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Latest CORE Publication Offers Specialty Contact Lens and Myopia Management Insights for Practitioners

Centre for Ocular Research & Education (CORE)

Advancements in and increased fitting of scleral and corneo-scleral lenses, plus resurgent interest surrounding orthokeratology for managing myopia control, sets the stage for Issue 76 of Contact Lens Update. Published by the Centre for Ocular Research & Education (CORE), the bi-monthly publication is available at no charge by visiting ContactLensUpdate.com.

“Specialty lenses play a vital role in addressing diverse visual needs and managing myopia. Keeping abreast of the latest research is essential for evidence-based practice, ensuring that patients receive optimal care aligned with current understanding.”

Daddi Fadel, DOptom, FSLS, FBCLA, FAAO, FIACLE, clinical scientist at CORE and author of the issue’s opening editorial

“By integrating insights from different fields and staying informed about emerging techniques and technologies, practitioners can achieve successful lens fittings that address immediate concerns and contribute to long-term ocular health preservation. Interdisciplinary collaboration further enhances the effectiveness of treatment plans, allowing for a comprehensive approach that considers various aspects of ocular health and—paramount to provide customized care that meets each patient’s unique needs.”

Dr. Fadel is a pioneer of modern lens designs, editor-in-chief of the Journal of Contact Lens Research & Science, and author of several peer-reviewed articles and books. Her editorial presents comprehensive highlights from the 2024 Global Specialty Lens Symposium (GSLS). These include discussions on the inflammatory nature of contact lens wear, the Ed Bennett-Nathan Efron debate concerning the viability of rigid lenses, masterclasses and workshops on scleral lenses and myopia management, and emerging technologies presentations.

Sharon Qiu is a residency-trained optometrist pursuing a full-time Ph.D. in Vision Science at CORE while also serving as a part-time clinical supervisor for 4th-year optometry interns at the University of Waterloo Contact Lens and Myopia Control Clinic. She authors the feature article that explores techniques for practitioners to evaluate the performance of scleral lenses, and the instruments that are most suitable for this purpose.

Greg DeNaeyer, an optometrist at Arena Eye Surgeons in Delaware, Ohio, with an emphasis on specialty contact lenses and a contributor to several professional publications, shares his expertise in the form of a clinical insight. The article reviews three of the most common scleral lens fitting complications—poor wettability, midday fogging, and corneal edema—and suggests methods to enhance the process and performance, such as using modern materials, coatings, and alternative treatments.

The conference highlight is shared by David Hammond, a researcher specializing in myopia control at CooperVision’s Advanced Development Center in Pleasanton, Calif. His award-winning poster examined MiSight 1 day’s effectiveness in controlling myopia progression over six years, comparing progression between control and treatment cohorts, including a group whose treatment was initiated in year four. The study found that MiSight 1 day effectively controlled myopia progression, especially benefiting faster-progressing eyes, with consistent proportional treatment effects that contradict predictions of a random growth model.

Clockwise from top left Daddi Fadel, Sharon Qiu, Greg DeNaeyer, and David Hammond
Clockwise from top left Daddi Fadel, Sharon Qiu, Greg DeNaeyer, and David Hammond

In addition to a complete archive of back issues, ContactLensUpdate.com offers a resource library that provides no-cost professional tools, patient resources, images and video. It also houses complimentary technical training videos produced by the International Association of Contact Lens Educators, plus an industry glossary. Industry professionals can access the latest issue directly from ContactLensUpdate.com or quickly sign up for email receipt of future issues.

The publication receives support from the educational arms of Alcon, CooperVision, and Johnson & Johnson Vision.

Click HERE for the full press release.

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Oral Drug Slows Stargardt Disease Progression in Phase 2 Clinical Trial

Fighting Blindness Canada research

Results from a Phase 2 clinical trial show that an oral drug, Tinlarebant, may slow progression of Stargardt disease.

Belite Bio, a biopharmaceutical company who sponsored this trial, presented data from 12 patients, aged 12-18, who had been treated with Tinlarebant for 2 years. The study found that Tinlarebant was safe and patients who were taking the drug had reduced retinal atrophy. The majority of patients also had stabilized visual acuity during the trial.

Tinlarebant is a drug that is designed to reduce the accumulation of vitamin A-based toxins (bisretinoides) that can cause retinal degeneration in Stargardt disease and advanced dry age-related macular degeneration (also called geographic atrophy). Tinlarebant is also being studied in a Phase 3 trial (PHOENIX) for geographic atrophy.

About Fighting Blindness Canada

Fighting Blindness Canada (FBC) is the largest charitable funder of vision research in Canada.

Over our 49-year history, FBC has contributed critical funding for the development of sight-saving treatments and cures for blinding eye diseases. By raising and stewarding funds, FBC is helping drive forward research that supports our goal of understanding why vision loss occurs, how it can be slowed and how sight can be restored.

We are an invaluable resource for individuals and families impacted by blindness, providing accurate eye health information through our website and educational events, as well as engaging with government and other stakeholders to advance better vision health policies.

