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Opchat Magazine Contact Lens PagesContact Lens News, October to December 2019


FDA approves first contact lens (MiSight soft contact lenses) indicated to slow the progression of nearsightedness in children
IACLE to play a crucial role in educating tomorrow’s practitioners
ABDO provides updated advice on contact lens aftercare frequency.
Eight tips for safe spooky contact lenses this Halloween from AOP
A long-lasting legacy to be proud of’ – tributes paid to departing BCLA chief executive.
Product recall: Acuvue daily disposable for astigmatism contact lenses
BCLA members help shape programme content for Pioneers & Visionaries conference
BCLA President urges members to ‘be ready for change’
Read last quarter's Contact News (July to September 2019)

FDA approves first contact lens (MiSight soft contact lenses) indicated to slow the progression of nearsightedness in children

November 2019

The U.S. Food and Drug Administration today approved the first contact lens indicated to slow the progression of myopia (nearsightedness) in children between the ages of 8 and 12 years old at the initiation of treatment. The MiSight contact lens is a single use, disposable, soft contact lens that is discarded at the end of each day, and is not intended to be worn overnight.

The FDA, an agency within the U.S. Department of Health and Human Services, protects the public health by assuring the safety, effectiveness, and security of human and veterinary drugs, vaccines and other biological products for human use, and medical devices.

“Today’s approval is the first FDA-approved product to slow the progression of myopia in children, which ultimately could mean a reduced risk of developing other eye problems,” said Malvina Eydelman, M.D., director of the Office of Ophthalmic, Anesthesia, Respiratory, ENT and Dental Devices in the FDA’s Center for Devices and Radiological Health.

Myopia is the most frequent cause of correctable visual impairment worldwide. Myopia occurs when the eye grows too long from front to back (axial length). Instead of focusing images on the retina, images are focused at a point in front of the retina. As a result, people with myopia have good near vision, but poor distance vision that can be corrected with glasses or contact lenses.

Myopia is common in children and tends to increase as they get older. If a person develops severe myopia as a child, they may be susceptible to other eye problems such as early cataracts or a detached retina during adulthood.

The MiSight soft contact lenses are meant to be worn daily to correct nearsightedness and slow the progression of myopia in children with healthy eyes.

When placed on the eye, one part of the MiSight contact lens corrects the refractive error to improve distance vision in nearsighted eyes, similar to a standard corrective lens.

In addition, concentric peripheral rings in the lens focus part of the light in front of the retina (the back of the eye). This is believed to reduce the stimulus causing the progression of myopia.

The approval of MiSight was based on data obtained from a prospective clinical trial at four clinical sites and real-world evidence.

The safety and effectiveness of MiSight was studied in a three-year randomized, controlled clinical trial of 135 children ages 8 to 12 at the start of treatment who used MiSight or a conventional soft contact lens. The trial showed that for the full three-year period, the progression in myopia of those wearing MiSight lenses was less than those wearing conventional soft contact lenses. In addition, subjects who used MiSight had less change in the axial length of the eyeball at each annual checkup. Over the course of the trial, there were no serious ocular adverse events in either arm of the study.
Additionally, to estimate the rate of vision-threatening corneal infections (i.e., corneal ulcers) among children and adolescents who wear soft contact lenses daily, the FDA reviewed real world data from a retrospective analysis of medical records of 782 children ages 8 to 12 years old from seven community eye care clinics.

The results showed a rate comparable to the rate of ulcer cases among adults who wear contact lenses daily.

As part of the approval of MiSight, the sponsor is required to conduct a postmarket study of the contact lenses to further evaluate the safety and effectiveness of the product as indicated.

The FDA granted approval of MiSight to CooperVision Inc.

The device was approved using the Premarket Approval (PMA) pathway. Premarket approval is the most stringent type of device marketing application required by FDA and is based on a determination by the FDA that the PMA application contains sufficient valid scientific evidence to provide reasonable assurance that the device is safe and effective for its intended use(s).

IACLE to play a crucial role in educating tomorrow’s practitioners

November 2019

IACLE WHO ReportThe expansion of optometric education worldwide will open up major opportunities for the International Association of Contact Lens Educators (IACLE), which celebrates its 40th Anniversary today.

According to discussions at the Academy 2019 Orlando and 3rd World Congress of Optometry (23-27 October), hosted in Florida by the American Academy of Optometry and World Council of Optometry (WCO), the global need for more optometry schools and skilled personnel points to a crucial role for IACLE in educating the practitioners of the future.

At the first public presentation of its World Report on Vision, issued last month, the World Health Organization (WHO) told Academy delegates that the shortage of trained human resources was one of the greatest challenges to increasing the availability of eye care services and reducing the prevalence of preventable visual impairment around the world.

