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Medical Forum / General / Vision / March 2006

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B&L have halted sales of Renu in Singapore and Hong Kong?

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Beermonster - 27 Feb 2006 23:24 GMT
Hi guys,

According to Reuters, B&L have halted sales of Renu in Singapore and Hong
Kong following concerns relating to the increase of a fungal eye infection
amongst users.

Singapore's health ministry said 22 people had been affected by the fungal
corneal infection since last May. All except one of the cases used the ReNu
solution. Three of them had to undergo urgent cornea transplants, it added.

http://today.reuters.com/news/newsArticleSearch.aspx?storyID=211344+21-Feb-2006+
RTRS&srch=bausch


http://today.reuters.com/news/newsArticleSearch.aspx?storyID=179303+23-Feb-2006+
RTRS&srch=bausch


So far, I have only found these reports on Reuters.

Have any of the OD's on here seen anything similar?
Neil Brooks - 28 Feb 2006 00:41 GMT
> Hi guys,
>
[quoted text clipped - 13 lines]
>
> Have any of the OD's on here seen anything similar?

Uh ... yikes.

That's what I use and I happen to like it.  Last time I ran out and
switched to a (non-expired) bottle of the 'cheap stuff,' even putting
*in* my lenses felt markedly worse.

I think I'll just load up on garlic, grapefruit seed extract, and
acidophilous (thought to stimulate resistance to fungi) and hope for
the best.  

Thanks for posting this....
Beermonster - 28 Feb 2006 01:32 GMT
Further to the Reuters reports, this is on the Singapore Department of
Health website

"The Ministry of Health has been actively working with the Health Sciences
Authority (HSA) and the SNEC to investigate the cause of the recent
increased incidence of contact lens related fungal corneal infections.
Our findings thus far, based on the 18 of the 19 cases reported by SNEC (one
patient is currently overseas) are as follows:

 1.. All 18 patients used disposable contact lenses. These lenses ranged
from daily disposable lens to monthly disposable lens and came from a
variety of manufacturers.
 2.. A significant number of patients had a history of poor contact lens
practice. For example 13 of the 18 patients had used expired lenses while 11
wore contact lenses while taking naps.
 3.. All 18 patients reported using Bausch and Lomb's ReNu multipurpose
contact lens solution.
The Ministry of Health strongly advises all contact lens users to practise
proper contact lens care as advised by their contact lens practitioners (key
points to note are located at the Annex below). While the above findings
indicate association rather than causation, in view of the potentially
serious adverse visual consequences of fungal corneal infection, it would be
prudent, as a precautionary measure, for contact lens users to discontinue
using Bausch and Lomb's ReNu multipurpose contact lens solution for the time
being, until the causes behind this recent increase in infections can be
more clearly ascertained. Contact lens users may wish, in the meantime, to
use spectacles instead.

Further investigations are underway to establish the cause of the infection.
We will keep the public informed of any further developments"

Source:
http://www.moh.gov.sg/corp/about/newsroom/pressreleases/details.do?id=36077570

Looks like poor patient compliance may have its part to play here. However,
are Singaporeans likely to be less compliant than other lens wearing
populations?

>> Hi guys,
>>
[quoted text clipped - 29 lines]
>
> Thanks for posting this....
Robert Redelmeier - 28 Feb 2006 14:41 GMT
Beermonster <beermonster@somewhere.on.net> wrote in part:
> Source:
> http://www.moh.gov.sg/corp/about/newsroom/pressreleases/details.do?id=36077570
>
> Looks like poor patient compliance may have its part to
> play here. However, are Singaporeans likely to be less
> compliant than other lens wearing populations?

I doubt it.  Could be environmental, but I don't think it's
burning season.  I suspect a bad batch of solution slipped out.
Underdosed on polyquat.  Or bad bottles that ate the goodies.
Med prods should have per-batch QC and MoC, but you can't
make anything foolproof, 'cuz fools is too d@mned ingenious.

-- Robert
The Real Bev - 02 Mar 2006 01:11 GMT
>> Hi guys,
>>
[quoted text clipped - 11 lines]
>>
>> So far, I have only found these reports on Reuters.

HK and Singapore are both a lot more humid and fungus-friendly than a lot of
the USA and the rest of the world.

>> Have any of the OD's on here seen anything similar?
>
[quoted text clipped - 3 lines]
> switched to a (non-expired) bottle of the 'cheap stuff,' even putting *in*
> my lenses felt markedly worse.

I used the 'No-Rub' for quite a while.  I tried the new "moisture-lock" stuff,
which I hate -- for some reason it feels like I have sand in my eyes for the
first 15 minutes after insertion.  I bought some of the Costco Renu-clone,
which immediately felt better.  That means that next time I need it, Costco
will have added moisture-lock to their formulation :-(

> I think I'll just load up on garlic, grapefruit seed extract, and
> acidophilous (thought to stimulate resistance to fungi) and hope for the
> best.
>
> Thanks for posting this....

Signature

Cheers,
Bev
======================================================
I am grateful that I am not as judgmental as all those
censorious, self-righteous people around me.

Sibir - 02 Mar 2006 07:29 GMT
>> That's what I use and I happen to like it.  Last time I ran out and
>> switched to a (non-expired) bottle of the 'cheap stuff,' even putting
[quoted text clipped - 7 lines]
> time I need it, Costco will have added moisture-lock to their formulation
> :-(

The next time you buy the "clone" brand, it may be an old Opti-free formula,
or an old Complete formula rather than Renu. Generic and store brands are
supplied by yearly or semi-yearly contracts that change from manufacturer to
manufacturer quite often depending on who offers the best spot price for an
older formulation that is no longer marketed. The packaging is the same, but
the chemicals are different.

This isn't saying the older solutions were crap, but you don't know what
they actually are and the answer is a moving target.

Carl
The Real Bev - 02 Mar 2006 22:28 GMT
>>> That's what I use and I happen to like it.  Last time I ran out and
>>> switched to a (non-expired) bottle of the 'cheap stuff,' even putting
[quoted text clipped - 13 lines]
> older formulation that is no longer marketed. The packaging is the same, but
> the chemicals are different.

I've compared labels, and the clone is the same as Renu.  Are you saying the
clones lie?

> This isn't saying the older solutions were crap, but you don't know what
> they actually are and the answer is a moving target.

I liked the old solutions and dislike the new, so I guess I'll be happy.  In
many cases, "new" just means "different", not "better".

Signature

Cheers, Bev
<<<<<<<<<<<<<<<<<<<>>>>>>>>>>>>>>>>>
Please hassle me, I thrive on stress.

 
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