1. Hossein Alimirzaie Msc.optom
www.optiran.blogspot.com

2. Evidence for fitting kids with CL
Are children more challenging or burdensome to fit
with contact lensescompared to teenagers?
(walline et al,2007a) the contact lenses in
pediatrics(CLIP)study compared
84 8-12 yrsold with 85 13-17 yrs old
Fitting lens handling and follow up care were the
same for both groups.
Study conclusion: Neither group experienced
significant problems.consider fitting CLs for kids as
young as 8 years old

3. Do contact lenses significantlyimprove the quality of
life for children and teens?(walline et al, 2007)
This study was completed by 169 eyeglasses wearing
subjects who changed to hydrogel CL. PREP scores
increased 15 points for both children and teens
The study concluds that contact lenses significantly
increased the subjects quality of life
Evidence for fitting kids with CL

4. Do corneal reshaping contact lenses slow myopia
progression in children?(cho et al,2005; wallineet al
2009)
(CRAYON)study indicates that crneal reshaping lenses
do slow eye growth/elongation
Evidence for fitting kids with CL

5. Age to start fitting contact lenses
It depend on child rather than their age
As soon as they are interested ,they have
suitable refractive error ,they can handle
lenses,as soon as possible

6. Why fit children with contact Lenses?
Refractive Error
Anisometropia & Amblyopia
Binocular vision and development
Appearance
Convenience
UV

7. Perceived problems associated with
fitting children with contact lenses!
Requires stable refractive error!
Too time consuming!
Too expensive!
Children may not be compliant!
Children need more oxygen!
Kids have a greater risk of microbial keratitis!

8. What lens should be fitted?
1 day disposable contact lens
Soft hydrogel lenses
Silicon hydrogel lenses
RGPs

9. Progression of myopia
Orthokeratology
Communication and kids :
Focal points:
Know your patients , the child friendly approach , After
care , informed consent
Spatial considerations such as keratometry
readings , interpalpebral aperture and so on
Physiological consideration
Pediatric Tear and dry eyes
Pediatric Aphakik contact lenses
Follow up

10. Contact Lenses are leading cause of pediatric
emergency room visits
The researchers suggested that out of 144,799 total
pediatric visits to emergency rooms in the United
States from January 1, 2004 to December 21, 2005,
approximately 33,300 (23%) were caused by some form
of contact lens wear.

11. the most common risk factors for contact
lens-related complications in children
alteration of the prescribed
wearing/replacement schedules
non-compliance with recommended lens care
regimens.

12. www.optiran.blogspot.com
hmirzaeee@gmail.com