Contact Lenses for All Generations
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Transcript Contact Lenses for All Generations
Dr. Kris Kerestan Garbig
[email protected]
Children…Ages 8 – 10 yrs.
Preteen…Ages 11 – 12 yrs.
Teen…Ages 13 – 18 yrs.
Millenials…Ages 21 – 35
Generation X…Ages 36 – 47
Baby Boomers…Age 48 - 60
Silent Gen…Above Age 61
Survey completed
August 2010
Studied the Prescribing habits
of 576 American Optometrists
when fitting Kids in Contact
Lenses
AGE FACTORS in prescribing
97% of the O.D.s surveyed said they fit
CLs on patients younger than 18 years
In fact, 41% of all the CL patients in their
practices are actually kids under the
age of 17 years
Of the 41% of Kids fit in CL:
2% were between 8-9 yrs
7% were between 10-12 yrs
13% were between 13-14 yrs
19% were between 15-17 yrs
< 8 yrs
Age 8-9
Age 10-12
Age 13-14
Age 15-17
66% of Docs.
15-17 years of age
50% of Docs.
13-14 years of age
20% of Docs.
10-12 years of age
33% say due to DAILY DISPOSABLES:
Why Daily Disposables?
1. Most Healthy option
2. Minimal Care/ No CL Soln’s
3. Extremely Flexible
Healthiest option:
• New, Fresh, Clean CL Q day
• No chance for buildup of protein
or CL debris
• Best choice for Allergy patients
Minimal Care/No Solutions:
• Saves Time and saves Money on Solns
• Eliminates Soln. Related Red Eyes
• Eliminates Soln. Related Allergies
Extremely Flexible:
•
•
•
•
•
•
Sports
Dance
Gymnastics
Drama
Swimming
Other Activities
23% say due to IMPROVED CL
MATERIALS: (Silicone Hydrogel)
Extremely comfortable
Increased O2 to cornea
Ease of handling
UV protection (Important to 85% parents)
19% say due to Parent or Child Request:
- More awareness of benefit of CL for
school and sports activities
- Friends wearing CL
10% say due to Current Research on
the benefits of Kids and CL wear:
Articles in Magazines:
Woman’s Day
Ladies Home Journal
U.S. News and World Report
Info. on the Internet
Interest and Motivation of the Child
( Most important factor to 96% of O.D.s)
Maturity Level
Hygiene
Parental help and support
Ease of Handling
Oxygen Permeability
Comfort
Visual Acuity
Frequency of Replacement
UV protection
• Total of 484 myopic
children aged
8 - 11 years of age
• All children
previously wore
glasses
50% of children continued in Glasses
50% of children fit in CL’s
93 % chose Daily Disposables
7 % chose 2 Week Disposables
After 3 yrs. their Vision-Related Quality
of Life was assessed using an in-depth
profile questionnaire of 26 questions
( Strongly disagree to Strongly agree)
Increase Q of Life of 14.2 units in CL wearers
Increase Q of Life of 2.1 units in glasses wearers
Improved Self Esteem in
NonVision-related areas:
Athletic Performance
Appearance
Peer Perception
Lenses allow more freedom of movement,
excellent peripheral (side) vision necessary for a
full field of view, and less distortion than glasses
because the lens sits directly on the eye.
In the classroom, clearer vision allows for
deeper participation and understanding of
materials
Fitting Criteria used the 3 “Ms”
1. Maturity
2. Motivation
3. Mom
◦ Display office brochures
to stimulate interest and
to prepare parents and
kids for a conversation
about CL’s
◦ Consider keeping trials
in the exam rooms as a
visual reminder for you
and the parent
◦ Use conversation
starters...
“Have you ever thought
about wearing contacts?”
“Many people like wearing
contacts for activities like
sports, would you like to
try them today?”
◦ Include both the parent
AND the child in the
conversation
◦ Optometric Staff must
show patience
and care during the
initial fitting/training
◦ Send kids home with
wear/care instructions
◦ On-line resources
from CL manufacturers
◦ Sign up for Acu-minder
◦ Give the kids a way to
communicate with the
office…email or cell #
they can text
Short Attention Spans
(Keep exam process simple)
Small Palpebral Fissures
(Choose a small diameter CL)
Developing Dexterity
(Train parents insertion and removal also)
* Make sure an extra care kit is given for school*
Challenging attention
spans and easily bored
Busy sports and school
schedules
Increasing life
responsibilities and
CL care
Daily Disposables
* Extra Care Kits*
KISS principle:
- Keep
- It
- Simple
- Succeed
Always give Extra Care Kits…Locker,
Backpacks, Sports Bags
Compliance Contract…Signed by the CL
wearer in which they take FULL
responsibility for proper wear and care
*Acuminder*
Compared CL wear in Children vs. Teens
84 children between 8-12 yrs.
