October 2012 Number 10

PRODUCT NEWS Jennifer Choo, OD, PhD, FAAO, and Paul Rose, DipOpt, BSc, FNZSCLP All in the Family Menicon to launch the Rose K2 XL.

In January 2013, Menicon will launch considered a simple extension of a the latest addition to the Rose K fam- corneal lens fitting 1.3 mm to 1.5 mm ily of lenses for irregular corneas: the beyond the limbus onto the sclera. Rose K2 XL large-diameter lens. De- signed and developed by Dr. Paul The Rose K2 XL lens uses the same Rose, this semi-scleral lens follows systematic fitting system that is advo- the same simple fitting rules that have cated for the other four Rose K2 de- made the Rose K brand successful signs (KC, PG, IC, NC). It is easy to fit, worldwide. even for practitioners who have not previously fitted a Rose K lens or a Advances in contact lens materials, semi-scleral design. It has a standard designs and manufacturing technol- diameter of 14.6 mm (range 13.6 mm ogy have sparked a resurgence of in- to 15.6 mm) and a wide range of pa- terest in large-diameter (semi-scleral rameters, including base curves from Ī Figure 1. Rose K2 XL optimal fluorescein pattern. and scleral) lenses. Although corneal 5.8 mm to 8.4 mm. It also has nine GP lenses can be successfully fitted edge-lift options to precisely control to most irregular corneas, a large-di- the landing zone on the sclera. ameter design is ideal for some spe- cific types of irregular corneas and Primary indications for the Rose K2 can be more comfortable than a XL lens are keratoconus, pellucid smaller lens. marginal degeneration, post grafts, corneal rings, post-LASIK ectasia, Simplified fitting advanced dry eye and any irregular Most semi-scleral designs are fitted corneal condition that cannot be suc- using sagittal heights and judging cessfully fitted within the limbus. This tear layer thickness under the lens, lens is also a great option for patients which are factors not usually consid- who are intolerant of corneal GP ered when fitting a corneal lens. For lenses, those who work in polluted this reason, practitioners may be re- conditions, those who need more luctant to try semi-scleral designs, as lens stability in their sport or work en- they believe fitting them will require vironments and as an alternative to new skills and learning curves. The piggyback lens systems. Ī Figure 2. Rose K2 XL lens on eye. Rose K2 XL lens was designed to Continued on page 2 address this concern and can be

Inside... Behind the Scenes CAPTIV8® for Your Easyfit™ software at Menicon iPad p. 5 p. 3 p. 4 Continued from page 1

Clinicians report success Many of the study investigators de- will provide contact lens practitioners with A recent study involving 17 contact lens scribed the Rose K2 XL lens as “a prob- the ultimate combination to manage their practitioners from 10 countries evaluated lem-solver for impossible fits,” and eight challenging cases. the Rose K2 XL on 120 challenging patients who could not be successfully cases. Although some of the practitioners fitted with any lenses before were suc- Rose K2 XL will be available in the had never fitted a semi-scleral lens be- cessful with the XL design. Investigators United States starting in January 2013, fore, their success rate with the Rose K2 reported the design was easy to fit (aver- with other markets around the world XL lens was 75%. age of 1.6 lenses per eye) and a useful following shortly thereafter. Dr. Rose addition to the current Rose K2 range. will officially introduce the lens and More than 50% of patients reported im- demonstrate how to use this unique proved vision when compared with their The ultimate combination design at the Global Specialty Lens habitual lenses, and many patients con- With the addition of the XL design to the Symposium in Las Vegas (USA). verted to the XL design after the study. Rose K2 portfolio, practitioners will be Several patients also reported it was the able to fit nearly 100% of their patients Rose K lenses are now available in more most comfortable lens they had ever with irregular corneas with a lens from the than 88 countries. Menicon is pleased to worn. Interestingly, XL was a popular Rose K2 family of lenses alone. The XL help make the complex world of improv- alternative to piggyback systems. More design in combination with Menicon Z ing vision for patients with irregular than 80% of piggyback wearers material (Dk 163) and the lens care prod- corneas simpler with the introduction of switched to the XL design. ucts Menicon PROGENT and Unique pH® the Rose K2 XL lens worldwide.

By Randall Sakamoto, OD, PhD Menicon Z for Large-Diameter Lenses and More The world’s highest Dk material now available for large-diameter lenses.

