Tips for fitting the new Johnson & Johnson Vision multifocal contact lens

Danielle Richardson, OD: Thank you for hosting me.

Bailey: Today we are going to talk about a new lens from Johnson & Johnson Vision (JJV). The company recently launched Acuvue Oasys Multifocal with a design optimized for students. Can you tell me how you started to get involved with this and what are your experiences with it, how you are adapting it?

Dr. Richardson: Absolutely yes. As a member of the Johnson & Johnson consulting team, we had early access to this goal. It was great to understand the optics behind the lens and the optimized pupil design and how that will help our patients feel more comfortable in the lens. But being able to know this in theory and put it into practice has been a really great experience.

I have installed the lens on a few patients and we have had great success. Many patients come to me looking for multifocal solutions due to the increase in Zoom time as everyone spends more time at home on Zoom. People want to be without glasses but also to be able to see clearly at this intermediate distance. I think this lens has provided great success, in my opinion, in providing this clear vision to patients in front of the computer.

Optimized design for students

Bailey: You make a good point being on Zoom calls because I know you and I can attest to being on a bunch of Zoom calls. This intermediate distance is difficult. So, can you tell me what optimized design means for students?

Dr. Richardson: Absolutely. The pupil-optimized design simply means that the pupil size is taken into account in terms of the lens design. The size of the pupils changes with age and refractive error. The Acuvue Oasys multifocal lens and the technology therein, the optimized design for the pupil, vary with the age of the patient, and that’s going to be the extra power and the refractive error of the patient. For example, a myopic patient will have a larger pupil than a hyperopic patient. A -6.00 D lens will have a different central clarity area than a + 3.00 D lens. These pupil clarity areas, this pupil optimized design, there will be another consideration for the multifocal added. Power. All of this to say what the pupil-optimized design means is that it accounts for variance in pupil size both in terms of refractive error and age or prescription power. additional. Each lens is personalized to give each patient with a specific prescription the best possible multifocal vision.

Bailey: It was a good explanation. And I know how pupil size can affect that, especially if we’re talking bright light or later at night when your pupil is expanding or contracting. So, this is great news. How did your patients react to it, which ones are right for you?

Dr. Richardson: They were very happy. I have a patient who is about -4.50 D. He’s a myopic patient, 55 years old, who wants to put on multifocal contact lenses. He just wore glasses before. But again, the main reason is that he doesn’t like the way glasses, glare, and glare happen on Zoom. He wants to be able to be on Zoom without glasses. So he was an excellent patient. I think because he’s nearsighted he understands myopic vision and he understands the concept of distance and clarity up close, we were able to equip him with a lens. We ended up with a medium and high multifocal addition. I managed to put it in a lens.

The thing about Acuvue Oasys and Acuvue 1-Day Moist Multifocal technology is that if you follow the fit guide, you can successfully fit these patients 97% of the time in 2 visits or less. And this patient I’m talking about is one of those patients. We were able to nail him after 2 lens changes, and he was very, very happy with his computer vision. This is just one example.

I have another patient, again, who doesn’t want glasses, and we were able to provide her with contact lenses that she can wear when she does her weekend job. So the patients have really responded very favorably to this goal, and I would say the real wow factor for me has been its success at this distance from the computer, as it can still be tricky with multifocal designs. I think this is where this student-optimized design technology really has its benefits.

Patient pool

Bailey: This is good information to have. How do you suggest that your optometrist colleagues position this lens in their practices? Do they wish to rearrange existing multifocal contact lens wearers? Are you looking for emerging presbyopes to get them involved? Is there a certain patient population that you recommend they review?

Dr. Richardson: Absolutely yes. I think you can watch any of your Acuvue Oasys patients, right? You have this existing patient pool. We know that Acuvue Oasys is one of the most popular contact lenses. So you already have this existing group of patients who are currently only going distance and wearing reading glasses, or maybe they are doing modified monovision. You already have this existing presbyopic group at Acuvue Oasys in your office.

Another key demographic is emerging presbyopia, people who are starting to just need reading glasses and are able to offer them a first-take fix, right? Well, what about using that contact lens, and that way you don’t have to carry readers with you? Offer this to these emerging presbyopes, as they may not have heard of this type of technology. They may not be aware of the lens, so just pay attention to them. Definitely the existing Acuvue Oasys presbyopes and those emerging presbyopes, or people just in need of glasses for the first time.

Talk to your patients about their visual demands and how things have changed for them. Maybe they historically had a type of job where several pairs of glasses were doing well, or their progressive lenses were doing well. Maybe things have changed in this post COVID-19 world for them. Maybe their job demands, maybe their visual demands have changed. I think starting to have the conversation about when would you like to run out of glasses? Would you like to be able to perform all your tasks without glasses? These conversations. Just invite a person, invite your patients to start thinking about multifocal lens technology.

Connection

Bailey: If you had 1 or 2 tips for your colleagues on setting this goal, what would they be?

Dr. Richardson: My number 1 tip would be to make sure you are using sensory eye dominance. Often times, we use motor or visual dominance when patients use their hands and point out their dominant eye. It is great and can reveal information to us. However, it may not be the patient’s true dominant eye. Doing this +1.00 D blur sensory dominance test will tell you which eye will be able to accept this power more, and it will allow us to have a successful adjustment. So step number 1 is to use sensory eye dominance to make sure you have the correct dominant eye.

Number 2 would be to have a fresh new refraction and use the fit guide in the fit calculator. Johnson & Johnson made it so easy with the Acuvue Oasys Multifocal Lens. There is literally a calculator online. You can put in the person’s prescription, their age, their reading addition, and this will generate your first lens for you. It also comes with the fit guide to tell you what changes you need to make, if you need to improve distance or clarity up close. It’s super easy, and it’s super easy for you to really impress your patients on that first track without taking a lot of time.

So number 1, just make sure to use sensory eye dominance. This way you can have a note of what their real dominant eye is. And number 2, use your brand new refraction, plug it into the calculator, and follow the fitting guide. Again, you will be in this group of 97% of patients who are successful in 2 visits or less. Really, that’s what makes you their doctor. This is what will allow you to be successful.

I think so often doctors don’t talk to patients about what’s new, or what’s newer and what’s best. This is a missed opportunity for us to be subject matter experts and for our patients to hear about it first from us and not from advertising to consumers.

Bailey: I think you are absolutely right. And these are 2 great tips to offer to other optometrists interested in installing this new lens. So, Dr. Richardson, thank you very much for taking the time to speak with me today about this new lens, and I look forward to discussing it with you soon.

Dr. Richardson: I look forward to talking to you too soon.


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