[net.med] extended wear contact lens info

dmk@bunker.UUCP (David M. Knight) (11/17/83)

	rick floyd
	uucp: (seismo | allegra)!rochester!rick
	arpa: rick@rochester 

The Nov. 11 Rochester Times-Union article is an example of
poor reporting.  The person writing the article quoted the
"optometrist Reznick" making some extremely rash generalizations.

I'm not saying that problems don't occur with EW soft lenses,
but they are the exception, rather than the rule.  


Ryans statement is, in my opinion, true:

	"It's certainly not our perogative to advertise 30-day wear is for every
	person," he [Ryan of Hydrocurve] said. "We believe certain people should
	only wear them for two days, others can wear them for two months."


Reznicks next quoted statement is also, in general, true:

	"The ads also fail to mention potential problems with soft, extended wear
	lenses, Reznick [a local optometrist] said.

as is the following:

	can be destroyed by heavy makeup and vaseline or other 
	eye makeup remover.

Now he gets into the rash generalities:

1)
	"He said the lenses are difficult to handle. 

SOME EW lenses are MORE DIFFICUT to handle THAN OTHERS.  If a patient 
is PROPERLY TRAINED, there are USUALLY no long term handling problems.

2)
	They require special sterilization because they become covered 
	with protein and minerals if left in for long periods. 

SOME PEOPLE experience buildups of various deposits over varying
periods of time.  Such buildups can often be removed by the 
Hydrogen Peroxide based care procedures (such as Soft Con kit from B&L). 
3)
	They provide less-sharp vision than hard contacts or
	eyeglasses, 

This is Reznick's most uniformed statement!  I question whether he
has ANY experience or real knowledge of EW or even NONEW soft lenses.

The visual acuity obtained from soft lenses (inlcuding EW) is as good
or better than that obtained wiyth other "devices" except in cases
where there is more than 1 diopter, or so, of astigmatism.

In those cases where there is astigmatism in excess if 1 diopter,
astigmatic (EW) soft lenses can be used (but they are more expensive
and harder to fit).

These last items are so dependent upon a large set of variables:

	a) how well the lenses were fit

	b) proper training in handling and lens care

	c) patients manual dexterity and attitude

	d) disinfection mechanism

	e) time between cleanings

	etc.

that the following Reznick generalizations are meaningless!

	1) can last as little as four months with an average life of 13
	months, 


	2) are uncomfortable for hay fever suffers and 


	3) "Buying extended wear contact lenses "is an expensive eye habit," said
	Reznick. He said it can cost between $40 and $100 a year for maintenance and
	eye checkups, not including frequent replacement of lenses."
	...


FYI:

I have been manufacturing, consulting and fitting contact lenses since
1973 and am currently a partner in a practice specializing in soft 
lenses.

Dave Knight...