best polymer contacts for dryish, oily eyes?

Because of job changes and companies changing insurance carriers,
I've had to go to a different eye doctor every year. And every
year, they say "that was the wrong type lens for you," and give
me a different polymer lens with the same problems.

I have a very oily, proteinous tear film, and I can't use any of
the all-in-one cleaning/soaking solutions without them feeling
pretty cruddy after one day. I have to alternate two pairs of
lenses, use the soapy-rubby cleaner and let them soak overnight in
all-in-one-solution with protein remover drops, and then put them in
the ClearCare (formerly AOSept) peroxide solution the next day.

They are usually fine the first whole day out of the box. After that,
If I only use rubby cleaner and all-in-one solution, or only rubber
cleaner and Clearcare overnight, they feel somewhat cruddy after one
day, and tend to slime up, fog over, and sometimes fall out of my
eyes after 4 or 5 hours. And even using the extra solutions, they
still often fogged over and sometimes fell out while I was driving
home from work.

I would like to try 1-day disposables, because the cleaning regimen
is so much of a bother that I gave up my vanity and started wearing
glasses when I leave the house (I don't need any for reading, using
the computer, or anything in the house except watching the living
room TV), but my eye doctor doesn't think they will work well for my
oily and somewhat dry tear film.

Does anyone have any suggestions for polymer types that might be
best for me?

--
jamie ((E-Mail Removed))

"There's a seeker born every minute."

(E-Mail Removed) (jamie) wrote in
news:(E-Mail Removed):

> Because of job changes and companies changing insurance carriers,
> I've had to go to a different eye doctor every year. And every
> year, they say "that was the wrong type lens for you," and give
> me a different polymer lens with the same problems.
>
> I have a very oily, proteinous tear film, and I can't use any of
> the all-in-one cleaning/soaking solutions without them feeling
> pretty cruddy after one day. I have to alternate two pairs of
> lenses, use the soapy-rubby cleaner and let them soak overnight in
> all-in-one-solution with protein remover drops, and then put them in
> the ClearCare (formerly AOSept) peroxide solution the next day.
>
> They are usually fine the first whole day out of the box. After that,
> If I only use rubby cleaner and all-in-one solution, or only rubber
> cleaner and Clearcare overnight, they feel somewhat cruddy after one
> day, and tend to slime up, fog over, and sometimes fall out of my
> eyes after 4 or 5 hours. And even using the extra solutions, they
> still often fogged over and sometimes fell out while I was driving
> home from work.
>
> I would like to try 1-day disposables, because the cleaning regimen
> is so much of a bother that I gave up my vanity and started wearing
> glasses when I leave the house (I don't need any for reading, using
> the computer, or anything in the house except watching the living
> room TV), but my eye doctor doesn't think they will work well for my
> oily and somewhat dry tear film.
>
> Does anyone have any suggestions for polymer types that might be
> best for me?
>

Proclear Compatible -- Omafilcon.

DrG

In article <(E-Mail Removed)>,
(E-Mail Removed) (jamie) wrote:


> I would like to try 1-day disposables, because the cleaning regimen
> is so much of a bother that I gave up my vanity and started wearing
> glasses when I leave the house (I don't need any for reading, using
> the computer, or anything in the house except watching the living
> room TV), but my eye doctor doesn't think they will work well for my
> oily and somewhat dry tear film.
>
> Does anyone have any suggestions for polymer types that might be
> best for me?

omafllcon (Proclear Compatibles, CooperVision). Monthly replacement.
Requires cleaning (non-alcohol containing).

hioxifilcon (a number of brands) avail as two week, monthly and
quarterly replacement. Requires cleaning.

silicone hydrogels like Optix, Night&Day (Ciba), Purevision (Bausch &
Lomb)

Daily replacement lenses: Focus Dailies (Ciba) might work.

--LB, O.D.

LarryDoc <(E-Mail Removed)> wrote in news:larrydoc-
(E-Mail Removed):

> In article <(E-Mail Removed)>,
> (E-Mail Removed) (jamie) wrote:
>
>
>> I would like to try 1-day disposables, because the cleaning regimen
>> is so much of a bother that I gave up my vanity and started wearing
>> glasses when I leave the house (I don't need any for reading, using
>> the computer, or anything in the house except watching the living
>> room TV), but my eye doctor doesn't think they will work well for my
>> oily and somewhat dry tear film.
>>
>> Does anyone have any suggestions for polymer types that might be
>> best for me?
>
> omafllcon (Proclear Compatibles, CooperVision). Monthly replacement.
> Requires cleaning (non-alcohol containing).
>
> hioxifilcon (a number of brands) avail as two week, monthly and
> quarterly replacement. Requires cleaning.
>
> silicone hydrogels like Optix, Night&Day (Ciba), Purevision (Bausch &
> Lomb)
>
> Daily replacement lenses: Focus Dailies (Ciba) might work.
>
> --LB, O.D.
>

Silicone-hydrogels are susceptible to lipid spoilation.

DrG

In article <Xns95BFD8AE879CEdrgleukomacom@204.127.199.17>,
"Dr. Leukoma" <(E-Mail Removed)> wrote:

> Silicone-hydrogels are susceptible to lipid spoilation.

Indeed. I've certainly seen it and "it happened to me!". Rigid
permeable lenses for now, at least until there's a si-hydro multifocal
to try.

For some reason, the new Optix seems a little less susceptible to lipid
deposits, as did Advance (I don't have a large enough N to really know
on that one.)

--LB, O.D.

LarryDoc <(E-Mail Removed)> wrote in news:larrydoc-
(E-Mail Removed):

> In article <Xns95BFD8AE879CEdrgleukomacom@204.127.199.17>,
> "Dr. Leukoma" <(E-Mail Removed)> wrote:
>
>> Silicone-hydrogels are susceptible to lipid spoilation.
>
> Indeed. I've certainly seen it and "it happened to me!". Rigid
> permeable lenses for now, at least until there's a si-hydro multifocal
> to try.
>
> For some reason, the new Optix seems a little less susceptible to lipid
> deposits, as did Advance (I don't have a large enough N to really know
> on that one.)
>
> --LB, O.D.
>

It probably is related to water content, as the O2Optix is nominally 33% or
thereabouts.

DrG