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Opchat Magazine Contact Lens PagesContact Lens News, January to March 2018

IACLE welcomes increased sponsorship from CooperVision to help support contact lens education worldwide
Lecture’s live streaming will see uveitis treatment shown around the world online.
Aston University students gain industry insight with No7.
ACLM Elects a New Chairman.
Cutting through the range of eye surgery options to improve outcomes.
Hand painted lenses change lives says No7
2018 IACLE Awards winners to attend events in USA.
Ortho-k prescribing rises by 18% in 2017.
Safilens launches fusion 1day vista, the first daily contact lens for asthenopia.

IACLE welcomes increased sponsorship from CooperVision to help support contact lens education worldwide

February 2018

Contact lens maker CooperVision has renewed its support for the International Association of Contact Lens Educators (IACLE) and stepped up its sponsorship to Gold level.

CooperVision, a unit of global medical device company The Cooper Companies, Inc, is one of the world’s leading manufacturers of soft contact lenses. The company was founded in 1980, and it is headquartered in Pleasanton, California, USA. Its products are sold in more than 100 countries.

IACLE’s current sponsors are Platinum Sponsor Alcon, Gold Sponsor CooperVision, Silver Sponsor Johnson & Johnson Vision, Bronze Sponsor Bausch + Lomb and Donor Sponsor Euclid Systems – who together help support the association’s high-quality contact lens programs worldwide. CooperVision has also sponsored the annual IACLE Contact Lens Educator of the Year Awards since their introduction in 2014.

IACLE is the leading provider of educational and information resources essential to contact lens educators. It currently has 826 active members in 70 countries around the world. Of these, around half are in its Global Priority Countries (China, India, Korea, Taiwan, Mexico, Brazil and Russia). Europe and North America are also well represented.

IACLE members teach at more than 570 academic institutions worldwide and reach an estimated 20,000 students annually. IACLE recently introduced the New IACLE Contact Lens Course (New ICLC), a 30-lecture course fully revised and updated by the world’s leading authorities in contact lenses, to keep pace with developments in the contact lens field.

IACLE President Dr Shehzad Naroo welcomed the increased support from CooperVision as Gold Sponsor: ‘We have a long-established working relationship with CooperVision. Our educational goals are aligned and we are very grateful for the company’s increased support since this will help us to achieve the aims of IACLE.’

‘As the vision correction needs of today’s patients continue to evolve, contact lens education has become even more critical to the long-term success of contact lens wearers,’ commented Dr Gary Orsborn, Vice President of Global Professional & Clinical Affairs for CooperVision. ‘Today’s students are tomorrow’s eye care professionals, and we are proud to partner with IACLE to help bring best-in-class education into their institutions.’

Lecture’s live streaming will see uveitis treatment shown around the world online.

February 2018

A scientific lecture examining the diagnosis and treatment of uveitis will be the first ever presentation fully live streamed by the British Contact Lens Association, allowing members across the world to access the content online.

The presentation, to be delivered by Professor Teifi James, will be recorded live and broadcast through the members’ resources section of the BCLA’s website, opening up the lecture to members unable to make it down to London for the event itself.

BCLA president Keith Tempany said: “We are looking forward to a bumper turn-out for what promises to be an unmissable guest lecture. However, we understand that not everyone can make it down to London for a midweek evening meeting.

“We want our events, and the content shared at those events, to be available to as many of our members as possible and live streaming is something we have been looking at for a while.

“Advances in technology now make this possible and we are thrilled to be able to offer this forthcoming presentation live on our website. Streaming this lecture online will open it up to BCLA members anywhere in the world.

“As an organisation we try to be pioneers and this is another example of us leading the way in offering more for our members. We are looking forward to members joining us live online and in the room on the night.”

The meeting, to be held at the Royal College of Nursing in London from 7pm on Tuesday, March 20, will provide an overview of uveitis diagnoses and treatments, including an explanation of the Standardised Uveitis Nomenclature (SUN) classification associated with specific uveitis scenarios.

