Cl wearers who use the proper solution experience greater comfort, clarity of vision, and satisfaction with their lenses.
I challenge all optometrists to go to the local grocery store or pharmacy and stand in the contact lens solution aisle. With all the choices in brand names, generics, and care system types, is it any wonder patients often end up using the wrong solution? Unless we educate patients, they will usually buy what is on sale or a similar-looking generic version—and as you know, all contact lens solutions are not created equal.
So instead of making a recommendation, prescribe a solution as you would spectacles, contact lenses, and medications. To help, here’s a listing of what’s available from some solution manufacturers.
The newest solution from Abbott Medical Optics (AMO) is RevitaLens OcuTec,™ which combines the disinfection of a peroxide system with the convenience of a multi-purpose solution. AMO developed this product with contributions from over 600 eyecare professionals and experts. It boasts broad spectrum disinfection (OcuTec), sustained antimicrobial activity even under non-compliant conditions, a high effectiveness against Acanthamoeba, low rates of corneal staining and adverse effects, and highly effective protein removal—even on silicone hydrogel lenses. This solution also cleans and conditions the lenses, leading to tolerability, less redness, and less end of day dryness.
COMPLETE® Multi-purpose Solution Easy Rub® formula removes
|Alcon’s OPTI-FREE RepleniSH features a TearGlyde formulation
to provide the lenses with a layer of moisture all day.
protein and debris from lenses. It also kills a broad range of bacteria and microorganisms to help prevent infection. This formula contains an effective cleaner, Poloxamer 237, which is gentle and less cytotoxic on the eyes. The levels of PHMB and EDTA present provide disinfection and prevent microbial growth, while there is also enhanced protection against Acanthamoeba polyphaga. In addition, the solution contains four beneficial electrolytes for complete health and no chlorhexidine or thimerosal for better comfort and less stinging and dryness.
Oxysept® is AMO’s hydrogen peroxide disinfection solution/neutralizer that provides exposure to 3% hydrogen peroxide before neutralization occurs. Oxysept combines disinfection with an ophthal-mic lubricant—HPMC (hydroxypropyl methylcellulose), which seals in moisture. Neutralized Oxysept is also nearly identical in viscosity and surface tension to natural tears. This care system is easy to use—the neutralizing tablet eliminates the risk of residual peroxide and a natural B12 color lets patients know a tablet has been added. Once neutralized, the lenses remain soaking in a preservative-free buffered saline solution, which is ideal for sensitive eyes.
OPTI-FREE® RepleniSH multi-purpose solution from Alcon Laboratories, Inc. has been specially formulated to provide a high level of moisture for patients wearing all types of contact lenses, including silicone hydrogel.
|WHAT IS THE PURILENS SYSTEM?PuriLens/The Lifestyle Co., Inc.’s PuriLens® is a cleaning and disinfecting system for soft contact lenses that consists of the compact PuriLens electronic unit and chemical-free PuriLens Solution. The PuriLens unit cleans without digitally rubbing lenses by producing a hydrodynamic shear force with PuriLens Solution that strips debris from the lens surface. Next, the solution is circulated into the upper chamber where a UVC germicidal light kills 99.99% of microorganisms. The entire process is completed in 15 minutes.|
RepleniSH is a sterile, buffered, isotonic solution that contains sodium borate, sodium chloride, propylene glycol, sodium citrate, and preservatives polyquad and aldox. The TearGlyde® formulation provides the lenses with a layer of moisture all day, leading to comfortable, moist lenses, less redness, and clearer vision for up to 14 hours.
Alcon’s new OPTI-FREE PureMoist® incorporates the HydraGlyde® Moisture Matrix. The HydraGlyde Moisture Matrix surrounds lenses in a cushion of moisture to keep contacts hydrated throughout the day, delivering comfort from insertion to removal. The solution also contains a disinfection system. The dual disinfectants POLYQUAD® and ALDOX® act against harmful microorganisms including bacteria, fungi and Acanthamoeba. PureMoist disinfects all types of soft contact lenses, but can also be used for sensitive eyes. Additionally, it reduces lipid deposition and removes protein deposits.
OPTI-FREE Express® No Rub solution is also a sterile, buffered, isotonic solution that contains sodium citrate and sodium chloride, edetate disodium 0.05%, and polyquad 0.001% and aldox as preservatives. This lasting comfort formula keeps lenses clean, moist and protein-free through-out the day. It is available in both 10- and 4-oz. travel sizes.
