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Contact Lenses for ALL Generations

Contact Lenses for ALL Generations. Dr. Kris Kerestan Garbig krisgarbig@fuse.net. All Generations???. Children…Ages 8 – 10 yrs. Preteen…Ages 11 – 12 yrs. Teen…Ages 13 – 18 yrs. All Generations???. Millenials…Ages 21 – 35 Generation X…Ages 36 – 47 Baby Boomers…Age 48 - 60

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Contact Lenses for ALL Generations

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  1. Contact Lenses for ALL Generations Dr. Kris Kerestan Garbig krisgarbig@fuse.net

  2. All Generations??? Children…Ages 8 – 10 yrs. Preteen…Ages 11 – 12 yrs. Teen…Ages 13 – 18 yrs.

  3. All Generations??? Millenials…Ages 21 – 35 Generation X…Ages 36 – 47 Baby Boomers…Age 48 - 60 Silent Gen…Above Age 61

  4. Children & Contact Lenses AOA and Vistakon Study • Survey completed August 2010 Studied the Prescribing habits of 576 American Optometrists when fitting Kids in Contact Lenses

  5. Children & Contact Lenses AOA and Vistakon Study • 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

  6. Children & Contact Lenses AOA and Vistakon Study 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

  7. Children up to 17 yrs. account for 41% of all Contact Lens fits

  8. What AGES are Soft Contacts FIRST introduced as Primary mode of Visual Correction ? 66% of Docs. 15-17 years of age 50% of Docs. 13-14 years of age 20% of Docs. 10-12 years of age

  9. Why are we fitting Kids in CL at Younger Ages?? 33% say due to DAILY DISPOSABLES: Why Daily Disposables? 1. Most Healthy option 2. Minimal Care/ No CL Soln’s 3. Extremely Flexible

  10. Why Daily Disposables?? Healthiest option: • New, Fresh, Clean CL Q day • No chance for buildup of protein or CL debris • Best choice for Allergy patients

  11. Why Daily Disposables?? Minimal Care/No Solutions: • Saves Time and saves Money on Solns • Eliminates Soln. Related Red Eyes • Eliminates Soln. Related Allergies

  12. Why Daily Disposables?? Extremely Flexible: • Sports • Dance • Gymnastics • Drama • Swimming • Other Activities

  13. Why are we fitting Kids in CL at Younger Ages?? 23% say due to IMPROVED CL MATERIALS: (Silicone Hydrogel) • Extremely comfortable • Increased O2 to cornea • Ease of handling • UV protection (Important to 85% parents)

  14. Why are we fitting Kids in CL at younger ages?? 19% say due to Parent or Child Request: - More awareness of benefit of CL for school and sports activities - Friends wearing CL

  15. Why are we fitting Kidsin CL at younger ages?? 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

  16. MostImportant Fitting Factors Considered • Interest and Motivation of the Child ( Most important factor to 96% of O.D.s) • Maturity Level • Hygiene • Parental help and support

  17. Most Important CL Properties to Consider • Ease of Handling • Oxygen Permeability • Comfort • Visual Acuity • Frequency of Replacement • UV protection

  18. Quality of Life Study • Total of 484 myopic children aged 8 - 11 years of age • All children previously wore glasses

  19. Quality of Life Study 50% of children continued in Glasses 50% of children fit in CL’s 93 % chose Daily Disposables 7 % chose 2 Week Disposables

  20. Quality of Life Study 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

  21. Quality of Life Study Improved Self Esteem in NonVision-related areas: • Athletic Performance • Appearance • Peer Perception

  22. Quality of Life Study Conclusion • 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

  23. Quality of Life Study Fitting Criteria used the 3 “Ms” 1. Maturity 2. Motivation 3. Mom

  24. Practical ways to introduce CL to Kids for the first time • 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

  25. Practical ways to introduce CL to Kids for the first time • 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

  26. Practical ways to introduce CL to Kids for the first time • Optometric Staff must show patience and care during the initial fitting/training • Send kids home with wear/care instructions

  27. Practical ways to introduce CL to Kids for the first time • 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

  28. Elementary Age Challenges • 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*

  29. Preteen Challenges • Challenging attention spans and easily bored • Busy sports and school schedules • Increasing life responsibilities and CL care • Daily Disposables * Extra Care Kits*

  30. Succeeding with Kids and Contact Lenses KISS principle: - Keep - It - Simple - Succeed

  31. Important Care Concerns • 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*

  32. CLIP Study( CL in Pediatrics Study) 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

  33. CLIP Study( CL in Pediatrics Study) • Three variables were measured • Eye Health • Ease of Fit • Quality of Life Issues

  34. CLIP Study( CL in Pediatrics Study) • 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 • EYE HEALTH • Equal adaptation betw. Child and Teen • No serious adverse effects or eye health issues

  35. CLIP Study( CL in Pediatrics Study) • Quality of Life improved in ALL areas • Activities • Satisfaction • Appearance • Peer Perceptions • Overall Vision • Far Vision

  36. Contact Lenses for Adults • Millennials...Age 21 - 35 • Gen. X....Age 36 - 47 • Boomers…Ages 48 - 60

  37. CLs for Millenials Characteristics: • Age 21-35 • 56% wear CL • CL wearer from earlier age

  38. CLs for Millenials Characteristics: • Tech Savvy -“Grown up” with technology • Active lifestyles • Self Educating ( Internet )

  39. CLs for Millenials Visual Needs: • Maintain clear and comfortable vision • Maintain active lifestyle

  40. CLs for Millenials Best CL options: • Daily disposables • Two week disp. • One month disp.

  41. Why Daily Disposables? FT Wearers: • Everyone! • Dry Eye • Allergies • Hairdressers • Bartenders • Construction • Pilots • Flight Attendants PT Wearers: • Special occasions • Weekend trips • Wedding • Swimming • Beach vacation • Sports

  42. Why Monthly Continuous Wear? • Erratic schedules • New moms • Shift workers • Med. School residents • Frequent travelers • Firefighters • EMS • Police officers

  43. CL for Emerging Presbyopes Characteristics: • Between ages 36- 47 (Gen X.) • 30% wear CL • CL wearer from earlier age… 92% want to stay in CL

  44. CL for Emerging Presbyopes Characteristics: • Tech Savvy • Learned technology in late teens to early 20’s and have witnessed technological advancements • Active Lifestyle

  45. CL for Emerging Presbyopes Visual Signs: • Moving reading material away • Use of bright lights • Avoiding small print

  46. CL for Emerging Presbyopes Visual Symptoms: • Eye Strain before BLUR • Tired eyes • Difficulty focusing

  47. CL for Emerging Presbyopes Visual Symptoms: • Headache • Eye Fatigue • Burning & watering • Dry Eye

  48. CL for Emerging Presbyopes Visual needs: • Maintain active lifestyle • Maintain freedom and flexibility • Maintain confidence

  49. CL for Emerging Presbyopes Visual Needs: • Maintain youthful appearance • Maintain clear and comfortable vision

  50. CL for Emerging Presbyopes • Maintain Clear Vision • Reading paper • Computer/Internet • Cell phone/Texting • Mobile Internet • Ipod/MP3 • GPS • Read a menu

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