Medical Forum / General / Vision / March 2006
Acuvue Oasys contact lenses not working out.
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TomMonger - 24 Feb 2006 04:11 GMT I got my new Oasys trial lenses yesterday. My OD said to wear the lenses 8 hours a day and to see him in a week. He said he needed to check my eyes because the Oasys lenses only come in 8.4 base curve, and I normally wear 8.7 (I used to wear 9.3, but went to 8.7 Acuvue 2's when J&J stopped making them a while back). He said they may be too tight for me. I think he may be right (a previous optometrist had once told me that my corneas were the flattest she had ever seen).
I took the lenses out of their little packages and rinsed with aerosol saline spray. I wore them for 4 hours last evening, and although comfy when they first went in, my vision was poor. The left lens (+.50) was not strong enough, and the right lens (-.75) was fuzzy at a distance. Not sure if it was too weak or too strong. And they were irritating. I can't explain this very well, but they didn't burn or sting. It felt like I was hovered over a bowl of chopped onions, but without the tears and odor. And I had a good deal of lens "awareness".
When I took them out, I cleaned and soaked them in AMO Complete Moisture Plus solution. This morning, I put them back in and encountered the same thing. I wound up removing them after 5 hours. My naked eyes felt better after about an hour. I had no visible redness and my vision was actually better *without* the lenses. I didn't see any red rings around my pupils or corneas.
Last month, I tried the Acuvue Advance lenses and I experienced the same thing, but a bit more intense.
Is it possible that I may be having a reaction to the silicone material in the lenses? Or is this a result of too-tight lenses?
I will try again tomorrow. If this doesn't get better, I'll stay with my Acuvue 2's, unless there might be something else I can try. (The Acuvue 2's are comfy and my vision is really crisp, but they dry out often).
-Tom in Scranton, PA USA
Dr. Leukoma - 24 Feb 2006 13:28 GMT If it looks like a duck, walks like a duck, and quacks like a duck, it is a duck. In this case, the duck would appear to be dry eye.
Maybe you should be evaluated for dry eye and treated for dry eye first.
Another observation is that your prescription is pretty minor, in which case the "noise" from lens dryness is exceeding the "signal" of the correction.
DrG
TomMonger - 24 Feb 2006 16:39 GMT Thanks for replying, Doc.
I'm sure I have dry eyes, but none of these problems happen when I wear my normal Acuvue 2 lenses. The only problem I have with Acuvue 2s are that they dry out after 5 to 7 hours and sometimes won't move on my cornea. But I never get the same discomfort I've experienced with Advance or Oasys lenses. I expected equal or better comfort, and for a longer period of time.
-Tom in Scranton, PA USA
> If it looks like a duck, walks like a duck, and quacks like a duck, it > is a duck. In this case, the duck would appear to be dry eye. [quoted text clipped - 7 lines] > > DrG doctor_my_eye@msn.com - 25 Feb 2006 03:13 GMT When your eyes are really flat, like yours and mine are, an 8.4 will NEVER fit well. Period. The fact that Oasis comes in "one size" means simply that its cheaper to make it that way. They aren't doing you any favors. Period. Finally, when a patient is allergic to the silicone component of the silicone hydrogel lenses, he gets a "a.s-backwards" response that these super-wet lenses feel extra dry. Sounds like you.
So, the bottom line is that Oasis would never fit your eye, and you sound as if you are allergic to it anyway. I have super flat eyes, and I personally love the Biomedics 55 Aspheric lens, also known as Biomedics Premier. The fact that it is an aspheric lens lets it lay down on a flat eye without pinching. If you are as flat as you say you are, the 8.6 Biomedics Aspheric will beat that Acuvue 2 anyday. I love mine.
TomMonger - 26 Feb 2006 01:23 GMT Thanks, Doc My Eye, for your response. When I go for my one-week check up, I'll mention Biomedics. I'm willing to try anything that will give me acuity of Acuvue 2, but last a couple hours longer!
I've been reading up on Proclear Compatibles. Are these worth a try? Are they under a new name now?
-Tom in Scranton, PA USA
chipster - 02 Mar 2006 22:07 GMT Hi Tom,
Thanks for your posts. I am interested in how your case turns out. It seems similar to what I am trying. Please update you progress.
Doctor said he likes the way the Biomedics allow him to see, and suggests that you might like these as well. I tried them, and they were great, except they dried out in a day's wear time, before I was ready to take them out.
You mentioned you had looked into proclear compatibles. The thing is, I understand the new Biomedics XC is basically the same lens as the Biomedics Premier, but in the proclear material. This lens has just recently come on the market, have you tried it?
Doctor, have you tried the Biomedics XC yourself? What do you think?
Thanks, Chipster
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