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Re: Contacts may be as risky as lasik. Possible complications for both with tips provided


This doesn't have much to do with Lasik, but it is an important question about my eye. I went to bed last night at midnight still accidently wearing my contact lenses. I woke up at around 7 and removed them. Now my right eye stings whenever i close it or blink, and is very red. I tried using some simple allergy relief drops, but it hasn't worked. What's going on?


sigh another causality of contacts! I told her to see a doc now! Most of the problems are because people sleep in them. I had better be very careful about this but it shoud not be easy to forget because their discomfort reminds me I do indeed have contacts. I wont be wearing contacts much for the forementioned reasons.
7/29/2005, 1:18 pm Link to this post Send Email to Myope5   Send PM to Myope5
 
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Re: Contacts may be as risky as lasik. Possible complications for both with tips provided


I worry for my mom and sister, both who wear contacts much of the time, sister wears them all the time, mom half the time. I have discussed lasik with both, not that I would force lasik on them. Mom is just scared of having her eyes cut and sculped and its risks. Now that I know more about lasik she probably wont make a good candidate anyway. She however should look into IOLs but she probably wont till she develops cateracts then she will need to have her natural lenses removed and IOLs in its place but the good thing is she wont need glasses nor contacts ever again. She could get IOLs now and enjoy her vision and never have to worry about cateracts. She will lose all accomodation but at age 57 she doesnt really have any left to begin with!

My sister puts her contacts when she wakes and removes them when she sleeps. God I hope she doesnt forget and sleeps with them, then her risks is over 10x higher of infection and even one night of them can be enough. She does take a little risk everyday she wears them though. I have asked if she has any interest in lasik and she says no. I said when do you plan and she says never. I would NOT be supprised if she does get lasik years from now, especially if her contacts give her more problems. She appearently really hates glasses and only wears them if shes not feeling well or her eyes are tired and sore. Her glasses are too weak for her by the way but good enough for home use. If she could never wear contacts again, I bet she would be looking into lasik. Funny thing is she could end up with 20/10 vision or at very least 20/13 in each eye.

Her BCVA is 20/20 in one eye and 20/15 in the other, although I suspect its not true 20/15 but more like 20/20+ unless she can read more than 2/3 of that line. I could say shes half a line better than 20/20, some call it 20/18 vision. I havent seen any charts with 20/18 lines however. I am 20/30+ in the left eye and 20/30 in the right. I remember back when I was at the optometrist I couldnt read any of the 20/20 line. I had difficulty with the 20/25 line and complained, he just said do your best, guess even. I just read them calling whatever letter I thought they should be. Probably got half of them right, some due to lucky guessing. I did get 100% of the 20/30 line though. There seems to not be enough lines in eyecharts. Of biggest concern is no line between 20/10 and 20/15. My eyechart does have a 20/13 line. Another concern is no line between 20/100 and 20/200 but paper eyecharts just dont have the room for so many huge letters, however projector eyecharts really ought to have it. In fact I believe some do. I have heard of the 20/160 line alot and 20/120 to a lesser extent. Some have 20/60 and 20/80 too. The projector at my own optometrist office has 20/20, 20/25, 20/30, 20/40, 20/50, 20/70 that much I guarantee. If there were any lines between that, he would have shown me those too. I know theres a 20/400 line and I also strongly suspect a 20/300, 20/200, 20/100. I am not sure on the bottom line but based on my sister mentioning 20/15 I also strongly suspect this and possibily even 20/10 being the bottom line.

I ramble alot when im bored so I hope you guys enjoyed reading this and be sure to give a hearty reply. I was never a fan of contacts and I guess I owe my friend thanks for convincing me to try them. Contacts do have their place, that being sports generally but parties and dates work too. Otherwise there is no need for them.
7/29/2005, 2:06 pm Link to this post Send Email to Myope5   Send PM to Myope5
 
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Re: Contacts riskier than lasik? I am searching for proof for this! Proof found!


Is there a list, or trade publication that rates lasik surgeons? Maybe a peer review or something, that would be really good to get on the site!
8/1/2005, 2:37 pm Link to this post Send Email to jakedeez   Send PM to jakedeez
 
Myope5 Profile
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Re: Contacts riskier than lasik? I am searching for proof for this! Proof found!


Guess you could try google, its my friend for whatever info I want to find. Thanks for your reply. Do comment more on my long thread of the risks of contacts vs. lasik emoticon
8/1/2005, 8:31 pm Link to this post Send Email to Myope5   Send PM to Myope5
 
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Re: Contacts may be as risky as lasik. Possible complications for both with tips provided


I worry for this guy who wears day n night contacts. He does remove them to clean at least once a week then puts them back in. This helps a bit but hes still taking a big risk sleeping with them night after night for months. The sad part is hes only a -1 so he can see quite fine without correction, perhaps 20/40. He does see 20/20 with correction(used to without since 16)Hes tried glasses briefly but they give him a headache within an hour! He doesnt seem to care either. The least he can do is NOT sleep with contacts! I have discussed natural vision improvement but I guess some people are just ignorant, they want the "easy" way out which contacts give.
9/30/2005, 5:34 am Link to this post Send Email to Myope5   Send PM to Myope5
 
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Re: Contacts may be as risky as lasik. Possible complications for both with tips provided


More horror stories:


[sign in to see URL]


Always properly clean your contacts! There still is a risk but much less with rigerous steralization!


