LE RETARD DE MATURATION VISUELLE - CANADIAN ASSOCIATION
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CJO RCO
CANADIAN JOURNAL OF OPTOMETRY REVUE CANADIENNE D’ OPTOMÉTRIE
VOL 71 NO 6 DECEMBER/DéCEMBre 2009
Cost Implications of CAO membership
Le Retard de
maturation visuelle
un cas clinique
Delayed visual
Maturation
a clinical case
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CJO RCO
Canadian Journal of Optometry
Revue canadienne d’optométrie
Vol 71, No 6
December/ Décembre 2009
(Date of issue: December 2009)
(Date de parution: Décembre 2009)
ISSN 0045-5075
CANADIAN JOURNAL OF OPTOMETRY REVUE CANADIENNE D’ OPTOMÉTRIE
The Canadian Journal of Optometry is the official publication of the
Canadian Association of Optometrists (CAO) /
La Revue canadienne d’optométrie est la publication officielle de
l’Association canadienne des optométristes (ACO) :
234 Argyle Avenue, Ottawa, ON, K2P 1B9. Phone 613 235-7924 /
888 263-4676, fax 613 235-2025, e-mail info@opto.ca,
website www.opto.ca. Publications Mail Registration No. 558206 /
Envoi de publication – Enregistrement no. 558206. President’s Podium / Mot du président
The Canadian Journal of Optometry / La Revue canadienne d’optométrie
(USPS#0009-364) is published six times per year at CDN$55, and CDN$65 The Cost Implications of CAO Membership / Les avantages versus les
for subsriptions outside of Canada. Address changes should be sent to
CAO, 234 Argyle Avenue, Ottawa, ON K2P 1B9.
coûts de l'adhésion à l'ACO
Dr. Kirsten North . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
•
The CJO*RCO is the official publication of the CAO. However, opinions and
commentaries published in the CJO*RCO are not necessarily either the
official opinion or policy of CAO unless specifically identified as such. Optometry School Research
Because legislation varies from province to province, CAO advises
optometrists to consult with their provincial licensing authority before Meeting a new record at the 2009 AAO in Orlando
following any of the practice management advice offered in CJO*RCO. Dr. Etty Bitton and L.Gina Sorbara. . . . . . . . . . . . . . . . . . . . . . . . . . . .9
The CJO*RCO welcomes new advertisers. In keeping with our goal of
advancing awareness, education and professionalism of members of the
CAO, any and all advertising may be submitted, prior to its publication,
for review by the National Publications Committee of the CAO.
CAO reserves the right to accept or reject any advertisement submitted Saskatchewan in Pictures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
for placement in the CJO*RCO.
•
La CJO*RCO est la publication officielle de l’ACO. Les avis et les
commentaires publiés dans le CJO*RCO ne répresentent toutefois pas
Eye Health Month Wrap Up Report. . . . . . . . . . . . . . . . . . . . . . . . . . 17
nécessairement la position ou la politique officielle de l’ACO, à moins
qu’il en soit précisé ainsi. Étant donné que les lois sont différentes d’une
province à l’autre, l’ACO conseille aux optométristes de vérifier avec
l’organisme provincial compétent qui les habilite avant de se conformer
aux conseils du CJO*RCO sur la gestion de leurs activités. Recherche Clinique / Clinical Research
La CJO*RCO est prête à accueillir de nouveaux annonceurs. Dans Le retard de maturation visuelle; un cas clinique
l’esprit de l’objectif de la CJO*RCO visant à favoriser la sensibilisation,
la formation et le professionnalisme des membres de l’ACO, on pourra Delayed Visual Maturation – A Clinical Case
soumettre tout matériel publicitaire avant publication pour examen par Marie-Eve Corbeil, OD, MSc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
le Comité national des publications de l’ACO. L’ACO se réserve le droit
d’accepter ou de refuser toute publicité dont on a demandé l’insertion
dans la CJO*RCO.
•
Chair, National Publications Committee / Président,
Comité national des publications : Dr Paul Geneau
Academic Editors / Rédacteurs académiques :
University of Waterloo, Dr B. Ralph Chou
Université de Montréal, Dr Claude Giasson
Advertising Coordinator / Coordonnatrice des publicités ;
Managing Editor / Rédactrice administrative :
Leslie Laskarin
Editorial/Production Assistant / Adjoint de production et réviseur :
Tony Gibbs
Printing Consultant / Impression : Vurtur Communications Uniform requirements for manuscripts: login to the member site at.opto.ca
or contact CAO.
Translation / Traduction:
Tessier Translations / Les Traductions Tessier
Exigences uniformes pour les manuscrits: voir sur le site des membres à
Translation Editor / Réviseure des traductions : opto.ca ou contacter l’ACO.
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PRESIDENT'S PODIUM MOT DU PRÉSIDENT
The Cost Implications of CAO Membership
Les avantages versus les coûts de l’adhésion à l’ACO
by / par Kirsten North, OD, President CAO/ présidentE de l'ACO
A s more of the provincial associations move to
voluntary membership, there is an increased
expectation for CAO and provincial associations to
Q – How is the CAO assessment set and
collected?
The CAO Council sets the CAO assessment a full
show the benefits of membership. CAO was asked fiscal year in advance to allow the provinces to budget
to consider this from the perspective of costs, and appropriately. The provinces collect and remit the
whether there is a ‘return on investment’ from mem- assessment to CAO. The advertising levy is recom-
bership in CAO. The following is an overview using mended by the National Public Education Committee
the most commonly asked questions about CAO and is approved at provincial Annual General Meetings.
membership fees.
Q – Can an optometrist opt out of CAO or join
CAO directly?
