Contact Lenses for ALL GenerationsDr. Kris Kerestan Garbigkrisgarbigfuse.netChildrenAges810yrs.PreteenAges1112yrs.TeenAges1318yrs.All Generations? MillennialsAges2135GenerationXAges3647Boomers&BeyondAboveAge50All Generations?qSurveycompletedAugust2010StudiedthePrescribinghabitsof576AmericanOptometristswhenfittingKidsinContactLensesChildren & Contact Lenses AOA and Vistakon Study qAGEFACTORSinprescribing97%oftheO.D.ssurveyedsaidtheyfitCLsonpatientsyoungerthan18yearsInfact,41%ofalltheCLpatientsintheirpracticesareactuallykidsundertheageof17yearsChildren & Contact Lenses AOA and Vistakon StudyOfthe41%ofKidsfitinCL:2%werebetween8-9yrs7%werebetween10-12yrs13%werebetween13-14yrs19%werebetween15-17yrsChildren & Contact Lenses AOA and Vistakon StudyChildren up to 17 yrs. account for 41% of all Contact Lens fits 66%ofDocs.15-17yearsofage50%ofDocs.13-14yearsofage20%ofDocs.10-12yearsofageWhat AGES are Soft Contacts FIRST introduced as Primary mode of Visual Correction ?33%sayduetoDAILYDISPOSABLES:WhyDailyDisposables?1.MostHealthyoption2.MinimalCare/NoCLSolns3.ExtremelyFlexibleWhy are we fitting Kids in CL at Younger Ages?Healthiestoption:New,Fresh,CleanCLQdayNochanceforbuildupofproteinorCLdebrisBestchoiceforAllergypatientsWhy Daily Disposables?Why Daily Disposables?MinimalCare/NoSolutions:SavesTimeandsavesMoneyonSolnsEliminatesSoln.RelatedRedEyesEliminatesSoln.RelatedAllergiesExtremelyFlexible:SportsDanceGymnasticsDramaSwimmingOtherActivitiesWhy Daily Disposables? 23%sayduetoIMPROVEDCLMATERIALS:(SiliconeHydrogel)ExtremelycomfortableIncreasedO2tocorneaEaseofhandlingUVprotection(Importantto85%parents)Why are we fitting Kids in CL at Younger Ages?19%sayduetoParentorChildRequest:MoreawarenessofbenefitofCLforschoolandsportsactivitiesFriendswearingCLWhy are we fitting Kids in CL at younger ages?10%sayduetoCurrentResearchonthebenefitsofKidsandCLwear:ArticlesinMagazinesWomansDay,U.S.NewsandWorldReport,LadiesHomeJournalInfo.ontheInternetWhy are we fitting Kidsin CL at younger ages? qInterestandMotivationoftheChild(Mostimportantfactorto96%ofO.D.s)qMaturityLevelqHygieneqParentalhelpandsupportMost Important Fitting Factors ConsideredqEaseofHandlingqOxygenPermeabilityqComfortqVisualAcuityqFrequencyofReplacementqUVprotectionMost Important CL Properties to ConsiderTotalof484myopicchildrenaged8-11yearsofageFiveclinicalcentersintheU.S.AllchildrenpreviouslyworeglassesQuality of Life Study 50%ofchildrencontinuedinGlasses50%ofchildrenfitinCLs93%choseDailyDisposables7%chose2WeekDisposablesQuality of Life Study After3yrs.theirVision-RelatedQualityofLifewasassessedusinganin-depthprofilequestionnaireof26questions(StronglydisagreetoStronglyagree)IncreaseQofLifeof14.2unitsinCLwearersIncreaseQofLifeof2.1unitsinglasseswearersQuality of Life Study ImprovedSelfEsteeminNonVision-relatedareas:AthleticPerformanceAppearancePeerPerceptionQuality of Life Study FittingCriteriausedthe3“Ms”1.Maturity2.Motivation3.MomQuality of Life Study ContactLensesimprovechildrensqualityoflifeinareasbeyondvisionincludingathleticperformance,peeracceptanceandappearanceQuality of Life Study ConclusionLensesallowmorefreedomofmovement,excellentperipheral(side)visionnecessaryforafullfieldofview,andlessdistortionthanglassesbecausethelenssitsdirectlyontheeye.Intheclassroom,clearervisionallowsfordeeperparticipationandunderstandingofmaterials Quality of Life Study ConclusionDisplayofficebrochurestostimulateinterestandtoprepareparentsandkidsforaconversationaboutCLsConsiderkeepingtrialsintheexamroomsasavisualreminderforyouandtheparentPractical ways to introduce CL to Kids for the first timeUseconversationstarters.“Haveyoueverthoughtaboutwearing contacts?”or“Manypeoplelikewearingcontactsforactivitieslikesports,wouldyouliketotrythemtoday?”IncludeboththeparentANDthechildintheconversationPractical ways to introduce CL to Kids for the first timeOptometricStaffmustshowpatienceandcareduringtheinitialfitting/trainingSendkidshomewithwear/careinstructionsPractical ways to introduce CL to Kids for the first time On-lineresourcesfromCLmanufacturersSignupforAcu-minderGivethekidsawaytocommunicatewiththeofficeemailorcell#theycantextPractical ways to introduce CL to Kids for the first timeShortAttentionSpans (Keepexamprocesssimple)SmallPalpebralFissures(ChooseasmalldiameterCL)DevelopingDexterity(Trainparentsinsertionandremovalalso)*Makesureanextracarekitisgivenforschool*Elementary Age