Topics to be discussed include:

• Infectious Uveitis
• Juvenile idiopathic arthritis and irtis
• Auto-immune Non-infectious uveitis,
• Anterior Uveitis
• Intermediate Uveitis
• Posterior Uveitis
• Choroiditis
• Retinitis
• White Dot Syndrome

Prof James, a consultant ophthalmic surgeon, specialises in the management of uveitis and scleritis, caring for more than 1,200 of these patients. Over the last decade he has lectured extensively on Meibomian Gland Dysfunction; the tear film and the ocular surface.

He said: “For each condition we will consider signs and symptoms, tips in diagnosis and management, treatments and the changes in evolving presentations, epidemiology and management of these diverse and challenging conditions.

“The presentation will also address the surgical techniques involved in dealing with the consequences of uveitis, paying particular attention to uveitic cataract with posterior synaechiae and the surgical management of Band Keratopathy.”

Entry to the evening meeting is free for full BCLA members but places must be reserved in advance. Online registration for this event is now open.

Aston University students gain industry insight with No7.

Aston University StudentsOptometry students at Aston University gained an insight into the post-graduation world of optics last week when a team from No7 Contact Lenses visited the department.

The importance of fitting mini-sclerals, the loyalty which RGP lenses can engender, and the overwhelming case for introducing Ortho-k to a wide range of patients, were all outlined by the team from No7.

Professor James Wolffsohn, Deputy Pro Vice-Chancellor of the School of Health and Life Sciences at Aston University, said the day “was important for real clinical and industry experience to deliver good contact lens care for patients,” and praising No7’s approach he stressed that “optometry needs to continue to move forward with new developments”.

Engaging patients with contact lenses, and addressing the stubbornly disappointing drop-out rates for lens wearers – normally due to discomfort – are important believes No7.

Lectures and workshops for second and third year students brought an opportunity to try RGP lenses and to take advantage of the fitting skills on hand provided by the No7 team.

“Becoming confident in prescribing a wide array of lens options, is important in providing good patient care,” said No7 Professional Services Director, Katie Harrop.(pic right)

Fitting keratoconics, and patients with complex prescriptions, plus guidance for Ortho-k prescribing were all covered in Katie’s presentations. There was advice from practice experience about the benefits of increasing lens diameter which can reduce on-eye movement and lid interaction resulting in increased comfort, but also bringing the students’ attention to issues of oxygen to the eye.

Naroo left and Harrop right at AstonAs she said, “Soft lenses and specs are not always the best option for vision and comfort for a small group of patients. Consideration needs to be made about many issues – particularly the fit and vision provided by the lens, but also the comfort and any issues with dry eye which may make patients reluctant to stay with lenses.”

Katie gave an overview of Ortho-k’s development to the students, to the point where “modern orthokeratology can comfortably correct up to 5.00D, so this expands who can use this modality enormously. Many practitioners are finding that as Ortho-k is reversible, convenient and provides good vision for their patients it is a great practice builder. Beyond the myopia control and vision correction, they are great for marginal dry eye patients who do not want to wear specs."

“The Ortho-k and RGP patient base builds itself and builds the reputation of the practice through referrals. Success with RGP lenses, and specifically Ortho-k is all about good fitting, and that is why topography is vital.”

Dr Shehzad Naroo, (pic left) Reader and Module Leader for Anterior Eye, said, “No7 have supported us with topics not covered in regular clinics. Bringing their manufacturing expertise with fitting guidelines, and showing the students how to use the lenses is very valuable. Whilst the lectures on scleral lenses and orthokeratology are part of the syllabus and are included in the final year exam, the practical element is not part of the core competency for the Anterior Eye module – it is optional, but we had around 140 final year students attending the practical. That is around a third of the year: these are the specialist practitioners of the future.”
The students were very receptive to the presentations, as second year, Hannah Omar, said, “I had been confused as to why anyone would wear RGP lenses, but now I can see why there is a place for them. The scenarios demonstrated – particularly about getting people back to driving showed how life changing they can be.”

“It was a very different lecture for us and gave us a good perspective. It is nice to have the personal experiences of an optometrist,” said Laura Phillips.

“I found the presentation very informative and especially hearing about how the lens materials have changed over time,” said Simran Jeet Singh.

“The presentations have motivated me to do think about doing something different in the practice. It would be good to build a rapport with the patient and for them to appreciate you for the eye care,” said Zara Pervez.

