The CLAO Journal

Volume 26, Number 2 -- April 2000


 Table of Contents: Pages 57-112

CONTACT LENSES

Methods Used to Evaluate the Effectiveness of Contact Lens Care Solutions and Other Compounds Against Acanthamoeba : A Review of the Literature
Sally L. Buck, Ruth A. Rosenthal, Barry A. Schlech


Hydrogel Contact Lens Ageing
Philip B. Morgan, Nathan Efron


Efficiency and Accuracy of Two Computerized Topography Software Systems for Fitting Rigid Gas Permeable Contact Lenses
Binoy R. Jani, Loretta B. Szczotka

CORNEA/EXTERNAL DISEASE

Is Intraoperative Topography Predictive of Postoperative Topographical Changes Following Refractive Surgery?
Ömür Ö. Uçakhan, Gary J. Sternberg, Jason Sokol, Scott E. Brodie, Penny A. Asbell

REFRACTIVE SURGERY

Characteristics of the Myopic Patient Population Applying for Refractive Surgery
Ömür Ö. Uçakhan, Jason Sokol, Scott E. Brodie, Penny A. Asbell


Contact Lens Fitting Difficulties Following Refractive Surgery for High Myopia
Theodore Bufidis, Anastasios G.P.Konstas, Ioannis G. Pallikaris, Dimitrios S. Siganos, Nicholaos Georgiadis

CASE REPORT

Ophthalmia Nodosa Caused by Casual Handling of a Tarantula
Carlo R. Bernardino, Chris Rapuano

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Copyright 2000 Contact Lens Association of Ophthalmologists, Inc. All rights reserved.


Methods Used to Evaluate the Effectiveness of Contact Lens Care Solutions and Other Compounds Against Acanthamoeba : A Review of the Literature
Sally L. Buck, Ruth A. Rosenthal, Barry A. Schlech

Purpose: The purpose of this paper is to review the literature concerning the methods used to evaluate contact lens care solutions against Acanthamoeba. Acanthamoeba keratitis is a potential threat, with 85% of the cases being reported in contact lens wearers.
Methods: Several studies from the published literature that evaluated contact lens disinfectants were reviewed. The variables included test organism, strain and morphology, growth conditions, inoculum preparation, inoculation method, test solutions and concentration, contact time, neutralization, recovery, quantitation method, and viability determination of survivors. The methods used to test Acanthamoeba against the disinfectants were compared and contrasted.
Results: After a thorough review of methods used to test Acanthamoeba, it was found that there is great variability in the methods used to evaluate contact lens disinfectants. The majority of the studies used A.castellanii and A.polyphaga cysts grown axenically in PYG medium containing cations at about 30 C and the inoculum contained about 1.0 x 105 cells/mL. Inactivation media or centrifugation of cells was used to neutralize test samples. Quantitation was performed in most studies and viability was checked in all studies. The disinfectants tested most often were PHMB, hydrogen peroxide, thimerosal, and chlorhexidine.
Conclusions: After reviewing the studies presented here it can be concluded that an effective method for testing Acanthamoeba against contact lens disinfectants would include A.castellanii or A.polyphaga grown axenically in PYG containing cations and a concentration of organisms high enough to adequately measure kill, a neutralization step, recovery and quantitation of organisms followed by a viability check of survivors.

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Hydrogel Contact Lens Ageing
Philip B. Morgan, Nathan Efron
On-Line Dialogue: Click the mailbox to submit questions or comments on this article. Please include article title or author as well as your name and postal address.

