Focus Day & Night - in the morning film develops

Hello, I am new in here and also new regarding contact lenses. I got
these Focus N&D few days ago, and for the first couple of days I was
taking them out at night, put them in that peroxide solution over
night and put them back in in the morning...For the last couple of
days I've been sleeping with them and they feel just great over night
and in the morning, however my vision is kind of blury in the
morining, just like there is something on them and there is. I have to
take them out, and rinse them. There is some kind of white film on
them and because of that I can't see very good. When I rinse them, put
them back in, everything is just great.
Has anyone experienced something like this, is it normal, will it go
away.
Also, do they have to be ever cleaned, disinfected in that
hydrogen-peroxide solution overnight even though I know they are
designed to sleep with them for up to 30 days.

Thank you

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

> Hello, I am new in here and also new regarding contact lenses. I got
> these Focus N&D few days ago, and for the first couple of days I was
> taking them out at night, put them in that peroxide solution over
> night and put them back in in the morning...For the last couple of
> days I've been sleeping with them and they feel just great over night
> and in the morning, however my vision is kind of blury in the
> morining, just like there is something on them and there is. I have to
> take them out, and rinse them. There is some kind of white film on
> them and because of that I can't see very good. When I rinse them, put
> them back in, everything is just great.
> Has anyone experienced something like this, is it normal, will it go
> away.
> Also, do they have to be ever cleaned, disinfected in that
> hydrogen-peroxide solution overnight even though I know they are
> designed to sleep with them for up to 30 days.
>
> Thank you

If you can simply rinse off the "film", then it is likely just normal
tear film mucous coating the lens. You might want to try just putting a
few drops of saline or contact lens drops in your eye when you arise. If
you need to take them out for cleaning (and you should use a surface
cleaning solution then) each morning, perhaps sleeping in your lenses in
not a good option.

When lenses become soiled from make-up or exposure to the envirnoment,
or deposited with mucous, oil or protein from your tears, they need to
be cleaned with a surface contact lens cleaner. Whether or not you sleep
in them does not matter. IF they are dirty, they must be cleaned.

If you remove your lenses and they remain out of your eyes overnight,
they must be disinfected prior to re-use.

Do keep in mind that just because the Focus Night & Day is designed and
approved for continuous 30 day wear does not mean that everyone can do
that---safely or with good vision. They are also excellent lenses when
used for daily wear use and 30 day replacement. And some people use
them on a flexible schedule---sleep in when convenient (and healthly)
and take them out overnight for cleaning and disinfection when needed.

BTW, Ciba's Clean Care (called AO Sept Plus outside the USA ) is an
excellent hydrogen peroxide disinfection with built-in cleaner that make
work for you. Still, some people require a separate "rub and rinse"
cleaner.

--LB

--
Dr. Larry Bickford, O.D.
Family Practice Eye Health & Vision Care

The Eyecare Connection
http://www.eyecarecontacts.com
larrydoc at eye-care-contacts dot com (remove -)

Hello, thank you Doctor for the reply. Yes,I can simply rinse off that
film with Saline but I do have to take them out in order to do that.
I've tried putting in some drops like COMPLETE Blink-N-Clean and Renu
Lubricating drops, but they do not help with that problem whatsoever.
If sometimes I have dry eyes, these drops are made in heaven for that,
however they won't clean this film at all.And it's really anoying,
because it feels like weaker prescription, cloudy....
I have a first follow-up tomorrow, so I'll make sure to ask doctor
what's going on.
But, since these are made to be slept with, I guess there is no need
to clean them overnight for, they say, up to 30 days. Is that
healthy??? Don't they get dirty, bakteria forms on them?????

I do once in a while put them in hydrogen peroxide disinfection with
built-in cleaner from CIBA overnight, just to make sure they get
propery disinfected and cleaned.But I do not understaned that film
that forms on them at all, never had that problem before but also
never slept with contacts before either...

Thank you

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

> Hello, thank you Doctor for the reply.

You're welcome!

>I have dry eyes, these drops are made in heaven for that,
> however they won't clean this film at all.And it's really anoying,
> because it feels like weaker prescription, cloudy....

Dry eyes will indeed help to make the lenses become soiled more quickly.

