Volume 1 | Edition 3 | 2009 VARIABLE VISION? PROBLEM SOLVED. Because the power in a toric lens is not equal in all meridians, rotational stability is a critical factor in visual acuity. Early toric designs did not always optimize stability, resulting in variable vision. But today’s toric lens designs have been refined to provide very stable, exceptionally clear vision. Consider a lens like the Bausch & Lomb PureVision® Toric lens. The patented Lo-Torque® design provides exceptional rotational stability. In a 2006 study, this newer design was preferred by eye care professionals across a variety of metrics when compared to alternative lens designs, such as the dual thin zone design.1 &%% EjgZK^h^dcIdg^X 68JKJ:6YkVcXZ [dg6hi^\bVi^hb ., -- ,, +% )% &' ( % 8g^he!XaZVgk^h^dc HiVWaZk^h^dc In a clinical study of over 100 ACUVUE Advance for Astigmatism wearers who were successfully refit in PureVision Toric Lenses, eye care professionals reported: • Patients who were wearing ACUVUE Advance for Astigmatism lenses previously had full lens centration only 78% of the time2 • Only 75% of patients wearing ACUVUE Advance for Astigmatism lenses previously had 20/20 or better visual acuity2 • Once refit in PureVision Toric lenses, 91% of these patients experienced full lens centration2 • After being refit into PureVision Toric lenses, 86% of patients achieved 20/20 or better visual acuity2 d[eVi^ZcihZmeZg^ZcX^c\ [jaaaZchXZcigVi^dc -% +% .& &%% '% '% % % EjgZK^h^dc Idg^X Outstanding convenience Better compliance Compliance with daily disposable lenses is higher than with both monthly and 2-week lenses.13 For younger patients this is especially important, as compliance with cleaning regimens and replacement schedules is generally quite low.14 Better comfort As with most patients, comfort is a key success factor for first-time wearers. Studies suggest that up to 82% of all patients prefer the comfort of daily disposable lenses.15 -+ SofLens® daily disposables give young wearers the all day comfort and exceptional vision quality they need: ,* )% )% 68JKJ:6YkVcXZ [dg6hi^\bVi^hb d[eVi^ZcihVX]^Zk^c\ '%$'%dgWZiiZgk^h^dc -% +% ,- 3. Better comfort GdiVi^dcVahiVW^a^in A well-designed toric lens will also achieve full centration, which provides better optical quality. Centration is the main determinant of high contrast vision performance, playing an important role in aligning the lens optics with the visual axis enhancing optical quality. &%% 1. Outstanding convenience The convenience of daily disposable lenses reduces the complexity of lens wearing. This simplicity gives first-time wearers a great chance for healthy contact lens wearing. '( '% 3 reasons why daily disposables are ideal for new contact lens wearers: 2. Better compliance DkZgl]Zab^c\anegZ[ZggZYWnZnZXVgZegd[Zhh^dcVahdkZg68JKJ:6YkVcXZ [dg6hi^\bVi^hb[dgk^h^dcVcYeZg[dgbVcXZYZa^kZgZYidi]Z^geVi^Zcih Vbdc\i]dhZl^i]VegZ[ZgZcXZ -% DAILY DISPOSABLE LENSES – AN EXCELLENT START FOR NEW WEARERS 68JKJ:6YkVcXZ [dg6hi^\bVi^hb 1. All day comfort EjgZK^h^dc Idg^X 2. Exceptional visual quality 3. Surprisingly affordable The Bausch & Lomb PureVision Toric lens is also designed to help reduce the amount of positive spherical aberration by adjusting the shape factor of the anterior surface across a range of powers. The aspheric optics combined with all of the other sophisticated design characteristics help PureVision Toric lenses deliver improved vision quality in a variety of settings. It’s not surprising to find that the design features of PureVision Toric contact lenses can deliver exceptional vision to astigmatic patients even versus spherical lenses. Specifically, in a clinical evaluation of astigmatic patients conducted comparing the PureVision Toric lens to wearers refit from their previous lenses, 89% of the patients achieved 20/20 vision or better when wearing the PureVision Toric lens.3 Only 35% had achieved 20/20 with spherical lenses. Don’t let patients settle for a less than optimal vision correction and for astigmatic patients that means giving them a toric lens. Educate your patients and offer them a proven toric lens design – PureVision Toric. They’ll be glad you did. All day comfort Bausch & Lomb’s SofLens® daily disposable lenses offer ComfortMoist™ Technology – a combination of a thin lens design and unique packaging solution that works with tears and envelops lenses in a cushion of moisture – works to further enhance all-day comfort. >continued on next page PROMOTE PATIENT COMPLIANCE >Daily Disposable Lenses continued from page 1 Today’s lens wearers expect more from their lenses than ever before. In fact, the