Medical Forum / General / Vision / July 2006
Wearing Contacts All Night
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KeithF40@gmail.com - 02 Jul 2006 09:21 GMT I wear acuvue advanced and sometimes I stay up all night and when I do this I notice that the next day, which is really the same day since I didnt go to sleep, my eyes feel very uncomfortable from the contacts. The use of rewetting drops doesnt really help that much. Is there anything I can do about this like take the contacts out, clean them and put them back in, or take them out for a little while, like an hour or something, and then put them back on. Any information would be greatly appreciated.
retinula@hotmail.com - 02 Jul 2006 12:43 GMT yeah. take them out for a little while (at least one hour) and let them disinfect in your contact lens solution. that will allow atmospheric oxygen to get to your eyes and reduce any adverse effects from hypoxia.
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> I wear acuvue advanced and sometimes I stay up all night and when I do > this I notice that the next day, which is really the same day since I [quoted text clipped - 4 lines] > something, and then put them back on. Any information would be greatly > appreciated. Anon E. Muss - 02 Jul 2006 15:56 GMT >I wear acuvue advanced and sometimes I stay up all night and when I do >this I notice that the next day, which is really the same day since I [quoted text clipped - 3 lines] >put them back in, or take them out for a little while, like an hour or >something, and then put them back on. Certainly. It doesn't hurt to see if that helps.
It should be obvious, but your eyes feeling "very uncomfortable" is a symptom that something is wrong. I would call your eye doctor and tell him exactly what is going on.
You could also try using artificial tears periodically on these days, prior to the "very uncomfortable" feeling sets in to see if that helps stop this feeling from occuring.
Dr. Leukoma - 02 Jul 2006 16:18 GMT > I wear acuvue advanced and sometimes I stay up all night and when I do > this I notice that the next day, which is really the same day since I [quoted text clipped - 4 lines] > something, and then put them back on. Any information would be greatly > appreciated. Ask about Acuvue Oasys.
DrG
Dick Adams - 02 Jul 2006 17:16 GMT > I wear acuvue advanced and sometimes I stay up all night and when I do > this I notice that the next day, which is really the same day since I [quoted text clipped - 4 lines] > something, and then put them back on. Any information would be greatly > appreciated. Here's an idea. Get some regular eyeglasses and wear them instead of the contacts when you are at home. No one will see you, and we won't tell anybody you need correction.
-- Dicky (Nonprofessional)
acemanvx@yahoo.com - 02 Jul 2006 17:25 GMT > > I wear acuvue advanced and sometimes I stay up all night and when I do > > this I notice that the next day, which is really the same day since I [quoted text clipped - 12 lines] > Dicky > (Nonprofessional) I find it silly how vain some people are! I am not vain and I much prefer glasses over contacts. My contacts become uncomfortable after an hour or two, doesnt matter what brand too. My tolerance to contacts is much less than yours. Whats your pescription? If its very high or complex maybe this poster just doesnt see as well with glasses due to minification and disortion. I wear undercorrected computer glasses and my eyes rarely get tired
p.clarkii@gmail.com - 02 Jul 2006 18:35 GMT ace, i know its hard for you to believe but this thread isn't about you.
noone asked or cares about your contact prescription or how contact feel on your eyes. the guy just simply told what his problem is and asked for some advise-- from people who know. that excludes you.
so why do you feel compelled to chime-in on every post that is even obtusely related to something that you know about, and then try to hijack the discussion into something that relates to YOU? could it be that you have an ego problem? could it be that you are seeking attention from us because you don't get enough from daddy? if you are such a genius (as you like to brag you are) then why don't you think about it some.
and don't bother to post here unless you really have something to contribute. we're tired of hearing about you, or your sister, etc.
Charles - 02 Jul 2006 18:54 GMT > so why do you feel compelled to chime-in on every post that is even > obtusely related to something that you know about, and then try to [quoted text clipped - 6 lines] > and don't bother to post here unless you really have something to > contribute. we're tired of hearing about you, or your sist He does it because he likes to act like a moron. That is obvious whether he has a high IQ or a low one. He acts stupid. What I can't understand is why some people feel compelled to reply to all his nonesense. You are giving him the attention he craves. Just ignore him or killfile him.
 Signature Charles
Neil Brooks - 02 Jul 2006 19:11 GMT >> so why do you feel compelled to chime-in on every post that is even >> obtusely related to something that you know about, and then try to [quoted text clipped - 12 lines] >nonesense. You are giving him the attention he craves. Just ignore him >or killfile him. As I've said here since the dawn of Otis -- rightly or wrongly: the person who just learned of a vision problem with their loved one and comes here seeking advice is vulnerable to the ignorance, agendas, illogic, and unconscionable behavior of Ace and Otis if nobody says "WARNING: LUNATIC POSTING!"
