Medical Forum / General / Vision / June 2006
best surevue replacement
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erikred@hotmail.com - 21 May 2006 03:21 GMT It is becoming harder and harder to get surevue lenses (discontinued), although there is still plenty of places that advertise them.
I'm looking for suggestions for replacements. I don't like accuvue/advance. They break in no time and are much thinner. I'm basically looking for a reaonably common brand which has the same or similar material, sizes and thickness as Surevue.
Would one of the regulars (Dr. Larry?) care to make a suggestion?
CatmanX - 21 May 2006 04:10 GMT Acuvue advance, ahich has replaced surevue. Any other lens would work also.
grant
Neil Brooks - 21 May 2006 04:21 GMT >Would one of the regulars (Dr. Larry?) care to make a suggestion? Dude, your stock is WAY up these days ;-)
We need s.m.v. trading cards.....
(I can hear it now "Awwww. You got an Otis. Too bad.")
LarryDoc - 21 May 2006 20:55 GMT > >Would one of the regulars (Dr. Larry?) care to make a suggestion? > [quoted text clipped - 3 lines] > > (I can hear it now "Awwww. You got an Otis. Too bad.") <BG> I am, in fact, rolling on the floor. Nah......my puppy would eat my laptop.
I've got to unleash the kill file so I can see what Otis, et al are up to. Or not.
Meanwhile, to answer to query:
Surevue is a 1970's lens. Thick, low oxygen, old, ancient technology. Still using a rotary telephone? Time to move on, buddy. See your eye care practitioner for a refit. Try something from this century, or at least the last decade. Try a few lenses---I'm certain you'll find something that suits your needs and perhaps vastly improves your contact lens experience.
LB, O.D.
Dom - 21 May 2006 09:58 GMT > It is becoming harder and harder to get surevue lenses (discontinued), > although there is still plenty of places that advertise them. [quoted text clipped - 7 lines] > > Would one of the regulars (Dr. Larry?) care to make a suggestion? Well I'm a semi-regular here so hopefully that qualifies me to answer your query.
You don't want the same thickness and material as Surevue - because it's an old material and unnecessarily thick (poor oxygen transmission).
As a replacement I'd suggest O2Optix. It's comfortable, easy to handle, has great oxygen transmission, and pricing should be similar.
Dom
erikred@hotmail.com - 21 May 2006 18:33 GMT Thanks, Dom.
Does "easy to handle" imply that O2Optix is as rugged as Surevue?
This is the main quality I am looking for, apart from the usual comfort and health considerations, of course. I have had very good experience with surevue, and I take the lenses out every night.
doctor_my_eye@msn.com - 21 May 2006 21:19 GMT Why is "rugged" an admirable quality in a medical device that sits on your eye? Do you dry them out to make small ashtrays or hummingbird feeders? "Rugged" is for tires, not medical devices. Wear each lens 14 times, throw it away. Rub each surface gently before inserting in the case. Where does the "rugged" part come? "Rugged" could be a codeword for "Lenses that I can overwear and keep for months." Condoms need to be rugged. Contacts do not.
Quick - 21 May 2006 21:52 GMT > Why is "rugged" an admirable quality in a medical device > that sits on your eye? Do you dry them out to make [quoted text clipped - 5 lines] > overwear and keep for months." Condoms need to be > rugged. Contacts do not. ummm, well, for the extremely brief period (1 month?) that I tried soft contacts I tore or cracked a bunch of them. Granted I was not extremely adept at removing them but I can imagine many others might not get much better at it than I was. Things like the Acuvues are extremely flimsy and hard to handle (although the most comfortable ones I tried). The Ciba's and Cooper's were much more "rugged" and easier to handle.
-Quick
Dan Abel - 22 May 2006 00:16 GMT > ummm, well, for the extremely brief period (1 month?) that > I tried soft contacts I tore or cracked a bunch of them. Granted > I was not extremely adept at removing them but I can imagine I had a little problem with this. My OD explained that folding the contact flat (in half) would cause it to eventually (really soon) tear. It's like any plastic or metal. I was doing this during cleaning. Once I stopped doing this, I no longer had any torn contacts.
