Specsavers: Contact Lenses

Question 1

[Daily] What is the easyvision equivalent to Alcon Daily Aquacomfort? And what type of corrections does it come in?

Answer 1

“Easyvision Vitrea”: Sphere or Multifocal

Question 2

[Daily] What is the easyvision equivalent to CooperVision Myday? And what type of corrections does it come in?

Answer 2

Easyvision Linarial: Sphere or Toric

Question 3

[Daily] What is the easyvision equivalent to Coopervision Clariti 1-day? And what type of corrections does it come in?

Answer 3

Easyvision Umere: Sph, Toric or Multifocal

Question 4

[Daily] What is the easyvision equivalent to Alcon Focus Dailies all Day Comfort? And what type of corrections does it come in?

Answer 4

Easyvision Opsys: Sph only

Question 5

[Daily] What is the easyvision equivalent to Coopervision Proclear 1-day? And what type of corrections does it come in?

Answer 5

Easyvision Vusion Daily: Sph only

Question 6

[Daily] What is the easyvision equivalent to Coopervision Select 1 Day? And what type of corrections does it come in?

Answer 6

Easyvision sential: sph only

Question 7

[Daily] What is the easyvision equivalent to Menicon Miru 1 day? And what type of corrections does it come in?

Answer 7

Easyvision Magic: sph only

Question 8

Outside of the Easyvision brands, what other daily CLs are available at specsavers? [4]

Answer 8

Firstly, all the equivalents to Easyvision are available (however they cost a bit more)
Plus:
Dailies Total 1: sph/mf
Focus Dailies Aqua Comfort Plus: sph/tor/mf
Biotrue: sph/tor/pres
Acuvue Moist: sph/tor/mf

Question 9

What is the main issue with Easyvision Vusion?

Answer 9

It’s a proclear equivalent and uses a hydrogel material so can cause overwear complications e.g. corneal neovasc etc. However, if a patient is comfortable with no significant issues and been wearing it in the past, best to keep them in them.

Question 10

What are the typical go-to lenses for daily lenses, in order from most used to less? (2)

Answer 10

Easyvision Linarial
Easyvision Umere

Question 11

Is there any difference between easyvision and their equivalents?

Answer 11

Other than price, they are clinically the same

Question 12

Why is Easyvision Vitrea typically used less than linarial and umere?

Answer 12

Easyvision Vitrea is Focus Dailies Aqua Comfort Plus, which uses a hydrogen material (in contrast to Si-Hy)

Question 13

What material are Freshlook Dailies [coloured contacts] made of?

Answer 13

Nelfilcon A - a Hydrogel material.

Question 14

When doing a trial for a patient wanting freshlook coloured contacts, why do we use Focus Dailies All Day comfort [or Easyvision opsys] as a trial?

Answer 14

Focus Dailies All Day use the same hydrogel material (nelfilcon A), which simulates how the freshlook contacts will feel on the eye. Freshlook lenses themselves don’t do trials (unless plano trial, good for smaller scripts), so we can use Focus Dailies instead and then order Freshlook if fit good and base it on ORx.

Question 15

Why may Freshlook plano trial be good for patients after coloured contacts?

Answer 15

They can look in a mirror to see if they like the colour

Question 16

What type of refraction are Freshlook coloured contacts available in?

Answer 16

Sphere only

Question 17

What colours are available for Freshlook One-Day lenses? [4]

Answer 17

Blue
Green
Pure Hazel
Grey

Question 18

What colours are available for Freshlook Colourblend Fortnightlies? [11]

Answer 18

Blue
Brilliant Blue
True sapphire
Turquoise
Chestnut Brown
Green
Gemstone Green
Grey
Sterling Grey
Pure hazel
Honey

Question 19

Between linarial [myday] and umere [clariti], which has the highest Dk/t?

Answer 19

Spheres:
Linarial: Dk/t is 100
Umere: Dk/t is 86

Toric:
Linarial: Dk/t is 80
Umere: Dk/t is 57

Question 20

When making an order for CLs, what should you always do first?

