CONTACT LENSES TODAY

August 13, 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.


FTC Files First Complaint Under FCLCA
On August 7, the Federal Trade Commission (FTC) filed charges against Walsh Optical Inc. and its owner Kevin Walsh for violating the Fairness to Contact Lens Consumers Act (FCLCA) of 2003 and the Contact Rule of 2004. Walsh Optical operates three Web sites that sell contact lenses directly to consumers: http://www.lensworld.com, http://www.contactmania.com and http://www.contactlensworld.com. The FTC alleges that the sites failed to verify consumers’ prescriptions. The FCLCA requires that sellers either obtain a copy of the prescription or directly verify it with the prescriber before selling contact lenses to consumers. The company is settling charges and will pay $40,000 in civil penalties. The settlement contains provisions that allow the FTC to monitor compliance. The FTC says the company will be prohibited from violating the Contact Lens Rule in the future. The complaint and proposed order were filed at the FTC’s request by the Department of Justice in the U.S. District Court for the District of New Jersey, and are available on the FTC’s Web site.

AOA Survey Shows Adults Lack Eyecare Knowledge
The American Optometric Association’s first American Eye-Q survey found parents lack important knowledge about eye health and vision care. In terms of their children, 44% of parents didn’t know that behavioral problems could be an indication that a child’s vision is impaired. And, only one in 10 adhere to the AOA’s recommendation that infants have an eye exam before their first birthday; nearly one-third of all children have never had a full eye exam.
    The survey also revealed parents need to take better care of their own eyes. Among Americans who do not wear glasses or contact lenses, 62% haven’t been to an eye care professional in the last two years. What’s more, nearly 20% have never been to an eye doctor. More than 60% of adults surveyed knew that an eye exam could detect diabetes and hypertension, but only 23% knew an exam could identify symptoms of multiple sclerosis.
    Parents also have some common misperceptions about eye and vision health. More than eight of 10 believe that sitting too close to the T.V. and reading under dim lighting will affect vision. In addition, 70% of Americans mistakenly believe carrots are the best food for eye health. According to the AOA, eating the equivalent of half a cup of cooked spinach four to seven times a week can help protect against AMD. It would take four pounds of carrots or 17 cups of iceberg lettuce to meet the same goal.

Real-world feedback from eye care professionals now supports pre-launch claims of ACUVUE® ADVANCE™ Brand Contact Lenses for ASTIGMATISM. When compared to Soflens66® Toric, ACUVUE® ADVANCE™ for ASTIGMATISM clearly provides more predictable orientation and crisper, more stable vision; the advantage comes from the Accelerated Stabilization Design. Less lid interaction leads to superior performance versus the traditional prism-ballast design such as found in Soflens66® Toric. Also, because of HYDRACLEAR™ Technology, the lens delivers significantly better comfort both upon insertion and at the end of the day.
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Global Keratoconus Congress Accepting Submissions The Educational Program Committee of the Global Keratoconus Congress invites the submission of abstracts for the Free Papers and Scientific Posters Competition to be held January 26-28, 2007 in Las Vegas. Papers and Posters related to keratoconus, corneal topography, post penetrating keratoplasty or related irregular corneal surface, gas permeable lens and lens care topics are welcome. Please visit www.gkc2007.com for information.
Additionally, the Global Keratoconus Congress is pleased to announce that registration is open for attendees. The website has been updated to include hotel information and a preliminary agenda as well as registration information. Please visit www.gkc2007.com for information and to register.

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Abstract: Contact Lens Wear A Risk Factor for Fungal Keratitis?
Researchers at the University of Miami’s Bascom Palmer Eye Institute recently conducted a retrospective review of microbiology records of culture-positive fungal keratitis cases from Jan. 2004 to Dec. 2005. They found recovery of fungal pathogens among contact lens wearers increased from 26.7% of isolates (eight of 30) to 50% (18 of 36) in 2005. Fusarium species were the most frequent fungal pathogens. The authors also found soft contact lens wear among the Fusarium cases more than doubled (seven of 30, or 23.3% vs. 17 of 36, or 47.7%) from 2004 to 2005. They conclude that contact lens wear may be a risk factor in fungal keratitis.
Alfonso EC, Miller D, Cantu-Dibildox J, O’Brian TP, Schein OD. Fungal keratitis associated with non-therapeutic soft contact lenses. Am J Ophthalmol. 2006 Jul;142(1):154-5.


Editor's Commentary: Value of Our Services
You’ve probably seen or heard this phrase before from colleagues too many to mention. I usually try to make my messages ecumenical, i.e., common to all of the Os. But in this case, my comment is about optometry and how many of us often train our students. Many, if not most, of us were trained in settings where fees were secondary (or far worse) and education was paramount. There’s nothing wrong with that. But when students see that we do not assess proper legal coding and billing fees consistently, what habits and philosophies do they adopt? Optometry and its educators need to make sure that we instill in our trainees the concept that the services we provide are extremely valuable — just as the services of a great M.D. or great restaurateur. If the contact lens field is to succeed, we must optimize fees for contact lens services, minimize material fees, and, most importantly, properly code services for 3rd party reimbursement for important contact lens-related and other decision-making.

Fitting Tip: Repetition is Key
As recent events have shown, the need to educate our patients of the importance of keeping their contact lens cases clean is more vital than ever. To help remind patients, we provide a fresh case at every visit and caution them not to save all their old cases. In addition, we direct them to replace their case at least every time they open a new box of lenses.
    Repetition is the key. The more we talk to patients about this crucial issue, the more likely they will be to respect its significance.
Lawrence A. Rand, O.D.,
Lemoyne, Pa.


This month at http://www.siliconehydrogels.org/, get an update of silicone hydrogels at ARVO 2006 and review ‘oxygen flux‚’ as well as the cornea’s response to different levels of oxygen transmissibility.

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.

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