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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

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:

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.

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Accepted March 17, 2016

© 2017 Contact Lens Association of Ophthalmologists, Inc.