May 2012

In this issue:



A unique scientific symposium entitled “ Silicone Hydrogel Lenses – Ten Year Later” sponsored by the Contact Lens Association of Ophthalmologists, Inc®  (CLAO®) and CLAO's peer-reviewed Journal, Eye & Contact Lens (ECL), was held at the Riverside Hotel, Fort Lauderdale, Florida on Friday and Saturday May 4-5, 2012, just prior to the AVRO Meeting.  The purpose of this Symposium was to review the developments in silicone lenses over the past decade and to present cutting edge research in the field.   Internationally renowned contact lens researchers from around the world were invited to participate in this special event.  Each expert presenter will be submitting a paper to ECL based on their presentation at the Symposium and on their area of expertise within the subject.  After the peer-review process, these papers will be published in an issue of ECL.  This issue compilation will serve as the most current and comprehensive stand-alone reference on this important subject of silicone hydrogel contact lenses. This educational project is made possible through an unrestricted educational grant to CLAO from Vistakon, Johnson and Johnson Vision Care, Inc. (JJVCI).

To view the program brochure that includes speaker presentation titles and abstracts, visit the CLAO Home Page on the web at and click on the link.


The CLAO Symposium at the 2012 ASCRS Annual Meeting entitled " Controversies  in Keratoconus, Cataract, and Custom Ablation, Incorporating the 2012 Richard L. Lindstrom, MD, Lecture," was standing room only.  The 2012 Richard L. Lindstrom Lectureship was given by Ronald R. Krueger, MD.  The full program  was put together by CLAO Scientific Programs Chair, Deborah S. Jacobs, MD:

8:00 am           Introduction - Deborah S. Jacobs, MD, CLAO Scientific Programs Chair

8:02 am           “Update on Ectasia:  Keratoconus and Association with Eye Rubbing and Sleep Apnea ” - Alan Carlson, MD

8:10 am           “Hybrid lenses for Ectasia and Astigmatism” - Brandon Ayres, MD

8:18 am           “Cornea Crosslinking for Keratoconus: Inclusion criteria and clinical course”-                                 Peter Hersh MD

8:26 am           “ Cornea Crosslinking for Keratoconus: Epi on? Epi Off ?” - Kathryn Hatch, MD

8:34 am           Toric IOLs and Keratoconus: Considerations Pro and Con” - Gary Wortz, MD

8:42 am           “Contact Lens Fitting in a Refractive Cataract Surgical Practice: A Critical Utility                         for Successful Outcome Management” - Warren G. Fagadau, M.D.

8:49 am           “DALK vs PK for Keratoconus and for Corneal Scarring: Pros and Cons” -                                   Deepinder Dhaliwal, MD

8:55 am           “DALK for Keratoconus and for Corneal Scarring: Technical Tips” –

                        Surendra Basti, MD

9:05 am           Richard L. Lindstrom Lecture: “Spectrum of Customized Laser Vision Correction                         Options” - Ronald R. Krueger, MD,             


Harry William Hind passed away at age 96 on Thursday, April 12, 2012 in Portola Valley, California. Mr. Hind significantly contributed to the development of modern-day contact lens care solutions.  Here are only a few of his lifetime accomplishments:

  1. Developed a line of contact lens cleaning and storage solutions that helped maintain hydration, allowing hard plastic contact lenses to be wearable all day
  2. Co-founder of Barnes-Hind Pharmaceutical Laboratories “for which Hind served as chairman and president until the company was acquired by Revlon Corporation in 1976. He continued as chairman until 1987. The company produced both ophthalmic and non-ophthalmic products, including instrument sterilization solutions, dental products, vitamins, an epinephrine formulation for glaucoma, and one of the first pharmacologic treatments for tuberculosis, para-aminosalicylic acid. The use of this drug, together with a drug called isoniazid, contributed to the eventual closure of all tuberculosis sanitariums in the United States.”
  3. As a senior pharmacy student at UCSF co-invented with classmate Clifford Barnes and their professor Frank Goyan, the first device to accurately measure the ph of a solution, which is the forerunner of standard pH meters used today
  4. Invented the Lidoderm patch for long-term relief of shingles (compared with the standard, very painful injection), which was approved by the FDA in 1999 and is currently marketed by Endo Pharmaceuticals

A more detailed account of his life and many contributions may be found online at


