Optometric Management Special Edition

2015

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12 S P E C I A L E D I T I O N 2 0 1 5 • O P T O M E T R I C M A N A G E M E N T . C O M lenses afer the study, which I thought was phenomenal, especially given that they weren't necessarily unhappy to start with. My anecdotal impression is that their experience in ACUVUE OASYS 1-Day was more than an incremental improvement in satisfaction. Given that some of these pa- tients were already in daily disposable lenses, what this really drives home for me is that there are real, tangible diferences even among daily disposable lenses. Dr. Brown: Tere was an undeniable 'wow' factor. I had one patient say that he thought his previous lenses were fne, but he could wear the ACUVUE OASYS 1-Day Lenses for an extra two hours in the evening. Another patient who traveled a lot on business noted that she was able to get of the plane without changing her lenses. Tose might seem like small improvements, but they were moments that mattered to the patients. Dr. Jasper: I'm impressed by what I know about the science, but for me that's just a reason to try a new lens. Te proof is really in how patients experience their vision and comfort and what I've seen so far is that end-of-day comfort is excellent. I think this is going to be a great lens for patients with the demanding days you were talk- ing about. Q: WHAT DOES IT MEAN TO YOU TO HAVE A CHOICE OF MODALI- TIES (2-WEEK DAILY WEAR, 1-WEEK EXTENDED WEAR AND DAILY DISPOSABLE) IN THE ACUVUE OASYS BRAND? Dr. Brown: Tere's a trust factor behind ACUVUE OASYS because it's a brand that so many patients have worn suc- cessfully. Tere have been times when I wanted to move an ACUVUE OASYS patient into a daily disposable lens for health and convenience reasons, but I just wasn't able to match the performance in a diferent brand. Having a daily disposable option in the ACUVUE OASYS family is going to help me meet their comfort needs. Dr. Smithson: You're right. In the past, we would some- times get to that fork in the road where we had to choose between a great material and what we feel is the healthiest way to wear lenses. Patients will tell me, "I like that it's fresh and new every day, but it didn't feel like my eyes were quite as refreshed at the end of the day." So I'm excited that these new lenses can provide the benefts of daily disposability and still ofer the utmost in performance. GETTING TECH-SAVVY Q: THE MOST UNIQUE ASPECT OF THIS STUDY WAS THAT WE ASKED PATIENTS TO RECORD HOW THEIR LENSES FELT IN "REAL TIME." A SUBSET WERE EVEN GIVEN AN APPLE IWATCH TO USE FE ATURE LENS PERFORMANCE IN THE RE AL WORLD FOR THE DURATION OF THE STUDY. THE WATCH PROMPTED THEM TO ENTER COMFORT AND VISION RATINGS AS WELL AS THEIR ENVIRONMENT AND ACTIVITY LEVEL EVERY HOUR. WHAT DID YOU THINK ABOUT THIS METHODOLOGY? Dr. Jasper: Te patients absolutely loved it! Te watch prompts helped them to be aware of the lens in more set- tings and at more times of the day. I think we got more honest answers than we would have otherwise. Dr. Sonsino: One of the things I learned was that patients aren't really paying attention to dryness. During a contact lens exam, when I ask, "Do you have dryness at the end of the day?" patients typically say, "no." But afer going through this assessment and answering questions every 2 hours on a self-directed questionnaire many said, "You know what? I actually do have a problem. I wasn't think- ing about it, but once I was forced to answer it every 2 hours, I realized that, yes, it is a problem." Dr. Smithson: Hour-by-hour and minute-by-minute data collection is common in the professional sports world. Everything from oxygen levels to speed to calorie burn can be measured in detail to determine how technologies afect athletes' performance. Do you think there are ap- plications for us to use wearable technology in a contact lens practice beyond this study? Dr. Sonsino: Personalized care is the future of medicine — and that includes optometry. What would be great is to carry the experience of self-directed questionnaires forward more routinely with our contact lens patients, so that we had more data on comfort and wearing experi- ence prior to an exam. Tat would give us so much more insight than a three-minute history questionnaire. At the end of the day, anything that allows us to have a better dialogue with patients will help us better identify and address their specifc needs. For so many patients, I think ACUVUE OASYS Brand 1-Day is going to meet those needs, especially for patients with the feeling of tired eyes throughout the day. OM REFERENCES 1. Mathews K, Daigle B, Alford J, Jedraszczak AM. Exploring variability in soft contact lens performance from moment to moment. Optom Vis Sci 2015;92:E-abstract 44644. 2. Nichols JJ, Willcox MD, Bron AJ, et al; members of the TFOS International Workshop on Contact Lens Discomfort. Invest Ophthamol Vis Sci 2013;54(11) (TFOS). 3. Chalmers RL, Hunt C, Hickson-Curran S, Young G. Struggle with hydrogel CL wear increases with age in young adults. Cont Lens Anterior Eye 2009; 32(3):113-9. Please see page 4 for more important prescribing information.

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