Q – What does it cost to be a CAO member? No. CAO was formed as a federation of the ten
The annual CAO assessment has been $330 since provincial associations in 1941. The CAO Charter
2004. In addition, members in each province consider dictates that a member of the provincial association
the approval of an advertising levy which is currently is automatically a member of CAO and an annual
$800 per member. The advertising levy goes directly to assessment is collected. An optometrist may not
pay for television advertising. choose to opt out of membership in the provincial
association and join CAO directly.
Q – Is this the fee/levy in all cases?
Q – How is CAO membership monitored?
No. In 1996, all provincial associations and CAO
agreed on a funding formula that provides a rebate to The provincial association advises CAO when there
the Quebec Association of Optometrists for its role in are changes in membership. Members who are no
providing French language services. The rebate results longer members of a provincial association are
in a net CAO assessment paid by CAO members in removed from the CAO database.
Quebec of $180 plus a $200 advertising levy. Q – Are CAO programs and services available to
CAO members also pay less if provincial associa- members only?
tions offer reduced fees for certain membership Yes. CAO has a strict policy that CAO programs
categories. In these cases, the same percentage and services are available to CAO members only. The
reduction is applied to the CAO assessment/levy. In policy applies to all programs.
addition, provincial associations which allow members Q – Does CAO rely on member fees for its
to pay fees by credit card may withhold from CAO the operations?
merchant fee applied to these payments. Member fees are very important for CAO opera-
tions. In recent years, CAO has increased its sources
C a n a d i a n J o u r n a l o f O p t o m e t r y Vol 71 No 6
R e v u e c a n a d i e n n e d ’ o p t o m é t r i e December / décembre 2009 3
of non-dues income which allows for more member n Professional liability insurance – In 2009, the renewal
services without higher fees. rates were almost 25% lower than 2008. CAO mem-
Q – How does CAO membership compare to bers advise that independent purchase of a similar
other national associations? policy can be as high as $1,200 per year. These
In a 2008 survey, the average membership fee of savings alone can offset membership fee costs.
large national, professional associations was $1,000. n Merchant credit card rates – this program can save
Q – Has the CAO membership been asked about CAO members 2-5% on merchant rates charged by
its level of satisfaction with CAO fees? credit card processing companies.
Yes. In 2007, a CAO membership satisfaction survey n Publications – CAO members receive complimentary
indicated that the highest percentage of members was publications from CAO.
‘satisfied’ with the reasonableness of CAO fees. A n Staff education – the Optometric Assistant Course is
similar result was found in 2003. The level of satis- excellent value when compared to alternate courses
faction was even higher for the $800 advertising levy. for opticians and private sector training.
The 2007 CAO membership satisfaction survey found
that there was an overall 75% satisfaction rating with n Print and web materials – the cost of brochures and
CAO. In 2009, CAO conducted a membership survey fact sheets has been found to be 20% less from
to determine the level of satisfaction with CAO CAO than from other sources and is branded to
communications. Again, the overall level of CAO membership.
satisfaction was high. n CAO Congress – the cost to attend the CAO
Q – Are there examples of where CAO Biennial Congress is largely subsidized by
programs and services provide members with industry sponsorship and the OPTOFAIR.
a ‘return on their investment’? Member registration fees have been the same
for the past 8 years.
Specific programs offer financial benefits including:
n Discount programs – CAO members are eligible
n National advertising program – For every dollar paid,
for discount programs such as car rentals, frames
the value of the national buy is generally in the $1.60
and insurance. The discounts range from 10-20%.
range. This is possible because of the economies of
scale and negotiating a television buy at a national level CAO members provide feedback to the CAO
and because of ‘spill’ when television viewers see the national office when a program or service has resulted
ad in other regions. in a cost savings. We have not attempted to
calculate the definitive value of national services. Ask
n Marketing costs – CAO members recognize the need
yourself if you support the need for optometry to
to promote the profession. At a practice level, this
have a strong national presence. The direct and
includes yellow page listings, advertising, signage,
indirect benefits are immeasurable. It would appear
and more. The $800 advertising levy represents a
there is a strong case to be made that the current
portion of this cost and is effective in increasing the
average per member annual fee is great value.
number of patients using Optometrists.
Vol 71 No 6 C a n a d i a n J o u r n a l o f O p t o m e t r y
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c d ’ o p t o m é t r i e
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L ’adhésion à un nombre croissant d’associations
provinciales devenant volontaire, on s’attend
de plus en plus à ce que l’ACO et les associations
Q – De quelle façon la cotisation est-elle fixée
et perçue?
Le Conseil de l’ACO fixe la cotisation de l’ACO un
provinciales montrent quels avantages il y a à être
exercice financier complet à l’avance afin de permettre
membre. L’ACO a été priée d’envisager la question
aux provinces d’établir leur budget en conséquence.
sous l’angle des coûts de l’adhésion à l’ACO et du
Les provinces perçoivent la cotisation et la remettent
« rendement éventuel de l’investissement ». Voici
à l’ACO. La contribution pour la publicité est recom-
une vue d’ensemble utilisant les questions les plus
mandée par le Comité national d’éducation publique
fréquemment posées à propos des droits que doivent
et est approuvée aux assemblées générales annuelles
acquitter les membres de l’ACO.
provinciales.
Q – Combien en coûte-t-il pour être membre Q – Un optométriste peut-il refuser d’adhérer à
de l’ACO? l’ACO ou en devenir membre directement?
