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International rigid contact lens prescribing
Nathan Efron1, Philip B Morgan, Magne Helland
1Institute of Health and Biomedical Innovation, School of Optometry, Queensland University of Technology, 60 Musk Avenue, Kelvin Grove, Queensland 4059, Australia. n.efron@qut.edu.au <n.efron@qut.edu.au>
Rigid contact lens fitting has declined, with current use mainly for successful wearers, often older females, using higher oxygen permeable materials. Orthokeratology is popular in the Netherlands but rare elsewhere.
Area of Science:
- Ophthalmology
- Optometry
- Contact Lens Technology
Background:
- The introduction of soft contact lenses significantly reduced the fitting of rigid contact lenses.
- Understanding the contemporary trends in rigid contact lens fitting is essential for eye care practitioners.
Purpose of the Study:
- To characterize the decline in rigid contact lens fitting during the first decade of the 21st century.
- To identify the typical patient profiles and fitting patterns for rigid contact lenses.
Main Methods:
- Analysis of annual contact lens fitting survey data from 2000 to 2008.
- Data collected from Australia, Canada, Japan, the Netherlands, Norway, the UK, and the USA.
Main Results:
- A consistent decline in rigid contact lens fittings was observed across surveyed countries.
- Rigid lenses are predominantly fitted for existing successful wearers, particularly older females, often with higher Dk materials.
- Full-time wear without planned replacement is typical for rigid lenses.
- Orthokeratology showed significant popularity in the Netherlands but was rarely prescribed in other surveyed nations.
Conclusions:
- Rigid contact lens fitting has become a niche practice, primarily serving established wearers.
- Demographic and material trends indicate a specialized role for rigid lenses in modern optometric practice.
- Geographical variations exist in the adoption of specific rigid lens modalities like orthokeratology.
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