these seminars have a great deal to offer the industry by providing not only exposure for their products, but also interaction with the educators and students, their future customers.
IACLE agrees with your view that the future of the contact lens field may depend on getting students or future practitioners this kind of product exposure, and we encourage all educators to arrange similar activities at their institutions.
Keep up he great work with the column!
Debbie Sweeney,
IACLE President


Removing Larger Diameter GP lenses
Large diameter GP lenses have been wonderful for my patients with irregular astigmatism. The large diameter provides a larger optical zone and helps the lens to center, which maximizes acuity and decreases ghosting. Patient comfort is improved and the computer-generated lenses can be custom designed so that one quadrant is steeper or flatter than the other.
      I agree with last week’s tip that removal of the large diameter lenses may seem challenging at first. I instruct patients to open wide, pin their lids (begin to pull from the center of the upper lid) and just before the blink, push gently against the globe at 12 o'clock. This releases any suction and the lenses come off very easily. For patients who use a suction cup, I instruct them to place the suction cup at the six o'clock position. This helps break any seal as well. If the suction cup is placed in the center of the lens and the lens is tight, it is difficult to remove the lens (not to mention scary for the patient).
Carrie S. Gaines, O.D., F.A.A.O.
Washington University Department of Ophthalmology and Visual Sciences


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 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 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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