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Jason Nichols, OD MPH PhD TFOS CLD Workshop Chair

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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Jason Nichols, OD MPH PhD TFOS CLD Workshop Chair

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  1. INTRODUCTION Jason Nichols, OD MPH PhD TFOS CLD Workshop Chair

  2. INTRODUCTION • COULD/SHOULD Be Much Bigger! • ~3 billion worldwide require vision correction. • At most 140 million CL Wearers.

  3. INTRODUCTION Finnemore, 1973 Schlanger, 1993

  4. INTRODUCTION WHAT IS CONTACT LENS DISCOMFORT?

  5. INTRODUCTION

  6. 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…

  7. INTRODUCTION

  8. INTRODUCTION STANDARDIZATION & GLOBAL CONCENSUS IS ON THE WAY…

  9. 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).

  10. INTRODUCTION

  11. INTRODUCTION

  12. INTRODUCTION

  13. INTRODUCTION Presented progress to Industry Liaison Subcommittee (January 14, 2013, Houston TX).

  14. INTRODUCTION Presented draft reports to entire CLD Workshop May 10-11, 2013 (post-ARVO, Seattle, WA).

  15. INTRODUCTION *First Public Presentation Of CLD Workshop. **IOVS on-line release today!

  16. INTRODUCTION As of now, all are available in unedited form on-line at IOVS: http://www.iovs.org/content/early/recent

  17. INTRODUCTION

  18. INTRODUCTION • A REQUEST: Cover Images!!! • Please nominate images representative of CLD.

  19. INTRODUCTION • TFOS • Subcommittees • Subcommittee Chairs • Harmonization Subcommittee • IOVS

  20. INTRODUCTION • Alcon – Title Sponsor • Santen • Menicon • Allergan • Vistakon • LaboratoiresThéa • Bausch & Lomb • Optima • Oculus • CooperVision • Contact Lens Spectrum

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