Gas permeable (GP) contacts are rigid lenses that comprise about 10 percent of the contact lens market. While the market for corneal lenses is declining, the demand for scleral and ortho-k lenses is rising. According to ABB Optical Group, there was a 31.2 percent increase in dollar sales of scleral lenses and a 29.7 percent increase in dollar sales of ortho-k lenses from 2016 to 2017.
The large scleral lens stays put for irregular corneas (keratoconus). Ortho-k lenses temporarily reshape the cornea (usually overnight) to correct myopia and are popular for kids. Luckily, a patient is more likely to get a GP lens fitted by a prescribing doctor than take that Rx elsewhere.
Scleral: Ampleye (4-curve design), SoClear (a corneal scleral design) and Rose K2 XL (a corneal scleral design). Ortho-K: Distribute Paragon CRT lenses and manufacture custom ortho-K lenses per practitioner specification, as well as DreamLens.
(800) 253-9364 artoptical.com
X-Cel Specialty Contacts (A Walman Company)
Atlantis Scleral (including a multifocal design) Ortho-k: An authorized lab for both Paragon CRT and Euclid’s Emerald lenses. They also manufacture several ortho-k lenses designed by ECPs.
(800) 241-9312 xcelspecialtycontacts.com
Custom Stable Prime, Custom Stable Elite, Custom Stable Aurora scleral lenses.
(800) 547-8815 valleycontax.com
Bausch + Lomb Specialty Vision Products
Zenlens Ortho K: sells Boston materials in many designs and has FDA approval for Vision Shaping Treatment.
(800) 323-0000 bausch.com
ABB Optical Group
Dyna Semi-Scleral, Dyna Scleral, Infinity Scleral 14.5 to 18.2, Menicon Rose K2 XL Scleral, Paragon ICD 14.5 mini lenses, Paragon ICD 16.5 lenses, Paragon ICD Toric Scleral, Paragon ICD Flex Scleral. Ortho-K: Euclid Emerald, Paragon CRT, Paragon CRT Dual Axis Paragon CRT Diagnostic Dispensing System.
(800) 772-3911 abboptical.com
Paragon Vision Sciences (A CooperVision Company)
Paragon CRT (orthokeratology) and ICD FlexFit (scleral).
(800) 528-8279 paragonvision.com
SynergEyes VS Scleral Lens
(877) 733-2012 synergeyes.com
Smart Ways to Sell Scleral and Ortho-k Contact Lenses to Your Patients
Andrew Biondo Kirkwood Eye, St. Louis, Missouri
Scleral lenses have advantages over other modalities and check all the boxes when it comes to vision, comfort and ocular health. Sclerals are great for treating dry eye symptoms by providing better hydration than other contacts. They are becoming more cost equivalent to daily disposables too. Once I fit patients with sclerals, we typically encourage them to do yearly replacements. I use ortho-k lenses predominantly on children because they assist with vision correction and myopia control. Ortho-k lenses can help stabilize a child’s vision and prevent it from getting worse during their growing years. My youngest patient is a six-year-old right up to an 18-year-old who may be a candidate for LASIK surgery. I use a myopia calculator from Brien Holden Vision Institute to determine how a child’s myopia will progress without correction. I show it to their parents to encourage them to buy ortho-k lenses. My advice to anyone selling these types of lenses is to provide proper education. We offer brochures and printouts to increase capture rates on scleral lens fittings. Our patients then do further research online and get excited by reading testimonials. I’ve tried about 12 designs but my go-to lens is the Atlantis Scleral from X-Cel 90 percent of the time. For ortho-k, I use X-Cel’s Emerald Lens by Euclid. I find them to be the most efficient in terms of fitting.
Jeffrey Sonsino The Contact Lens Center at Optique, Nashville, TN
I allow my patients to choose their strategies after an extensive conversation and education of the risks, benefits and features. I spend around 20 minutes with new consults talking about their options. I am a problem solver. I present many options to patients including corneal GPs, hybrid lenses, and scleral lenses. If the patient chooses sclerals, then I apply my expertise to maximize their outcome.
This article originally appeared in the March 2018 edition of INVISION.
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