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need to wear RGP contact lenses as always and not irritate my corneas from dry eyes

Answered on July 09, 2017
Created July 30, 2011 at 1:07 AM

I have happily been wearing RGP lenses for over 30 years for all my waking hours without any problems. I see 20/20 with my lenses, and 20/40 with glasses. I irritated my eyes some time ago when home cleaning chemicals causes an irritation. I had irritated eyes again 6 mos. ago and I was told I now have dry eyes. Recently had irritated cornea twice in this month alone. Told again I now have dry eyes. Tried hot compresses and massage. Used Steroid drops. Eyes feel fine until I put lenses in. Must get back to wearing them. Have been taking flax seed oil capsules for many months. Besides medical eye drops, what can I do? Scrubbing under my lids is not doable, and don't have any of the bleparitis symptoms. Told I have some bumps under my eyelids, but my cornea getting irritated is what bothers me. Help me please. Only have discomfort all of a sudden when putting lenses in. Ever heard of that?

464e1c66609d402615ae2b3cf72d53fb

(1472)

on September 10, 2012
at 07:03 PM

I was recently fitted for Scleral lens and they are much more comfortable than RGP lens. They too are RPG's but bigger. They sit on the white part of your eye, not the cornea. You fill them with saline solution before putting them in. You actually look thru a thin layer of saline film. They are expensive though. My RGP's were $250 for a pair and Scleral's are a grand a pair.

F0e558010a2ecb31fa37b7c491596b8e

(3850)

on January 10, 2012
at 12:19 AM

A reputable doctor won't do vision correction surgery while you have dry eyes. It changes your vision too much and will make healing more difficult.

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6 Answers

1
D901a744930ef7b582f95cbc799a8f4c

on September 18, 2011
at 09:09 PM

It sounds like you may have MGD (definition: http://www.dryeyezone.com/encyclopedia/mgd.html) or posterior blepharitis (definition: http://www.aoa.org/x4718.xml). Besides compresses have you tried gently pressing down on your lids to express the oil glands or had a physician express the glands? Bumps on your lids typically indicate MGD / posterior blepharitis. Not all types of blepharitis are accompanied by flaking, etc.

Have you considered trying another kind of lense?

Also, I would caution you to do a great deal of homework before you seriously consider LASIK as an option. If you are currently experiencing dry eye, the likelihood that your condition will worsen after LASIK seems relatively high. A larger percentage of people with DES, have it because of LASIK. Those with DES prior tend to be at risk for more complications. Do searches on the Internet for LASIK and Dry Eye and you'll find many stories of people whose lives have been forever changed.

1
218f4d92627e4289cc81178fce5b4d00

on August 27, 2011
at 01:28 AM

have you considered LASIK as option to rid yourself forever of the lenses? I did it 12 years ago - besides going paleo it was possibly the best decision I have ever made.

F0e558010a2ecb31fa37b7c491596b8e

(3850)

on January 10, 2012
at 12:19 AM

A reputable doctor won't do vision correction surgery while you have dry eyes. It changes your vision too much and will make healing more difficult.

0
83b36e3c2cabab6c432a54f99f5b17d2

on July 09, 2017
at 12:01 AM

Getting used to RGP contacts takes a couple of weeks or more to become comfortable but for some of us our eyes still feel irritated and we do not know what to do. There are medical reasons for the lack of comfort and technical reasons for why the RGP lenses feel like grit in our eyes. I do not believe optometrists have been trained in anything but fit and optical perfoemance.

 Cleaning the lenses is important and we do not get proper guidance from US optometrists or from the solution makers. I have tried the cleaning systems by the major suppliers Bausch and Lomb and Lobob and hydrogen peroxide found in US pharmacies. Each cleans some but not enough. It is protein deposition which needs removal or one is doomed to a feeling of grit that is mistaken for intolerance of RGP lenses. Bleaching agents like Peroxide are not strong enough. After searching the internet, I found Menicon Progent a bleaching protein removal agent that one can order from other countries for maybe $20.00 for a 3 month supply. After getting a supply of the two solutions A and B from Japan complete with instructions in Japanese, I found a dramatic improvement in comfort that would last me 5-6 days before I could again feel the grit of protein deposition. After combining the two solutions, the smell was unmistakably that of simple bleach. On further searching through Australian and British suppliers the chemical composition of the solutions are two separate solutions of KBr(potassium bromide) and NaClO (sodium Hypochlorite or Clorox original recipe). I found it difficult to get the exact concentrations of each, an Australian site lists the mg% solution but when I calculated the concentration it seemed too dilute. I experimented with varying concentrations, I even tried the pure Clorox, washing thoroughly and putting the lens in my eye with no sting as the lens was washed well and the protein was removed well. Clorox is I think an 8% solution. KBr is a widely used photographic chemical which is cheap, comes as a lifetime supply from BHphoto as a crystalline form for maybe $7 and Clorox is $5 for a lifetime supply. I have been combining about one part Clorox in 8 parts distilled water (one gallon distilled water for $1) and about 2 fava bean sized crystals of KBr in one cup water then mixing 5cc or one teaspoon of each solution in a contact lens peroxide style vial where each lens sits neatly in plastic holder and letting this sit for 30 min or so. Next I rinse thoroughly in plain tap water then place the lenses in the plastic holder in a $35 ultrasonic cleaner for a 3 min cycle. You can get these ultrasonic cleaners at Amazon and they actually clean the lenses somewhat without the bleach. After this I rinse again in tap water then scrub the lenses in a typical soft contact lens cleaner/storage solution then store the lenses until use in the same soft contact lens solution (Alcon Optifree replenish). It seems the KBr removes protein and enhances the effect of just the sodium hypochlorite bleach.

