Lacrivera

#50: Acuvue Oasys 1-Day: New Product Launch, Exclusive Interviews

Allan Panzer said:
They still pissed me off by sending them so early. Now I don't have any. I have patients to try them on and what do they tell me..
Late November.
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I think what they are trying to do is prevent shortages once the product is launched --

that is, it is better to wait until they have the inventory in place and ready to rumble -- for everyone -- than to randomly disappoint with shortages after lots of patients have been refit.
 
I have apparently hit a nerve. I think I may be able to get ahold of something sooner.
At least that way I can report back.

And if they happen to spot me some lenses early, you know I will.

But nothing is done...

Are there any other ODwire folks who have had more experience than their only set???
 
Allan Panzer said:
I have apparently hit a nerve. I think I may be able to get ahold of something sooner.
At least that way I can report back.

And if they happen to spot me some lenses early, you know I will.

But nothing is done...

Are there any other ODwire folks who have had more experience than their only set???
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Yes, there are several here that participated in the pre-marketing trials, i'm not sure what they can disclose publicly at this point (darn lawyers!)
 
Just an update, spoke with some folks at JJ --

Last week they started the first "wave" of sending kits out,
The next "wave" will be in 3 weeks, they are on track to deliver 20,000 kits in the first 3 months (ie, a kit for every doc that wants one.)

This is a huge undertaking, considering the parameter range that this lens comes in. (I would not want to see their Fedex bill :) )

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We got our fitting set last week
 
Ed Makler said:
As I was leaving the exhibit hall, I stopped by the acuvue booth. I spoke with Dr. Weslie Hamada, who is now in research at Johnson and Johnson. She is the famous Dr Hamada daughters from Oogp fame.

I asked her about plus lenses and they are available. I have never worn contacts and she placed a plus 2.50 mono vision on my left eye. I fought her getting it in my eye, but she did it and I have been wearing it about 4 hours. It took me a little while to adapt to the mono, but can't feel the lense and I can read for the first time in 20 years without glasses.

The only problem is that I may need her to insert the lens everyday.
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Don't wear lenses? I believe you are missing an outstanding opportunity. Optometry is one of the few health care professions wear the doctor has the problem (especially presbyopia) we treat, and are able to practice on ourselves. I fit many bifocal contacts, but I never use a lens that I haven't personally tried and been successful with. There is no substitute for "I see fine with these new lenses, and I believe you will too!"
 
Finally! Got my fit set so I can take some home and report back if they are as good as they seemed.

Ciba Dailies Total 1 vs Acuvue Oasys One Day...

We shall see. This is my "sink". Like me..its unusual. Does anyone notice anything missing?

And there is my bottle of Avenova...not sure its really of any value, but I use it.

IMG_1430.JPG
 
That's right...you win...no sink!

Its the no sink sink..pretty bizarre..they have similar things at some restaurants.

Its one of those things you think looks pretty cool and then 5 years later you ask yourself..
So, why did I do that?

Water just runs on the top and goes into the slot.
Unique.

It works, but its not nearly as cool years later..
BTW..lenses are still comfortable, I have a couple of disaster patients coming in next week to test out the Acuvues. I want to test them on the failures.
Why try them on the easy ones???
 
So, I haven't seen this really addressed in any of the comments in this thread (I'm sorry if I missed it): What exactly differentiates the Acuvue Oasys from the Acuvue Oasys 1-Day? (They are both senofilcon A material, as well.)
 
So, they "claim" to have come up with a new process of coating the silicon.

They "claim" it acts more like tears..They "claim" it won't be much fun the next day..

All Claims.

What can I tell you?

They are comfortable and the optics are superior to CDT1 or AV Oasys two week.

That is what I can tell you for now. I wore them for five days last go round..
I can also tell you that the UPP is $88 instead of $95.

All I am looking for is a substitute for those who cannot wear the CDT1. And there are some. Not many..but some.

Another issue I had was the failure of Ciba to give me a one day in plus.
Talk about a non issue..until you need it.

Acuvue says toric and presbyopic not far behind.

http://www.acuvueprofessional.com/oasys-contacts-with-hydraluxe
 
Allan Panzer said:
So, they "claim" to have come up with a new process of coating the silicon.

They "claim" it acts more like tears..They "claim" it won't be much fun the next day..

All Claims.

What can I tell you?

They are comfortable and the optics are superior to CDT1 or AV Oasys two week.