While some might believe that these two's idiocy is instantly recognized, after you've been here for a while (in my case: years), you start to realize that some pretty anxiety-ridden, desperate people stop by who may NOT be thinking at their best.
Those folks have been vulnerable to, and HURT BY, the likes of Otis Brown.
Hurt ... as in double vision and other ocular problems that they did NOT have before they listened to the nice man in the Cadillac offering chocolate bars to their kids.
It takes a vast leap of faith--one that a few of us are reluctant to make--to say that nobody will get hurt if the replies ceased tomorrow.
p.clarkii@gmail.com - 02 Jul 2006 23:41 GMT killfiling is a good option. so is public humiliation.
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> > so why do you feel compelled to chime-in on every post that is even > > obtusely related to something that you know about, and then try to [quoted text clipped - 12 lines] > nonesense. You are giving him the attention he craves. Just ignore him > or killfile him. acemanvx@yahoo.com - 02 Jul 2006 19:54 GMT > ace, > i know its hard for you to believe but this thread isn't about you. [quoted text clipped - 13 lines] > and don't bother to post here unless you really have something to > contribute. we're tired of hearing about you, or your sister, etc. relax, I am just trying to help! He should find it reassuring that I have worse problems with contacts than he does! I then went on to give advice that sticking to glasses more often will help as it does for me. Whats wrong with what I said? This is a free board with free speech and I have the right to help others. As for vanity, theres other reasons including partaking in sports and also better BCVA for high myopes as contacts dont minify.
Neil Brooks - 02 Jul 2006 20:03 GMT >relax, I think pretty much everybody here is relaxed but you (well, ... Otis, too) whose pathological need to post compels them where wisdom doesn't inform them.
>I am just trying to help! Out of idle curiosity, though: how many times do you need to be told that you hurt far more than you help before you realize that the most help you could be is to unplug your computer and go play?
>This is a free board with free speech and >I have the right to help others. Why is it that idiots like you and Otis are always PASSIONATELY concerned about your "rights," but blithely ignorant of your moral or ethical RESPONSIBILITIES??
THAT--among myriad other things--is why you seem to get called an idiot around here a great, great deal.
To wit: idiot.
odisbrown@pa.net - 02 Jul 2006 20:05 GMT Dear Ace,
Subject: ridicult by the MO doctors
Pay no attention to them, my sweet, young prodigy.
As long as you and I share what we share, then they cannot hurt us, they cannot stop us, and they cannot KEEP us apart.
Best,
Odis, Pederast
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>> ace, >> i know its hard for you to believe but this thread isn't about you. [quoted text clipped - 21 lines] >including partaking in sports and also better BCVA for high myopes as >contacts dont minify. Charles - 02 Jul 2006 19:45 GMT > I find it silly how vain some people are! I am not vain and I much > prefer glasses over contacts. My contacts become uncomfortable after [quoted text clipped - 3 lines] > glasses due to minification and disortion. I wear undercorrected > computer glasses and my eyes rarely get tired Ace, obviously you are unwilling to read or absorb the information posted here, but believe it or not, some people wear contacts for reasons other than vanity.
Quick - 02 Jul 2006 21:07 GMT >> I find it silly how vain some people are! I am not vain >> and I much prefer glasses over contacts. My contacts [quoted text clipped - 9 lines] > information posted here, but believe it or not, some > people wear contacts for reasons other than vanity. Well, that was implied (out of the blue) by Dicky who is also in the same boat with Otis and Ace with little or twisted knowledge, some bizarre agenda, and the need to interject for attention. Ace, in his mushroom induced stupor, transferred this insinuation to the OP. Maybe I didn't give Ace enough credit... It could have been a deliberate attempt at obfuscation but I doubt it.
-Quick
p.clarkii@gmail.com - 02 Jul 2006 23:45 GMT i guess you really didn't killfile him or ignor him.
seems like you are trying to reason with him. it won't work because he thinks he is inately smarter than you and everyone else. after all, he is "Aceman" and we are just amongst the ignorant mass. we just don't recognize his superior intelligence (obtained solely through reading on the internet).
