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Medical Forum / General / Vision / September 2006

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Frequency 55 vs. Focus Monthly lenses

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newsgroups - 12 Sep 2006 04:45 GMT
Hi:

I am about to order new lenses, and would like to get the "best all around"
lenses that do not cost too much. I am -2.25 / -2.25. I wear my lenses 12-14
hrs/day, lots of computer work.

At this point, I am considering Coopervision Frequency 55 and Ciba Focus
Monthly lenses.

a) Is either one a better lens and why? (the F55s are cheaper)

b) I have a trial pair of the F55s with Base Curve shown as "MED" and seem
to fit fine, but order forms show 8.4, 8.7, or 9.0 available... Q: which is
equivalent to the MED curve? 8.7?

c) Any other lenses that I should consider?

Thanks in advance!

-- Paul
p.clarkii@gmail.com - 12 Sep 2006 11:58 GMT
there are literally hundreds of lenses like the ones you are
considering.  if they feel comfortable to you, and you see well with
them, and the eye doc says they fit you, then they will work fine for
you in the way you intend to wear them.

typically these brands of lenses are not the least expensive brands, at
least where i live (midwest US).  there are very similar lenses that
are more aggressively priced by the manufacturer.  i would try lenses
made by biomedics (e.g. biomedics 55) and vistakon (acuvue 2).

you are right.  MED = base curve 8.7

---------------

> Hi:
>
[quoted text clipped - 16 lines]
>
> -- Paul
Anon E. Muss - 12 Sep 2006 14:58 GMT
>Hi:
>
[quoted text clipped - 6 lines]
>
>a) Is either one a better lens and why? (the F55s are cheaper)

They are about the same.

>b) I have a trial pair of the F55s with Base Curve shown as "MED" and seem
>to fit fine, but order forms show 8.4, 8.7, or 9.0 available... Q: which is
>equivalent to the MED curve? 8.7?

8.7

>c) Any other lenses that I should consider?

Any of the silicone hydrogels.  Old style HEMA SCLs are never a first
line choice for me; they are only used when I have to.

The cheapest ones are the Ciba O2Optix and the Acuvue Advance.
Dr Judy - 12 Sep 2006 18:25 GMT
> Hi:
>
> I am about to order new lenses, and would like to get the "best all around"
> lenses that do not cost too much. I am -2.25 / -2.25. I wear my lenses 12-14
> hrs/day, lots of computer work.

Given that you wear them most of the day and work in  potentially
drying condidtions, why not treat yourself to the best lens that fits
you instead of concentrating on price.  Better lenses would cost under
$50 more per year -- less than $0.25 a day.

> At this point, I am considering Coopervision Frequency 55 and Ciba Focus
> Monthly lenses.

These lenses are very similar, 15 to 20 year old material and design.

> a) Is either one a better lens and why? (the F55s are cheaper)

The best lens is the one that fits and performs best on your eyes.

> b) I have a trial pair of the F55s with Base Curve shown as "MED" and seem
> to fit fine, but order forms show 8.4, 8.7, or 9.0 available... Q: which is
> equivalent to the MED curve? 8.7?

When your fitter writes the prescription this will be specified.

> c) Any other lenses that I should consider?

Ask your fitter about the newer silicone hydrogel lenses or Benz
material lenses.  You will need a prescription from your fitter to
order lenses.

Dr Judy
callimico66@yahoo.com - 15 Sep 2006 18:13 GMT
"Ask your fitter about the newer silicone hydrogel lenses or Benz
material lenses. "

Just wanted to comment on this--I wear the Extreme H20 lenses, and they
work well for me (I have dry eye), but I noticed from the beginning
that I needed more minus power in this brand--to achieve the same
acuity as in other brands. Has anyone else noticed this?

I wonder if people just trying these lenses for the first time would
find them "weak" and vision blurry as I did, and give up on them for
that reason.

Thanks,
C66
LarryDoc - 16 Sep 2006 03:53 GMT
> "Ask your fitter about the newer silicone hydrogel lenses or Benz
> material lenses. "
[quoted text clipped - 10 lines]
> Thanks,
> C66

The correct lens power for any given brand/design/fit is determined
while the lens in on the eye. It is not unusual for someone to need + or
- .25 or so difference from one brand to another. The only way to get  
"weak" blurry vision is if the lens is incorrectly fitted and
prescribed, like basing it on a spectacle correction and not checking
the visual acuity and adjusting it appropriately.

