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Pediatric contact lenses
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Pediatric contact lenses Hossein Alimirzaie Msc.optom www.optiran.blogspot.com
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Transcript of Pediatric contact lenses
Pediatric contact lensesHossein Alimirzaie Msc.optom
www.optiran.blogspot.com
Evidence for fitting kids with CLAre children more challenging or
burdensome to fit with contact lensescompared to teenagers?
(walline et al,2007a ) the contact lenses in) ( pediatrics CLIP study compared
84 8-12 yrsold with 85 13-17 yrs oldFitting lens handling and follow up care
were the same for both groups.Study conclusion: Neither group
experienced significant problems.consider fitting CLs for kids as young as 8 years old
Do contact lenses significantlyimprove the quality of life for children and teens?(walline et al, 2007)
This study was completed by 169 eyeglasses wearing subjects who changed to hydrogel CL. PREP scores increased 15 points for both children and teens
The study concluds that contact lenses significantly increased the subjects quality of life
Evidence for fitting kids with CL
Do corneal reshaping contact lenses slow myopia progression in children?(cho et al,2005; wallineet al 2009)
(CRAYON)study indicates that crneal reshaping lenses do slow eye growth/elongation
Evidence for fitting kids with CL
Age to start fitting contact lenses
It depend on child rather than their ageAs soon as they are interested ,they have suitable refractive error ,they can handle lenses,as soon as possible
Kids & Contact Lenses
Why fit children with contact Lenses?Refractive ErrorAnisometropia & AmblyopiaBinocular vision and developmentAppearanceConvenienceUV
Perceived problems associated with fitting children with contact lenses!
Requires stable refractive error!Too time consuming!Too expensive!Children may not be compliant!Children need more oxygen!Kids have a greater risk of microbial keratitis!
What lens should be fitted?
1 day disposable contact lensSoft hydrogel lenses Silicon hydrogel lensesRGPs
Progression of myopiaOrthokeratology
Communication and kids :
Focal points:
Know your patients , the child friendly approach , After care , informed consentSpatial considerations such as keratometry readings , interpalpebral aperture and so onPhysiological considerationPediatric Tear and dry eyes Pediatric Aphakik contact lensesFollow up
Contact Lenses are leading cause of pediatric emergency room visits
The researchers suggested that out of 144,799 total pediatric visits to emergency rooms in the United States from January 1, 2004 to December 21, 2005, approximately 33,300 (23%) were caused by some form of contact lens wear.
the most common risk factors for contact lens-related complications in childrenalteration of the prescribed wearing/replacement schedules
non-compliance with recommended lens care regimens.
