This post provides key links and references to my talk on the management of presbyopia, When the going gets tough, the tough get going. The presentation was first delivered in Hamburg, thus the German title which is (apparently) a reasonable translation from the English. The best management of presbyopes with contact lenses presents a range of challenges to the optometrist or optician and this lecture outlines that we are generally reluctant to fit presbyopes with the best form of correction and then how we can target comfort and vision as the main stumbling blocks to successful ongoing wear. A number of relevant links are provided below:
International contact lens prescribing in 2013
An international survey of contact lens prescribing for presbyopia.
Prevalence of refractive error in the United States, 1999-2004.
The impact of contemporary contact lenses on contact lens discontinuation.
TFOS workshop on contact lens discomfort
Overview of factors that affect comfort with modern soft contact lenses.
Consequences of wear interruption for discomfort with contact lenses.
Lid-wiper epitheliopathy and dry-eye symptoms in contact lens wearers.
Friction measurements on contact lenses in their operating environment.
Protein deposition and clinical symptoms in daily wear of etafilcon lenses.
Early symptomatic presbyopes–what correction modality works best?.
Visual comparison of multifocal contact lens to monovision.
Utility of short-term evaluation of presbyopic contact lens performance.