La cotisation annuelle de l’ACO est de 330 $ Non. L’ACO, qui a été formée en 1941, est une
depuis 2004. Chacune des provinces demande fédération des dix associations provinciales. Selon
la charte de l’ACO, une personne membre d’une
aux membres d’approuver une contribution sup-
association provinciale est automatiquement membre
plémentaire aux frais engagés pour la publicité fixée
de l’ACO et une cotisation annuelle est perçue. Un
à l’heure actuelle à 800 $ par membre. Cette contri-
optométriste ne peut choisir de ne pas faire partie
bution est affectée directement au paiement de la
de l’association provinciale et de joindre directement
publicité télévisée.
l’ACO.
Q – La cotisation et la contribution sont-elles
Q – Comment surveille-t-on l’appartenance à
les mêmes dans tous les cas? l’ACO?
Non. En 1992, toutes les associations provin- L’association provinciale avise l’ACO des change-
ciales et l’ACO ont convenu d’une formule de ments. Les personnes qui ne sont plus membres d’une
financement qui offre une remise à l’Association association provinciale sont rayées de la base de don-
des optométristes du Québec pour son rôle dans la nées de l’ACO.
prestation de services en français. Il s’ensuit que les
Q – Les programmes et les services de l’ACO
membres de l’ACO au Québec versent une cotisation
sont-ils réservés aux membres?
nette de 180 $ et que leur contribution à la publicité
est de 200 $. Oui. L’ACO applique une politique rigoureuse, selon
Les membres de l’ACO paient moins cher égale- laquelle ses programmes et services ne sont offerts
ment si les associations provinciales font bénéficier à qu’à ses membres. Cette politique s’applique à tous les
certaines catégories de membres des réductions. Dans programmes y compris le Congrès biennal de l’ACO.
ce cas, le même pourcentage de réduction est appliqué Q – L’ACO a-t-elle besoin des cotisations des
à la cotisation et à la contribution de l’ACO. Les asso- membres pour ses activités?
ciations provinciales qui permettent aux membres de Les cotisations des membres sont très importantes
payer les droits par carte de crédit peuvent déduire la pour les activités de l’ACO. Au cours des dernières
commission versée par les commerçants qui s’applique années, les sources de revenus hors cotisations de
aux paiements de l’ACO.
Vol 71 No 6 C a n a d i a n J o u r n a l o f O p t o m e t r y
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6 December / décembre 2009 R
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l’ACO ont augmenté, ce qui lui permet d’offrir plus de eux-mêmes d’une police similaire peut coûter de
services à ses membres sans accroître les cotisations. 800 $ à 900 $ de plus par année.
Q – A-t-on demandé aux membres de l’ACO n Les commissions versées par les commerçants pour les
s’ils étaient satisfaits des cotisations de l’ACO? cartes de crédit – Ce programme peut faire épargner
Oui. En 2007, une enquête sur la satisfaction des de 2 % à 5 % sur les commissions facturées aux
membres de l’ACO a révélé que le plus fort pourcentage de membres de l’ACO par les entreprises de traite-
membres considérait les cotisations de l’ACO comme ment de cartes de crédit.
raisonnables. Un résultat similaire avait été obtenu en n Les publications – Les membres de l’ACO reçoi-
2003. Le degré de satisfaction était encore plus élevé vent gratuitement les publications de l’ACO.
pour la contribution de 800 $ à la publicité. L’enquête
sur la satisfaction des membres de l’ACO menée en n La formation du personnel – Le cours pour les
2007 a conclu que le taux de satisfaction global à assistants optométriques représente une
l’égard de l’ACO était de 75 %. excellente valeur par comparaison aux autres
cours pour les opticiens et à la formation du
Q – Y a-t-il des exemples du « rendement de
secteur privé.
l’investissement » que les programmes et les
services de l’ACO offrent aux membres? n Les documents imprimés et en ligne – Le coût des bro-
chures et des fiches de renseignements de l’ACO
Voici des programmes qui offrent des avantages
est inférieur de 20 % à celui du matériel d’autres
financiers :
sources; ces documents sont de plus adaptés aux
n Le programme national de publicité – Pour chaque membres de l’ACO.
dollar versé, la valeur de l’achat national se situe
n Le Congrès de l’ACO – Le coût de la participation
en règle générale aux alentours de 1,60 $. Les
au Congrès biennal de l’ACO est en grande partie
économies d’échelle et la négociation de publicité
subventionné par l’industrie et par l'Optofoire.
télévisée à l’échelle nationale rendent cela possible.
Les frais d’inscription des membres sont les
Ce degré d’efficacité a été confirmé par un
mêmes depuis huit ans.
consultant indépendant.
n Les programmes de remise – Les membres de l’ACO
n Les coûts de marketing – Les membres de l’ACO
ont accès à des programmes de remise, par
savent qu’il faut promouvoir la profession. Ce
exemple pour la location d’autos, les montures
qui, à l’échelle du cabinet, inclut les inscriptions
et l’assurance. Les rabais sont de l’ordre de 10 %
dans les pages jaunes, la publicité, les affiches et
à 20 %.
ainsi de suite. La contribution de 800 $ représente
une petite portion de ce coût. C’est une manière Posez-vous la question : Pensez-vous qu’il est im-
rentable compte tenu du coût pour accroître le portant et nécessaire que l’optométrie ait une forte
nombre de patients qui s’adressent à des présence nationale? Les avantages directs et indirects
optométristes. sont incommensurables. Je dirais qu’il y a bien des
raisons de soutenir que la cotisation annuelle moyenne
n L’assurance responsabilité professionnelle – Des actuelle par membre vous en donne beaucoup pour
membres de l’ACO mentionnent que l’achat par votre argent.
C a n a d i a n J o u r n a l o f O p t o m e t r y Vol 71 No 6
R e v u e c a n a d i e n n e d ’ o p t o m é t r i e December / décembre 2009 7
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Meeting a new record at the 2009 AAO in Orlando
by Etty Bitton, OD, MSc, FAAO and L. Gina Sorbara, OD, MSc, FAAO, Dip C&CL
photo courtesy of Dr. Etty Bitton
Montreal optometrist and long time attendees of the AAO, Dr. Fadi Maroun and Dr. Brian Goldberg are surrounded by new graduates from
Montreal attending their first AAO meeting.
