Contact Lenses and Solutions Online?
Contact Lens Forum used to post an online listing of Solutions and Contact Lenses online but have dropped it. Does anyone else do it now?
A most excellent cleaner/ Pre-Wetter
Just the other day I had a patient in with RGP's so coated you couldn't even tell the color of the plastic. I sprayed one lens in flat pack with Perma-Brite (a cleaner mostly EDTA, formerly known as Obrite) sold by Danker/Utica labs. I was interupted for a few minites and returned, the sprayed lens had returned to it's origional color and shined like brand new.
I took it back to the patient and showed him the cleaned and uncleaned lens in a white flat pack. He immeadiately became a believer in cleaning his lenses and coming in for his bi-annual check-ups.
I have known since the '60's that PermaBrite was an excellent cleaner and often found that "new" lenses when they came from the lab would not "wet" properly. If I sprayed and rubbed, and rinsed these new lenses and then rubbed them as I should with proper "wetting" or "conditioning" solution the lens would wet excellently.
I have for decades advised my rigid bifocal contact lens patients to clean with Perma-Brite prior to overnight storage.
And no I don't have any financial (other than I owe them money at the end of each month) interest in Danker/Utica labs.
Chip
Overwearing extended wear
I thought Chip and some others would appreciate this over-wearing story. I had a pt , one of the few, who was a really successful extended wear person. Back in the 70's, we would insist all extended wear patients return after 1st day of sleeping in lenses and if all looked good, return for periodic checks.Only those who did not show deposits were allowed to go a full 2 weeks. Now, this one patient , after 30 days of wear, looked like she had just inserted them. She was instructed to continue monthly wear if everything remained the same. Two and 1/2 years leater she was in for an exam and admitted she had not removed the contacts at all because it took them a day to feel real comfortable again. Amazingly, the contacts were removed and examined for deposits to find that they were still free of deposits but had yellowed slighty. I explained to my patient the dangers of over-wear, she was an RN, after-all, and she agreed not to repeat the over-wear. Next time I saw this patient, she again admitted to wearing these conact lenses for a year and a half. She had corneas that looked like a non-contact lens wearer-no neovasc at all and the contact were free of deposits or protein. I believe the contacts were Hydrocurve torics.