 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / General / Vision / May 2006Breaking in RGPs - or vice versa
Any advice on how to better manage/endure the process? Was wearing Hydrasoft Torics as daily wear. Picked up my new Dyna-Z Intra-limbal RGPs [1] on Thursday. They're made of Menicon Z (189 DK) material. The plan was to begin with four hours on Friday, then add an hour per day until ful-time is reached. The pain ... sucks ... pretty much from five minutes after insertion until removal, definitely getting much worse about an hour before the scheduled wear time is over. I'm not having any particular blurred vision or redness issues; no antisocial discharge. Left eye definitely feels more "banged up" on removal than the right--like ... I might be causing SPKs there ... or something. Once I remove them, I throw in a couple drops of the 0.5% hyaluronic acid that was compounded for me, then warm Ye Olde Corn Bagge and slap that over my closed eyes for a while. ...but it's bad. Between the dry eye and the accommodative crap, I wasn't really looking to ADD to the heap.... Anything I can do, generally? I'll reach out to the OD tomorrow, but would welcome any practical tips in the meantime. Would you typically back down on the aggressiveness of the break-in schedule? Give steroid drops to get through the worst of it? If you were me ... and *thought* it was an SPK OS ... would you put an ophthalmic antibiotic drop or two in, or just tough it out and be seen by the prescribing doc asap? Ouch. TIA, Neil [1] http://tinyurl.com/zqo8e > Any advice on how to better manage/endure the process? Drops, drops and more drops. Fill the lens with wetting drop prior to insertion and then following. Add drops every hour if need be. If it still hurts, I'd discontinue using the lens until you can be seen by the doc. Some discomfort is not unusual. Pain that worsens with time is not. I've found that Refresh Contacts (AKA Refresh Tears) works well with the Menicon material. Some rewetting drops do not. There are probably a number of formulations that do work well. If the drop works, your lid will slide effortlessly over the lens. If not, and the lid tugs on the lens, it will be a drag---literally. LB, O.D. >> Any advice on how to better manage/endure the process? > [quoted text clipped - 12 lines] > >LB, O.D. Thanks much, Doc. As luck would have it, I have some Refresh in the dispensary. I'll give them a try. Working up the courage to put them in today. If the pain on insertion is sharp or excessive, I'll abandon until I can be evaluated.... >>> Any advice on how to better manage/endure the process? >> [quoted text clipped - 23 lines] > on insertion is sharp or excessive, I'll abandon until I > can be evaluated.... I'm well past the adaption period (months ago) but I was using drops about 2 to 4 hours (Blink). Then I went to drops once around the middle of the day. I found it much more effective if I removed the lenses, put a drop on each side and reinserted than just drops without taking them out. Now I've been using Systane Free 10 minutes before insertion in the morning. Seems to make a big difference. I only occassionally use drops once during the day. -Quick >I'm well past the adaption period (months ago) Well ... arguably ... you survived :-) >but I was >using drops about 2 to 4 hours (Blink). Then I went to [quoted text clipped - 5 lines] >in the morning. Seems to make a big difference. I only occassionally >use drops once during the day. As a dry eye person, I start the morning with the 0.5% hyaluronic acid drop (shown in studies not only to increase tear breakup time, but to speed corneal healing. Active ingredient in Blink is, IIRC, 0.15% HA). It's also contact lens safe.... About 15 minutes later, I go to the 2% castor oil ophthalmic (shown to increase tear breakup time), then a warm compress. I have regular Systane still, and I do a similar thing to your routine prior to the RGP assault. During the CL part of the day, I use the HA if I'm home (no preservative; needs refrigeration) and the Blink if I'm out and about, though I have NOT taken them out, used a new filler drop and reinserted. That sounds like a zero-downside idea. What brand are your RGPs? Do you get "all-day" wear time now, without major issues?? Thanks, Neil >> I'm well past the adaption period (months ago) > [quoted text clipped - 25 lines] > I have regular Systane still, and I do a similar thing to > your routine prior to the RGP assault. I have both (bought the regular because I didn't see the Free one time). I believe the Systane Free (which comes in a much smaller bottle and is more expensive) is more viscous than the regular. I think it says "gel" somewhere on the bottle too. The Systane Free seems to be much more effective. I wait the 10 minutes before CL insertion because if I don't then it takes a long time for the lenses to "settle" and my vision is blurry until they do. I assume they are riding on a relatively thick layer of the Systane. > During the CL part of the day, I use the HA if I'm home > (no preservative; needs refrigeration) and the Blink if > I'm out and about, though I have NOT taken them out, used > a new filler drop and reinserted. That sounds like a > zero-downside idea. Makes a huge difference. Seems the drops don't really get under the lenses if I don't. It's also very soothing