Purpose: To determine if hydrogel lens water content decreases over wearing periods of up to four weeks; that is, demonstrate an ‘ageing' effect.
Methods: Six subjects (4 males, 2 females; age range: 34.8 ± 11.0 years) wore each of the following lenses for one month: Acuvue, Frequency 38, Gentle Touch and Proclear. Pre-insertion and post-removal lens water content was measured daily by the subjects using an Atago CL-1 Soft Contact Lens Refractometer for a 28 day period. Post-insertion and pre-removal comfort was recorded over the same period.
Results: A significant lens ageing effect was noted whereby the pre-insertion lens water content decreased significantly over the 28 day cycle for all lenses (P < 0.05). The pattern for daily dehydration remained consistent for the 28 day period for the Acuvue lens and the Gentle Touch lens but decreased for the Frequency 38 lens and the Proclear lens. Comfort decreased significantly by the end of the day for three of the four lens types investigated.
Conclusions: It is apparent that the extent of lens dehydration changes over time, and that this pattern of change is different for different lens types. The associated loss of oxygen performance with dehydration is demonstrated. These data will assist practitioners in understanding the clinical effects of soft lens dehydration over time.

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Efficiency and Accuracy of Two Computerized Topography Software Systems for Fitting Rigid Gas Permeable Contact Lenses
Binoy R. Jani, Loretta B. Szczotka

Purpose: The world of computerized videokeratoscopy is continually evolving. Computerized videokeratoscope contact lens programs boast the capability to accurately design final rigid gas permeable (RGP) lens parameters and simulate contact lens fluorescein patterns. We evaluated the EyeSys System 2000 Pro-Fit software (v. 4.0) and Humphrey Atlas MasterVue Contact Lens Module (v. A6) for efficiency and accuracy in fitting RGP contact lenses on normal subjects.
Methods: Balanced manifest refractions, slit lamp examinations, and computerized topographical analysis with RGP module lens fitting were performed and compared for all eyes. Lens parameters were chosen after an optimal simulated fluorescein pattern was achieved by either accepting the initially recommended default lens or a modification. Final lens parameters were based on clinical performance.
Results: With the Humphrey Atlas software, which uses a default topographic tear clearance fitting protocol set by the manufacturer, 24/50 (48%) eyes required modifications to the default fitting parameters based on the simulated fluorescein patterns. Nine of 50 eyes (18%) required further modifications once the RGP lens was dispensed. The EyeSys Pro-Fit software, which allows a custom tear clearance fitting protocol set by the user as default, required modifications to 20/35 eyes (57.1%) from default fittings provided by the system. Six of 35 eyes (17.1%) required subsequent modifications once the RGP lens was dispensed. Comparison of the EyeSys to Humphrey modules revealed no significant difference in efficiency (P=0.51), defined as any changes required to the default parameters; however, the user made more modifications to the EyeSys module from the default setting. There was no significant difference in final success rates between EyeSys (82.9%) and Humphrey (82%) systems (P=1.00).
Conclusion: Although both topography guided contact lens modules offered accuracy in RGP fitting, a user programmed default (EyeSys) protocol did not improve efficiency in RGP lens parameter selection compared to a manufacturer programmed default module (Humphrey). The need for a knowledgeable contact lens fitter remains to guide the systems in achieving the optimal fit.

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Is Intraoperative Topography Predictive of Postoperative Topographical Changes Following Refractive Surgery?
Ömür Ö. Uçakhan, Gary J. Sternberg, Jason Sokol, Scott E. Brodie, Penny A. Asbell

