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Medical Forum / General / Vision / July 2006

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AOSept gone?  Clear Care disappearing?

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Beth Peace - 28 Feb 2006 03:35 GMT
I'm a loooong time AOSept user, and recently found that Clear Care had
seemingly replaced it.  Now I'm having difficulty finding Clear Care.  What
gives?

I hatesssss those all-in-one solutions.  They feel gooey.
LarryDoc - 28 Feb 2006 18:23 GMT
> I'm a loooong time AOSept user, and recently found that Clear Care had
> seemingly replaced it.  Now I'm having difficulty finding Clear Care.  What
> gives?
>
> I hatesssss those all-in-one solutions.  They feel gooey.

Ciba appears to having some distribution issues in certain regions of
late. The products are still available and will be more readily
available soon. Check other stores or contact your practitioner if
he/she stocks the item you want.

LB, O.D.
Dr. Leukoma - 28 Feb 2006 18:36 GMT
Apparently there was a problem with their Canadian production facility.
I am told they will be back on-stream by the end of March.  Meanwhile,
I am told that enough inventory is "out there" to last, particularly at
the non-discounters.

DrG
Jan - 28 Feb 2006 19:12 GMT
In Europe CIBA solutions are not available anymore since december 2005, I am
told this "Canadian'' problem should be solved  by the end of  June 2006.
I am told this problem has a worldwide effect.

Signature

Jan (normally Dutch spoken)

writemina@gmail.com - 06 Mar 2006 15:29 GMT
I just found this out myself!!!  Over the weekend, all retailers were
out.  I checked on-line stores and they are out of stock as well.  The
only place that you can find Clear Care (formerly AOSept) is via E-bay.

There seems to be a manufacturing issue.  We may see Clear Care back on
the shelves by this summer.  Who knows... I have to stock up, because I
cannot use those other solutions.  They make make my eyes red.

Maybe we'll be competing for them on E-Bay!  Good luck.
ryoung8918@juno.com - 06 Mar 2006 16:32 GMT
I'm in SoCal, and had a pretty tough time finding ClearCare anywhere
last week. Finally found a two-pack in a pharmacy. Last one on the
shelf. Pretty sad state of affairs...

> I just found this out myself!!!  Over the weekend, all retailers were
> out.  I checked on-line stores and they are out of stock as well.  The
[quoted text clipped - 5 lines]
>
> Maybe we'll be competing for them on E-Bay!  Good luck.
LarryDoc - 06 Mar 2006 17:03 GMT
Relax, people. The CIBA products will be re-appearing shortly. If you
are desperately out of a way to take care of your lenses, call your
practitioner for a "starter kit" or advice on what to do in the
meanwhile.

LB. O.D.
writemina@gmail.com - 06 Mar 2006 22:23 GMT
I have stocked up because I don't trust their PR when they say that
this product will be on the market soon.  This could easily slip into
summer.  I purchased 10 bottles from e-bay (okay, don't laugh).  It's
the ONLY place that you can get it right now.
RY - 06 Mar 2006 22:35 GMT
Walgreens.com has Clear Care as well. I just ordered some "back-up"
myself...

> I have stocked up because I don't trust their PR when they say that
> this product will be on the market soon.  This could easily slip into
> summer.  I purchased 10 bottles from e-bay (okay, don't laugh).  It's
> the ONLY place that you can get it right now.
esbaylus@netzero.net - 17 Mar 2006 14:16 GMT
They are out now!   And CIba won't say when more will be available -
just got off the phone with them.........

Gene

> Walgreens.com has Clear Care as well. I just ordered some "back-up"
> myself...
[quoted text clipped - 3 lines]
> > summer.  I purchased 10 bottles from e-bay (okay, don't laugh).  It's
> > the ONLY place that you can get it right now.
RY - 17 Mar 2006 17:05 GMT
Well, that won't leave much other than some independent docs that have
stock of ClearCare. I spent a fair bit of time searching online to even
find some at walgreens.com. I've gotten enough to get me through the
end of the year. Worst case, I go back to Opti-free after that if Ciba
decides not to make ClearCare anymore. Certainly if it is truly a
manufacturing issue as has been stated, they should be back up and
running long before then.

> They are out now!   And CIba won't say when more will be available -
> just got off the phone with them.........
[quoted text clipped - 8 lines]
> > > summer.  I purchased 10 bottles from e-bay (okay, don't laugh).  It's
> > > the ONLY place that you can get it right now.
LarryDoc - 17 Mar 2006 22:13 GMT
You folks really need to mellow out. The products are not disappearing
and will be back on the self within a few weeks, all over the world.

