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Ethical Guidelines for Contact Lens Dispensing Jane S. Buckland, FNAO, FCLSA (H), NCLE (AC) Contact lenses are Class II Medical devices which the FDA requires be dispensed by qualified health care providers. The FDA recognized the need to re-classify CL’s in the mid 1960’s in an effort to protect the consumer… It is the requirement of the HCP to possess enough knowledge to be able to collect, identify and classify information to ensure protection of the consumer I. Spectacle prescription or contact lens prescription (10 min) A. Identify a contact lens prescription from a spectacle prescription B. How is a contact lens prescription different than a spectacle prescription (what do the numbers/letters mean?) II. Basic Ocular Function A. Cornea B. Lids and Lashes C. Tears (10 min) III. Lens Types A. Conventional Soft Lenses 1. Spherical 2. Toric a. Bi-toric b. Back toric c. Front toric 3. Multifocal a. Crescent/linear b. Concentric c. Diffractive 4. Multifocal-toric 5. Aspheric (15 min) B. Pre- Packaged lenses may look alike, but can be very different. IV. Lens Materials A. Hydrogel 1. High water 2. Low water 3. Ionic 4. Non-ionic 5. Silicone 6. SY-HY 7. Silicone elastomers (5 min) V. Lens Modalities (5 min) A. Extended wear B. Daily wear C. Frequent wear D. Overnight wear E. Occasional wear VI. Identifying Symptoms of possible consumer problems/complaints A. B. VII. Contact lens related? 1. Pain 2. Damaged lens 3. Contaminated lens 4. Incorrect modality 5. Outdated Rx Lens care/ instruction related 1. Improper/incomplete lens care instruction 2. Improper/incomplete use of lens care products 3. Use of non-approved lens care products 4. Multi-purpose solutions (mix and match) 5. Re-branded solutions Personal Care Products and Contact Lenses A. (20 min) (10 min) Cosmetics (especially eye) 1. Makeup remover 2. Hair coloring 3. Soaps and detergents 4. Lotions and creams VIII. Application and removal of soft contact lenses (10 min) A. Is knowledge of Instruction provided following manufactures guideline/recommendations? B. Is knowledge of Instruction provided from a recognized health care provider? IX. Possible Complications A. Lenses don’t fit! B. C. D. (15 min) Lenses are uncomfortable Patient NEVER received lens care instruction DUTY TO WARN 1. When not to refill 2. When to refer to Contact Lens Licensed Professional, or Doctor X. Legal repercussions (10 min) One could argue; “what would the difference be if a patient had a valid CL RX and filled it through the internet?” The MAJOR difference is the company filling these Rx’s is responsible for the outcome (site B&L lawsuit from the 80’s) they probably have a mega legal team to protect them. Who will be responsible for the persons dispensing these lenses when they are not licensed providers? We could turn the table on this and say there is NO consumer protection, who would the consumer take legal action against if they did have problems?