E D I T I O N J a N u a r y - M a r c h 2 0 1 3

NewsContact Lenses

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Happy New Year 2013. We wish that all the good goals you have set yourself for this year become true, and we will help you to the extend we can so that you can achieve them. For 2013, we are totally committed with the new contact lens wearers who, so far, have missed the opportunity to look well, look good and feel good with any of the products of our frequent replacement soft contact lenses.

Our main topic for this first quarter is strengthening communication with the needs of the potential wearer, digging deeper in anamnesis these needs by asking questions about their free time activities, outdoor activities and health and sport activities, formal or informal, such as going to the gym, going aerobics, doing cardio pulmonary activities, other relaxing activities such as riding a bike, go for a swim, for a walk, etc., in order to gladly share with them the good news that they can wear soft contact lenses while they practice those activities aiming for feeling comfortable and enjoying the most those moments. We want to promote our new communication strategies with the potential wearer in order to know them better and discover all and every opportunity the current fitter may have to offer visual and ocular health, providing a better quality life.

In this issue, the main topic refers to the importance of anamnesis on informal activities. It is supported by the editorial and the interview in the section “Face to Face” with the well- known Dr. Sheilla Hicsos Curran, who has been a pioneer in children and teenagers’ fitting. Those children and teenagers show better performance in sports and artistic and vocational activities when they are fitted early in life with frequent replacement soft contact lenses.

You are welcome to work hard for the integral health of our happy wearers, who get advice from us, follow us, and prefer us, day by day, more and more.

Presentation

optometrySport

in anamnesis

contactologySport

Con la Dra. Sheila Hickson-Curran

Discovering new fitting opportunities

Dr. Nelson MerchánProfessional Matters Manager Johnson & Johnson Vision Care Central and South America

Benefits

In Box

Discovering new

Editorial

Welcome to this new issue of NEWS The Vision Care InstituteTM Bogotá, in which we are unfolding the category of sports and contact lenses from a more responsible point of view of

the modern fitter. The fitter should inquire more during the interview or anamnesis and discover if there are explicit opportunities of outdoor work, healthy informal practices that imply physical effort or free time activities that imply low frequency sports in the potential wearer’s daily life to find the appropriate link to establish a direct relation with a new vision and comfort need for the wearer that aims for fitting them with frequent replacement soft contact lenses.

fitting opportunities in anamnesis

The fitter’s responsibility has always been mentioned from a proactivity point of view aiming for taking all their potential wearers to get an affective trial with soft lenses in order for them to become new wearers. However, we have not fixed the trust paths the fitter himself should look for in order to make the potential users accept immediately and openly the trial by giving them explanations and valid reason that adapt to their lifestyle.

Who would deny that from time to time they like to go for a swim, a walk, go jogging or go to the gym, or sometimes take time to play soccer or enjoy any other free time activity or outdoor sport in which they should wear contacts lenses along with sunglasses? It is a reality and, at the same time, an ice breaker to talk about the offer that you, as a professional, would be giving about the comfort and change in lifestyle of the potential wearer.

It is at this point that we bring up and validate the great importance of selling a healthy lifestyle, which pays back, and has been spoken by several psychologists and other professionals, who talk about professional verbal marketing. Selling a healthy lifestyle implies among other factors: Safety in correction, UV protection, aesthetic image, taking advantage of a broader visual field, economy, social recognition, and specially, a better sports and vocational performance. In brief, it is here where we discover the real meaning of what they, the experts, call: The power of words.

It is still important to recognize that if a proactive fitting of frequent replacement soft contact lenses still has conviction barriers, it is due to the fact that we, fitters, are not fully using our health marketing resources and fitter- wearer communication resources in the right way.

This is an open reflection and invitation to change.

Nelson L. Merchán

Dr. Nelson MerchánProfessional Affairs Manager

Johnson & Johnson Vision Care Central and South America

It is a new field and with a lot of development in the visual and ocular health environment. It is necessary to start giving it the appropriate name: Sports Optometry. It should be recognized that sight is basic in the development of the life of a human being and transcendent for all careers and occupations that highly depend not only on sight but also on each specific skill involved, and even when those activities are included in the person’s agenda; and do not necessarily mean they are high or physical performance activities.