Meanwhile, most of us docs have Patient Starter Kits in stock to help
tide the worry-warts over the slump.

Not to mention there are a number of alternatives, hydrogen peroxide
systems and multipurpose products. Just ask your practitioner which is
most appropriate for the lenses you use.

--LB, O.D.
RY - 18 Mar 2006 19:39 GMT
LarryDoc,

Thanks for your concern, but I'm not losing any sleep over this issue.
Reading your post conjures up images of me in a underground bunker with
canned food and ClearCare waiting to fight off the hoards of contact
lens wearers who are after my ClearCare. ;-)

Since you mentioned it, what other hydrogen peroxide based single step
cleaners like ClearCare are widely available? I had comfort issues with
Optifree (one of those multi-purpose products) and that is why my
practitioner suggested ClearCare in the first place. As far as I could
see in my multiple stops at retailers and drug stores, there is no
other widely available hydrogen peroxide based systems. (One or two had
the baskets for AOSept, but no solution. As I understand it, AOSept is
the predecessor to ClearCare) And while begging starter sets off my doc
might work for a little while, the solution needs to be widely
available to be viable.

As I said, worst case, I'll go back to Optifree, which was a less than
perfect solution for me, but I can live with it. But with the stock I
have on hand now, I can make it to my next doctor's appointment.

> You folks really need to mellow out. The products are not disappearing
> and will be back on the self within a few weeks, all over the world.
[quoted text clipped - 7 lines]
>
> --LB, O.D.
news.isdn.net - 22 Mar 2006 17:03 GMT
I have in fact found something called Ultracare at Target yesterday that is
a hydrogen peroxide based one step system.
Here's a link
http://www.amo-inc.com/site/products/ultracare.asp

This is what I will use until I can find the Clear Care disinfectant again.

And by the way, my opt. had no idea what other hydrogen peroxide solutions
where available.  As with the rest of the medical profession, they get their
product education from the sales reps.

> LarryDoc,
>
[quoted text clipped - 29 lines]
>>
>> --LB, O.D.
Nicole.Lomerson@gmail.com - 20 Apr 2006 04:38 GMT
So LarryDoc,

What other alternatives to Clear Care are there?  All I know of is AMO
UltraCare, which makes my eyes just as red and irritated at the
standard multipurpose solutions-- I suspect that little neutralizing
tab has something to do with it.  And my OD has no Clear Care starter
sets.  I stopped wearing glasses years ago, and the only pair I have
has lenses that are a few diopters off.  You see, my vision insurance
requires me to choose between contacts or glasses.  So, I've had red,
itchy, blurry eyes for the past four months, and CIBA can't give me a
straight reason as to when their product is going to be back on my
local shelves.  I'll "mellow out" when I can, literally, see straight
again.

Please don't minimize this.  Some of us really need this stuff.  I hate
the fact that I'm dependent on a product made by a company that refuses
to give straight answers to its customers.

Larry, if you are a lens wearer at all, I bet you're one of the lucky
ones that can use ReNu.  Oh wait... then you'd probably be screwed too.
LarryDoc - 20 Apr 2006 19:38 GMT
> So LarryDoc,
>
[quoted text clipped - 3 lines]
> tab has something to do with it.  And my OD has no Clear Care starter
> sets.

He/she should have plenty. CIBA is shipping TONS of the stuff to
practitioners. Whether they want it or not.

> I stopped wearing glasses years ago, and the only pair I have
> has lenses that are a few diopters off.  You see, my vision insurance
> requires me to choose between contacts or glasses.  

Not really.  It is YOU who have decided to have........

> red itchy, blurry eyes for the past four months, and CIBA can't give me a
> straight reason as to when their product is going to be back on my
[quoted text clipped - 7 lines]
> Larry, if you are a lens wearer at all, I bet you're one of the lucky
> ones that can use ReNu.  Oh wait... then you'd probably be screwed too.

I do not mean to minimize your annoyance, anger and hostility toward the
company. You are not alone. Clearly, they did not act in good faith and
respond to the issue in a straight forward and timely manner. But there
are alternatives. You tried Ultracare---try rinsing off the lenses with
unpreserved saline prior to insertion. Should be just fine.

There is one nearly identical replacement for ClearCare.  It's called
"OneStep" by Sauflon.  Your doctor can order it for you. It is sold by
practitioners only and by direct-to-patient mail from the company. It's
possibly even a little less expensive.

