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Vol. 18 - October 2007 
Bausch & Lomb






New Page 1

The Five Myths of Masking Astigmatism: Myth #3

Myth #1 – Visual acuity with low cylinder toric lenses is not significantly
                better than with single vision spherical lens correction

Myth #2 – The risk of variable vision with toric lenses is too much of a trade-off
                relative to the assurance of stable spherical vision

Myth #3 – Toric lenses aren’t as comfortable as spherical lenses

Myth #4 – Significantly more chair time is required to fit toric lenses

Myth #5 – The higher cost to patients of toric lenses is a barrier relative to
                spherical lenses

In our last edition, we dispelled the myth of variable vision with toric lenses. In this issue, we will discuss the myth that toric lenses are less comfortable than spherical lenses.

This longstanding myth originated when toric lenses were first introduced, driven by characteristics that required these early designs to be thicker than spherical lenses. However, today’s significantly improved toric designs have essentially neutralized this issue. Consider for example the Bausch & Lomb PureVision® Toric lens. This lens has a center thickness equivalent to the spherical PureVision® lens design. In fact, both lens designs have a similar average thickness over the entire optic zone. The PureVision Toric lens is even 50% thinner than the popular Bausch & Lomb SofLens® Toric hydrogel design.

To further enhance comfort, PureVision Toric lenses also feature a 360° comfort chamfer and a rounded posterior edge, reducing pressure on the eye’s conjunctival tissue and facilitating smooth, easy movement throughout the day.

It is also important to note that patient perceptions of comfort are often based on such factors as eye fatigue and dryness. As discussed in the previous two editions of this series, low astigmats can experience compromised vision when prescribed spherical lenses, potentially leading to eye fatigue. Furthermore, when current lens wearers were asked which problems they experience, lens dryness at 70% was the leading comfort-related issue followed by protein buildup (32%), cloudiness (40%), and overall end-of-day discomfort (52%).1

To address these issues, the Bausch & Lomb PureVision Toric lens offers a highly breathable silicone-hydrogel lens material with a consistently wettable surface that resists dehydration and deposits. When combined with the optimized geometric design, these material and surface properties enable the Bausch & Lomb PureVision Toric lens to deliver exceptional all-day comfort – comfort that was preferred as suggested in the study below.

In a clinical evaluation where 900 patients in eight countries (spectacle wearers, spherical wearers and toric lens wearers) were switched into the PureVision Toric lenses2:  

·         96% experienced excellent wettability,

·         84% preferred the new lens for cleanliness throughout the day, and

·         79% preferred them for overall end-of-day comfort.

Among the 152 spherical wearers specifically, the PureVision Toric lenses were preferred for remaining clean and comfortable all day long.

As this data indicates, PureVision Toric lenses provide the comfort your patients demand thereby providing one example dispelling the myth about toric lenses being less comfortable.  Look for our next edition of EyeMatters where we’ll address the myth that toric lenses require significantly more chair time to fit. And if you miss any editions of the EyeMatters series, you can go to our news archives at http://www.eyematters.com/archive.asp.


Sincerely,
Mike Pier, OD
Director, Professional Relations – Practitioner Education

1.       Results from 2005 Gallup study of contact lens market.
2.       2006 Data on file Bausch & Lomb


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