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Medical Forum / General / Vision / July 2006Multipurpose Solutions?
I have used AOSept for decades. The stuff works, but I do consider it expensive and a pain in the a.s to use as part of a multi-step contact lens maintenance regimen. Recently, AOSept has been impossible to obtain, forcing me to "test" other methods. I figured it was time to give multipurpose solutions a try. I tried Aquify, ReNu, Opti-Free, and Complete Moisture Plus. I found none of them allowed me to wear my contacts comfortably through an entire day of activity. I have no clue why. I tried "Clear Care" two years ago, but had similar results to the multipurpose solutions I recently tested. I find with the multipurpose solutions, by the end of the day my vision becomes very blurry. I believe this is due to build-up on the lenses, because when I put my glasses back on I am fine. Sometimes this 'end of the day' buildup makes my lenses downright uncomfortable. After soaking the lenses overnight, they are pretty much back to 'normal' the next day. I found the Aquify product was the most comfortable, followed by the Complete. But I had to remove my contacts a good 4 hours earlier with all of them than my experience with AOSept due to deteriorating vision quality. I also notice when I wake up in the morning I have a significant amount of 'debris' or 'yellowish sleep eye deposits' on my lashes that do not exist when I use AOSept. I tried to follow the directions as indicated for each product. I added an additional cleaning step using MiraFlow or equivalent, and an extra rinse with saline before inserting. I get the same result every time. Towards the end of the day my contacts are very blurry. Am I doing something wrong? With the popularity of multipurpose solutions, is anyone else having this problem? Is there some secret trick or other product that might help, or should I just go back to the hassle of AOSept now that it is appearing back on the shelves? TIA I also have that problem, and am glad to see I'm not alone. I haven't tested as many as you did, but it was because I figured that none of these "multi-purpose" (or, in my case, NO purpose) solutions were for me. I recently posted about the recent apparent drop of Aosept from the market (along with generic pork-based enzymatic tablets). My eye doc says it's market forces (too many contact wearers too lazy to clean their lenses, so everything's disposable, so people don't need the thorough cleanings we're used to). Unfortunately, that seems to leave people like you and me screwed, as we can't use those solutions, for some reason. I have the added problem of preferring to pay $60 a year for my lenses, rather than the $250 the disposables would cost me. If anyone with this problem HAS found a multi-purposes that doesn't "goop up" your eyes, please let us know! > I snip > I have the added problem of preferring to pay $60 a year for my lenses, > rather than the $250 the disposables would cost me. You can pay $60/year for contacts and $250/yr for care solutions or You can pay $60/year for care solutions and $250/yr for contacts. Dr Judy > If anyone with this problem HAS found a multi-purposes that doesn't > "goop up" your eyes, please let us know! > You can pay $60/year for contacts and $250/yr for care solutions or > > You can pay $60/year for care solutions and $250/yr for contacts. Well, I was either doing something dangerously wrong, or was incredibly lucky, because I figure my solutions costs to be only about $50-75 a year, with the annual-replacement lenses. And I don't think I was doing anything wrong, because my lenses would be GOOD and my eyes okay at the end of a year of cleaning with my method. Part of my complaint about the lens industry is that people have allowed themselves to be duped into thinking they HAVE to pay this much, either for lenses or for solutions, when it is possible, with care and research, to wear lenses safely for much less $$. But, because the masses were duped, the options disappear for the rest of us. > Part of my complaint about the lens industry is that > people have allowed themselves to be duped into thinking [quoted text clipped - 3 lines] > masses were duped, the options disappear for the rest of > us. Duped? I think it's more that the market wants, and is willing to pay for, convenience. The manufacturers generally respond to the market -- unless you subscribe to some sort of conspiracy theory. If you're not in the main stream you will pay more or not have the option at all. For "cheap" solutions you need to talk to Dicky (I'd keep a doc on retainer though). -Quick "Quick" <quick7135-news@NOSPAMyahoo.com> wrote in news:f9Qvg.51974$VE1.4533 @newssvr14.news.prodigy.com: > Duped? I think it's more that the market wants, and is willing > to pay for, convenience. For years, the pharmaceutical industry has been doing all it can to keep generics from reaching the market, going to the extremes of paying the producers of generic drugs to get exclusive rights to a drug with expiring patents, and then not make it (and this is no conspiracy theory!). Also, drugs with very subtle differences from low priced generics (i.e., no great improvements) are marketed direct-to-consumer as the latest greatest thing, when the previous generation of generic would serve the patient just as well. It seems to be clearly in the interest of the lens makers to get their customers to buy their most expensive products.  