I have noticed an increasing number of Halloween lovers who have posted about saving the cost of an eye exam, by simply ordering a set of nonprescription lenses and popping them in. In some cases, there are follow-up posts begging for instructions on how to get the things in and out.
I firmly believe that even nonprescription contact lenses are medical devices, use of which should involve consultation of those in the field. I also realize that many haunters are stubborn and cheap. [You know who you are. Take a bow.]
This page is an attempt to help those who would otherwise not seek professional advice. If you insist on saving a buck by skipping professional care, at least take a few minutes to read this page.
WARNING: I am not any kind of eye doctor. I'm just a long-time user passing along some things I have learned.
NOTE: This web page is oriented towards soft lenses using technology in the 1990s and early 2000s. Technology marches on and things may get better. Specifically, this page does not apply to any form of hard lenses.
"Well, you need to start the car first. Probably needs to be in 'Park' to do that. But it's easy!"
"So take the shift lever, on the steering column, and move it up and down until the indicator needle is on 'Park'. Oh, pull the shift lever towards you before trying to move it. It's easy!"
My point is that even easy tasks contain numerous details that might not be obvious to a novice. It really can be easy, after you learn the details and rituals that experienced users take completely for granted.
In order to have a safe and comfortable experience, you need to learn some things, practice some things, and reprogram your body's reflexes. Once you have done that, using contacts really is as easy as driving a car.
Even if you had spent a couple of dollars and gone to an eye doctor, you might not get a winning combination right off. Some people have reactions to specific cleaning fluids, and trial-and-error is necessary to fine-tune the various fluids and solutions that work for them.
To get started, prefer solutions marked "for sensitive eyes". Avoid products that contain thimerosal; a common preservative that some people are allergic to.
An important variation of this rule is: Learn what works for you ... and stick with it. Don't just buy whatever solutions are on sale this week. Buy the one that you have used before and works well for you. If cost is that big a problem, watch for "your" brand of solution to go on sale and buy extra (store it unopened and it will keep for a long time).
Clean means no dirt, dust, lint.
Clean means no skin oils, fingerprints, or protein buildup.
Clean means no bacteria or infectious agents.
Clean is good. "A clean lens is a comfortable lens."
You don't have to run all over town. Most of this stuff should be shelved together at your favorite pharmacy.
I use a stripe of nail polish on the outside of the case to tell me which set of lenses is inside.
(Wash your hands, and then...)
Wash new cases thoroughly with
multipurpose solution
before putting them to use.
WARNING: Soft contact lenses contain a large amount of water as part of their plastic composition. Never let them dry out! Keep them covered with solution at all times!
Some brands contain preservatives. They prevent the opened bottle from growing bacteria in there. But some people are sensitive to preservatives.
Saline is very simple stuff.
With saline solution, you can often get away with using whatever is on sale.
Just check the label to make sure it doesn't contain any additives that you
are alergic to.
My eyes respond well to the house brand at Sav-On.
It also claims to remove protein deposits.
There are numerous different kinds of optical lubricants out there.
All the ones we are interested in are mostly water, with something slippery mixed in:
I once used some 1% CMC (without contacts) to wet dry eyes before bed. When the water evaporated, the CMC glued my eyelids shut. Getting up the next morning was quite painful.
Lubricant drops are available in tiny plastic vials (sterile and sealed, use once and discard).
The vials are a lot more expensive, per-use, but have a very long shelf-life.
I keep some around for emergencies.
Lubricant drops are also available in small bottles of 10 to 15 mL.
Once opened, the bottles have a fairly short usable life.
I would suggest starting out with a bottle, with the expectation of using a lot at first. As you taper off, switch over to the vials.
Daily cleaning of lenses gets rid of most of the junk, but over time, a little at a time, protein deposits build up. And as they build up, the lenses become uncomfortable.
Some modern multipurpose solutions claim to prevent protein buildup with regular use. I'm not sure if I believe this claim. Or perhaps I don't believe that they can completely block protein buildup. So I use multipurpose solutions that removes protein and an enzyme cleaner, too.