majority of wearers (54%) report needing to wear their lenses for more than 15 hours a day.4 As a result, many patients will stretch their lenses to accommodate the longer wear times – a behavior that’s the leading cause of lens complications.5 This makes SofLens® daily disposables an excellent option for younger wearers who may be wearing lenses for longer hours during the day. To help reduce non-compliance with replacement schedules, doctors could switch 2-week lens wearers to a monthly modality. Why? Studies suggest: Exceptional visual quality • As few as 32% of patients wearing 2-week lenses are compliant with their replacement schedules 6 • As many as 82% of patients wearing monthly lenses are compliant with their replacement schedules6 ;gZfjZcXnd[gZeaVX^c\'"lZZ`aZchZh ZkZgn &"'lZZ`h ZkZgn ("*lZZ`h bdgZi]Vc *lZZ`h ;gZfjZcXnd[gZeaVX^c\bdci]anaZchZh ZkZgn &"'lZZ`h ZkZgn ("*lZZ`h bdgZi]Vc *lZZ`h Plus, exam frequency may also improve with a monthly lens, helping you to better manage patient success.7 :mVb[gZfjZcXn^begdkZhl^i]Vbdci]anaZch#, 6kZgV\ZZmVb[gZfjZcXn/ Bdci]anaZchlZVgZghÄ&(bdci]h Younger wearers tend to have a lifestyle that may put them in more low-light situations. A lens that features High Definition optics to help reduce spherical aberration and improve contrast – like the SofLens daily disposable lens – can help give these patients crisp, clear vision in such conditions. A recent study shows that the visual quality of SofLens daily disposable lenses were preferred to the leading spherical design, especially in low-lighting. Patient ratings of SofLens daily disposable lenses compared to leading 1-day brand for visual quality16 &%% HVbZ -% &. +% +, '( 7ZiiZg +) )% '% '"lZZ`aZchlZVgZghÄ&,bdci]h % &nZVg &-bdci]h Long wear times demand long lasting comfort. If your patients are wearing their lenses for a month, help them be more successful by fitting them in a lens that’s built to last for a month: the Bausch & Lomb PureVision® contact lenses. PureVision lenses have a unique Performa™ surface – keeping lenses smooth, clean and wettable, so they enhance comfort while resisting protein and lipid deposits.9 Give your patients a lens with long-lasting comfort, and promote compliance at the same time. Recommend Bausch & Lomb PureVision lenses. K^hjVafjVa^in K^hjVafjVa^inVic^\]i Daily disposables are affordable While the advantages of daily disposable lenses are manifold, some practitioners hesitate to recommend them based on perceived high cost. But the reality is, with the availability of rebates and no cleaning solutions to buy, patients can get the benefits of daily disposables for around $1 a day.17 It’s no wonder parents consider this option for their kids, with so many practical benefits for new wearers. It is clear that SofLens daily disposable lenses can be an important alternative for practitioners who strive to deliver the best corrective option for each and every patient. DON’T LET TORIC LENSES’ HIGHER COST BE A BARRIER Recent studies show that the large majority (90%) of current contact lens patients are interested in discussing innovations in contact lenses with their practitioner and have an increased appreciation for eye care professionals who inform them about new technology.10 A common assumption that leads to masking low-cylinder astigmatic patients is that the higher cost will deter them from wanting to be fit with toric lenses. But it’s the eye care practitioner’s responsibility to give patients every opportunity to take advantage of the newest technologies, explain the options, and provide your professional recommendation so patients can make informed decisions. Presuming certain options are too expensive for patients could undermine not only the application of your clinical expertise but also your patient’s comprehensive understanding. The patient will decide which option is right for them, including their desire to pay a premium for advanced technology that provides exceptionally crisp vision and healthy eyes. Today’s toric lens wearers can experience exceptional rotational stability and are now looking for additional features to further enhance their experience: excellent vision, longer wear times, better end of day comfort and white, healthy eyes. Even if patients seem satisfied with their current lenses, be proactive by offering new technologies to them. Studies suggest they will most likely be glad you did. The added benefit for you is that you’ll have distinguished your practice, which can strengthen patient loyalty. ;dgbZg]nYgd\ZaeVi^ZcihhVni]Z^g k^h^dc^hWZiiZg"VcYi]ZnÉgZbdgZhVi^h[^ZY lZVg^c\EjgZK^h^dcaZchZh&' &%% &%% -% -% +% EVi^ZcihVgZhd\aVYi]Znhl^iX]ZY" i]ZnÉaaiZaai]Z^g[g^ZcYh&' egZ[ZgZcXZ egZ[ZgZcXZ For example, in a study where nearly 100 hydrogel toric and multifocal patients upgraded to the new PureVision® Toric and Multi-Focal silicone hydrogel line of lenses, patients overwhelmingly preferred the new lenses.11 -( ,- )% .