Nov 2016
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General Optical<br />
Founded in 1976, during the Golden Age of Munich<br />
(Modern Creation München), the German brand<br />
MCM crafts luxury leather goods and apparel for<br />
the world’s most seasoned travellers.<br />
MCM Eyewear is a unique collection where<br />
dynamic design meets with the artisanal heritage of<br />
the Brand. The iconic MCM elements – the Visetos<br />
pattern, the classic brass plate, the studs and<br />
vibrant colours – are also the main features of this<br />
new Eyewear Collection where strong and unusual<br />
Transitions<br />
CONTINUED FROM P14<br />
Transitions range of adaptive lenses provides<br />
choices for all ages and lifestyles. Compatible with<br />
almost any frame and lens material, they are a<br />
great solution for all patients throughout the year,<br />
and especially during summer! Transitions lenses<br />
adapt continuously through varying light conditions<br />
Contact lenses and summer<br />
BY ELEISHA DUDSON*<br />
With the warming spring and summer<br />
seasons approaching, we see an<br />
increase in both new and existing<br />
patients coming in for their contact lens review.<br />
When renewing the patient’s script, we also have<br />
the opportunity to emphasise good contact lens<br />
routines and offer advice about new products<br />
tailored for their specific needs.<br />
Allergies in spring and summer<br />
With spring we see the uncanny sight of thick<br />
yellow pine pollen resting on every surface<br />
outdoors. This is the harbinger of pollens to come.<br />
The pine pollen though, due to its large size, is not<br />
as big an allergy concern for allergy sufferers as<br />
the smaller grass pollens that come later in the<br />
season 1,2 . If we want patients who suffer from<br />
these allergies to continue successful contact lens<br />
wear, then there are a few things we should be<br />
advising.<br />
Artificial Tears We know for sensitive eyes that<br />
preservative free artificial tears are a great option.<br />
There is recent research suggesting that inflamed<br />
and dry eyes settle quicker with drops that contain<br />
hyaluronic acid 3,4,5 . For patients with dry eyes<br />
and allergies, recommending hyaluronic acid eye<br />
drops could help provide better comfort. Examples<br />
of preservative-free artificial tears containing<br />
hyaluronic acid include Hylofresh and Systane<br />
Hydration.<br />
Medicated Drops Oral antihistamine tablets<br />
dry the eye out which can further exacerbate<br />
an allergic eye. Therefore, for some contact lens<br />
wearers, a topical medication can be a great<br />
adjunct. I often talk to patients about the use<br />
of Patanol over the summer. Because Patanol<br />
is a preventer (mast cell stabiliser) and treater<br />
(antihistamine) it works really well when using<br />
twice a day, prior to and after contact lens<br />
removal. From my clinical experience I advise that<br />
Patanol should not be used immediately prior<br />
to sleep as the patient could wake with stingy<br />
eyes due to the lack of tear pump occurring while<br />
asleep. Patanol is best used at least 15 minutes<br />
before sleep and then artificial tears just prior to<br />
sleep.<br />
Travelling<br />
One key thing to discuss with patients is their use of<br />
contact lenses while flying. Patients usually know<br />
they shouldn’t wear their contact lenses on long<br />
haul flights, but they often don’t fully understand<br />
why. Believe it or not, it’s not because their contact<br />
lens solution is limited to 100mls or because toilets<br />
on planes are unhygienic! Rather it is due to the<br />
cabin pressure and oxygen levels. Aeroplane cabin<br />
pressures can be likened to being on a mountain<br />
at an altitude of 1800-2400m 6 . At this level there<br />
is about 76-81% oxygen pressure compared to<br />
sea level 7 and with the eye shut the oxygen levels<br />
at the corneas drop by 60-75% 8 . This can be<br />
uncomfortable and risky for the eye, especially as<br />
there is usually some sleeping involved on long haul<br />
flights. It’s also good to remind patients that as well<br />
as skin and lip dryness from flying, eyes are affected<br />
too.<br />
Contact lens options<br />
For both allergies and travelling there is the obvious<br />
option of daily disposables.<br />
I have many patients who are on what I call “dual<br />
prescriptions”. They have their “usual” lenses for<br />
their day-to-day lives, and then run a second daily<br />
