Hygiene is critical to wearing your contact lenses

Contact lenses can significantly improve your vision but it’s very important to care for them properly to avoid potentially serious infections or other problems.

Your habits, supplies, and eye doctor are all essential to keeping your eyes healthy so it’s important to follow instructions for proper care and to call us if you have concerns. 

These recommendations will help extend the life of your contact lenses and keep your eyes safe and healthy. 

Your lens insertion and removal routine

• Before you handle contacts, wash and rinse your hands with a mild soap.
• Make sure the soap doesn’t have perfumes, oils, or lotions. They can leave a film on your hands.
• Dry your hands with a clean, lint-free towel before touching your contacts.
• It’s a good idea to keep your fingernails short and smooth so you won't damage your lenses or scratch your eye when inserting or removing your contacts.
• Lightly rubbing your contact in the palm of your hand with a few drops of solution helps remove surface build-up.
• Rinse your lenses thoroughly with a recommended solution before soaking the contacts overnight in a multi-purpose solution that completely covers each lens.
• Store lenses in the proper lens storage case.
• Don't use tap water or saliva to wash or store contact lenses or lens cases.
• If you use hair spray, use it before you put in your contacts.
• Put on eye makeup after you put in your lenses. Take them out before you remove makeup.
• Always follow the recommended contact lens replacement and wearing schedule prescribed.

Your supplies

• Use doctor-recommended solution.
• Rub and rinse your contact lens case with sterile contact lens solution. Never use water.
• Clean the case after each use.
• Replace your contact lens case at least once every three months. 
• Don’t “top off” solution. Use only fresh contact lens disinfecting solution in your case. 
• Never mix fresh solution with the old or used solution.
• Change your contact lens solution according to the manufacturer's recommendations.

Your eye doctor

• Visit us yearly or as often as recommended.
• Ask us if you have questions about how to care for your contacts and case or if you are having any difficulties.
• Remove your contact lenses immediately if your eyes become irritated. Call us and let us know what’s going on.
• Call us if you have any sudden vision loss, blurred vision that doesn’t get better, light flashes, eye pain, infection, swelling, unusual redness, or irritation. 

Wear your contacts safely

• Some contacts need special care and products. Always use the disinfecting solution, eye drops, and enzymatic cleaners your doctor recommends. Some eye products or eye drops aren’t safe for contact wearers.
• Saline solution and rewetting drops do not disinfect lenses.
• Use a rewetting solution or plain saline solution to keep your eyes moist.
• Don’t wear your contacts when you go swimming in a pool or at the beach.
• Don't sleep in your contact lenses unless prescribed by your eye doctor.
• Don’t clean or store your contacts in water.
• See us for your regularly scheduled contact lens and eye examination.
• If you think you’ll have trouble remembering when to change your lenses, ask for a chart to track your schedule or make one for your needs.

Be sure to call us if you have any questions about caring for your contact lenses or if your eyes have problems.

Red, Itchy, swollen eyelids are often due to a condition called blepharitis. Blepharitis tends to be a chronic condition due to thick eyelid mucous gland production that sticks to the bases of the eyelashes. This adherent mucous can allow bacteria to overgrow and also attract and retain allergens. The standard treatment for blepharitis is doing warm compresses and cleaning off the eyelids with a mild baby shampoo and water solution.

This treatment works for some people but there are many more sufferers who have chronic irritation and relapses despite this treatment. If the warm compresses and eyelid scrubs are not quite keeping the condition under control there are several other additional treatments that can be used to control the symptoms.

One such treatment that your doctor may decide to use an antibiotic/steroid combination drop or ointment. We usually use these for short periods of time to try to bring the condition under control. They are not good to use chronically because it can build resistant bacteria and the steroid component can cause other eye issues like cataracts and glaucoma. The treatment is very safe for short term use but chronic use is usually not a good option.

There are also antibiotic eyelid scrubs such as Avenova which can be prescribed and used on a more chronic basis.

Oral Doxycycline can also be used more chronically in very low doses. Doxycycline is an antibiotic that when used to treat infections is generally prescribed in a dose of 100mg twice a day. For chronic Blepharitis suffers we generally use a much lower dose of around 50 mg a day. At that dose we are using the Doxycycline to help thin out the mucous production from the eyelid glands more than for it’s antibiotic properties.

In summary, Blepharitis can be a chronic issue that requires some persistent “maintenance” work be done to keep it under control with further intervention sometimes needed for flare-ups.

Article contributed by Dr. Brian Wnorowski, M.D.

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