Contact Lenses Today® is edited by Dr. Joseph T. Barr and the staff of Contact Lens Spectrum. This
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Choosing between hydrogel and silicone hydrogel lenses
We often feel patients would benefit by changing from hydrogel to silicone hydrogel lenses. However,
convincing patients to switch can sometimes be challenging. Practicing in Midland, Mich., the home of Dow Corning, has provided us
with extensive experience fitting some of the first contact lenses to incorporate silicone. We have found the following chart
helpful when deciding whether to refit patients in such cases:
To Refit Or Not To Refit?
Patient Wear Schedule
Compliance
History of complications i.e. infection
*Depositing history?
Comfort, (redness + dryness)
Cost Limitations
Yes
FW, EW
Poor
Significant
Not a factor
Poor
Little
Maybe
DW
Variable
Some
Some
OK
Some
No
Part time
Good
none
Significant
Good
Significant
*We routinely recommend hydrogen peroxide based
solutions with silicone hydrogel lenses, finding they help promote a clean lens surface. John E. Kaminski, O.D., F.A.A.O. &
Scott M. Buckingham, O.D., Midland, Mich. Real-world feedback from eye care professionals now supports pre-launch claims of ACUVUE® ADVANCE™
Brand Contact Lenses for ASTIGMATISM.
When compared to Soflens66® Toric, ACUVUE® ADVANCE™ for ASTIGMATISM clearly provides more
predictable orientation and crisper, more stable vision; the advantage comes from the Accelerated Stabilization Design. Less lid
interaction leads to superior performance versus the traditional prism-ballast design such as found in Soflens66® Toric. Also,
because of HYDRACLEAR™ Technology, the lens delivers significantly better comfort both upon insertion and at the end of the
day. http://www.ecp.acuvue.com
--ADVERTISING Report adverse contact lens reactions here:http://www.accessdata.fda.gov/scripts/medwatch/ or call
(800) FDA-1088. Access a reporting form for complications you've seen that were a result of contact
lenses dispensed without a valid prescription at the Association of Regulatory Boards of Optometry's (ARBO's) Web site:
http://www.arbo.org/arbo.asp?dt=R&doc=Complications.
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