ADHD 2/15/2016. Blue Light Hazard. Implementing a Blue Light Practice. Goodbye Old Friend
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1 2/15/2016 Blue Light Hazard Implementing a Blue Light Practice Goodbye Old Friend ADHD Standard incandescent bulbs have been phased out, legislated away Some specialty incandescent bulbs such as 3-way and decorative remain source: Blue Light Consulting, LLC, Gary L. Morgan OD. All Rights Reserved 1
2 Blurry Vision & Glare! Hot Trends in Blue Light Sleep Eye Issues! Strain! Health Problems! The Real Wavelength Impact Obesity! 400 nm 500 nm DANGER! ws/nation/2015/11/03/teensspend-more-time-media-each-day sleep-library/articles-videos- g/healthfitness/article ht living/article html info/children%e2%80%99s- ml#storylink=cpy sleep-disorders-rise-local- clinics-work-treatments Studies show that use of the devices ech/2015/11/02/pediatricsmobile-devices-shttp even As a physician specializing in sleep ws/nation/2015/11/03/teens-spend- an hour or more-time-media-each-day-than- sleeping-survey-finds/ / with the bright blue screen light damage that electronic devices can do to so before bedtime stimulates kids disorders, Dr. Esparis knows full well the brains, having a lasting effect and preventing sleep. children before bed, affecting their sleep patterns and potentially leading to a wide variety of health problems. 7 Blur & Glare nm STOP Photoreceptor and RPE damage (AMD) nm Max Disruption of Sleep/Wake Cycle at night nm 10 Blue Light Affects us in Three Ways Blue Light Impact on Visual Performance Light Scatter Visual Blur Glare Daily Vision Vision Loss Post - Cataract AMD Fatigue Headaches Sleep Issues General Well- Being Ocular Lens Pigment ( OLP) Impact on AMD - Rusting of the back of eye Blue light is the highest energy visible light that gets to the retina (back of eye) where AMD occurs. Most UV or non-visible light is screened out by the cornea and lens before it can hit the retina. *The young humanlens transmits a small window of UV-B light (320 nm) to the retina Roberts, J.E. (2011) Photobiology of the Human Lens. Original research article. Fordham University, Department of Natural Sciences, New York, NY REFERENCE: Albert R. Wielgus, Joan E. Roberts. Retinal Photodamage by Endogenous and Xenobiotic Agents Photochemistry and Photobiology, 2012, 88:
3 2/15/2016 Business Insider: The iphone will finally stop ruining your sleep here's how 13 BLU E L IGH T C A N PROD U C E MAC U L A R D EGEN ERATION IN A MOU SE Business Insider: The iphone will finally stop ruining your sleep here's how Tanito et al. IOVS, April 2007, Vol. 48, No Incandescent Vs Today s Light Sources Business Insider: The iphone will finally stop ruining your sleep here's how 1/2 1/ Blue 2014 Light Blue Consulting, Light Consulting, LLC, Gary LLC, L. Morgan Gary L. OD. Morgan All Rights OD. AllReserved Rights Reserved 3
4 2/15/2016 Business Insider: The iphone will finally stop ruining your sleep here's how Strategy #1- Children s Vision Duty to Warn? 22 G7 HEALTH EFFECTS OF SLEEP DEPRIVATION The National Academy of Sciences - Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem ADHD To p 5 M o s t S u c c e s s f u l S t r a t e g i e s BLUE LIGHT nm
5 Implementation- Children s Blue Light Vision Program Polarized Sunglasses for the Digital World Kids sleep issue article to parents at check in Prescribe Exclusive ratio OLP Indoor for child (Plano or Rx) If refused parent signs waiver they have been warned of dangers of blue light damage along with protective properties of OLP lenses Patient chooses any frames or selects from ready to wear program products Polarized sunglasses* are great at reducing glare, but they can make it difficult to see the LCD on your cell phone or navigation system. It's harder to see an ATM screen when you've got polarized sunglasses on too. Janice Jurkus, OD * Strategy #2: Protecting Plano Patients- Indoors Implementation - OLP Outdoor Program Purchase and use OLP ready to wear plano outdoor OLP sunwear for contact lens wearers and others Demonstrate the ability to read smart devices through the OLP polarized lenses Discuss the dangers of blue light Also available in adult designs for teens and contact lens wearers Strategy #3: Outdoor Polarized Protocol Strategy #4 Clip-ons eclip3 piece kit o Plano indoor o +1.00D indoor o Plano outdoor polarized