SignatureScott Reverse name to reply > > You can pay $60/year for contacts and $250/yr for care solutions or > > [quoted text clipped - 11 lines] > care and research, to wear lenses safely for much less $$. But, > because the masses were duped, the options disappear for the rest of us. Where do you live? Here in Canada, AOSept, if used with daily cleaner and if the solution is changed daily and if protein tabs are used weekly the annual cost would be close to $200 Cdn. A small number of patients have exceptional tear quality and can wear non disposable lenses without coating them up. But the vast majority will show significant deposits on the lenses within 60 to 90 days. Since the advent of disposables, I see very little giant papillary conjunctivitis and corneal staining, both problems that were common before. Dr Judy I'm in the US. My regimen is: 1) Saline rubs and soaks every night (same saline for one week) 2) WEEKLY enzymatic soak, followed by Aosept disinfection, followed by a refresh of the soaking saline. That's it. No daily cleaner. Saline -was- about 99 cents (US) per bottle until recently; now up to $1.50. Enzymatic tabs, when I could get the generics, were about $5 for 12 weeks worth. Aosept was the most expensive part -- I could buy 2 big bottles at a warehouse club for, I think, around $13? And I don't recall how much the Aosept disc cost. I have my eyes checked annually, and I'm not doing any damage. Now, thanks to planned obsolescence, I will have to pay much more to keep them healthy, and will still probably suffer some discomfort (I'm on a biweekly disposable lens trial, right now, with "all in one" solution and, after 3 days, they're already getting cloudy, even strictly following the suggested regimen). I know it doesn't do any good to bitch about the loss of a system that worked perfectly for me, but it makes me feel better, so I bitch. > Where do you live? Here in Canada, AOSept, if used with daily cleaner > and if the solution is changed daily and if protein tabs are used [quoted text clipped - 6 lines] > conjunctivitis and corneal staining, both problems that were common > before. You're soaking in saline? If you are, you're running a risk of serious eye infection. I'm not saying you will 100% definitely get one, but you're running a risk. You need some form or other of disinfection every time you remove your lenses. If you're happy with Aosept, stick with that - but use it fresh every night! If you can buy two big bottles for $13 then it's hardly a huge expense. Dom > I'm in the US. My regimen is: > 1) Saline rubs and soaks every night (same saline for one week) [quoted text clipped - 28 lines] >> conjunctivitis and corneal staining, both problems that were common >> before. > You're soaking in saline? If you are, you're running a risk of serious > eye infection. I'm not saying you will 100% definitely get one, but > you're running a risk. You need some form or other of disinfection every > time you remove your lenses. If you're happy with Aosept, stick with > that - but use it fresh every night! If you can buy two big bottles for > $13 then it's hardly a huge expense. Really? Because I've been doing it this way for about - at least - 20 years. And have never had an infection. I wash my hands THOROUGHLY before touching my lenses (putting them in -or- taking them out) - isn't this enough to prevent infection? >> You're soaking in saline? If you are, you're running a risk of serious >> eye infection. I'm not saying you will 100% definitely get one, but [quoted text clipped - 7 lines] > before touching my lenses (putting them in -or- taking them out) - > isn't this enough to prevent infection? Washing the hands thoroughly is very important and is probably the main reason you have been so lucky if you have really been soaking your contacts in saline for 20 years. Surely one of the optometrists you have seen over that time has advised you against this practice? As I said, you may never get an eye infection, but I sure wouldn't like to be taking that risk. >> You can pay $60/year for contacts and $250/yr for care solutions or >> [quoted text clipped - 5 lines] > doing anything wrong, because my lenses would be GOOD and my eyes okay > at the end of a year of cleaning with my method. I've been using Renu Multi-Plus and (more frequently) the Rite-Aid, Costco and Target clones since 1998. Since only one pair of lenses out of 4 actually works (long sad story, too often told), I've been wearing it for over a year cleaning nightly. My one pair of lenses cost $85 for fitting and $240 for the two four-packs of lenses. The only one that actually worked was the pair that I finally decided was good -- the 3-packs ordered to the same prescriptions don't fit. No, there is no recourse. > Part of my complaint about the lens industry is that people have > allowed themselves to be duped into thinking they HAVE to pay this > much, either for lenses or for solutions, when it is possible, with > care and research, to wear lenses safely for much less $$. But, > because the masses were duped, the options disappear for the rest of us. Some of us agree and some of us think that we're penny-wise pound-foolish. So far so good. SignatureCheers, Bev xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx "It is a matter of regret that many low, mean suspicions turn out to be well-founded." -- Edgar Watson Howe > I have used AOSept for decades. The stuff works, but I do consider it > expensive and a pain in the a.s to use as part of a multi-step contact [quoted text clipped - 36 lines] > > TIA Due to a manufacturing plant closure, CIBA solutions were off the market for about 6 months, coming back in now. Are you using disposable lenses? The multipurpose solutions are primarily for disposable lenses that will be thrown out before they get dirty. If using a non disposable, you really do need to use a multi solution system with cleaner, soaking, rinsing and protein tab such as AOSept or UltraCare. Dr Judy I am wearling "Flexible Wear" torics from CooperVision as daily-wear. I swap them with a new pair every quarter. I figured when I switched to disposables, I would have an easier time with cleaning. This does not seem to be the case. I am glad to see AOSept back on the market, but I sure wish the multipurpose solutions worked better for me. > Due to a manufacturing plant closure, CIBA solutions were off the > market for about 6 months, coming back in now. [quoted text clipped - 6 lines] > > Dr Judy > I have used AOSept for decades. The stuff works, but I do consider it > expensive and a pain in the a.s to use as part of a multi-step contact [quoted text clipped - 36 lines] > > TIA Peroxide systems have some great advantages (and disadvantages)... is Omnicare 1-step available where you live? Dom > is Omnicare 1-step available where you live? > > Dom Doesn't seem to be. Thanks for the suggestion, though! > ... when I put my glasses back on I am fine. There, perhaps, is your answer. > ... Is there some secret trick? You can clean eyeglasses with soap and water. -- Dicky
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