quick contact lens question

#5 09-04-2006, 11:34 PM

Thank you to the posters who have responded. My eye feels better.

I
didn't wear my contacts for a couple of days, and I went out and bought
new solution and a new case. I'm also going to start rubbing them
lenses when I clean them...I can't believe nobody at the the
optometrist's office mentioned this to me.

-Liz

LarryDoc wrote:
- quote -

> In article <1157085746.518972.55870[at]e3g2000cwe.googlegroups.com> ,
> liz.goldstein[at]gmail.com wrote:
> > Hi...I've received a lot of great answers on here before, I figured I'd
> > try again.
> > > So after all the questions I asked previously, I eventually did end up
> > getting contacts, and I'm happy with them. (They're Acuvue Oasys, 2
> > week disposables...I'm supposed to open up my new set tomorrow).
> > > I just took one of my lenses out (admittedly I left it in for too long
> > as I was out all day and writing a paper...next time I'll set a timer
> > to go off), and although it didn't hurt while it was in, as soon as I
> > took it out, my eye started hurting. I put some moisturizing drops in
> > and it's starting to feel better. (And I won't wear my contacts this
> > weekend to give myself some time away from them.)
> > > Also...my optometrist showed me a picture of what I shouldn't see in my
> > eye (basically, the picture was really bloodshot.) Is it normal to be
> > able to see *some* redness (I guess they're the blood vessels) in
> > there? I'm trying to find pictures of what's expected and what's not,
> > but I'm having trouble.
> > > I'm at school and I won't be able to get to my optomentrist at home for
> > a while, so I figured I'd ask for advice around here until I can find
> > someone out by school to see.
> > > Thanks!
> > -liz
> There are only a few reasons why your eye would hurt upon removal of the
> lenses: (in order of likelihood)
> 1. The lens was dry and you irritated or actually removed a bit of the
> superficial cornea epithelium. Eye gets red, feels like something is
> still in there, gets better in a couple of hours, maximum. Fix is to
> put a drop of saline or contact lens appropriate drops in, wait 30 secs
> and remove lenses. Short term: wait at least 12 hours before wearing the
> lens again. If still hurts or feels like something's not right the next
> day, or does not get better in 2 hours, seek immediate medical
> attention! You might have an infection.
> 2. Your finger touched your eye in the process of removing the lens.
> 3. Lens was not clean when put in and slowly irritatde the cornea during
> the day, not noticed until removal. Then as # 1 above. Fix: When storing
> the lenses overnight, be sure to "rub, rinse and store in fresh
> solution". No rub mans no clean. Or at least less clean.
> 4. You are sensitive to the silicone plastic (applies to all silicone
> lenses) and/or the chemicals added to the material---a sometimes issue
> with Acuvue Advance and Oasys. Not likely the cause if it happens to
> only one eye but still possible.
> That should help you trouble shoot and fix/avoid the problem.
> LB, O.D.

#4 09-01-2006, 09:09 PM

On 1 Sep 2006 07:13:20 -0700, liz.goldstein[at]gmail.com wrote:

- quote -

> Whoa whoa whoa, I'm supposed to rub the lenses after I take them out?

I cannot speak for your doctor, but I will tell you how I prescribe
lens care for 2 week daily wear soft contact lens (SCLs) like the
Acuvue Oasys you have been prescribed and what I think of "no rub".
Feel free to consult with YOUR doctor and ask him his opinion of my
recommendations for MY patients:

When I prescribe any multi-purpose solution (MPS) for these type of
lenses I always instruct patients to rub their SCLs gently for 10-20
seconds on each side of the lenses while in the palm of their hand
using liberal amounts of the MPS.

(This is opposed to simply removing the SCLs from their eyes, placing
them in their case, submerging the SCLs in MPS, and closing the lids.)

I instruct them that for the FDA to approve a MPS as "no rub" it has
to kill a certain amount of "bugs" without rubbing the SCLs. I
present the analogy oif taking a dirty T-shirt and sumberging it in
bleach water (kills the bugs) versus the digital agitation of a wash
machine (cleans). The "no rub" MPSs do kill sufficient bugs to make
the FDA happy. However, the digital agitation removes a significant
amount of debris (protein, lipids, etc.) from the SCLs and allows them
to feel more comfortable especially near the end of the replacement
schedule.