That is what I can tell you for now. I wore them for five days last go round..
I can also tell you that the UPP is $88 instead of $95.

All I am looking for is a substitute for those who cannot wear the CDT1. And there are some. Not many..but some.

Another issue I had was the failure of Ciba to give me a one day in plus.
Talk about a non issue..until you need it.

Acuvue says toric and presbyopic not far behind.

http://www.acuvueprofessional.com/oasys-contacts-with-hydraluxe
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I have
Allan Panzer said:
So, they "claim" to have come up with a new process of coating the silicon.

They "claim" it acts more like tears..They "claim" it won't be much fun the next day..

All Claims.

What can I tell you?

They are comfortable and the optics are superior to CDT1 or AV Oasys two week.

That is what I can tell you for now. I wore them for five days last go round..
I can also tell you that the UPP is $88 instead of $95.

All I am looking for is a substitute for those who cannot wear the CDT1. And there are some. Not many..but some.

Another issue I had was the failure of Ciba to give me a one day in plus.
Talk about a non issue..until you need it.

Acuvue says toric and presbyopic not far behind.

http://www.acuvueprofessional.com/oasys-contacts-with-hydraluxe
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I have worn the one day oasys since Vision Expo in mono vision

I had never worn lenses before and still have some problems with insertion and removal

Once the lens is on my eye, I do not even know the lens is on. Because of removal problems, I have slept in this lens up to three nights with no discomfort or decrease in vision.

DO NOT ALLOW YOUR PATIENTS TO SLEEP IN THIS LENSE.

I have fit several patients in this lens in mono vision in plus power who have never worn lenses before successfully
 
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Mark S Riaboy OD FAAO said:
Adam ... I'm intrigued by the new lenses. If the lens maintains consistency throughout the day, do you think it might be used for patients that have severe dry eye problems where nothing else has helped in the past? From the sounds of it, I'm sure that the lens may be used as a bandage lens. I listened to your interviews, but I don't think this was addressed.
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I am excited to try this lens as well, but how does it work when the tear film is very low or, in some cases, absent? Thanks!
 
Unless and until we truly understand your concept of "Low or no tear film". i do not think this question can be answered.

Now, I only see a handful of dry eye patients every day..but the truth is, I treat many of them with contact lenses. So, my thoughts about how it will work with low or no tear film..
I suppose it will work fine. Any one day lens works reasonably fine. Typically its when you wear it more than one day that the trouble begins.

Ok let me rephrase that..I have yet to see the dry eye that does not benefit from a one day lens worn as a bandage. But what do I know..I'm not recognized as any expert in the field of dry eye.

So, my feeling is you should just try it instead of expecting anyone to tell you it will or will not work. Am I being insulting? So sorry if it seems that way. My feeling is that if you want to know the answer to such a question it is best answered by simply trying out the idea.
 
So why do my Proclear 1 Day MF perform excellently almost every day and the same plastic in the monthly toric design not so much? It IS NOT an issue of daily vs monthly, as I am wearing the monthly today (I alternate on days when I need that ATR cyl corrected) and they are just not as comfortable. Edge thickness? Toric cut?

I sometimes forget to remove the daily lens because I don't even know they're on my eyeball. I figure it out when I wake up and can shave without slicing my neck. I will agree that dailies are the best choice for dry-er eye'd patients. And as I wrote in another thread, excellent as a bandage lens.

Like Allan said, try the darn things and see what works best for each patient. You never know. I on numerous occasions dispense two sets of sometimes completely different lenses for people to trial and I am often surprised that what *I* thought would be best doesn't.

Gotta go and find my bottle of Thearatears.
 
They should of changed the name. Using Oasys in the name is kind of dumb. Ok let's confuse the public as much as we can.

Allan, you crack me up. I always enjoy his way of writing. Also, funny the way you still refer to them as Ciba.
 
I've now worn the Oasys 1-Day a fair amount (I do think it's a terribly dumb and confusing name, given the preponderance of "regular" Oasys [bi-weekly] lenses), and I like them. This said, I do not recommend them as first-line, as they are about fifty percent more costly than most other disposable lenses, and about two-hundred percent more so than most reusables.
 
