This web site is no longer actively maintained. Please visit http://www.contactlensupdate.com for up to date information.
Search
Powered by Google
Home
This Month
Editorial
Ocular Surface Characteristics of the Asian Eye
>
more
Meeting Synopsis
Academy 2010
>
more
Posters
pective Analysis of Risk Factors Associated With Contact Lens Induced Inflammatory Events During Continuous Wear
>
more
Feature Review
Adequate tear mixing under a soft contact lens may play an important role in minimizing certain > more
Tell a friend
> Home
> About Us
> Affiliates
> Contact Us
> Disclaimer
> Site Map

 




The Silicone Hydrogels website is partially supported through an educational grant from CIBA VISION

 
Previous Votes 2008-2007 | Previous Votes 2005-2006 | 2004-2003

 

 

What is the minimum age that you consider a child needs to be to successfully wear contact lenses?

At least 6 years old
  21.15% ( 22 votes)
At least 8 years old
  16.35% ( 17 votes)
At least 10 years old
  23.08% ( 24 votes)
At least 12 years old
  20.19% ( 21 votes)
At least 14 years old
  19.23% ( 20 votes)
Total 104 votes

 

 

What do you think the main factor is preventing some practitioners from recommending contact lenses for children aged 8-13 years?

The benefits do not outweigh the risks
  29.09% ( 16 votes)
Parents are not interested in their children wearing CLs at this age
  29.09% ( 16 votes)
There has not been enough evidence to support that children are capable of caring for their lenses at this age
  36.36% ( 20 votes)
The right products are not yet available
  5.45% ( 3 votes)
Total 55 votes

 

 

What proportion of your new fits are with silicone hydrogel materials?

81-100%
  69.09% ( 76 votes)
61-80%
  18.18% ( 20 votes)
41-60%
  6.36% ( 7 votes)
21-40%
  4.55% ( 5 votes)
1-20%
  1.82% ( 2 votes)
Total 110 votes

 

 

Do you typically record endothelial conditions in contact lens wearers?

I record it at each visit
  29.58% ( 21 votes)
I only record findings if I see moderate/severe conditions
  28.17% ( 20 votes)
I don't typically record endothelial findings
  25.35% ( 18 votes)
I am not sure how to assess the endothelium with my slit lamp
  16.9% ( 12 votes)
Total 71 votes

 

 

What is the main factor that prevents you from fitting all your astigmatic contact lens (CL) wearers with toric silicone hydrogels (SiHy)?

Cost
  27.12% ( 16 votes)
Visual performance issues
  11.86% ( 7 votes)
Comfort issues
  11.86% ( 7 votes)
No perceived physiological advantage
  5.08% ( 3 votes)
None, I fit / refit all my astigmatic CL wearers with toric SiHy lenses
  44.07% ( 26 votes)
Total 59 votes

 

 

Which of the following modifications to contact lenses or contact lens care procedures do you feel has the greatest potential for reducing the risk of microbial keratitis in contact lens wearers?

Hand washing with soap before handling lenses
  7.78% ( 86 votes)
Using antimicrobial hand sanitizers before handling lenses
  4.52% ( 50 votes)
Antimicrobial contact lens cases
  79.73% ( 881 votes)
Antimicrobial surfaces on contact lenses
  7.96% ( 88 votes)
Total 1105 votes

 

 

Which of the following options is your preferred choice of presbyopic correction for contact lens wearers?

monovision
  20.31% ( 13 votes)
silicone hydrogel multifocal lenses
  51.56% ( 33 votes)
hydrogel multifocal lenses
  17.19% ( 11 votes)
reading spectacles with distance correcting contact lenses
  10.94% ( 7 votes)
Total 64 votes

 

 

How many of your patients with mild-moderate keratoconus complain of reduced optical quality (such as ghosting, haloes or glare) despite optimal contact lens correction?

None
  23.19% ( 16 votes)
Up to 25%
  33.33% ( 23 votes)
Between 25-50%
  20.29% ( 14 votes)
Over 50%
  23.19% ( 16 votes)
Total 69 votes

 

 

Which of the following complications do you observe most frequently in your daily wear silicone hydrogel patients?

I rarely see any complications in my daily wear silicone hydrogel patients.
  31.63% ( 31 votes)
Mechanical complications (e.g. SEAL, abrasions, conjunctival flaps)
  8.16% ( 8 votes)
Contact lens papillary conjunctivitis (CLPC)
  31.63% ( 31 votes)
Solution induced corneal staining (SICS)
  11.22% ( 11 votes)
Corneal infiltrates (IK, CLPU)
  17.35% ( 17 votes)
Total 98 votes

 

 

For what proportion of your extended (or continuous) wear patients do you prescribe silicone hydrogel lenses today?