Meanwhile, AOSEPT and ClearCare should be available at larger retailers
(eg: K-Mart, Walgreens, Longs, Costco) THIS WEEK. I happen to know that
these retailers in many areas have received their first shipments
earlier this week.  When the little guys get it is anyone's guess.

LB, O.D.
MS - 12 May 2006 23:37 GMT
> He/she should have plenty. CIBA is shipping TONS of the stuff to
> practitioners. Whether they want it or not.

That's a surprise, since one does not see any CIBA solutions in stores. How
about Softwear Saline? Have they been sending that to practitioners as well?

> Meanwhile, AOSEPT and ClearCare should be available at larger retailers
> (eg: K-Mart, Walgreens, Longs, Costco) THIS WEEK. I happen to know that
> these retailers in many areas have received their first shipments
> earlier this week.  When the little guys get it is anyone's guess.

You wrote that message on April 20, Larry. Now it is May 12, close to a
month later, and I still have not seen Ciba solutions in any stores,
including those you mention. Has anyone seen these in stores yet? (And once
again, is Softwear Saline included as well?)
LarryDoc - 13 May 2006 02:40 GMT
> > He/she should have plenty. CIBA is shipping TONS of the stuff to
> > practitioners. Whether they want it or not.
>
> That's a surprise, since one does not see any CIBA solutions in stores. How
> about Softwear Saline? Have they been sending that to practitioners as well?

No, no saline yet but trial kits of ClearCare seem to be plentiful. I
don't have a clue why that is. I'm sitting on five cases of 24 units I'd
love to sell them on Ebay---think I could get a hundred bucks per box?  
Ethics get in the way, though.  They were free to me and thus free to my
patients.

> > Meanwhile, AOSEPT and ClearCare should be available at larger retailers
> > (eg: K-Mart, Walgreens, Longs, Costco) THIS WEEK. I happen to know that
[quoted text clipped - 5 lines]
> including those you mention. Has anyone seen these in stores yet? (And once
> again, is Softwear Saline included as well?)

Yes indeed, it has been available, although not everywhere, obviously. A
friend in Oregon said that the shelves were loaded one day and empty a
few days days later.  Same story down the road in Simi Valley.
Apparently, CIBA is shipping stock of the stuff but not in sufficient
quantities to satisfy the consumer's thirst. No word on Softwear Saline
(my personal favorite.)

I've been dispensing Sauflon One-Step as an essentially exact
replacement for ClearCare.  Many practices are doing the same.  I hope
Sauflon USA doesn't run out!  The product is available only through
practitioners.  Same cost, perhaps a bit less.  Ask your doc.

LB, O.D.
MS - 14 May 2006 19:04 GMT
>No word on Softwear Saline
> (my personal favorite.)

Yes, I used to use Softwear Saline directly in my eyes, to wash them out.
(Both when I am wearing contacts, and when I am not wearing them.)

I also use non-preserved saline for that purpose. Using any preserved saline
other than Ciba Softwear Saline I find uncomfortable to the eye. But the
Softwear feels essentially the same as non-preserved saline. (And
non-preserved saline has been harder to come by in recent months. It is
still available (the boxes of three 4 oz bottles, or the 12 oz aerosol
cans), but much less available than it used to be.
MS - 27 May 2006 20:44 GMT
>> > Meanwhile, AOSEPT and ClearCare should be available at larger retailers
>> > (eg: K-Mart, Walgreens, Longs, Costco) THIS WEEK. I happen to know that
>> > these retailers in many areas have received their first shipments
>> > earlier this week.  When the little guys get it is anyone's guess.

I saw AOSEPT and ClearCare in a Target store a couple days ago. So, those
solutions do seem to be returning.

No Softwear Saline though. I can't find it on the web either. Has Ciba
discontinued that product?
chavonazo@hotmail.com - 31 May 2006 18:18 GMT
> I saw AOSEPT and ClearCare in a Target store a couple days ago. So, those
> solutions do seem to be returning.

I know this is a little off topic, but what is the difference between
AOSEPT and ClearCare? I read that the only difference is the bottle of
saline with AOSEPT. Is this really the case?

Also, can anyone give me a rough estimate on the cost of ClearCare for
say a year?I recently started using Clear Care and love it, but am a
little concerned aobut the yearly cost (and availability of course).
LarryDoc - 31 May 2006 19:37 GMT
> > I saw AOSEPT and ClearCare in a Target store a couple days ago. So, those
> > solutions do seem to be returning.
[quoted text clipped - 6 lines]
> say a year?I recently started using Clear Care and love it, but am a
> little concerned aobut the yearly cost (and availability of course).

