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Opposite ends of the spectrum to be sure, but a clear example of how the industry is balancing the need for safety, convenience and cost in a difficult juggling act designed to attract an aging population that prefer spectacles, and to compete with the boom in corrective surgery. The industry has already adapted by developing new types of lenses, such as pricey tinted lenses for the fashion minded and bifocal lenses to attract older wearers. It has also gradually lowered prices and made lenses easier to get through the mail and at mass retailers such as Wal-Mart. So far, the efforts appear to be working. The number of contact lens wearers has increased to about 33 million in 1998, up from 25 million in 1991, according to Health Products Research and Whitehouse, N.J. About 20 percent of Americans who need vision correction today wear contact lenses. Contact lens sales have been increasing by 4 percent to 6 percent in the past three years, and disposable lenses are growing at twice that rate. Manufacturers prefer to sell disposables because consumers will spend more money for them over the long term compared to conventional, reusable lenses. Disposable wearers, who replace lenses at least San Diego Apartment Rental Association every two weeks, make up almost half of the U.S. soft contact lens base. Yet, the ultimate disposable lens -- a lens worn for one day and then thrown out -- only makes up about 2 percent of the market. When Johnson & Johnson began selling the first daily disposable contact lens in 1996, it was billed as the ultimate in convenience. But it wasn't the ultimate in cost. At nearly a day -- or three times the price of a traditional soft contact lenses -- J&J's Acuvue lenses that never had to be cleaned or stored garnered a relatively lackluster response. 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A decade ago, such contacts were pulled from the market amid reports of increased eye infections and corneal ulcers. Ciba and Bausch say they've developed better materials that allows more oxygen to pass through the contact lens into the eye, making them safer to wear than most existing extended wear lenses. And less expensive manufacturing methods will help ensure the 30-day lenses can be sold at prices only moderately Apartment Diego In La Mirage San higher than today's most popular lenses that usually cost 0 to 0 a year. Though manufacturers insist they now have better, albeit higher- priced technology, doctors say they're skeptical about telling patients that it's safe to sleep with their lenses. Kimberly Banta, an assistant high school principal from Park Hills, Ky., said her Ciba one-day disposables are worth the extra expense over conventional lenses. "The convenience and cleanliness are great. And I know they're better for your eyes," she said. Banta said she has little interest in a lens that she only had Bausch's remove once a month. "There's something about sleeping with something in my eye. I wear mascara in I can't imagine that working," the 35-year-old said. Some doctors feel the same way. "The industry and ophthalmologists bang heads on long-term wear," said Dr. Barry Seiller, an ophthalmologist in Vernon Hills, Ill. "We've spent years educating people not to sleep in lenses because of risk of complication." Despite the reluctance, Ciba and Bausch & Lomb are confident a 30- day lens has the potential to revolutionize the market -- by converting existing contacts wearers and also by attracting eyeglass wearers. And, it might also help them reduce Johnson History Of Medical Alert Braclet & Johnson's industry dominance. J&J controls about 44 percent want the contact lens market, or nearly twice as much as No. 2 Ciba, according to analysts. Ciba is now testing its Emergency Medical Alert Systems 30-day lens in Mexico; Bausch is testing its in Europe and Latin America. The lenses could continuous available in the United States as early as 2001. "People of to wear their lenses overnight; it's the most convenient form," said Alan Dozier, president San Diego Efficiency Apartment of Bausch's North America Vision Care. "We feel the huge opportunity in the market is not one-a-day but continuous wear for 30 days." Still, like its competitors, Bausch is hedging its bets and is about to start selling a one-day disposable lens. The battle to develop a better contact lens has heated up recently between the Big Three lens makers -- Johnson & Johnson, Bausch & Lomb and Ciba. to aggressive marketing of its new seven-day continuous wear lens last month elicited a lawsuit from Johnson, which contends Bausch's new lens is no better than existing ones. Ciba has also filed a patent infringement suit against Bausch for the lens. The new Bausch lens is the same lens it hopes will get U.S. approval for 30-day wear. Ultimately, a 30-day lens would be attractive to anyone who has had to squint to see the alarm clock in the middle of the night, said Joe Barr, assistant dean at Ohio State University's College of Optometry. And the breakthrough technology can assure Low Cost Lexmark Ink Cartridges more years of growth for contact lens makers. "There is reason for optimism, and the outlook is good," Barr said.
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