Following its 2011 approval by the U.S. toconus, pellucid marginal degeneration, lens marketplace. Although these lenses Food and Drug Administration for an ex- post penetrating keratoplasty, post radial are most often prescribed for irregular panded indication—management of irreg- keratotomy and post LASIK surgery. corneas, many practitioners also use ular corneal conditions—Menicon Z them to correct astigmatism and presby- material is now available in a large-diame- Oxygen transmission is a basic physio- opia in patients with regular corneas. ter button (16.5 mm) for scleral and semi- logic necessity, and Menicon Z is an im- scleral lens designs up to 16 mm. U.S. portant addition to the range of materials The Menicon Rose K line represents a practitioners can now prescribe the used for large diameter lenses. Large-di- comprehensive approach to fitting con- world’s most permeable contact lens ma- ameter scleral and semi-scleral lenses tact lenses to irregular corneas. The terial for challenging cases, including kera- are the fastest growing sector in the GP newest addition, which represents years of clinical research and develop- Menicon Materials for Large-Diameter Lenses ment, is the semi-scleral Rose K2 XL (standard 14.6 mm diameters). Menicon Z (tisilfocon A) TYRO (hofocon A) This lens will be available in Meni- Oxygen permeability (Dk) 163* 97* con Z material. Refractive index 1.440** 1.440 Contact your Menicon authorized Wetting angle 24° <25° distributor laboratories and ask for Hardness (shore) D/78 D/81 Menicon Z by name. For a list of Specific gravity 1.20 1.087 Menicon authorized laboratories in the United States, please visit Stock colors Blue with Clear, light blue, light pink www.meniconamerica.com/ UV absorber (rose) (with or without UV absorber) meniconz.

Large Diameters 16.5 shouldered blank 17.0 mm, 21.0 mm shouldered blank, 18.5 mm and For a list of Menicon authorized Available 22.0 mm flat blank, 25.0 mm shouldered blank (clear only) laboratories in Canada, please

-11 *x10 (cm²/sec)•(mlO²/[mL x mmHg]) [ISO polarographic method] **ne25 visit www.meniconamerica.ca.

2 PERSONAL PROFILE Behind the Scenes at Menicon In this issue, we interview Anatole Diep, CEO, Menicon Holdings B.V.

Please tell us about your back- sure customer satisfac- ground. tion. This philosophy will I was born in Laos and moved with my continue to be my foun- family to France at the age of 14. I enjoy dation to strengthen our science and studied mechanical engi- assets and expand our neering and automation. business.

What are some of the highlights of Where do you see your career with Menicon? opportunities for I joined Menicon in 1984 immediately growth in the contact after graduating from university. During lens industry? Ī my career, I have served as president of I believe the market for Anatole Diep with his wife, Juliette, and their three sons. the Menicon Pharma contact lens care daily disposable contact lenses will con- ting and to support Menicon’s safety phi- solution factory in France, as well as chief tinue to grow, as patients particularly ap- losophy. manufacturing officer for Menicon Hold- preciate the convenience of this modality. ings Europe. The introduction of the revolutionary 1 Please tell us about your interests Day Flat Pack in 2013 will mark Meni- outside the workplace. con’s decisive entry into the soft lens My wife, Juliette, and I live in the suburbs mass market in Europe and across the of Paris. We have three sons. The eldest world. is 27 years old and a pharmacist. Our middle son is 21 years old, and he is Menicon will introduce a hyper-Dk studying medicine. Our youngest is 19 monthly disposable lens to reinforce the years old, and he is preparing to study distribution of SOLOCARE AQUA® multi- physiotherapy. purpose solution, which began in April 2012 in 27 countries in the European I like martial arts and my current hobby is Economic Area and Canada. the practice of Tai Chi Chuan. I also enjoy Ī Anatole Diep playing guitar during his mother’s playing music, especially guitar. I play oc- birthday celebration. Menicon is expanding the availability of its casionally during celebrations with friends Please describe your current role unique fitting technology Easyfit™. We and family members. with Menicon and your immediate will promote Easyfit™ to assist in lens fit- and long-term goals. As CEO of Menicon Holdings B.V., I will calendar strive to uphold the company’s manage- OCTOBER ment philosophy and vision. Menicon is a 12-15 ICCLC, Sydney, Australia challenging and passionate company. It 24-27 American Academy of Optometry, Phoenix, USA offers all employees the opportunity to NOVEMBER experience the significance of the words 8-10 CLMA, Napa, USA “respect,” “human-oriented company,” 9-13 American Academy of Ophthalmology, Chicago, USA “quality,” “creation,” and “long-term part- DECEMBER nership.” I have had the privilege to see 1-2 Cornea, Contact Lens & Contemporary Vision Care, Houston, USA and experience those values during my JANUARY 28 years with Menicon. 11-13 Bronstein Contact Lens & Cornea Seminar, Scottsdale (USA) 24-27 Global Specialty Lens Symposium, Las Vegas, USA 24-27 CLAO, Las Vegas, USA My new responsibilities encourage me to 25-27 OPTI Munich, Germany amplify Menicon’s management philoso- FEBRUARY phy throughout the Menicon Group in 15-17 Heart of America, Kansas City (Mo.), USA Europe and to provide products and 27-3/3 SECO, Atlanta, USA services of the highest standard to en-