when re-inserting with that drop on the inside of the lens. > What brand are your RGPs? Do you get "all-day" wear time > now, without major issues?? You forgot. I'm the guy with the Tangent Streak (Fused Kontacts) trifocals. and.... I've forgotten the material... O2 Extreme? maybe? Next time I go in the doc is going to give me the details. I asked for and he is collecting *all* the specs from Fused. Yes I'm getting "all-day" wear time. When I first started I could do about 6 hours. Discomfort after about 2 and a lot of discomfort for the last hour or so. Drops every 1 to 2 hours. In about a week I was doing 8 to 10 hours. I would take them out for a half hour or so in the middle of the day. drops every 2 to 3 hours. After a couple of weeks I was doing 10 to 12 hours. Again with half hour removal in the middle with drops then and again in the evening. Now it's 16 to 17 hours a day. Most days I remove, put drops on and reinsert immediately once in the middle of the day. Sometimes not. They are quite comfortable all day long. Towards the end of the day they can become bothersome at times. I clean them by rubbing with Optimum ESC each night, rinse it water, and store in Unique PH. They go directly from the Unique PH into my eye. If I go directly from the Unique PH into my eye without drops or the Systane Free they feel sort of slightly "cottony". With the drops previously or the Systane now they feel just wonderful upon insertion. -Quick Neil Brooks wrote: >> During the CL part of the day, I use the HA if I'm home >> (no preservative; needs refrigeration) and the Blink if >> I'm out and about, though I have NOT taken them out, used >> a new filler drop and reinserted. That sounds like a >> zero-downside idea. >Makes a huge difference. Seems the drops don't really get >under the lenses if I don't. It's also very soothing when re-inserting >with that drop on the inside of the lens. Took a break mid- bike ride today and tried this. Definitely ameliorated the "broken glass under lens" sensation I was experiencing! >> What brand are your RGPs? Do you get "all-day" wear time >> now, without major issues?? [quoted text clipped - 3 lines] >Next time I go in the doc is going to give me the details. I asked for >and he is collecting *all* the specs from Fused. Neat! This moldy oldie? http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1 893537&dopt=Abstract OR: http://tinyurl.com/j5h6b Also, Tangent Streak. This lens, originally designed by Fused Kontacts, is a one-piece rigid bifocal with a "no jump" design because the seg line between distance and near powers is tangential at the geometric center of the lens. It is available with adds from +0.75D to +4.00D, custom diameters, 1.75D to 4.00D prism ballast and truncation. The bifocal segment can be any height but averages 4.2mm, optics are good and a trifocal is available for intermediate range acuity. The front cut may cause flare and glare at night because of the potential rotation of the lens. The lens is thicker than many other bifocal designs due to the tangent cut on the front surface. The lenses are fit on K or slightly flatter than K as steeper than K fits often results in insufficient translation and excessive lens rotation. With primary fixation, the bifocal segment should position approximately 0.3mm above the inferior pupil margin in mesopic condition, and the lower lens edge should be near the lower lid (Figure 4). [/quote] Interesting! >Yes I'm getting "all-day" wear time. >When I first started I could do about 6 hours. Discomfort after about [quoted text clipped - 9 lines] >They are quite comfortable all day long. Towards the end of the day >they can become bothersome at times. I think tomorrow's plan will be the mid-day lens-out break. Good call. >I clean them by rubbing with Optimum ESC each night, rinse it water, >and store in Unique PH. They go directly from the Unique PH into my >eye. If I go directly from the Unique PH into my eye without drops or >the Systane Free they feel sort of slightly "cottony". With the drops >previously or the Systane now they feel just wonderful upon insertion. I bought the PuriLens system www.purilens.com I've written to the makers of *my* GPs, but the general literature seems to indicate that this thing is ok for RGPs, generally. It *did* seem to make my soft lenses more comfortable, though I suspect it will *slightly* reduce lens life. Not my first concern. Thanks much. Think I'll try the new Systane product.... Neil My method is to sleep in them for the first week or 2 . remove them when they start to annoy and replace them when you go to bed. Usually they can't be felt by the end of the first week. >My method is to sleep in them for the first week or 2 . remove them >when they start to annoy and replace them when you go to bed. Usually >they can't be felt by the end of the first week. WOW! Any contraindications for this?? For example, I have severe dry eye, strong prescription (lowers overall oxygen transmissibility, no?)?? If you're serious ... and this isn't just a major no-no ... then this could be a godsend.... |
Reply to this Message |
 Sign In
 Join
 My Latest Posts My Monitored Threads My Blog My Photo Gallery My Profile My Homepage Start New Thread Enable EMail Alerts Rate this Thread
|
©2008 Advenet LLC Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.