“Katie is a very engaging speaker who explained the many positive benefits for some patients to wear RGPs. They can be healthier and cheaper and the fact that they last so long means I can now see why people would go with them,” said Humaira Shakoor.

“It was really informative and good to learn about RGPs, and being shown how to grade them. My goal is to work in hospitals so I expect to be using more RGPs,” said Maheen Qazi.

Katie’s top tips on RGPs from practice:

1. RGPs can be easier to handle as they cannot turn inside out
2. RGPs tend to be lower cost because they are replaced less frequently
3. RGPs are made to your patient’s prescription to within microns of accuracy
4. High cyls and back toric designs which lock onto the ocular surface shape can be created
5. Curves to the design can be changed independently of other parameters within the lens
6. Toricity and multifocal powers can be built in very easily to an RGP lens
7. Flare and glare are less likely to be an issue with a large optic zone
8. Some lenses are designed to have slight central pooling, so always check the fitting guide
9. RGPs are not challenged as much as soft lenses by air-con and central heating for dry eye patients
10. The size of RGPs can be easier for some patients to handle than soft lenses
11. Beware of polymeric bead cleaners which can alter the curves of the lens over time and can remove surface lens treatments
12. Larger lenses can stabilise movement and lid interaction
13. System design lenses are the norm so do not assume that switching designs will solve problems: troubleshoot instead
14. Ortho-k and RGPs cannot be bought online
15. Ortho-k is a realistic alternative to refractive surgery, and is fully reversible

ACLM Elects a New Chairman.

February 2018

Gordon Jones resigned both as interim chairman and director of the ACLM at an ACLM General Meeting this week. He was thanked for acting as interim Chairman from May 2017 and for setting in motion projects for the year.

Chris Stean was elected as Chairman at the same meeting, along with new directors Diane Angell (Joint CEO, UltraVision CLPL) and Katie Harrop (Professional Services Manager, No7 Contact lenses). Chris is no stranger to the Board, having been Chairman in 2002-3. He is currently a consultant to Cantor & Nissel.

The ACLM continues to be the cohesive voice for UK contact lens manufacturers and suppliers.

It facilitates in the development of the UK contact lens market, working closely with other optical bodies as a member of the Optical Confederation.

With Brexit negotiations ongoing, and because of the significant regulatory requirements in the new Medical Devices Regulations, the ACLM will continue to be an active member of Euromcontact.

The ACLM was established in 1962 to publicise the work of UK manufacturers, to develop new products and to raise standards. Today the ACLM represents the manufacturers of around 95% of all contact lenses and lens care products sold in the UK.

Cutting through the range of eye surgery options to improve outcomes.

February 2018


Understanding the broad range of options available to eye surgeons is vital to ensure the best possible outcomes for potential patients, according to a leading ophthalmologist.

Speaking at a meeting of the British Contact Lens Association in London, consultant ophthalmic surgeon Allon Barsam said the wide variety of procedures ensured there was no one-size-fits-all solution, but the treatment should be tailored to the patient.

He added: “Due to our increased use of digital screens in everyday life, the ability to focus ‘at near’ is more important than ever before and will continue to be so.

“For many, surgery is a very real option, particularly in those that have struggled for whatever reason with contact lenses or don’t like glasses. But we need to understand more about the different types of surgery and what type should be used for any given situation.

“It’s a complex area and we shouldn’t fall into the trap of favouring just one method. If you only use a hammer, everything starts to look like a nail.”

The meeting, held at the Royal College of Nursing on Tuesday, January 23, saw Mr Barsam, who runs a tertiary NHS practice specialising in cornea and refractive surgery, present a lecture titled 'Surgical advances for correction of presbyopia'.

This video-based presentation demonstrated all of the most commonly accepted surgical interventions for presbyopia as well as newer innovations now available.
BCLA members discovered more about the advantages and disadvantages of laser blended vision, implantable contact lenses, sulcus-based lenses and capsular bag fixated intraocular lenses as well as patient selection theory.

Intraocular lenses covered included simple mono vision with mono-focal lenses, toric lenses, trifocal lenses and extended depth of focus lenses while potential side effects of surgery such as dry eye, ectasia, glares and halos were discussed at length.

