Health* – One-day lenses are the healthiest way to wear soft contact lenses. With silicone hydrogel material for high breathability and UV blocking** for added protection.
Comfort – Optimised Comfort Edge™ and WetLoc™ Technology for all-day wearer comfort and hydration. Value†1 – Available across sphere, toric and multifocal at a great price.†
Recommend clariti® 1 day today.
Editor: Nicky Collinson BA (Hons) nicola.collinson@nationaleyecare.co.uk
Features Contributor: Joan Grady jgparischats@wanadoo.fr
Business Editor: Philip Mullins FBDO p.mullins@nationaleyecare.co.uk
Art Editor: Stacey Potter BA (Hons) www.spottcreative.co.uk
4 New keratoconus lens design
7 EssilorLuxottica acquires stake in Heidelberg Engineering
9 Rodenstock releases enhanced DNEye Scanner 3 11 Novel solutions range officially launched by Positive Impact
Editor’s comment
Within the next six to 12 months, the new Labour government is expected to deliver on its preelection manifesto to “make work pay” and “deliver a new deal for working people”.
As highlighted by NEG partner Citation in our last issue, this will include: new rights for workers; an end to zero hours contracts; unfair dismissal, parental and flexible working rights from day one; and an extension to statutory sick pay for all employees.
As business owners and employers, NEG members must keep abreast of, and be prepared for, any changes in employment law – particularly in the complex realm of HR. This is why NEG has put the subject at the top of next month’s Building for Success Conference agenda – with Citation employment law expert, Emma McGrath, set to explain all of the key updates and changes relevant to optical practices.
As an NEG partner, Citation can help members draft new policies and procedures, and answer any questions with a 24/7 advice line. Fortunately, there is still time to benefit from an exclusive NEG members’ offer – of the first three months free – when signing up with Citation before 30 September 2024. This is on top of the usual preferential rates. Scan the QR code shown here to find out more:
To hear from Emma, and all of the event’s other fantastic speakers, book your place at the NEG Building for Success Conference today at www.negconference.co.uk
Nicky Collinson Editor
Ultravision
Ultravision has brought out a new specialist monthly disposable contact lens, KeraSoft AV, dedicated to patients with keratoconus, irregular corneas and patients who’ve been cross-linked. KeraSoft AV’s design moves away from more traditional forms of prismatic stabilisation and incorporates freeform stabilisation to increase stability and reduce the overall thickness of the lens. With an easy fit system, there are three design options which allow practitioners to enhance the lens geometry to fit the overall cone shape, thus reducing chair time.
Ultravision commercial manager, Thomas Hedley said: “With the ever-changing landscape of treating patients with keratoconus, and an increase in patients being cross-linked in recent years, it was important for Ultravision to bring a new design which caters to the specific needs of keratoconus, but in the convenience of a monthly modality.” Turn to page 19 to find out more about keratoconus, treatment options and the new KeraSoft AV lens.
CooperVision
Stepper
A new mini collection of vibrant rimless frames under the Stepper Spirit brand is designed for those who appreciate both rimless eyewear and bold, vivid colours alongside "exceptional fit and comfort". The collection features three modern designs – STS 73404, STS-73437 and STS-73457 – with lens shapes and sides that serve as "the perfect canvas for colourful selfexpression". Of note, the collection includes a side length of 150mm on the STS-73437 so as to broaden their appeal even further.
“Stepper Spirit frames are ideal for wearers who seek the comfort of Stepper Eyewear and enjoy showcasing their personality through their eyewear,” said Peter Reeve, Stepper UK managing director. "A wellfitted frame enhances the wearer’s comfort, ensures optimal visual performance, and reduces the risk of discomfort or fatigue – crucial factors for eyecare professionals to consider when recommending fashion eyewear." The new Stepper Spirit rimless frames are available in a vibrant spectrum of colours including red, ocean, lilac, blue, olive, black, pink and green.
Three design systems to choose from
CooperVision will kick off a 12-date UK and Ireland myopia management tour on 23 September offering dispensing opticians, contact lens opticians and optometrists the chance to earn seven CPD points. Starting at 5:30pm with a buffet dinner, the sessions will provide: an introduction to EyeDream contact lenses; a discussion workshop on how to have great conversations about myopia and its management (three CPD points); and a myopia management made easy discussion workshop (three CPD points). One further interactive CPD point will be available.
Nicky Latham, professional services lead: myopia management at CooperVision, said: “We’re really excited to be launching this new series of events and are looking forward to helping practice teams set themselves and their patients up for success in myopia management.” The events will run until 16 October. For dates, locations and booking, visit https://registration.crowdcomms.com/coopervision2024
Self-expression through Stepper Spirit
Nicky Latham
KERATOCONIC LENS WITH THE CONVENIENCE OF A MONTHLY
Kerasoft AV is the brand new monthly disposable soft contact lens dedicated to patients with keratoconus, irregular corneas & cross-linked patients.
Making med-tech in-roads
EssilorLuxottica
EssilorLuxottica is to acquire an 80 per cent stake in Heidelberg Engineering. “Heidelberg Engineering, renowned for its expertise in early detection and diagnosis, is a perfect fit for EssilorLuxottica as it will bolster our presence in the med-tech space,” commented Francesco Milleri, chairman and CEO, and Paul du Saillant, deputy CEO at EssilorLuxottica. “By harnessing the full spectrum of our group’s capabilities in the optical industry, from logistics to manufacturing to global distribution, we are dedicated to fostering their long-term growth while enhancing the doctor and patient experience.”
