CLSA Eye Witness Spring 2011 - (Page 6)

FEATURE ARTICLE the daily lens modality makes it as simple as possible to encourage borderline offenders to do the right thing the majority of the time. Basically, this lens modality minimizes the margin for error. This does, in my opinion, make more of the patients wearing these lenses less likely to do the things we don’t want them to do. Or at least hopefully they won’t do these bad things as often. The Ugly A wise man once said “bad things happen to good people” and contact lens wearers are no exception. Even with the ease of care, improved compliance, increased cleanliness and all the other advantages a daily disposable modality has to offer to our patients we still have reports and see cases of contact lens related complications in these lenses. There are several reports in the literature describing cases of microbial keratitis in daily lens wearers. For example, Priti Batta, M.D., and Michael H. Goldstein, M.D. published a case of a compliant and infrequent daily lens wearer with a culture positive Pseudomonal ulcer. This patient wore her lenses for only 5 to 6 hours per day, interchanging with glasses wear. She reported replacing her contact lenses daily and denied overnight use. These sight threatening infections, however rare, are currently still a possibility for any and all contact lens patients. Hopefully with the continued advancements we have seen over the last fifteen years of daily disposable contacts these improvements in technology, patient care and a better understanding of corneal physiology we will continue to reduce these risk and give the patients the most convenient, safest, most comfortable option for their visual correction. Conclusion Daily disposable contact lenses offer many advantages to the vision and ocular health of our patients and are a growing part of the contact lens landscape. Although no such thing exists as a perfect or foolproof contact lens, the advancements in contact lens science continues to improve contacts making them a safe and convenient solution for visual correction. As daily disposables continue to utilize these advancing technologies I expect we will continue to see improvements in patient comfort, safety and overall satisfaction with their contacts. the indispensable Daily Disposable David l. Kading, oD, faao, fclsa, and mile Brujic, oD many clinicians reserve single use lenses for problem solving situations. although these lenses make great problems solvers, there are many applications where single use lenses can be used. Daily disposable contact lenses provide significant benefits for a number of patients. Understanding the benefits along with the options that are available will empower practitioners to optimally match each patient type with the lens options available (see chart on pages 8–9). Compliance Regardless of the lens or modality that is prescribed, practitioners are always concerned about the rate of compliance that is exhibited by our patients. Manufacturers have looked at the lens replacement compliance rate of each modality type. It should be no surprise that single use lenses demonstrate higher compliance rates than all the other modalities. Depending on the source single use lenses consistently maintain between 75-90% compliance rate. (Ciba Vision Single Use Lens Data on file) We have to consider the health affect on our patient’s eyes when we discuss non-compliance. Clinically, we see lenses that are worn longer than recommended and can build up microscopic deposits. Additionally, we must con6 w w w. c l s a . i n f o | sider the long-term effect that non-compliance may have to patient comfort. Daily disposable lenses will offer a high level of compliance and often times are associated with comfortable lens wear. Single Use Patient Options Many clinicians reserve single use lenses for problem solving situations. Although these lenses make great problems solvers, there are many applications where single use lenses can be used. First Time Wearer—First time lens wearers have unique challenges when it comes to wearing contact lenses. There are a number of rules that many of us go over thoroughly with patients that are new to lens wear. Many of these instructions can be very challenging to a new patient who is very focused on “putting their finger into their eye” for the first time. Simplifying the process by utilizing a single use lens may make the initial fitting process a less stressful experience. This is important to consider, particularly when working with pediatric patients. | EyEWitnEss spring 2011 c o n ta c t l e n s s o c i e t y o f a m e r i c a http://www.clsa.info http://WWW.CLSA.INFO

Table of Contents for the Digital Edition of CLSA Eye Witness Spring 2011

CLSA Eye Witness Spring 2011

CLSA Eye Witness Spring 2011 - (Page Cover1)
CLSA Eye Witness Spring 2011 - (Page Cover2)
CLSA Eye Witness Spring 2011 - (Page 1)
CLSA Eye Witness Spring 2011 - (Page 2)
CLSA Eye Witness Spring 2011 - (Page 3)
CLSA Eye Witness Spring 2011 - (Page 4)
CLSA Eye Witness Spring 2011 - (Page 5)
CLSA Eye Witness Spring 2011 - (Page 6)
CLSA Eye Witness Spring 2011 - (Page 7)
CLSA Eye Witness Spring 2011 - (Page 8)
CLSA Eye Witness Spring 2011 - (Page 9)
CLSA Eye Witness Spring 2011 - (Page 10)
CLSA Eye Witness Spring 2011 - (Page 11)
CLSA Eye Witness Spring 2011 - (Page 12)
CLSA Eye Witness Spring 2011 - (Page 13)
CLSA Eye Witness Spring 2011 - (Page 14)
CLSA Eye Witness Spring 2011 - (Page 15)
CLSA Eye Witness Spring 2011 - (Page 16)
CLSA Eye Witness Spring 2011 - (Page 17)
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CLSA Eye Witness Spring 2011 - (Page 28)
CLSA Eye Witness Spring 2011 - (Page 29)
CLSA Eye Witness Spring 2011 - (Page 30)
CLSA Eye Witness Spring 2011 - (Page 31)
CLSA Eye Witness Spring 2011 - (Page 32)
CLSA Eye Witness Spring 2011 - (Page 33)
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CLSA Eye Witness Spring 2011 - (Page 35)
CLSA Eye Witness Spring 2011 - (Page 36)
CLSA Eye Witness Spring 2011 - (Page Cover3)
CLSA Eye Witness Spring 2011 - (Page Cover4)
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