SOLOCARE AQUA® is a registered trademark of Novartis AG used under license by Eye Shelter SA. 3 PATIENT EDUCATION Finally, an App You Will Use in Practice! Turn your iPad into an educational tool for patients and staff.

Electronic tablets are becoming almost tions that lead to as ubiquitous as cell phones. They are improved profitabil- amazing and versatile devices, but they ity,” Dr. Dave said. could be working harder in eye care The application can practices. In a recent survey of its read- also be used for ers, EyeWorld (Feb 2012) found that a re- educating your markable 65% of respondents own staff. “Staff training electronic tablets (iPads, Androids and is time-consuming Kindles), and an additional 22% indicated and costly,” he they intended to buy a tablet during noted. “Your staff 2012. What are the most sought-after will find that the ani- applications? According to the survey, mations in CAP- the number one request was for patient TIV8® are a great education apps. Optimed Ltd., a leading resource for show- patient education animation company, ing the latest tech- has responded to that need and teamed nologies and up with Menicon America to bring such a innovations in op- Ī product to eye care practitioners in the tometry and oph- Select an animation from the main CAPTIV8® screen. United States and Canada. thalmology. This will improve their con- New educational tool fidence in dealing CAPTIV8® is a new application for the with patients and iPad developed for eye care professionals help them present by Optimed. With CAPTIV8®, you have information cor- access to a comprehensive video library rectly and consis- of 3-D ophthalmic animations that can be tently.” used chair-side to teach patients about their eyes and vision. According to Trusit CAPTIV8® is avail- Dave, PhD, MCOptom, FAAO, Director, able in numerous Optimed Ltd., having a visual aid for pa- languages and of- tients enhances their understanding and fers AirPlay com- reinforces your message, whether it con- patibility, allowing cerns managing a medical condition or you to display caring for contact lenses. “Incorporating content wirelessly this type of technology has huge bene- on a large HD fits,” Dr. Dave said. “First, there is patient monitor. The appli- compliance and confidence. The fact that cation automati- patients see what you say really drives cally downloads home the message and, ultimately, leads content updates Ī The Dynamic Toolbar allows you to present specific information in short, to happier patients.” when they be- bite-sized animations to speed up chair-side consultation. come available. With CAPTIV8® on your iPad, you can draw over the video animations to help Try it today the full app. Just visit the Apple iTunes explain a specific condition to your pa- A “Lite” version of CAPTIV8® provides Store, search for CAPTIV8® and down- tient, or you can simply choose the ap- three free animations plus an additional load the Lite version for the free trial.” propriate animation and let it play for the fourth animation after you register. “Be patient while you write your notes. CAP- sure to register,” Dr. Dave said, “as this To view prices and purchase the full TIV8® also has utility in the dispensary. “In will allow you to choose your language version of CAPTIV8®, please visit the optical, staff members can confi- and receive some really cool support http://captiv8.meniconamerica.com dently provide patients with upgrade op- videos that show you the capabilities of and click on Pricing in the menu bar.

4 LENS FITTING By Bart van der Linden, PhD Easy Fitting With Easyfit™ For fast, accurate fitting of GP and specialty soft lenses.