Hoya
Christoph Schoess, co-founder and managing director of Heidelberg Engineering, added: “We are delighted that EssilorLuxottica, a global leader in eyecare, embraces our vision for creating a shared care system spanning from research to home monitoring. Together, we are strongly positioned to significantly advance patient care and improve clinical outcomes.” As part of EssilorLuxottica, Heidelberg Engineering will continue to serve the market under its own brand. The transaction is expected to close by the end of the year pending regulatory approvals and other customary closing conditions.
British Contact Lens Association
From this month, Hoya customers will have access to the only virtual reality (VR) headset visual field analyser (VFA) available in the UK and Ireland. The Oculera VFA uses state-of-the-art technology to detect and diagnose early glaucoma, age-related macular degeneration, scotomas or brain abnormalities. Martin Batho, managing director of Hoya Lens UK, said: “We are delighted to be partnering with Oculera to offer this incredible technology to our independent customers at an affordable price. Hoya is focused on supporting independent opticians, helping them to thrive and grow. This partnership with Oculera is an exciting step forward, making cutting-edge VR technology accessible to more eyecare professionals across the UK and Ireland.”
Submissions are now open for the 2025 British Contact Lens Association (BCLA) Fellowship programme, which recognises members’ esteem in the field of contact lenses and the anterior eye. Since it was launched in 2006, more than 220 professionals from the international community of contact lens industry and practice have become BCLA Fellows following portfolio and viva voce assessment.
BCLA Fellowship lead, Sonia Travé-Huarte, said: “Our Fellowship programme aims to highlight the work of passionate eyecare professionals and their commitment to innovation, research and life-changing vision care. We look forward to many high-quality applications and welcoming the latest intake of BCLA Fellows.” Fellowships will be presented at the BCLA’s 2025 conference next June. The deadline for submission is 29 November 2024. Visit www.bcla.org.uk
The Oculera VFA is designed to be comfortable for patients, easy-to-use, low maintenance and portable. The use of VR technology means there is no need for a dark room, eye patches or chin rest equipment. Mert Keleş, CEO of Oculera Health, commented: “We are delighted to be collaborating with Hoya and their independent customers to revolutionise perimetry testing across the UK and Ireland. The Oculera Visual Field Analyser is the first and only CE Certified Class II(a) medical device, MHRA-registered virtual reality perimeter available in the UK.”
Continental Eyewear
Amore by Cameo is a new ladies’ eyewear collection from Continental Eyewear, designed for wearers who are looking for delicate frames with elegant jewelled sides. Offering a blend of style and comfort, adding a touch of sparkle to everyday eyewear, there are eight styles in the collection offering timeless shapes, in both metal and acetate. Our photograph shows model Aria – a circular metal style featuring delicate detailing on the sides, embellished with hand-placed jewels for added sparkle. Aria is available in two colourways.
Sparkle with Aria: Amore by Cameo
First VR perimeter available in UK and Ireland
Same first-lens fit success as spherical lens6-10* >95% first lens fit success6-9*
*Based on lens movement, centration and rotation at initial fitting.
The new DNEye Scanner 3 from Rodenstock offers a range of new functions including a fundus image as the basis for an eye health check, tear film analysis and detailed colour images of the eye. The fundus image function includes posterior segment measurement via an automatic, non-mydriatic retinal camera. The cupto-disc ratio can also be determined, and different views compared side by side. The tear film analysis function aids the diagnosis of dry eye and its causation. Tear break-up time can be measured between two blinks, with video playback – while the tear meniscus can be measured manually to identify whether the dry eye is due to a lack of tears or to the quality of the lipid layer.
Detailed colour images of the eye can be used to assess the health of the eyelids and conjunctiva with the help of the Efron scale. It is also possible to check for corneal, conjunctival and eyelid anomalies, and assess for blepharitis, conjunctival and limbal redness and disorders of the meibomian glands. Other improvements include the scanner’s Scheimpflug camera now providing area-based data rather than just a single section. Remote View now runs via the award-winning CNXT digital service tool and, therefore, also displays measurement results on external devices. The intuitive user interface and the size of the touchscreen have also been enhanced.
Silhouette
The new Rising Dawn collection from Silhouette balances technology and design with colours inspired by a Mediterranean garden. The new styles are designed to convey a 1960s newsroom feel with modern contours, and include an edgy, all-gender shape with an exaggerated keyhole bridge, and a jet-black model with gold titanium.
The use of translucent colours provides an aquatic quality, revealing the fine details of Austrian craftsmanship clearly visible in the decorative hinge. In addition, a two-tone colour gradient – adding a second top colour – creates a backlit effects; for example with black on red. Signature Silhouette touches include a front pin and glossy end tip.
Association of British Dispensing Opticians
The Association of British Dispensing Opticians (ABDO) has received approval from the General Optical Council to begin delivering its Level 6 Dispensing Optician Apprenticeship from September 2024, for which government funding is available. As the awarding organisation, ABDO is working in partnership with ABDO College, Bradford College and City and Islington College, which are now enrolling students on their apprenticeship programmes.
“The launch of the Level 6 Dispensing Optician Apprenticeship enables students and employers in England to access government funding to pay for their education and examinations,” said ABDO chief executive, Alistair Bridge. “This will lead to enhanced recognition of the profession and the vital role that dispensing opticians play in providing excellent patient care.”
The apprenticeship will follow the ABDO 2023 Level 6 ophthalmic dispensing syllabus, which is already delivered as a blended learning course. Employers interested in enrolling students onto the apprenticeship should approach the affiliated institutes direct.