A retrospective study reported in the China Journal of Traumatology collected the data from 27 hospitals of the Chinese army to investigate the relationship between eye injury and laser in-situ keratomileusis (LASIK) surgery in military personnel. All medical records of eye injuries in military personnel admitted to the 27 hospitals between January 2006 and December 2010 were reviewed. Patients’ information was analyzed including the injury time, place, type, cause, as well as examination type, treatment and outcome.  There were 72 eye-injury patients who had prior LASIK. Among them, 69 were diagnosed with mechanical ocular injury and 3 with non-mechanical ocular injury; 29 patients had traumatic flap-related complications, and 21 needed surgical repair. There was statistical difference when compared with those with ocular injury that had no refractive surgery history.  Visual acuity recovered well at discharge.  The study concluded that there is a high risk of potential traumatic flap problems after LASIK, and that it is not recommended for persons in army service.

SOURCE: Xiao JH, Zhang MN, Jiang CH, et al. Laser in situ keratomileusis surgery is not safe for military personnel. Chin J Traumatol. 2012;15(2):77–80.


Information in this section has been provided to CLAO by press releases, online sources and other means. CLAO does not warranty its accuracy; nor does notice of a product in this section constitute an endorsement by CLAO.

The American Medical Association (AMA) offers e-mail alerts on practice management and payer news.   Signing up for the AMA Practice Management Alerts is easy. Just visit and click the "Sign up" button.

Bausch & Lomb announced that the company has re-launched, an online resource for patients to learn more about vision correction options as they experience the changes that can naturally occur in our eyes as we age. This site is a great asset, and is the number one site to appear when conducting a Google search for multi-focal contact lenses, due to such high consumer attrition. With more than 14,000 unique daily visitors, the newly revised site includes a fun, interactive game to show people how adjusting for nearsightedness and farsightedness can impact their morning.  It also gives patient-friendly information about presbyopia and offers an overview of vision correction options available to patients. Your readers will be interested to know the site now features a “doctor finder” application and eye care professionals wishing to be added to that network should contact Bausch + Lomb directly.   In other news, the company announced that it will be continuing its successful program surrounding Soflens Daily Disposables this year. This exciting new program, “See to Achieve – Each and Every Day,” will target moms of teens and tweens and drive traffic directly to the eye care professional offices. The details of this year’s program are still being finalized but of course, I will be sharing more details with you soon.  Bausch + Lomb also shared results at SECO of a recent ground-breaking study from The University of Manchester, which is the first of its kind to examine if a multi-purpose contact lens solution can prevent the denaturation of tear proteins which helps maintain their inherent anti-microbial activity.  The study found that a novel multi-purpose solution formulation can prevent the denaturation of tear film proteins lactoferrin and lysozyme while the lenses are stored overnight in multi-purpose solution, allowing the stabilized proteins to maintain their antibacterial and bacteriolytic activity.  The opportunity for enhanced natural defense may be lost if proteins on lenses are denatured during contact lens wear and care.  The study demonstrates that the test multi-purpose solution preserves the structure and antimicrobial activity of tear proteins lysozyme and lactoferrin.

CooperVision, Inc.,announced on March 13, 2012 that the company is among the distinguished list of winning recipients of the eighth annual Manufacturing Leadership 100 (ML100) Awards.  The company was selected by Manufacturing Executive, the global community for manufacturing leadership and producer of the Manufacturing Leadership Summit and ML100 Awards program.  The ML100 Awards, presented by Managing Automation and in their eighth year, honor manufacturing companies and individual manufacturing leaders who help shape the future of global manufacturing. The ML100 judges evaluated nominations on the following four criteria: process impact, business impact, strategic impact, and use of technology.

The U.S. Food and Drug Administration is urging ophthalmologists to report occurrences of adverse patient reactions caused by decorative contact lenses to its MedWatch program.  The FDA is emphasizing the need to report adverse reactions, especially if the lenses were purchased without a prescription, as the agency can only take action against illegal sellers when violations are reported.  Consumers can report decorative lens-related problems directly to their local FDA Consumer Complaint Coordinator.