Rahul M. Gupta said:
I've now worn the Oasys 1-Day a fair amount (I do think it's a terribly dumb and confusing name, given the preponderance of "regular" Oasys [bi-weekly] lenses), and I like them. This said, I do not recommend them as first-line, as they are about fifty percent more costly than most other disposable lenses, and about two-hundred percent more so than most reusables.
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As has been said before, we should not make the assumption that the increased annualize cost is a issue for our patients. I had that mindset in the beginning. I present the lens options first as what is best for their vision correction, comfort, eye health and lifestyle. Then the costs as a very secondary consideration.

Sure, some pts balk at the costs, but properly presented, if they are willing to give up a couple of Starbucks-and-a-pastry days each month, it's a wash.

Also helps that I use dailies. And monthlies.

My favorite lens is Daily Extra Active Supermoist Comfort Plus Lenses by CibAlcoVistaJohnson.
 
Larry Bickford O.D. said:
As has been said before, we should not make the assumption that the increased annualize cost is a issue for our patients. I had that mindset in the beginning. I present the lens options first as what is best for their vision correction, comfort, eye health and lifestyle. Then the costs as a very secondary consideration.

Sure, some pts balk at the costs, but properly presented, if they are willing to give up a couple of Starbucks-and-a-pastry days each month, it's a wash.

Also helps that I use dailies. And monthlies.

My favorite lens is Daily Extra Active Supermoist Comfort Plus Lenses by CibAlcoVistaJohnson.
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It has nothing to do with assuming anything about the patient. I would like if we did not bring any preferences into the process of contact-lens selection, but by the nature of fitting lenses, this apparently cannot be so. That is, it is not feasible for me to fit a patient in contact lenses by specifying lens-power and base curve, and having the latter choose at her leisure one of myriad options.

Rather, we have to select something on the patient's behalf, which to fit on the eye. How do we choose? Myself, I discuss what I conceive to be the two major options: Disposable lenses and resuable. The patient is asked to consider which is more sensible for her lifestyle and needs. From there, I simply have my first-choice options based on personal liking and historical success.

In my view, the disposable lenses that cost roughly three times as much as resuable, or one and a half as much as other disposables, are not a great value. Therefore, these are not first-choice options that I suggest to patients, though I do sometimes note their existence, in case a patient is interested in starting there, or has a history of failure with other lenses.
 
Rahul M. Gupta said:
In my view, the disposable lenses that cost roughly three times as much as resuable, or one and a half as much as other disposables, are not a great value. Therefore, these are not first-choice options that I suggest to patients, though I do sometimes note their existence, in case a patient is interested in starting there, or has a history of failure with other lenses.
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A risky business trying to guess what a patient considers great value.

A football fan might spend big bucks to sit frozen in a stadium versus watching at home.

Going deaf at a rock concert might be considered fun for some and worth every penny.

So too with contact lenses. A practitioners economic prejudice should not enter the equation.
 
Just this past week I had two patient choose daily disposables much to my surprise. One was new to cls and the other a previous monthly user. Neither at all affluent. One is a hospital worker and chose DD to reduce infection risk. The other an oceanographer who prefers to loose dailies to the sea than monthlies.

You never know. I just present the truth without bias. Though personally, I am not happy with disposable anything. Its the environmentalist in me. I've got a pile of crispy Proclear MF sitting on a shelf in my bathroom. It's a pain to separate the foil and plastic for recycling and let's not even go to the box shipped in a box shipped in a box. I wish DD would go the way of the minimalist Menicon packaging. What happened to that technology?
 
Paul Farkas said:
A risky business trying to guess what a patient considers great value.

A football fan might spend big bucks to sit frozen in a stadium versus watching at home.

Going deaf at a rock concert might be considered fun for some and worth every penny.

So too with contact lenses. A practitioners economic prejudice should not enter the equation.
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We make our considerations upon our own sensibilities. It is not by any means externalizing prejudice when one relays the same choices to everyone. I am not implying I recommend expensive options to someone in an apparently costly suit, and cheap to the patient wearing a paper bag.
 
Larry Bickford O.D. said:
Just this past week I had two patient choose daily disposables much to my surprise. One was new to cls and the other a previous monthly user. Neither at all affluent. One is a hospital worker and chose DD to reduce infection risk. The other an oceanographer who prefers to loose dailies to the sea than monthlies.