[sign in to see URL]


colored and decorative contacts are a big risk, often because they are not pescribed and those users never wore contacts before so they are clueless. Good thing they are illegal now, well unless you get a pescription and IF your optometrist grants you a pescription!


[sign in to see URL]


Excerpts:
Many people who use contact lenses may experience halos around lights at night, and sometimes ghost images. This probably is a normal phenomenon in most people, and occurs when the pupil is larger (or more dilated) than the optical area of a soft lens, or of the lens itself in cases of rigid lenses. However, seeing a rainbow around lights indicates swelling of the cornea (corneal edema), and indicates that the lenses have been in too long and should be removed.


A successfully treated corneal ulcer may still leave a scar which could affect the vision. It is important to avoid situations which can lead to corneal ulcer, such as overwear of lenses, poor disinfection techniques, and ignoring symptoms of pain or redness.


Corneal edema, or swelling, occurs when there is an inadequate supply of oxygen reaching the cornea due to contact lens wear. Essentially, the cornea becomes smothered by the lens. Sleeping in contact lenses, as with extended wear lenses, greatly increases the risk of corneal edema.




However, sleeping in contact lenses, while convenient, substantially increases the risk for infection and other complications. The oxygen supply to the cornea drops overnight while wearing a contact lens. This can lead to swelling of the cornea (giving blurred vision or the visualization of rainbows around lights), breakdown of the corneal surface, and ultimately infection of the cornea (ulcer). This risk is high enough that many eyecare providers discourage against the use of contact lenses on an extended wear basis.
In fact, it may be reasonable to consider refractive surgery as an alternative to extended wear contact lens use.


***Did ya see that? They even go out to say you may be better off getting lasik or something similar instead of risking overnight contact wear! Todays lasers have gone a long way and at this point, your chances with it is better. Plus you never have to bother with irritating contacts again!***



[sign in to see URL]


misinformed people, usually women ruin their eyes with bad contact lense practices. Whats sad is some dont even need a pescription so they are wearing contacts for nothing basically!


[sign in to see URL]


more risks of contacts, especially overnight. Even the new lenses still have unacceptable risks.


[sign in to see URL]


not likley but funny legends of drinking contacts. However I did hear of a story of a lady who was in a restaurant and while drinking her water, one of her contacts popped out, fell in the glass and got gulped down! emoticon


anyway you can see im not a fan of contacts. They do have their place in sports and some social situations and even for those with great pescription difference in each eye. They are also good for very severe myopes because they eliminate the glasses minification and disortion and improve BCVA. However for the majority of people, its suggested you stick to glasses, try natural vision improvement or consider lasik.
9/30/2005, 7:23 am Link to this post Send Email to Myope5   Send PM to Myope5
 
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Re: Contacts may be as risky as lasik. Possible complications for both with tips provided


15. Is PRK the height of vanity?
That depends on your point of view. Many patients have PRK so they can pursue their career of choice, such as law enforcement, emergency service and athletics. Also, some ophthalmologists believe that PRK may be even safer than long-term contact lens wear, as there are people who suffer significant loss of vision every year due to complications from contact lens use.


I dont know if im in agreement or not but if were talking overnight contacts then heck yes, its riskier than prk! Theres no reason anyone should sleep in their contacts anyway, period! In a hurry? stick to glasses! I can say that tomorrows lasers are improving and perhaps one day itll be agreed by more than 50% of people that lasik is the way to go instead of a lifetime of contact wear, itll be the safer option!
11/1/2005, 2:34 am Link to this post Send Email to Myope5   Send PM to Myope5
 
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Re: Contacts may be as risky as lasik. Possible complications for both with tips provided


I was previously told that I had some small blood vessels starting to grow on my eyes due to the fact my eyes were not getting enough oxygen because of my contacts. Should I be concerned about this when considering lasik?


another factor to worry about contacts, especially overnight. My friend who also posts here has repeatedly stated that they are a foreign object in the eyes! Im not a fan of contacts
11/2/2005, 3:10 pm Link to this post Send Email to Myope5   Send PM to Myope5
 
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Re: Contacts may be as risky as lasik. Possible complications for both with tips provided


contacts have their risks. I await his response comparing contacts vs. lasik


>Ace, Patients interested in refractive
>surgery who are 35 or so
>are interested in reducing their need
>for glasses - as you mentioned.


in many cases they do. Lasik does nothing for presbyopia and I wanted them to be aware of it. I know several people who got it and traded their minus glasses for plus and were mad they werent fully informed about presbyopia and assumed they would see well from near and far.


