Section

General


Domains: Communication, Clinical practice

No CPD Points

In this recorded webinar Mr Neil Retallic presents a session on how to understand recent contact lens research published in the BCLA Contact Lens Evidence Based Academic Reports (CLEAR) and how it can help shape contact lens practice. The presentation will encourage reflection on current ways of practice and provide clinical pearls on how to best relate to contact lens wearer’s individual needs and take a patient centric evidence-based approach, to maximise success with contact lens wear.

This presentation includes patient cases and provides optometrists with an overview of how recent research is relevant and can impact on everyday contact lens practice.

Last published: September 2023

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    Communication 

    s.1 Listen to patients and ensure they are at the heart of decisions made about their care

    • Understand how to best involve patients in decision making regarding their contact lens routines and choices, to maximise the contact lens performance.

    s.2 Communicate effectively with patients

    • Understand how to effectively communicate with contact lens wearers, using patient friendly language, independent of which contact lens material, modality or type they currently wear.


    Clinical Practice 

    s.5 Keep your knowledge and skills up to date

    • Understand the latest contact lens research and how to best apply this to the care provided.

    s.7 Conduct appropriate assessments, examinations, treatments and referrals

    • Able to take an evidence-based approach to contact lens practice, ensuring tailored patient care is provided based on the individual’s needs.
    • Understand best practice routines for asymptomatic and symptomatic contact lens wearers to reduce the risk of contact lens related complications or/and drop out, in both new and established wearers.

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      Please note: The markers in the video refer to chapter headings (listed below). You can use these markers to return to a specific section if you can’t watch the recording in one sitting. For more information on viewing Docet videos, including how to watch them in full screen and how to screencast, please go to our FAQs. 

      • Chapter headings

        1. Introduction 
        2. Patient case 1 – Peter, 44-years-old
          • Multifocal contact lenses
          • Assessing soft lens fits
        3. Patient case 2 – Claire, 22-years-old
          • Toric lens fitting
          • Aftercare
          • Contact lens discomfort
        4. Case 3 – Matthew, 17-years-old
          • Contact lens inflammatory events
          • Contact lens complications
        5. Case 4 – Laura, 37-years-old
          • Rigid corneal lenses
          • Assessing RCL fits
          • The future in contact lenses


        Q&A

        6. Question 1 - If you have a two-week neural adaption period. What information do you give a patient so they don’t have a poor first impression of multifocal lenses?

        7. Question 2 - Would you provide more time during the initial fitting of multifocal lenses to give the patient a chance to do everyday tasks?

        8. Question 3 - Have you got any tips or recommendations for fitting multifocal lenses for high add myopes?

        9. Question 4 - With high add myopes would you recommend monovision or has that not been found to be beneficial?

        10. Question 5 - What advice would you give patients about wearing time in general, or if they are new to contact lenses?

        11. Question 6 - Would you agree that the maximum wearing times of contact lenses is down to the individual?

        12. Question 7 - What does the research say about napping in contact lenses and safety for patients?

        13. Question 8 - What is the evidence for contact lens follow up checks frequency for established wearers with no problems, is more than one year acceptable?

        14. Question 9 - Some optometrists have a blanket two-year recall for all contact lens patients, what are your thoughts on this?

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      • Programme references and information

      • Barnett M, Courey C, Fadel D et al. (2021) CLEAR - Scleral lenses. Contact lens & anterior eye: the journal of the British Contact Lens Association; 44, pp 270-288
      • Downie L, Bandlitz S,  Bergmanson J et al. (2021) CLEAR - Anatomy and physiology of the anterior eye. Contact lens & anterior eye: the journal of the British Contact Lens Association; 44, pp 132-156
      • Jacobs D, Carrasquillo K, Cottrell P et al. (2021) CLEAR - Medical use of contact lenses. Contact lens & anterior eye: the journal of the British Contact Lens Association; 44, pp 289-329
      • Jones L, Hui A, Phan C et al. (2021) CLEAR - Contact lens technologies of the future. Contact lens & anterior eye: the journal of the British Contact Lens Association; 44, 398-430
      • Morgan P, Murphy P, Gifford K et al. (2021) CLEAR - Effect of contact lens materials and designs on the anatomy and physiology of the eye. Contact lens & anterior eye: the journal of the British Contact Lens Association; 44, pp 192-219
      • Richdale, K, Cox I, Kollbaum P et al. (2021) CLEAR - Contact lens optics. Contact lens & anterior eye: the journal of the British Contact Lens Association; 44, pp 220-239
      • Stapleton F, Bakkar M, Carnt N et al. (2021) CLEAR - Contact lens complications. Contact lens & anterior eye: the journal of the British Contact Lens Association; 44, pp 330-367
      • Vincent S, Cho P, Chan K et al. (2021) CLEAR - Orthokeratology. Contact lens & anterior eye: the journal of the British Contact Lens Association; 44 pp 240-269
      • Willcox, M, Keir N, Maseedupally V et al. (2021) CLEAR - Contact lens wettability, cleaning, disinfection and interactions with tears. Contact lens & anterior eye: the journal of the British Contact Lens Association; 44, pp 157-191
      • Wolffsohn J, Dumbleton K, Huntjens B et al. (2021) CLEAR - Evidence-based contact lens practice. Contact lens & anterior eye: the journal of the British Contact Lens Association; 44, pp 368-397
      • Wolffsohn J, Morgan P, Barnett M et al. (2021) CLEAR - Contact Lens Evidence-Based Academic Reports. Contact lens & anterior eye: the journal of the British Contact Lens Association; 44, pp 129-131


      • Docet would like to thank the following for his contribution to this programme:

          • Mr Neil Retallic, Optometrist, President of BCLA, Chair of BCLA CLEAR steering group.

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