Samara Morgan, GOC head of education and CPD development, said: “I’d like to offer congratulations to ABDO for their work in reaching this point. An apprenticeship scheme will offer another pathway for potential dispensing opticians to earn their qualification, whilst still ensuring they are training through a qualification that has been approved and quality assured by us. We look forward to continuing to work with ABDO to ensure the apprenticeship meets all of our requirements for full approval.”
Updated and expanded functions
Translucent two-tone style: Rising Dawn
New dispensing apprenticeship approved
Positive Impact
Positive Impact (PI) has officially launched the Cleadew range in the UK offering advanced, CE-marked contact lens care solutions for all contact lens types. Cleadew’s Japanese manufacturer, Ophtecs, has pioneered harnessing povidone-iodine (PVP-I) for the safe and effective care of contact lenses. PVP-I is said to display high disinfecting efficacy against bacteria, viruses and acanthamoeba, whilst ensuring safety for the corneal epithelium. The solutions in the range are some of the first in Europe to be fully compliant with forthcoming medical device regulation changes.
PI managing director, Nick Atkins, said: “There’s been no real innovation in contact lens care for over a decade and that may be why many practitioners have become a little blasé about the contact lens solutions they prescribe. Consequently, we’re delighted to be launching an advanced solution range, packed with innovative new technologies to deliver superior disinfection, enhanced cleaning and deposit prevention, as well as improved wettability and comfort for all contact lens types.”
British Contact Lens Association
The 2025 British Contact Lens Association (BCLA) Clinical Conference and Exhibition will be held at the International Convention Centre (ICC) in Birmingham from 5-7 June promising three days of learning, networking and celebrating. “This meeting will deliver the latest innovation and clinical insight, with world class speakers on all areas of contact lenses and ocular surface health,” said BCLA chief executive, Luke Stevens-Burt. “It promises to be a brilliant three days of learning, networking and celebrating, featuring a host of passionate speakers who can inspire eyecare professionals to make a real difference to patients’ lives and ensure we are ‘always learning’.”
The event will consist of a series of hands-on skill workshops, group discussions, peer review, interactive sessions, lectures and will feature BCLA Fellowship presentations and professional awards. The programme will include clinical sessions for all areas on contact lens fitting and management, independent prescribing with a particular emphasis on anterior eye diseases, updates on Tear Film and Ocular Surface and International Myopia Institute global consensus reports and recent changes in practice patterns in optometry, anterior eye and contact lenses. For more details visit www.bcla.org.uk
General Optical Council
The General Optical Council (GOC) has noted that Glasgow Caledonian University will be the first to deliver an integrated optometry and independent prescribing (IP) qualification under its new education and training requirements. From September 2024, students will be able to earn a Master of Optometry with Independent Prescribing. Upon successful completion of the five-year programme, which integrates entry-level and IP placements, students will be able to register with the GOC as Optometrists with an IP specialty.
The regulator has also noted that the Association of British Dispensing Opticians (ABDO) will be the first to deliver a contact lens qualification under its new education and training requirements. From September 2024, students will be able to study at ABDO College or Bradford College towards a Level 6 Diploma in Contact Lens Practice qualification.
Samara Morgan, GOC head of education and CPD development, said: “It’s been exciting to see how optical education providers of GOCapproved qualifications are adapting their qualifications to meet the new education and training requirements. We know it’s involved a lot of hard work from providers, and we appreciate their dedication to ensure they offer courses that are fit for the future.”
We offer everything from bifocals to state of the art progressive dual side designs, fully compensated for the best visual experience.
Our aim is to provide the very best in optical lens technology and a service that is second to none.
dual side free-form progressive lens with an advanced design providing
General Optical Council
Ninety-two per cent of respondents to the General Optical Council’s (GOC) 2024 public perceptions research said they were satisfied with the optometrist who carried out their sight test/eye examination; 88 per cent were satisfied with their overall visit. However, patients from an ethnic minority background were less satisfied than white participants (84 vs 91 per cent) as were those with a disability (82 vs 89 per cent of those without a disability).
The research shows that the most vulnerable patients experienced significantly worse outcomes. Only 63 per cent of patients with four or more ‘markers of vulnerability’ had had their sight tested in the last two years compared to 82 per cent with none. Similarly, only 77 per cent of patients with four or more markers of vulnerability were satisfied with their overall visit compared to 94 per cent with none.
Thirty-one per cent of respondents said they shopped around before selecting which opticians/optometrist practice to go to, significantly higher than in 2023 (21 per cent). Of those who purchased spectacles following their sight test/eye examination, 78 per cent purchased them from the opticians/optometrist practice where they had had their sight test/eye examination – down from 85 per cent in 2023. More consumers are turning to supermarkets, High Street practices, or the internet for spectacles (14 compared to five per cent in 2023), particularly amongst those aged 16 to 44 years.
Thirty-three per cent of respondents stated they would go to an opticians/optometrist for an eye problem, compared to 36 per cent in 2023. This figure remains ahead of a GP practice/surgery (30 per cent). Those in England were less likely to turn to an opticians/ optometrist practice first when compared to all other nations.
Steve Brooker, GOC director of regulatory strategy, said: “While pleasing that public satisfaction and trust levels remain high overall, it’s worrying that experience of eyecare can vary considerably based on someone’s background and life circumstances. We know registrants want to give all patients the best possible care and the sector needs to work collaboratively to reduce the inequalities revealed by our survey.
“We will aim to reduce inequalities through our corporate strategy for 2025-30, which includes an objective to create fairer and more inclusive eyecare services. Further, we are strengthening our standards of practice to improve care for patients in vulnerable circumstances. And we will be commissioning new research into the lived experiences of different patients to bring these survey findings to life.”