Purpose: To evaluate the usefulness of measuring corneal topography intraoperatively by Intraoperative PAR Corneal Topography System (IOPAR CTS) to predict the postoperative topographical changes in patients undergoing refractive surgery.
Methods: Topographical measurements of 9 eyes of 9 patients were taken by IOPAR CTS: 6 immediately after Intrastromal Corneal Ring Segments (ICRS®) placement surgery and 3 immediately after Photorefractive Keratectomy (PRK) surgery. The topographical images taken by IOPAR CTS were analyzed to determine the quality of the image produced and the correlation of the keratometric data from the central 3 mm of cornea with measurements taken from an autokeratometer (Auto-Km) and the EyeSys Corneal Analysis System (CAS) for the same eyes taken three months following the procedure.
Results: At the 3-month postoperative exam, the correlation coefficients for flat (K1), steep (K2), and average keratometry (AK) readings produced by the Auto-Km and the EyeSys CAS were quite high. However, the correlation coefficients for K1, K2, AK, As or steep meridian axis (Ax) readings taken intraoperatively by IOPAR CTS were quite low when compared to the readings taken by either the Auto-Km or EyeSys CAS three months postoperatively.
Conclusion: We found IOPAR CTS, relatively difficult to perform in the operating room during refractive surgical procedures and not useful clinically in predicting the postoperative topographical changes induced by ICRS® or PRK procedure. Further studies are required to establish the efficacy and reproducibility of the instrument.

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Characteristics of the Myopic Patient Population Applying for Refractive Surgery
Ömür Ö. Uçakhan, Jason Sokol, Scott E. Brodie, Penny A. Asbell

Purpose: Assessment of the characteristics of the myopic patient population applying for refractive surgery in order to determine the potential market for myopic refractive surgery.
Methods: Records of consecutive patients who responded to an advertisement for refractive surgery to correct myopia were evaluated retrospectively with regards to patient demographics and the amount and distribution of the refractive error. Data were compared to that available from population-based statistics for distribution of myopia in the general population. For statistical analysis, one sample Student's t-test and two tailed Student's t-test were utilized. Results: Two hundred fifty seven patients (140 women and 117 men) responded to an advertisement for refractive surgery during the six month period between January and June 1998. Mean spherical equivalent (SEQ) of the patient population was -4.59±2.54 D (min;-0.25 D, max;-15.75 D) right eye (OD) and -4.62±2.82 D (min;-0.25 D, max;-15.25 D) left eye (OS).
Among the patients who had myopia with an astigmatism of at most 1.00 D (n=165), the distribution of refractive error was statistically significantly different from that obtained from population-based statistics, such that, although most of the myopic population (40%) had an SEQ of -1.00 to -2.25 D, the majority of our patients (54.8%) who applied for myopic refractive surgery had an SEQ of –2.50 to –5.00 D.
Another striking difference was that, although patients with an SEQ more than –6.00 D were a minority (2%) in the population study, in our study group, they comprised 16.7% of the patients seeking refractive correction.
The difference between the SEQ of the right and left eyes ranged from 0.00 D to 13.0 D (mean, 0.89±1.5 D), 47.1% having a difference of at most ±0.5 D between the two eyes. The mean cylindrical error in the patient population was 0.69±0.93 D (min: 0, max: –4.5) OD and 0.69±0.96 D (min: 0, max: –4.5) OS. There were no statistically significant differences between the distribution of SEQ or cylindrical refractive error between males and females.
Conclusion: Although a population-based study reported that most of the myopic population (40%) had an SEQ of –1.00 to –2.25 D, the majority of our patients (54.8%) who applied for myopic refractive surgery had an SEQ of –2.50 to –5.00 D. On the other hand, while patients with an SEQ of –6.00 D and more constituted only about 2% of the general population, they accounted for 16.7% of our study population. Therefore, the refractive characteristics of the patient population applying for myopic refractive surgery may not necessarily parallel that of general population-based statistics. In order to establish a more effective refractive surgery practice, it is feasible to perform local studies and reevaluate the requirements of your practice accordingly.

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Contact Lens Fitting Difficulties Following Refractive Surgery for High Myopia
Theodore Bufidis, Anastasios G.P.Konstas, Ioannis G. Pallikaris, Dimitrios S. Siganos, Nicholaos Georgiadis
On-Line Dialogue: Click the mailbox to submit questions or comments on this article. Please include article title or author as well as your name and postal address.