I find this to be especially important in the silicone hydrogel
contact lenses (SHCLs) versus older HEMA-based SCLs as I have found
the SHCLs in general do not stay as clean as SCLs do, despite what the
literature may say.

- quote -

> I was told just to rinse and put in the case. They won't rip?

If one is gentle and given proper instruction, the lenses will not rip
except as a fluke rare occurance or if the lens was defective.

I personally have not torn a non-defective SHCL from the simple
cleaning as far as I can remember.

#3 09-01-2006, 05:34 PM

In article <1157085746.518972.55870[at]e3g2000cwe.googlegroups.com> ,
liz.goldstein[at]gmail.com wrote:

- quote -

> Hi...I've received a lot of great answers on here before, I figured I'd
> try again.
> So after all the questions I asked previously, I eventually did end up
> getting contacts, and I'm happy with them. (They're Acuvue Oasys, 2
> week disposables...I'm supposed to open up my new set tomorrow).
> I just took one of my lenses out (admittedly I left it in for too long
> as I was out all day and writing a paper...next time I'll set a timer
> to go off), and although it didn't hurt while it was in, as soon as I
> took it out, my eye started hurting. I put some moisturizing drops in
> and it's starting to feel better. (And I won't wear my contacts this
> weekend to give myself some time away from them.)
> Also...my optometrist showed me a picture of what I shouldn't see in my
> eye (basically, the picture was really bloodshot.) Is it normal to be
> able to see *some* redness (I guess they're the blood vessels) in
> there? I'm trying to find pictures of what's expected and what's not,
> but I'm having trouble.
> I'm at school and I won't be able to get to my optomentrist at home for
> a while, so I figured I'd ask for advice around here until I can find
> someone out by school to see.
> Thanks!
> -liz

There are only a few reasons why your eye would hurt upon removal of the
lenses: (in order of likelihood)

1. The lens was dry and you irritated or actually removed a bit of the
superficial cornea epithelium. Eye gets red, feels like something is
still in there, gets better in a couple of hours, maximum. Fix is to
put a drop of saline or contact lens appropriate drops in, wait 30 secs
and remove lenses. Short term: wait at least 12 hours before wearing the
lens again. If still hurts or feels like something's not right the next
day, or does not get better in 2 hours, seek immediate medical
attention! You might have an infection.

2. Your finger touched your eye in the process of removing the lens.

3. Lens was not clean when put in and slowly irritatde the cornea during
the day, not noticed until removal. Then as # 1 above. Fix: When storing
the lenses overnight, be sure to "rub, rinse and store in fresh
solution". No rub mans no clean. Or at least less clean.

4. You are sensitive to the silicone plastic (applies to all silicone
lenses) and/or the chemicals added to the material---a sometimes issue
with Acuvue Advance and Oasys. Not likely the cause if it happens to
only one eye but still possible.

That should help you trouble shoot and fix/avoid the problem.

LB, O.D.

#2 09-01-2006, 02:25 PM

<liz.goldstein[at]gmail.com> wrote

- quote -

> Whoa whoa whoa, I'm supposed to rub the lenses after I take them out? I
> was told just to rinse and put in the case. They won't rip?

Most doctors agree that rubbing is better than not rubbing. Oasys lenses
aren't fragile.

"No Rub" was a marketing strategy. No new ingredients were added when the
"No Rub" claims came out.

-MT

#1 09-01-2006, 02:13 PM

Whoa whoa whoa, I'm supposed to rub the lenses after I take them out? I
was told just to rinse and put in the case. They won't rip?