disposable prescription for travelling. This means<br />
MCM range RRP $500<br />
shapes are combined with colourful prints and<br />
modern embellishments.<br />
The brand is modern, progressive, cosmopolitan<br />
and aspiring: while embracing the past and its<br />
German origins it looks toward the future.<br />
outdoors, enhancing the wearer’s vision and<br />
reducing their eye fatigue. Additionally, they offer<br />
well-rounded protection from the sun’s harmful<br />
rays. Outdoors, the lenses not only block 100% of<br />
UVA/UVB rays, but they also help protect eyes from<br />
glares and harmful blue light from the sun, which<br />
emits more than 100 times the intensity of blue<br />
light than electronic devices and digital screens.<br />
there is no need to worry about solutions while<br />
travelling, especially for those sensitive patients<br />
who use a hydrogen peroxide care system. The<br />
hassle of travelling with AOsept has provided me<br />
with some interesting stories; including the demise<br />
of a mobile phone, drowned by a river of semineutralised<br />
AOSept from a knocked-over case!<br />
For dailies there are now more options than<br />
ever with the latest releases including Oasys<br />
1-day, Alcon Dailies Total 1, Cooper Myday and<br />
Bausch and Lomb Biotrue. With all the options<br />
now available there is really no reason why you<br />
shouldn’t be able to find a compatible contact lens<br />
for your patient.<br />
Orthokeratology (ortho-k) For some adults who<br />
suffer dry and irritable eyes, wearing contact lenses<br />
throughout the day is just not an option. For these<br />
patients it can be worth considering ortho-k.<br />
New ortho-k designs with larger optic zones,<br />
multifocal, and astigmatism options now make<br />
ortho-k a viable option for more patients who are<br />
intolerant to daily contact wear.<br />
Ortho-k can be an effective myopia progression<br />
control option in children. The understanding of<br />
how ortho-k slows myopia progression has brought<br />
about new designs, that are further improving the<br />
efficacy of myopia progression control in ortho-k.<br />
Ortho-k should also be part of any myopia<br />
control discussion with younger patients and their<br />
caregivers. With summer’s increased daylight and<br />
potential for outdoor activities, it is also a great<br />
time to discuss recent research about myopia<br />
progression and light exposure. Research suggests<br />
that 60-90 mins of outdoor activity a day is likely to<br />
help slow myopia progression 9 . As good an excuse<br />
as any to get out and enjoy some backyard cricket,<br />
beach outings and BBQs!<br />
References<br />
1. Zealand, Allergy New. A-Z Allergies. s.l. : www.allergy.org.<br />
nz/A-Z+Allergies/Pollen+allergy.html, 2010.<br />
2. Crump, Vincent St Aubyn. Pollen Allergy and Cross-Reactions<br />
in New Zealand. s.l. : www.allergyclinic.co.nz/pollen_allergy.<br />
aspx, 2014.<br />
3. A randomized, controlled study of the efficacy and safety of<br />
a new eyedrop formulation for moderate to severe dry eye<br />
syndrome. F, Chiambaretta. s.l. : Eur J Ophthalmol. <strong>2016</strong> Jul<br />
20:0. doi: 10.5301/ejo.5000836., <strong>2016</strong>.<br />
4. Efficacy and safety of two new formulations of artificial<br />
tears in subjects with dry eye disease: a 3-month,<br />
multicenter, active-controlled, randomized trial. PA,<br />
Simmons. s.l. : Clin Ophthalmol. 2015 Apr 15;9:665-75. doi:<br />
10.2147/OPTH.S78184. eCollection 2015., 2015.<br />
5. Comparison of treatment with preservative-free versus<br />
preserved sodium hyaluronate 0.1% and fluorometholone<br />
0.1% eyedrops after cataract surgery in patients with<br />
preexisting dry-eye syndrome. D, Jee. s.l. : J Cataract Refract<br />
Surg. 2015 Apr;41(4):756-63. doi: 10.1016/j.jcrs.2014.11.034.<br />
Epub 2014 Dec 5, 2015.<br />
6. WHO. International travel and Health: Cabin air pressure. s.l.<br />
: www.who.int/ith/mode_of_travel/cab/en/, <strong>2016</strong>.<br />
7. Baillie, K. Altitude air pressure calculator. s.l. : www.altitude.<br />
org/air_pressure.php, 2010.<br />
8. 8. Oxygen transmissibility corneal Oxygen. Weissman, B. A.<br />
s.l. : Contact Lens Spectrum, Volume: 30 , Issue: <strong>Nov</strong>ember<br />
2015, page(s): 25-29, 55 , 2015.<br />
9. Light exposure and physical activity in myopic and<br />
emmetropic children. SA, Read. s.l. : Optom Vis Sci. 2014<br />
Mar;91(3):330-41. doi: 10.1097/OPX.0000000000000160.,<br />
2014.<br />
ABOUT THE AUTHOR<br />
* Eleisha Dudson is an<br />
optometrist at Stevenson,<br />
