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The presenter Dr. Razmig Knajian who is the Senior Manager for the Professional and Medical Affairs for Johnson & Johnson/ Vision Care in the Middle East and he is well reputed and respected eye care professional in the Middle East.
He started his presentation stating that Johnson & Johnson keeps researching for the best products in order to help the eye care professionals to better serve their patients and customers. He said this is one of the reasons of the birth of such an exciting product which is the world's first Silicone Hydrogel contact lenses. He explained in great details the advantages of Silicone Hydrogel material which are higher oxygenation, less dehydration and better end of day comfort. He continued explaining the advantages of one day modality which is less risk of ocular complications. Accordingly, 1DAY ACUVUE® TruEye™ has the best of two worlds which is one day contact lens made in Silicone hydrogel material. Furthermore, he explained the technology available in this lens called Hydraclear® 1 and he described as being a patented one for Johnson & Johnson. He described that through this technology the wetting agent the PVP is mixed with the base material called Narafilcon A. He explained that 1DAY ACUVUE® TruEye™ is the only contact lens which delivers the four dimensions of Health. Dr. Knajian explained these four different dimensions of health that played a crucial role in delivering such a superior contact lens. For example, he explained that Health you can feel™ is about 1DAY ACUVUE® TruEye™ being a very soft and lubricious contact lens with excellent wettability that translates superb comfort for the wearer. He explained that Health you can see™ is about whiter, healthier and clearer eye due to higher oxygenation to the cornea. This helps to sustain normal corneal metabolism and corneal consumption especially when compared to normal cornea with no lens. He concluded with explaining the Protective health factor which discusses about the importance of blockage from harmful ultraviolet rays and stated that 1DAY ACUVUE® TruEye™ has a class one UV blockage. He stressed the importance of combining UV Blocking contact lenses like 1DAY ACUVUE® TruEye™ with sunglasses to obtain full protection. The last dimension that he covered is Everyday Health which is the one day modality that is using a fresh lens every day with no need of cleaning and storing. Dr. Knajian discussed about the clinical results conducted comparing 1DAY ACUVUE® TruEye™ to spectacle wearers and showed that the ocular physiology of the eyes compared between these two groups were the same. In other words, there was no difference in comfort, corneal staining or limbal injection between 1DAY ACUVUE® TruEye™ and spectacle wearers. At the end of the presentation Dr. Knajian shared valuable clinical tips with his peers from his extensive experience in managing contact lens patient spe- cially he stressed the importance of performing push up test when conducting initial contact lens fitting and providing five day trial for new wearers to experience the benefits of contact lenses. He explained that for the current wearer who wants to try this new and healthy contact lens they still need to go for five day trial as well to observe the superiority of 1DAY ACUVUE® TruEye™ in providing healthier, whiter and clearer eyes. After the completion of clinical presentation, Miss. At the end of the event, we had an opportunity to have an interview with Dr. Knajian who explained that Johnson & Johnson/ Vision Care recognizes the fact that education is vital for the eye care professionals in the region. He continued saying that Johnson & Johnson has a long history of product innovations but he added along with that professional team is heavily involved in training programs whether in stores or through inviting the eye care professionals to attend different programs offered by Johnson & Johnson/ The Vision Care Institute™. He stated that this is our means of reinforcing continuous education and its importance in this part of the world.
