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Medical Forum / General / Vision / October 2005

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When to rinse RGP lenses?

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Woon Wai Keen - 19 Oct 2005 18:20 GMT
Hi,

I don't think my optometrist indicated clearly when I should rinse my
RGPs with saline. My next visit to them will be in a week's time so I
thought I'd ask here instead.

Do I need to rinse after:

1) Rubbing it with cleaner (Boston Advance)
2) Removing them from the condition solution (Boston Advance)

Thanks.

Signature

Regards,
wK

Wooly - 19 Oct 2005 18:33 GMT
Based on my memories of wearing RGPs you shouldn't need to rinse them
at all.  Wash your hands thoroughly with an oil-free detergent-based
cleanser, pop them right in.

>Hi,
>
[quoted text clipped - 8 lines]
>
>Thanks.

+++++++++++++

Reply to the list as I do not publish an email address to USENET.
This practice has cut my spam by more than 95%.  
Of course, I did have to abandon a perfectly good email account...
Quick - 19 Oct 2005 19:02 GMT
Depends on the solution (or multipurpose solution) that you
are using. For stuff that requires rinsing before inserting into
the eye the tip (usually the cap too) of the bottle will be red.
For stuff that is OK to go in the eye the tip will be white or green.

You should probably "rinse" just a touch after rubbing them
before you drop them into case with disinfecting/storage solution.

For example the Lobob cleaning/disinfecting/storage solution
should not get into your eyes and has a red tip. Unique PH
multipurpose solution has a white tip and you can take the
lens directly from the solution to the eye.

-Quick

> Based on my memories of wearing RGPs you shouldn't need
> to rinse them at all.  Wash your hands thoroughly with an
[quoted text clipped - 21 lines]
> Of course, I did have to abandon a perfectly good email
> account...
Neil Brooks - 19 Oct 2005 19:08 GMT
>Depends on the solution (or multipurpose solution) that you
>are using. For stuff that requires rinsing before inserting into
[quoted text clipped - 8 lines]
>multipurpose solution has a white tip and you can take the
>lens directly from the solution to the eye.

Maybe another way to frame the question is: is there any downside in
always rinsing an RGP with saline solution before inserting it into
the eye?

In other words: even if you use a conditioning solution intended for
direct-from-storage insertion, is that solution automatically better
for comfort, etc., than saline?
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Live simply so that others may simply live

Quick - 19 Oct 2005 21:03 GMT
>> Depends on the solution (or multipurpose solution) that
>> you
[quoted text clipped - 25 lines]
> solution automatically better for comfort, etc., than
> saline?

Sure. I guess it could be. Unique PH is pretty viscous.
I've never used a saline solution formulated for contacts
so maybe my impression that it is close to water in viscosity
is wrong. I have tried the clear care system on my RGPs.
I was under the impression that the disk reacted with the
hydrogen peroxide to convert it to saline solution. It was
pretty thin. Could just be me. We're still working on fit.
Apparently I have dry eyes and I have been using drops
(Blink) every 2 to 4 hours for the most comfort. Going
straight from the Unique PH is pretty much the same as
putting drops on the lens before insertion. Going straight
from Clear Care was not. I had to put drops on the lenses
before insertion.

By the way, my doc said that everybody seems to be divided
on whether Clear Care is good (long term) for RGP materials
or at least some of them).

-Quick
LarryDoc - 20 Oct 2005 00:50 GMT
Here's the scoop on RGP lens care.  (PS: the mostly applies to soft
lenses as well and I tried to note that in the text.)

There are a number of different plastics and some are more compatible
with one brand of solution(s) than others. Some products can actually
damage the lens. You should use the product that is recommended by the
manufacturer. Oftentimes there are a number of good choices and
sometimes there is only one.

Hydrogen peroxide systems like ClearCare and AOSept can destroy certain
plastics. (Not generally true for soft lenses, but certain
alcohol-containing cleaning solutions can damage some soft lenses and
destroy some RGP plastics.)

Wetting solution as a product to apply to the lens prior to insertion is
designed to increase surface wetting and decrease lid-lens interaction:
to increase comfort. Some plastics almost *require* this step and others
may perform better using plain saline as a final rinse.

Cleaning solutions applied to the lens need to be rinsed off with water
or saline. If the water is very hard or very soft, saline is preferred.
Personally, I prefer saline to tap water whenever possible. (Tap water
may not be used on soft lenses.)

Multi-step care (cleaning/rinsing/storage in disinfection
solution/rinsing and then wetting solution) is always preferable to
multipurpose solution used in the no-rub mode.  Adding digital cleaning
by rubbing helps but is never as complete as using a separate cleaning
solution.

Multipurpose solution applied directly into the eye means you are dosing
your eyeball with a heavily preserved cleaning and disinfecting product.
Is that worth the convenience? Multi-step care certainly takes a little
more time and attention. Some final step wetting solutions (eg: Optimum)
have very little potential for chemical sensitivity compared to others.
Unpreserved saline as a final rinse prior to insertion can reduce that
near zero. Some RGP plastics do well with that and others do not.

I hope that answers the issues in this discussion.

One more thing: the lens case. Please clean that, too! And replace it
often, especially when it appears unclean.

--LB, O.D.
Robert Martellaro - 19 Oct 2005 21:16 GMT
>Hi,
>
[quoted text clipped - 8 lines]
>
>Thanks.

You should consult with your CL fitter for specific instructions pertaining to
your eyes and lenses. Most RGP wearers will be given these instructions...

Always rinse (tap water or saline) after using the cleaning solution. Best time
to clean is when you are done wearing for the day. Cover the lenses with fresh
storage/conditioning solution for at least 4 hours. Wash hands with plain soap,
dry with cotton towel (no fabric softener). Lenses can be inserted straight from
the case. Clean the case with hot water and air dry at least once a week.
Replace the case at least twice a year. There are additional steps required if
you are using an enzyme cleaner.

Hope this helps

Robert Martellaro
~~~~~~~~~~~~~~~~~~
Optician/Owner
Roberts Optical
robopt@execpc.com
~~~~~~~~~~~~~~~~~~
"An expert is a person who has made all the mistakes that can be made in a very narrow field."
 - Niels Bohr
Robert Kopp - 20 Oct 2005 04:57 GMT
> Hi,
>
> I don't think my optometrist indicated clearly when I should rinse my RGPs
> with saline. My next visit to them will be in a week's time so I thought
> I'd ask here instead.

I got by with tap water when I unexpectedly spent the night somewhere
without my solutions. I don't recommend it, of course. RGP lenses have a
slick, non-wettable surface, which has certain advantages.
 
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