Src 2015 dr jim kokkinakis light protection & prevention knowledge for business success

IMPLEMENT

HEALTH COMFORT IMPLEMENT

Light….Protection & Prevention

Knowledge for business success

SRC Conference Date 21 March 2015

Presenter Dr. Jim Kokkinakis

IMPLEMENT

Light….Protection & Prevention Knowledge for business success

Dr. Jim Kokkinakis BOptom FAAO FISCLS GCOT •  Private practice owner in Sydney CBD •  Specialist CL and eye disease management •  Adjunct Senior Lecturer Uni. NSW •  Since 1996 regular presenter both nationally

and internationally to optometrists, ophthalmologists, GPs and pharmacists


Contents

01 UV radiation 02 Blue Violet Light 03 Blue Turquoise light

01 Blue Light 02 Contrast & Glare 03 Solution

01 You…..the eyecare expert 02 Differentiate your business 03 Your action steps

A copy of this presentation will be available for you to download afterwards.

A long, long time ago……

Consider ‘Traditional’ Medicine in the Middle Ages •  Blood was intentionally removed

from a patient to cure or prevent illness and disease.

•  Blood letting was based on an ancient system of medicine.

•  The more severe the

disease, the more blood would be let.

•  Fevers required copious amounts of bloodletting.

•  French physician Dr. Louis routinely bled patients suffering from pneumonia.

•  Assessed efficacy by a new “numerical method” (statistics) to see how many lives he was saving.

•  Can you guess the result?

Hanna B. From bloodletting to evidence based medicine. Dept of Biomedical Science. University of Guelph.

1787-1872

COMFORT

He found blood letting increased the death rate! Can you guess what happened?

HEALTH

Not much changed…. Physicians kept on doing the same thing they had always done!

HEALTH

Misconceptions Unfounded beliefs

Update current research on Light & wellbeing How to implement this knowledge to benefit your patients

The spectrum……

Higher Energy Radiation

Lower Energy Radiation

The spectrum……

UV A & B

Blue Violet 415-455nm

Blue Turquoise 465-495nm

invisible

HEALTH

Light & your health UV Radiation Blue Violet Light Blue Turquoise Light

UV

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UV Radiation UV light has the highest energy of all the radiation that our body and eyes are exposed to. Main source is the SUN

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UV Radiation

40% of Annual UV 60% of Annual UV

We experience 40% of UV Radiation when we least expect it…. Indoors (low), when it is full cloud or when partly cloudy.

UV

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UV Radiation UV Radiation Not just in Summer…..

0

0.01

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0.06

Time of day

Level of UV at the eye

Anatomical features providing direct UV protection

*

*

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UV Radiation

0

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Time of day

Level of UV at the eye

Not just in Summer…..

SUMMER WINTER

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UV Radiation UV Radiation

90% of visible premature aging, on areas such as delicate skin around the eyes, is caused by UV damage.

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Up to 50% of incident UV light can be reflected off the back surface of lenses ..when we least

expect it.

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90% of skin cancers occur on the face and neck, with 5 to 10% occurring on the eyelids. Exposure counts… Uvis High Energy

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UV light is linked to the development of: •  Pterygium •  Certain types

of cataracts

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Research suggests that people who wear spectacles over 20 years could delay the onset of cataracts by 6 years!

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UV Radiation UV Radiation Did you know…….

Children’s eyes receive more UV than Adults!

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UV Radiation UV Radiation Did you know…….

1 y

100 y

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UV Radiation UV Radiation Summary

•  Dangerous for our skin & front

of eyes- All year round •  40% of UV occurs when we

least expect it •  50% of incident UV can be

reflected off back surface

•  Children’s eyes are more susceptible

•  Maximum UV protection

should be discussed with ALL clients

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HEALTH

Blue Violet Light

UV A & B



invisible

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HEALTH

Blue Violet Light

1  The Beaver Dam Eye Study, 2004 - higher risk of AMD with sunlight exposure

2  The Chesapeake Bay study, 1992 - long-term blue light exposure risk association with AMD

3  The EUREYE study, 2008 - significant associations between blue light, AMD and poor diet

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Blue Violet Light

•  Harmful Blue Violet light is a risk factor in AMD-

NOT UV Light. •  Blue Violet light is the highest energy radiation

that is able to reach the retina

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Blue Violet Light

•  High energy Blue Violet light drives the

accumulation of lipofuscin (Drusen) •  Toxic to RPE cells

Lipofuscin

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Blue Violet Light Blue Violet Light Did you know ‘sunspots’ or ‘liver spots’ have an accumulation of lipofuscin?

