CLToday Fitting Tip of the Month

December 2004

Contact Lenses Today is edited by Dr. Joseph T. Barr and the staff of Contact Lens Spectrum. This week, CLToday reaches more than 10,000 readers in 74 countries.

Managing Contact Lens-Associated Dryness
When a patient presents with a borderline tear volume concern, we'll often perform Shirmer testing with the patient's habitual lens still on the eye in the absence of an anesthetic. We repeat the test without the contact lens and again without anesthetic. Doing so allows us to determine the tear volume of the eye shared by the ocular surface and the contact lens. If we note a significant difference, then we'll consider a different lens material, such as a Group II non-ionic, high-water lens or a silicone hydrogel material, as well as the use of punctal plugs to enhance tear volume.
-- Kenneth M. Daniels, O.D., F.A.A.O.
Princeton, N.J.

Contact Lens Wearers Not Likely to Mention End of Day Discomfort
In a recent VISTAKON survey of vision-corrected consumers, 63 percent of contact lens wearers reported some end-of-day discomfort from wearing contact lenses. The most common symptoms were eye dryness and lenses not feeling as comfortable as they did when first put in. Those experiencing discomfort attributed it to a variety of reasons, such as wearing contact lenses for too long, lack of sleep, windy environment, underscoring the importance of asking specific probing questions to uncover real issues among seemingly happy patients.

Address end of day discomfort by prescribing ACUVUE ADVANCETM with HYDRACLEARTM. You'll exceed patients' expectations and hopefully keep them in contact lenses longer.

Report adverse contact lens reactions here: 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: Complete and send the form online or print it out and fax it to (866) 886-6164.

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