 

So why can you not buy Menicon Progent in the US? It makes no sense unless the FDA is involved in ‘keeping us safe from ourselves’. I suppose some village idiot may put the unrinsed lenses directly from the bleach into their eye and suffer a corneal burn. I think the Progent is a bit weak already, I’m using more concentrated solutions but my rinsing process is comprehensive.

 

Medical reasons for poor comfort include allergic conjunctivitis. People who have mild eye irritation from dust and pollens get increased irritation when the hard plastic RGP lens is in their eye. After using nasal inhaled steroids which have been shown to reduce conjunctivitis and getting both tested for allergies by a board-certified Allergist not an ENT doctor who has never been properly trained as an allergist but dabbles just the same, and getting shots or allergy immunotherapy for about 6 months my eyes felt dramatically better. I could not tolerate the hard lenses for more than 3-4 hours now I can wear them for 12-14 hours in comfort. During allergy season maybe 10 hours of wear is possible by using occasional steroid Prednisolone ophthalmic drops. Steroid eye drops can be dangerous if used when herpes viruses are in the eye and there is a risk of cataracts with daily sustained use and should only be used when directed by a doctor. I also experimented with Alomide (lodoxamide ophthalmic). This is safe for daily use but is weaker than steroids. A prescription in the US was $170 for 15cc, I got the name brand, over the counter from a British pharmacy for $7 for 5cc bottles mailed to the US. It is not OTC in the States and one can thank Congress for allowing the egregious cheating by the multiple levels of pharmacy companies/benefit managers/middle men for the grossly indecent pricing faced by the American consumer. Why not allow the re-importation of pharmaceuticals? This would sort the industry out tout-de-suite, but then our Congressmen would not get greased through their conflicts of interest.

 

Ultrasonic cleaner, two kinds of bleach, consider allergy testing and treatment before giving up on the superior optical performance of RGP lenses. The cleaning I have outlined is cheaper than the mediocre solutions on offer in the States, proper Allergy care can cost maybe $1000/ year but can improve your quality of life more than just wearing the contacts.

 

0
06894589e5710456ed32c2cd10891c05

(260)

on September 10, 2012
at 06:10 PM

I went to my eye doc a few weeks ago for dryness and puffiness in the morning, and she took a look and said it's likely my contacts that caused it, and it was a common thing for this to happen. I asked her if Lasik was an option for my future so I can stop wearing contacts and she says that surgeons do not operate on people who have that particular dryness problem. So I stopped wearing them for about 2 weeks, decided to wear them out for 4 hours yesterday, woke up and my eyes are red. I don't know specifically what your problem is, but all I know is that can't be good, and it's definitely my contacts (this happened to me about 2 years ago and I had to wear glasses for a year).

I'm looking into the Bates Method and correcting my vision naturally. I don't know what that means for you, but hopefully it helped shed some light on the situation. And here is an interesting thread I just came across.

http://paleohacks.com/questions/70117/is-it-possible-to-restore-eyesight-to-normal-20-20-without-lasik-glasses-or-con#axzz265WmmuEP

0
3db481250a8dfd4e132bc65ff78d82fa

on October 17, 2011
at 06:39 PM

Look into scleral lenses. They work great for dry eyes and still provide the same quality vision you get from regular RGP lenses. Ask your eye care provider if they fit them.

What you usually feel with an rgp lens is the edge of the lens against the lid. If your eyes/lids are dry you will feel the edge more. Scleral lenses are large and have very little edge awareness.

I fit these regularly on my patients with dry eyes, keratoconus, post transplants, post lasik ectasia etc.. and the results are very positive.

464e1c66609d402615ae2b3cf72d53fb

(1472)

on September 10, 2012
at 07:03 PM

I was recently fitted for Scleral lens and they are much more comfortable than RGP lens. They too are RPG's but bigger. They sit on the white part of your eye, not the cornea. You fill them with saline solution before putting them in. You actually look thru a thin layer of saline film. They are expensive though. My RGP's were $250 for a pair and Scleral's are a grand a pair.

0
Aead76beb5fc7b762a6b4ddc234f6051

(15239)

on July 30, 2011
at 01:21 AM

malka, my husband had a cornea transplant a few years ago in his left eye, and has to wear RGP lens in his right eye (he has keratoconus). he has very dry eyes, lots of irritation in his non-transplant eye and has a very difficult time getting the lenses in. once its in, it settles down and he is usually ok for a good 8 hours. his doc actually put in some punctal plugs and it made life worth living again. have you ever tried them before? they fall out on their own and its nice if youre looking for a drug-free intervention. i can ask him more about his experience if you have any questions. he is doing great now, and not even taking steroids or anti-rejection drops in the transplant eye with no dryness or irritation.

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