Historically optometrists do not prescribe contact lenses (CL) to children until they are least twelve years old. Children represent one of the fastest growing segments of the contact lens wearing population. Infants through adolescents can be successfully fit with CL. We will take a look at some medical and ocular conditions and also cosmetic indications where optometrists do prescribe from soft lenses to rigid gas permeable (RGP) lenses to children. According to research at the Centre for Contact Lens Research, children aged 8-16 years with no previous experience wearing CL were easily fit with a 30-minute training session.
According to Salame et al 2004, the incidences for medical indications were higher than optical or cosmetic cheap mlb jerseys reasons for contact lenses wear. Congenital cataracts have the potential to lead to amblyopia, strabismus or permanent cheap jerseys online visual loss. After cataract removal implanting intraocular lenses may prove futile because of the still growing eye. Since the power of the contact lenses can be easily changed they are commonly prescribed for aphakia. The irregular astigmatism caused by keratoconus requires correction with rigid contact lenses. (Harris, l99l) There are many comeal epithelial conditions that require therapeutic soft contact lenses. From mild recurrent corneal erosions to severe alkali burns hydrogel contact lenses are used as therapeutic bandages. (Harris, 1997) Contact lenses have also shown to reduce the magnitude of nystagmus. (Allen & Davies, 1983) Pediatric patients with leucoma, ectopia lentis, typical iris
coloboma can benefit from custom-made contact lens treatment. Schornack et aL.2007, concluded that tinted contact lenses relieve photophobia associated with any disorder, including achromatopsia.
Children who need constant visual correction and are more likely to remove their glasses can benefit from contact lenses. A controversial issue is the usage of rigid gas permeable (RGP) contact lenses to slow the progression of myopia in children. These lenses are called orthokeratology (ortho-k) lenses, the patients sleep with these lenses while these lenses slowly change the shape of the cornea. Young patients with astigmatism may benefit from toric soft contact lenses or RGPs. Anisometropic patients with unequal refractive Abbott (not axial) errors between the two eyes should be corrected with contact lenses to reduce the retinal image size differences. A hyperopic anisometropia should be corrected with contact lenses, otherwise the more hyperopic eye often becomes amblyopic. (Bennett & Weissman,2005) Pediatric patients who have Spears strabismus, esotropia or exotropia are in danger of developing amblyopia. Children who are non compliant with the patch therapy may conform to a dark nonlight transmitting contact lenses.
Lastly, children wear contact lenses for aesthetic purposes. Spectacles may be cosmetically unattractive, causes visual disturbances and sometimes uncomfortable to wear. CLs can improve how kids feel about themselves and improve self esteem. Heterochromia irides may be an indication for some, while some may just want to change their natural eye color. Young children involved in sports, find it difficult and uncomfortable to compete with their glasses sliding down on their face. CLs fit nicely under helmets or safety goggles/glasses giving them more unobstructed field of view. Jurkus’ (1996) study was able to treat aniridia, albinism and corneal disfigurement with custom Marketing designs.
The appropriate age and reason for contact lens fitting should be determined on an individual basis, with input from the child, parent, and practitioner. As outlined above, there are many indications for contact lens wear in a child, and the overall improvement in quality of life afterwards is anniversary priceless. The old adage does hold true when it comes to optometrists and contact lenses: children are our future!
Allen, E.D. & Davies, P.D. (1983) Role of contact lenses in the management of congenital
nystagmus. British Journal of Ophthalmology 67: 834-6.
Bennett, E.S. & Weissman, B.A. Pediatric Contact Lenses. (2005) Clinical cheap jerseys Contact Lens
Practice. P605-611 Philadelphia: Lippincott Williams & Wilkins
Harris, M.G. (1997) Keratoconus. Contact Lenses for Pre and Post Surgery. P.21 St. Louis: Mosby
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Surgery. P.53 St. Louis: Mosby
Jurkus, J.M. (1996) Contact lenses for children. Optometry clinics: 5(2):91-104
Salame, A.L. Simon, E.J., Leal, F., Lipener, C., Brocchetto, D. (2008) Contact Lens in children:
epidemiological aspect. Arquivos brasileiros de oftalmologia 71(3):348-51
Schornack, M.M., Brown, W.L., Siemsen, D.W. (2007) The use of tinted contact lenses in the
management of achromatapsia. Journal of the American Optometric Association 78(1): 17-22