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Patient-Reported Wearing Experience From Hydrogel Daily Disposable Wearers Older Than 40 Years From the TEMPO Registry

Hickson-Curran, Sheila B. B.Sc. (Hons), MCOptom; Chalmers, Robin L. O.D.; Keay, Lisa Ph.D.; Gleason, William O.D.

doi: 10.1097/ICL.0000000000000271
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Objectives: To describe the patient-reported wearing experience over time among wearers of hydrogel daily disposable (HydDD) contact lenses (CLs) in the TruEye and Moist Performance Overview (TEMPO) Registry (NCT01467557).

Methods: Registered wearers older than 40 years who were recently fit with 1-DAY ACUVUE MOIST HydDDs completed self-administered questionnaires four times during a year-long Registry. Overall opinion of CLs, replacement schedules, Contact Lens Dry Eye Questionnaire (CLDEQ-8), and compliance were queried. Data were analyzed with analysis of variance and signed rank tests.

Results: A total of 86 subjects (24% men, age 50.2±7.1 years) completed the Registry. Approximately 76% were new to daily disposable lenses, and 8% were neophytes. Overall opinion of CLs improved significantly after refitting with HydDDs (baseline 57% excellent/very good vs. 69%–79% at follow-ups, P<0.05 all vs. baseline). Changing to HydDDs maintained average and comfortable wear time (P>0.05), and it did significantly improve CLDEQ-8 scores at all follow-ups (baseline, 11.2±7.3 vs. 2 weeks, 7.8±5.8, P<0.0001; 4 months, 8.6±6.5, P=0.0006; 12 months, 9.3±6.5, P=0.01). Self-assessment of compliance was excellent/very good for 80% at baseline, and improved to 92% to 98% at follow-ups (P<0.0001). More than 90% never slept in their HydDDs, although compliance to daily replacement diminished from 2-week to 4-month surveys (93% vs. 84%, P=0.007).

Conclusions: After refitting with HydDDs, older wearers reported significantly higher overall opinions of their lenses, better CLDEQ-8 symptom scores, and most were compliant with proper daily disposable lens use. Diminishing daily replacement rates from 2 weeks to 4 months indicate a need to reinforce that recommendation. Wearers of HydDD CLs older than 40 years experienced many benefits from refitting with these daily disposable lenses.

Medical Affairs, Johnson & Johnson Vision Care, Inc. (S.B.H-C.), Jacksonville, FL; Clinical Trial Consultant (R.L.C.), Atlanta, GA; The George Institute for Global Health (L.K.), Sydney, NSW, Australia; and Foresight Regulatory Strategies, Inc. (W.G.), Wilmington, MA.

Address correspondence to Robin L. Chalmers, O.D., Clinical Trial Consultant, 2097 East Lake Road, Atlanta, GA 30307; e-mail: chalmers2097@gmail.com

Supported in full by Johnson & Johnson Vision Care, Inc., where S. Hickson-Curran is an employee.

Presented as a poster at the 2014 meeting of the Association for Research in Vision & Ophthalmology, May 6, 2015, Orlando, FL.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.eyeandcontactlensjournal.com).

Accepted March 17, 2016

© 2017 Contact Lens Association of Ophthalmologists, Inc.