BAUSCH + LOMB
Biotrue™ is Bausch + Lomb’s latest multi-purpose solution to hit the market. This solution was inspired by the biology of the eye to make wearing contact lenses easier. It has a dual disinfection system to provide disinfection and a protein management system to maintain the anti-microbial activity of native tear proteins. Biotrue also has a pH in the range of healthy tears to provide comfort upon insertion and incorporates hyaluronan, a lubricant naturally found in tears to provide comfort throughout the day. Biotrue helps keep lenses moist for up to 20 hours. It can be used with all soft and silicone hydrogel lenses.
|Bausch + Lomb’s Biotrue was inspired
by the biology of the eye to make wearing contact lenses easier.
renu® fresh™ multi-purpose solution provides a cushion of moisture for contact lens wear. It also offers disinfection efficacy against microbes, including a broad spectrum of clinical isolates, MRSA, and Acanthamoeba. The biocompatible renu fresh can be used with all types of soft contact lenses.
renu sensitive™ multi-purpose solution is designed to be as gentle as natural tears, but is also scientifically proven to fight germs. renu sensitive cleans, rinses, and disinfects soft contact lenses and provides all day comfort for simple, effective contact lens care. renu sensitive will soon be available in a convenient clear bottle, and both the carton and bottle are 100% recyclable.
AQuify® Multi-Purpose Solution by CIBA VISION combines disinfection and comfort with the PRO-GUARD™ lens case. AQuify is ideal for all soft contact lenses, especially silicone hydrogel lenses, and is ideal for
|WHAT ABOUT GP LENSES? Lobob Laboratories, Inc.’s Optimum contact lens care solutions offer allergy-free ease of patient compliance in the domain of cleaning, disinfecting, storage, wetting, rewetting, and in-the-eye lubrication for all hard and gas permeable contact lenses (PMMA or GP) of any polymeric structure. Optimum by Lobob contact lens solutions are preserved with purified Benzyl alcohol, or are preservative-free, ensuring clean and comfortable lenses throughout the wearing cycle. The solutions do not contain thimerosal, BAK, chlorhexidine, or polyaminopropyl biguanide—to which many lens wearers are sensitive.|
patients that wear their lenses for extended periods during the day. The PRO-GUARD lens case has been clinically proven to reduce lens case contamination when used with AQuify. The PRO-GUARD case is made of a special plastic that’s infused with silver ions, a known antimicrobial agent. When used together, the AQuify solution activates the silver ions. As the case is exposed to moisture, the antimicrobial agent is gradually released, killing bacteria and inhibiting the growth of new microorganisms.
Clear Care® is CIBA’s one bottle 3% hydrogen peroxide solution for cleaning and disinfecting. Hydrogen peroxide cleans and disinfects lenses with triple-action power, effectively removing protein, lipids, and deposits from lenses. Clear Care also kills bacteria and germs that can cause eye infections. Patients simply rinse their lenses, fill the special lens case provided with solution, and let lenses soak for six hours. The bottle is marked with a red tip to caution patients from directly putting in their eyes.
The Sauflon One Step is a preservative-free, multi-action peroxide
|The Sauflon One Step
is a preservative-free, multi-action peroxide system that cleans
system that cleans, disinfects, and removes deposits and protein. This solution combines a non-ionic surfactant cleaner, hydrogen peroxide, and a lubricating agent for enhanced comfort. Peroxide neutralization creates a vortex action within the case to clean the entire lens surface. This system is ideal to use with all soft lenses including silicon hydrogel lenses.
Be sure you know which solutions have been shown to work best with the lenses you fit, and prescribe a solution with the lenses, don’t just recommend, or worse, leave it up to patients to decide.
You took the time to fit patients with a specific contact lens based on their eye health and physiology, prescription, and needs. Do the same for their contact lens solution. And don’t forget to educate patients as to why you are prescribing a specific system or brand for them as they will be much less likely to buy whatever is on sale or the “green or blue bottle” generic version. Patients look to you for your expertise and guidance on all matters of their eyecare, so prescribing the right solution is essential.
Jennifer L. Stewart is in private practice at Norwalk Eyecare in Norwalk, CT.
WHERE TO FIND IT:
Abbott Medical Optics (AMO) • 714-247-8711 • amo-inc.com
Alcon Laboratories, Inc. • 800-862-5266 • alcon.com
Bausch + Lomb • 800-828-9030 • bausch.com
CIBA VISION • 800-241-5999 • cibavision.com
Lobob Laboratories, Inc. • 408-432-0580 • loboblabs.com
PuriLens/The Lifestyle Co., Inc. • 877-787-5367 • purilens.com
Sauflon • 800-635-6967 • sauflon.com