Answer 20

Check on Specsavers CL site to ensure prescription is available

Question 21

If Freshlook lenses don’t fit well, what alternative could we try?

Answer 21

Alcon air optix colours [monthlies with greater breathability and is made from Si-Hy instead of Hy]

Answer 22

Easyvision Uvicia Plus: sph or toric

Answer 23

Easyvision Irisian: sph/tor/mf

Answer 24

Easyvision Aquayes: sph/tor/mf

Answer 25

Easyvision Opteyes: sph/tor/mf

Answer 26

Easyvision Lacrima Plus: sph/tor/mf

Answer 27

Easyvision Vusion Monthly: sph only

Question 28

What is the most stable toric contact lens that provides the best vision according to research

Answer 28

Coopervision Biofinity torics – i.e. Easyvision Opteyes toric

Question 29

When doing a CL fit/teach or aftercare, what’s the best way to use socrates?

Answer 29

Ignore testroom and go straight to contact lens screen. The prescription given will be in the plastic pocket and all you have to do is adjust based on any ORx and deem fit ok. NB: just don’t scroll all the way through beforehand as once you hit medicare you can’t go back and will have to exit out (and subsequently printing the script may print the old script).

Question 30

What medicare item works well for CLAC or fits/teach?

Answer 30

10918

Question 31

When you order trial CLs after a regular consult since patient interested, how should you write in mx?

Answer 31

Write CL script in mx

Question 32

When a patient is due for a CL reassessment of current CLs (e.g. it’s been 2 years or refraction has changed), how do you write intent to check CLs in mx?

Answer 32

Patient to do CLAC given rx change or given time since last.

Question 33

What contact lenses are therapeutically approved by the FDA for therapeutic use [Extended wear/Bandage lens]? [4]

Answer 33

Air Optix Night and Day Aqua [i.e. Easyvision Aquayes]
Purevision
Acuvue Oasys
Sof-Form 55 EW

Question 34

List 6 indications for bandage lens wear

Answer 34

Pain relief (e.g. bullous keratopathy, RCE)
Promotion of epi healing (e.g. persistent epi defects, RCE, non healing corneal ulcers)
Post-op protection (e.g. post corneal surgery)
Apposition of wound edges (e.g. corneal perforation, after suture removal)
Mechanical protection of ocular surface (e.g. trichiasis, entropion)
Maintenance of ocular hydration (e.g. dry eye, corneal exposure)

Question 35

Other than for mechanical protection or ocular hydration reasons, where we can do a bandage lens alone, if we apply a bandage lens, what should we also give?

Answer 35

Prophylactic Chlorsig 0.5% QiD

Question 36

How would a typical CL examination go (steps):

Answer 36

Fit –> Vision + ORx –> remove –> NaFl cornea [simplest since CL screen on socrates has fit section first before ORx]

Question 37

Should a patient trial Multifocal glasses and multifocal contacts at the same time?

Answer 37

No, because if their is an issue they’ll have it in both. Patients with multifocal specs issues can typically experience even worse issues in MF contacts so need to ensure patient has adapted to their multifocal specs first before trialing multifocal contacts. So you’d give it a little while before they come back for the CLs. Not sure how long is good to wait however, will have to ask. It takes a bit for CL trials to be ordered in, but maybe specify it needs to be at least 2 weeks (ideally 1 month I think).

If current MF wearer with minimal change in rx, it’s fine to then order in MF CL trials.

Of course, go with what the patient wants anyway but just tell them the facts.

Question 38

What are the unique CL medicares?

Answer 38

10921: CL myope >/=5D
922: Hyperope >5D
923: Astig >3D
924: Irreg Astig >3D
925: Aniso >3D
926: BCVA OU <6/30 (telescope CLs)

These are payable once every 36 months. Would do for a CLAC if they apply (otherwise just 918 hey)