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ABO PREP

Photochromic Essentials

Courtesy of Transitions Optical Inc. and Toledo Optical

Even though summer has drawn to a close, photochromic lenses are a great option for patients year round.

Photochromic lenses were first introduced in 1966. While glass lens was in its molten state, a photochromic dye made from silver halide was mixed in. In its non-activated state, the dye was clear. When the molecules of silver halide were activated by ultraviolet light, it caused them to change shape and to absorb more visual color. Patients experienced visual comfort as the lenses darkened outdoors and became clearer inside while being protected from the ultraviolet rays of the sun.

These new lenses were not without room for improvement. In instances where there was a noted difference in prescription between the two lenses, the stronger, thicker lens would darken both quicker and to a more intense hue than its weaker counterpart, and the lifespan of the photochromic performance was short lived, often accompanied by a constant tint to the lenses indoors.

Manufacturing methods and lens materials improved. The lighter weight of plastic was a welcome change from glass. Lenses were now submerged in a bath of silver halide, causing it to be absorbed much further into the lens. This remedied the issue of a lens changing at a different rate and to a different hue than its mate.

Photochromic technology has been embraced by many manufacturers, and is available in almost all lens materials. Photogrey and Photobrown glass lenses as well as Thin N' Dark high index glass, Sunsensors mid-index plastic photochromics by Corning Medical Optics, Kodak Instashades, and Fototec by Tifosi among others.

Transitions® Optical, Inc. became the first to commercialize a plastic photochromic lens using proprietary surface treatment technology. It is not surprising that Transitions are the most recognized plastic photochromic line by both patients and eye care professionals.

Active patients of any age will benefit from photochromic lenses, but they are extremely well suited for children's wear. Eyeglasses, sports, and swim goggles are all available with polycarbonate Transitions lenses. Eighty percent of a person's UV exposure happens before the age of 18. Instilling healthy habits includes protecting children's eyes from UV rays. The color changing capabilities of the photochromic lenses often fascinate children, causing them to be more involved with the care and wearing of their eye wear.

As photochromic lenses become more common, types of photochromic lenses are getting as specific as the activities they can be used for. There are color options that provide optimum contrast for golf, tennis, even hunting. Aside from the fact that photochromic lenses serve a dual purpose of indoor and outdoor eye wear, they also serve a therapeutic purpose as well. Patients with unique visual needs may benefit from Corning's CPF lenses. The CPF lenses are a line of specialty photochromic lenses for patients who are acutely sensitive to light, who require more contrast, or who suffer from ocular conditions such as retinitis pigmentosa, albinism, photo-phobia, diabetic retinopathy and more.

Patients may inquire about adding treatments or coatings to their photochromics. More is not necessarily better in this situation. Photochromic lenses are UV protected, negating the need for additional UV filters or coatings. These lenses are able to be tinted, but it is not recommended, as it can alter the performance of the lens. Scratch coatings are also not needed in most cases. Most photochromic lenses, including Transitions, are hard-coated. More coating can affect the clarity of the lens.

Anti-reflective coating can be a great partner to photochromic lenses when applied to the back side. Front side anti-reflective coating can cause the lens not to darken to its full capacity outdoors.

One of the most well received advancements in photochromic lenses is the Drivewear, by Transitions and Younger Optics, a photochromic lens made specifically for driving. Most traditional photo-phobic lenses do not darken enough when driving for most patients’ satisfaction, and while glass photochromic lenses do tend to perform better in a vehicle than plastic, it does not lend itself to modern frame styles, and is generally heavier than plastic.

Drivewear is also polarized, and changes between three distinct colors, depending on the lighting condition. Each color creates optimum contrast, clarity, and glare filtering. However, Drivewear does not completely lighten indoors. Its default color is a greenish yellow suited for overcast skies. Currently, Drivewear is only available in hard resin in plano, single vision, and IMAGE progressive, but a wider selection of lens materials as well as multi-focal options will soon be available.

Even with the advancements of photochromic lenses, there are still factors that influence the functionality of the lens.

Temperature: Photochromic lenses turn darker in colder temperatures, and retard the rate that the lenses lighten indoors. In warmer climates, the opposite is true; the lenses change quickly, but do not darken to such a degree.

Lens Material: The photochromic element in glass lenses will retain its performance over time. Plastic lenses will display a slight slowing of photochromic darkening over time. Plastic is often more suitable for modern frame styles and to create a lighter weight material.

Even though there have been great advancements in the technology and performance of photochromic lenses, they are still not a substitute for dedicated eye wear. Both plastic and glass photochromic lenses do not get as dark as sun lenses are able to, and only a few photochromic lenses are available polarized. Sun wear can be personalized to the patient's personal taste with mirrored coatings, and task specific lenses (polarized and non-polarized).

Dedicated sun wear and photochromic eye wear can provide patients with comfortable and stylish ways to protect their eyes from both bright light more importantly, ultraviolet light. It is our responsibility as eye care professionals to educate patients on what type of lens and what lens options are best for their lifestyle.

Nicole Wellnitz ABOC
nicole_wellnitz@hotmail.com

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