This is the Sav-On house brand.
In the package you get two plastic cups and individually wrapped pills.
Clean a lens; put it in the cup; add saline to the mark; drop in a pill.
In the morning, remove the lens and clean it again.
This is easy to do and provides good results.
The package suggests use once a week.
Since my multipurpose solution claims to remove protein, I only use the
enzyme soak once a month.
Go for pure soaps, like Ivory. For liquid soaps, look for clear ones.
I avoid Dove soap, which is advertised as containing conditioning cream: good for your hands, but probably leaves greasy deposits on your contacts.
Use water and hand soap, rinse your hands thoroughly with fresh water to make sure all the soap is off.
Dry your hands using a lint-free cloth.
Then, if you are going to touch a lens, squirt your fingers first with multipurpose solution.
My Sav-On house brand says...
The instructions say "Rub each side gently", but don't tell how to do that.
- Step 1.
- Apply at least three drops of Multi-Purpose Solution to each lens surface. Rub each side gently for at least 10 seconds.
- Step 2.
- After you clean your lens, rinse both lens surfaces with a sufficient amount of Multi-Purpose Solution to remove all debris.
- Step 3.
- Fill the lens case with Multi-Purpose Solution. Place the lens in the case ensuring that the lens is completely immersed in the solution. Secure the cap on the lens case.
- To insure proper disinfection, allow the lens to remain in the Multi-Purpose Solution in your unopened lens care case for a minimum of four hours.
- You may store your lenses in the unopened case until ready to wear, up to a maximum of 30 days. If your lenses are stored for a longer period of time, they must be cleaned and disinfected with fresh solution every 30 days and prior to wear.
I like to put the lens over the tip of my index finger, like a thimble.
Then I drop the fluid in the palm of the other hand, and rub the finger in the puddle of solution.
After 10 seconds, I turn the lens inside-out, put it back on the finger,
and rub in the puddle some more.
The first few times you try this may be frustrating.
The lens is floppy, like it is made of Jello,
and thin as Saran wrap.
Examine the lens carefully, for rips, tears, and dirt.
Always check your lenses before putting them in.
Pay special attention at first to what a new, and presumably good, lens looks like. Be suspicious of any changes in the appearance of your lenses.
Soft lenses are soft, like a cup made of Saran Wrap. Easy to turn inside-out. Hard to tell if it is right side out or not.
Lenses should be worn right side out, and might last a little longer when stored that way. They often turn inside out during cleaning and handling.
There are some tricks that you can use to tell if your lenses are inside out.
My "Wild Eyes" look duller, with less bright colors when inside-out,
like the leftmost lens.
The sides of the bowl should go up straight until they stop.
The bowl is inside out if the sides go up and then curl out in a "lip".
The difference is subtle and hard to see.
(Wash your hands, and then...)
Sit at a clean table with the lens case in front of you.
Open one side of the case and remove the lens. Position it on the tip of your outstretched finger, right side out, like a tiny cup standing on your fingertip.
Lean over, facing down. Keep both eyes open.
Position the lens underneath the eye is corresponds to. Stare down into the center of the lens with that eye. (Let the other eye go out of focus.)
Bring the lens up into your eye.
Or, lower your face into the lens.
But keep staring into the center.
It usually helps to put a single drop of lubricant solution in the center of the lens.
If you tend to blink, use the thumb and index finger of the other hand to hold the eye open.
If you mess up and drop the lens, it falls on the table; rinse it with multipurpose solution and try again.
(Wash your hands, and then...)
Put the lens on the tip of your finger.
The wetness of the lens should make it stick to your finger if you move slowly.
Open both eyes wide, using fingers to help.
Rotate the finger up, so the lens is sticking to your finger, straight up and down.
Bring the finger to the eye.
Keep the eye open all the way, staring at the center of the lens as it gets closer and closer.
Lay the lens on the surface of the eyeball.
This procedure is more likely to leave an air bubble under the lens. Close your eye and gently stroke the closed lid. Open and close to make sure the lens settles down.