85 teens between 13-18 yrs.
Protocol…fit, I/R training, FU appts.
@ 1 week, 1 month and 3 month
Three
variables were measured
◦ Eye Health
◦ Ease of Fit
◦ Quality of Life Issues
EYE HEALTH
◦ Equal adaptation
betw. Child and
Teen
◦ No serious adverse
effects or eye health
issues
EASE of FIT
◦ Essentially the same
◦ By 3 months 83% of
the children vs. 89%
of teens found it easy
to clean/care for CL
◦ By 3 months little if
any parental assistance
was needed
Quality of Life improved in ALL areas
◦ Activities
◦ Satisfaction
◦ Appearance
◦ Peer Perceptions
◦ Overall Vision
◦ Far Vision
Millennials...Age 21 - 35
Gen. X....Age 36 - 47
Boomers…Ages 48 - 60
Characteristics:
Age 21-35
56% wear CL
CL wearer from
earlier age
Characteristics:
Tech Savvy -“Grown
up” with technology
Active lifestyles
Self Educating
( Internet )
Visual Needs:
Maintain clear
and comfortable
vision
Maintain active
lifestyle
Best CL options:
Daily disposables
Two week disp.
One month disp.
PT Wearers:
Special occasions
Weekend trips
Wedding
Swimming
Beach vacation
Sports
FT Wearers:
Everyone!
Dry Eye
Allergies
Hairdressers
Bartenders
Construction
Pilots
Flight Attendants
Erratic schedules
New moms
Shift workers
Med. School residents
Frequent travelers
Firefighters
EMS
Police officers
Characteristics:
Between ages 36- 47
(Gen X.)
30% wear CL
CL wearer from earlier age…
92% want to stay in CL
Characteristics:
Tech Savvy
Learned technology in late teens to early
20’s and have witnessed technological
advancements
Active Lifestyle
Visual Signs:
Moving reading
material away
Use of bright lights
Avoiding small print
Visual Symptoms:
Eye Strain before BLUR
Tired eyes
Difficulty focusing
Visual Symptoms:
Headache
Eye Fatigue
Burning & watering
Dry Eye
Visual needs:
Maintain active lifestyle
Maintain freedom and
flexibility
Maintain confidence
Visual Needs:
Maintain youthful
appearance
Maintain clear and
comfortable vision
Maintain Clear
Vision
• Reading paper
• Computer/Internet
• Cell phone/Texting
• Mobile Internet
• Ipod/MP3
• GPS
• Read a menu
90% use the Internet
Spend at least 8 hrs. per week on line
82% use a cell phone
Average 236 texts per month
Best Candidates:
Good motivation
Realistic
expectations
Healthy ocular
surface
Discuss symptoms early, educate and
set expectations
Present treatment options 3-5 yrs before age 40
Mono.= Talking w/one person at a time
Multi.= Talking w/one person in a crowd
Treat any underlying DES
Use SiHy CL to increase O2
Best treatment options:
Multifocal CL - Daily or
Planned Replacement
Monovision - Daily or
Planned Replacement
Distance + Single
Vision Near rx.
Do you find
wearing glasses
to be a hassle?
Would you be able
to accept a CL that
meets your visual
needs for only 80%
of your daily tasks?
Motivation factor
Expectation factor
Outstanding
Growth Opportunity:
56% of 18 - 35 yr olds
wear CL
Only 30% of 35 - 49 yr
olds wear CL
(Decrease of 26%)
Characteristics:
Age 48 and above
Only 11% wear CL
Already wear
multifocal eyewear
or reading glasses
Characteristics:
Learned technology
in LATE 20s
Need for near
correction
80% interested in
multifocal CL
Visual Signs: (Similar to EP’s)
Moving reading material away
Use of bright lights
Avoiding small print
Best Candidates:
Good motivation
Realistic
expectations
Healthy ocular
surface
Educate and set realistic expectations
Present treatment options
Mono.= Talking w/one person at a time
Multi.= Talking w/one person in a crowd
Treat any underlying DES
Use SiHy CL to increase O2
Best treatment options:
Multifocal CL - Daily or
Planned Replacement
Monovision - Daily or
Planned Replacement
Distance + Single
Vision Near rx.
ANY ????
Dr. Kris Kerestan Garbig
[email protected]