Â Dr. Razmig Knajian: Â A daily disposable designed for healthy contact lens wear
EYEZONE Magazine Dr. Razmig Knajian:
Dr.Razmig Knajian presenting in Damascus in August 2008
Mr. Elias Abdelsamad welcomed the invited eye care professionals and introduced Dr. Razmig Knajian, Senior Manager for Professional and Medical Affairs for Johnson & Johnson/ Vision Care in the Middle East and Africa. Dr. Knajian started his presentation by providing detailed feedback about the current situation of the contact lens market in the world. Knajian discussed the high rate of contact lens drop-outs, saying customers and patients are easily discouraged by the limitations of current lenses, especially soft hydrogels. He said that soft hydrogel lenses are affordable but tend to dry up, especially at the end of the day. This translates into the wearer suffering from end-of-day discomfort and limited hours of wearing time. Knajian then introduced the market to AcuvueÂ® Oasysâ„¢ with HydraclearÂ® Plus, a lens with such unique characteristics that it belongs in a league of its own. He covered in great detail the superiority of AcuvueÂ® Oasysâ„¢ with HydraclearÂ® Plus from four different perspectives: Oxygen flux, wetability, modulus and lubricity. He explained that AcuvueÂ® Oasysâ„¢ with HydraclearÂ® Plus has excellent oxygen flux which translates into whiter looking eyes as well as better oxygenation, especially when compared to hydrogel lens. Next, he discussed the unique superiority of AcuvueÂ® Oasysâ„¢ with HydraclearÂ® Plus in wetability, especially that it preserves the stability of the tear film layer on the front surface of the contact lens. This stability of the tear film translates into a longer and more comfortable lens wearing time, particularly in challenging environments such as computer work, which decreases the blinking rate, and air conditioned environments, which dry the air and which are very common in the Middle East. Knajian discussed in depth how the softness, or the modulus, of AcuvueÂ® Oasysâ„¢ with HydraclearÂ® Plus, is unique. HydraclearÂ® Plus technology incorporates the wetting agent within the silicone matrix of the lens. He said this is a great advancement compared to first generation silicone hydrogel lenses that are stiffer and less comfortable. Dr. Knajian then explained the impact of lubricity on the contact lens wear. He said that a regular human being blinks around 14,000 times a day. He explained that there is a significant amount of friction that happens between the lid and the front surface of the contact lenses. It is extremely crucial that the front surface of a soft contact lens is smooth. In this area, AcuvueÂ® Oasysâ„¢ with HydraclearÂ® Plus has the smoothest surface of any soft contact lenses available today. He emphasized the importance of rubbing reusable contact lenses. He stated that only by rubbing can bacteria and deposits be efficiently removed from the soft lens. Knajian explained that "Shorter is Better" in contact lens wear. He shared with the audience a recent market survey from France showing that 90 % of contact lens wearers face discomfort as they enter weeks three and four in their monthly wear schedule. Accordingly, he recommended making sure that any reusable lens is not worn more than two weeks to obtain the best comfort. The presentation was followed by an interesting Question and Answer session. In the session, Knajian asked the eye care professionals to think about the contact lens wearer first and the rest will follow. He stated that it is the role of ECPs to update contact lens wearers on the latest technology in the field of vision correction. He said, "We are the professional experts and we need to act as such". The event ended with a cake cutting by Dr. Knajian, Mr. Elias Abdelsamad, and Simon Abdelsamad.
By Philip B. Morgan, PhD, MCOptom, FAAO, FBCLA; Craig A. Woods, PhD, MCOptom, DipCLP, FAAO; Ioannis G. Tranoudis, DO, MSc, PhD; Nathan Efron, DSc, MCOptom, FAAO (DipCLP); Razmig Knajian, OD, FAAO, FIACLE; Christina N. Grupcheva, MD, PhD, FEBO; Deborah Jones, BSc, FCOptom, DipCLP, FAAO; Kah-Ooi Tan, BOptom (Hons), PhD, MBA; Alice Pesinova; Ole Ravn, MScOptom; Jacinto Santodomingo, OD(EC), MSc, PhD, MCOptom, FBCLA, FAAO; Edit Vodnyanszky; Giancarlo Montani, FIACLE; Motozumi Itoi, MD, PhD; Jolanta Bendoriene, MD, PhD; Eef van der Worp, BOptom, PhD, FAAO, FIACLE; Magne Helland, BSc, MScOptom, FIACLE; Geraint Phillips, BSc, OD, MCOptom, DipCLP; Jos Manuel Gonzlez-Mijome, OD, PhD, FIACLE; Simona Radu, MD; Vadim Belousov; Mirna Stabuc Silih, MD, PhD; John C. Hsiao, BA, OD, FIACLE; Jason J. Nichols, OD, MPH, PhD, FAAO
Dr. Knajian is senior manager of Professional Affairs-Middle East and Africa, Johnson Johnson Vision Care, Beirut, Lebanon.