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Medical Forum / General / Vision / February 2006

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"do it yourself" OK

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Beermonster - 20 Feb 2006 12:35 GMT
Heres one for Ace! Take a high minus Night and Day lens, wear it inside out,
and reshape your corneas! No need for those pesky custom-made RGPS with this
approach!

http://v3.espacenet.com/textdoc?DB=EPODOC&IDX=CA2513485&F=0

Remember to ask your optom about this first of course!
Beermonster - 20 Feb 2006 12:46 GMT
Seriosuly though, the use of everted silicone hydrogels for ortho K is quite
an interesting concept and demonstrates a potential problem with high
modulus materials.

By all accounts, an everted Night and Day is very comfortable to wear, and
unintentional corneal reshapings have been reported. The silicone hydrogel
website has an editorial on this

http://www.siliconehydrogels.org/editorials/previous_editorial_nina.asp

Out of curiosity, have any of you eye docs had patients who have
inadvertently worn their lenses everted and OK'd themselves?
acemanvx@yahoo.com - 20 Feb 2006 22:19 GMT
very interesting read! They are still not completely sure, but if they
can make it work reliabily and consistly, it will be a big blow to
lasik when you can get orthoK very cheap like $50 instead of spending
$2000! They have seen up to 2 diopters orthoK effect but this is enough
to greatly reduce my dependancy on glasdses and let me use the computer
without even needing glasses!

I still want to know alot more about them before I see an optometrist
and get a pescription for them
Rand0m - 21 Feb 2006 02:35 GMT
Sorry I am a little confused on this is ace here a plus wearer?

So if I am a minus wearer would I want to try this with a plus lense or
a minus?

thanks
Beermonster - 21 Feb 2006 04:40 GMT
The title was very tongue in cheek (my appologies for that), and no, I would
not suggest that anyone actually attempts to OK themselves.

The use of soft (silcone hydrogel) lenses for ortho K is a concept currently
under investigation, and is also the subject of a patent application by one
of the research groups looking into this.

Perhaps of more general interest here for the users and prescribers of some
of these silicone hydrogels is the potential concequences of accidently
wearing the lens inside out, particularly if it is a high minus lens. By all
accounts wearing these lenses inside out is remarkably comfortable, and if
you were to do so, your first indication is likely to be a slow loss in
visual acuity

The following is taken from
http://www.siliconehydrogels.org/editorials/previous_editorial_nina.asp

"Practitioners generally advise their patients that they are likely to be
aware that their lenses are inverted as they will not be as comfortable and
vision may be affected. Although published work on this is scarce, clinical
experience with conventional contact lens materials makes this fairly
obvious. However, our experience with silicone hydrogel lenses indicate that
patients are less likely to be aware of incorrect lens insertion with
silicone hydrogel lenses than with conventional hydrogel lenses if they are
to rely on comfort and vision cues.
We observed this after conducting a short pilot study looking at the vision
and comfort of inverted lenses compared to lenses worn the correct way. Both
comfort and vision were dramatically lower with inverted Acuvue 2 lenses
compared to Acuvue 2 inserted the correct way but there were no differences
in comfort and vision between the majority of inverted and correctly
inserted Focus Night & Day lenses tested ( Figure 4). Interestingly, the
performance of some of the inverted Focus Night & Day lenses was actually
better compared to when they were inserted the correct way!"

> Sorry I am a little confused on this is ace here a plus wearer?
>
> So if I am a minus wearer would I want to try this with a plus lense or
> a minus?
>
> thanks
Dom - 21 Feb 2006 08:53 GMT
> Seriosuly though, the use of everted silicone hydrogels for ortho K is quite
> an interesting concept and demonstrates a potential problem with high
[quoted text clipped - 8 lines]
> Out of curiosity, have any of you eye docs had patients who have
> inadvertently worn their lenses everted and OK'd themselves?

I know of at least one case where it happened, a few years ago. Her
refraction returned to 'normal' when she discontinued lens wear. At that
stage the cause was unknown but of course the higher modulus was
suspected of being involved.

Dom
 
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