Contact lens solutions and eye drops for dry eyes

Discussion in 'Contact Lenses' started by carrolldf, Nov 18, 2003.

  1. carrolldf

    carrolldf Guest

    I have been prescribed Biomedics Toric lenses. I have dry eyes. My
    optometrist has recommended that I use only a peroxide based
    disinfectant solution (Ciba Vision AO Sept) to minimize the problems
    with dry eyes. Can anyone (especially eye care providers) comment on
    this? It would certainly be a lot easier when I travel to use a
    multicare product in a single bottle instead of having to mess with
    disinfectent, cleaner, and saline solution.

    He has also recommended Refresh contacts for drops. Are these the
    best for dry eyes? He did say (when I specifically asked) that I
    could use the Refresh Plus as well (I like the individual dose
    packaging -- easier to carry around than the bottles).

    Thanks for your replies.
     
    carrolldf, Nov 18, 2003
    #1
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  2. I'm not an eye care provider, but I can comment based on my own
    experience experimenting with lots of different cleaning solutions. I
    think you'll find that most contact lens specialists recommend
    peroxide-based cleaners (the docs & opticians can correct me if I'm
    wrong), but not because it's necessarily any better for dry eyes, but
    because there are no preservatives in it that can potentially irritate
    your eyes. AOSEPT Clear Care is the one I've used--it's a one-step
    cleaner (there's another product simply called AOSEPT disinfectant
    that is a different product and must be used in conjunction with a
    separate daily cleaner--I'll leave it to the docs to give their
    opinion which is better).

    I like the Clear Care system a lot, but the only thing that has kept
    me from using it regularly is that it requires a full 6-hour soak, or
    else you may burn your eyes from the residual un-neutralized peroxide.
    I sometimes have to put my lenses back in after a much shorter soak
    (at least I used to before I started wearing Focus Night & Days
    extended wear), so I prefer to use Complete Moisture Plus. It's
    supposed to have lubricating properties, and does seem to make my
    lenses feel comfortable. Here's a very interesting article about it:

    http://www.clspectrum.com/archive_results.asp?article=12461
    I'll bet you won't get any consensus here as to which drops are best,
    other than to use non-preserved drops (like Refresh). I prefer
    TheraTears, which comes in multi-use bottles (as well as single-use
    bottles, I think) and becomes preservative-free on contact with the
    eyes. It's a lot cheaper than buying lots of single-use bottles (but
    still expensive). My lens fitters always just seem to give me
    whatever they happen to have samples of, and don't seem to have any
    preferences that they have ever told me. I've tried all sorts of
    rewetting drops though and haven't really noticed any difference among
    them (personally) other than their viscosity.

    Lothar
     
    Lothar of the Hill People, Nov 18, 2003
    #2
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  3. carrolldf

    carrolldf Guest

    Thanks. I haven't seen the AOSept Clear Care locally (San Antonio).
    I have been using the AOSept Disinfectent, etc. I will look again and
    see if I've just overlooked Clear Care and give it a try.
     
    carrolldf, Nov 19, 2003
    #3
  4. carrolldf

    feeneyl Guest

    He has also recommended Refresh contacts for drops. Are these the
    As someone has tried multiple brands of OTC eye drops during the past
    year(Refresh Plus, Genteal, TheraTears, Bion Tears, Visine Tears,
    Systane, HypoTears, and Refresh Endura), I can tell you that you are
    likely to be in for some trial and error. Everyone has a slightly
    different eye chemistry and different sensitivities. For example, I
    have found that my eyes cannot take methylcellulose, hypotonic
    forumulations, or preservatives. I even found that Bion Tears, in
    addition to irritating my eyes, affected my eye color (changing it
    from green to brown). Your experience will probably vary.

    There is an interesting discussion of OTC eye drops at

    http://www.agingeye.net/dryeyes/dryeyesdrugtreatment.php
     
    feeneyl, Nov 19, 2003
    #4
  5. I haven't seen it in a lot of drugstores. If you have a CVS near you,
    they should have it, or you can order it from www.cvs.com or other
    online pharmacy.

    Lothar
     
    Lothar of the Hill People, Nov 19, 2003
    #5
  6. Interesting! Maybe some pharmaceutical company should research why
    that happens, and develop an eyedrop for changing eye color. Perhaps
    that would be safer for people who choose to wear colored contacts
    when they don't even need correction. Of course, if the color change
    is accompanied by irritation or other side effects, that wouldn't be
    such a good thing.

    Was your color change temporary, and was it gradual? Has anybody else
    heard of such a thing happening?

    Lothar
     
    Lothar of the Hill People, Nov 19, 2003
    #6
  7. carrolldf

    carrolldf Guest

    Thanks. I'll check it out.

    One thing I find interesting now is that it seems that previously,
    most drops either stated explicitly that they were safe to use with
    contacts or else that they should not be used with contacts. It seems
    that many are now silent on the subject. For example, Refresh Plus
    does not say that it's safe for use with contacts nor does it say not
    to use with contacts. Obviously, if the packaging states that the
    product should not be used with contacts, I wouldn't try it. But I'm
    guessing unless specifically stated not to use them, it's okay to use
    the artificial tears / dry eye products with contacts.
     
    carrolldf, Nov 19, 2003
    #7
  8. I've had ophthalmologists/fitters recommend drops to me that are not
    labeled that they are specifically for contact lens use. One of these
    was Refresh Endura, which my doc gave me a sample of. When I e-mailed
    the manufacturer (Allergan), I was told "we do not recommend that you
    use this product with contact lenses."

