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 Sunday, August 17, 2008 A free weekly e-mail newsletter brought to you by: 
CLToday Contact Lens Spectrum
Edited by Carla Mack, O.D., M.B.A., F.A.A.O. and the staff of Contact Lens Spectrum
This week CLToday® reaches more than 14,000 readers in 74 countries. 
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Survey Shows Monthly Replacement Contact Lens Wearers Report a Decrease in Wearing Comfort over the Course of a Month

Monthly replacement contact lens wearers notice a decline in lens performance in weeks three and four of wear, a new survey sponsored by Johnson & Johnson Vision Care, Inc. reveals. Findings from the research among monthly lens wearers in France, in which 20 different brands of lenses were represented, show a decrease in wearing comfort over the course of a month, with no significant differences between wearers of hydrogel and silicone hydrogel monthly replacement lenses. Per the company, data was analyzed for a total of 434 existing contact lens wearers who completed an online survey. Of these, 271 were wearing monthly replacement hydrogel lenses and 163 wore monthly silicone hydrogel lenses.
     About seven in ten monthly silicone hydrogel (71 percent) and hydrogel (68 percent) wearers reported a decrease in wearing comfort as the month progressed. Asked which week of the month, in general, they start to notice that their lenses become more uncomfortable, 95 percent said they become aware of discomfort in weeks three and four. Monthly silicone hydrogel wearers who experienced discomfort tended to notice it earlier in the lens cycle than hydrogel wearers.
     The J&J survey also queried lens wearers about their perceptions of the eye care professional's role in communicating the benefits of contact lens innovations. More than eight out of ten (81 percent) say they expect their doctor to recommend an upgrade on comfort grounds, and three quarters state that they would consider seeing their eye care doctor more often if he or she would proactively propose lenses that would give them better comfort. In addition, around nine of ten (91 percent) wearers say they are more satisfied when their doctor shows them lenses that are better for their ocular health and offer more comfort.
     To view an article on the survey results visit http://www.jnjvisioncare.com/pdf/cl-research-monthly-081308.pdf

NFOS to Host Alumni Reception at ABO-NCLE Conference

The National Federation of Opticianry Schools (NFOS) is proud to host their first Alumni Reception at the ABO-NCLE National Education Conference, Sept 20, 2008, in Cincinnati, OH. The reception is free to all alumni registered for the conference. The reception is an opportunity to catch-up with instructors and fellow opticianry school graduates in a fun, informal atmosphere.
     The ABO-NCLE National Education Conference offers over 150 hours of ABO-NCLE approved optical and contact lens training and education to improve an optician's technical, professional, managerial and personal performance. The weekend also offers review classes for both the ABO and NCLE Basic and Advanced exams, with the corresponding certification examinations offered on-site. The Optical Showcase exhibit hall will feature state-of-the-art products, major companies from the optical and contact lens fields and "show and tell" demonstrations.
     This venue is also the location of the Opticians Association of America 2008 National Opticians Convention. Register at www.abo-ncle-conference.com.

Comfort for Performance

Now is the perfect time to fit more of your patients in ACUVUE® OASYS™ Brand Contact Lenses with HYDRACLEAR® Plus for all-day comfort and Class 1 UV blocking* for great protection against UV rays. To learn more about our innovations in comfort, vision and health, go to:
*Important Product and UV Information | Important Safety Information

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Optometric Nutrition Society Announces Education Meeting

The Optometric Nutrition Society (ONS) will hold its first annual education meeting on October 21, 2008 in Anaheim, CA. This will be one day before the beginning of the American Academy of Optometry meeting. According to the ONS, recent studies show that consumers spend over $12 billion a year on nutritional supplements, and many patients prefer the "natural" approach to treating their eye condition. The courses for this meeting will review the role of nutrition counseling in the care and prevention of many of the eye conditions that present to the office on a daily basis.
     The agenda includes the following speakers and topics: Ellen Troyer MT, MA, Current Thoughts on Nutrition: The Latest from A-Z; Steve Whiting, PhD, Understanding the Importance and Concepts of Full Spectrum Nutrition; Stuart Richer, OD, FAAO, Inflammation and the Retina; Bruce Ames, PhD, Nutrients and Mitochondrial Health; Larry Alexander, OD, FAAO, Nutrients and Neuroprotection; and Jeffrey Anshel, OD, The Role of Nutrition in the Primary Care Practice.
     Registration is open to all members of the Society (non-members can join on the website). For details visit www.optometricnutritionsociety.org/.