View the full report on the GOC website.
AN INDEPENDENT VIEW
New government, new opportunities?
The AIO has written to Wes Streeting MP, the new secretary of state for health and social care, and the following is the text of the letter:
Dear Mr Streeting
By way of introduction, the Association for Independent Optometrists and Dispensing Opticians (AIO) represents independent optical practices across the UK.
Whilst appreciating the humour of your statement made in the House of Commons: “The Conservatives should have gone to Specsavers, and this government will”, unfortunately this might be interpreted as demonstrating a lack of awareness of the leading role independent opticians have played in developing primary eye health care.
Whilst it is to be welcomed that corporate opticians have somewhat belatedly started to embrace the concept of embedding primary eye health care in community optometry, it is important to understand that independent opticians have pioneered this approach, which the AIO has been lobbying to be recognised for many years. We attach a copy of the AIO Manifesto issued some five years ago.
It is vital that policies for delivering eye health care ensure a proper balance between both independent and corporate sectors. I hope you can facilitate a meeting with us as soon as possible in order to ensure the newly elected government fully understands the important role the independent sector has played both in developing shared care and also offering patient choice which unfortunately the previous government failed to recognise. The AIO believes once this is fully understood, the government will be sufficiently well informed to ensure any future legislation embraces all sectors in order to maximise the potential to alleviate pressures upon the hospital eye service.
With kind regards
Dr Christian French Chair
The change of government provides an opportunity for transformational change in the world of optics, and it is vital that the voice of independents is heard loud and clear.
Vulnerable patients’ perceptions were poorer
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Find out what HOYA can do for you – call or scan the QR code below.
Think independently
Getting down to business Developing thoughts
By Phil Mullins
With just weeks to go to this year’s NEG Building for Success Conference for our members, everything is ready: the venue is sorted, speakers are booked, food has been ordered, the exhibition is full and members are signing up to attend what we believe will be our best ever event.
If you haven’t yet signed up to attend and are thinking: why should I? Let me explain why you really don’t want to miss the conference. Firstly, there are very few events in the optical calendar that are exclusively for truly independent practices; where the programme is designed to support you and how your business works.
Our members’ conference also offers you a great opportunity to join with other likeminded independent professionals and feel part of a community – sharing thoughts and ideas you might not elsewhere. There is also the opportunity to kick back and relax at the celebration dinner on the Sunday evening, which includes great food, drink and entertainment. This year, we will be celebrating 45 years of NEG supporting independent practices, so we hope as many people as possible will join us to mark this fantastic milestone.
Obviously, one of the most important elements of any conference is the programme. As a business support organisation, we have decided to dedicate this year’s lecture programme purely to business matters. We believe the programme has something for everyone and covers topics of particular pertinence to members.
While the full programme line-up can be found by visiting the conference website –at www.negconference.co.uk – I thought it would be beneficial to share here some of the thinking behind the topics and what you might gain from attending.
COMPLEMENTARY TOPICS
In developing this year’s programme, we have endeavoured to bring a range of complementary topics together. Looking at
human resources (HR), we knew that 2024 would bring a number of legal changes to the way we operate our businesses. With a new Labour government in place, there’s no better time for an update on key employment law changes with HR expert, Emma McGrath. This might be the most important lecture you attend this year, because failure to comply with HR legislation can be very costly.
As well as keeping to the letter of the law, how do you get the best from your HR and how can you build a successful team to help grow your business and make you successful? Well, that is where Andy Clark comes in to share his thoughts on how to build a ‘premiership team’.
Turning from people to technology, on which possibly hangs the future of all businesses, we will look at how and why independent practices should react quickly and lead the way in our industry. Three lectures will cover various uses of technology.
On the Sunday, Wen Hwa Lee will share how artificial intelligence will benefit optometry – particularly in future diagnostics – and how you can be involved right now in developing this future technology. Also on Sunday, our title sponsor Rodenstock will discuss biometric intelligent lenses and how, by using cuttingedge advancements, you can improve the visual performance of your patients’ lenses.
On the Monday, Jason Higginbotham will take us through the uses of technology in the consulting room, looking at what a difference advanced technology can make for you and your patients.
We will also be discussing how to build your business for a successful succession or retirement plan, and how to make the most of the opportunities that contact lenses can bring to your business. You will discover how to grow your business successfully, making it more profitable both now and into the future.
Finally, we will turn to personal matters with our keynote speaker Sarah Furness.
Drawing on her experiences as a frontline RAF helicopter pilot, Sarah will explore how you, as a business owner and leader, can prepare for and deal with stressful situations and challenges in a more healthier way and stimulate your own personal development in the process.
As you can see, we are packing a lot into this year’s programme – including an Optinet Showcase that will kick off proceedings on the Sunday morning. So make sure you register your place by visiting www.negconference.co.uk and clicking on the ‘Register now’ button.
We look forward to seeing you in Nottingham on 27 and 28 October. ■
Expand your business skills and know-how
Boss Eyewear
Innovative materials, exquisite detailing
For autumn/winter 2024, the Safilo Group and Boss Eyewear present the new collection of sunglasses and ophthalmic frames for men and woman, developed using innovative materials and elevated by signature details...
The new Boss Signature Bold line features sophisticated sunglasses and ophthalmic frames with a fresh boldness. The styles are crafted in Acetate Renew, which is composed of bio-based and recycled materials, as well as in Acetate Renew combined with metal. Lenses are made of either bio-based nylon or Tritan Renew, a premium plastic made from recycled materials.