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> > I find it silly how vain some people are! I am not vain and I much > > prefer glasses over contacts. My contacts become uncomfortable after [quoted text clipped - 8 lines] > reasons other than vanity. > -- KeithF40@gmail.com - 03 Jul 2006 04:44 GMT Thanks for all the advice and to a lesser degree the banter. I am on my last box of lenses so I have to go see my eye doctor soon anyway. At that time I will ask about Oasys but the only problem would be that I wear Acuvue Advanced for Asthigmatism in one of my eyes. When I say very uncomfortable Im meaing that there is no pain but it does bother me. When my contacts bother me I become considerably more agitated as I have a very low threshold for discomfort. I wear contacts for a multitude of reasons but Ive only been wearing them for less than a year now. I first got them for facial comfort reasons but I also find that I see much better with them. My appearance in them is actually the last reason that I wear them although I find that they do have a positive effect on me asthetically. The improvement in physical activites is actually even more of a resaon for wearing contacts for me than my appearance. The thing about the artificial tears thing is that alot of the time when I stay up all night its because I am just not tired so its kind of a spur of the moment type of thing.
A related question I have is that kind of improvement can I see by wearing Acuvue Oasys. Im assuming that the main improvement is that after a long period of time they will feel more comfortable than Acuvue Advanced. Most of the time I can feel my contacts at all for the first 12 hours or so so any improvement there would only make a minor improvement in my happines with the lens. My second biggest problem with contacts after the long term uncomfort issue is the initial comfort issue, meaning the comfort for the first minute or so after I put them in or the comfort when I am actually putting them in. Alot of the time I find myself very quickly taking the contact back out of my eye and cleaning it again to then find it more comfortable, sometimes I have to do this twice or three times.
> i guess you really didn't killfile him or ignor him. > [quoted text clipped - 18 lines] > > reasons other than vanity. > > -- Anon E. Muss - 03 Jul 2006 06:31 GMT >When I say very uncomfortable Im meaing that there is no pain but it >does bother me. When my contacts bother me I become considerably more >agitated as I have a very low threshold for discomfort. Ok.
>The thing about the artificial tears thing is that alot of the time >when I stay up all night its because I am just not tired so its kind >of a spur of the moment type of thing. Well, as soon as you realize you are going to do this, if you can, start using the artifical tears prior to your symptoms of discomfort.
>A related question I have is that kind of improvement can I see by >wearing Acuvue Oasys. Im assuming that the main improvement is that >after a long period of time they will feel more comfortable than Acuvue >Advanced. I have generally found that for mild symptomology, they may make a slight difference. IOW, while I have had some patients tell me that Oasys are better than Acuvue Advanced, none have told me they were tremendously better. Most patients tell me they really can't tell a huge difference between the two lenses. And for my patients with severe dry eye, no contact lenses tend to work well -- especially for the patients who find the intensive dry eye therapy they would need to make things work excessively burdensome.
I do prefer Oasys over Acuvue Advanced for the patients that the Oasys fits. I have found that the Oasys fits too tight for what I like to see for me to prescribe it for most patients (Ks < 45.00), so I tend not to use it as much as Ciba's O2Optix which move much better on the eye.
(Why this is a problem is that I have had quite a few patients have problems [from CLARE to bacterial keratitis] with the 8.4 Ciba Focus Night & Day [CFND] on an EW basis that had no *acute* problems [well, they had limbal neovascularization] with standard ACUVUE on the same EW basis. While the O2 getting to the eye with the CFND is far better than the ACUVUE, I believe that the silicone hydrogel contact lenses [SHCLs] tend to be stiffer on the eye and do not allow adequate tear exchange under the lens than does an equivalent HEMA lens. I therefore want to see more movement on a SHCLs than I would tolerate on a HEMA lens. When I have moved these patients to the 8.6BC CFND, these problems went away.)
>Most of the time I can feel my contacts at all for the first 12 hours >or so so any improvement there would only make a minor improvement in >my happines with the lens. Ask your eye doctor to give them a shot.
>My second biggest problem with contacts after the long term uncomfort >issue is the initial comfort issue, meaning the comfort for the first >minute or so after I put them in or the comfort when I am actually >putting them in. Alot of the time I find myself very quickly taking >the contact back out of my eye and cleaning it again to then find it >more comfortable, sometimes I have to do this twice or three times. Three simple suggestions:
1. Use a soap that does not leave residue on your hands. There are optical soaps especially designed for this, but I have found that standard DIAL antibacterial soap works well.
2. Make sure when you dry your hands before instilling the lenses that you use a lint free cloth or paper towel. KLEENEX are lint-laden and if used you can get lint fibers underneath the lens and it can irritate your eye.
3. Rinse your contact lens off with non-preserved saline (e.g., AMO's Lens Plus Sterile Saline Solution) prior to insertion. NOTE: Do NOT use this to store your lenses in overnight.
ArsenalFire - 07 Jul 2006 12:10 GMT Night and Day, PureVision, PureVision Toric, O2Optix, and Oasys are suitable overnight lenses. Acuvue Advance is not. Keep it simple and change to a lens appropriate for your needs.
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