Custom Contact Lens News & Views from Art Optical Contact Lens, Inc. 
eissue 15/Fall 2013
Mark your calendar and join us at an upcoming meeting:

 Global Specialty Lens Symposium
Jan. 23 - 25, 2014
Booth #223
Las Vegas, NV

Click the show name for more information.
Dr. Paul Rose Introduces Rose K2 XL Semi Scleral
the newest member of
the Rose K family!
Join us December 5 at the Art Optical Technical Training Center right here in Grand Rapids!

Click here for more information & to register!
Art Optical Opens Technical Training Center
 Recently completed, the Technical Training Center will be used for customer-focused events like lectures and hands-on specialty lens fitting workshops. Learn more about our capabilities at the Technical Training Center!

Paragon Vision Sciences to lead "Childhood Myopia Epidemic"

Awareness Campaign 

Because we care about the alarming increase in the incidence of myopia world-wide, Art Optical is pleased to partner with Paragon Vision Sciences to spread awareness of the issue & the treatment options. Learn more here.

Boston Advance & Boston Simplus Multi-Action GP Care Systems are on sale in November!

Buy 10, Get 2 Free!
Stock up & Save!

Our user-friendly Online Order Form is a convenient way to place contact lens orders around the clock and ensures a secure delivery of patient information. 

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Art Optical is pleased to introduce mPower!, a new custom GP multifocal lens designed specifically for presbyopes with high near vision demands.


Featuring multiple front-surface power zones and minimal base-curve eccentricity, mPower! provides maximum near vision without compromising distance VA or creating corneal molding concerns. The simultaneous power effect ensures effortless and translation-free accommodation. A controllable first front zone allows practitioners to adjust for pupil diameter, providing an individualized, high-performance multifocal contact lens experience for each patient. Unlike other simultaneous vision designs, the central front surface zone of mPower! is spherical, providing a larger area of distance clarity and easily accessible, crisp near acuity. The lens is easy to fit empirically with a simple 4-step method; or for those who prefer diagnostic fitting, a 10-lens mPower! trial set is also available.


mPower! is indicated for patients who have worn high-eccentricity back-surface multifocals and experienced the typical problems with corneal molding, and for those patients who have experienced poor near vision with other multifocal designs. Featured in the Optimum family of materials from Contamac, mPower! is backed by Art Optical's Risk-Free Signature lens guarantee.


With a wide-range of custom parameters available, mPower! offers fitters the design flexibility to meet the needs of a larger percentage of their over-40 patient base, making it a great addition to any presbyopic lens management strategy. Complete product details can be found @

Back Toric? Front Toric?
How to choose Intelliwave Custom Toric Options
by Janet Stein, COT, FCLSA
Fitting Consultant

Back toric or front toric? Is this a valid question? Absolutely! The success of a custom soft toric Intelliwave may rely on whether the lens is manufactured as a back or a front surface toric lens. This may be dependent on which material has been chosen for the design: hydrogel or silicone hydrogel. Ironically, if you were using a gas permeable material, the back toric verses front toric dilemma would be dependent on the amount of corneal cylinder, as opposed to the material. However, the modulus of the soft lens material dictates which toric design to generate on the initial order.


When Art Optical started manufacturing our custom toric Intelliwave lenses in 2008 we only had the hydrogel (Acofilcon B and Hioxifilcon B) materials available. Both materials have 49% water content and an average dK of 16 with a modulus of .50. We utilize the proven lens design technology from UltraVision CLPL in the UK, and our custom toric soft lens success requires the use of specific guidelines for the design. Basically, when using the hydrogel material, if the corneal cylinder is 2.00 diopters or less, the back toric option is used. When there is more than 2.00 diopters of corneal cylinder, the front toric option is used. The combination of the water content along with the modulus can sometimes induce too much stability which can cause issues when using back base curve toricity when there is a considerable amount of with-the-rule corneal cylinder present. This is why we recommend switching to front surface cylinder when we are dealing with higher amounts of corneal cylinder.


The Definitive silicone hydrogel material (Efrofilcon A) offers a 74% water content with a dK of 60 and a modulus of .39. This silicone hydrogel material does not typically exhibit the same reaction to with-the-rule corneal cylinder since it easily drapes over the corneal cylinder. Because the lens will not try to mask any corneal cylinder or irregularity like a stiffer hydrogel material could, when using the Definitive material we use the back toric option as a first choice in the Intelliwave design, regardless of the amount of corneal cylinder.