Purpose: To describe the clinical and optical problems encountered in contact lens fitting following refractive surgery for high myopia.
Methods: Following refractive surgery for high myopia (greater than –10.00 D) we corrected residual refractive errors with contact lenses in the four eyes of two patients. The first patient had undergone bilateral laser in situ keratomileusis (LASIK), with two subsequent LASIK retreatments in the left eye. Ten months later she was fit with rigid gas permeable (RGP) lenses in both eyes. The second patient had undergone a clear lens extraction in the right eye and radial keratotomy followed by photorefractive keratectomy (PRK) in the left eye. She was fit with toric soft lenses six years postoperatively.
Results: Final visual acuity obtained with contact lenses was 20/25–20/20 in all eyes. The first patient required significant minus lens power compensation. Furthermore, the RGP lens in the left eye was slightly decentered due to corneal irregularity induced by LASIK. The second patient had regular corneal surfaces and was successfully fit with daily wear toric soft lenses despite the 2.75 D of residual astigmatism in the left eye.
Conclusions: Following refractive surgery for high myopia a proportion of patients will remain undercorrected. In these patients the alterations in corneal architecture that ensue make contact lens fitting more challenging. Patients with regular astigmatism may be fitted successfully with toric soft lenses. Patients with corneal irregularities should be fit with RGP lenses.

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Ophthalmia Nodosa Caused by Casual Handling of a Tarantula
Carlo R. Bernardino, Chris Rapuano

Purpose: To present the diagnostic and therapeutic challenges of ophthalmia nodosa secondary to tarantula hairs.
Methods: We present a case of a 28-year-old male with a one-week history of skin rash followed by ocular irritation, and blurring of vision after handling a Chilean rose tarantula. A Medline-guided literature search was performed to review the current and historical knowledge of ophthalmia nodosa. The clinical presentation and therapeutic options in ophthalmia nodosa were reviewed.
Results: Ophthalmia nodosa is a granulomatous, nodular reaction to vegetable or insect hairs including tarantula hairs. Tarantula hairs can cause inflammation in all levels of the eye, from conjunctiva to retina. Therapy includes surgical removal of offending hairs and medical management of inflammation.
Conclusions: Although tarantulas are considered harmless pets, ophthalmia nodosa is a potential danger when handling a tarantula. Furthermore the management of exposure to tarantula hairs can be difficult.

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 In Memoriam—Henry Jonathan Kersley: 1939–2000: A Moment in the History of Contactology
by Oliver H. Dabezies, Jr., MD, FACS

