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INTRODUCTION. Jason Nichols, OD MPH PhD TFOS CLD Workshop Chair. INTRODUCTION. COULD/SHOULD Be Much Bigger! ~3 billion worldwide require vision correction. At most 140 million CL Wearers. INTRODUCTION. Finnemore , 1973. Schlanger , 1993. INTRODUCTION. WHAT IS
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INTRODUCTION Jason Nichols, OD MPH PhD TFOS CLD Workshop Chair
INTRODUCTION • COULD/SHOULD Be Much Bigger! • ~3 billion worldwide require vision correction. • At most 140 million CL Wearers.
INTRODUCTION Finnemore, 1973 Schlanger, 1993
INTRODUCTION WHAT IS CONTACT LENS DISCOMFORT?
INTRODUCTION • Friction… • Disposability… • Lens Care… • Inflammation… • Change in sensation • Ocular surface changes… • Glandular changes…MGD or aqueous or mucin expression…. Evaporation… Dehydration… Corneal Staining… High vs. Low Water… Ionicity… Environment… Hydrogel vs. SiHy… Wettability… Lubricity… Oxygen…
INTRODUCTION STANDARDIZATION & GLOBAL CONCENSUS IS ON THE WAY…
INTRODUCTION • March 2011 • Completion of MGD Workshop • Next workshops? • Infection, allergy, outcomes, contact lenses. • Feb 2012 • TFOS GB approves CLD Workshop. • Approves Organizer (David Sullivan) & Workshop Steering Committee Chair (Jason Nichols) & Vice-Chair (Mark Willcox). • Steering Committee (SC) formed. • June 20, 2012 • SC decides upon Mission Statement and Subcommittee topics. • SC decides upon workshop membership (n = 79). • SC recommends IOVS (GB later approved).
INTRODUCTION Presented progress to Industry Liaison Subcommittee (January 14, 2013, Houston TX).
INTRODUCTION Presented draft reports to entire CLD Workshop May 10-11, 2013 (post-ARVO, Seattle, WA).
INTRODUCTION *First Public Presentation Of CLD Workshop. **IOVS on-line release today!
INTRODUCTION As of now, all are available in unedited form on-line at IOVS: http://www.iovs.org/content/early/recent
INTRODUCTION • A REQUEST: Cover Images!!! • Please nominate images representative of CLD.
INTRODUCTION • TFOS • Subcommittees • Subcommittee Chairs • Harmonization Subcommittee • IOVS
INTRODUCTION • Alcon – Title Sponsor • Santen • Menicon • Allergan • Vistakon • LaboratoiresThéa • Bausch & Lomb • Optima • Oculus • CooperVision • Contact Lens Spectrum