Thursday, January 3, 2013

How do I wear my boston gas permeable contact lenses more comfortably?

Q. I'm 51 years old, have dry eyes from allergies and sometimes sinus pressure. I wore contacts since I was 19, but for the last 4 or 5 years they have become unbearable to wear. I was considering Lasik but because my eyes are dry to begin with, I wouldn't want to make them even more dry from the surgery. My doctor didn't recommend soft contacts...I think he would have if I were able to but I am very nearsighted. I think my prescription is a -7.

A. I had a similar situation. I switched to soft lenses last year after 30 years of wearing hard lenses or gas perms. It got so I could barely tolerate wearing hard lenses, and my eyes were always bloodshot.

If I were you I would go back and ask about soft lenses. They are SO much more comfortable. I don't think my vision is as sharp as before, but it's a tradeoff I'm willing to make. And, no, you're not too nearsighted. I was -8.5 last year and backed off to -8.0 in my right eye. My left eye is undercorrected with -7.0 for reading.

There are a couple things you can do for dry eyes, and I'm a little surprised that your eye doctor didn't mention them. First, there's a prescription eye drop, Restasis, that is supposed to help with tear production. It's expensive and takes about a month to take effect. (The benefit I got from it didn't justify the cost, so I stopped taking it.) The second thing you can do is have your tear ducts plugged. It doesn't help with tear production, but it prevents them from draining away so quickly. They do a trial with a plug made of collagen to see if it will work for you (the collagen plug will eventually dissolve). If that helps, you can have a more permanent plug installed. I haven't needed to have this done, but I'd be willing to give it a try. It is not a new procedure.

My advice is to go back to the doctor and press for better answers. If they can't offer suggestions like I've mentioned above, you need to find another eye doctor. You've got too many years to live!

p.s. In order to get surgery, you will need to stop wearing hard lenses in order to let your corneas stabilize. During this time, your prescription can go all over the place. The process can take months if you've worn hard lenses for many years. I went through this when I switched to soft lenses. It was a pain in the neck, but I'm glad I did it.


I just had lasik surgery on my eyes, is it okay to smoke marijuana afterwards?
Q. My eyes usually get bloodshot and squinty after I smoke and I don't know how that will affect the healing process of my eyes.

A. No it is not okay. You will slow down the healing process. You may even reverse what the lasik has done.


I have dry eyes and have had lasik eye surgery five yrs ago. Lately, my eyes have been very irritated.?
Q. In the morning it hurts to open them and they are sometimes crusty. They have been very bloodshot and they burn alot. Can anyone suggest an over the counter product to use in them. I've used the Rx for dry eyes and was not happy with the results.

A. I have used GenTeal and Systane Ultra. They both help somewhat. Most OTC eye drops all contain the same ingredients.

You really should get a comprehensive exam by an ophthalmologist other than your Lasik surgeon. The jury is still out on long-term side effects from Lasik surgery. You need to ensure that you are not experiencing complications other than dry eye, which is a side effect of Lasik. I suggest an ophthalmologist rather than an optometrist because an ophthalmologist would be more familiar with Lasik complications and treatment and can perform additional surgery if necessary. You are also avoiding possible duplication of services by only seeing one eye specialist.


Bloodshot eyes, lack of sleep effect?
Q. My wife sometimes wakes up with serious bloodshot eyes. Her vision is fine, and there is no irritation, or itching sensation. She works alot, and sometimes only gets 5-6 hours of sleep a night. When she gets less sleep her eyes are like this, when she gets 8-10 hours of sleep her eyes aren't as bad, but still we can see the veins. She got LASIK surgery a few years ago by the way.

Any other experiences?

A. yes lack of sleep can cause your eyes to be bloodshot, also wearing makeup while you sleep can cause it too. if you havent had that many hours of sleep i recommend talk a washcloth, dipping it in milk, and sticking it in the freezer, wait about 10 minutes, then place it over your eyes, not only does it help w/redness, but it also helps with puffiness.





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Title Post: How do I wear my boston gas permeable contact lenses more comfortably?
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