On Thursday, February 10, 2000, two days before his 61st birthday, H. Jonathan Kersley departed this world after a long struggle with cancer.
It is said that everyone can best be characterized by one word. In that context, the word for Jonathan would be "service." Service to his friends, service to his patients, and especially service to the organizational aspects of Contactology.
Jonathan was born in Bath, England on 12 February 1939, just seven months before the outbreak of World War II. Jonathan was the second child of Mary Yeomans Kersley, the wife of George Durant Kersley. Jonathan's father was a very distinguished rheumatologist whose life was also dedicated to service in medicine. He was one of the first rheumatologists in England, and is sometimes credited with being the person who established rheumatology as a sub-speciality in Great Britain. Patients came from all over to his office in Bath. He wrote numerous scientific papers and several books concerning rheumatology. One cannot help but wonder if Jonathan's willingness to be of service was an inherited trait.
Jonathan has an older sister, Gillian Kersley, who is married to William Ryan. Gillian ("Gilli") recalls that even as an a child of five or six, Jonathan had a wonderful bedside manner. Their paternal grandmother, an invalid who was bedridden, reminisced about the past for hours on end. Jonathan would patiently sit at her bedside encouraging her anecdotes. Gilli says that she knew at that time that her brother was destined to be a doctor: no one could sit by a bedside so long to listen to such repetitive conversation.
At age seven, as was the custom, Jonathan was sent to a prep boarding school. (Such a preparatory school is the equivalent of a grammar school in the United States). Then at age 11 he went to Shrewsbury Public School in Shropshire. (The English public school is the equivalent of a private school at the level of a high school in the United States).
Following this, Jonathan went to Gonville and Caius College at Cambridge for his premedical instruction for a three year period, i.e., 1958/59 through 1961/62. Then in 1962/63, he entered St. Bartholomew's Medical School in London, finishing in 1965, at which time he received a Master of Arts degree from Cambridge and St. Bartholomew's Hospital. (In 1968 he passed the examinations to become a Member of the Royal College of Surgeons [MRCS] and a Licentiate of the Royal College of Physicians [LRCP]). He then entered his Pre-Registration year (1965/66) doing general medicine at Southmead Hospital in Bristol and gynecology and obstetrics at St. Bartholomew's.
Jonathan now began his three years of Post-Registration training in ophthalmology (1966/67). He was Senior House Officer in Ophthalmology at St. Bartholomew's Hospital. In 1996 he received a B. Chir. (Bachelor of Chirugie) from Cambridge and in 1967 a M.B. (Bachelor of Medicine) from Cambridge.
Then in 1967/68 he was Senior House Officer in Ophthalmology at the Croydon Eye Unit. Finally, in 1968/70 he was Registrar in Ophthalmology at Westminster Hospital. It was at the Croydon Unit (which is in Surrey, on the outskirts of London) that he was taught by Mr. Dermot Pierse, who became Jonathan's lifetime mentor. In addition to being a MRCS and a LRCP, Jonathan also became a Member of the Royal College of Ophthalmology (MRCOphth) when it was founded in 1988.
Following the completion of his ophthalmological training, Jonathan began the practice of ophthalmology. He worked for the National Health Service at the Croydon Eye Unit and also had a private practice at his office on Harley Street in London.
Jonathan soon developed a great interest in contact lenses. He was one of the first to report on extended wear contact lenses. He became a frequent lecturer at contact lens meetings, which led to his involvement in the administrative aspects of Contactology. His first organizational involvement was with the Medical Contact Lens Association of the United Kingdom, which eventually (1992) became the Medical Contact Lens and Ocular Surface Association (MCLOS).
Jonathan also became associated with the British Contact Lens Association (BCLA), the the European Contact Lens Association of Ophthalmologists (ECLSO), the Contact Lens Association of Ophthalmologists (CLAO), the International Contact Lens Council of Ophthalmology (ICLCO), and finally the International Contact Lens Society of Ophthalmology (ICLSO). In all these organization he devoted much effort and received many honors, including the presentation of various lectureships. Later he became a recipient. There is now a Kersley Lecturer in the MCLOSA and ICLSO. There is soon to be a Kersley Lecturer in the ECLSO.
Jonathan is especially remembered by CLAO as ECLSO's ambassador for his efforts to mutually exchange scientific knowledge "across the pond" (Jonathan's expression). His first presentation at a CLAO meeting was in 1980; this was titled "Management of Extended Wear." This was the first of many presentations at the CLAO Meetings. At the 1987 CLAO Meeting, Jonathan was the Distinguished Visiting Lecturer. His topic was "The Impact of Soft Contact Lenses and Intraocular Implants on Cataract Surgery." However, Jonathan's greatest contribution was yet to come.
In 1991, Jonathan organized the first ECLSO Symposium at the CLAO Annual Meeting. The topic was "The Complicated World of Rigid and Soft Lenses." From 1991 to the present, these symposia have been conducted annually as a key feature of the CLAO Meeting. For these symposia Jonathan selected the topics, invited the speakers, and arranged the funding by travel grants from manufacturers. At the 2000 CLAO Meeting, the Symposium was dedicated to Jonathan as the "ECLSO- H. Jonathan Kersley Symposium."
In recognition of his "outstanding dedication, service and commitment to the field of contact lenses and the educational mission of CLAO," Jonathan was given the R. Hugh Minor Distinguished Service Award. Unfortunatley Jonathan was unable to attend the 2000 CLAO Meeting, but he did receive the CLAO Honor Award for his instructional contributions at the CLAO Meeting.
Recently, in September of 1999, at the opening session of the ECLSO Meeting in Geneva, it was my privilege to arrange a presentation honoring Jonathan at the Opening Ceremonies. Just prior to the ECLSO Meeting, the ICLSO Executive Council had created a "Kersley Lectureship." Also I was to have the privilege of presenting Jonathan an award from ICLSO in appreciation for his services during the past four years as its president.
When it was my turn to speak, I went to the podium and asked Jonathan to step forward. As Jonathan approached the podium there was a spontaneous standing ovation that lasted about five minutes. I then gave Jonathan the award from ICLSO. The award was a marble obelisk with a clock at the base. Jonathan blinked his eyes, but could not speak. Truly he was speechless and overcome with emotion. He left the podium and sat in an adjacent chair. After three or four minutes, I then read the inscription:
"ICLSO in Grateful Appreciation to H. Jonathan Kersley, MD for Guiding ICLSO in its Development as its First President, January 26, 1999."
Then I asked Jonathan if he wished to say a few words. He lowered his head and nodded "no." He simply could not speak. I then said: "Jonathan, on behalf of all of us, well done. You have left your footprints in the sands of time in Contactology."
One of Jonathan's most endearing characteristics was his bravery. Over the last several months, with typical British "stiff upper lip," Jonathan and I discussed various organizational issues which he wished me to "follow through when I am no longer here." His voice never wavered. It was all very "matter of fact."
During the final months, Jonathan and I engaged in correspondence and conversations. In January of 2000, just prior to the CLAO Meeting in Las Vegas, he sent me a letter which he wanted circulated after his demise. He wanted everyone to be aware of how he would have responded in Geneva had he not been so overcome with emotion. The original memo, which is characteristic of how Jonathan never left anything undone, is presented in the print version of The CLAO Journal (Vol. 26, No.2).