You never know. I just present the truth without bias. Though personally, I am not happy with disposable anything. Its the environmentalist in me. I've got a pile of crispy Proclear MF sitting on a shelf in my bathroom. It's a pain to separate the foil and plastic for recycling and let's not even go to the box shipped in a box shipped in a box. I wish DD would go the way of the minimalist Menicon packaging. What happened to that technology?
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I like disposables for their convenience (i.e., I'm a lazy bastard), but no doubt they are wasteful. I forget the bull-shit marketing that sales representatives peddle to suggest they somehow are more "environment-friendly" than reusable options — something along the lines of their not requiring the plastic used in lens-solution bottles. First, they still are very wasteful of paper, contact-lens material, and the tremendous resources that are placed into assembling the total product. Second, even wearers of disposable contact lenses should have solution on hand for rinsing the item as needed.
 
Troy Bedinghaus said:
Allan, you crack me up. I always enjoy his way of writing. Also, funny the way you still refer to them as Ciba.
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Interesting thing happened the other day.
I took out two boxes of Alcon/Ciba Dailies Total 1. What I did not realize was that the boxes had two different names on them. One said Alcon..one said Ciba...
So, my confusion is not so far fetched.

Thirty years of Ciba is hard to change.
 
As usual, I have a story or two to tell.

Lately I have been fitting an abundance of Acuvue one Day MF.

Perhaps I have relayed my pitch...perhaps not.

If I have not, here it is..if it is redundant, sorry.

Mrs/Mr Jones, I have some good news and some bad news.
Tell me the good news Dr. Panzer
Well, the good news is that we now have a really great multifocal soft lens that I think you will like.

And the bad news? (Smirk)

Well, I say, I am sure you will think its the price. But its not really the price. It is that they only come in one day lenses.

Patient: That's not bad news, I really hate taking care of my lenses and after a week or two they aren't that comfortable anyhow!

WOW! I am still amazed at how few balk at it. Amazed!

The truth is that as we age, we have different priorities. The patients I am speaking with are in their 50s. They have disposable income and they want convenience. Most of all, they want a product that works.

I have only seen a few of you comment on the Acuvue One Day MF...any others fitting the heck out of them or do most of you accept the patients response when asked how they like their monovision or other multifocal modality?

Remember the four letter word that starts with F.

Dirty minds..its FINE!

That's the word we hear day in and day out from our contact lens patients..They are FINE!
 
Allan Panzer said:
As usual, I have a story or two to tell.

Lately I have been fitting an abundance of Acuvue one Day MF.

Perhaps I have relayed my pitch...perhaps not.

If I have not, here it is..if it is redundant, sorry.

Mrs/Mr Jones, I have some good news and some bad news.
Tell me the good news Dr. Panzer
Well, the good news is that we now have a really great multifocal soft lens that I think you will like.

And the bad news? (Smirk)

Well, I say, I am sure you will think its the price. But its not really the price. It is that they only come in one day lenses.

Patient: That's not bad news, I really hate taking care of my lenses and after a week or two they aren't that comfortable anyhow!

WOW! I am still amazed at how few balk at it. Amazed!

The truth is that as we age, we have different priorities. The patients I am speaking with are in their 50s. They have disposable income and they want convenience. Most of all, they want a product that works.

I have only seen a few of you comment on the Acuvue One Day MF...any others fitting the heck out of them or do most of you accept the patients response when asked how they like their monovision or other multifocal modality?

Remember the four letter word that starts with F.

Dirty minds..its FINE!

That's the word we hear day in and day out from our contact lens patients..They are FINE!
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On somewhat a tangent, I'd like to opine on the importance of cutting through the nauseous bull-shit of insufferable breakfast seminars and lunch meetings, which goad optometrists to toy with functional situations. When a patient is "fine," this does not mean she has "feelings I'm not expressing"; it means she feels fine. If things are not going well, certainly we can manoeuver to help; but to take a happy patient with good vision, comfort, and health, and fiddle with matters plainly because a paid spokesman encouraged one to do so, is not clinicianry, but is foolishness.
 
Most patients who say they are fine then add the word..BUT.

As to being railroaded by a sales rep...interestingly, I threw the rep out of my office when she told me I had to "take the test". Here is the conversation...its almost laughable.

Dr. Panzer,

I had waited for you for about 20 min this morning to drop off the promo code for the new Presby kit. Please take the short survey in order to get the fit set. If you do not take the survey you will not receive a FIT SET. I left it with your front desk associate

Note the capital letters!

My answer....
I am sorry that I am so busy that you have to wait. Did you have an appointment that I was unaware of?
I cannot spent 20 minutes today. So, I'll tell you what.
I'll get the set when it is readily available.
I am not desperate for the lens.