Mr Barsam added: “It’s important to explain the full process to patients so they have a thorough understanding of the procedure. Currently, too many companies in the industry treat patients as if they are stupid and sell to them with meaningless mumbo jumbo, all that does is create a culture of distrust.”

The presentation was followed by an extensive question and answer session, giving all those attending the chance to quiz Mr Barsam and taking home invaluable advice to help them in day-to-day practice.

Hand painted lenses change lives says No7

January 2018

No 7 Handpainted lensesGiving people traumatised with eye injuries and ocular illnesses the confidence to look others in the eye again is changing lives, believes No7 Contact Lenses.

Helping to conceal ocular damage for patients throughout the world is the task of No7’s hand-painted lens service. With a growing international customer base, No7 is also able to build in prescription powers to the hand-painted lenses.

“Through hours of painstaking work we are able to provide the means for those who have suffered traumatic injury to look others in the eye again with confidence. Our customers are located throughout Europe and further afield, particularly Australasia,” said Danny Pepper No7 Sales and Marketing Manager.

Produced in No7’s Hastings, Sussex laboratory, some of the lens work is so fine that single hairs are used to paint the carefully matched effect from photographs of the patient’s other eye.

“Some have been in accidents, while others have congenital conditions, albinism, iris and corneal injuries and heterochromia. Our lenses are often used to improve the appearance of strabismus or as a cosmetically acceptable occluder to eliminate double vision in patients with diplopia. We can paint the lenses to cover up damage and match them to the good eye, hiding any disfigurement. Working from photographs, we use a very fine brush on soft lenses – sometimes the work is so fine we are working with just a few hairs.”

2018 IACLE Awards winners to attend events in USA.

January 2018

Six contact lens educators from around the world will be attending major meetings in the US city of San Antonio, Texas, this year, as winners of the 2018 IACLE Awards.

Eman AlzghoullThe IACLE Travel Awards, offered for the first time in 2013, are bursaries of up to US$3,000 enabling IACLE Educator Members to attend international meetings.

The IACLE Travel Awards are supported by all the sponsors of IACLE (Alcon, CooperVision, Johnson & Johnson Vision, Bausch + Lomb and Euclid).

This year there will be three IACLE Travel Awards and recipients will attend either the annual meeting of the American Academy of Optometry, Academy 2018 (one award) in November 2018 in San Antonio, or the Association of Optometric Contact Lens Educators’ AOCLE Annual Workshop (two awards) which is also taking place in San Antonio, in Spring 2018. The latter awards are additionally supported by the AOCLE.

Academy 2018 will be held at the Henry B Gonzalez Convention Center from 7-10 November. The AOCLE meeting – sharing new teaching modalities in the field of cornea and contact lenses – runs at the University of the Incarnate Word, Rosenberg School of Optometry from 31 May - 3 June 2018.

The 2016 IACLE Travel Award winner was Dr Eman Alzghoul from Jordan University of Science and Technology, who attended the Academy 2016 meeting in Anaheim, California. She commented: ‘The award has been the biggest opportunity I’ve had since I started teaching and practicing contact lenses. Thanks to this opportunity, my experience, knowledge and confidence increased incredibly.’

IACLE group

IACLE is also offering educators the chance to become IACLE Contact Lens Educator of the Year and travel to Academy 2018.

IACLE Contact Lens Educator of the Year will be awarded to three individuals, one from each of IACLE’s three global regions:

• Asia Pacific

• Europe / Africa – Middle East

• Americas

These awards recognise and reward achievements in contact lens education worldwide, and are sponsored by CooperVision. The winners will each receive a bursary of up to US$3,000 towards the cost of attending Academy 2018 and permission to use the title 2018 IACLE Contact Lens Educator of the Year for their region.

The IACLE Contact Lens Educator of the Year Awards are open to all IACLE members from any country, with preference given to members who are active FIACLEs (Fellows of IACLE) or have attempted the IACLE Fellowship Exam.

Commenting on his experience of winning 2017 IACLE Americas Contact Lens Educator of the Year, Professor Jan Bergmanson of the University of Houston, Texas said: ‘This is a great honor and means a lot to me. To be recognized with this award, among such a large pool of potential candidates, is significant to me.’