The number of people worldwide with myopia was projected to rise from 2.62bn in 2020 to 4.76bn – nearly half the world’s population – by 2050. The overall prevalence of myopia was highest in high-income countries of the Asia-Pacific region and in East Asia, said WHO.

IACLE President Dr Shehzad Naroo attended a Global Summit on Optometric Education, where delegates heard that meeting eye care needs and ensuring good quality education required a global curriculum, educators to deliver it, and people to lead. ‘IACLE fulfils all these roles in contact lens education and is already active in 79 countries,’ said Dr Naroo.

‘We have the resources and curriculum (IACLE Contact Lens Course 2020), we train the educators (Train-the-Trainer program) and we develop the leaders (Fellowship of IACLE).’

Dr Naroo also joined the panel for the Joint Public Health and Environmental Vision Section/WCO Symposium: International Optometry: Public Health, Education, and Personnel Issues and, with Director of Global Education Lakshmi Shinde, took part in the WCO’s 3rd President’s Forum: Optometry’s Role in Addressing the Changing Face of Technology, Public Health and Clinical Care.

‘Overall, meetings with WCO were very positive that the IACLE message is being realized,’ said Dr Naroo. ‘IACLE looks forward to participating in the 4th World Congress on Optometry, which will take place in Melbourne, Australia in September 2021.’

IACLE continued its 40th year celebrations in Orlando, the final destination for its interactive exhibition booth on the theme of ‘Exceptional Education. Exponential Impact’. Hundreds of visitors at events around the world during 2019 have made their mark on a time wall of milestones in the Association’s history.

To mark the anniversary, outgoing WCO President Dr Scott Mundle commented: ‘On behalf of the World Council of Optometry, I want to recognize and congratulate President Dr Shehzad Naroo and IACLE on its 40th Anniversary. If it were not for the research and education of IACLE members, global optometry would not have its current stature and success, nor the great future we all hope and wish it will have.’

( Image : World Health Organization Coordinator Dr Alarcos Cieza delivers the first public presentation of its World Report on Vision at the Academy 2019 )

ABDO provides updated advice on contact lens aftercare frequency.

October 2019

The Association of British Dispensing Optician’s (ABDO) National Clinical Committee (NCC) has been working together with members, internal working groups, industry partners and ABDO’s Clinical Lead to ensure ABDO’s Advice and Guidance is current and reflects modern day practice. As part of this review the NCC has updated the ABDO guidance on contact lens aftercare frequency.

ABDO Clinical Lead Max Halford said, “We continually review our policies to ensure that our advice and guidance to members is current. It became apparent that as practitioners now use more innovative materials in clinic ABDO’s previous advice was out- dated. We remain committed to ensuring the highest standard of patient care is delivered by Dispensing Opticians and Contact Lens practitioners based on their professional judgement.”

The new guidance is as follows:

“Contact lens aftercare appointments are a vital part of a patient’s eye health regime. The frequency of these checks should be based purely on the eye care practitioner’s professional judgement of the patient’s clinical needs, the type of contact lens worn, the modality of wear and the practitioner’s structured judgement of the risk of adverse incidents. Neither pressure from the patient nor commercial interests should form any part of this decision-making process.”

BCLA Chief Executive Cheryl Donnelly said: "The BCLA welcomes the decision by ABDO’s National Clinical Committee to amend the ABDO guidance on contact lens aftercare frequency. The evidence-based changes to the guidance will build on the excellent work that ABDO has done to provide its members with the support to deliver patient care within Enhanced Services and specifically Minor Eye Condition Schemes.

“The updated guidance will further empower Contact Lens Opticians with their clinical decision making and judgement, ultimately benefitting their patients upon their recall. Innovation and technology within this sector, both in terms of contact lens materials, designs, modality and care systems and investigative equipment, is significant. It is evolving quickly and guidelines need to evolve too, further enabling the practitioner to deliver the best possible patient care and ensuring happy and healthy contact lens wear for years to come."

This and all ABDO guidance is available at here

Eight tips for safe spooky contact lenses this Halloween from AOP

October 2019

Make sure eye infections and ulcers aren’t part of your Halloween horror

CL Insertion• Many Halloween contact lenses are unregulated and illegal
• Poor quality contact lenses can cause serious eye health complications with wearers at risk of corneal ulcers or abrasions, eye infections and even blindness
• One eye expert in 10 has seen a patient with eye problems after wearing novelty contact lenses[i]


With Halloween approaching, the Association of Optometrists (AOP) offers advice for buying and wearing contact lenses safely – as thousands choose spooky eye wear as a finishing touch to their costume.

1. Get your lenses fitted by a professional, not the Internet

If they are not fitted and cared for properly, contact lenses carry a risk of eye infections, causing blindness in some rare cases. It’s not worth putting your eyes at risk, so get the best advice and make sure your contact lenses are fitted by an eye care professional.

