New Boston Xo lenses

osroubek · #1 (**permalink**) 12-28-2011, 10:37 PM

I just received a new set of custom lenses with the front toric and back mulitifocal rgp lenses with the prism ballast. I have presbyopsia and lenticular astigmatism. I have tried the monovision soft lenses and now these. Tonight while at dinner I quickly started to develop a severe degree of cloudiness and of course blurred vision. This was after a few drinks. I don't know if that has anything to do with that, but I have tried RGP lenses before but I have never had this kind of cloudiness ever! The experience was horrible and I wonder if this is something anyone else has experienced. While the monovision soft lenses failed to correct the visual problem completely, I have never had this kind of blurriness with soft lenses ever. I just cleaned the RGP lenses very well and they are soaking in Boston lens solution for overnight. I was hoping for someone's comments regarding these kind of lenses and the experience I have described.

ElaineKramer · #2 (**permalink**) 12-29-2011, 10:12 AM

Quote:

Originally Posted by osroubek

I just received a new set of custom lenses with the front toric and back mulitifocal rgp lenses with the prism ballast. I have presbyopsia and lenticular astigmatism. I have tried the monovision soft lenses and now these. Tonight while at dinner I quickly started to develop a severe degree of cloudiness and of course blurred vision. This was after a few drinks. I don't know if that has anything to do with that, but I have tried RGP lenses before but I have never had this kind of cloudiness ever! The experience was horrible and I wonder if this is something anyone else has experienced. While the monovision soft lenses failed to correct the visual problem completely, I have never had this kind of blurriness with soft lenses ever. I just cleaned the RGP lenses very well and they are soaking in Boston lens solution for overnight. I was hoping for someone's comments regarding these kind of lenses and the experience I have described.

How are you now that it's a new day? Are those lenses still cloudy? Is there something on the lenses or is it your eyes that are cloudy?

As much as I dislike drinking, I can't honestly blame your blurred vision on your alcohol consumption. It was probably just a coincidence.

You may want to call your doctor and describe your symptoms. Check in again and let us know what you find out.

osroubek · #3 (**permalink**) 12-29-2011, 10:56 AM

Hi and thanks for your reply. The vision is no longer cloudy since I cleaned the lenses last night quite well with the Boston Advanced cleaner. I had experienced 'cloudiness' once before with a different set of RGP's. The vision is not blurry but due to the extreme cloudiness, the vision is ultimately affected as well when this happens. I have read that it may be protein building up on the lens, but they were brand new as of yesterday and I was wearing them for 6 hours before it started, and it got progressively worse. Anyway, I will keep an eye on this. My concern is that distant vision is not clear and after blinking it gets worse. I have to stare and then the vision will clear slowly but not completely. Sometimes distant vision is not too bad but it is infrequent. Would this just be a function of not being used to the lenses? I was told that this is a more complex lens being toric in the front with the prism ballast and multifocal in the back. My reading is actually not too bad but there are times when the lenses just do not sit right and everything is just a giant blur! I hope this is something that time will help with, but I'm concerned that the distance Rx is incorrect.

yournamehere · #4 (**permalink**) 12-29-2011, 11:26 AM

Quote:

Originally Posted by osroubek

Hi and thanks for your reply. The vision is no longer cloudy since I cleaned the lenses last night quite well with the Boston Advanced cleaner. I had experienced 'cloudiness' once before with a different set of RGP's. The vision is not blurry but due to the extreme cloudiness, the vision is ultimately affected as well when this happens. I have read that it may be protein building up on the lens, but they were brand new as of yesterday and I was wearing them for 6 hours before it started, and it got progressively worse. Anyway, I will keep an eye on this. My concern is that distant vision is not clear and after blinking it gets worse. I have to stare and then the vision will clear slowly but not completely. Sometimes distant vision is not too bad but it is infrequent. Would this just be a function of not being used to the lenses? I was told that this is a more complex lens being toric in the front with the prism ballast and multifocal in the back. My reading is actually not too bad but there are times when the lenses just do not sit right and everything is just a giant blur! I hope this is something that time will help with, but I'm concerned that the distance Rx is incorrect.

Sorry about your contact lens cloudiness. It's not likely, but you may be having a reaction to the material that the lenses are made out of. Is your vision still cloudy for a while after you take the contact lenses out?

osroubek · #5 (**permalink**) 12-29-2011, 11:35 AM

Hi and thank you. No, my vision was clear as soon as I took out my lenses last night and placed my glasses on. It was just an experience that I never had or read about on this forum. My question is though, will the distance acuity improve with continued wear, since the eyelids need to get adjusted to the new lens. The previous RGP's that I wore were not the toric design since they did not realize that I also had lenticular astigmatism when I was initially examined. Vision was not good for both near and far with those initial lenses. Reading is better with this set but as I said, the distance issue concerns me, but the optician always tells me to try them out for at least a week before deciding that the Rx or fit is not right.

