As the year comes to an end, we are ramping up on our editorial materials for 2015, including our widely read Annual Report “Contact Lenses 2014”—our
year-end review evaluating trends in our field. As always, we would like to hear from you about topics you would like to hear more about in our
publication. Please do not hesitate to reach out at cltoday@pentavisionmedia.com.
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Optometrists may now be nominated for the 2015 National Optometry Hall of Fame, a tremendous honor for doctors who have made a significant and long-lasting
impact on the profession. Inductees will be honored at Optometry’s Meeting in June 2015 in Seattle, Washington. The National Optometry Hall of Fame is
administered by the American Optometric Association’s (AOA) charitable foundation, Optometry Cares.
New this year, there are two categories for the award – one for optometrists who work in the academic field of the profession, and the other for
optometrists who work in private practice or federal service. There will be a minimum of one person inducted from each category.
Each nomination is valid for National Optometry Hall of Fame consideration for four consecutive years, and optometrists nominated for the 2014 AOA
Distinguished Service Award will be placed into the National Optometry Hall of Fame selection pool for 2015.
To be eligible for the National Optometry Hall of Fame, an optometrist must have records of dedicated service, lifetime achievements and enduring lifetime
contributions, as well as involvement in the profession of optometry for more than 30 years. Specific criteria for nominations can be viewed here.
The deadline for online submissions is January 15, 2015. To access the nomination forms and criteria, visit www.aoafoundation.org/national-optometry-hall-of-fame.
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Join us January 22 - 25, 2015 for Global Specialty Lens Symposium at Bally’s Hotel & Casino in Las Vegas. The GSLS is a comprehensive meeting focusing
on the latest techniques and technologies for the successful management of ocular conditions using today's specialty contact lenses. The meeting includes
information for vision care professionals in all disciplines, with both surgical and non-surgical options covered. Accredited for continuing education
under COPE, NCLE, and JCAHPO, the meeting will offer approximately 30 credit hours.
Attended annually by more than 500 participants from 30+ countries it is the largest conference of its kind in the U.S.
Register before December 15th and save!
For complete conference details and to register now, visit GSLSymposium.com.
--ADVERTISING
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ABB Optical Group, in recognition of the company’s 25th anniversary, intends to match all donations up to $25,000 made to Optometry Cares—The AOA Foundation now through December 31st.
The ABB OPTICAL GROUP matching gift will help bolster AOA members’ contributions to ensure support of valuable Optometry Cares programs, such as:
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InfantSEE
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Healthy Eyes, Healthy People
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VISION USA
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Camp Courage: A Helen Keller Experience
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Optometry’s Fund for Disaster Relief
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Endowment and Scholarship Funds
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National Optometry Hall of Fame
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Archives & Museum
Donations to Optometry Cares—The AOA Foundation are tax-deductible and help expand eye health and vision care access for people nationwide. For more
information or to make a donation, visit aoafoundation.org.
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Ophthalmic Women Leaders (OWL) announced the appointment of Angela Bedell to the role of Executive Director. In this role, Ms. Bedell will be responsible
for all OWL activities, including strategic planning, financial management of the organization, fund-raising, and program development and implementation.
Ms. Bedell brings 20-years of comprehensive experience in association management to the position, working primarily in healthcare organizations, including
the American Nurses’ Association, the American Academy of Family Physicians, the American Society of Plastic Surgeons, and the Society of Teachers of
Family Medicine. Her professional passion is developing revenue for non-profit organizations and growing membership beyond expectations.
Bedell is a Certified Association Executive (CAE), is the Vice Chair of the Marketing Section Council for the American Society of Association Executives
(ASAE), and has served in leadership roles on the Membership Council and the Healthcare Committee of the ASAE. Bedell has been published in national
non-profit magazines and has presented at many international conferences. She was recently selected as the "Distinguished Association Executive" by the
Kansas City Society of Association Executives.
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This image represents an “angry limbus” appearance caused by tightly fitted scleral zone of 16.50mm mini-scleral lens. Note an absence of fluorescein
depletion in the pre-corneal tear film. The image was taken three hours post lens insertion. This patient developed keratoconus at the age of 44 years and
has a background of Grave’s disease.
We thank Boris Severinsky for this image and we welcome photo submissions from our other readers! It is easy to submit a photo for consideration for
publishing in Contact Lenses Today. Simply visit http://www.cltoday.com/upload/upload.aspx
to upload your image. Please include an explanation of the photo and your full name, degree or title and city/state/country.
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MATERIALS & DESIGNS
David Kading, OD, FAAO
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Three Success Strategies for NOW
As we look at the last 11 months and what our practices have been through, an important thing to review is, are my patients wearing the lens I think they
are?
I propose three tips for you.
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Do a review of your materials. You should be able to do this through an evaluation from your distributor or through your practice management system. As
most of you know, I am passionate about single use lenses. Yesterday I ran a review of my contact lens sales in my practice management system. I was
happy to see that the materials that we are selling, reflects my passion. Our top five lenses are all single use. This matches where I want to be. How
do your sales match up?