In Memory of H. Jonathan Kersley
by Jane Sparholt, MD, President, ECLSO

On the 10th of February, at 7:10 pm, H. Jonathan Kersley passed away in his home in London. We all lost one of our dearest friends. Courageously he fought to the very end. It is a privilege and a gift knowing somebody so lovable as Jonathan. He was exceptionally gifted in many professional and personal respects. Personally we owe him not only friendship, but also the possibility of being involved in contactology all over the world. H. Jonathan Kersley was the Honorary President of the ECLSO and Past President of the ICLSO. Jonathan held many important offices, among others he was the President of the BCLA (1978-1979), Secterary, Vice-President, and President of The Medical Contact Lens Association, later becoming "MCLOSA" in the UK. He held office in the ECLSO since 1978, spending most of this time, according to Johathan "developing and nurturing a network of friendships and personal relationships that would lead naturally to scientific cooperation between the various national societies. Cooperation and communication can only flourish in such an atmosphere. If I have achieved this to any degree, I am happy...." Jonathan held office in ICLCO from 1981 to 1994 and founded the International Contact Lens Society of Opthalmology (ICLSO) in 1995. Jonathan had the same view on ICLSO as the ECLSO, "but painted with a broader brush." Furthermore he added: "There is a need for cooperation between the major international groups....So the development of a federation of contact lens societies seems natural. Such a venture can only occur in an atmosphere of friendship and personal contacts as so much time has to be donated by those involved. I have been very proud to have part of this process."
In all these organizations Jonathan devoted much effort and received many honors. He presented many lectureships and became later the recipient. In CLAO, Jonathan succeeded during 10 years to make an exchange scientifically and socially between CLAO and ECLSO. At the 2000 CLAO meeting it was decided to dedicate the ECLSO Symposium to Jonathan, as the "ECLSO–H.Jonathan Kersley Symposium." Jonathan was on the editorial board of several contact lens journals. He received many awards in recognition of his outstanding accomplishments in the field of contact lenses. An H. Jonathan Kersley lectureship will be founded in Europe and in the United States and a memorial fund has been launched to finance an ECLSO Kersley lectureship run by our treasurer, E. Dreisler.
Being the President of the ECLSO and having been a personal friend of Jonathan for more than 10 years, I have to continue his great work. The loss of Jonathan is beyond words. He was our best ambassador and adviser. H. Jonathan Kersley was THE ECLSO, ever since he took on the mantle of Secretary General at the Congress in Stresa 1982.
It is hard to stop grieving , but I do intend and wish for all of us to treasure the wonderful memories we have of his life. Jonathan did not want us to be sad. He wanted us to be full of life and cope with all difficulties. So we have to follow his example to honor him. He valued our friendships so much. Jonathan will always be in our hearts and show us the way of doing our very best...every single moment. The ECLSO owes him much. There will be a memorial service during the month of June in London.

