Contact Lenses

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Patient horror stories can happen at any time of the year, but late October makes these tales particularly chilling.

The Food and Drug Administration (FDA) recently brought together representatives from optometry and ophthalmology to discuss regulatory review of contact lenses and future medical devices to control the progression of myopia, primarily in children.

As a profession, we have seen the benefits of transitioning patients to contact lens modalities that are replaced frequently. Innovations in material technologies have allowed advanced designs, including greater oxygen permeability to provide a healthier, more comfortable wearing experience.

Contact lens wearers are dropping out for comfort and vision reasons. Contact lenses can be considered a significant cause of these symptoms if they contribute to an unstable tear film or trigger inflammatory reactions.

The recent news in our profession was an announced partnership between Opternative and 1-800-Contacts.1 With InstaRx powered by Opternative, customers can “stay home, eat some ice cream, and get a vision exam” according to the 1-800 Contacts website.

Orthokeratology is a specialty type of contact lens fitting in which the patient wears correction overnight and is free from wearing visual correction during the day. By fitting the patient into a reverse geometry gas permeable lens, the practitioner can make controlled but temporary refractive changes to the cornea. It is a treatment that has been proven to be safe and effective in both children and adults with promising results in the area of controlling myopia progression.

Scleral lenses are indispensable in a specialty contact lens practice. The indications for scleral lens use are well established in the literature and range from visual rehabilitation of irregular corneas to severe ocular surface disease management.1-4 Many more uses may still be revealed.

From the first introduction on the cinematic screens for visual effects in 1950 to its mainstream use today for masking both natural iris pigment and ocular disfigurement, colored contact lenses are an important addition to your contact lens toolbox. Industry has made fitting this type of lens more appealing by offering improvements in color matching techniques and healthier materials compatible with commercially available inks and dyes.