All the styles are accented with Boss signature metal detailing linked to the iconic Boss stripes. The eyewear is additionally enhanced by a new rich colour treatment, offering a choice of solid colours or colours in double-layer combinations as well as transparent horn effects.
The new styles for women include Boss style 1733 – a bold, squared oversized optical frame crafted in Acetate Renew. Embellished with signature Boss metal detailing, and featuring the iconic Boss stripes, style 1733 is available in burgundy, pink havana, havana and black.
Also new for women this autumn/winter
ELEVATED SIGNATURE STYLING
The Boss Signature Light sunglasses and ophthalmic frames feature extra slim and lightweight designs crafted from Acetate Renew or in a combination of stainless steel and Acetate Renew, for a lightweight feeling. All the styles feature lenses in Tritan Renew and are elevated by the signature metal Boss stripes. The new frames, including two new styles provided with clip-on polarised lenses, are offered in classic colours as well as in sophisticated double-layer combinations and transparent horn effects.
Boss style 1728 for men is a squared ophthalmic frame in Acetate Renew, with a slim metal bridge. It is available in black, brown horn, havana and green horn.
Boss style 1725/G/CS is a rounded ophthalmic frame made from Acetate Renew and provided with a clip-on featuring polarised lenses for a superior quality of vision and flexible hinges for maximum comfort. Boss style 1725/G/CS is available in black with grey polarised lenses, black/havana with green shaded polarised lenses, and striped black with grey polarised lenses.
Copy provided by Safilo. ■
is Boss style 1734: a bold, softly squared ophthalmic frame in Acetate Renew. Also embellished with the signature metal detailing that features the iconic Boss stripes, style Boss 1734 is available in black, havana, burgundy and pink havana.
Phone: 00 800 7234 5600
Email: customerserviceuk@safilo.com
Boss style 1733 for women
Boss style 1717 for men
Boss style 1728 for men
Boss style 1734 for women
Revolutionising keratoconus treatment
A journey through time
By Sujata Paul FBDO CL
As readers will be aware, keratoconus is an eye condition where the cornea progressively thins and forms a cone shape, impairing vision. The name 'keratoconus' originates from the Greek words ‘kerato’, meaning cornea, and ‘konos’ meaning cone, describing the conical bulge of the cornea in those affected.
Keratoconus has been documented since the early 1800s, with initial observations dating back to the 18th century. In 1854, English surgeon John Nottingham provided the first comprehensive account of the condition. Since then, there have been significant advancements in understanding and treating keratoconus, resulting in the development of various diagnostic and therapeutic approaches.
AETIOLOGY OF KERATOCONUS
The causes of keratoconus are unknown, but genetic and environmental factors likely play a role. Approximately 10 per cent of individuals with keratoconus have a first-degree relative with the condition, though it is not typically inherited. There is a correlation between environmental and familial factors and a higher likelihood of acquiring keratoconus.
Risk factors for keratoconus include having allergic conditions such as asthma and eczema, and it is more common in non-Caucasian ethnic groups.
PREVALENCE OF KERATOCONUS
Recent studies1 indicate that, even though many cases are mild, keratoconus is far more common than previously assumed. In
most cases, it starts in adolescence or early adulthood and progressively worsens over time. Individuals with keratoconus exhibit differences in the rate of progression and intensity of the condition's stages.
Based on epidemiological research2 there is significant variance worldwide in the prevalence and incidence rates of keratoconus, which range from 0.2 to 4,790 per 100,000 people and 1.5 to 25 per 100,000 people year, respectively. The highest prevalence and incidence rates typically occur in the 20 to 30-year-old age group.
There are strong indications that the condition is prevalent in hot, arid conditions whereby eye rubbing may cause significant corneal tissue injury affecting collagen fibres and cellular composition of the corneal tissue.
As keratoconus progresses, the cornea thins and changes shape, impairing focus. In severe cases, corneal scarring may occur3, leading to poor eyesight.
As an eyecare practitioner, during a routine eye examination, you can detect early signs of keratoconus in your patients, often before vision is affected.
Early signs of keratoconus:
■ Asymmetric refractive error with high or progressive astigmatism
■ Keratometry: high astigmatism, irregular axis (not adding to 180 degrees)
■ Corneal thinning: especially inferior, with maximum thinning at the site of maximum steepening
■ Rizutti’s sign: conical reflection on nasal cornea with temporal penlight
■ Fleischer ring: brown iron deposit in epithelium around cone base, visible with cobalt blue filter
■ Vogt’s striae: vertical striations in stroma, disappearing with firm pressure
TRADITIONAL METHODS OF TREATMENT
Historically, the management of keratoconus primarily focused on improving vision through corrective lenses and surgical interventions. The methods are as follows:
Keratoconus is far more common than previously assumed
Central cone topography of a patient with keratoconus
Spectacles and soft contact lenses
In the initial stages of keratoconus, spectacles or soft contact lenses can often be sufficient to correct vision. However, as the condition progresses and the cornea becomes more irregular, these options become less effective.
Rigid gas permeable (RGP) contact lenses
RGP lenses have been a go to in the treatment of keratoconus for many years. These lenses provide a smooth refractive surface by vaulting over the irregular cornea, thus improving vision. Despite their efficacy, RGP lenses present challenges in fitting, particularly in cases of advanced keratoconus, where achieving optimal comfort and alignment can prove demanding. This necessitates a nuanced approach in clinical practice to maximise both therapeutic outcomes and patient satisfaction.