2. Like swapping gruesome germs?

We didn’t think so. Never share or swap contact lenses with anyone else – the chances of getting a nasty infection, such as bacterial conjunctivitis, is much more likely. This can make eyes uncomfortable, pink or red, and create a yellow or green sticky discharge, and has the potential to lead to corneal ulcers, corneal scarring and blindness.

3. Can you trust the supplier?

Novelty lenses are often available in joke and fancy-dress shops and can be purchased online but these suppliers are often unregulated. It is illegal to sell contact lenses without the supervision of a registered professional like an optometrist or contact lens optician because of the risk to your eyes.

4. Don’t keep lenses in all night, or you’ll wake up with a fright

Unless specifically designed for extended use, contact lenses should not be worn overnight. Not only can extended use increase the risk of eye infections, it can starve your eye of oxygen and cause the lens to bind itself to the front of your eye.

5. Keep lenses clean but never with water

When wearing any type of contact lenses, make sure they are clean by using the recommended contact lens solution. Never use tap water to clean lenses because this can lead to serious, and potentially blinding, eye conditions. And always wash and dry your hands before inserting your lenses.

6. Don’t re-use your lenses, they’re better as a one-night stand

You should never re-use contact lenses unless they are specifically designed for repeat wear, as it increases the likelihood of infections and keratitis, which is a very painful inflammation of the cornea. Re-useable lenses must be kept in fresh contact lens solution, in a clean contact lens case too.

7. Put your lenses in before putting your face on

If your costume involves a full face of make-up remember to apply it after putting your contact lenses in.

8. If in doubt, take them out

If you suffer from any redness, irritation, swelling, pain or an aversion to light, remove your lenses immediately. Consult an optometrist or contact lens optician for advice as soon as possible.

A long-lasting legacy to be proud of’ – tributes paid to departing BCLA chief executive.

October 2019

The outgoing chief executive of the British Contact Lens Association has been praised for her work to “transform, modernise and enhance the member experience” as she prepares to leave her role.
Cheryl Donnelly has stepped down from her BCLA role after six years at the helm of the organisation, having overseen a period of unprecedented change and bolstered its reputation as a hugely respected global body on contact lenses, the anterior eye and the ocular surface.
She said: “The BCLA has always played a huge part in my career – it is fundamental to anyone who has an interest in contact lenses and the anterior eye. I have been hugely privileged to work alongside so many incredible people over the years and I can look back with an enormous sense of pride on everything we have achieved together.
“It will continue to be a major part of my life ¬– ICheryl Donelly will be watching on as a member and I look forward to seeing what the future holds.
“The organisation is in a good place, with a global reputation for excellence. We have a passionate, dedicated and enthusiastic council full of ideas for how to take the BCLA to the next level.

“The BCLA has always been keen to embrace change and be receptive to new ways of working. Now is the time for the BCLA to put that into practice and to write an exciting new chapter for itself as I prepare for my next challenge and adventure.”

During her time as chief executive Cheryl achieved an increased worldwide reach for the BCLA, including the launch of a new conference in Asia. She was responsible for the organisation’s 40th birthday celebrations and oversaw a number of hugely successful BCLA Clinical Conferences and Exhibitions, most recently in Manchester earlier this year.

She played a pivotal role in the launch of a new suite of exclusive member resources, including the acclaimed ‘No Water’ stickers and ‘Contact Lens Dos and Don’ts’ factsheets, and paved the way for innovative, 21st century communication – which culminated in the launch of webinars and live-streamed lectures to allow more members than ever before to access exclusive BCLA content no matter where they are in the world.

President Jonathon Bench said: “Cheryl Donnelly has been a titan of the BCLA who has a long-lasting legacy to be proud of. She has been a true pioneer and embraced the culture of change and innovation that lies at the heart of the association.

“Cheryl has worked tirelessly to transform, modernise and enhance the member experience and all of us who have benefited from her infectious enthusiasm and determination owe her a huge debt of gratitude.

“The challenge is now on for us to ensure her legacy lives on. We must channel her energy and her can-do attitude to ensure the BCLA continues to push boundaries and reach a new generation of eye care practitioners to guide the optical profession through what promises to be a hugely exciting period of change in the years to come.”

The post of chief executive is due to be advertised in the coming days. For more information, visit www.bcla.org.uk.

Product recall: Acuvue daily disposable for astigmatism contact lenses

October 2019

The Medicine and Healthcare Products Regulatory Agency (MHRA) has urged users of Johnson & Johnson (J&J) Acuvue daily disposable contact lenses for astigmatism to check their lenses, after J&J initiated a voluntary product recall of specific lots.

J&J is recalling specific lots of lenses which might have particles that could cause eye redness or discomfort or corneal abrasion if not noticed before insertion into the eye.

