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Medical Forum / General / Vision / June 2005

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Whats so great about silicone-hydrogels?

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crb - 18 Jun 2005 17:38 GMT
why are they safer

I had lousy luck with comfort with the first ones I tried last year. I
wish I
remember the exact model I had.

Are their newer ones out to  try?
LarryDoc - 18 Jun 2005 18:46 GMT
> why are they safer
>
[quoted text clipped - 3 lines]
>
> Are their newer ones out to  try?

1. 4 to 12 times the oxygen permeability of older tech lenses (depends
on how old the tech and which current silicone material). The high level
of oxygen reaching the cornea eliminates tissue swelling, engorgement of
the capillaries surrounding the cornea and the potential for
neovascularization (new blood vessels growing where they should not) and
allows for rapid healing of minor cornea surface damage. This in turn
reduces the risk of infection.
2. material does not foster bacteria/virus growth on the surface which
reduces potential for infection.
3. material does not dehydrate on the eye and change fitting
configuration.
4. surface far more resistant to deposits, although some si-hydros will
deposit lipids but generally less so than older tech lenses.
5. material more eye tissue compatible for most people.
6. material does not "soak up" chemical residues from lens care products
or that which is dissolved in tears following exposure to atmospheric
contamination.

In short, silicone hydrogels, IMHO and that of many others, makes all
other soft lens plastics obsolete. Silicone hydrogel lenses mark the
first significant change on soft contact lens chemistry in a decade, and
the previous change was minor in comparison, so perhaps the first real
change in 25 years.

A year ago there was only one lens on the market in the USA. (Not so
elsewhere.) Today, there are four: (in particular order: Acuvue Advance,
Purevision, O2Optix, Focus Night&Day.) There will likely be two more
coming sometime soon.

--LB, O.D.
kemccx@gmail.com - 18 Jun 2005 23:00 GMT
I'll reply as a patient who's been trying to find the right contact
lens after not wearing them for many years.  I find the silicone
hydrogel lens very comfortable, but the vision is less than acceptable
for me.  I'm not sure why that is.  The OD is perplexed as well, since
my slight astigmatism should not affect the results to that degree.
So, I keep going back to the Biomedics 55, where the vision is better.
Karen
Dr. Leukoma - 19 Jun 2005 04:09 GMT
Karen, I have seen this as well.  I think the reason is that the
silicone hydrogels, because of their elastic modulus, do not drape as
well.  As a result there might be some vaulting of the lens over the
cornea which changes the focus with every blink.  I have recently been
through this exercise with one of my patients.  Pehaps switching to a
flatter base curve will help.

DrG
kemccx@gmail.com - 19 Jun 2005 19:26 GMT
Interesting.  He gave me another trial lens to use - at a higher
prescription  it's a -6.0,  8.6 , 13.8 - which is the base curve value?
And, if it's the last number, is it flatter than a 14.2 ?  All my
other lenses have been 8.6 and 14.2.  Thanks
Karen
Dr. Leukoma - 19 Jun 2005 21:28 GMT
> Interesting.  He gave me another trial lens to use - at a higher
> prescription  it's a -6.0,  8.6 , 13.8 - which is the base curve value?
>  And, if it's the last number, is it flatter than a 14.2 ?  All my
> other lenses have been 8.6 and 14.2.  Thanks
> Karen

I can only hope that future posters will provide the technical details
first.

The base curve is 8.6, the diameter is 13.8.  I can tell from this that
you are wearing the Focus N&D.  For this lens, 8.6 is the flatter of
the two available base curves.  The Focus N&D has the lowest water
content and the highest elastic modulus.  It is very stiff.  Is this
the lens you were complaining about in your first post?  The only other
available silicone hydrogel lens in a flatter base curve is the Acuvue
Advance.  It has a higher water content, and a correspondingly lower
elastic modulus.

DrG
crb - 21 Jun 2005 00:49 GMT
>  
>
[quoted text clipped - 38 lines]
>--LB, O.D.
>  

Great information. Since I have Focus now maybe I'll try the Sil. Hyd.
focus.
Whatever Sil. Hy. the eyedoctor tried on me about 7 months ago was very
uncomfortable.
Felt like my eyes were dried out but they weren't. Almost painful and I
had the urge to close my
eyes.
 
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