They can develop as early as Mid 30s…

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Blue Violet Light A reduction of 20% of this harmful Blue-Violet range (415-455nm) can reduce RPE toxicity by 25% (in vitro).

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Blue Violet Light

In the past, most of the Harmful BLUE light comes from the Sun…….But…..

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Blue Violet Light

Incandescent Fluorescent LED

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Blue Violet Light

Spectral output

Fluorescent

Incandescent

LED

Sun’s Spectral output

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Over 90% of light sources worldwide will be based on LEDs by 2020.

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Blue Violet Light

Our new digital lifestyle increases exposure to harmful Blue Light

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Blue Violet Light

Spectral output

LCD

CRT

LED

Sun’s Spectral output

HEALTH

How many hours do you or your children spend on tablets & computers?

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Blue Violet Light Did you know…….

Children’s eyes receive more Blue Violet light than Adults!

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Blue Violet Light

1 y

100 y

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Blue Violet Light Summary •  The bandwidth is indicated in

ARM development •  Our changes to lighting and

digital lifestyle increases our exposure

•  Children’s eyes have less natural defence

•  Maximum Blue Violet Light should be discussed with ALL clients.

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UV A & B



invisible

Blue Turquoise Light

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Did you know? Our eyes have a specific photoreceptor that is sensitive to Blue- Turquoise light

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Blue Turquoise Light Discovery! In 2002 a new type of photoreceptor was discovered. It is called the Intrinsic Photosensitve Retinal Ganglion Cell and is sensitive to light BUT does not add to vision as we know it. Sensitivity 480nm +/- 15nm Turquoise Blue

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Blue Turquoise Light These new receptors connect direct to the limbic system which is responsible for many of our body’s responses

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Blue Turquoise Light Sleep cycles Do you read an ipad just before going to sleep?

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Blue Turquoise Light Cognitive performance

Cognitive ability

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Your Mood. Your emotions “winter blues”

HEALTH

Your levels of activity

HEALTH

Your memory

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Even Pupil constriction is activated by this new photoreceptor

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Most of the Essential BLUE light comes from the Sun.

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Blue Turquoise Light Summary •  A new photoreceptor was found in 2002

that is sensitive to this bandwidth

•  The detection of this light is related more to other bodily functions

•  Its bandwidth is 465-495nm

•  Restriction of Essential Blue Turquoise light should be avoided

Children’s eyes have less UV protection than Adults!!

HEALTH

Light & health…The solution

UV A & B



Invisible

REDUCE

TRANSMIT

BLOCK

Protect & Prevent everyone, everyday

VISION COMFORT

Vision Comfort all day…every day

VISION COMFORT

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Vision Comfort Look familiar?

90% of people complain of eye fatigue with digital devices Blue light is implicated in adding to visual fatigue

VISION COMFORT

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Blue light scatters glare reduced contrast defocus

COMFORT

Do modern screens sometimes look uncomfortably Bright & Violet Blue?

VISION COMFORT

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Vision Comfort

•  Coatings that provide harmful blue light protection also provide comfort on digital devices….it’s a win-win

•  But…….Essential Blue Turquoise should not be disrupted

VISION COMFORT

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Vision Comfort

Did you know that you don’t need a refractive error to benefit from Blue blocking technology!

Light & health…The solution UV A & B



Invisible

REDUCE

TRANSMIT

BLOCK Health

Vision Comfort REDUCE

Protect & Prevent everyone, everyday

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Implement Plan to take action

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Implement

Lenses go beyond a set of numbers.. •  Protect & Prevent-

Health •  Promote wellbeing •  Promote productivity •  Drive postural changes Who makes these decisions in your business?

