EyeWitness

Spring 2017

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INTRODUCTION Why does the term "pediatric" send a chill down so many spines? The imple- mentation of contact lens wear in the young patient can often be the tool that offers the best opportunity to either develop or restore a lifetime of useful vision. Whether the patient has a med- ical indication or simply a refractive error, the young patient can present with unique challenges to the eye care professional. Some of these indica- tions and challenges will be discussed in this article. CONTACT LENS INDICATIONS IN CHILDREN Refractive Indications What age is "appropriate" to fit a con- tact lens on a child? In the absence of 14 CLSA EyeWitness Spring 2017 Big Needs for Little People CE Contact lens wear in the young patient can offer the best opportunity to develop, retain or restore a lifetime of useful vision. Buddy Russell, FCLSA, COMT, FSLS a medical indication, Jeff Walline, OD and his colleagues have addressed the answer to this question in the published literature. In addition, the American Academy of Optometry published a position paper in 2004 that stated that by the age of eight, a child was able to handle contact lenses and assume some the child's health, too much chair time, physical limitations, lack of hygiene, and lack of maturity. These are all legit- imate concerns when you consider the child can see well with spectacles. CLIP Study The Contact Lenses In Pediatrics (CLIP) The American Academy of Optometry has stated that by the age of eight, a child was able to handle contact lenses and assume some degree of responsibility. degree of responsibility. Some of the concerns that a contact lens practi- tioner may have in fitting these young children include the risk of safety to study compared 169 neophyte wearers in two age groups (children age 8-12 and teens age 13-17) over a period of three months. The summary of the clinical

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