École d’optométrie, Université de Montréal our libraries. Becoming Fellow of the AAO is a big
accomplishment, and one that 164 graduates completed
T his year’s annual meeting of the American
Academy of Optometry (AAO) held in Orlando,
Florida attracted over 4,500 attendees… achieving a
this year, representing well over a dozen countries. Six
Canadians were amongst the new fellows, including
Dr. Peter Karwatsky and Dr. Valerie Lefebvre from
new record attendance! Like all the AAO meetings, Quebec. Congratulations to all the new fellows!
numerous lectures, workshops, symposia, scientific The École d’optométrie, Université de Montréal also
presentations allowed for attendees to be updated had a very successful participation at this year’s con-
on the latest clinical and scientific information in the ference, with big honors going to Dr. Maurice Ptito,
eyecare field. The exhibit hall revealed the latest tech- professor and Research Chair at the school. Invited
nological advancements and the latest books to update speaker for the Monroe J. Hirsch Research Symposium,
C a n a d i a n J o u r n a l o f O p t o m e t r y Vol 71 No 6
R e v u e c a n a d i e n n e d ’ o p t o m é t r i e December / décembre 2009 9Dr. Maurice Ptito delivering the Monroe J. Hirsch Research Dr. Mark Eger, president of the AAO honors Dr. Jacob Sivak with the
Symposium lecture entitled “Brain plasticity: Lessons from the prestigious Charles Prentice Medal.
visual system”.
Dr Ptito updated the attendees on part of his November 17-20, 2010! For more information, check
research dealing with brain plasticity entitled out the AAO’s website at www.aaopt.org or on its new
“Brain plasticity: Lessons from the visual system”. Facebook page. See you there!
Dr. Langis Michaud participated in a grand rounds
lecture on cornea and contact lenses during the con-
tinuing education portion of the meeting entitled “A School of Optometry at the University of Waterloo
Unique Case of Corneal Warpage Secondary to Con-
tinuous Wear of a Silicone Hydrogel Lens”. Several
other faculty, clinical faculty, optometry and post-grad-
uate students presented during the scientific paper and
T he School of Optometry at the University of
Waterloo was very proud to see Dr. Jake Sivak
honoured by the AAO this year with the receipt of
poster sessions. (Table 1) the prestigious Charles F. Prentice Medal. The title of
Participation was also a new record at this year’s the lecture given by the awardee was, “Serendipity in
meeting, with over fifty attendees from Quebec! Many Scientific Research: Examples from Basic and Applied
were first time attendees and they found the experi- Ocular Lens Research.” This fascinating talk brought
ence truly rewarding and extremely valuable, not the audience through the many years of research
only for clinical excellence amongst the speakers but guided by Dr. Sivak and performed by himself in
also for the valuable networking possibilities that the many areas around the world and by his impressive
meeting offers. Nicolas Tea (optometry student) and list of graduate students. (See photo)
Walter Wittich (PhD student), both presenters, were Dr. Kristine Dalton was the recipient of the Shel-
honored with a Student Travel Fellowship to attend don Wechler Contact Lens Residency Award after
the meeting. Dr. Nathalie Trottier (contact lens completing her residency at UW under the supervision
resident) was also awarded a Residency Travel Grant to of Dr. L. Sorbara, in the area of fitting keratoconus
attend the meeting. Dr. Jean-Marie Hanssens (PhD patients with large diameter contact lenses.
student) received the Carl Zeiss Vision Student Travel Finally, the Vistakon Ezell Fellowship Award was
Fellowship to attend the next two AAO meetings. presented to Vidhyapriya (Priya) Sreenivasan, for her
Next year’s meeting promises to be just as education- PhD graduate work in ocular-motor parameters
al and full of clinically relevant information. It is to be in myopic children, under the supervision of
held in San Francisco at the Moscone Center West on Drs. Bobier and Irving.
Vol 71 No 6 C a n a d i a n J o u r n a l o f O p t o m e t r y
10 December / décembre 2009 R e v u e c a n a d i e n n e d ’ o p t o m é t r i eDr. Thomas Freddo gave two well received con- on, “Solution induced corneal staining – clinically
tinuing education lectures, “The Clinical Significance relevant or not?”, with other well known speakers.
of Conjunctival Lumps, Bumps and Spots” and Many of our faculty representing our School of
“A Systemic Disease Approach to the Red Eye: Optometry and Centre for Contact Lens Research,
Arthropathy vs Arthritis”. Dr. Lyndon Jones undergraduate and graduate students participated in
participated in a round table presentation/discussion paper and poster presentations that are listed in Table 2.