6 Strategy #5: Lifestyle Options Computer Workspace Action Plan Start with Easy Plano Ready to Wear for Kids/Under 40/Contact Lens Patients Anyone at risk of AMD or having sleep problem Outdoor Polarized Plano (Replace your everyday polarized sunglass lenses polarized benefits plus read all your digital devices) Clip-ons Lifestyle dispensing Millennials for digital use Real Patients Real Results Dif ferences in Technology/State of the Market Just wanted to give you an update on my daughter's glasses. She is sleeping so well and not being fussy at night since we started using the OLP lenses. I have on a few nights not given them to her and I absolutely notice a difference in her not wanting to go to sleep. Even her eating habits have improved! I am still trying to over come patient's not getting them for their kids Thank you so much for suggesting I get OLP lenses in my new glasses. I purchased the indoor lenses and they have made such a difference. My eyes feel so relaxed when I wear them, and I am seeing more clearly. An unexpected benefit for me is that I am also sleeping much better. All of these benefits plus I am protecting my eyes! Thank you so much for prescribing OLP Lenses for my son. He has had severe trouble rubbing his eyes and always looked exhausted. Of recent he has even more advanced sleep trouble then before leading him to sleep walking. It has been highly disruptive to our lives. Since wearing the lenses he is sleeping through the night and shows them off to his friends as his cool glasses. Thanks for making a difference in our lives BLUE LIGHT nm Real World Patient Impact 2,023 People Wearer Survey 98.2% Noticed Significant sleep improvement 99.1% Eyes More relaxed indoors 65.1% Significant reduction in headaches/migraines 93.8% Absolute Yes to wear as everyday pair of glasses State of the Blue Light Market Many new products on the market Blue Light AR Coatings (Deflect) > 20% 415 to 455 nm) Blue Light Lenses (Filter Focus- 400 to 420) New Lenses/Coatings Come: Me Too Product o Very High Legal Liability for marketing claims - Multiple Legal Opinions on current ads - Overstatement of Product Impact That Can Be Easily Identified by consumer and public domain research Big Opportunity- Separate Fact vs. Fiction To Consumers
7 BLUE LIGHT AR COATING #1 Unique Formula Advantage 1.00% OLP Lenses vs. Blue Light AR Coating TRANSMITTANCE (%) 0.90% 0.80% 0.70% 0.60% 0.50% 0.40% 0.30% 0.20% 0.10% 470% MORE in the Blur/Glare range ( nm) 260% MORE in the AMDspace ( nm) 530% more in the Sleep/Health Impact arena ( nm) 0.00% Blue Light AR 18.00% 40.00% 80.00% 88.00% 90.00% 90.00% 88.00% 87.00% 90.00% 92.00% 97.00% OLP Lenses 0% 2.30% 13.90% 28.10% 37.60% 46.30% 54.80% 59.10% 64.40% 71.80% 72.30% WAVELENGTH (nm) Blue Light AR OLP Lenses BLUE LIGHT AR COATING #2 Unique Formula Advantage TRANSMITTANCE (%) 1.00% 0.90% 0.80% 0.70% 0.60% 0.50% 0.40% 0.30% 0.20% 0.10% OLP Lenses vs. Blue Light Lenses 115% more in the AMDspace 5.6% more ( nm) in the Blur/Glare range ( nm) 780% more in the Sleep/Health Impact arena ( nm) 0.00% % 5.60% 19.70% 64.80% 80.60% 85.50% 87.80% 93.80% 95.50% 96.10% 97.30% Lens Monomer OLP Lenses 0% 2.30% 13.90% 28.10% 37.60% 46.30% 54.80% 59.10% 64.40% 71.80% 72.30% WAVELENGTH (nm) Lens Monomer OLP Lenses BLUE LIGHT LENS MONOMER Protection Without Compromise 89% 94% 73% 43% 34% 16% 20% 7% 5% Blur & Glare ( nm) Peak AMD ( nm) Sleep/Health Impact ( nm)
8 Exclusive Ra tio OLP Lenses Filter Blue Light & Block 100% of UV Light Available as Indoor or Outdoor (Polarized) Lenses VSP & Eye Med Approved Indoor Outdoor Single Vision Flat-Top 28 Progressive Designs Computer and Task Specific Plano 43 Exclusive Ra tio OLP Lenses High Impact 1.56 Material 46 Abbe Value Safe For Kids & Adults Actual Lens Infused with a unique Ocular Lens Pigment Ratio NotA Coating or Tint Block UV and filter Blue Light by mirroring nature s protection Indoor protection; Polarized outdoor protection 44 Do These Eyes Deserve A Compromise In Protection? 45 8
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