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In Memoriam—Joseph William Soper, 1925–1999
by Louis J. Girard, MD, FACS, Former Professor and Chairman, Department of Ophthalmology, Baylor College of Medicine

Joseph W. Soper, a pioneer contact lens technician, died on October 12, 1999 in Houston, TX. He was born on May 27, 1925 in Eldora, IA, attended the University of Iowa and served in the United States Air Force during World War II. During his service he lost one eye in an accidental explosion. In spite of this, he went on to become internationally recognized in the contact lens and ocularist professions. His numerous accomplishments include patents and developments in innovative technology and procedures, as well as extensive scientific publications and textbooks related to the ophthalmic industry. In 1954 he was appointed Instructor in the Section on Contact Lenses in the Department of Ophthalmology, Baylor College of Medicine, the first such appointment and section at a medical university in the world. With his devotion to teaching, he rose to be a full Clinical Professor and volunteered decades of service to the eye clinics of the associated hospitals. He co-founded and for thirty years taught the Baylor Contact Lens Course for continuing education for ophthalmologists and contact lens technicians. He was a founding member of the Contact Lens Society of America, the American Society of Ocularists, National Contact Lens Examining Board, and was an Associate Fellow Member of the American Academy of Ophthalmology. He received many distinguished awards, including the American Academy of Ophthalmology Distinguished Service Award, the Contact Lens Society of America Exceptional Contribution Award, The Eyes of Texas Sight Foundation Outstanding Achievement Award, the Contact Lens Association of Ophthalmologists Exceptional Service Award, the Contact Lens International Congress Otto Wichterle Honor Medal, the Houston Ophthalmological Society Certificate of Merit, the Contact Lens Manufacturers Association Dr. Joseph Dallas Award, the Joint Commission on Allied Health Personnel in Ophthalmology Distinguished Service Award, and the first Contact lens Society of America Hall of Fame Award.
Joe, Richard Camp, and I worked diligently to standardized the nomenclature in contact lenses which, in the middle 1950s, was filled with mainly slang expressions. He co-edited and contributed extensively to the first medical book on corneal contact lenses published by C. B. Mosby Company. Before the middle 1950s, ophthalmologists routinely referred their contact lens patients to contact lens technicians or optometrists who specialized in contact lenses. Joe Soper was an essential part of the faculty at Baylor when the first course on contact lenses for ophthalmologists was initiated. The success of the course resulted in invitations to give courses in various parts of the world. In 1969, Joe was a core organizer of the first International Symposium on Contact Lenses held in Houston, TX.
Joe Soper was not only my colleague, but also my dear, dear friend.
Joe is survived by his lovely wife, Mary-Lou Soper, his daughters, Pamela Schwab and Donna Anderson, his sons, Marcus, John, and Michael Soper. The sons continue to conduct Soper International.

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Copyright 2000 Contact Lens Association of Ophthalmologists, Inc. All rights reserved.