RGP/Ortho-K Dry Eyes/Sticking Contacts

Discussion in 'Contact Lenses' started by Scot, Jun 8, 2006.

  1. Scot

    Scot Guest

    Anyone have any ideas on sticky rgp contacts? I started with OK back
    in january and am still working to make it right. Today I am pretty
    happy with the results, though I do have some nighttime starbursting.

    My biggest issue is dryness induced decentration. If I wear my lenses
    while I am awake and blinking, it will take about 15 or so minutes for
    my lenses to "stick" on my eyes, generally slightly off center. If I
    put some drops in it will take a few minutes to "unstick" them but 15
    minutes later they will stick again. Putting drops in every 5-10
    minutes is not a viable option as the more drops I put in, the drier my
    eyes seem to get. I would be happy to put the lenses in when it gets
    dark as my starbursts are drastically reduced, but as t it sticks off
    center I get a nice double vision problem the next day which is not
    acceptable.

    My normal use is actually while sleeping where I also have the issue
    but to a much lesser extent. If I put them in and IMMEDIATELY go to
    bed after putting a few drops of the boston re-wetting solution in, I
    am generally fine by the next morning though every once in a while one
    eye will stick a bit.

    I did have my eyes checked with a corneal topographer and it looks
    good, after a night where the contacts did not stick.

    I'll be checking in with the doc next week, but figured I would ask to
    see if anyone had any hints.

    Using boston advance solution, the boston cleaner and boston drops.
    Lenses are jade, based on boston materials (can't remember the exact
    material name but there is only one or two AFAIK from boston)

    Scot
     
    Scot, Jun 8, 2006
    #1
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  2. Scot

    Dr. Leukoma Guest

    If you have dry eyes, you need that addressed. Treatments include
    punctal plugs and drugs such as Restasis. First, you need a dry eye
    workup.

    DrG
     
    Dr. Leukoma, Jun 9, 2006
    #2
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  3. Scot

    Neil Brooks Guest

    AMEN!
     
    Neil Brooks, Jun 9, 2006
    #3
  4. Scot

    Quick Guest

    I agree with what you say except for your assumption that
    it's entirely motivated by cost. A very good number of
    us patients are just plain lazy. We got other stuff to do
    without the inconvenience of taking care of our bodies.
    That's why we came to you. There are some of us who
    take great interest in ourselves and make a point to put
    forth the effort to become as educated a participant in
    our health care as possible, but that's not everybody.

    It is a hassle/inconvenience to go to the doctor's. And
    even more so to go through the HMO process, etc. There
    is always the hope of taking the "quick shot". "Heh doc,
    just try something, maybe we'll get lucky. If not, well,
    then we'll have to go the prescribed route."

    Yes I can well imagine the price thing. Especially with
    something like eye care. There is a perception factor.
    You go to the eye doc and there are glasses, frames,
    and stuff up front for sale. The docs and assistants
    usually aren't wearing white lab coats and full hospital
    gear. It has a sort of commercial atmosphere. Like you're
    at the mall. You go to your GP and the atmosphere is
    different (granted, less pleasant). For some reason you
    expect the charges at your GP to be mysterious, numerous,
    and huge. I won't get into that. Back to the post.

    Absolutely true. It's not your responsibility to know how
    my insurance works and what I'm supposed to do to
    submit a claim. BUT... that's going to be a huge factor
    in my decision to use your services. You have no idea
    the impression it makes when the person at the front
    says "Yes, we take that. I see you have this option so
    your co-pay will be this". "uhhh, do I have to call my
    PCP, submit this form here and that one there?". "No,
    I'll take care of all that for you". Inside I'm going "YES!".

    I would guess it to be cost effective for your office
    management to have someone up front to keep up
    on all this and handle it.

    -Quick
     
    Quick, Jun 9, 2006
    #4
  5. Scot

    Dr. Leukoma Guest

    By the same token, "we" have better things to do than shuffle papers.

    (snip)
    I'm not sure it is ever cost effective. The person who files insurance
    claims cannot also be doing patient care things. Yet, that person adds
    to the overhead of running a practice. Patient X, who used to pay $Y
    for a service, now has insurance that reimburses $0.7Y for the same
    service. When every provider is on the same panel, all that has been
    accomplished is that additional layers of cost have been added to
    service the same patient.

    Yes, we're doing more for the same amount of money, or less money
    usually, but it isn't related to patient care or services.

    DrG
     
    Dr. Leukoma, Jun 9, 2006
    #5
  6. Scot

    Scot Guest

    I think the issue is less about lazy patients and more about the lack
    of valuable information out there. Nowhere have I found this more
    apparent than in dentistry, with eye procedures and practices being a
    close second :) Much of the information you do find is biased and
    there are a great number of doctors out there who are basically sales
    people for different brands. I know this isn't always the case, but
    from the consumers standpoint it is a bit disconcerting.

    At this point patients don't know what to ask for. Just the fact I am
    asking this here says something, and I would rate myself as a
    persistant searcher for information.

    As for my condition, I will be seeing the doc next week so its all
    good, just looking for more information. To the question of "dry eye" I
    never really seem to have an issue except with contacts. The longer I
    wear them, the dryer my eyes get. I take em out, and viola I am fine
    again. Must be nice to be one of those people who can just pop them in
    early and take em out at midnight.

    Scot
     
    Scot, Jun 10, 2006
    #6
  7. Scot

    Dr. Leukoma Guest

    Scott, trust me. I routinely fit RGP lenses on very challenging cases.
    If you don't have enough tears to float them, they will stick. Of
    course, that isn't the only variable, but it should not be overlooked.

    DrG
     
    Dr. Leukoma, Jun 10, 2006
    #7
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