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A sixteen year survey of Canadian contact lens prescribing.pdf

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A sixteen year survey of Canadian contact lens prescribing.pdf

Contact Lens and Anterior Eye 39 (2016) 402–410 Contents lists available at ScienceDirect Contact Lens and Anterior Eye journal homepage: /locate/clae A sixteen year survey of Canadian contact lens prescribing Deborah Jones, BSc, FAAOa,*, Craig Woods, PhD, FAAO, FBCLAd, Lyndon Jones, PhD, FAAO, FBCLAa, Nathan Efron, PhD, DSc, FAAOb, Philip Morgan, PhD, FAAO, FBCLAc a Centre for Contact Lens Research, School of Optometry and Vision Science, University of Waterloo, Canada b School of Optometry and Vision Science, Queensland University of Technology, Australia c Eurolens Research, University of Manchester, United Kingdom d Deakin Optometry, School of Medicine, Deakin University, Australia ARTICLE INFO Article history: Received 29 July 2016 Received in revised form 29 August 2016 Accepted 9 September 2016 Keywords: Contact lens Survey Lens design Lens material Prescribing trends ABSTRACT Purpose: To understand long-term contact lens prescribing habits of Canadian optometrists. Methods: One thousand optometrists were surveyed annually from 2000 to 2015. Information was requested on the ?rst ten patients examined after receiving the survey. Results: Over the 16-year survey period, 1987 optometrists provided information on 19,143 patients. Mean age of the patients was 32.7 ? 14.4 years. Ratio of females to males was 2:1, the ratio of new ?ts to re?ts was 2:3. Soft contact lenses represented 94.5% of all ?ts. Rigid lenses were more often used as a re?t compared to a new ?t. Over the 16 years, market share for silicone hydrogel materials grew from 0% to 69.6%, mid-water content materials declined from 75.7% to 14.1%. The multifocal market share grew at the expense of spherical designs, with no change in toric lens ?tting. Monthly soft lens replacement remained the preferred option at 48.2%, followed by daily disposable at 40.8%; two-weekly replacement declined to less than10% of patients by 2015. Extended wear was likely used to re?t and only to a small proportion of wearers