> I have a first follow-up tomorrow, so I'll make sure to ask doctor
> what's going on.
> But, since these are made to be slept with, I guess there is no need
> to clean them overnight for, they say, up to 30 days. Is that
> healthy??? Don't they get dirty, bakteria forms on them?????

As I wrote, if they become "dirty", they need to be removed and cleaned.
Allowing a dirty or uncomfortable lens to stay in contact with your eye
is not healthy. If they are out of your eyes for overnight, they need to
be stored in a disinfecting lens care product appropriate for the
material (like ClearCare,) Just because the lens is marketed for
overnight use does not imply that that is a safe and healthy option.

>
> I do once in a while put them in hydrogen peroxide disinfection with
> built-in cleaner from CIBA overnight, just to make sure they get
> propery disinfected and cleaned.But I do not understaned that film
> that forms on them at all, never had that problem before but also
> never slept with contacts before either...

Some people develop deposits and film and some people do not. If YOU do
and cannot find a way to prevent it from occurring (ask your doctor),
you need to find the appropriate method for managing it, eg: change to a
different lens material and/or wearing schedule.

--LB

--
Dr. Larry Bickford, O.D.
Family Practice Eye Health & Vision Care

The Eyecare Connection
http://www.eyecarecontacts.com
larrydoc at eye-care-contacts dot com (remove -)

Hello SrkY,

I just read all your posts and LarryDoc's (some excellent comments
being made by Larry). I have what sounds like the exact same issue
that you do, and it is comforting to finally hear that somebody else
can relate to me!

When I am using a new pair of Focus Night & Day lenses, which I wear
on a continuous-wear schedule (up to about 3 weeks extended wear),
there are certain days (almost always day #3) when I wake up with
slightly blurry vision in one or both lenses, as if my lenses are
coated with a largely invisible greasy film (not whitish like yours
is). In my case, I am convinced that this is a lipid deposit that is
for some reason more likely to form on a new lens. Once I remove and
clean the lens (a quick rubbing with Complete Moisture Plus will do
it), it is usually then fine for the remainder of its life, although
occasionally the same thing happens a day or two later. I have been
hypothesizing that a protective biofilm eventually forms on my lenses
that decrease their affinity for these lipids--a biofilm that does not
wash off with my cleaning solution. Alternatively, I have wondered if
the cleaning solution itself chemically changes (or coats) the surface
of the lenses to make them more resistant to these lipids (any further
discussion from the docs here on these ideas would be welcome--my own
OMD doesn't have an explanation).

SrkY, I'm curious if you have worn these lenses long enough to notice
if they become cleaner in the morning after they've been washed a few
times?

Lothar

On 3 Jul 2004 09:28:33 -0700, (E-Mail Removed) (SrkY) uttered like
so:

>Hello, I am new in here and also new regarding contact lenses. I got
>these Focus N&D few days ago, and for the first couple of days I was
>taking them out at night, put them in that peroxide solution over
>night and put them back in in the morning...For the last couple of
>days I've been sleeping with them and they feel just great over night
>and in the morning, however my vision is kind of blury in the
>morining, just like there is something on them and there is. I have to
>take them out, and rinse them. There is some kind of white film on
>them and because of that I can't see very good. When I rinse them, put
>them back in, everything is just great.
>Has anyone experienced something like this, is it normal, will it go
>away.
>Also, do they have to be ever cleaned, disinfected in that
>hydrogen-peroxide solution overnight even though I know they are
>designed to sleep with them for up to 30 days.
>
>Thank you

SrkY wrote:
> I do once in a while put them in hydrogen peroxide disinfection with
> built-in cleaner from CIBA overnight, just to make sure they get
> propery disinfected and cleaned.But I do not understaned that film
> that forms on them at all, never had that problem before but also
> never slept with contacts before either...

I have tried contacts on and off since 1960. The hard ones can defy a
lot of chemicals, but the soft ones will vary in their vulnerability to
such clouding and even spotting. Their manufacturing process material,
like any chemical batch process, can vary from year to year and
sometimes from batch to batch, despite "the highest quality control".
The exact nature of the batch chemistry, the curing process, and their
history of exposure can bring varied results... sort of like reeds for
playing an oboe. If you get a bad one, just obtain a replacement, and go
forward.. Sometimes two or three have to be experienced to create a good
pair. I usually keep a good set and a back- up set from also-rans....

se la vie

Angelo Campanella