Scleral contact lenses
Scleral contact lenses have seen a resurgence in popularity for managing keratoconus due to their superior comfort and visual acuity. Their large diameter and fluid-filled reservoir effectively vault the irregular cornea, providing stable and clear vision while maintaining corneal health.
Intracorneal stromal ring implants segments (ICRS)
ICRSs are tiny, crescent-shaped plastic inserts placed in the cornea to flatten its shape and enhance vision. They can be a beneficial choice for patients who do not find adequate relief with regular contact lenses.
Corneal transplantation
In advanced cases where other treatments fail, a corneal transplant (penetrating keratoplasty) may be necessary. This involves replacing the diseased cornea with a healthy donor cornea.
Corneal collagen cross-linking (CXL)
This procedure was introduced in the late 1990s and is a minimally invasive technique that reinforces corneal tissue by creating cross-links within collagen fibres. This process involves applying riboflavin (vitamin B2) drops followed by exposure to ultraviolet A (UVA) light. CXL has significantly impacted the management of keratoconus by stopping its progression and decreasing reliance on more invasive treatments such as corneal transplants.
IMPACT OF CXL ON THE CONTACT LENS INDUSTRY
The advent of CXL has significantly impacted the contact lens industry. Its ability to stabilise the cornea and halt disease progression has led to a reduced dependency on traditional rigid contact lenses. This shift has prompted the development of new contact lens designs that cater to the changing needs of keratoconus patients.
One notable impact is the increased demand for specialty contact lenses that offer both comfort and improved vision for post-CXL patients. These speciality lenses are designed to accommodate the more stable but irregular corneal surface resulting from CXL. As a result, the contact lens industry has seen a rise in the production of custom lenses catering specifically to keratoconus and irregular corneas.
MODERN TREATMENT APPROACHES
Currently, the treatment landscape for keratoconus has evolved to include advanced contact lens technologies like the UltraVision KeraSoft AV and KeraSoft Thin contact lenses. Both lenses are designed to provide optimal visual correction and comfort for keratoconus patients, particularly those who have undergone CXL.
A newer addition to the KeraSoft family, KeraSoft AV offers advanced vision correction for a wide range of irregular corneal conditions, including keratoconus. The lenses use advanced silicone hydrogel materials, providing enhanced oxygen permeability, which is crucial for maintaining corneal health, especially in post-CXL eyes.
KeraSoft AV is the first monthly disposable soft contact lens option on the market dedicated to patients with keratoconus. It features Peripheral Balancing Zones (PBZ), a freeform stabilisation technique that interacts with the upper and lower lids to provide stability. The lens has engraving marks at both six
and 12 o’clock positions as the lens will not automatically orientate one way.
KeraSoft AV offers reduced thickness for increased stability and comfort. The overall
thin design (ct 0.12) will allow for an even healthier option with increased Dk/t in comparison to thicker keratoconic lenses on the market. The reduction in thickness allows the lens to drape even better over any corneal irregularity, allowing for consistent, sharp vision throughout wear. The lens also offers an adjustable design for an improved fit. The design can be adjusted to enhance fit to overall cone shape. The Mild option is to be used for mild cone shapes, where there is a lower rate of peripheral flattening. The Moderate and Advanced designs should be used to align the lens to the cornea where there are higher rates of peripheral flattening.
CONCLUSION
KeraSoft lenses offer eyecare practitioners a highly customisable and straightforward fitting process. They ensure high patient comfort and integrate advanced technologies, simplifying the fitting process and enhancing care quality. By streamlining the fitting and offering practical solutions for challenging corneal conditions, the KeraSoft range of contact lenses expands the repertoire of eyecare practitioners. This benefits patients and practitioners alike by reducing hospital referrals, improving patient outcomes, and increasing satisfaction.
REFERENCES
1. Spronk I, Korevaar JC, Poos R, Davids R, Hilderink H, Schellevis FG et al. Calculating incidence rates and prevalence proportions: not as simple as it seems. BMC Public Health 2019;19:512. Available at: https://doi. org/10.1186/s12889-019-6820-3
2. Epidemiology is a science of high importance. Nat. Commun. 2018 May 7;9(1):1703. Available at: doi: 10.1038/ s41467-018-04243-3
Sujata Paul is clinical services manager at Ultravision. Sujata has more than 25 years' professional expertise as a skilled contact lens optician and working within professional services. ■
New Lite lens collection
Value without compromise
The newly-launched Lite lens collection from EssilorLuxottica enables independent eyecare practitioners (ECPs) to offer patients lenses at an affordable price point without compromising on quality...
In this special introductory feature, Vision
Now talks to Paul Willis, commodity Lite and wholesale lenses manager at EssilorLuxottica, about the new range: what makes it unique, and why the company believes it’s important to offer patients a complete range of lens products when cost may be a barrier, but a quality product is still needed.
Explaining how the Lite collection came about, Paul says: “Having carefully reviewed our product offering as part of our on-going commitment to independent ECPs, we’re excited to introduce this new commodity portfolio providing a wide range of products that can be priced sympathetically to today’s economic reality. We’re confident it will bring patients enhanced value without compromising on their choice of lenses.”
ENHANCED VALUE AND CHOICE
Launched on 1 July, the range offers a diverse selection of Nova progressive, bifocals and prescription and stock single vision lenses. It is recommended for patients looking for lenses at an affordable price without sacrificing quality.
“The single vision stock offering has a broader product and power range, enabling practitioners to save significantly by fulfilling more of their orders as a stock lens,” Paul explains. “We are confident that this new range will bring patients enhanced value and a wider range of choices.”