Petra · #6 (**permalink**) 12-29-2011, 11:39 AM

Quote:

Originally Posted by osroubek

Hi and thank you. No, my vision was clear as soon as I took out my lenses last night and placed my glasses on. It was just an experience that I never had or read about on this forum. My question is though, will the distance acuity improve with continued wear, since the eyelids need to get adjusted to the new lens. The previous RGP's that I wore were not the toric design since they did not realize that I also had lenticular astigmatism when I was initially examined. Vision was not good for both near and far with those initial lenses. Reading is better with this set but as I said, the distance issue concerns me, but the optician always tells me to try them out for at least a week before deciding that the Rx or fit is not right.

I agree with your optician. Give those new lenses a little more time to settle in, and then see how you see.

osroubek · #7 (**permalink**) 12-29-2011, 07:12 PM

As a follow up, I noticed that my vision was degrading starting about 6-7 hours after wearing these new lenses. By the time I arrived home from work the vision in the eyes was not clear and once again, mostly in the right eye, it was cloudy, as if a veil was placed in front of my eye. I rinsed the lenses with the Boston conditioner and rubbed them gently and placed them back in. My vision was much clearer again. Is there some kind of accumulation of something that happens over the course of the day necessitating a mid day cleaning? Or is it extremely dry eyes? I tried the Optiva lubricating eye drops this afternoon, but no improvement was noted until I actually removed them and gently rubbed them. Is that common for some of you RGP owners? I never had this problem with the 1st two sets of RGP's that I tried a few months ago and I believe they were also the Boston brand. Does someone recommend a different cleaning solution or conditioner? or eye drops? Thanks.

Droopy · #8 (**permalink**) 12-30-2011, 11:10 AM

Quote:

Originally Posted by osroubek

As a follow up, I noticed that my vision was degrading starting about 6-7 hours after wearing these new lenses. By the time I arrived home from work the vision in the eyes was not clear and once again, mostly in the right eye, it was cloudy, as if a veil was placed in front of my eye. I rinsed the lenses with the Boston conditioner and rubbed them gently and placed them back in. My vision was much clearer again. Is there some kind of accumulation of something that happens over the course of the day necessitating a mid day cleaning? Or is it extremely dry eyes? I tried the Optiva lubricating eye drops this afternoon, but no improvement was noted until I actually removed them and gently rubbed them. Is that common for some of you RGP owners? I never had this problem with the 1st two sets of RGP's that I tried a few months ago and I believe they were also the Boston brand. Does someone recommend a different cleaning solution or conditioner? or eye drops? Thanks.

I've heard a lot of good things about Clear Care on this website. I did a quick scan with Google and didn't find anything that said you shouldn't use Clear Care with Boston lenses, so why don't you give it a try?

luvbostonxo2's · #9 (**permalink**) 12-30-2011, 11:29 AM

Quote:

Originally Posted by Droopy

I've heard a lot of good things about Clear Care on this website. I did a quick scan with Google and didn't find anything that said you shouldn't use Clear Care with Boston lenses, so why don't you give it a try?

yes
Unfortunately rgp materials can develop protein and lipid deposits rapidly with dry eyes. Dry eyes are better suited for lower dk rgp lens materials.

I wear Boston XO2's and having dry eyes i do notice that they coat with protein and lipid deposits much faster. However using a moisture eye drop that is contact lens compatible such as refresh tears can help maintain the tear film preventing the lens surface from drying out. When the surface of rgp's begin to dry, the surface will start to deposit.

If the eyes are dry, your rgp's need to be kept scrupulously clean. I usually recommend protein cleaning 2x/ week. IF you can get it Menicon progent is one of the best protein removers on the market but is NOT available in North America.

ALso if your eyes are dry and sensitive, Boston solutions may not be the best system for you because of the strong preservative. Lobob optimum or using boston cleaner with Optifree GP is another option.

PS clearcare although said on packaging that its ok with RGP materials. I personally have found that it is NOT. It can damage the complex surface chemistry of these newer rgp materials and makes them non wetting which will cause more protein and lipid to stick to lenses.

Spongebob · #10 (**permalink**) 12-30-2011, 11:56 AM

Quote:

Originally Posted by luvbostonxo2's

yes
Unfortunately rgp materials can develop protein and lipid deposits rapidly with dry eyes. Dry eyes are better suited for lower dk rgp lens materials.

I wear boston xo2's and having dry eyes i do notice that they coat with protein and lipid deposits much faster. However using a moisture eye drop that is contact lens compatible such as refresh tears can help maintain the tear film preventing the lens surface from drying out. When the surface of rgp's begin to dry, the surface will start to deposit.

