The ten Commandment of Contact Lens Wear and Care (5-10)
5. Don’t Be Overly Persistent.
If it becomes difficult to insert, wear, or remove the lens, take a break and try again. If you still have trouble, call your doctor. If the lens becomes uncomfortable during wear, remove it and inspect it for foreign particles or deposits. It is also possible that you may have inserted the wrong lens, or inserted a soft lens inside out.
6. Remove Lenses Before Swimming, Showering, or Sleeping.
Unless you are otherwise instructed, and you take special precautions, water could enter your eyes while swimming or showering. The lenses might shift, fall out, float away; soft lenses could absorb chemicals (such as chlorine) and impurities from the water. (Ask your doctor if you can swim with goggles or a mask.)
Only extended-wear contact lenses may be worn round the clock. Standard hard and soft contact lenses are worn by some people while napping, but this is not recommended since corneal swelling may occur due to a reduction of available oxygen. If you should inadvertently fall asleep while wearing standard lenses, instill a few drops of saline solution (for soft lenses) or lubricating eye drops in the eyes to loosen the lenses before attempting to remove them.
7. If You Drop a Lens, Don’t Move.
Look for it first; if you must move, step carefully. Enlist the aid of bystanders if possible. To pick up a dropped lens, wet the fingertip and touch it to the surface of the lens; then inspect for damage and clean it well before reinserting.
8. Avoid Fumes.
Chemical vapors from gasoline, paint, turpentine, etc., and hair spray can irritate eyes and adhere to the lenses, especially soft lenses, causing permanent lens damage. Close your eyes for the duration that the vapors are suspended in the air, or remove your lenses if you know you’ll be in such atmospheric conditions for long. If you use hair spray, spray perfume, and deodorant, allow the mist to settle fully before inserting your lenses. (Soft lenses must be replaced if damaged.) Some patients also experience discomfort in beauty shops, especially when sitting under the hair dryer, so you might want to remove your lenses when exposed to the drying effect of heat.
9. Be Careful with Makeup.
Try to put makeup on after inserting your contacts, and remove the makeup after you’ve taken them out. If you find that you displace lenses frequently from the pressure, practice and a lighter touch should help, as will a change in the form of makeup used. (For instance, switch from a hard pencil eyeliner to a softer one, or to liquid. Confine eyeliner to the outer part of your upper and lower lashes; don’t let it wander to the inner rims.) If you still displace the lenses, you may apply makeup before inserting them. Be sure to wash your hands thoroughly before touching the lenses; cosmetic oils and creams are difficult to remove. It’s best to use water- based and hypoallergenic cosmetics such as those made by Almay and Clinique, particularly around the eyes; oil from cosmetics may remain in the eyes overnight, causing troublesome and persistent clouding of the lenses. Mascara is a frequent site of bacterial contamination; it’s recommended that you replace your supply every three months whether it’s depleted or not. Waterproof or lash-building types of mascara are especially dangerous because irritating specks and fibers can enter the eye and creep under the lens. I have also often been amazed at the amount of embedded mascara on the undersurface of the upper and lower eyelids. These deposits will remain forever. Though usually harmless, the deposits do sometimes act as a chronic source of infection. Any makeup containing particles of glitter is dangerous to the contact lens wearer, and can become irretrievably imbedded in soft lenses. Exercise common sense and experiment to find the procedures and types of cosmetics that best suit you—particularly the hypoallergenic and water-soluble products.
10. Have Your Lenses Checked Every Six Months.
Don’t be shy about asking questions and voicing your problems during and between visits—that’s what you’re paying for.
It’s also advisable that you carry with you at all times a card that indicates you are wearing contact lenses. In the event of an accident that renders you unconscious, the lenses should be removed so the health of your eyes isn’t affected. No matter how comfortable your lenses may feel, you should keep a carrying case with you in case you need to remove your lenses in an emergency.
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