Night and Day, PureVision, PureVision Toric, O2Optix, and Oasys are
suitable overnight lenses. Acuvue Advance is not. Keep it simple and
change to a lens appropriate for your needs.

On 2 Jul 2006 20:44:00 -0700, KeithF40[at]gmail.com wrote:

- quote -

Ok.

- quote -

Well, as soon as you realize you are going to do this, if you can,
start using the artifical tears prior to your symptoms of discomfort.

- quote -

I have generally found that for mild symptomology, they may make a
slight difference. IOW, while I have had some patients tell me that
Oasys are better than Acuvue Advanced, none have told me they were
tremendously better. Most patients tell me they really can't tell a
huge difference between the two lenses. And for my patients with
severe dry eye, no contact lenses tend to work well -- especially for
the patients who find the intensive dry eye therapy they would need to
make things work excessively burdensome.

I do prefer Oasys over Acuvue Advanced for the patients that the Oasys
fits. I have found that the Oasys fits too tight for what I like to
see for me to prescribe it for most patients (Ks < 45.00), so I tend
not to use it as much as Ciba's O2Optix which move much better on the
eye.

(Why this is a problem is that I have had quite a few patients have
problems [from CLARE to bacterial keratitis] with the 8.4 Ciba Focus
Night & Day [CFND] on an EW basis that had no *acute* problems [well,
they had limbal neovascularization] with standard ACUVUE on the same
EW basis. While the O2 getting to the eye with the CFND is far better
than the ACUVUE, I believe that the silicone hydrogel contact lenses
[SHCLs] tend to be stiffer on the eye and do not allow adequate tear
exchange under the lens than does an equivalent HEMA lens. I
therefore want to see more movement on a SHCLs than I would tolerate
on a HEMA lens. When I have moved these patients to the 8.6BC CFND,
these problems went away.)

- quote -

Ask your eye doctor to give them a shot.

- quote -

Three simple suggestions:

1. Use a soap that does not leave residue on your hands. There are
optical soaps especially designed for this, but I have found that
standard DIAL antibacterial soap works well.

2. Make sure when you dry your hands before instilling the lenses
that you use a lint free cloth or paper towel. KLEENEX are lint-laden
and if used you can get lint fibers underneath the lens and it can
irritate your eye.

3. Rinse your contact lens off with non-preserved saline (e.g., AMO's
Lens Plus Sterile Saline Solution) prior to insertion. NOTE: Do NOT
use this to store your lenses in overnight.

Thanks for all the advice and to a lesser degree the banter. I am on
my last box of lenses so I have to go see my eye doctor soon anyway.
At that time I will ask about Oasys but the only problem would be that
I wear Acuvue Advanced for Asthigmatism in one of my eyes. When I say
very uncomfortable Im meaing that there is no pain but it does bother
me. When my contacts bother me I become considerably more agitated as
I have a very low threshold for discomfort. I wear contacts for a
multitude of reasons but Ive only been wearing them for less than a
year now. I first got them for facial comfort reasons but I also find
that I see much better with them. My appearance in them is actually
the last reason that I wear them although I find that they do have a
positive effect on me asthetically. The improvement in physical
activites is actually even more of a resaon for wearing contacts for me
than my appearance. The thing about the artificial tears thing is that
alot of the time when I stay up all night its because I am just not
tired so its kind of a spur of the moment type of thing.

A related question I have is that kind of improvement can I see by
wearing Acuvue Oasys. Im assuming that the main improvement is that
after a long period of time they will feel more comfortable than Acuvue
Advanced. Most of the time I can feel my contacts at all for the first
12 hours or so so any improvement there would only make a minor
improvement in my happines with the lens. My second biggest problem
with contacts after the long term uncomfort issue is the initial
comfort issue, meaning the comfort for the first minute or so after I
put them in or the comfort when I am actually putting them in. Alot of
the time I find myself very quickly taking the contact back out of my
eye and cleaning it again to then find it more comfortable, sometimes I
have to do this twice or three times.

p.clarkii[at]gmail.com wrote:
- quote -

i guess you really didn't killfile him or ignor him.

seems like you are trying to reason with him. it won't work because he
thinks he is inately smarter than you and everyone else. after all, he
is "Aceman" and we are just amongst the ignorant mass. we just don't
recognize his superior intelligence (obtained solely through reading on
the internet).

=====

Charles wrote:
- quote -

killfiling is a good option.
so is public humiliation.

====================

Charles wrote:
- quote -

Charles wrote:
- quote -

Well, that was implied (out of the blue) by Dicky who
is also in the same boat with Otis and Ace with little or
twisted knowledge, some bizarre agenda, and the need
to interject for attention. Ace, in his mushroom induced
stupor, transferred this insinuation to the OP. Maybe I
didn't give Ace enough credit... It could have been a
deliberate attempt at obfuscation but I doubt it.

-Quick

Dear Ace,

Subject: ridicult by the MO doctors

Pay no attention to them, my sweet, young prodigy.

As long as you and I share what we share, then
they cannot hurt us, they cannot stop us, and they
cannot KEEP us apart.

Best,

Odis,
Pederast


+++++=

On 2 Jul 2006 11:54:40 -0700, acemanvx[at]yahoo.com wrote:

- quote -

On 2 Jul 2006 11:54:40 -0700, acemanvx[at]yahoo.com wrote:

- quote -

I think pretty much everybody here is relaxed but you (well, ... Otis,
too) whose pathological need to post compels them where wisdom doesn't
inform them.

- quote -

Out of idle curiosity, though: how many times do you need to be told
that you hurt far more than you help before you realize that the most
help you could be is to unplug your computer and go play?

- quote -

Why is it that idiots like you and Otis are always PASSIONATELY
concerned about your "rights," but blithely ignorant of your moral or
ethical RESPONSIBILITIES??

THAT--among myriad other things--is why you seem to get called an
idiot around here a great, great deal.

To wit: idiot.

p.clarkii[at]gmail.com wrote:
- quote -


relax, I am just trying to help! He should find it reassuring that I
have worse problems with contacts than he does! I then went on to give
advice that sticking to glasses more often will help as it does for me.
Whats wrong with what I said? This is a free board with free speech and
I have the right to help others. As for vanity, theres other reasons
including partaking in sports and also better BCVA for high myopes as
contacts dont minify.

acemanvx[at]yahoo.com wrote:

- quote -


Ace, obviously you are unwilling to read or absorb the information
posted here, but believe it or not, some people wear contacts for
reasons other than vanity.
--