The Use of Therapeutic Contact Lenses in Pediatric Patients with Low Vision

Kelly E. Lusk, Ph.D. Terry Schwartz, M.D. Cincinnati Children’s Vision Rehabilitation Program (CCVRP)

Therapeutic CL use in persons with low vision .Future directions with the pediatric population .Contact lens use in children .Points of contact .Discussion .Therapeutic CL use in children with low vision .Contact lenses with other low vision rehab options .An overview of therapeutic contact lenses? .Literature review .

non-optical. and electronic devices. even with prescribed corrective lenses.What is low vision? • A person with low vision is “a person who has measurable vision but has difficulty accomplishing or cannot accomplish visual tasks. 4-5). . low vision devices. p. and environmental modifications” (Corn & Lusk. 2010. • Low vision devices include optical. but can enhance his or her ability to accomplish these tasks with the use of compensatory visual strategies.

What are therapeutic contact lenses? • A therapeutic CL is a lens that can be prescribed to some patients with low vision to further enhance visual functioning .

or opaque . tinted.Characteristics of Therapeutic Contact Lenses • Can be hard or soft lenses • May have a prescription for a refractive error • May be clear.

g. .Why are therapeutic CLs prescribed? • • • • • • Light control Cosmetic purposes Pathologies (e.. such as near and distance magnification. keratoconus) Patients with high refractive error As a part of a more complex lens prescription Therapeutic contact lenses in conjunction with other low vision rehabilitation options.

Literature Review and Discussion • Contact lens use in children • Therapeutic CL use in persons with low vision • Therapeutic CL use in children with low vision • Relative lack of studies specifically on pediatric population • Relative lack of studies looking at additional low vision rehab options/interdisciplinary models Why are these important? Where do we go from here? .

Aniridia. social acceptance. ECC areas. etc.Future Directions • Large scale study (or studies) of children with low vision – Light-controlling contact lenses with and possibly without further vision rehabilitation options • Albinism. Cone Dystrophies – Age to prescribe (evaluations and follow-up) – Improvement in functional outcomes (visual performance. Achromatopsia.) – Longitudinal data to support findings. comfort. continued use .

(2009). N.. 88. A. L. & Quinn.. B. 88. A. Berntsen.. L. & The International Contact Lens Prescribing Survey Consortium.. A. J.. Survey of contact lens prescribing to infants. Morgan.. E585-E592. B. . A.. 157-163. Gaume. L.References Efron. P. Kruijt.. Optometry and Vision Science. children. Woods. van Vliet. and teenagers. 32.. (2011).. T. Ocular straylight in albinism. Franssen. 461-468. Jones. Kim. Manny. N. A. & van den Berg. (2011).. M. D. J.. R. C. Chitkara.. Rah. J. Optometry and Vision Science. M. Contact Lens and Anterior Eye. E. Walline. J... Prick.

& Vickers. 33. (2004). 228-230. J. 10. J. 336-339. Tinted contact lenses as an alternative management for photophobia in stationary cone dystrophies in children. (2006). M. Stevenson. M. Currie.. S. A.. and contact lenses. & Sunness.. W. (2010). S. Rajak. 137. Dubois. Red contact lenses for alleviation of photophobia in patients with cone disorders.References. Progressive cone dystrophy. . G. Contact Lens and Anterior Eye. S.. D. & Gardner. nystagmus. Journal of AAPOS. American Journal of Ophthalmology.. Morris. P. V. L. continued Park. N. 774-775. L..

A. M. J. D. Zadnik... J. 37-45. J.. B. Manny. M. R.References. Manny. & The CLIP Study Group. Gaume. Rah. J. E.. J.. L. E. Jackson. Coffey. Chitkara. (2007). Jones. Walline.. K. Jones.. M. & The ACHIEVE Study Group. M. A.. 84. M. Chitkara. Optometry and Vision Science. Optometry and Vision Science. M.. 896-902.. L. A. A.. Rah. Prinstein.. J. 83.... N. R. Kim. A. (2006). The adolescent and child health initiative to encourage vision empowerment (ACHIEVE) study design and baseline data. J. Contact lenses in pediatrics (CLIP) study: Chair time and ocular health. J... continued Walline. Berntsen.. Quinn. .

S. & Zadnik. Optometry and Vision Science. 254-258. Long. K. ..References. continued Walline. (2004). J. 81. Daily disposable contact lens wear in myopic children.. J.

Questions? .

Thank you! kelly.lusk@cchmc.org .