Sangster and Matthews in<br />
Wellington, and has a special<br />
interest in orthoK<br />
Style-Eyes<br />
BY JO EATON*<br />
et’s talk about sunglasses<br />
L trends for summer<br />
<strong>2016</strong>/17. Things finally<br />
seem to be shifting from<br />
the gigantic acetate frames<br />
that have dominated the<br />
past several years. Here’s a<br />
rundown of what you can<br />
expect this season.<br />
Frame shapes<br />
Rounder shapes are still a<br />
popular choice.<br />
Phil Thomas at Edel-Optics<br />
says, “This summer, we shall see glasses in<br />
panto or butterfly styles everywhere… Men<br />
and women alike are going for round frames<br />
with lenses that are slightly flattened at the<br />
top. …This year, the glasses will not be quite as<br />
oversized as last year.”<br />
Interesting geometric shapes are also in many<br />
collections.<br />
Colours<br />
Pastel colours are coming through again. Gold<br />
and rose gold are popular in metal frames.<br />
Lenses<br />
In non-prescription glasses, flat-look lenses are<br />
having their moment in the sun.<br />
Mirrored lenses are big again this year. Super<br />
are offering unusual colours to choose from,<br />
such as bright pink mirror lenses.<br />
Transitions<br />
Transitions has been working on marketing with<br />
well-known opticians, bloggers and designers<br />
in the States in an effort to banish the daggy<br />
reputation of photochromic lenses. They’re<br />
pushing the fact the lenses clear when you walk<br />
out of UV light a lot faster than they used to.<br />
Coyote DeGroot of Labrabbit Optics in Chicago,<br />
fashion blogger Leandra Medine of Man Repeller<br />
and eyewear designers Coco & Breezy have been<br />
some of the stars of the resulting campaign.<br />
Check out the lookbook at www.transitions.<br />
com/en-us/look-book/<br />
Clips<br />
Clip-on sunglass fronts, to be fitted over a<br />
related pair of prescription spectacles, have been<br />
making a quiet comeback for the past several<br />
years and they’ve finally dropped the dorky<br />
sports-dad feel. You’ll find them everywhere<br />
from Luxottica brands like Oliver Peoples to<br />
avant-garde Korean brand Gentle Monster,<br />
through to many affordable brands.<br />
Metal frames<br />
With smaller frames making<br />
a comeback, metal frames are<br />
also on the way back in.<br />
Karen Walker has just<br />
released a range of metal<br />
frames making use of<br />
negative space, as if they are<br />
outlines of her classic acetate<br />
styles. It’s very clever!<br />
As with spectacles, there is a<br />
move towards smaller metal<br />
frames in sunglasses for this<br />
season. Check out AM Eyewear’s NOJ and Chico<br />
frames and RVS Eyewear’s Palladium range.<br />
Luxury<br />
High-end eyewear brand Barton Perreira are<br />
leading the way with sunglasses this year. Their<br />
beautiful frame Belvedere is small, round and<br />
comes with a clip.<br />
Their rectangular Rango frame combines both<br />
metal and acetate in a very masculine way,<br />
while Beauregard does the same for femmes.<br />
The real stunner of their latest collection,<br />
however is the Boleyn frame, of which they<br />
say, “[Its] name inspiration becomes very<br />
apparent once seen, as it has a metal top half<br />
and a plastic bottom, a reverse of the norm in<br />
which the plastic half is traditionally on the<br />
top. The metal has a filigree of very intricate<br />
detail that evokes the distinctive car grills of<br />
the past, it can be thought of as a spin on an<br />
aviator, creating a unisex frame for the fashion<br />
forward.”<br />
Bold and unusual<br />
If you’re going to go for big acetate sunglasses<br />
this season, they have to look bonkers. Brands<br />
leading the way here include Fakoshima, Stella<br />
McCartney and Super.<br />
You do you<br />
Something I particularly love about <strong>2016</strong> is, that<br />
while there are definite themes emerging as<br />
trends, anything is acceptable as long as they are<br />
worn with confidence. I’ve noticed sunglasses<br />
styles associated with every decade from the<br />
past 60 years worn lately without a sideways<br />
glance from the arbiters of style! So, as my<br />
friends are fond of saying, you do you!<br />
* Jo Eaton is a native Wellingtonian, now studying optical<br />
dispensing in Melbourne. She runs eyewear fashion blog,<br />
Eye Heart Glasses’.<br />
<strong>Nov</strong>ember <strong>2016</strong><br />
NEW ZEALAND OPTICS<br />
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