Registration Open for CLMA Annual Meeting

The Contact Lens Manufacturers Association (CLMA) has opened registration for its annual meeting to be held at the Renaissance Ross Bridge Golf Resort & Spa in Hoover Alabama, near Birmingham, November 13-15, 2008. The registration deadline is September 30, 2008.  Program and registration information can be found at www.clma.net.

GSLS Free Papers and Posters Submission Deadline Is September 1, 2008

Contact Lens Spectrum and the Health Care Conference Group will host the Global Specialty Lens Symposium (GSLS), January 15-18, 2009, at Bally's Hotel and Casino in Las Vegas, NV. The GSLS will include presentations on the latest techniques and technologies for the successful management of ocular conditions using today's specialty contact lenses. Truly an international meeting, GSLS will provide insights of experts from around the globe and hands-on access to the most current products available. The program will be accredited for continuing education under COPE, NCLE and JCAHPO, offering 17+ credit hours.  
     Those interested in submitting free papers or posters should note that the submission deadline is September 1, 2008. Visit www.GSLSymposium.com for more information or to register for this unique meeting. Companies interested in exhibiting should contact Sean Casey at 732-483-4302 or sean.casey@wolterskluwer.com.
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Abstract: Treatment, Material, Care, and Patient-Related Factors in Contact Lens-Related Dry Eye

Researchers from The Ohio State University proposed to examine the effect of general contact lens and material characteristics, care solutions, treatment, and patient-related factors on contact lens-related dry eye. The data were derived from the Contact Lens and Dry Eye Study, designed as a cross-sectional and nested case-control study including 360 subjects. In separate statistical models, logistic regression was used to examine general contact lens characteristics, specific hydrogel lens materials, care solutions, and patient-related factors associated with dry eye status (controlled for age, gender, and current treatments).
     Several factors were significantly associated with dry eye, including treatment factors such as a recent contact lens refitting (odds ratios [OR] = 5.75, 95% confidence intervals [CI] = 2.14 to 15.46) and use of artificial tears/rewetting drops (OR = 1.09, 95% CI = 1.02 to 1.16), in addition, currently worn materials including Food and Drug Administration (FDA) group II (OR = 2.98, 95% CI = 1.14 to 6.19) and IV (OR = 1.87, 95% CI = 1.08 to 3.24). Significant patient-related factors included decreased overall satisfaction (OR = 3.57, 95% CI = 2.08 to 5.88,), dry eye in the absence of contact lens wear (OR = 6.54, 95% CI = 2.57 to 16.62), reduced daily lens wear duration (OR = 1.16, 95% CI = 1.06 to 1.26), and reduced ability to wear lenses as long as desired (OR = 2.44, 95% CI = 1.30 to 4.54). Care solutions were not associated with contact lens-related dry eye.
      They concluded that the strong association of common treatment factors with dry eye status in contact lens wearers suggests that these treatments are not entirely effective. The use of high water content materials was strongly related to dry eye in lens wearers, whereas care solutions were not. Contact lens-related dry eye was also associated with several patient-related factors such as greater ocular discomfort (without lenses), dissatisfaction, and inability to wear lenses for desired durations.
Ramamoorthy P, Sinnott LT, Nichols JJ. Treatment, Material, Care, and Patient-related Factors in Contact Lens-Related Dry Eye. Optom Vis Sci. 2008 Aug;85(8):764-72.

Editor's Commentary: Recommended Replacement Schedules

I clearly recall sitting at a dinner meeting where one practitioner was boasting how daily disposables are very affordable in his practice. He further explained the reason was that he prescribed daily disposables for several days of wear rather than one. There are also practitioners who recommend two week replacement contact lenses for one month of wear. Clearly, the practitioner can recommend lens replacement as he or she sees fit. I have no issue with recommending a wear schedule that is more conservative than the manufacturer's recommendation. I am not in favor of recommending a wear schedule that is longer than the manufacturer's recommended replacement though. I think this provides a confusing message to the patient who is probably not compliant anyway. I'm interested in our readers' thoughts on this.
Carla Mack, O.D., F.A.A.O.

This month at www.siliconehydrogels.org: daily disposable silicone hydrogel lenses, the proactive practice, fitting trends, and part one of our ARVO 2008 update.
Report adverse contact lens reactions here: http://www.accessdata.fda.gov/scripts/medwatch/ or call (800) FDA-1088.

Report possible grievances related to the Fairness to Contact Lens Consumers Act or associated Contact Lens Rule at: https://www.ftccomplaintassistant.gov/.
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For more information on Contact Lenses Today including archives of previous issues or to subscribe to this newsletter, please visit our website at www.cltoday.com. For the latest articles on contact lenses, important clinical information and helpful tools related to the contact lens practice visit the Contact Lens Spectrum website at www.clspectrum.com.
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