Table 1: École d’optométrie, Université de Montréal participation in the
2009 Annual AAO Meeting, Orlando, Florida
Faculty Author Title of presentation
Michaud L, Beaulieu M, Gravel K Clinical performance of senofilcon A lenses compared with
Omafilcon A to reduce induced ocular dryness (poster)
Michaud L, Fortin M, Tessier E Visual impact of “Freshlook ColorBlends” corneal lenses (poster)
Michaud L, Magnan ME, Lavoie C Comparative results of monovision vs multifocal fitting on a
presbyopic population using Purevision and Purevision multifocal
lenses (poster)
Michaud L Cornea and Contact Lens Grand Rounds
A Unique Case of Corneal Warpage Secondary to Continuous Wear
of a Silicone Hydrogel Lens (lecture)
Karwatsky P Chalazion-Induced Hyperopia (poster)
Lovasik JV, Kergoat H, Gauthier C, Dion I Regulation of choroidal blood flow fails during cold stimulation
(poster)
Kergoat H, Lovasik JV, Boutin T, Kergoat MJ, Retinal and macular vessels in the healthy aging eye (paper)
Racine N, Parent M
Marinier JA, Fraser A Exudative ARMD patients successfully treated with anti_VGEF
médications : A new clinical challenge for low vision optometrists
(poster)
Ptito M Brain plasticity: Lessons from the visual system (Monroe J. Hirsch
Research Symposium, invited speaker)
Students
Optometry students
Gemme C, St-Jean A, Bitton E, Jones D Institutional and gender differences in student indebtedness
attending Canadian optometry schools (poster)
Tea N, Argaw A, Duff G, Ptito M, Bouchard J-F The endocannabinoid system modulates the development of the
optic nerve (paper)
Graduate Students
Hanssens JM, Moulin M, Allard R, Faubert J Does aging influence postural reactivity generated by stimulated
ophthalmic lenses distortions? (poster)
Wittich W, Dubuc S, Watanabe DH, Item difficulty of the Montreal cognitive assessment in patients
Overbury O with visual impairment (paper)
C a n a d i a n J o u r n a l o f O p t o m e t r y Vol 71 No 6
R e v u e c a n a d i e n n e d ’ o p t o m é t r i e December / décembre 2009 11Table 2: School of Optometry at the University of Waterloo participation in the
2009 Annual AAO Meeting, Orlando, Florida
AAO 2009 Orlando Authors Type
Charles F. Prentice Medal Lecture Awardee: Serendipity in Sivak J Award
Scientic Research: Examples from Basic and Applied Ocular Lecture
Lens Research
Sheldon Wechler Contact Lens Residency Award Dalton, Kristine Award
Vistakon Ezell Fellow Sreenivasan, Vidhyapriya (Priya) Award
Clinical Significance of Conjunctival Lumps, Bumps and Spots Freddo T CE
A Systemic Disease Approach to the Red Eye: Arthropathy Freddo T CE
vs. Arthritis
Solution induced corneal staining - clinically relevant or not? Jones L, Young G, Morgan P, Papas E, Nichols J CE
Patient and practitioner compliance with silicone hydrogel Dumbleton K, Richter D, Woods C, Jones L, Paper
and daily disposable lens replacement in USA and Canada Fonn D
The role of compliance with replacement frequency of Dumbleton K, Woods C, Jones L, Fonn D Paper
silicone hydrogel lenses on subjective comfort and vision
Distribution of overnight central corneal swelling with high Moezzi A, Fonn D, Varikooty J, Richter D Paper
powered silicone hydrogel lenses
Visual field loss, attention and mobility Leat SJ, Mittelstaedt A, Machan CM, Hrynchak PK, Paper
Irving EL
Prescribing for hyperopia and the presence of symptoms in Leat SJ, Mittelstaedt A, Machan CM, Hrynchak PK, Paper
children in a University-based optometry clinic Irving EL
The Impact Of Rub & No-Rub Care Products On Protein Luensmann D, Miriam H, Liu L, Sheardown S, Paper
Removal And Localization Jones LW
Patient and practitioner compliance with silicone hydrogel Dumbleton K, Richter D, Woods C, Jones L, Paper
and daily disposable lens replacement in USA and Canada Fonn D
The role of compliance with replacement frequency of Dumbleton K, Woods C, Jones L, Fonn D Paper
silicone hydrogel lenses on subjective comfort and vision
Bacterial adhesion to lactoferrin-coated conventional and Subbaraman LN, Jones L, Borazjani R, Zhao Z, Paper
silicone hydrogel contact lens materials Zhu H, Willcox MDP
Utility of a contact lens case pulsator to aid lysozyme removal Jones L, Joyce E, Heynen M Paper
from etafilcon A hydrogel lenses soaked in a no rub MPS
regimen
Smoking cessation referrals by optometrists: A pilot study Spafford MM, Kennedy RD, Schultz A, Iley M Paper
assessing practices and opportunities
The Transient Nature of Solution-Induced Corneal Staining Peterson R, Gorbet M, Woods C, Fonn D Paper
Rose Bengal Stainig Differentiates Sjogren’s Syndrome from Caffery B, Simpson T, Wang XS, Bookman A, Paper
Keratoconjunctivitis Sicca Slomovic A, McComb J
Vol 71 No 6 C a n a d i a n J o u r n a l o f O p t o m e t r y
12 December / décembre 2009 R e v u e c a n a d i e n n e d ’ o p t o m é t r i eAAO 2009 Orlando Authors Type
Repeatability of pachymetry measures by the RTVue-100 Keech A, Simpson TL, Flanagan J, Jones L Poster
spectral domain optical coherence tomographer
What went wrong? The limit of tolerance to spectacle Hrynchak P, Irving EL Poster
prescription error