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Nothing engages the patient more than protecting THEIR MOST IMPORTANT SENSE…

THEIR VISION

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Previously Advice was all that could be offered

•  The young to middle age adult suffering from digital eyestrain

•  Patients with FOH/ early signs ARMD & Cataracts

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The BLUE Light story makes sense to your patients 1.  Computers 2.  All Digital Devices 3.  And even down-lights

IS THE EASIEST & MOST Engaging conversation you can have It brings eye health and the infinite VALUE of Vision to the FOREFRONT of your business.

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THE BLUE LIGHT Story ties in beautifully with: •  The awareness of macula

degeneration

•  The awareness of computers somehow being bad for ones eyes

•  The established thinking that computers DO cause eye strain

Clinical Offer

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THE BLUE LIGHT Story ties in beautifully with:

•  Expanding the story from the established dangers of UV

•  The continuum of UV and Blue Violet light

•  EMOTIONAL Discussion…Correction, Protection and Prevention

Clinical Offer

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Once you have them engaged in the possible dangers of UV and Blue Violet Light •  You can then talk about their

children or…

•  Their grand children

•  Potentially it can become a two for one discussion

Clinical Offer

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1.  “ How many hours per day are you using computers? What about tablets and smartphones?”

Acknowledge…..“Wow you are really giving your eyes a workout”

2.  “Your eyes must get tired”

Activate the Conversation

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1.  “ I have determined the correction in order for you to see better…..Let me update you on new information on longterm eye protection”

2.  “Ultra Violet damage to the

eyes is well established but now there is evidence to suggest Blue Violet light can lead to macular degeneration ”

Activate the Conversation

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1.  “ Did you know that modern screens could be potentially damaging to the back of the eye?”

“Everyone is going for LED- but research is pointing to long term changes inside the eyes from the Blue Violet light they emit!”

2.  “Luckily there is new technology

that will protect your eyes”

Activate the Solution

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1.  Demonstration is more powerful when you lead by example.

“this is what I wear”

2.  Do you and your staff protect their eyes?

3.  You do not need a refractive error to provide maximum protection and vision comfort

Activate the Demonstration

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•  DE- commoditise eye care

•  To most of your patient base

•  Right at a time when everyone is talking and concerned about…2 for price of one!

Business opportunity

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The Blue Light story is a huge opportunity to: •  Differentiate in the most

competitive eye care environment ever

•  Create a new spectacle sale even when there is no refractive change

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•  Can bring in new patients because everyone requires this protection irrespective of refractive error

•  Peace of mind against something that most patients instinctively fear

Your Business

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Did you know that in NSW from this year… •  compulsory for every child to

have access to a digital device in the class room

•  Many teachers have been

made aware of blue light but unaware of implications

WHAT AN OPPORTUNITY!

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In my 32 years of practicing optometry… •  Never a better time to tie in

eye health with glasses

•  Utilising a patented product such as Crizal Prevencia has increased spectacle sales by…

Your Business

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It might be early days but… When do we as practitioners take action? Do we wait for definitive proof….

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1.  Take action now 2.  Have a discussion about long

term Protection & Prevention

3.  Ensure ALL staff are onside and share (Ask for specific training)

4.  Set a challenge- 10%, 30%. How many of your patients do you want to have the current best protection available

Your Business

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BUT…… You need to follow-up & REVIEW …..we are creatures of habit! Ask for support

Your Business

Light….Protection & Prevention Knowledge for business success

•  How are you going to activate the conversation?

•  What will you say? •  Who will say it? •  Ask for staff training •  Set targets •  Investigate int/ext

marketing

•  Trial and adjust •  Discuss at staff

meetings •  Share winning stories

•  Set up metrics •  Make it simple •  Be a leader •  Review with

team •  What can be

improved? •  Celebrate wins •  Review training •  Plan second

stage


Light….Protection & Prevention

Knowledge for business success

SRC Conference Date 21 March 2015

Presenter Dr. Jim Kokkinakis

Src 2015 dr jim kokkinakis light protection & prevention knowledge for business success

Documents

blue light

spectrum uv

annual uv

uv damage

incident uv light

direct uv protection

b blue violet

time of day level of