 Signature Dan Abel dabel@sonic.net Petaluma, California, USA
Quick - 22 May 2006 00:43 GMT > In article > <%p4cg.13262$fb2.199@newssvr27.news.prodigy.net>, [quoted text clipped - 10 lines] > metal. I was doing this during cleaning. Once I stopped > doing this, I no longer had any torn contacts. Yea, I was aware of that and I wasn't doing it intentionally. The things were so flimsy they would invert and suction onto my finger, fold over flat by themselves when I was trying to determine if they were inside out in my palm, fold flat when I was removing them using the pinch technique (yes I only "pinched" from the very edges starting on my eyeball on either side of the contacts), etc., etc. The CIBA's and Cooper's were thicker, stiffer, much easier to handle and I destroyed them much less frequently. Fortunately I was on my way to RGPs. These are extremely "rugged" in that sense and very much to my liking.
-Quick
Dom - 22 May 2006 10:52 GMT > Thanks, Dom. > [quoted text clipped - 5 lines] > surevue, > and I take the lenses out every night. If by 'rugged' you mean 'not thin & flimsy' then O2Optix are rugged. They're not the only good lens out there but they are one of the few best currently available in my opinion.
Other options to consider are daily disposables, which don't need cleaning or disinfection and so are extremely hygienic and convenient.
Dom
Anon E. Muss - 22 May 2006 23:19 GMT >It is becoming harder and harder to get surevue lenses (discontinued), >although there is still plenty of places that advertise them. > >I'm looking for suggestions for replacements. I don't like >accuvue/advance. >They break in no time and are much thinner. How long, on average, does it take them to break?
>I'm basically looking for a reaonably common brand which has the same >or similar material, sizesand thickness as Surevue. Any of the standard HEMA lenses are pretty comparable. Something like CooperVision's Frequency 38, Ocular Science Hydrogenics 38, or a Bausch & Lomb Optima 38 are pretty similar to a Surevue.
>Would one of the regulars (Dr. Larry?) care to make a suggestion? Standard HEMA soft contact lenses are almost never a first-choice lens that I prescribe anymore, but they still do have niche place in my office for certain patients.
I, like many of my colleagues, have switched to silicone hydrogels, as my soft lens material of choice. I fit all new patients, with rare exceptions, in them and recommend all current patients switch to them. They are "that much" better.
I would inquire if your eye doctor would try some of the other silicone hydrogel contact lenses that you have NOT tried, such as CIBA O2Optix or B&L PureVision.
erikred@hotmail.com - 02 Jun 2006 06:53 GMT Hi again to all,
I just wanted to thank everyone that offered advice and experiences in response to my question. I think my eye care provider tends to prescribe J&J, and it was very helpful to hear about some of the alternatives.
A last word about ruggedness: Just as ruggedness can be doublespeak for over-wearable, comfortable can be marketing doublespeak for "flimsy and hence good for business". My experience with Accuvue Advance is that they would quite often develop nicks and tears within 1-2 days, and that is in my opinion not good enough for a 7day lens.
Erik Red
Dr. Leukoma - 02 Jun 2006 13:14 GMT > A last word about ruggedness: Just as ruggedness can be doublespeak for > over-wearable, [quoted text clipped - 4 lines] > within 1-2 days, and that is in my opinion not good enough for a 7day > lens. As one who fits and sells contact lenses of all types, I have not seen any evidence that the Acuvue Advance has an abnormally high failure rate, and could not disagree more with your statement. In stating this, let me also say that it is not typically my lens of first choice for completely different reasons, nor do I have any financial incentive to defend Acuvue lenses. While comfort and durability are not mutually exclusive qualities, they sometimes are. For example, thinner lenses are usually more comfortable, but they also tend to tear more easily. The Acuvue Advance is not a particularly thin lens, but has a thinned edge.
Rather than blaming the product in this case, you might examine your handling technique.
DrG
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