how to develop a successful myopiamanagement practice
TRANSCRIPT
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importance of myopia control to patients and their parents.
http://dx.doi.org/10.1016/j.clae.2012.10.065
50 Abstracts / Contact Lens &
echanistic circumstances that might result in staining and go ono review the evidence currently available for each alternative.
ATURDAY MAY 27, 2012 CONFERENCE SESSION 26: STAININGND FLUORESCEIN CONT’D, HALL 1, 11:30–12.30CCREDITED FOR 1 CL CET – DISPENSING OPTICIANS/CONTACTENS SPECIALISTS/OPTOMETRISTSHAIR: DR PHILIP MORGAN
ttp://dx.doi.org/10.1016/j.clae.2012.10.063
hat is staining? (Part 2)
urtis [email protected] of Life Sciences at The University of Manchester, Unitedingdom
s SICS important?yndon [email protected], Centre for Contact Lens Research, Professor, School Ofptometry, University of Waterloo, Waterloo, Ontario, Canadane of the most hotly debated topics relating to contact lens
uccess over the past few years has been the clinical impact ofolution-induced corneal staining (SICS). It is interesting to look athe sheer volume of peer-reviewed literature on corneal stainingssociated with contact lenses. A PubMed search using the searcherms “corneal staining” and “contact lens” shows that 367 articlesere published on this topic since 1961. From 1961–1990 thereere 82 articles, from 1991–2000 there were 75 and from 2001 to
he current date a further 210. Of these, approximately 100 articleseal specifically with solution-induced corneal staining (SICS),ith the majority being in the past 5 years. This does not include
he dozens of articles in non-peer reviewed journals addressinghe topic that are omitted from such searches.ecently, an alternative hypothesis for SICS has been proposed,
n which the binding of components within care regimens to theorneal epithelium is believed to occur, which then subsequentlyinds fluorescein. This results in excessive, temporary fluorescencef the ocular surface, producing a condition termed “Preservativessociated Transient Hyperfluorescence” or PATH. However, ocu-
ar surface rinsing studies suggests that PATH may be more thanust a temporary factor, and studies using confocal microscopynd examination without the use of fluorescein produces somehallenges to the PATH concept.his brief review will take a look at the evidence linking solutionsnd corneal staining and whether clinicians truly observe SICS,ATH or something in between!
ATURDAY MAY 27, 2012 BCLA SEMINAR HOW TO DEVELOP A
UCCESFULL MYOPIA MANAGMENT, HALL 4, 11:30–13.00ttp://dx.doi.org/10.1016/j.clae.2012.10.064
or Eye 35S (2012) e33–e50
How to develop a successful myopiamanagement practice
Tom [email protected], USAKate [email protected] & Johnson Optometrists, Brisbane, AustraliaJeff [email protected] Ohio State University College of Optometry, USAMyopia control has been attempted in many forms, some moresuccessful than others. Scientific evidence from peer-reviewedliterature will help the eye care practitioner to narrow downthe choices when it comes to discussing myopia control withpatients and their parents. The most effective myopia controlagent, atropine, elicits side effects of near blur and photophobia,it only works during the first year of administration, and myopiatends to accelerate after discontinuation. Beyond atropine, themost consistent myopia control results have been achieved bycorneal reshaping and soft bifocal contact lenses.Scientific evidence will be combined with clinical experience ofcandidate selection and fitting outcomes in corneal reshaping,bifocal contact lenses and multifocal eyeglasses to demonstratehow practitioners interested in managing this growing populationof patients can incorporate best practice myopia managementinto their practice. Challenges inherent in fitting contact lensesor reshaping lenses in young children, or application of practicaland scientific knowledge to success with soft lens myopia controloptions, will influence the practitioner’s evidence based manage-ment plan. Case studies and communication tools will be providedto ensure that the astute practitioner can successfully translate the