Contact Lens Update

• Issue 61 | September 2021

  The long and short of axial length

  Jeff Walline’s editorial discusses the merits of including axial length measures in the management of myopia, how to interpret the data and how best to communicate about eye growth to patients and their parents. Jeff’s feature article reviews a related piece by Chamberlain and colleagues, which endeavours to help clinicians better understand axial length targets in myopes, and how any change noted over time compares to normal eye growth in emmetropic children. Further work in this area is shared in the conference highlight with Alex Nixon’s recent abstract that examines physiologic growth in myopes and how that may confound interpretation of axial length measures. Finally, Shalu Pal shares three clinical cases from her practice which illustrate how axial length measures can be used to help inform evidence-based decisions in myopia management.

  • Editorial - Should We Control Myopia Progression or Eye Growth?
  • Feature Article - Axial Length Targets for Myopia Control
  • Conference Highlights - ‘Physiologic’ Eye Growth in Myopic Children
  • Clinical Insight - Three Case Series Report: The use of Axial Length in Myopia Management Clinical Decision Making

• Issue 60 | June 2021

  Using BCLA CLEAR with your patients

  Key points summarised to enable evidence-based contact lens practice. The Contact Lens Evidence-based Academic Reports (CLEAR) brought together 10 committees and more than 100 authors from 16 countries to produce 300 pages of scientific review. It covers all aspects of contact lens practice, from routine fitting through to specialty lenses, management of complications, and future technology. This issue of Contact Lens Update is dedicated to CLEAR, providing an overall editorial commentary, summarizing each report into a five-minute read, and delivering a free downloadable summary for all eye care professionals to help inform their evidence-based practice.

  • Editorial - The CLEAR reports – clarity, consensus, and cogitation
  • Feature Article - Summary – Contact Lens Evidence-based Academic Report
  • Conference Highlights - Comfort and vision correlations in daily disposable multifocal lenses
  • Clinical Insight - CLEAR Summary

• Issue 59 | April 2021

  Helping your patients through allergy season

  Review best practice diagnosis and management of ocular allergy. For those in the Northern Hemisphere, allergy season is upon us bringing in patients with itchy, uncomfortable eyes. This issue reviews the thorough diagnosis and contemporary management of the condition, from the in-depth editorial covering all aspects of ocular allergy, to the evidence-based approach in the clinical insight. Review the latest treatment options and know when to co-manage these patients, along with gaining insight from the feature article into the links between ocular allergy and dry eye disease. Finally, check out the conference highlight for a glimpse of the drug-release profile from a novel antihistamine-containing contact lens.

  • Editorial - Seasonal Allergic Conjunctivitis
  • Feature Article - Allergy and dry eye disease
  • Conference Highlights - The ex-vivo drug amount of an antihistamine releasing contact lens
  • Clinical Insight - A contemporary look at allergic conjunctivitis

• Issue 58 | February 2021

  Getting the measure of meibomian glands

  Top questions answered, new research results and how to use in practice. What is the normal appearance of meibomian glands in young people? Are those glands affected by contact lens wear? Andrew Pucker’s editorial reviews the evidence to answer several commonly asked questions such as these. The clinical relevance of new research on dry eye and meibomian gland changes in young adults is discussed by Andrea Lasby in the feature article, and Mariam Alkawally’s study on the effects of eyeliner on the lid margin is shared in the conference highlight. Finally, a brand new feature is launched in this issue, with Andrea Lasby giving a view from practice by sharing an extremely relevant clinical case, addressing dry eye and poor contact lens tolerance in one of her patients.

  • Editorial - Meibomian Gland Morphology Questions & Answers
  • Feature Article - The Association Between Meibomian Gland Dropout and Dry Eyes in Contact Lens Wearers
  • Conference Highlights - The Effect of Marginal Eyeliner Use on Tears and Meibomian Gland Function
  • Clinical Insight - Case Study: Utilizing Meibography to Address Contact Lens Intolerance

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