Still having trouble?
Here's a creepy exercise that might help:
Some folks find it helpful to look upwards while pulling down the lower lid.
These are pictures of lenses from CLS Distributing.
The picture on the right is a normal sized effects lens.
The picture on the left is a much larger "scleral" lens that covers much of the white part of the eye.
I have never tries a scleral lens, but I would expect them to be a lot harder to get in, due to their large size.
If you are new to contacts, don't start with a scleral. Work your way up!
[Sclerals are also more irritating and have shorter wear times.]
The more you wear them, the quicker the contacts will settle in. The first few times you wear the contacts, they may take half an hour. Don't plan to insert and drive.
New contact wearers often experience "photophobia", a fancy word for an increased sensitivity to bright lights. Wear sunglasses if it bothers you.
One reason for this is to teach your cornea to "hold its breath". Another is to slowly teach your body to turn off (ignore) the signals of irritation that usually result from having a foreign body in the eye.
Consider the following ramp-up pattern:
Never go to sleep with your contacts in!
One or two drops, straight in the open eye, lubricates, moisturizes, and soothes.
Unfortunately, those who do not wear contact lenses regularly have a well-developed eye defense (blink) mechanism intended to keep out debris. It sometimes keeps out good stuff, too.
When first getting use to drops in the eye, start by keeping the bottle or vial in your pocket. It will be warmed to near body temperature, and be less shocking than cold drops in the eye.
Put your head straight back, so you are looking straight up at the ceiling. It may help at first to just lay down on a bed, staring at the ceiling.Over time, your eyes become accustomed to the contacts, and you should require less and less lubrication. Keep some with you anyway, just in case of a sudden attack of itchy eyes.Then, while looking up, get the bottle positioned above you. Do not touch the eye with the dropper. Just hold it an inch or two above the eye, and look at it.
Do one eye at a time, but keep both eyes open.
Stare at the tip of the dropper, as you slowly squeeze the bottle. When the drop falls, it should be a surprise, and catch you with eye open.
Chances are that reflexes will cause you to close your eye ... after the drop is in.
If you still seem to need frequent lobricant doses, your eyes may have become accustomed to artificial lubrication and are not producing enough natural tears. Taper off the lubricant, even if it feels a little uncomfortable.
Clean right away and store in the lens case until next use.
Develop the good habit of always distinguishing left lens from right. Cases are marked with "R", "L", or both. Keep the left lens in the left side of the case; right in right. Always hold the case with the left side to your left.
Best yet: only open one side and work on one one lens at a time.
If you wear prescription lenses and get them in the wrong eyes, both eyes are likely to see poorly, sometimes by a great degree. But they probably won't hurt.
Even if your contacts are nonprescription ("plano"), you should still always distinguish right from left. If you start to come down with an infection in one eye, swapping contacts might spread it to both.
I use a stripe of nail polish on the outside of the case to tell me which set of lenses is inside.
Whenever you wear contact lenses, you have to be prepared to remove and store them properly at a moment's notice. Perhaps your eyes get tired, and you just want to take the lenses off for a while. Perhaps you get some dust in your eye, and want to remove the lenses.
The best preparation for this is to always carre a spare lens case with you, with some multipurpose solution in it.
Modern soft lenses contain a lot of water in the material of the lens. They must be kept moist, or the water inside them can evaporate, ruining the lenses.
Never use tap water to clean, rinse, or soak your lenses. For rinsing, use saline solution. For cleaning and storage use multipurpose solution.
Do not share solutions, cleaners, cases, and especially not contacts. You don't want anybody else's germs in your eyes.
When you remove the cap from a bottle of any solution, do not let anything come into contact with the dispenser tip. Squirt or drop the liquid. Don't touch the tip to anything.
While working with contacts, reserve the thumb and index finger of each hand for the contacts. Touch nothing else with these fingers. Use the rest of your hand to deal with water faucets and bottle tops.
Thank you for visiting. Your comments are welcome.
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