The sports patient has, in most of their several activities, the need to develop motor skills that basically depend on their visual capabilities. For this reason, each one of them should be assessed according to their specific performance, and the possibility to associate an improvement of visual capabilities with an eventual improvement in sports performance should be also determined. It is there where a need for sports therapy, which is another important field in managing Sports Optometry, arises.

SportsOptometry

Based on clinic experience and doing the appropriate comparison with the regular patient who comes to our office, the sports test should be differentiated in the following way:

Johana Collante Haad.Optometrist – M.A in EducationFabio A. Mora.Optometrist – M.A. in Vision Sciences

1. Visual acuity assessment in office and field. 2. Contrast sensibility with emphasis on the performance environment. 3. Visual, motor assessment of eye/hand/ foot or body and binocular vision, with a special interest in saccadic and tracking movements as well as judging distances. 4. Visual Fields Assessment basically regarding recognition of surrounding environment. 5. Ocular dominance assessment in connection with body dominance. 6. Chromatic vision assessment in connection with the specifics of each sport. 7. Lighting assessment indicated for and by the patient.

8. Ocular health general assessment with emphasis in exposition to the environment.9. Appropriate prescription for spectacles, contact lenses or surgeries depending on the needs. 10. Trial and fitting appropriate time according to prescription. 11. Management of illnesses related to a specific sport. 12. Visual Sport Training.

The development of this kind of assessment might be complex, but we are talking about a person who recognizes that in the detailed examination we find the possibility of knowing their visual limitations for a specific sport and/or increase of capabilities for a specific training (formal o informal).

Evidence shows that Contact Lenses is the best correction for those patients who want to perform a sport, whether it is high performance or daily life sports.

These considerations are:

1. Assess ocular condition to assure appropriate use of contact lenses. 2. Confirm if there is any recommendation or obligation for the specific sport regarding ocular protection and recommendations whether they can be used. 3. Determine if the type of contact lenses correction can have UV protection if necessary.4. Contact lenses are a great option in case a person needs broader visual fields. 5. Contact lenses do not offer protection in case of exposition to trauma. 6. They offer better mini and magnification, which make fields and objects sizes and distances appear more constant and give the possibility to give them real values. 7. They offer a lower adaptation time whether it is first time or optical correction change. 8. Low risk of correction loss or fall. 9. Contact lenses offer more depth perception. 10. Less eye aberration because the correction moves with the eye. 11. Less reflections quantity due to lens contact with tears. 12. Possibility of frequent use and replacement.13. The length of the sport activity should be assessed to avoid corneal hypoxia. 14. Exposition to dehydration in sports such as cycling, sailing or skydiving where ocular protection is also needed.15. Contact lenses using wavefront technology correct high-level eye aberrations provide better visual acuity. 16. The best option for altitudinal sports is Hydrogel Silicone contact lenses.

Face to Face

Las opiniones expresadas en los artículos reflejan exclusivamente el punto de vista de sus autores y no necesariamente la postura y políticas de The Vision Care InstituteTM.

2. ¿Which are the safety and comfort con-ditions that ECPs can offer to their patients, when decided to wear DSCL? confident that their patients will benefit from clear vision, great comfort and a wearing experience that is very safe. It is well known that lenses replaced more frequently can reduce complications experien-ced with lenses that are not replaced on a regular basis. Such complications can be related to depo-sits that may result in comfort and vision reductions, as well as the development of red eye or giant pa-pillary conjunctivitis. As such, disposable lenses that are replaced either daily or every 1-2 weeks are healthier choices for patients.

3. Which are the main conclusions of the CLIP study in front of the factor of performance in sports and physical activities?? The CLIP study evaluated the impact of fitting chil-dren aged 8-12 and teenagers aged 13-17 with contact lenses. The study looked at how easy this was and what effect lenses had on how the wearers felt about their appearance, and their own satisfac-tion with activities.

The study found that it was very easy to fit contact lenses to teenagers and children. The only differen-ce between the two groups was that it took slightly more time (11 minutes more on average) for youn-ger children to be taught how to insert and remove the lenses.