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Look at your designs. I know that I do a lot of sclerals. As a specialty referral practice, many practitioners in Washington refer their patients to
our practice. But being a practice that does “a lot” of lenses is not really measureable. I went through and reviewed the number of scleral lenses that
I sold this past year. I was happy to see where these numbers are, and now as I look at the next year, I can set targets both for where I can the
practice to be financially, and more importantly, for how many patients we can help. This holds true for all our designs: corneal GP, Scleral, Custom
Soft, and disposable lenses.
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Look at your targets for 2014 and see if you have met them. For this example, let’s use Orthokeratology. I love doing Orthokeratology. I think that
beyond its benefits for the reduction of glasses and contact lenses, its anticipated help in slowing down the progression of myopia in kids makes it a
phenomenal addition to any practice. I ran the numbers; I did well, but would love to have done better. As I look to 2015, this gives me some new
targets.
It’s never too late or too early to review your performance. Having a good look at the “scoreboard” is an excellent way to know where you rate. As the year
is drawing to a close, don't relax in your patient discussions. Push for progress and better performance for your patients.
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Tear Film Debris in a Scleral Lens Wearer? Try a “Cocktail”.
A 60 year-old speech pathologist reported for her 3 month scleral gas permeable (GP) contact lens follow-up. Her new lens provided superior vision and
comfort as compared with her previous small diameter GP contact lens. However, her vision was becoming increasingly cloudy over minutes to hours, and the
only way to resolve it was to remove the lens, clean it, and refill it with non-preserved artificial tears 3-4 times per day.
Biomicroscopy showed a healthy contact lens fit and anterior segment, and, as expected, moderate under-lens tear debris. There are many theories as to the
origin of this debris in scleral contact lens wearers, but one thing is for certain: it is not uncommon. It may have something to do with a patient’s
ocular surface. This patient, in addition to her keratoconus, demonstrated meibomian gland deficiency, anterior basement membrane dystrophy, endothelial
guttata, and her eye had already endured a cataract surgery with a posterior chamber IOL. Since her lens fit and her lens care compliance were acceptable,
I changed the solution with which she was filling her lens every morning.
I recommended that she make a “cocktail” to fill the lens, beginning with two to four drops of a clear, non-preserved, viscous carboxymethylcellulose
followed by 0.9% sodium chloride inhalation solution to the top of the lens’ rim. Within days, she noted that the cloudiness had diminished and that she
only needed to remove the lens once per 12-hour day to refill it.
While this “cocktail” may not solve every patient’s clouding dilemma, it helped in this case. Although it is uncertain who originally devised this method,
I would like to thank Drs. Greg DeNaeyer and Pam Satjawatcharaphong for communicating it to me.
http://www.clspectrum.com/articleviewer.aspx?articleID=105290
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Myopia Control during Orthokeratology Lens Wear in Children Using a Novel Study Design
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The purpose of this study was to investigate the effect of overnight orthokeratology (OK) contact lens wear on axial length growth in East Asian children
with progressive myopia.
A prospective, randomized, contralateral-eye crossover study conducted over a 1-year period. Researchers enrolled 26 myopic children (age range, 10.8-17.0
years) of East Asian ethnicity.
Subjects were fitted with overnight OK in 1 eye, chosen at random, and conventional rigid gas-permeable (GP) lenses for daytime wear in the contralateral
eye. Lenses were worn for 6 months. After a 2-week recovery period without lens wear, lens-eye combinations were reversed and lens wear was continued for a
further 6 months, followed by another 2-week recovery period without lens wear. Axial eye length was monitored at baseline and every 3 months using an
IOLMaster biometer. Corneal topography (Medmont E300) and objective refraction (Shin-Nippon NVision-K 5001 autorefractor) were also measured to confirm
that OK lens wear was efficacious in correcting myopia.
Axial length elongation and myopia progression with OK were compared with conventional daytime rigidcontact lens wear. After 6 months of lens wear, axial
length had increased by 0.04±0.06 mm (mean ± standard deviation) in the GP eye (P = 0.011) but showed no change (-0.02±0.05 mm) in the OK eye (P = 0.888).
During the second 6-month phase of lens wear, in the OK eye there was no change from baseline in axial length at 12 months (-0.04±0.08 mm; P = 0.218).
However, in the GP eye, the 12-month increase in axial length was significant (0.09±0.09 mm; P < 0.001). The GP lens-wearing eye showed progressive
axial length growth throughout the study.
The authors concluded that these results provide evidence that, at least in the initial months of lens wear, overnight OK inhibits axial eye growth and
myopia progression compared with conventional GP lenses. Apparent shortening of axial length early in OK lens wear may reflect the contribution of
OK-induced central corneal thinning, combined with choroidal thickening or recovery due to a reduction or neutralization of the myopiogenic stimulus to eye
growth in these myopic children.
Swarbrick HA, Alharbi A, Watt K, Lum E, Kang P. Myopia Control during Orthokeratology lens Wear in Children Using a Novel Study Design. Ophthalmology. 2014 Nov 6. [Epub ahead of print]
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To report adverse contact lens reactions visit:
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To report possible grievances related to the Fairness to Contact Lens Consumers
Act or associated Contact Lens Rule visit:
https://www.ftccomplaintassistant.gov/.
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For the latest articles on contact lenses, important clinical information and helpful
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