Institutional and Gender Differences in Student Indebtedness Gemme C, St-Jean A, Bitton E, Jones DA Poster
Attending Canadian Optometry Schools
The optimum color vision test battery in predicting VDT color Ramaswamy S, Hovis JK Poster
identification
Monochromatic aberrations & progressive addition lens Peer J, Chou R, Hutchings N Poster
satisfaction in healthy presbyopes
In vitro wettability of surface modified and non-surface Subbaraman LN, Jones L Poster
modified silicone hydrogel contact lens materials
Optimising fluorescein observations of solution induced Peterson R, Schneider S, Woods C, Jones L, Fonn D Poster
corneal staining
Impact of protein, lipid and lens polymer on neutralization Ngo W, Heynen M, Joyce E, Jones L Poster
times of hydrogen peroxide care regimens
Tear film deposition on silicone hydrogel contact lenses Jones L, Heynen M, Joyce E, Lorentz H, Poster
disinfected with hydrogen peroxide and rub or enhanced no- Dumbleton K, Varikooty J, Woods C
rub care regimens
Grading Bulbar Redness using Cross-calibrated Clinical Schulze M, Hutchings N, Simpson T Poster
Grading Scales
Comparative assessment of visual experience with freeform Chou BR, Hutchings N, Peer J, Buttle A, Despres M, Poster
traditional progressive addition lenses D’Silva S, Smith M
Metrics of the average cornea: anterior segment imaging Maram J, Sorbara L, Simpson T, Fonn D Poster
using the Visante optical coherence tomographer
Anterior Segment Optical Coherence Tomography: Non- Maram J, Sorbara L, Simpson T, Bizheva K Poster
contact high and ultra high resolution imaging of contact lens
edge profiles
Hyper-reflective cells observed by confocal microscopy with Schneider S, Woods C, Fonn D Poster
staining caused by different lens-solution combinations
Discrimination thresholds of the central cornea in lens and Basuthkar Sundar Rao S, Simpson T Poster
non lens wearers
C a n a d i a n J o u r n a l o f O p t o m e t r y Vol 71 No 6
R e v u e c a n a d i e n n e d ’ o p t o m é t r i e December / décembre 2009 13SASKATCHEWAN
I N thP I C T U R E S
100 Anniversary
T he Saskatchewan Association of Optometrists hosted their 100th An-
niversary celebration at the Delta Regina Hotel on November 6th & 7th
where they welcomed over 200 attendees. Current members, past mem-
bers, CAO council members and many special guests and friends
attended the Friday afternoon Annual Exhibitors Show followed by an
evening walk down memory lane.
The weekend wrapped up with the President's Grand Banquet and
an enjoyable time was had by all guests. Dr. Len Koltun was recognized
with the prestigious President's Award and also recognized was Dr. James
Krueger as the Optometrist of the Year recipient. A new President was des-
ignated as Dr. Mike York replaces Dr. Lee Kolbenson in the Presidential Chair
and eight of the twelve new SAO members were recognized.
Thank you to everyone for celebrating this commemorative milestone
with the Saskatchewan Association of Optometrists.
Dr. Hugh MacKenzie (and Lois), Dr. Lil Linton,
Dr Kirsten North and Dr. Jack Huber (and Alice)
Past Presidents of SAO — Front Row: Dr. Hugh MacKenzie, Dr. Jack Huber, Dr. Gerald Rooney, Dr. David Holmes
Back Row: Dr. Russ Schultz, Dr. Robert Degelman, Dr. James Krueger, Dr. Robert Gulka, Dr. Jerome Breker, Dr. Claude Hutton, Dr. Robert Neumann,
Dr. James Kerr, Dr. Len Koltun, Dr. Barry Thienes, Dr. Larry Selvig, Dr. Bruce Robinson, Dr. Ronald Gaucher, Dr. James Ross, Dr. Dorothy Barrie,
Dr. Leland Kolbenson
Vol 71 No 6 C a n a d i a n J o u r n a l o f O p t o m e t r y
14 December / décembre 2009 R e v u e c a n a d i e n n e d ’ o p t o m é t r i ePresident’s Award Recipient,
Dr. Len Koltun and SAO President,
Dr. Lee Kolbenson
SAO New Optometrists 2009 – Front row: Chris Strelioff (Registrar) Tricia Holliday, Joanna Keall,
Sonya Hung; Back row: Lonnie Brooks, Graham Noseworthy, Kirk Ewen, Heath Holliday,
Michael Langenberger; Absent: Skylar Feltis, Harjit Gill, Jaelyn McComas, Sarah Sliva
Dr. James Kerr (and Anita), SAO and
CAO Past President
Dr. Michael York, SAO President and Optometrist of the Year Recipient, Dr. James
Dr. Lee Kolbenson, SAO Past President Krueger and SAO President, Dr. Lee Kolbenson
Dr. Lee Kolbenson (and Margaret),
SAO Past President
C a n a d i a n J o u r n a l o f O p t o m e t r y Vol 71 No 6
R e v u e c a n a d i e n n e d ’ o p t o m é t r i e December / décembre 2009 15SeeMax Power
Setting a New Standard
in Customized Lenses
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1-800-663-8654 3D Dual Power Progressive Design
www.nikonlenswear.ca Digital Progressive LensEye Health Month 2009
Wrap-up rEporT
A
s daily digital screen time Several different tactics were in Vancouver, Calgary, Edmonton,
increases, so does the risk executed during Eye Health Month Winnipeg, Saskatoon, Toronto,
of eye and vision ailments, to achieve campaign objectives. Ottawa and Halifax.
including computer vision syndrome Three different matte stories, were A separate pitch was developed
(CVS). Canadians & Screen Time – Be developed and distributed through- specifically for blogger outreach.