Lighthouse International announces a comprehensive, updated publication, The Lighthouse Clinician’s Guide to Low Vision Practice.  The 200-page book will serve as the seminal text for training ophthalmology and optometry students and residents, as well as practicing clinicians, in the principles of low vision clinical care and vision rehabilitation.  The publication helps clinicians understand low vision principles, enhances their knowledge of disease consequences, provides insight for addressing patient complaints, and increases the effectiveness of treatment—both medical and surgical—through low vision rehabilitation.  To order, call (212) 821-9470, e-mail or visit

Myopia provides both patient and doctor information on developments in the field of myopia control.  In the “For Doctor” section of the site it states “Lens interventions are based on the proven principle that creation of a peripheral myopia creates a stop/slow signal for further axial growth and thus myopic progression. The principle has been proven more in animal models but human studies are starting to show the effect. Some devices create peripheral myopia better than others.”

The National Institutes of Health has expanded a genetic and clinical research database to give researchers access to the first digital study images. The National Eye Institute (NEI), in collaboration with the National Center for Biotechnology Information (NCBI), has made available more than 72,000 lens photographs and fundus photographs of the back of the eye, collected from the participants of the Age-Related Eye Disease Study (AREDS).

VISTAKON® Division of Johnson & Johnson Vision Care, Inc., survey: Spring can be a difficult time for the one in five individuals affected by seasonal eye allergies. For many vision corrected individuals, eye allergy symptoms such as itchy, watery, or red eyes often keep them from enjoying daily activities, affect their appearance, and impact their performance at work, at school, and during sports, according to a survey conducted by Harris Interactive® on behalf of VISTAKON® Division of Johnson & Johnson Vision Care, Inc.  According to the online survey of 755 eye allergy sufferers ages 18 and over who wear glasses, contact lenses, or both, more than two in five (41 percent) say they suffer from mild to moderate eye allergy symptoms on a daily basis.  Women, in particular, note that eye allergy symptoms often make them look like they have been crying (48 percent), and frequent rubbing of their eyes often causes their makeup to come off (47 percent).  As a result, many report that their red, puffy eyes make them look tired and unattractive (38 percent).  One-in-three survey respondents say they wear contact lenses only or in conjunction with glasses, with 84 percent reporting that they wear reusable contacts that they replace either monthly or every one-to-two weeks. Among contact lens wearers surveyed, 39 percent say they wear their contacts less often, and about one-in-five say they either remove their contacts during the day (22 percent) or don’t wear them at all (19 percent) due to eye allergy symptoms.


The Eye Allergy survey was conducted online within the U.S by Harris Interactive© on behalf of

VISTAKON® Division of Johnson & Johnson Vision Care, Inc. among 755 vision-corrected adults age 18+ who have eye allergies between August 4 and August 20, 2010 (percentages for some questions are based on a subset, based on their responses to certain questions). The sample is weighted to represent the general population of adults age 18+ in the United States - using the U.S. Census data for demographics and their propensity to be online.

To help allergy sufferers better understand and manage their condition, a free educational brochure titled “Eye Health and Allergies” can be viewed or downloaded at

WebMD recently launched Eye TV for display within the Eye Health Center on Eye TV provides on-demand video programming that will bring to life real people successfully managing their eye health and vision.  For more information about the Eye Health Center and Eye TV, visit


The 2012 American Academy of Ophthalmology (AAO) Annual Meeting is scheduled for November 9–13, in Chicago, IL.  JCAHPO holds its annual ACE meeting in conjunction with the AAO.

The American Society of Cataract and Refractive Surgery Annual Meeting is scheduled for April 20-24, 2013 in San Francisco, CA.  For more information visit

The Symposium on the Material Science and Chemistry of Contact Lenses, is scheduled for November 14-16, 2012, New Orleans, LA  For more info contact Dr. Jean Jacob at

CLAO “Did You Know?”:

CLAO annually hosts scientific symposium at both the American Academy of Ophthalmology and American Society of Cataract and Refractive Surgery Annual Meetings.

For Your Amusement


A man was walking down the street, carrying a brown paper bag. He ran into one of his friends, who asked, "Hey! What do you have in the bag?"  The man tells his friend that he has some fish in the bag. His friend says, "Well, I'll make you a bet. If I can guess how many fish you have in the bag, you'll have to give me one."

The man says, "I'll tell you what. If you tell me how many fish I have in this bag, I'll give you both of them."

Contact Lens Event Reporting:

To report adverse contact lens reactions: or call (800) FDA-1088.

To report possible grievances related to the Fairness to Contact Lens Consumers Act or the associated Contact Lens Rule: