Dr. Kris Kerestan Garbig [email protected]. Children…Ages 8 – 10 yrs. Preteen…Ages 11 – 12...
-
Upload
avice-watson -
Category
Documents
-
view
227 -
download
0
Transcript of Dr. Kris Kerestan Garbig [email protected]. Children…Ages 8 – 10 yrs. Preteen…Ages 11 – 12...
Dr. Kris Kerestan Garbig
Children…Ages 8 – 10 yrs.
Preteen…Ages 11 – 12 yrs.
Teen…Ages 13 – 18 yrs.
Millennials…Ages 21 – 35
Generation X…Ages 36 – 47
Boomers & Beyond…Above Age 50
Survey completed
August 2010
Studied the Prescribing habits
of 576 American Optometrists
when fitting Kids in ContactLenses
AGE FACTORS in prescribing
97% of the O.D.s surveyed said they fit
CLs on patients younger than 18 years
In fact, 41% of all the CL patients in their
practices are actually kids under the age of 17 years
Of the 41% of Kids fit in CL: 2% were between 8-9 yrs
7% were between 10-12 yrs 13% were between 13-14 yrs
19% were between 15-17 yrs
< 8 yrs
Age 8-9
Age 10-12
Age 13-14
Age 15-17
66% of Docs. 15-17 years of age
50% of Docs. 13-14 years of age
20% of Docs. 10-12 years of age
33% say due to DAILY DISPOSABLES:
Why Daily Disposables?1. Most Healthy option
2. Minimal Care/ No CL Soln’s
3. Extremely Flexible
Healthiest option:
• New, Fresh, Clean CL Q day• No chance for buildup of protein
or CL debris• Best choice for Allergy patients
Minimal Care/No Solutions:
• Saves Time and saves Money on Solns
• Eliminates Soln. Related Red Eyes
• Eliminates Soln. Related Allergies
Extremely Flexible:
• Sports• Dance• Gymnastics • Drama• Swimming• Other Activities
23% say due to IMPROVED CL MATERIALS: (Silicone Hydrogel)
Extremely comfortable Increased O2 to cornea Ease of handling UV protection (Important to 85% parents)
19% say due to Parent or Child Request:
More awareness of benefit of CL for school and sports activities
Friends wearing CL
10% say due to Current Research onthe benefits of Kids and CL wear:
Articles in Magazines – Woman’s Day, U.S. News and World Report, Ladies Home Journal
Info. on the Internet
Interest and Motivation of the Child ( Most important factor to 96% of O.D.s)
Maturity Level
Hygiene
Parental help and support
Ease of Handling Oxygen Permeability Comfort Visual Acuity Frequency of Replacement UV protection
• Total of 484 myopic children aged 8 - 11 years of age
• Five clinical centers in the U.S.
• All children previously wore glasses
50% of children continued in Glasses 50% of children fit in CL’s
93 % chose Daily Disposables 7 % chose 2 Week Disposables
After 3 yrs. their Vision-Related Quality
of Life was assessed using an in-depth profile questionnaire of 26 questions( Strongly disagree to Strongly agree)
Increase Q of Life of 14.2 units in CL wearers Increase Q of Life of 2.1 units in glasses wearers
Improved Self Esteem in NonVision-related areas:
Athletic Performance Appearance Peer Perception
Fitting Criteria used the 3 “Ms”
1. Maturity 2. Motivation3. Mom
Contact Lenses improve children’s quality of life in areas beyond visionincluding athleticperformance, peer acceptance and appearance
Lenses allow more freedom of movement, excellent peripheral (side) vision necessary for a full field of view, and less distortion than glasses because the lens sits directly on the eye.
In the classroom, clearer vision allows for deeper participation and understanding of materials
◦Display office brochures to stimulate interest and to prepare parents and kids for a conversation about CL’s
◦Consider keeping trials in the exam rooms as
a visual reminder for you and the parent
◦Use conversation starters...
“Have you ever thought about wearing contacts?” or “Many people like wearing contacts for activities like sports, would you like to try them today?”
◦Include both the parent AND the child in the conversation
◦Optometric Staff must show patience and care during the initial fitting/training
◦Send kids home with wear/care instructions
◦On-line resources from CL manufacturers◦Sign up for Acu-minder ◦Give the kids a way to communicate with the
office…email or cell # they can text
Short Attention Spans (Keep exam process simple)
Small Palpebral Fissures(Choose a small diameter CL)
Developing Dexterity(Train parents insertion and removal also)
* Make sure an extra care kit is given for school*
Challenging attention spans and easily bored
Busy sports and school schedules
Increasing life responsibilities and
CL care Daily Disposables * Extra Care Kits*
KISS principle
KeepIt
SimpleSucceed
Always give Extra Care Kits…Locker,Backpacks, Sports Bags
Compliance Contract…Signed by the CLwearer in which they take FULLresponsibility for proper wear and care
*Acuminder*
Compared CL wear in Children vs. Teens
84 children between 8-12 yrs.
