In late July, the American Academy of Pediatrics released a report that found over a two year period, emergency rooms treated more than 33,000 injuries due to contact lenses — making the eye the most frequently injured body part among children due to medical device complications.
When we saw the report and the headlines, we weren’t entirely surprised. Children are one of the fastest growing segments of new contact lens wearers, representing more than 10% of the total population of contact lens wearers. The growing popularity of contacts among children makes sense: Today’s new breed of soft contact lenses are more comfortable than ever and contacts are often an attractive alternative to glasses, especially for active children, ‘tweens and teens.
On the other hand, as the report from The American Academy of Pediatric’s demonstrates, contact lenses and children can also be a recipe for injury, and possibly permanent eye damage or vision loss, if parents aren’t monitoring and supervising the wear, care and replacement of lenses in their children.
According to the data, the most-frequently reported injury diagnoses due to contact lenses were corneal contusions/abrasions, conjunctivitis and hemorrhage. The study also showed that most contact lens complications were the result of non-compliance with the recommended wear and care regimens, as well as replacement schedules.
Misuse of contact lenses in both adults and children can lead to problems such as eye pain, bacterial infections, corneal ulcers, and even permanent vision loss or blindness.
Why so many problems?
Lens remakes are the bane of any optometrist’s existence.
Not only are they costly for both the practice and the labs, but they also create frustration with patients and clients who may have to endure one or more lens remakes before they are actually able to see clearly.
No one wants them and every optician and optometrist works hard up-front to avoid them.
However, they do happen every now and then.
Why?
Well, unfortunately, sometimes a lab will make a mistake and get the script wrong.
Sometimes what a patient thought was “clear vision” during the exam isn’t so “clear” when they actually put the finished glasses on.
Other times, we just need to “tweak” a prescription and lens a few times, especially for new progressive wearers or people with complex vision correction needs like prism.
In very rare instances, a person’s vision may literally change between the refraction and the delivery of the finished frame and lenses.
In all of these cases, we continue to work with the patient until we get the finished product right, and often we do this at considerable extra cost to Urban Optiques – both in additional lab rework fees and the staff’s time. It’s just part of the process of providing good vision care and an accepted cost of business for us (even though we want to minimize it.)
The good news is that when we actually perform the eye exam and refraction at Urban Optiques, we have an extremely low remake rate. There are few specific reasons for this, which I’ll touch on a bit later.
But first, let me tell you about a recent “mystery” at Urban Optiques around remakes.