Clinical Categories and Contact Lens Designs
Fitting contact lenses for:
- CORNEAL DYSTROPHIES INCL. KERATOCONUS
- POST OPERATIVE CORNEAL TRANSPLANT (KERATOPLASTY)
- POST REFRACTIVE SURGERY
- HIGH ASTIGMATISM
- DRY EYES
- COSMETIC FITTING FOR TRAUMATIZED EYES
CONTACT LENS DESIGNS:
- PLASMA TREATED HIGH Dk PLASTICS
- SCLERAL DESIGN
- SYNERGEYES HYBRIDS
- PROGRESSSIVE AND SEGMENTED BIFOCLAS
- BITORIC GPS
- PIGGY BACK
- REVERSE CURVE DESIGN
- COSMETIC SOFT LENSES
THE USE OF MOISTURIZERS:
In this case, I am not referring to ocular moisturizers in the form of artificial tears. I am speaking of the use of facial moisturizers, lotions and creams especially in the mask area.
This includes direct applications to remove make up. Despite all best intentions, oils, creams and moisturizers used in the mask area will inevitably get into the fornix (space between your inner lid tissue and your eyes).
This ‘creeping’ of the moisturizer into the eyes is significantly overlooked and presents the healthy tear film with a disruptive addition to its normal healthy composition.
Artificial oils break down the tear film resulting in (to some degree) a loss in the protective qualities of the tear film. The result is a dryer, redder eye and an appreciable loss in contact lens tolerance and a reduction in optimal visual acuity. All applications of skin creams etc. should be kept well away from the eyes.
It may also be helpful to use water based moisturizers. Cessation of all artificial oils must be maintained for at least 2 weeks in order for the oils present in the fornix to dissipate. Only then will you appreciate if moisturizers and creams have had an adverse effect on your contact lens wearing success.
This problem will certainly be determined by the individual’s skin and lid structure and will affect some people more than others.
Unfortunately, the disruptive effects of these products are evidenced more acutely as we get older, when moisturizers are in greater need…… sorry about that, but there you have it.