Jason Nichols, OD MPH PhDTFOS CLD Workshop Chair

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• COULD/SHOULD Be Much Bigger!–~3 billion worldwide require vision

correction.–At most 140 million CL Wearers.

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WHAT IS CONTACT LENS DISCOMFORT?

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• Evaporation…• Dehydration…• Corneal Staining…• High vs. Low Water…• Ionicity…• Environment…• Hydrogel vs. SiHy…• Wettability…• Lubricity…• Oxygen…

• Friction…• Disposability…• Lens Care…• Inflammation…• Change in sensation• Ocular surface

changes…• Glandular changes…

MGD or aqueous or mucin expression….

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STANDARDIZATION & GLOBAL CONCENSUS IS ON THE WAY…

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• March 2011– Completion of MGD Workshop– Next workshops?

• Infection, allergy, outcomes, contact lenses.

• Feb 2012– TFOS GB approves CLD Workshop.– Approves Organizer (David Sullivan) &

Workshop Steering Committee Chair (Jason Nichols) & Vice-Chair (Mark Willcox).

– Steering Committee (SC) formed.• June 20, 2012

– SC decides upon Mission Statement and Subcommittee topics.

– SC decides upon workshop membership (n = 79).

– SC recommends IOVS (GB later approved).

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Presented progress to Industry Liaison Subcommittee (January 14, 2013, Houston TX).

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Presented draft reports to entire CLD Workshop May 10-11, 2013 (post-ARVO, Seattle, WA).

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*First Public PresentationOf CLD Workshop.

**IOVS on-line release today!

As of now, all are available in unedited form on-line at IOVS:

http://www.iovs.org/content/early/

recent

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• A REQUEST: Cover Images!!!

• Please nominate images representative of CLD.

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• TFOS• Subcommittees• Subcommittee Chairs• Harmonization Subcommittee• IOVS

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• Alcon – Title Sponsor• Santen• Menicon• Allergan• Vistakon• Laboratoires Théa• Bausch & Lomb• Optima• Oculus• CooperVision• Contact Lens Spectrum