The progressive lens options range from voucher-value-friendly options to framefit personalisation capabilities to maintain design performance. “There are also sports progressive and office solutions to provide best-value second pair opportunities, broadening patients’ visual solutions and again helping practices realise further business potential,” says Paul.
PRODUCTS IN THE COLLECTION
The Lite lens collection includes the following products:
Nova UHD
Premium progressive lens, Nova UHD, is developed with the latest state-of-the-art technologies providing “an effortless feel of natural vision and excellent aesthetics”. This exclusive design uses digi-contour technology, so wearers receive corrective lenses designed especially to accommodate their exact visual requirement.
Nova Plus 3.0
Multi aspheric technology precisely calculates numerous meridians on the back surface of the lens. Nova PAL (progressive addition lens) has an aberration filter system with which it is possible to correct spherical aberrations and astigmatic distortions. “The high precision optimisation of power characteristics and selective design means aberrations and distortions are greatly reduced,” explains Paul.
Visio Digital
Visio Digital is designed to offer better contrast for natural vision with extra wide fields of vision compared with conventional PALs. The lens is powered with digital freeform technology and is thinner, flatter and cosmetically more appealing with wider fields of clear and comfortable vision.
Nova Sport
Nova Sport is designed for outdoor correction for all sporting activities and is said to offer great clarity, contrast and glare protection. The lens fits into most sunglass frames – including both single vision and progressive lenses.
Nova Office
“Occupational lenses are designed for working professionals who need spectacles for near vision work – yet need the added flexibility and range to see things
Nova Plus 3.0 corrects spherical aberrations and astigmatic distortions
Paul Willis
Visio Digital offers extra wide fields of vision compared with conventional PALs
a bit further away than a normal reading distance,” says Paul. “This is where Nova Office comes in – for patients who are presbyopic and require vision at multiple distances.”
SO WHY OFFER THE RANGE?
“The Lite collection allows independent ECPs to become a one-stop-shop for lenses, rather than see patients going elsewhere if the branded lenses on offer aren’t within their budget. It means practitioners have a wider range of lenses at different price points to meet the diverse needs of their patients – so there’s always a viable option to suggest.”
Citing a November 2022 campaign launched by the Association of Optometrists, which warned that eye health in the UK was under threat due to the cost-of-living crisis, Paul says: “A public poll of more than 1,000 people revealed the impact of the crisis on people’s day-today vision, with many wearing out-of-date prescriptions and ‘making do’ with taped together spectacles.
“The Lite collection complements Essilor’s branded range of lenses and will appeal to those people who can’t afford the advanced technologies within the premium products. It is important to ensure we continue to support ECPs in providing effective visual solutions to all – despite the cost-of-living crisis impacting many people’s spending habits.”
Paul continues: “We are aware that ECPs are having these conversations daily with their patients who are having to make considered spending choices now more than ever. This new range not only enables ECPs to help maintain their customers’ eye health at an affordable level, but in doing so, boosts the chances of managing customer retention and loyalty rather than losing them to competitors on the High Street.
“Adding the Lite collection to complement your chosen branded portfolio will help close the gap for patients who still want to visit their independent optician for the quality service they provide – but feel happier purchasing a lens more suitable to their budget and needs at that time.”
SUPPORT AND SPEEDY ORDERING
In addition to offering competitive prices, the Lite range promises ECPs quick lead times and excellent after-sales customer service.
“Our dedicated sales team offers a business review to help ECPs identify how the Lite range could work within their own price list,” explains Paul. “They also provide product training and support. The wider choice of stock lenses also helps ECPs offer a fast turnaround and a better overall service for their patients.”
Lenses in the Lite collection are available as uncut, glazed and remote edge lenses. For online ordering, look for the Lite brand within in the respective online ordering portal for the Caerphilly and Thornbury
LEONARDO LEARNING PLATFORM
With a focus on eyewear, lenses and optics, brand storytelling and retail, EssilorLuxottica’s online learning platform Leonardo is available for all NEG members and their staff in the practice, with content accessible across all devices. Some of the modules that would be particularly relevant are highlighted below:
■ Exploring your customers’ needs
■ How to connect with customers
■ How to close the deal
To set up a Leonardo account, email ukinproductmarketing@essilor.com with: your practice name and account number, and the first and last names
service centres. Lenstec branded options – such as Fine Focus, Success Advance and the Exceed ranges – will continue to be featured in the main Lenstec catalogue. For more information on the Lite ranges, including the Nova range of progressive lenses, and to request a catalogue NEG members are invited to contact their dedicated business development manager, who can assist with any queries and ensure a smooth ordering experience. Any lens queries can be dealt with by the knowledgeable customer services team at the respective service centres, or by emailing essilorcustomersupport@ essilor.co.uk
INTRODUCTORY OFFER FOR NEG MEMBERS
“As a token of our appreciation for NEG members’ continued support, we are offering an introductory discount on the Lite collection which your business development manager can discuss with you,” says Paul.
All discounts are subject to periodical business review. Offer ends 31 December 2024. ■
of each requested user indicating if this person will be a main user or a subuser. An individual email address for each requested user is required. It can take up to two weeks for a Leonardo account to be created.
For outdoor pursuits, Nova Sport offers clarity, contrast and glare protection
Nova Office is the collection’s occupational lens
Learn with Leonardo
Request your Lite lens catalogue today
Eyewear accessories Powerful possibilities
By Joan Grady
Stylish, fashionable accessories are the final touch that exemplify personal expression. Since ancient times, civilisations have used accessories as symbols of wealth, power and social status with elaborate necklaces and earrings for women, rings and cufflinks for men. This trend continued through the Middle Ages and the Victorian era until the 20th century, when a dramatic shift took place.