Imagine the following scene in a Once installed on your computer, Easy- contact lens practice: fit™ uses data imported from your “Good morning, Mrs. Smith. Please take corneal topographer (see the list of com- a seat.” … click … “Now, I will take patible topographers below) to calculate some measurements to see which con- the optimal lens for each eye. Using tact lenses suit you. Please put your chin 1,250 to 15,000 data points (depending on the chin rest. Now, I will measure the on the topographer used), the system surface of your cornea.” … click, click ... proposes a lens and notifies you of “How are the kids at school?” … click … corneal irregularities or conflicting choices. “… Playing soccer? That’s great! …” … Once satisfied with the fit, you choose the click … “Minus 3.75, 1.75, 53.” ... click preferred material and order the lens from ... “Minus 3.25, 1.5, 37.” … click ... the manufacturer via the Internet. “What about reading? In the evening? Okay, that is clear.” ... click, click. “I have Easyfit™ intuitively guides you through ordered a pair of custom-made GP the fitting process, regardless of the com- lenses for you.” plexity of the corneal shape or the refrac- Ī Easyfit software uses data imported from your tion and without using trial lenses. With a corneal topographer to calculate the optimal contact lens for each individual eye. Moments later, the conversation success rate of 80% to 90%, you can continues: even introduce a bitoric GP lens design lens into one file, and with the press of a “On this screen, you can see the simu- without using trial lenses. button, sends it to the manufacturer’s lated fit of the lenses I ordered for you. professional support desk with your The ‘bow-tie’ shape at the top represents In orthokeratology, accurate fitting—with question. Using the second option, you the shape of your cornea. Your new a central tear layer of 3 to 6 microns—is can obtain real-time online support. lenses will fit this shape perfectly. At the essential to success. Easyfit™ is effective Using TeamViewer, the manufacturer’s fit- bottom, you can see the orientation of for orthokeratology fittings, as long as the ting consultant can take control of your the lens on your eye. Impressive, isn’t it?” topography measurements are accurate. computer to view and manipulate the In a study of toric orthokeratology lenses, data, while you both discuss potential so- This was Easyfit™, a software program the first-lens success rate with Easyfit™ lutions by phone. designed to guide you through the was over 90% (Cho et al, 2012). process of fitting GP and specialty soft The perfect assistant lenses. Developed more than 10 years Problem-solving assistance Easyfit™ is the perfect assistant to practi- ago as a lens calculation tool, Easyfit™ The utility of the Easyfit™ system does tioners who fit GP lenses, orthokeratol- has evolved into an expert system for not end with the initial fitting. Depending ogy lenses and specialty soft lenses. specialty lens fitting. on the lens being prescribed, it can give Fewer trial lenses are needed, because suggestions or perform more data from the cornea is used. Easy- Easyfit Availability and Compatibility recalculations from over- fit™ is well engineered, sophisticated and refractions. In orthokera- intelligent software that fits easily in all Easyfit™ is available in France, Germany and The tology, for example, it practices. To date, Easyfit™ has been in- Netherlands and will be introduced soon in Japan. can guide you through stalled in more than 5,000 computers of It is compatible with numerous corneal topogra- the initial overnight re- practitioners in Europe. phers, including: sponse procedure. Mr. van der Linden joined NKL Contactlenzen • BON/CSO EyeTop2 • Oculus Pentacam For more persistent fit- in 1998 as manager of research and develop- • BON/CSO EyeTop 2005 • Shin Nippon ting issues, Easyfit™ has ment and application engineering. In this role, • BON/CSO Phoenix • Topcon 7000 two options for addi- he developed several GP designs, including • Haag Streit • Topcon 8100 tional help. For an e-mail the orthokeratology lens and Menicon Z • Keratron Scout/Piccolo • Topcon CA-100 consultation, the pro- Night. During his early years at NKL, the foun- • Medmont (all versions) • Tomey TMS-4 gram compiles all data dation for Easyfit™ was laid. He is currently • Oculus Easygraph • Tomey RT-7000 related to the cornea, managing technical director of NKL. • Oculus Keratograph • Zeiss I-Profiler the refraction and the

5 PHOTO GALLERY New Training Center in Berlin

Menicon Germany recently opened a new training center in Berlin. This state-of-the-art facility will allow practitioners and patients to experience the variety of contact lenses and care solutions that make up the Meni- con family of products.

New Art Gallery and Concert Hall Open at Menicon Headquarters

Rose K Seminar in Holland

Menicon Co. Ltd. recently remodeled part of its headquarters, renaming it the Menicon Annex. On the first floor is the Menio Gallery, featuring art by chairman and founder Kyoichi Tanaka. On the fifth floor is Hitomi Hall, a concert hall that can be con- verted into a state-of-the-art meeting room.

Peter Nijhuis (left) introduces Dr. Paul Rose and Dr. Jennifer Choo during a Rose K seminar held in The Netherlands and hosted by NKL Contactlenzen.

© 2012 Menicon Company Ltd. • To submit an article or request product information, contact Randall Sakamoto, OD, PhD, [email protected] or Donna Vadala at [email protected].

6