IACLE President Dr Shehzad Naroo encouraged all IACLE members to consider entering the 2018 awards. ‘This year we’ll be offering a total of six IACLE Awards and the opportunity for members to attend two major meetings in North America. We are grateful to all our sponsors for their support, to CooperVision for continuing to sponsor the Educator Awards, and to AOCLE for supporting two Travel Awards.’

The deadline for entries for the 2018 awards is midnight (EST) on Wednesday 31 January 2018.

Ortho-k prescribing rises by 18% in 2017.

January 2018

Ortho-k prescribing for overnight vision correction and myopia control rose by 18% in the past year, says the leading UK provider, No7 Contact Lenses.

With its EyeDream lenses, the Hastings-based company had a year of intensive online and consumer focused marketing. Supporting this have been regular educational events on myopia control for the profession, attended by optometrists and CLOs from around the UK.

With many independents investing in a topographer and gearing up to provide Ortho-k, longstanding prescribers of the modality have also seen a greater uptake from their patient-base.

“Our intensive marketing – with the online campaigns – are showing a direct correlation with uptake in specific areas of the country. The myopia control message is one that many practitioners and parents feel they can no longer ignore, with many believing they have a duty of care to inform patients about the benefits that can come from Ortho-k,” said Danny Pepper, No7 Sales and Marketing Manager.

It is not just myopia control which is driving the uptake, but also adults who lead active, sporty, lifestyles and who want to be free of their specs and lenses during the day. Dry eye patients are also a target for many practices who find the modality is highly successful for those who cannot wear conventional lenses for more than a few hours a day.

Similar increases in prescribing are expected in 2018 as the Ortho-k message filters through and as some higher profile sporting youngsters gain Press exposure across the UK.

Safilens launches fusion 1day vista, the first daily contact lens for asthenopia.

January 2018

Making its debut at Opti (Cologne) is fusion 1day vista, the latest, sensational innovation from Safilens.

Fusion Vista 1 dayfusion 1day vista is the first daily contact lens for asthenopia and features an ingenious design called D-Stress, based, in turn, on the acclaimed afocal lens design patented by Safilens and initially introduced in the presbyopia segment.

The new D-Stress geometry offers enhanced depth of field and is designed to reduce eye strain commonly associated with daily activities that over-stress proximal vision, like the prolonged use of digital devices typical of many people’s lives today.

The controlled release of natural substitutes for the tear film from the lens to the eye surface ensures long-lasting comfort in dry environments, like air-conditioned offices or when blinking is reduced in frequency or is incomplete (symptoms of CVS – Computer Vision Syndrome).

"The aim of this design" - explains Alessandro Filippo, R&D manager for Safilens - "is to ensure an anti-fatigue effect; that is, to alleviate the symptoms of eye strain, such as dry eye and headache and, at the same time, prevent them, ensuring less accommodation stress and comfortable focus throughout the entire day."

fusion 1day vista adds another dimension to the family of daily contact lenses that incorporate the advantages of the revolutionary Safilens patented fusiontechnology™ system.

And that’s not all. After fusion 1day (spherical), fusion 1day presbyo (for presbyopia) and fusion 1day astigma (for astigmatism), with fusion 1day vista, Safilens is the first company in the world to develop a daily contact lens for asthenopia and to introduce a fourth segment to the daily contact lens market. In true Safilens tradition, this lens proves to be a real game-changer for the contact lens industry, confirming, once again, the ongoing commitment to research and innovation and the pioneering spirit of the Italian company.

Germany has long been a pivotal market for Safilens which, since July 2017, has relied on MPG&E as the exclusive distributor of its products in this country.

This is exactly why Safilens decided to launch fusion 1day vista with an exclusive preview at the Opti Cologne Conference.

The official product in presentation to customers and visitors will take place at the MPG&E stand twice a day during the show, at noon and 3:00 pm. In addition, on Friday, January 12th at 10:25 am, in the opti-forum, Giancarlo Montani (Professor of Optometry at the University of Salento) will hold a lecture titled “Contact lens designs and asthenopia management: Effects of different contact lens designs on accommodative function and binocular vision of young adult subjects” focusing on the analysis and results of the new D-Stress geometry.


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