16 CFR Part 315; Agency Information Collection Activities: Review; Comment Request; Contact Lens Rule: FTC Project No. R511995 #00670

Submission Number:
00670
Commenter:
Webster
State:
Missouri
Initiative Name:
16 CFR Part 315; Agency Information Collection Activities: Review; Comment Request; Contact Lens Rule: FTC Project No. R511995
Throughout my years practicing optometry I have had several patients come to my care due to serious ophthalmic complications of contact lens wear. Patients have conveyed to me that they have been able to get contact lenses well past the expiration of their prescription. Most often this is due to the ability of online providers to refill any prescription without verification within a very short amount of time from the prescriber. It is my opinion that in order to ensure the ocular health of my patients, a verified prescription should be necessary regardless of how long that verification takes to get. Within a year, contact lens patients can change prescription, develop irregular vascular growth onto the cornea, suffer corneal ulcers causing possible permanent vision loss, among countless other complications. In order to care for my patients to the best of my ability I need to see them yearly, determine the appropriate prescription and contact lens type, and verify that any prescription they are having filled is correct for that individual patient. For example, I have a young 24 year old patient who unfortunately suffered a severe corneal ulcer due to incorrect wear of contact lenses she was still receiving after the prescription had actually expired. (We never received any Rx verification requests.) She now has permanently decreased vision in the affected eye. This is an all-to-common experience for doctors in my profession, many of which could have been prevented. Allowing increased prescription expiration dates (greater than 1 year) or letting anyone other than a licensed professional determine the visual and contact lens needs for a patient, could realistically lead to a much higher complication rate fort the contact lens wearing population,