acuvue Advance

[Ryan_eyeball]

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I've heard many patients tell me that their OD's said it was ok for them to wear these Acuvue Advance CL's extended wear. As far as I knew I thought the only CL's approved for overnight wear were PureVision, Focus N/D and O2 Optix (Menicon Z for RGP's). I realize Ac. Adv are a silicon material that has a much higher Dkt than Av2 or the old Acuvue's.

I would still just consider Acu. Adv's a DW 2 week replacement lenses, unless otherwise noted.

Any thoughts??? Thanks

 

[Tom_Stickel]

I've heard many patients tell me that their OD's said it was ok for them to wear these Acuvue Advance CL's extended wear. As far as I knew I thought the only CL's approved for overnight wear were PureVision, Focus N/D and O2 Optix (Menicon Z for RGP's). I realize Ac. Adv are a silicon material that has a much higher Dkt than Av2 or the old Acuvue's.

I would still just consider Acu. Adv's a DW 2 week replacement lenses, unless otherwise noted.

Any thoughts??? Thanks

Ryan,

Although they don't have FDA approval for overnight wear, it seems obvious that if you can wear an AV2 for 6 nights, you should be able to wear an AV Advance for at least that much.

Still, I think the wisest course is to CYA and not explicitly tell your patients to sleep in them. You're one corneal ulcer away from a lawsuit in this case. If they really want to sleep in lenses, switch them to something else.

Vistakon is rolling out their Oasys lens, which I think is going to be a one month lens to compete with Purevision and N&D. Does anybody think there's room for 2 week and 1 month modalities from the same company? I think it's a little dumb to heavily market, for instance, the O2Optix and N&D. Who wouldn't pick a lens that lasts twice as long? You think Ciba would have learned after the Focus 1-2 week, the dumbest-named lens ever. Who'll wear that when you can have a Focus Monthly?

Tom Stickel
Indiana U. 2001

 

[Ben Chudner]

Ryan,

Although they don't have FDA approval for overnight wear, it seems obvious that if you can wear an AV2 for 6 nights, you should be able to wear an AV Advance for at least that much.

Still, I think the wisest course is to CYA and not explicitly tell your patients to sleep in them. You're one corneal ulcer away from a lawsuit in this case. If they really want to sleep in lenses, switch them to something else.

Vistakon is rolling out their Oasys lens, which I think is going to be a one month lens to compete with Purevision and N&D. Does anybody think there's room for 2 week and 1 month modalities from the same company? I think it's a little dumb to heavily market, for instance, the O2Optix and N&D. Who wouldn't pick a lens that lasts twice as long? You think Ciba would have learned after the Focus 1-2 week, the dumbest-named lens ever. Who'll wear that when you can have a Focus Monthly?

Tom Stickel
Indiana U. 2001

Tom, I used to think the same way. In fact, I lecture for Ciba so I had the opportunity to speak with the president of North American sales and said the same thing. Why should I fit the O2O when the N&D lasts twice as long and has a higher DK? I also felt that the AV Adv would hurt AV2, since why would you fit anyone into the AV2 when for a few bucks more they could be in a better lens. What I was told was there is a market for both if you give it a chance. So I gave it a chance in the office. To be clear, I offer to refit all of my 2 weeek lens wearers into Dailies or N&D. What I found was there are a ton of patients out there that love the 2 week modality and do not want to try 30 days. I have seen my O2O fits increase far quicker than I ever expected. The majority of patients still lean towards the N&D, but for those that do not want to change from AV2, the small additional cost of the O2O, plus the familiar modality makes it an easy switch.

 

[cpw]

I actually heard the Oasis lens might get held up ... my rep told me Ciba's suing them. (basically the same lawsuit that put out purevision the first time) Here we go again !!

 

[parazoa]

At Indiana we are already fitting the Oasis. if pt's like the advance then they will also like the Oasis from what I can tell. Also it seems to work well in pt's with dry eye.

I actually heard the Oasis lens might get held up ... my rep told me Ciba's suing them. (basically the same lawsuit that put out purevision the first time) Here we go again !!

 

[Ryan_eyeball]

Tom, I used to think the same way. In fact, I lecture for Ciba so I had the opportunity to speak with the president of North American sales and said the same thing. Why should I fit the O2O when the N&D lasts twice as long and has a higher DK? I also felt that the AV Adv would hurt AV2, since why would you fit anyone into the AV2 when for a few bucks more they could be in a better lens. What I was told was there is a market for both if you give it a chance. So I gave it a chance in the office. To be clear, I offer to refit all of my 2 weeek lens wearers into Dailies or N&D. What I found was there are a ton of patients out there that love the 2 week modality and do not want to try 30 days. I have seen my O2O fits increase far quicker than I ever expected. The majority of patients still lean towards the N&D, but for those that do not want to change from AV2, the small additional cost of the O2O, plus the familiar modality makes it an easy switch.

I actually think I will be trying to fit more of the O2O to my two week patients. I know some will not want to switch from the familiar name of Acuvue, but I'll at least offer. It seems within the next ten years that almost everything will be going the way of silicone CL's. Maybe we have the legal profession to thank for that, but also their more breathable lenses.

Thirty day extended wear lenses are one modality that might deter patients away from Lasik. Its a great alternative if they are tired of messing with solutions, and the DW hassle. The price still hesitate patients from buying them though, but i still try to tell that's its a six month, not three month suppy.

 

[Graham Lakkis]

As far as I know, the AcuVue Advance just misses out on the Holden-Mertz oxygen transmissibility criterion for no extra corneal edema (compared to a normal closed eyelid) during overnight wear.

The other problem is that I believe AcuVue Advance does not have a plasma coating like PureVision does, which means the silicon material will attract deposits quickly and heavily compared to PureVision and N&D if you do not do a daily rub and rinse.