Kind to Your Eyes, the theme of the out Canada, that highlighted female Results from the campaign
2009 Eye Health Month campaign, baby boomers, computer vision were very impressive in 2009, with
captured the media and public's syndrome, and overall eye health. 108,016,266 million media impres-
attention, with pick-up on stories Audio and video new releases sions achieved – a huge jump from
outlasting Eye Health Month, spill- were distributed to traditional the 15 million impressions in 2008.
ing into November and beyond. media outlets across Canada and Coverage of the eye health mes-
The 2009 campaign, conducted online to popular websites, that sage was strong across all forms of
by Fleishman-Hillard, had multiple either focused on the Canadian media, from print to television to
objectives. Enhancing the profile baby boomer population, or on online sources. Media is generally
of Eye Health Month in Octo- health related subjects. skeptical about picking up stories on
ber, building on past Eye Health Be Kind To Your Eyes, highlight- health. Fleishman-Hillard expected
Month campaigns and promoting ing computer vision syndrome, four print stories and instead got
optometrists as the “go to” health and Eye and Vision Health for Your pick-up on 21 print stories. “There
care practitioners for eye and Kids were two online videos that was a huge appetite for this year’s
vision health, as well as empha- were specifically created for the Eye Health Month theme of
sizing the importance of routine web and placed on YouTube and computer vision syndrome”, said
comprehensive eye exams have other sites. Lauren Bondar, the consultant at
been ongoing strategies of the In addition, several message Fleishman-Hillard. Fleishman-Hillard
public awareness campaign. review sessions were conducted attributes the pick up to the CVS
This year, results from a sur- with optometrists who acted as theme, but also to the fact that our
vey of Canadian optometrists, spokespeople from across Canada spokespeople were fantastic. They
and a survey conducted by Leger to ensure consistent and on target made themselves available, they were
Marketing, were used to raise messaging. The media release was strongly credible and on target with
awareness of computer vision distributed on national newswire the message.
syndrome, particularly among
Canada’s baby boomer population. THank you To THE MEdia SpokESpEoplE
Results of the Leger Marketing
The following CAO members volunteered to be media spokespeople during Eye
survey indicated that female baby Health Month and participated in media training to prepare for the campaign.
boomers are the group at great-
Nova Scotia Ontario Alberta
est risk of developing computer Dr. Carol Doman Dr. Mira Acs Dr. Diana Monea
vision syndrome. Female baby Dr. Allison Scott Dr. Joseph Chan Dr. Riaz Ahmed
boomers are reporting more eye New Brunswick Dr. Thomas Noël Dr. Neepun Sharma
and vision ailments associated with Dr. Lillian Linton Dr. Kirsten North Dr. Kim Bugera
high screen time than male baby PEI Saskatchewan Vancouver
Dr. Leland Kolbenson Dr. Antoinette Dumalo
boomers. A concise version of the Dr. Susan Judson
Dr. Michael Kellam
Leger Survey is posted on the Eye Dr. Bonnie Gallant Manitoba
Dr. Scott Mundle Dr. Manbir Randhawa
Health Month page at opto.ca. Quebec
Dr. Langis Michaud Dr. Don Williamson
C a n a d i a n J o u r n a l o f O p t o m e t r y
o Vol 71 No 6
R
r e v u e C a n a d i e n n e
c d ’ o p t o m é t r i e December / décembre 2009 17FLEISHMAN-HILLARD ATTRIBuTES THE PICK uP TO THE CVS THEME, BuT ALSO TO THE FACT THAT OuR
SPOKESPEOPLE WERE FANTASTIC. THEy MADE THEMSELVES AVAILABLE, THEy WERE STRONGLy CREDIBLE
AND ON TARGET WITH THE MESSAGE.
CaMpaiGn rESulTS BrEakdoWn of
n 108,016,266 million impressions CaMpaiGn rESulTS
achieved
n Matte Stories
n Strong mainstream and online media
coverage 8 hits - Three matte stories
n Success across all forums with media 1,597,374 – TOTAL IMPRESSIONS
interviews secured with Tier 1 outlets
including – CityTV Toronto, Canada AM, n Traditional Media
Vancouver Sun, Global News and Best 21 Print Stories
Eleven billboards graced Winnipeg during Health Magazine. 18 Online News Stories
Eye Health Month. n Community coverage across Canada of
38 Television Stories
the matte stories, ANR and VNR
34 Radio Stories
n Online video pick-up on popular web-
sites including Rogers Videos, AOL Videos 2 Magazine Stories
and AOL Canada 17,359,056 – TOTAL IMPRESSIONS
n Prominent display on youTube
n online Video Coverage
n Strong delivery of messaging
29 websites hosting VNR
n Strong spokesperson roster
n Cost per contact: $0.001 15 websites hosting online videos
dr. Mel Soicher's reception area. 89,059,836 – TOTAL IMPRESSIONS
EYE DARE YOU – 2009 Winners
S pokespeople across Canada did a
bang-up job participating in inter-
views that were picked up the media
by offering free eye exams that
day. Presentations were given at seniors'
residences, schools, a women's network-
Incentives were offered by another clinic
through the creation of a Facebook site
where fans were rewarded with a 10%
across Canada. Their names were entered ing meeting, a Chambers of Commerce discount on their next purchase of glasses
in the Eye Dare You contest. In addition, meeting, a Rotary Club Banquet, and to a or contacts if they could name the closest
fellow optometrists who entered Eye Dare diabetes group. A four hour training ses- intersection where they saw an Inside Out
You, creatively came up with other ways of sion was given to final year medical stu- campaign billboard.
promoting awareness of eye health at the dents during rotation at the Fort St. John
These are just a few examples of the
local level during October. Hospital. A preschool toured an optom-
wonderful energy that went out to
etrist's office. A "thoroughly disgusting"
Posters, newspaper ads, and outdoor promote optometry.
talk on eye disease and assistance with
billboards using the Eye Health Month
eyeball dissection was given to a grade
theme or the Inside Out campaign were
eight class, and a lecture was given to the
downloaded, printed and purchased or
Illumination Engineering Society. Pacific Congratulations to this year's winner,
used by provincial associations, and clin-
Eye Doctors Dunbar partnered with a local dr. Michelle Georgi of Village Optical.
ics. An article on children and Computer
grocery store, placed signs near various She won $500.