    I also wrote to the manufacturer of TheraTears, which also does not
    label its product for contact lens use, but I was told "Many of our
    patients have reported success using TheraTears with their contacts,
    both hard and soft and many of the physicians we work with recommend
    TheraTears for use while wearing contacts."

    (I saved these e-mails--the above are exact quotes).

    It often seems to me that manufacturers (with a few exceptions) stop
    short of going on record about whether a lubricating drop is
    appropriate for contact lens use, and prefer to leave it up to the
    doctors or patients to accept the responsibility for how it is to be
    used!

    Lothar
     
    Lothar of the Hill People, Nov 19, 2003
    #8
  9. carrolldf

    feeneyl Guest

    I even found that Bion Tears, in
    I think the pharmaceutical companies are aware of this. I think they
    don't worry about it much since such a large portion of the population
    is already brown-eyed.

    My mother has gray eyes and has to use drops for glaucoma. Her
    ophthamologist asked her how she felt about drops that would affect
    her eye color. She wasn't thrilled with the idea. The color-changing
    drops did not help reduce her IOP so he switched her to anoter one
    that did lower the pressure and did not affect eye color.

    I was very surprised that this would happen with an OTC eye drop,
    however. I only used it for two days. It didn't affect the entire
    iris. I could basically see a brown splash mark where the drops made
    initial contact. I imagine that if I had continued to use the product
    that the whole iris would eventually have been affected. Fortunately,
    my eyes returned to their normal color after a few weeks.
     
    feeneyl, Nov 19, 2003
    #9
  10. I guess such a product would enjoy far greater acceptance (and have
    greater commercial appeal for further research) if it worked the other
    way--make your brown eyes blue, for example. I think there's a song
    about that...
    That's bizarre.

    Lothar
     
    Lothar of the Hill People, Nov 19, 2003
    #10
  11. carrolldf

    The Real Bev Guest

    And rather cool. My granddaughter has her Colombian mom's brown eyes
    and her father's and my dishwater-blonde hair. It would be slick to dye
    my eyes to match hers. Gotta think about this...
     
    The Real Bev, Nov 19, 2003
    #11
  12. carrolldf

    y_p_w Guest

    This is not advice I'm giving. However.....

    I remember there was some concern about someone who couldn't
    find Allergan Refresh Plus in some overseas market, and it was
    alleged that Allergan Refresh Contacts (available there) was identical
    in every way except labelling - that seems to be what your eye doc
    has hinted at. Their ingredients label seems to be the same.

    Second - Allergan has spun off their surgical and contact lens care
    divisions into the AMO (Advanced Medical Optics) company. It seems
    as if Refresh Contacts is being phased out because Allergan is no
    longer in the CL care business - I was still able to find some on the
    shelves of a local Wal-Mart.

    Third - Refresh Contacts used to be available in single-use vials too.
     
    y_p_w, Nov 20, 2003
    #12
  13. carrolldf

    y_p_w Guest

    This is not advice I'm giving. However.....

    I remember there was some concern about someone who couldn't
    find Allergan Refresh Plus in some overseas market, and it was
    alleged that Allergan Refresh Contacts (available there) was identical
    in every way except labelling - that seems to be what your eye doc
    has hinted at. Their ingredients label seems to be the same.

    Second - Allergan has spun off their surgical and contact lens care
    divisions into the AMO (Advanced Medical Optics) company. It seems
    as if Refresh Contacts is being phased out because Allergan is no
    longer in the CL care business - I was still able to find some on the
    shelves of a local Wal-Mart.

    Third - Refresh Contacts used to be available in single-use vials too.
     
    y_p_w, Nov 20, 2003
    #13
  14. carrolldf

    feeneyl Guest

    I could basically see a brown splash mark where the drops
    Rare it may be, but it did happen and they weren't flecks or
    "freckles".
    About 1/4 of the iris was affected. The color difference was quite
    obvious -- not a subtlety of the light source. My eyes do have color
    flecks, but they are gray and green -- a definite Kelly green --
    nothing approaching brown.
    The flecks are distributed throughout the iris -- not concentrated in
    the area where the drops made initial contact.
     
    feeneyl, Nov 20, 2003
    #14
  15. carrolldf

    CHip Guest

    I've dealt with rigid contacts for three years. I've never found an
    eyedrop that allows me to wear lenses for more than a couple hours.
    Recently Cibavision came out with Aquify, an eyedrop containing sodium
    hyaluranate. This medication is apparently quite popular with contact
    wearers in Europe. I've found I can wear lenses for 4-6 hours if I'm
    using Aquify. It's new and hard to find; I'm still using samples
    sent to me from Ciba. Hopefully the drops will be available soon. It
    will be an OTC medication costing under $10 per bottle.
     
    CHip, Nov 24, 2003
    #15
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