85 teens between 13-18 yrs.
Protocol…fit, I/R training, FU appts. @ 1 week, 1 month and 3 month
Three variables were measured◦Eye Health◦Ease of Fit◦Quality of Life Issues
EYE HEALTH
◦ Equal adaptation betw. Child and
Teen◦ No serious adverse
effects or eye health issues
EASE of FIT◦ Essentially the same◦ By 3 months 83% of the children vs. 89% of teens found it
easy to clean/care for CL◦ By 3 months little if
any parental assistance was needed
Quality of Life improved in ALL areas◦ Activities◦ Satisfaction◦ Appearance◦ Peer Perceptions◦ Overall Vision◦ Far Vision
Millennials- Age 21 - 35
Gen. X.- Age 36 - 47
Boomers &Beyond- Above Age 50
Characteristics:
Age 21-35
56% wear CL
CL wearer from earlier age
Characteristics:
Tech Savvy -“Grown up” with technology
Active lifestyles
Self Educating( Internet )
Visual Needs:
Maintain clear and comfortable vision
Maintain active lifestyle
Best CL options:
Daily disposables
Two week disp.
One month disp.
PT Wearers: Special occasions Weekend trips Wedding Swimming Beach vacation Sports
FT Wearers: Everyone! Dry Eye Allergies Hairdressers Bartenders Construction Pilots Flight Attendants
Erratic schedules New moms Shift workers Med. School residents Frequent travelers Firefighters EMS Police officers
Characteristics:
Between ages 36- 49
30% wear CL
CL wearer from earlier age…92%want to stay in CL
Computers Digital camerasMobile PhonesDigital camcorders
Characteristics:
Tech Savvy Learned technology
in late teens to early 20’s and have witnessed technological advancements
Active Lifestyle
Visual Signs:
Moving reading material away
Use of bright lights
Avoiding small print
Visual Symptoms:
Eye Strain before BLUR
Tired eyes
Difficulty focusing
Visual Symptoms:
Headache
Eye Fatigue
Burning & watering
Dry Eye
Visual needs:
Maintain active lifestyle
Maintain freedom andflexibility
Maintain confidence
Visual Needs:
Maintain youthful appearance
Maintain clear andcomfortable vision
Maintain Clear Vision
• Reading paper• Computer/Internet• Cell phone/Texting• Mobile Internet• Ipod/MP3• GPS• Read a menu
90% use the Internet
Spend at least 8 hrs. per week on line
82% use a cell phone
Average 236 texts per month
Best Candidates:
Good motivation Realistic expectations
Healthy ocular surface
Discuss symptoms early, educate andset expectations
Present treatment options 3-5 yrs before age 40
Mono.= Talking w/ one person at a timeMulti.= Talking w/ one person in a crowd
Treat any underlying DES
Use SiHy CL to increase O2
Best treatment options:
Multifocal CL - Daily or Planned Replacement
Monovision - Daily or Planned Replacement
Distance + Single Vision Near rx.
Do you findwearing glassesto be a hassle?
Motivation factor
Would you be ableto accept a CL that meets your visualneeds for only 80%of your daily tasks?
Expectation factor
OutstandingGrowth Opportunity:
56% of 18-35 yr olds wear CL
Only 30% of 35-49 yr olds wear CL(Decrease of 26%)
Characteristics:
Age 50 and above
Only 11% wear CL
Already wear multifocals or
reading glasses
Characteristics:
Learned technology in late 20s/early 30s
Need for near correction
80% interested in multifocal CL
Visual Signs: (Similar to Eps)
Moving reading material away
Use of bright lights
Avoiding small print
Best Candidates:
Good motivation Realistic expectations
Healthy ocular surface
Educate and set realistic expectations
Present treatment options Mono.= Talking w/ one person at a timeMulti.= Talking w/ one person in a
crowd
Treat any underlying DES
Use SiHy CL to increase O2
Best treatment options:
Multifocal CL - Daily or Planned Replacement
Monovision - Daily or Planned Replacement
Distance + Single Vision Near rx.
Any ????