100%
  46.84% ( 37 votes)
75 99%
  18.99% ( 15 votes)
50 74%
  6.33% ( 5 votes)
25 49%
  10.13% ( 8 votes)
1 24%
  5.06% ( 4 votes)
I do not prescribe lenses for extended or continuous wear
  12.66% ( 10 votes)
Total 79 votes

 

 

What do you try first, to alleviate the problem of poor lens wettability in your silicone hydrogel-wearing patients?

Recommend rewetting drops
  14.14% ( 14 votes)
Instigate a rub and rinse step
  20.2% ( 20 votes)
Change the care regimen
  21.21% ( 21 votes)
Increase the replacement frequency
  9.09% ( 9 votes)
Change the lens material
  35.35% ( 35 votes)
Total 99 votes

 

 

How would a lens care product that has a high level of efficacy against Acanthamoeba influence your decision to prescribe that product to your contact lens patients?

It would significantly influence my decision to prescribe the product.
  77.59% ( 45 votes)
It would only marginally influence my decision to prescribe the product.
  18.97% ( 11 votes)
It would have no influence on my decision to prescribe the product.
  3.45% ( 2 votes)
Total 58 votes

 

 

Which of the following "therapeutic/treatment" applications do you most frequently prescribe silicone hydrogel lenses for?

Bandage lens(es) for corneal trauma or abrasions
  10.51% ( 39 votes)
Bandage lens(es) after laser eye surgery
  8.63% ( 32 votes)
Masking irregular astigmatism
  8.36% ( 31 votes)
Piggyback carrier lens(es) for keratoconus
  58.76% ( 218 votes)
Bandage lens(es) for the management of corneal disease (e.g. Thygeson's, bullous keratopathy, recurrent corneal erosions etc.)
  13.75% ( 51 votes)
Total 371 votes

 

 

When refitting conventional wearers with silicone hydrogels, how frequently do you encounter possible hypersensitivity to either the materials or a material / solution combination?

Never
  7.81% ( 5 votes)
< 5% refits
  35.94% ( 23 votes)
5 - 10% refits
  20.31% ( 13 votes)
10% refits
  35.94% ( 23 votes)
Total 64 votes

 

 

What proportion of your patients wearing Silicone Hydrogel lenses do you recommend hydrogen peroxide?

0%
  20.3% ( 27 votes)
1 to 25%
  16.54% ( 22 votes)
26 to 50%
  6.77% ( 9 votes)
51 to 75%
  6.02% ( 8 votes)
76 to 100%
  50.38% ( 67 votes)
Total 133 votes

 

 

Which of your patients will you recommend daily disposable (DD) silicone hydrogel (SiHy) lenses to when they become widely available?

Refits and new fits for all patients within the parameter range
  39.37% ( 211 votes)
Current DD patients with signs of physiological compromise or symptoms of dryness and / or discomfort
  33.58% ( 180 votes)
Current SiHy patients with deposit, solution incompatibility or dryness and discomfort problems
  17.72% ( 95 votes)
Only patients asking about the lenses
  9.33% ( 50 votes)
Total 536 votes

 

 

Which of the following is essential to increasing your utilization of silicone hydrogel materials?

Multifocals
  29.79% ( 14 votes)
Daily disposables
  48.94% ( 23 votes)
An MPS solution designed for silicone hydrogel materials
  21.28% ( 10 votes)
Total 47 votes

 

 

What percentage of your patients are now wearing silicone hydrogel materials (any modality)?

81 - 100%
  27.42% ( 17 votes)
61 - 80%
  22.58% ( 14 votes)
41 - 60%
  24.19% ( 15 votes)
21 - 40%
  8.06% ( 5 votes)
1 - 20%
  17.74% ( 11 votes)
Total 62 votes

 

 

What advice do you give to your contact lens wearers regarding the day to day care of their lens case? - Be honest!

No specific advice given.
  23.58% ( 29 votes)
Empty out used solution.
  5.69% ( 7 votes)
Empty out used solution and leave to air dry.
  23.58% ( 29 votes)
Rinse with fresh solution.
  14.63% ( 18 votes)
Rinse with fresh solution and leave open to air dry.
  32.52% ( 40 votes)
Total 123 votes

 

 

How would you describe your experience with made to order (MTO)silicone hydrogel (SiHy) lenses?