ChallengesChallengingattentionspansandeasilyboredBusysportsandschoolschedulesIncreasingliferesponsibilitiesandCLcareDailyDisposables *ExtraCareKits*Preteen ChallengesKISSprincipleKeepItSimpleSucceedSucceeding with Kids and Contact Lenses AlwaysgiveExtraCareKitsLocker,Backpacks,SportsBagsComplianceContractSignedbytheCLwearerinwhichtheytakeFULLresponsibilityforproperwearandcare*Acuminder*Important Care ConcernsComparedCLwearinChildrenvs.Teens84childrenbetween8-12yrs.85teensbetween13-18yrs.Protocolfit,I/Rtraining,FUappts.1week,1monthand3monthCLIP Study( CL in Pediatrics Study)ThreevariablesweremeasuredEyeHealthEaseofFitQualityofLifeIssuesCLIP Study( CL in Pediatrics Study) EYEHEALTHEqualadaptationbetw.ChildandTeenNoseriousadverseeffectsoreyehealthissuesEASEofFITEssentiallythesameBy3months83%ofthechildrenvs.89%ofteensfounditeasytoclean/careforCLBy3monthslittleifanyparentalassistancewasneededCLIP Study( CL in Pediatrics Study)QualityofLifeimprovedinALLareasActivitiesSatisfactionAppearancePeerPerceptionsOverallVisionFarVisionCLIP Study( CL in Pediatrics Study)v Millennials-Age21-35vGen.X.-Age36-47vBoomers&Beyond-AboveAge50Contact Lenses for AdultsCharacteristics:Age21-3556%wearCLCLwearerfromearlierageCLs for MillenialsCharacteristics:TechSavvy-“Grownup”withtechnologyActivelifestylesSelfEducating(Internet) CLs for MillenialsVisualNeeds: MaintainclearandcomfortablevisionMaintainactivelifestyleCLs for MillenialsBestCLoptions:DailydisposablesTwoweekdisp.Onemonthdisp.CLs for MillenialsPTWearers: SpecialoccasionsWeekendtripsWeddingSwimmingBeachvacationSportsFTWearers:Everyone!DryEyeAllergiesHairdressersBartendersConstructionPilotsFlightAttendantsWhy Daily Disposables?ErraticschedulesNewmomsShiftworkersMed.SchoolresidentsFrequenttravelersFirefightersEMSPoliceofficersWhy Monthly Continuous Wear? Characteristics:Betweenages36-4930%wearCLCLwearerfromearlierage92%wanttostayinCLCL for Emerging PresbyopesComputersDigitalcamerasMobilePhonesDigitalcamcordersCL for Emerging PresbyopesCharacteristics:TechSavvyLearnedtechnologyinlateteenstoearly20sandhavewitnessedtechnologicaladvancementsActiveLifestyleVisualSigns:MovingreadingmaterialawayUseofbrightlightsAvoidingsmallprintCL for Emerging PresbyopesVisualSymptoms:EyeStrainbeforeBLURTiredeyesDifficultyfocusingCL for Emerging PresbyopesVisualSymptoms:HeadacheEyeFatigueBurning&wateringDryEyeCL for Emerging PresbyopesVisualneeds:MaintainactivelifestyleMaintainfreedomandflexibilityMaintainconfidence CL for Emerging PresbyopesVisualNeeds:MaintainyouthfulappearanceMaintainclearandcomfortablevision CL for Emerging PresbyopesMaintainClearVisionReadingpaperComputer/InternetCellphone/TextingMobileInternetIpod/MP3GPSReadamenuCL for Emerging Presbyopes90%usetheInternetSpendatleast8hrs.perweekonline82%useacellphoneAverage236textspermonthCL for Emerging PresbyopesBestCandidates:GoodmotivationRealisticexpectationsHealthyocularsurfaceCL for Emerging Presbyopes Discusssymptomsearly,educateandsetexpectationsPresenttreatmentoptions3-5yrsbeforeage40Mono.=Talkingw/onepersonatatimeMulti.=Talkingw/onepersoninacrowdTreatanyunderlyingDESUseSiHyCLtoincreaseO2 CL for Emerging PresbyopesBesttreatmentoptions:MultifocalCL-DailyorPlannedReplacementMonovision-DailyorPlannedReplacementDistance+SingleVisionNearrx.CL for Emerging PresbyopesDoyoufindwearingglassestobeahassle?MotivationfactorWouldyoubeabletoacceptaCLthatmeetsyourvisualneedsforonly80%ofyourdailytasks?Expectationfactor Two Important Questions that can indicate SuccessOutstandingGrowthOpportunity:56%of18-35yroldswearCLOnly30%of35-49yroldswearCL(Decreaseof26%) CL for Emerging PresbyopesCharacteristics:Age50andaboveOnly11%wearCLAlreadywearmultifocalsorreadingglasses CL for Boomers and BeyondCharacteristics:Learnedtechnologyinlate20s/early30sNeedfornearcorrection80%interestedinmultifocalCL CL for Boomers and Beyond VisualSigns:(SimilartoEps) MovingreadingmaterialawayUseofbrightlightsAvoidingsmallprint CL for Boomers and BeyondBestCandidates:GoodmotivationRealisticexpectationsHealthyocularsurface CL for Boomers and Beyond EducateandsetrealisticexpectationsPresenttreatmentoptionsMono.=Talkingw/onepersonatatimeMulti.=Talkingw/onepersoninacrowdTreatanyunderlyingDESUseSiHyCLtoincreaseO2 CL for Boomers and BeyondBesttreatmentoptions:MultifocalCL-DailyorPlannedReplacementMonovision-DailyorPlannedReplacementDistance+SingleVisionNearrx. CL for Boomers and BeyondThank YouAny?