Vision Syndrome (CVS) was submitted to
food items, like spinach, that listed the nu-
and printed by Winnipeg Parent Magazine. NBAO won this year for promoted more
tritive benefits of the food item to macular
Not all endeavors focused on the theme activity, in conjunction with Eye Health
health, and then distributed handouts
of CVS. Some tied in their efforts with Kids' Month, than any other province.
at the checkout counter. In one clinic a
Health Day, and others with World Site Day
draw was held for a prize of sunglasses.
Vol 71 No 6 C a n a d i a n J o u r n a l o f O p t o m e t r y
o
18 December / décembre 2009 R
r e v u e C a n a d i e n n e
c d ’ o p t o m é t r i eThank you to our 2009
Eye Health SUPPORT OUR 2009
Council ofPARTNERS
canada partners
Eye Health Council of Canada
The Canadian
Association of
Optometrists
Our Eye Health Council of Canada (EHCC) industry partners play an important role in providing
support to the national public awareness program. The goal of the public education program
is to establish the importance of preventive eye care — making regular eye exams as
automatic to Canadians as other routine health care. Funding from our EHCC partners is used to
pay for production of the television campaign ads, research, and the annual Eye Health Month
campaign.
PMS 314 PMS 179 PMS 138
C a n a d i a n J o u r n a l o f O p t o m e t r y Vol 71 No 6
R e v u e c a n a d i e n n e d ’ o p t o m é t r i e December / décembre 2009 19Help Them See What They’ve Been Missing
SofLens® daily disposable contact lenses –
the first daily disposable lens with High Definition™ Optics – plus
end of day comfort that outperforms the leading daily disposable1
• Enhanced spherical aberration control to reduce the appearance of blurriness,
halos and glare and improve the contrast of the retinal image.
• Provides clear, crisp vision no matter the time or place, especially
in low-light situations.
, From Start To Finish
• Slow release packaging solution works with tears to
envelope the entire lens in a cushion of long-lasting moisture.
• An exceptionally thin lens reduces lens-lid interaction
when blinking.
1. A total of 100 adapted wearers of Focus Dailies lenses completed a 1-week clinical investigation of
SofLens® Daily Disposable contact lenses. Patients were instructed to wear the lenses on a daily wear, daily
disposable basis. At the completion of the study, patients completed a product attribute rating questionnaire. © 2009 Bausch & Lomb Incorporated. ®/TM Denotes trademarks of Bausch & Lomb Incorporated.RECHERCHE CLINIQUE
Le retard de maturation visuelle; un cas clinique
PAR Marie-Eve Corbeil, OD, MSc
objectifs peuvent être normaux, ce santé, pas d’antécédent familial de
Résumé
qui complique le diagnostic. Les problème systémique ou oculaire.
Lors de son premier examen visuel tests électrodiagnostics sont alors À l’examen, l’acuité visuelle par
complet, le patient de deux mois et demi très utiles pour faire le diagnostic regard préférentiel, l’habileté à re-
ne fixe pas et ne suit pas la cible ou la différentiel entre les différentes garder et à suivre une lumière ou un
lumière présentée et ce, malgré un conditions et orienter les parents gros objet, la présence ou l’absence
examen visuel normal. Cette condition sur l’aspect permanent ou tempo- de nystagmus, les réflexes pupil-
temporaire est appelée retard de raire de la basse vision. laires, l’examen externe, le fond
maturation visuelle. d’œil à l’ophtalmoscopie directe et
CONCLUSION : À cinq mois et demi, le Exposé de cas indirecte et la réfraction sous cyclo-
comportement visuel de l’enfant s’est nor- plégie sont évalués (tableau 1). Au-
malisé. Le retard de maturation visuelle
A.J., un garçon de deux mois et cune anomalie particulière n’a été
est un diagnostic d’exclusion qui nécessite demi, est amené par sa mère pour détectée.
un examen oculo-visuel complet, des un examen visuel complet. Cette Compte tenu du jeune âge du
tests électrodiagnostiques et si requis, dernière a remarqué qu’A.J. sem- patient et de l’absence de patholo-
d’imagerie par résonance magnétique. ble avoir un problème de vision gie oculaire visible, un suivi dans
puisqu’il ne réagit pas aux stimuli un mois et demi est alors recom-
visuels. Il répond par un sourire mandé. Lors de ce suivi, les mêmes
Introduction aux voix humaines, mais ne réagit résultats sont trouvés à l’examen.
L
pas aux visages. L’histoire d’A.J. est Quel est le diagnostic le plus
a suspicion d’une vision sans autre particularité : grossesse probable?
anormale chez un nou- à terme sans complication, bonne
veau-né doit être prise très
au sérieux. En effet, dans 80 % des
cas, le professionnel découvre à Tableau 1 : Tests et résultats de l’examen visuel d’A.J.
l’examen une cause évidente de dé- Tests Résultats
ficit visuel comme une cataracte, du Acuité visuelle (Carte de Teller) Nil
glaucome ou de l’albinisme.1 Par-
Fixation Absente
fois, comme dans l’amaurose con-
Motilités Nil
génitale de Leber, il s’agit plutôt de
Nystagmus Absent
signes sur la rétine, d’anomalies pu-
pillaires ou de nystagmus. D’autres Réflexes pupillaires Normaux
anomalies, comme la cécité corticale, Examen externe Normal
sont accompagnées de troubles Fond d’œil NO, rétine et macula normaux
neurologiques importants. Par con- Réfraction (rétinoscopie sous cycloplégie) OD +1,25/-0,50 x 180
tre s’il s’agit d’un simple retard dans OS +1,50
la maturation visuelle, tous les tests
C a n a d i a n J o u r n a l o f O p t o m e t r y Vol 71 No 6
R e v u e c a n a d i e n n e d ’ o p t o m é t r i e December / décembre 2009 21You can also read
