|Some daily disposables come in different base curves, including ACUVUE OASYS 1-Day Brand Contact Lenses,
both from Johnson & Johnson Vision Care, Inc.
|Bausch + Lomb Biotrue ONEday maintains over 98%
of its moisture for up to 16 hours.
|The clariti 1 day lens from CooperVision is available
in sphere, toric and multifocal designs.
|DAILIES Total1 Multifocal from Alcon is available in
extended powers ranging from +6.00D to -10.00D,
in three add powers, totaling 195 parameters.
How the daily disposable modality is making patients’ eyes happier and healthier.
but we always start with health. With this philosophy in place, we have reached a point where we are 93% successful in moving our patients to daily disposable lenses. Following are five reasons why patients leave the office happier with this lens choice.
1. Simplified Lens Care
The convenience of daily disposables is a major advantage. Patients do not have to worry about cleaning and storing their lenses at the end of the day.
2. Better Compliance
Sometimes no solution is the best solution. We found that we get better compliance when patients are fitted into daily disposables. With other modalities, they often do not clean their lenses with enough solution or for the recommended amount of time. In addition, they may not replace their lenses when they should.
3. Freedom for Active Lifestyles
From athletes to weekend warriors, daily disposables are convenient for patients who live active and busy lives. For instance, since daily lenses do not require solution, they can quickly be inserted while in the gym locker room or anywhere on-the-go.
4. Flexible Wear
They are a great option for patients who only wear contact lenses on occasion. With monthly and two-week lenses, patients need to replace them regardless of the number of times they have worn them. For this reason, many patients feel like they are wasting their lens wear if they choose to wear glasses and become contact lens dropouts. With daily lenses, patients can choose to wear their contact lenses only when they want to without feeling like they are wasting a lens wear.
5. Similar Cost to other Modalities
Although it may appear that two-week or monthly replacement lenses cost less than daily disposables, we cannot forget to factor in solution costs. To effectively clean contact lenses, it is estimated that one ounce of solution is needed. If a patient is effectively cleaning their lenses every night and each bottle of solution has 10 ounces, they are estimated to use 30 ounces (three bottles) in one month. Let’s say each bottle is approximately $8, a patient on a monthly-replacement lens would be spending about $250 to $300 extra on solution. That is an amount that patients and practitioners forget to factor into the total cost when purchasing contact lenses. In reality, we know that patients are just not likely to clean their lenses properly. As such, we feel that it is best to place them in a lens that will fit their needs to help keep them healthy.
FITTING AN AGING POPULATION
Over the last 10 years, we have improved on the availability of multifocal contact lenses for our older population. We now have DAILIES AquaComfort Plus Multifocal and DAILIES Total1 Multifocal from Alcon, Proclear 1 day Multifocal and clariti 1 day multifocal from CooperVision, Biotrue ONEday for Presbyopia from Bausch + Lomb and many more.
With daily disposable toric lenses, we are able to provide our patients with lenses that have astigmatic powers that go up to -1.75D and -2.25D and an axis at every 10 degrees all around the clock dial.
Multifocal contact lenses are not limited to presbyopes. The parameters available for patients are certainly there. The patients who do not fit into these parameters are very few such as the toric multifocal patients or high toric patients. Daily disposables are better able to accommodate patients with high spherical power now than they were in the past.
Some patients may need a specialized base curve or diameter that is available through a one-month replacement lens. However, there are daily disposables that come in different base curves such as ACUVUE OASYS 1-Day and 1-day ACUVUE MOIST Brand Contact Lenses, both from Johnson & Johnson Vision Care, Inc. In the past, oxygen transmissibility was an argument for one-month replacement lenses. However, this is not the case anymore. Many contact lens companies have created silicone hydrogel daily disposables that transmit more oxygen to the cornea.
SPEAKING OF MONTHLY MODALITIES
There are patients who work extended hours or have a lifestyle that requires continuous wear such as on-call doctors. These patients would benefit most from a monthly disposable lens such as AIR OPTIX NIGHT & DAY from Alcon, Bausch + Lomb ULTRA and ACUVUE VITA from Johnson & Johnson Vision Care, Inc.
With all the advances in soft contact lenses, we are able to fit the majority of our patients in some type of daily disposable. Again, health is the number one driving factor when we are recommending daily disposables to our patients. For our patients, concerns such as protein deposits, dryness, improper cleaning and storage are reasons why contact lenses feel uncomfortable. Nothing feels better than putting on a fresh pair of lenses every day. Corneal neovascularization, superficial punctate keratitis, corneal ulcers or giant papillary conjunctivitis should be red flags for practitioners and are all reasons to move patients into a daily disposable modality.
With so many contact lens options on the market, it is our job as eyecare professionals to educate our patients regarding the health of their eyes. That is why we recommend daily disposables to every patient in our practice.
David Kading, OD, FAAO, FCLSA, is in private practice at Specialty Dry Eye and Contact Lens Center in Seattle, WA. Christine Ma is a fourth year optometry student at Pacific University.
WHERE TO FIND IT:
800.451.3937 | Alcon.com
Bausch + Lomb
800.828.9030 | Bausch.com/ECP
800.341.2020 | CooperVision.com
Johnson and Johnson Vision Care, Inc.
800.843.2020 | Acuvueprofessional.com