The MHRA says there have been no reports of serious adverse events to date.

J&J has also confirmed it has notified affected opticians and optometrists, recalling the affected lots and has instructed them to contact patients who may have received the affected product.

You can check if your products are affected, by checking the lot number of the lens boxes against the list published by Johnson & Johnson in the company’s field safety notice (FSN).

BCLA members help shape programme content for Pioneers & Visionaries conference

October 2019

Registration is now open for the eagerly-anticipated Pioneers & Visionaries conference – a one-day event featuring a programme shaped by BCLA members themselves.

The event will be returning to the popular Royal Society of Medicine in London on Tuesday, 26 November. BCLA members are encouraged to bring along a non-member as a guest to the event, to give them exclusive access to one of the premier dates in the organisation’s calendar.

The 2019 BCLA Pioneers Lecture, entitled ‘Understanding Contact Lens Discomfort’ will be presented by Professor Michel Guillon - Honorary Professor in The School of Life and Health Sciences at Aston University.

He said: “Contact lens discomfort (CLD) is the major problem associated with contact lens wear. It leads to a substantial reduction in the benefits of using contact lenses as a vision correction modality for many wearers and is the leading cause of contact lens discontinuation.

“This lecture will critically review questionnaires used to determine CLD and demonstrate that CLD symptomatology is unlike dry eye symptomatology without contact lenses.

”It will identify the ocular and contact lens related factors influencing CLD and produce supporting evidence that the key to managing individual patients’ CLD is not simply quantifying CLD overall severity but characterising its occurrence, associations and consequence, with a view to establishing the unique CLD profile of individual patients upon which to develop a personalised management programme for an impactful clinical outcome.”

In keeping with the tradition of previous Pioneers and Visionaries events, the day will feature lectures presenting current and new thinking on key topics of relevance to everyday contact lens practice and ocular surface management.

BCLA President Jonathon Bench said: “This year’s programme has been shaped by BCLA members. Suggestions put forward as part of the ‘Members – You Decide’ survey have been incorporated into the programme, including a series of shorter presentations as part of a wider discussion. It promises to be an exciting, vibrant conference full of up-to-the-minute thinking around some of the biggest issues in contact lenses and the anterior eye.”

Sessions will cover all the key subject areas facing those working within contact lens and anterior segment practice and for those want to increase their specialism.

Highlights include ‘Is OrthoK for Myopia correction or myopia control?’ and ‘Is there a place for mini sclerals?’ while the Dry Eye management session will consider the views of both optometrists and ophthalmologists to discuss the NHS changes to Dry Eye product prescriptions and how this will affect patients.

The day will close with a glimpse into the future as Reena Chopra from Moorfields along with others will examine the role of Artificial Intelligence and Anterior Segment Grading.

The event, which also features an exhibition showcasing the very latest technology, is being staged in conjunction with BCLA partners Alcon and CooperVision, platinum sponsors Johnson & Johnson Vision, gold sponsors Menicon and SEED with UltraVision, technology sponsor Topcon and premium sponsors mark’ennovy and Visioneering Technologies.

To register for the event, click here For anyone wanting to bring a non-member along to the event as a guest, email the guest’s details here

BCLA President urges members to ‘be ready for change’

October 2019

David Quigley
The new President of the BCLA has called on eye care professionals to ‘inspire generations of patients’ and ‘be ready for change’ as part of his annual address to members.

Jonathon Bench used his Presidential Address at The Royal College of Nursing in London on Wednesday, September 25 to look back at the 42 years of the BCLA, to better understand the differences between the generations and to appreciate the advances provided for eye care professionals through technology and research.

The lecture looked at the very real challenges that exist in consulting rooms and how the profession can work together to address and overcome them. Jonathon also looked at the way in which patients continue to be the engines for change in the profession.

He said: “Each generation offers something different to those who have gone before. There’s never a more receptive brain than the one that’s been trained to learn. By making sure they are better educated than us we have so much learn from the generation that follows us.

“We are on the cusp of contact lenses going mainstream and it’s an exciting time for all of us. Patents are being filed for lenses which monitor different biological markers, such as glucose levels.

Contact lenses are being considered for integration into the management system of patients in the healthcare industry. Drug delivery via contact lenses is being talked about and we need to be ready for the change.”

Jonathon added: “The BCLA has committed itself to be a conduit for education and best practice sharing from peer to peer, creating a community of contact lens and ocular surface advocacy and bringing the cutting edge and novel insights and developments from academia/R&D to the practice.

He also called on BCLA members to focus on the positives and remember the impact eye care professionals have on patients’ lives. “Celebrate yourselves on a daily basis and think about the difference you make, remember how special the service you provide is. Think about those moments where you changed someone’s life.”

 
 
 
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