I have not yet trial fitted or ordered MTO SiHy lenses.
  50% ( 25 votes)
Dispensed for high myope(s) only.
  6% ( 3 votes)
Dispensed for high hyperope(s) / aphakic patients only.
  8% ( 4 votes)
Dispensed for patient(s) requiring unusual parameters only.
  18% ( 9 votes)
Dispensed for a wide variety of patient needs.
  18% ( 9 votes)
Total 50 votes

 

 

What percentage of your patients are unsuccessful when refitted with silicone hydrogel lenses who were previous hydrogel lens wearers?

0
  39.22% ( 200 votes)
10
  17.65% ( 90 votes)
30
  21.37% ( 109 votes)
= or > 50
  15.88% ( 81 votes)
Total 510 votes

 

 

Which characteristic or factor do you feel is most likely to be associated with decreased symptoms of discomfort and dryness for your contact lens wearers?

Low water content materials
  4.55% ( 12 votes)
Materials with high oxygen permeability
  20.08% ( 53 votes)
Incorporation and/or release of additional wetting agents within the lens matrix
  36.36% ( 96 votes)
Optimized lens care regimens
  28.03% ( 74 votes)
Dietary supplements and/or vitamins
  10.98% ( 29 votes)
Total 264 votes

 

 

Have you changed your recommendation of type and/or use of care regimen for your contact lens patients in response to the recent increases in reported Fusarium and Acanthamoeba Keratitis cases?

No. Still recommending no rub (multi purpose solutions) MPS
  5.32% ( 5 votes)
Yes, instructing to rub and rinse with MPS after each use
  9.57% ( 9 votes)
Yes, as in (2) AND and instructing to rinse case with MPS and air dry after each use
  18.09% ( 17 votes)
Yes, changed to a hydrogen peroxide system
  61.7% ( 58 votes)
Yes, recommending daily disposables to avoid use of any care regimen where possible
  5.32% ( 5 votes)
Total 94 votes

 

 

What percentage of your patients ask about/know about silicone hydrogels before your recommendation?

less than 5%
  29.17% ( 21 votes)
5-20%
  25% ( 18 votes)
21-40%
  25% ( 18 votes)
41-60%
  16.67% ( 12 votes)
>60%
  4.17% ( 3 votes)
Total 72 votes

 

 

In light of the recent spike in Acanthoemeba keratitis cases, how are you advising your contact lens patients to minimize their risks?

No change in instructions given
  21.05% ( 8 votes)
Advising all patients to remove lenses when swimming
  7.89% ( 3 votes)
Explicit instructions given advising against the use of tap water for case rinsing etc.
  42.11% ( 16 votes)
Change in care system for effectivity against the active and dormant (cyst) forms
  23.68% ( 9 votes)
Refitting with daily disposable lenses
  5.26% ( 2 votes)
Total 38 votes

 

 

When considering ALL complications and adverse events which can occur with contact lens wear, do you believe that you are observing:

Fewer with silicone hydrogel than conventional hydrogel regardless of wearing modality
  19.69% ( 25 votes)
Fewer with silicone hydrogel than conventional hydrogel if worn on a daily wear basis
  41.73% ( 53 votes)
No difference in the rates for silicone hydrogels and conventional hydrogels
  18.11% ( 23 votes)
Fewer with conventional hydrogels than silicone hydrogels regardless of wearing modality
  20.47% ( 26 votes)
Total 127 votes

 

 

Compared with conventional hydrogel lenses, would you consider your profitability with silicone hydrogel lenses to be

Significantly higher
  41.39% ( 113 votes)
Somewhat higher
  41.03% ( 112 votes)
No different
  5.86% ( 16 votes)
Somewhat lower
  6.59% ( 18 votes)
Significantly lower
  5.13% ( 14 votes)
Total 273 votes

 

 

When observing CLPC in silicone hydrogel lens wearers what is your preferred option for management?

Instigate rubbing and rinsing / additional surfactant with current lens type
  16.67% ( 17 votes)
Change to another silicone hydrogel lens with same wear schedule
  24.51% ( 25 votes)
Reduce wearing time (no overnight wear or decreased hours of daily wear)
  16.67% ( 17 votes)
Change to daily disposable wear
  35.29% ( 36 votes)
Discontinue all contact lens wear
  6.86% ( 7 votes)
Total 102 votes
All rights reserved, copyright 2002 - 2007 siliconehydrogels.org