> For the low myopes (-1
>to -2) - you are correct
>that by age 42 they would
>likely need glasses for near due
>to presbyopia.


some before that age. Theres no telling when presbyopia is going to set in. I am 23 and already having a little trouble seeing near with full correction. Everyone gets presbyopia eventrually, some earlier than others.


 But I have
>a number of low myopes who
>even with this understanding want surgery
>- because of their lifestyles. From
>Police offices to Fire fighters to
>people who play sports - they
>are excited to potentially reduce their
>dependence on glasses or contacts.


I understand perfectly. They use their distance vision much more than their near vision and the occasional time they need to, they use reading glasses. Their glasses dependancy gets reduced by well over 50% due to their lifestyles. I use my vision for near alot more than distance so its beneficial I keep -1 to -2 diopters of myopia.


Again
>- there is risk with any
>surgery. But also do not forget
>that contact lenses have risks too.


Of course. In fact im not a fan of contacts. I have explained to my parents(who are against all refractive surgury) that I will be taking risks with contact lenses and besides I dont tolerate them well. Intacs have risks too just like contacts but intacs shouldnt be felt and they permaently reduce myopia and ill see better without corrective lenses.


>I actually have more patients in
>my practice who have suffered severe
>corneal infections from their contacts that
>have resulted in significant loss of
>vision. On Friday, for example
>- I saw 2 patients who
>had previously contracted Acanthamoeba (A parasite)while
>wearing their contacts - and cultures
>were taken of a new patient
>with a contact-lens related inflammatory condition
>of the eye that is suspicious
>for Acanthamoeba. Plus - I
>have numerous patients with corneal scars
>from contact-lens associated bacterial corneal ulcers.


were any of them sleeping with their contacts? The risks increase more than 10 fold from that. Would you say lasek is the less risky option than sleeping in contacts night after night for many years after years? I believe it is. I am not sure about daily wear vs. lasek. Take someone wearing daily wear contacts for 25 years and take someone who got lasek, who would you say is better off with less long term risks?



>My bottom line point is: everything
>in life has risks. Driving
>to the doctor's office has risks.
>Contacts have risks. PRK/LASEK/Epi-LASIK has
>risks. Intacs has risks.
>LASIK has risks.


This is correct, but one needs to compare risks and decide if the risks are "worth it" See above which youd consider riskier


>But in general - the vast majority
>of patients are extremely happy with
>their vision with contacts, as well
>their vision with PRK/LASEK, Epi-LASIK and
>LASIK. Again - not everyone
>is happy, and complications due occur
>with any surgery.


Absolutely true. There are some people that will tell others absolutely not to get lasik, period. As long as the patient is informed of the possible risks and makes an informed decision, its up to him alone to make the choice to have lasik or not instead of someone making the choice for him not to have lasik, period. Only that person can decide for himself if lasik is "worth it" I like to give my opinions but im not gonna stop anyone from doing it. Although I am not interested in lasik, I am really interested in intacs!(I will email you with questions about them now)

Last edited by Myope5, 11/14/2005, 6:54 am
11/14/2005, 6:54 am Link to this post Send Email to Myope5   Send PM to Myope5
 
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Extend wear contacts may be riskier than lasik. Possible complications for both with tips provided


The complication rate for soft contacts that you DONT sleep in is 1 in
5000 per year. A 20 year contact wearer has a 20 in 5000 chance or 1 in
250. The complication for lasik is 3 in 100 the first 6 months and
drops off from there. Still not as safe as daily contacts but I will
give credit that lasik is probably safer than extended wear contacts
which are 10-20x riskier than daily wear. Id say lasik falls in between
the two. Dont forget a complication due to contacts is usually much
less serious than a lasik complication. I actually researched the risks
of contacts vs. the risks of lasik. Both have some risk. The best way I
put it is with lasik you take a considerable risk upfront while with
contacts you take a tiny risk each time you wear em. I have seen and
heard of people who experienced complications from contacts, but in the
vast majority of cases, no permaent damage was done. Some were told
they can never wear contacts again however. The one point where you are
correct is extended wear contacts where you leave them on for a week or
more strait and sleep in them. This is very, very bad for your eyes and
pointless except for the convinence of saving the 1 minute it takes to
remove/insert your contacts! Saving 1 minute of your life is NOT worth
taking 10+ times the risk of extended wear contacts! My own optometrist
said dont sleep in contacts, it ruins eyes. I get patients all the time
with infections, uclers, neovasculation and other problems from
sleeping in contacts. You will take this arguement against orthoK but
with orthoK you take it off in the day and give your corneas a break
while with extended contacts your cornea gets no chance for a break.
OrthoK is only 2-3x riskier than regular contacts but extended wear is
10-20x riskier than regular contacts! OrthoK and regular contacts are
safer than lasik but lasik is safer than extended wear contacts.
Everyone in their right mind would get contacts over lasik. Come back
to me when(more like if) lasik ever becomes as safe as regular
contacts(not extended wear) then the only reason for contacts over
lasik is if your pescription isnt stable, you are under 18, your afraid
of surgury or your a low myope and can see fine most of the time
uncorrected.
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