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Dynamic & Comprehensive VisionEd Conference Program Announced for VEE 2024

Vision Expo

The Vision Council and RX, co-organizers of Vision Expo, bring compelling accredited continuing education offerings to the industry at Vision Expo East 2024. The comprehensive VisionEd optometry and opticianry program kicks off Thursday, March 14, one day prior to the celebratory exhibit hall opening on Friday, March 15, and will run through Sunday, March 17.

VisionEd at Vision Expo East 2024 promises to be an enriching educational experience for ODs, opticians and allied health professionals that will allow each to gain meaningful knowledge that can seamlessly be incorporated into their practices. The entire program will feature approximately 200 sessions, made up of 300 hours of content, presented by 100 of the industry’s finest and most sought-after speakers – offering conferees the very best eyecare education.

“The VisionEd program at Vision Expo East 2024 is a testament to our commitment to advancing the eyecare industry through a strong education program that has been created by industry, for industry.”

 Fran Pennella, Vice President, Vision Expo at RX

“This year’s OD education program will feature new, dynamic and fun custom-designed clinical courses that will challenge the mind and provide engagement such as, “Ask The Experts,” and “Two Truths & A Lie,” where cases will be shared from conferees and our experts will offer their clinical acumen. The program is also rich with courses for every mode of optometric care, including business, contact lenses, aesthetics, and much more.”

Vision Expo Education Planning Chair, Dr. Marc Bloomenstein, OD, FAAO

Taking place on Thursday, March 14, Vision Expo East will also offer the complimentary Global Contact Lens Forum developed by Dr. Melissa Barnett, OD. This ‘meeting within a meeting’ provides conferees with practical, timely tips in both clinical and business processes to help take their specialty contact lens practice to the next level. Respected, highly successful contact lens practitioners will share what’s new and sexy in contacts.

OptiCon at Vision Expo East 2024 will also have fresh new courses that will surely enlighten opticians nationwide. With provocative sessions featuring trends and developments in the profession, OptiCon’s 100+ courses will allow conferees to easily customize their choices from five tracks – clinical concepts, spectacle lens, contact lens, allied health and business.

The OptiCon General Session, sponsored by EssilorLuxottica, will take place Friday, March 15 at 12:30 p.m. on Vision Expo’s main stage, The Bridge, and will feature award-winning author, psychotherapist, and extreme athlete, Rebecca Alexander, LCSW-R, MPH. Rebecca will entertain the audience with stories of her struggles and accomplishments living with Usher Syndrome Type 3.

The OptiCon @ Vision Expo education package includes:

  • Unlimited Continuing Education Courses, including American Board of Opticianry (ABO) and National Contact Lens Examiners Board (NCLE) approved education.
  • Access to the OptiCon General Session.
  • Free Exhibit Hall access, including the OptiCon @ Vision Expo Hub.
  • Tailored special events including a welcome event and peer networking.
  • Access to ABO and NCLE exam review courses and exams.
  • Access to discounted rates at a dedicated OptiCon @ Vision Expo hotel.

“We are thrilled to bring OptiCon @ Vision Expo back to New York for another year of education and networking,” said Phernell Walker, MBA, ABOM, LDO and OptiCon Advisory Board Co-Chair. “This is a phenomenal opportunity to unlock a world of knowledge and growth in six key areas of education, including optical technology, allied health, contact lens, practice management and business solutions, and ABO and NCLE basic, advanced and practical exam review courses.”

Download the Vision Expo East 2024 OD education brochure here.

Download the Vision Expo East 2024 Opticians & Allied Health education brochure here.

The Show’s VisionEd optometry and opticianry educational programs, including OptiCon @ Vision Expo, will open Thursday, March 14. The exhibit hall will open Friday, March 15.   

Vision Expo East 2024 will take place at the Jacob Javits Center in New York City from March 14-17, 2024.

Click HERE for the full press release.

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Balancing Style and Functionality in Frame Selection

By Tina Guenther

From the moment a patient steps into the dispensary, they are met with a unique prescription and a set of preferences. Often, these preferences do not align with what is best for the patient or what we have to offer. In an era where larger frame sizes are in high demand, it’s challenging to inform someone that their high prescription or specific needs are incompatible with the trendy frames they’ve chosen.

Determining what will meet the needs of the patient you’re assisting involves considering several factors: the preferred style, frame size and eye shape, price, etc. Essentially, it boils down to two critical factors: style and functionality. The question then arises: where is the balance, and how can we enhance our services in the selection process? Although opticians perform the task of recommending frames and lenses numerous times a day, for most patients, selecting a frame is a decision that will impact them for years to come.

While focusing on function is crucial, it is equally important to invest time in finding a style that complements the facial features and personal style of the patient. In instances where you may opt for a small rectangular frame believing it to be the most flattering, it may not satisfy a patient who initially desired a larger round frame. Even if the patient trusts your judgment at the moment, they may later feel disappointed and unheard.

How, then, do we as opticians strike this balance?

As opticians, we are trained to find a balance between a patient’s preferred style and what is most appropriate for their optical needs. This approach varies with each individual. For those with low prescriptions, the range of stylistic options is considerably broad. In contrast, a patient with a high prescription might end up with thick, heavy lenses that could alter the appearance of their eyes to onlookers, a realization that can be disheartening when they discover their options are limited.