In this opportunity our guest professional Sheila Hickson-Curran, reviews a key study that examine the benefits of fitting children and teenagers with contact lenses (CLIP) and recommends following top ECPs who choose to fit CLs early, which can assist with children’s sports skills and self concept. Sheila Hickson-Curran, is a British professional, who has been researcher and worker in the medical affairs division of J&J for many years, leading a important projects of new contact lenses. She was visiting TVCI Bogotá, a couple months ago, and share with the Colombian ECPs their important experiences.

1. ¿Which are the preliminary clinical conditions to in-crease in an sportsmen when is fitted with disposable contacts (DSCL)?High quality, disposable contact lenses offer great bene-fits to anyone who participates in sport or an active lifes-tyle. The lenses themselves allow for unrestricted vision, great field of visión and do not fog up or slip off, like glas-ses can. Although for some sports, safety goggles should be worn over contact lenses, not having a spectacle frame and lenses on.

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After being fit and wearing the contact lenses, both children and teenagers reported that they felt better about their ap-pearance, the activities they participated in (sports, dance etc) and were significantly more satisfied with their vision correction with contact lenses than with glasses.

In a separate study (ACHIEVE), children 8-12 were followed for 3 years. Approximately half of the children wore contact lenses, the others stayed in spectacles. In this study, the contact lens wearing Group reported significant improve-ments in their physical appearance, their althletic competen-ce and how they perceived their social acceptance (accep-tance amongst friends).

4. ¿Why do the fitters have to refer the topic of sports in a regular appointment with potential wearers?, is a factor of attraction to them, to wear DSCL? For eye care professionals, it is important to determine how we can help our patients see better during their everyday life. Even if a patient does not request contact lenses, as-king some probing questions about what they like to do for recreation, can uncover some vision needs that are better met by contact lenses than glasses. This is an opportunity to suggest to patients that they try contact lenses, even if it is just once or twice a week for sports or social activities. Many patients who try lenses this way, love them so much that they become full time contact lens wearers.

5. ¿Nowadays, fitters talks about sports and vision, as a fashion topic. It is? Or has to be part of a discretional clinical protocol, innovative and proactive, to new ha-ppy wearers? Some of the most sucessful Eye Care Practitioners are pro-active about discussing all aspects of vision correction and eye health with every patient. This is part of delighting our patients and keeping them loyal to our practice. Discussing contact lenses as a part-time, recreational option for sports is a great way to add value to your patients. Many patients are waiting for you to make recommendations to them, but may be afraid to ask about contact lenses themselves.

Perú, january 21 and 22

Costa Rica, January 28 and 29

The professors and administrative staff of The Vision Care InstituteTM Bogotá met in several sessions to work join both the lec-tures and workshops to give in the development of the new Phase 5: “Research, sports and frequent replacement”.

This new phase is full of surprises and activities so that the practi-tioner visiting us can enjoy innovative learning and get a lot of lear-ning applicable in the modern eye care professional’s daily life.

Faculty team 2013

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Course at The Vision Care InstituteTM in Latin America

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In Box

Allan Mora VargasOptometristPerú

Good afternoon, I want to thank you for inviting me for the fist tine to one of your trainings at The Vision Care Institute de Bogota, Colombia. Phase Five with a sports and research perspective is very interesting, and I identify myself with it because I like research and innovation for my patients.

It was a great academic and professional experience, where I had the opportunity to share with Colombian practitioners who have a high level, as well as with colleagues from my country who were invited. I can only mention positive words about the staff because, in general, everyone is an excellent professor, motivator, helpful, and eager to answer doubts we had during the presentations.

Fabio Mora OptometristCosta Rica

I would like to use this media to give thanks for the invitation to The Vision Care IinstituteTM Bogota and the use of the fifth phase of the program Johnson&Johnson has developed for visual health practitioners. The theme of the event, as well as the courses, professors, consulting, accommodation, punctuality, food among others has been excellent. I really thank your management and I look forward to a possible new invitation. It is an honor to be part of the group of first class practitioners from Costa Rica..

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