The Intelliwave custom toric lenses are available in both back and front toric options in either the hydrogel or silicone hydrogel materials. Our first choice designs insure that you and your patient have success with minimal chair time. However, the opposite design may be recommended when trouble-shooting on the reorder, especially if we are not obtaining optimal visual acuity even with the over refraction.


As always, feel free to call consultation for assistance at any time! We are here to help @ 1-800-566-8001.

The Cloudy Contact Conundrum
by Adrian Johnson, NCLEC 
Fitting Consultant

When we get calls about patients who are having issues with their GP lenses clouding, there are several questions we might ask to try and determine what might be happening.


How are GP's handled when they first arrive in the office?

In order to ensure adequate hydration, when GP lenses first arrive in your office, they should be soaked in conditioning solution for at least 4 hours before they are cleaned, inspected and prepped for dispensing. The best way to do this is to add the conditioning solution to the flat pack the lenses arrive in. The reason for this is because any oils or lotions that might be on fingertips when lenses are touched in this dry state will remain on the lenses permanently. Once the lenses have been soaked for at least 4 hours, they can be safely cleaned and will be ready for the patient to try on.


If there are time constraints in the office, you can opt to have GP lenses wet shipped, which means they will arrive already soaking in solution. This can be requested on a case-by-case basis or you can do a blanket request and have your account set up for automatic wet ship on all GP's. Knowing that the lenses were soaked and cleaned before dispensing, we will continue questioning...


What is the patient using to clean their lenses?

Asking your patients to switch to a new solution might do the trick to get rid of fogging issues. If the lenses aren't plasma treated and the patient is using a multipurpose solution, have them use a two-bottle system with a separate friction enhancing/abrasive cleaner. If abrasive cleaners are already being used or the lenses are plasma treated, then switch them to something like Optimum by Lobob, or Clear Care. If the film is coming from protein deposits, then we recommend patients try an enzymatic cleaner as well. For patients who are very heavy depositors, having them use Complete Blink-N-Clean or Clerz Plus lens drops throughout the day while their contacts are in can help keep the lenses clean.


To put a personal spin on the solution situation, I have been wearing GP lenses for over 16 years, and for the past couple of years I've been dealing with a tear film change. I ungracefully ignored the obvious implications that I was aging for quite a while until it became enough of a bother that I found myself wanting to wear my glasses more often. Recently, I started switching up the solutions I was using. I tried Boston Advance, Walgreens Extra Strength Daily Cleaner (which is a substitute for the discontinued Miraflow solution) and Clear Care. Clear Care was the closest to working on its own, but it wasn't quite enough. I have finally found what works for me though - I rub my lenses with Boston Advance cleaner and put them in Clear Care overnight. Twice a week I use Walgreens Extra Strength Daily Cleaner instead of Boston Advance Cleaner. My lenses still aren't crystal clean like they were when I was a teenager, but they're much more bearable now. If troubleshooting leads you to believe that solutions are not the problem, we might ask:


What soaps are being used before the lenses are cleaned?

Years ago I wasn't thinking and bought an aloe vera-laced soap and couldn't figure out why my lenses were getting increasingly cloudy all of a sudden. It took an embarrassingly long time for me to remember that moisturizing soaps will cause an oily buildup on GP lenses. If your patients say they are using moisturizing soaps, having them switch to a basic no-frills hand soap for use before inserting and removing their lenses. This change will go a long way toward solving a cloudy lens issue. If the lenses have buildup, they may need to be cleaned in-office with a professional cleaner, or the patient might need to clean them with Progent. Progent is now labeled for patient use and it is available through Offices can set up an online account and provide a secure link to patients so they can order directly.


The reason behind a cloudy contact is not always clear. It can come down to the patient's age, environment, medications, hand soaps, makeup, makeup removers or a combination of all of the above. If the lens is under warranty there is always the option to get a fresh lens to start the patient out with as you work together to identify the issue. As a last resort, a material change may be considered in hopes of finding something more compatible with the patient's tear chemistry.