To prepare for such scenarios, it is essential to offer a diverse array of frames capable of catering to a wide range of patients, not just the larger, more colorful, or embellished frames.

Occasionally, patients enter the dispensary convinced they know what they want, which may not always be the most suitable choice. Ultimately, it falls upon the optician to find a compromise, where frame size and fit can significantly influence the outcome. These details, often overlooked by patients, assume that style precedes functionality, an assumption that can lead to dissatisfaction.

Considering the optician’s perspective can sometimes complicate the experience for our patients. What seems straightforward to opticians can result in vague explanations. To mitigate this, it’s vital to thoroughly explain the frame selection process, emphasizing the goal of finding eyeglasses that perfectly fit the patient.

“During my last visit to a dispensary, the optician clarified which frames would best suit me and the necessity of my new prescription. I left feeling more informed than upon arrival, and quite satisfied with my selection,” shared Danny Peters, a former patient.

Selecting a frame size that matches the patient’s head and minimizes eye shape can make a high prescription less noticeable and lighter. While patients might be tempted to choose larger frames for style reasons, opting for a more suitable size can provide comfort and better support from the nose and ears.

This is where communication often falters: while opticians prioritize functionality, patients may focus on style. Without clear communication, this discrepancy can lead to patient dissatisfaction.

Countering Media Influence

In popular culture, large frames are mainstream, with advertising typically showcasing models with thin lenses. This portrayal can mislead, as not everyone can achieve this look due to various visual needs.

It’s easy to view style and functionality as separate entities. However, as opticians, our role is to demonstrate how these two aspects can complement each other, ensuring patients never feel limited in their choices, regardless of their needs. Promoting an inclusive selection for those requiring specific accommodations is a step toward making everyone feel acknowledged.

Changing Our Approaches

Style and functionality can coexist harmoniously if we recognize and address the needs of all patients, creating an environment where neither aspect overshadows the other. Balancing these elements can be challenging, but with focused effort, progress is achievable. As opticians, advancing patient care is our forte.

Experience and the acquisition of new fitting techniques can enhance our patient care strategies. For visual learners, displays comparing different lens materials and frame sizes can elucidate the impact of lens thickness and size. Understanding and educating patients about their choices is paramount.

Ensuring our dispensaries offer a wide range of frame sizes and styles is also crucial. A limited selection can be discouraging, especially for patients with high prescriptions needing smaller frames. A varied inventory, coupled with knowledgeable and empathetic staff, significantly enhances the patient experience.

For many, selecting frames and lenses is a daunting task, with choices affecting them for years. Detailed explanations, both verbal and visual, can alleviate concerns and boost confidence in their decisions. Ultimately, the right pair of eyeglasses should instill confidence with every wear.

Around two years ago, Tina Guenther worked as a lab technician in a dispensary. The optician who trained Tina encouraged her to look into the online optical programs offered by NAIT and what opticianry has to offer. Tina is currently in her second year of the eyeglass program.

Tina is the winner of the Optik Opticianry Writing Contest.

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Optometry Giving Sight’s Grant Process Now Open

Optometry Giving Sight logo a turquoise eye with black icons in the shape of people for the iris

Optometry Giving Sight (OGS) is now accepting pre-applications for its grant program that funds sustainable, optometry-based projects to end preventable blindness and vision impairment throughout the world. Pre-applications will be accepted until Midnight MST March 20, 2024. Organizations that pass the pre-application process will be invited to submit a full grant proposal in early April. Final grant awards will be announced in August.

OGS funds organizations that focus on the following:

  • Programs involving optometry where there is a clear outline of optometry’s involvement in and benefits to the program.
  • Establishment or support of optometry schools, eye clinics, vision centers, and optical labs.
  • Programs that deliver eye exams and low- or no-cost glasses to underserved or marginalized populations and include a strong optometry education and training component.
  • Integrated, long-term optometry-related programs with a view towards sustainability.
  • Service delivery tied to optometry education and/or the development of optometry.

Organizations that qualify for public charity status under section 501(c)(3), 501(c)(6), Canadian registered charities and international charities are eligible for funding. There are no geographic restrictions on the locations of the projects. However, priority is given to programs that are in parts of the world where optometry is not a well-developed profession.

To be considered, organizations must be nonpartisan and will not be eligible for funding if their parent company is a large corporation.  Programs that include only vision screenings, basic eye exams, and eyeglass distribution will also not be considered.

As “Optometry’s Charity™,” OGS raises funds from optometrists, optometry practices, and optometry-related businesses and corporations to award grants for sustainable, impactful projects that expand the profession and improve access to vision care in underserved areas of the world.

During the last 20 years, OGS has: awarded more than 180 grants for primary eye care services for more than 8 million people; funded the training of more than 14,000 optometrists and eye care personnel; established more than 130 vision centers in underserved areas and; served individuals of all ages in more than 40 countries.

Optometry Giving Sight is located in Golden, Colorado, and Calgary, Alberta.

Prospective grantees may learn more here.

Click HERE for the full press release.

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