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During the During the Global Contact Lens Forum, a partnership between Vision Expo East and the British Contact Lens Association, Milton Hom, OD, FAAO; Nick Rumney, MScO, FCO, FAAO; and Michael Ward, MMSC, FAAO; discussed how the interaction between the contact lens and the ocular system affects contact lens success.

I am myopic, and I’ve been seeing an optometrist since I was in fourth grade. When I was in college and deciding among dentistry, medicine, and optometry, my dad said I should talk to my great uncle. His name is Oley Olson and he practiced for 30+ years in Charlotte, NC. He not only influenced me to go into optometry and what a great field it was but to come to North Carolina to practice as well. And that’s where I am today.

Why has Demodex gone viral?

Although the Demodex mite is not a recent discovery, you might not realize that by the rapid rise of demodex in the ophthalmic professional sphere. From peer-reviewed journal articles to lectures at professional meetings to chatter on the exhibit hall floor to thought-leader informational videos, Demodex has been a popular topic for the past 12-18 months.

Digital eye strain is caused by the overuse of digital devices such as computers and smartphones. Because these electronic devices are designed to be used and held within close range of the eyes, after a while, the eyes become strained as they continue to refocus to process the images on the digital screen.

Dropouts-not in my practice

We have talked about dropouts in contact lens practice since we started fitting lenses. Jason Nichols, OD, said 16% of contact lens wearers permanently drop out of lens wear each year.1 Many others quote 15-30% of lens wearers drop out each year.

Sjö is a proprietary laboratory test developed by Immco Diagnostics Inc. which combines traditional markers with three novel, proprietary biomarkers, allowing earlier detection of the disease.

Preventing CL dropouts can be a challenge with patients suffering from CLIDE. A number of factors, including the patient’s overall general health, the type of contact lens worn and solution interaction, among others, can influence the condition. Predicting which CL patients are more likely to develop dry eye helps you tailor management to the individual patient needs and set realistic patient goals for successful lens wear.

In the fifth video of our series on Demodex, Dr. Milton Hom provides additional insight about his experiences with diagnosing, treating and managing this clinical presentation.

In the fourth of our video series on Demodex, Dr. Mario Gutierrez offers practice management suggestions in treating patients with the mite. Plus, he gets into a mite-killing mood.

VIDEO: Treating Demodex

In the third of our video series on Demodex, Dr. Scott Schachter discusses how to best treat overabundance of this mite.

VIDEO: Diagnosing Demodex

In the second of our video series on Demodex, Dr. Scott Hauswirth explains how to diagnose this tiny critter.

The TearScan MicroAssay System (Advanced Tear Diagnostics) enables a clinician to diagnose dry eye or ocular allergy. This in-office, diagnostic platform tests for tear lactoferrin and IgE could also be used for screening patients in advance of refractive surgery or contact lens fits.

Study shows rebamipide was more effective than sodium hyaluronate in corneal and conjunctival staining tests and was reported by patients to be more effective for relieving foregin-body sensation and eye pain.