International survey of contact lens prescribing for extended wear

Nathan Efron, Philip B. Morgan, Craig A. Woods, Suresh Awasthi (Collaborator), Joseph T Barr (Collaborator), Vadim Belousov (Collaborator), Jolanta Bendoriene (Collaborator), Aris Chandrinos (Collaborator), Byoung Sun Chu (Collaborator), Nir Erdinest (Collaborator), Philip Fine (Collaborator), Martha Y Gonzalez (Collaborator), José Manuel González-Méijome (Collaborator), Hans-Jürgen Grein (Collaborator), Christina N Grupcheva (Collaborator), Jorgen Gustafsson (Collaborator), Magne Helland (Collaborator), Hreinn Ingi Hreinsson (Collaborator), John C J Hsiao (Collaborator), Lee Kai Hung (Collaborator)Motozumi Itoi (Collaborator), Deborah Jones (Collaborator), Razmig Knajian (Collaborator), Carla J Mack (Collaborator), Florence Malet (Collaborator), Edoardo Marani (Collaborator), Sebastian Marx (Collaborator), Giancarlo Montani (Collaborator), Jason J Nichols (Collaborator), Alex Ong (Collaborator), Alice Pesinova (Collaborator), Geraint Phillips (Collaborator), Simona Radu (Collaborator), Ole Ravn (Collaborator), Svend-Erik Runberg (Collaborator), Jacinto Santodomingo (Collaborator), Mirna Stabuc Silih (Collaborator), Kah-Ooi Tan (Collaborator), Inga-Lill Thunholm-Henriksson (Collaborator), Ioannis G Tranoudis (Collaborator), Eef van der Worp (Collaborator)

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Purpose. To determine the extent of extended wear (EW) contact lens prescribing worldwide and to characterize the associated demographics and fitting patterns. Methods. Up to 1000 survey forms were sent to contact lens fitters in up to 39 countries between January and March every year for five consecutive years (2006-2010). Practitioners were asked to record data relating to the first 10 contact lens fits or refits performed after receiving the survey form. Survey data collected since 1997 was also analyzed to assess EW fitting trends since that time. Results. Details for lens modality were received for 107,094 rigid and soft lens fits of which 88,392 were for soft lens daily wear (DW) and 7470 were for soft lens EW. Overall, EW represents 7.8% of all soft lens fits, ranging from 0.6% in Malaysia to 27% Norway. Compared with DW fittings, EW fittings can be characterized as follows: older age (32.7 ± 13.6 vs. 29.4 ± 12.0 years for DW); males are over-represented; greater proportion of refits; 72% silicone hydrogel; higher proportion of presbyopia and spherical designs; and higher proportion of monthly lens replacement. Of those wearing EW lenses, 80% use multipurpose solutions, whereas 9% do not use any care system. Between 1997 and 1999, the rate of EW prescribing decreased from 5 to 1% of all soft lens fits; it increased to a peak of 12% in 2006, and settled back to 8% by 2010. Conclusions. EW prescribing has failed to break through the "glass ceiling" of 15% and is unlikely to become a mainstream lens wearing modality until the already low risks of ocular complications can be reduced to be equivalent to that for DW. © 2012 American Academy of Optometry.
    Original languageEnglish
    Pages (from-to)122-129
    Number of pages7
    JournalOptometry and Vision Science
    Volume89
    Issue number2
    DOIs
    Publication statusPublished - Feb 2012

    Keywords

    • Contact lenses
    • Extended wear
    • Fitting
    • Silicone hydrogel lenses
    • Survey

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