Good questions.  I think it is important for people to know the true
costs of (properly) using contact lenses for vision correction.

ClearCare and AOSept are both hydrogen peroxide disinfection products.
(Two others are available: Ultra Care and Sauflon's One Step, the later
nearly identical to ClearCare and available only through practitioners
or direct-to-patient mail, same cost.)

ClearCare adds a "built in" cleaner. AOSept requires a separate surface
cleaner, rinsed off the saline or AOSept prior to completing
disinfection in the case with the platinum catalyst. ClearCare is more
appropriate for one or two week disposable lenses and for those who
might damage their lenses during manual surface cleaning. AOSept is best
for lenses kept one month or longer or for those people whose lenses
require more rigorous cleaning generally.

ClearCare might cost  around USD $100 per year used daily. AOSept about
USD $150-$175, including the added costs of cleaning solution and saline
for rinsing. (Saline is cheaper and perhaps safer than using the
disinfection product for rinsing, and having saline around for rinsing
lenses, eyes, cuts and scrapes in emergencies is a nice bonus.)  Keep in
mind that  the longer replacement interval for lenses using AOSept means
the total annual cost of lenses and lens care products will likely still
be higher for one and two week lenses using ClearCare compared to
monthly/quarterly replacement lenses using AOSept. Even so, the cost
difference is not really a factor considering the health and safety
issue (see below.)
 

You can also add a separate daily cleaner to the ClearCare system a
couple of time per week if your lenses need "extra cleaning".

The total annual costs for those who DO NOT properly care for their
lenses can be much higher, factoring in the costs of medical care to
treat the resulting infections, irritations, damaged lenses, etc.

LB, O.D.
Quick - 31 May 2006 21:26 GMT
> The total annual costs for those who DO NOT properly care
> for their lenses can be much higher, factoring in the
> costs of medical care to treat the resulting infections,
> irritations, damaged lenses, etc.

My RGPs are made from Optimum Extra. Can I use
a hydrogen peroxide system on them? I got the impression
there was some doubt about using hydrogen peroxide on
some RGP materials.

I tried Clear Care on my soft lenses during the very short
period I had them. Liked it. Got RGPs and had a huge
bottle of the stuff left over. I used it to soak all my accessories
in about once a month. I use a couple of rubber inserters
and removers which are stored in clear plastic tubes. I'd
get a small bowl, fill it with Clear Care and dump in the tubes,
inserters, contact lens case and let everything soak for
maybe 1/2 hour.  ---- then rinse with tap water (doh) and
let everything dry.

What's the best way to sterilize (sort of) everything other
than the lenses? Maybe just regular hydrogen peroxide?
Will that kill all the nasties in a contact lens case or should
I continue to throw them out every 3 months?

What a about a quick sterilization for my lenses? Lets say
my lenses fall out onto the floor or in the car. Anything to
do a 5 minute sterilization?  Conditioning would be nice
but the main objective is to get them back into my eye.

thanks,
-Quick
MS - 23 Jul 2006 22:58 GMT
>ClearCare is more
> appropriate for one or two week disposable lenses and for those who
[quoted text clipped - 4 lines]
>..... Keep in
> mind that  the longer replacement interval for lenses using AOSept .....

Thanks again for your sharing of info, Larry!

I don't really understand the statements above though. Why is AOSEPT better
than Clear Care for lenses worn longer than a week or two?
LarryDoc - 25 Jul 2006 06:21 GMT
> >ClearCare is more
> > appropriate for one or two week disposable lenses and for those who
[quoted text clipped - 9 lines]
> I don't really understand the statements above though. Why is AOSEPT better
> than Clear Care for lenses worn longer than a week or two?

It's not that it's necessarily better.  Because AOSept does not contain
a surfactant cleaning agent it requires a separate rub-to-clean and then
rinse step. Monthly/quarterly replacement lenses generally hold up
better that protocol as they are (usually) more durable and the longer
you keep a lens the more likely it is to need more specific cleaning.  
ClearCare and the similar Sauflon One Step contain a "built-in" cleaner,
allowing for less physical contact with less durable lenses and can
certainly be used for monthly lenses. You can use a separate cleaner
with that, too.  The whole idea is keep your lenses clean and
disinfected.  I most often recommend people use the stuff containing
cleaning agents and rub the lens a bit (remembering to rinse the fingers
that are going to grab lens #2 off the eye) and simply add a separate
rub-n-rinse cleaner when necessary.  Some people can go for quite some
time without needing "a good cleaning" and others build up crud midway
through the day, and that could even be the same person a different week!