* +% )% '% '% % % ÆBnk^h^dc^hWZiiZgÇ Æ>ÉbbdgZhVi^h[^ZYÇ ., Æ>Éb\aVY>hl^iX]ZYÇ Æ>ldjaYgZXdbbZcY idV[g^ZcYÇ Patients’ comments after being refit into the newer technology included12: “I like the comfort and vision better.” “My vision is much crisper with these lenses.” “My eyes are whiter.” Across many variables, patients are clearly having very positive experiences when upgrading to the Bausch & Lomb PureVision Toric lenses. Watch the 2-minute video at this link www.bausch.com/udvari to hear how Dr. Joseph Udvari found his patients wanted to achieve better visual outcomes and were willing to pay the incremental costs. LLearn earn M More ore FOOTNOTES 1 Results from an independent 2006 survey of 95 eye care professionals performed by Directive Analytics. Participation was limited to eye care professionals who had fitting experience with all brands of silicone hydrogel toric lenses available at the time of the survey. 2 Results from a 2006 multi-site clinical comparison of PureVision Toric lenses and ACUVUE Advance for Astigmatism. A total of 18 eye care professionals evaluated 107 patients wearing ACUVUE Advance for Astigmatism for fit/orientation and visual acuity at initial visit. These patients were then fitted with PureVision Toric lenses and equivalent assessments were made at the initial fitting and after two weeks of wear. 3 Results from a clinical evaluation conducted at 117 sites in 8 countries in which 900 astigmatic patients wearing spectacles (n=119), spherical contact lenses, or toric contact lenses (n=629) were fitted with PureVision Toric lenses. After using the PureVision Toric lenses for 1 month, patients completed a forced choice questionnaire in which they chose product preferences for specific attributes. Practitioners provided lens fit, slit lamp evaluations and product performance rating information at each visit. 4 Results from the 2005 Gallup study of the contact lens market. 5 N.R. Ghormley: Achieving Healthy Contact Lens Wear. D. Pearce: Encouraging Patients to Purchase a One-Year Supply. Contact Lens Spectrum, May 2006. 6 SCH & Associates, December 2004, surveyed 500 consumers – 400 current lens wearers equally representing top four manufacturers plus 100 prospective lens wearers. 7 Data on file 2005. Bausch & Lomb Incorporated. M. Pier. 8 Results from an independent 2006 survey of 94 eye care professionals performed by Directive Analytics. Participation was limited to eye care professionals who had fitting experience with all brands of silicone hydrogel lenses available at the time of the survey. All 94 eye care professionals rated PureVision relative to ACUVUE Oasys, O2Optix, ACUVUE Advance, and Night & Day. 9 Data on file. Bausch & Lomb Incorporated. 10 Results from a 2005 independent survey of 300 current contact lens wearers conducted by SHC & Associates. 11 2007 Bausch & Lomb study data on file. 12 Results from a 2005 independent survey of 300 current contact lens wearers conducted by SHC & Associates. 13 Ky W, Scherick K., Sentson S. Clinical Survey of Lens Care in Contact Lens Patients. CLAO. 1998 October; 24(4):216-219)). 14 Dillehay, S, et al. Patient Experience and Management in HDK Silicone Hydrogel Soft Contact Lenses. www.siliconehydrogels.org. Posters. April 2004. 15 Sindt C. Daily Disposable versus Two-week disposable lenses. CL Spectrum: 2000 May; 15 (5), 33-36. 16 A total of 133 contact lens patients completed a 2-week evaluation of SofLens daily disposable contact lenses. Patients were instructed to wear the lenses on a daily wear, daily disposable basis. At the completion of the study, patients and eye care professionals provided feedback on the performance of SofLens daily disposable contact lenses. Previous lenses included 1-Day ACUVUE, 1-Day ACUVUE Moist, Focus DAILIES, and Bausch & Lomb SofLens® one day contact lenses before the start of the study. 17 Mai-Le K, Caroline P. The Cost of Lens Care vs. Daily Disposable Contact Lenses. CL Spectrum. 2001 Jul; 16 (7):25-27 SEND QUESTIONS OR COMMENTS TO: Eyemattersfeedback@bausch.com © 2008 Bausch & Lomb Incorporated. Bausch & Lomb, Lo-Torque, SofLens, PureVision, Performa, ComfortMoist, Perfecting Vision. Enhancing Life. are trademarks of Bausch & Lomb Incorporated. All other product/brand names are trademarks of their respective owners. HL-4016