Various evolutions occurred worldwide in how people lived, worked and dressed. In the mid-20th century, when eyewear gathered significance and became a status symbol, so did must-have accessories to keep frames clean, safe and secure. Innovative design ideas inspire chains, cases and cleaning cloths. A variety of materials, colours and styles propel eyewear accessories into an intriguing addon possibility for independent opticians.
JEWELLERY INSPIRATION
For spectacle wearers, misplacing – or worse – losing frames can be a catastrophe. This scenario can be fashionably avoided with chains expressing individuality, charm and beauty.
Eva Gaumé, artistic director at Emmanuelle Khanh, has created a stunning pink chain embellished with gold circles. Smooth acetate loops in the Creole chain resemble an elegant necklace, and eyewear is easy to attach. Chains at EK include an appealing selection in a variety of materials, with beads, gold drops and other colourful details.
Spectacles protection at Continental Eyewear, a division of the Millmead Optical Group, combines practicality with a jewellery effect. Two-dimensional shapes – a hexagon and rectangle – feature in the company’s acetate 70cm long chains. The hexagon (pictured) is available in vivid blue, Havana and white linked on a gold chain. The rectangle style demonstrates hollowed out acetate in a tortoiseshell variation.
SUSTAINABILITY AND SOCIAL ENTERPRISE
Sustainability is a hot topic in so many aspects of life – with products made at source bringing added appeal to planetcaring customers. Götti Switzerland creates
many items in the collection on Zurich’s lakeshore, avoiding a vast carbon imprint.
Götti‘s stunning statement chain –CPO4 – in teal blue and stone, is also available in an additional 14 amazing colour combinations. The individual parts nestle together and form a captivating chain fused into one piece with a 3D printing process. Chunky in appearance but very light and airy to wear, the chain fits all sizes of ophthalmic frames and sunglasses.
Sustainable materials have always been at the creative core of Rolf Spectacles, where frames are constructed from natural resources such as wood, stone and the amazing Rizinus castor bean. The Specprotect chain from Rolf with interlocking links is handcrafted in the Tyrol mountains. Elongated and lightweight, this sleek chain is also a conversation piece with its castor bean origins.
Colourful chain designs from LGR combine social enterprise with panache. The chains are handmade in Kenya by
Creole chain from Emmanuelle Khanh
Hexagon chain from Continental Eyewear
Maasai women in Maai Mahiu. Luca Gnecchi Ruscone, whose African heritage is the foundation of his eyewear, contacted the project organisers, Ubuntu Foundation, who believe that the most permanent way to empower the community is through sustainable enterprises.
Producing high-quality products and experiences is a vital part of the programme. Women who work on the project are known as ‘Maker Mums’ and they receive above-market wages and benefits. When he was in Kenya, Luca marvelled at the hard work that goes into every piece. Each beautifully coloured chain, with varying types of beads, is entirely handmade on a beading board.
CHEERFUL CASES
Fun and useful eyewear cases are a pleasure to find in a bag or computer case. Any Di Munich designs unique cases with practicality and personality. Founder and designer, Anne Dickhardt, is especially inspired by the beauty of nature.
In the latest collection – Pure Balance –
elegant, graceful colours include hints of cool mint, glistening gold, delicate rose and soft lavender, translated onto fine leather. Other distinctive styles evoke whimsy and charm with a flamingo, tennis balls, cats, a butterfly and Miss Piggy.
Nowadays, recycling is an active part of fashion and accessories. Companies pledge to conserve natural resources by reducing waste and conserving energy. Optoplast is in the spotlight at Continental Eyewear with slim and lightweight cases made from recycled bottles. The soft pocket Palancar has a Velcro-sealed flap case, ensuring spectacles stay safely tucked inside, and is available in red, orange and blue.
Colour vibrates both outside and inside metal cases by Continental Eyewear. Wildlife features on the exterior, and a blue lining adds liveliness to the designs. Flamingos, zebras and tropical flowers in radiant colours are beautifully illustrated on the cases. A matching cleaning cloth is included with each spectacle case.
ARTISTIC CLEANING CLOTHS
UK entrepreneur, Christopher Barroccu, decided to create his own cleaning cloths when he couldn’t find what he wanted in the marketplace. “I could not find a good quality cloth that I could rely on to clean my glasses, camera lenses and monitors,” he says. “As no such cloth existed, I decided to make one. I worked with a specialist microfibre factory to create a cloth that can be washed and reused time and time again. I then decided to share our cloths with the world, as they are too good not to share.”
Christopher launched Barroccu & Co. in 2020 and specialises in creating premier quality cloths with limited edition art and designs skilfully printed onto the fabric. Nature and art photographs by Joann Randles highlight astonishing colour diversity, which are then printed onto soft microfibre. Beauty and performance unify, with the dense fabric structure providing impressively high absorbency.
Eyewear accessories are an item that spectacle wearers need to ensure their frames are kept safe from breakage and loss. Innovative, fun, stylish and functional accessories also provide independent opticians with an additional sales opportunity – a win-win concept for everyone. ■
Multi-use cleaning cloth by Barroccu & Co.
Beaded LGR chain handmade in Kenya
Unique Pure Balance case by Any Di Munich
Eco-friendly Optoplast cases from Continental Eyewear
Colourful wildlife metal cases from Continental Eyewear
The future of practice management software is here.
www.optinetuk.com
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