LB, O.D.
MS - 25 Jul 2006 16:24 GMT
So--if one uses a rubbing cleaner and then soaks the lenses in Clear Care,
they might end up cleaner than if they were so cleaned and soaked in AOSept?

The point is then that it is better to do some cleaning with a rubbing
cleaner for longer-term lenses, than to only do soaking with no rubbing?

If Clear Care cleans better than Aosept, why would someone want to use the
latter instead?

By the way, Larry, do you know why Softwear Saline is still not available?

>> >ClearCare is more
>> > appropriate for one or two week disposable lenses and for those who
[quoted text clipped - 30 lines]
>
> LB, O.D.
LarryDoc - 26 Jul 2006 06:42 GMT
> So--if one uses a rubbing cleaner and then soaks the lenses in Clear Care,
> they might end up cleaner than if they were so cleaned and soaked in AOSept?

Not necessarily.

> The point is then that it is better to do some cleaning with a rubbing
> cleaner for longer-term lenses, than to only do soaking with no rubbing?

As far as I'm concerned, "no rub" is not appropriate for lenses used
more than a week or so, and in my mind, not appropriate for someone who
experiences deposits not removed by simple soaking. There are
exceptions---some folks can wear their lenses and they seem to stay
pretty darn clean and deposit free for weeks! Others, like me ;-(  find
their lenses gunky midway through even one day.

For someone who is too lazy to do real cleaning and doesn't care if
their lenses are a little rough around the edges, then "no rub" at least
gets the bugs dead.

> If Clear Care cleans better than Aosept, why would someone want to use the
> latter instead?

A few folks find that AOSept "feels better" than ClearCare. Most can't
tell the difference. I think the real benefit of ClearCare or Sauflon
One Step is that many people can simply dump their lenses into the
solution on day, perhaps rub/rinse and soak another day and use a
separate rub cleaner another day when the lenses need the extra
attention. Flexible system.  AOSept is not so flexible.

> By the way, Larry, do you know why Softwear Saline is still not available?

Production issues at CIBA are a mystery to me.  They claim that they
will get Softwear out when they've got their ClearCare inventories to
where they feel they need to be. Latest guess:  year end.  Softwear was
my favorite saline. I miss it, too.
Nicole.Lomerson@gmail.com - 20 Apr 2006 04:40 GMT
So LarryDoc,

What other alternatives to Clear Care are there?  All I know of is AMO
UltraCare, which makes my eyes just as red and irritated at the
standard multipurpose solutions-- I suspect that little neutralizing
tab has something to do with it.  And my OD has no Clear Care starter
sets.  I stopped wearing glasses years ago, and the only pair I have
has lenses that are a few diopters off.  You see, my vision insurance
requires me to choose between contacts or glasses.  So, I've had red,
itchy, blurry eyes for the past four months, and CIBA can't give me a
straight reason as to when their product is going to be back on my
local shelves.  I'll "mellow out" when I can, literally, see straight
again.

Please don't minimize this.  Some of us really need this stuff.  I hate
the fact that I'm dependent on a product made by a company that refuses
to give straight answers to its customers.

Larry, if you are a lens wearer at all, I bet you're one of the lucky
ones that can use ReNu.  Oh wait... then you'd probably be screwed too.
Neil Brooks - 20 Apr 2006 20:05 GMT
> So LarryDoc, [snip]
> I'll "mellow out" when I can, literally, see straight
[quoted text clipped - 3 lines]
> the fact that I'm dependent on a product made by a company that refuses
> to give straight answers to its customers.

Nicole: it seems that it would be (dramatically) in your best interests
to get yourself a current pair of eyeglasses so that--if this sort of
thing happens again--you WON'T be dependent on a problematic company.

Because, technically, you *left yourself* "dependent on a product made
by a company that refuses to give straight answers to its customers."

Besides, I don't think there are many eye docs who would disagree with
the notion that--once in a while--taking a break from contact lenses is
a pretty good idea.
Dan Abel - 21 Apr 2006 07:35 GMT
> sets.  I stopped wearing glasses years ago, and the only pair I have
> has lenses that are a few diopters off.  You see, my vision insurance
[quoted text clipped - 7 lines]
> the fact that I'm dependent on a product made by a company that refuses
> to give straight answers to its customers.

What kind of cheese would you like with your whine?

Have you talked to your OD?  I didn't think so.  Some suggestions have
been made on this thread.  If that doesn't work, sometimes insurance
companies will do things based on medical need.

Signature

Dan Abel
dabel@sonic.net
Petaluma, California, USA

 
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