LB, O.D.
retinula - 13 Sep 2006 12:51 GMT
As others have said, while it is true that the silicone hydrogel lenses
are superior to the older HEMA based lenses that you are trying, they
should still work fine for you since you don't plan to wear them for
excessive periods of time and they are comfortable to you.  they are
also less expensive which seems to be a concern for you.

If you want the healthiest lens for your eye at the best price for
those lenses, then I agree that 02 Optix or Acuvue Advance is the best
choice.
newsgroups - 13 Sep 2006 17:22 GMT
thanks but...

I just tried some CIBA O2 Optix for 3 days and was disappointed:
- made my eyes sting and go bloodshot
- vision was somewhat blurry, noticeably worse than w. Freq. 55s
- expensive
- PS: I use ClearCare sol'n, which I have been for a year w. no problems

QUESTION:
what about Coopervision Biocompatibles? (vs. silicone hydrogels).. I used
these for 3 years no problems, but was hoping to switch to cheaper lenses
(they are priced same as the expensive vs. silicone hydrogels)

thx!

> As others have said, while it is true that the silicone hydrogel lenses
> are superior to the older HEMA based lenses that you are trying, they
[quoted text clipped - 5 lines]
> those lenses, then I agree that 02 Optix or Acuvue Advance is the best
> choice.
newsgroups - 13 Sep 2006 17:48 GMT
NOTE: Coopervision Biocompatibles a.k.a. ProClear

thx

> thanks but...
>
[quoted text clipped - 20 lines]
>> those lenses, then I agree that 02 Optix or Acuvue Advance is the best
>> choice.
p.clarkii@gmail.com - 13 Sep 2006 21:57 GMT
the aspheric design of 02 Optixs also causes blur for many patients.
some docs deliberately overminus patients a little to reduce this
complaint.

Biocompatible is a good lens.  You should try Biomedics XC which is
very similar and less expensive.  I have had lots of patients who are
very satisfied with these lenses and pick them over silicone hydrogels
in side-by-side comparisons.

================

> thanks but...
>
[quoted text clipped - 20 lines]
> > those lenses, then I agree that 02 Optix or Acuvue Advance is the best
> > choice.
newsgroups - 14 Sep 2006 05:13 GMT
seems the Biomedics XC are described as a 2 week lens on the Coopervision
site... I understand Proclear/Biocompatibles are 1 month.... so, does that
mean I will go through the XCs twice as fast? ao, are they both OK for 1
month

seems that Coopervison makes both, but the XCs are definitely cheaper

thx!

-- Paul

> the aspheric design of 02 Optixs also causes blur for many patients.
> some docs deliberately overminus patients a little to reduce this
[quoted text clipped - 31 lines]
>> > those lenses, then I agree that 02 Optix or Acuvue Advance is the best
>> > choice.
Anon E. Muss - 14 Sep 2006 19:57 GMT
>thanks but...
>
>I just tried some CIBA O2 Optix for 3 days and was disappointed:
>- made my eyes sting and go bloodshot

That can happen as people go from traditional (HEMA) soft contact
lenses (SCLs) to silicone hydrogel (SHCLs) lenses, as their eyes get
used to getting so much more oxygen.  That typically goes away in less
than 1 week, although in one EW SCL abuser it took around 2-3 weeks
before she felt comfortable in then.

This "problem" is pretty much IMHO exclusive to those who go from HEMA
SCLs to SHCLs and not to "virgin" eyes.

>- vision was somewhat blurry, noticeably worse than w. Freq. 55s

(1) Very picky people with (2) oily tear films sometimes notice this,
although I find it to be rare.

>- expensive

???

Cost *per lens* (Frequency 55 is a monthly replacement SCL, O2Optix
are every two weeks with daily wear [DW]) is about the same.  IOW,
cost is about 2X more for O2Optix, but you get twice the lenses.

>- PS: I use ClearCare sol'n, which I have been for a year w. no problems
>
>QUESTION:
>what about Coopervision Biocompatibles? (vs. silicone hydrogels).. I used
>these for 3 years no problems, but was hoping to switch to cheaper lenses
>(they are priced same as the expensive vs. silicone hydrogels)

SHCLs are my lens of choice for EVERY SCL (save daily disposable
because none are available) patient.  Although for low power
successful SCL patients without any contact-lens related
complications, the benefits might be hard to see.

If you are looking for cheap lenses, look at the B&L SofLens 59 or the
Ciba Choice AB lenses.  I find them to be garbage and never use them,
but if cost is your overriding issue, then they may be worth looking
into.
 
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