Hope you sign up lots of accounts. Then I can hear about how well it is working. For now.I'll pass.
I can't believe you waited until the last day to notify me of this.
Dr. Panzer

It gets better....

Dr. Panzer,

This wasn't the last day to fill out the form, I wanted to personally give the form to you but I am running around trying to make sure everyone has the information so to give my first wave doctors plenty of time to take the survey which is about 10 min. You have until May 1st. I personally selected you to receive the kit before many others so I'm shocked by this response. I've tried calling you, stopped by the office before and did not get a response. If you'd like to kit there is one for you before anyone else has access. The product is available and ready to ship. I'm sorry for the miscommunication but I also don't appreciate being spoken to in this manner. Let me know how you want to proceed.

She doesn't appreciate being spoken to in such a manner...

My answer:
Being spoken to in this manner?
Please let someone else have my set.

So, when you talk about me being convinced, you do not know how things go down in all cases..especially this one.

I forwarded her emails to her boss and then I asked that she never grace my door again.

So, really, I am not being convinced by anyone.

And yes, I have taken many many happy patients and made them "more" happy...not good grammar...with the new lenses.

I personally refuse the status quo...
 
Greg Gemoules said:
Been wearing my Oasys One Day for a couple of weeks now. I am very impressed with them. I prefer them to the TruEye I was wearing.
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And it would work just fine, pitching it at 14 days, too. ( of course it would, its just an Oasys.) I usually try to shame the patients into weekly replacement.
 
I'm finding that the Oasys 1-day doesn't fare well heads up against the DT1 either replace daily or weekly. I'm still experimenting with it, but I find my excitement dwindling.
 
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Its interesting that somehow when I look at ODwire on my cell phone I see some old posts then have to look for them on my laptop.

I don't fit one day lenses to be worn for two weeks. Somehow that just does not make sense to me. Why even carry them if you intend to promote them in a manner other than what they were manufactured for.

I am reminded of patients who come in with an Acuvue two week and think that they can be worn for three months. I ask them....so 6 lenses...three months each....that's 18 months? Is that what your previous doctor told you?

My guess is that some of you probably figure if a one day can last 14 maybe a two week can last three months.

I do honestly tell my patients that a one day can certainly last more than one day, but the purpose of having a one day is to toss it. Many are having problems with their two week or monthly and they look forward to something cheap enough to toss. It feels better.
Solutions are often an issue and therefore not exposing the lens to preserved solution is often an answer.

But that is just me and the way I approach it. Can't tell me I am being unethical by proposing that patients wear a product as indicated when it would "surely" last longer.

I can however question your intent when pushing a product and possibly injuring our profession if it were ever to come to a court case.

I have been an expert, although many years ago in contact lens lawsuits against practitioners accused of promoting regular lenses as extended wear and I can tell you it isn't pretty.
 
Charles A McBride said:
I'm finding that the Oasys 1-day doesn't fair well heads up against the DT1 either replace daily or weekly. I'm still experimenting with it, but I find my excitement dwindling.
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I find it to be the best 1-Day lens I have personally tried. The problem for me is the DT1 does not fit my eye well and I have edge sensation. I have zero edge sensation with the Oasys, AND I think it's even better than the 2 week Oasys.
 
Greg Gemoules said:
I find it to be the best 1-Day lens I have personally tried. The problem for me is the DT1 does not fit my eye well and I have edge sensation. I have zero edge sensation with the Oasys, AND I think it's even better than the 2 week Oasys.
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Thanks for the comments. I'd be interested to hear more impressions of the DT1 versus the Oasys 1-Day.
 
Charles A McBride said:
Thanks for the comments. I'd be interested to hear more impressions of the DT1 versus the Oasys 1-Day.
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Hi Charlie! As you may recall, you gave me both last time I was in to experiment with. Both have been great -- though not a multifocal. hope those come soon...

I find them equal in comfort when wearing as a daily -- both feel like 'nothing'. I haven't tried abusing them (ie, sleeping, etc.. ) yet .. ;)

The DT1 is much harder to remove, just trying to find a place to grasp is a challenge. Other than that, the vision seems similar between the products.

I wonder if I tried to 'stretch' a lens for several days if the differences would become more apparent?
 
Just a heads-up, we're having a fun little webinar with the R&D folks who came up with this lens on Thursday (6/9). We'll have a live Q&A at the end, so feel free to ask questions!

hope to see you there,
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