William Stacy wrote:
- quote -

> As I've posted here before, I've refit a lot of people with oasys and
> I'm getting a little bit nervous about it due to all the keratitis I've
> seen with the lens. Not sure if it is totally due to this, but
> apparently quite a few of the problem cases have not been digitally
> cleaning (rubbing) the lenses after wear, and quite a few have been
> using generic solutions. Avoid those two issues, and maybe the problem
> will clear. maybe not. Have your doc take a look if you're not a lot
> better by tomorrow or the next day, for sure...
> w.stacy, o.d.
> liz.goldstein[at]gmail.com wrote:
> > Hi...I've received a lot of great answers on here before, I figured I'd
> > try again.
> > > So after all the questions I asked previously, I eventually did end up
> > getting contacts, and I'm happy with them. (They're Acuvue Oasys, 2
> > week disposables...I'm supposed to open up my new set tomorrow).
> > > I just took one of my lenses out (admittedly I left it in for too long
> > as I was out all day and writing a paper...next time I'll set a timer
> > to go off), and although it didn't hurt while it was in, as soon as I
> > took it out, my eye started hurting. I put some moisturizing drops in
> > and it's starting to feel better. (And I won't wear my contacts this
> > weekend to give myself some time away from them.)
> > > Also...my optometrist showed me a picture of what I shouldn't see in my
> > eye (basically, the picture was really bloodshot.) Is it normal to be
> > able to see *some* redness (I guess they're the blood vessels) in
> > there? I'm trying to find pictures of what's expected and what's not,
> > but I'm having trouble.
> > > I'm at school and I won't be able to get to my optomentrist at home for
> > a while, so I figured I'd ask for advice around here until I can find
> > someone out by school to see.
> > > Thanks!
> > -liz

09-01-2006, 05:01 AM

As I've posted here before, I've refit a lot of people with oasys and
I'm getting a little bit nervous about it due to all the keratitis I've
seen with the lens. Not sure if it is totally due to this, but
apparently quite a few of the problem cases have not been digitally
cleaning (rubbing) the lenses after wear, and quite a few have been
using generic solutions. Avoid those two issues, and maybe the problem
will clear. maybe not. Have your doc take a look if you're not a lot
better by tomorrow or the next day, for sure...

w.stacy, o.d.

liz.goldstein[at]gmail.com wrote:
- quote -

> Hi...I've received a lot of great answers on here before, I figured I'd
> try again.
> So after all the questions I asked previously, I eventually did end up
> getting contacts, and I'm happy with them. (They're Acuvue Oasys, 2
> week disposables...I'm supposed to open up my new set tomorrow).
> I just took one of my lenses out (admittedly I left it in for too long
> as I was out all day and writing a paper...next time I'll set a timer
> to go off), and although it didn't hurt while it was in, as soon as I
> took it out, my eye started hurting. I put some moisturizing drops in
> and it's starting to feel better. (And I won't wear my contacts this
> weekend to give myself some time away from them.)
> Also...my optometrist showed me a picture of what I shouldn't see in my
> eye (basically, the picture was really bloodshot.) Is it normal to be
> able to see *some* redness (I guess they're the blood vessels) in
> there? I'm trying to find pictures of what's expected and what's not,
> but I'm having trouble.
> I'm at school and I won't be able to get to my optomentrist at home for
> a while, so I figured I'd ask for advice around here until I can find
> someone out by school to see.
> Thanks!
> -liz

#-1 09-01-2006, 04:42 AM

Hi...I've received a lot of great answers on here before, I figured I'd
try again.

So after all the questions I asked previously, I eventually did end up
getting contacts, and I'm happy with them. (They're Acuvue Oasys, 2
week disposables...I'm supposed to open up my new set tomorrow).

I just took one of my lenses out (admittedly I left it in for too long
as I was out all day and writing a paper...next time I'll set a timer
to go off), and although it didn't hurt while it was in, as soon as I
took it out, my eye started hurting. I put some moisturizing drops in
and it's starting to feel better. (And I won't wear my contacts this
weekend to give myself some time away from them.)

Also...my optometrist showed me a picture of what I shouldn't see in my
eye (basically, the picture was really bloodshot.) Is it normal to be
able to see *some* redness (I guess they're the blood vessels) in
there? I'm trying to find pictures of what's expected and what's not,
but I'm having trouble.

I'm at school and I won't be able to get to my optomentrist at home for
a while, so I figured I'd ask for advice around here until I can find
someone out by school to see.

Thanks!
-liz

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