Over three million Canadians
wear contact lenses. Here's a run-through of what's on
the market and how it could be affecting your patients'
eyeball health.
SOFTLY,
SOFTLY
Soft lenses are made of soft plastic called
hydrogel. These lenses allow the eye to breathe and
permit a steady flow of oxygen to the cornea. The material
is quite porous, which can increase the risk of infection
and irritation due to bacteria, dust and protein.
Extended-wear lenses
are soft lenses that have been licensed for continuous
wear for up to 30 days and nights without being removed.
Extended-wear lenses are made from new super-permeable
silicone hydrogel materials, which provide much more
oxygen to the eye than most conventional extended-wear
contact lenses.
Cosmetic contact lenses
are non-corrective contact lenses that change the eye
colour or look of the iris (cat-eye looks are popular).
They are sold by retail drugstores or optometrists.
The Canadian Ophthalmological Society recently raised
concerns about the safety of these unregulated lenses
and is asking doctors to submit reports of any eye injuries
or adverse reactions they've come across (fax: 613-729-7209).
HARD
SELL
Hard lenses are made of firm polymer plastic.
These lenses restrict the flow of oxygen to the cornea,
but they're easier to clean and are less likely to absorb
dust and bacteria.
Rigid gas permeable
(RGP) lenses are hybrid lenses of sorts, combining
the best of both worlds. RGPs contain silicone that
allows oxygen to pass through the lens to the cornea.
In many cases RGP lenses transmit more oxygen than regular
soft lenses.
RESHAPE
UP
Corneal reshaping lenses are gas permeable
lenses that reshape the surface of the eye to correct
minor degrees of nearsightedness and astigmatism while
the patient sleeps. The effect is temporary and lasts
about the duration of the day. Health Canada recently
changed regulations regarding the licensing of these
lenses, demanding that manufacturers show proof that
their product is safe before they get licensed. The
new licensing procedure comes after reports that the
lenses used in Ortho-K could cause eye and sight damage.
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