If the eyes are dry, your rgp's need to be kept scrupulously clean. I usually recommend protein cleaning 2x/ week. IF you can get it Menicon progent is one of the best protein removers on the market but is NOT available in North America.

ALso if your eyes are dry and sensitive, Boston solutions may not be the best system for you because of the strong preservative. Lobob optimum or using boston cleaner with Optifree GP is another option.

Thank you for those helpful suggestions, luvbostonxo2's. It looks like you've been very busy here today. Keep up the good work. A gold star for you.

osroubek · #11 (**permalink**) 12-30-2011, 01:54 PM

Those sound like good suggestions. I went to the optometrist and the optician gave me a box of Optimum;1- Extra strength cleaner, 2-cleaning/disinfecting/storage solution and 3-wetting drops. I was wondering about the Boston conditioning as well, but she told me to completely rinse the lens with water after using the Optimum overnight and then coat it with the Boston conditioner before placing in my eyes. Will this Optimum cleaner work to the point where the lenses do not cloud-up? I question this since it only took 6 hours with a brand new pair to fog up. It seems like its more an issue with the lens material and the interaction with my eyes.

luvbostonxo2's · #12 (**permalink**) 12-31-2011, 12:53 AM

Quote:

Originally Posted by osroubek

Those sound like good suggestions. I went to the optometrist and the optician gave me a box of Optimum;1- Extra strength cleaner, 2-cleaning/disinfecting/storage solution and 3-wetting drops. I was wondering about the Boston conditioning as well, but she told me to completely rinse the lens with water after using the Optimum overnight and then coat it with the Boston conditioner before placing in my eyes. Will this Optimum cleaner work to the point where the lenses do not cloud-up? I question this since it only took 6 hours with a brand new pair to fog up. It seems like its more an issue with the lens material and the interaction with my eyes.

yikes...not a good idea...the optimum wetting drops is sufficient to wet lenses prior to insertion....

No tap water rinse not hygeinic anymore....rinse with saline after the overnight soak.They foggyness is the wetting solution combined with your tear chemistry not working with the lens material creating a coated lens surface.

luvbostonxo2's · #13 (**permalink**) 12-31-2011, 12:54 AM

Quote:

Originally Posted by osroubek

Those sound like good suggestions. I went to the optometrist and the optician gave me a box of Optimum;1- Extra strength cleaner, 2-cleaning/disinfecting/storage solution and 3-wetting drops. I was wondering about the Boston conditioning as well, but she told me to completely rinse the lens with water after using the Optimum overnight and then coat it with the Boston conditioner before placing in my eyes. Will this Optimum cleaner work to the point where the lenses do not cloud-up? I question this since it only took 6 hours with a brand new pair to fog up. It seems like its more an issue with the lens material and the interaction with my eyes.

yikes...not a good idea...the optimum wetting drops is sufficient to wet lenses prior to insertion....

No tap water rinse not hygeinic anymore....rinse with saline after the overnight soak.They foggyness is the wetting solution combined with your tear chemistry not working with the lens material creating a coated lens surface. yes the optimum cleaner is one of the two most powerful cleaners for rgp's.

osroubek · #14 (**permalink**) 01-02-2012, 12:55 PM

OK. No tap water before placing the lenses in my eyes. I am using sterile saline to rinse the Optimum conditioning agent and then some Optimum wetting drops before wearing them. Perhaps, they cloud up a little less but I will see today. My other concern was just the overall performance of the contacts. The opticians always tell me to wear them for at least 2 weeks before deciding if they are going to work out for me. I notice that after about 2 feet, then everything is blurry. So intermediate to infiniti, is a blur. I cannot imagine this will improve, and this is what I noticed right away and I mentioned it to them but they said to wear them for a while. I'm not sure why that is the case, since there has not been any improvement in visual acuity since day 1. I have noticed this with other types of contacts as well. I would think that after 30-60 minutes, if that, one can tell if there is good vision or not. Why the wait? I walk around the grocery store and feel as if I'm in a fish bowl. Until I get up close I cannot read anything clearly. This is the 3rd pair of RGP's, although the others were not of the toric design. Does it take so many attempts to find a lens that works? Sorry, some of this may be just venting, but comments are certainly welcome at this point.

luvbostonxo2's · #15 (**permalink**) 01-02-2012, 02:00 PM

Quote:

Originally Posted by osroubek

OK. No tap water before placing the lenses in my eyes. I am using sterile saline to rinse the Optimum conditioning agent and then some Optimum wetting drops before wearing them. Perhaps, they cloud up a little less but I will see today. My other concern was just the overall performance of the contacts. The opticians always tell me to wear them for at least 2 weeks before deciding if they are going to work out for me. I notice that after about 2 feet, then everything is blurry. So intermediate to infiniti, is a blur. I cannot imagine this will improve, and this is what I noticed right away and I mentioned it to them but they said to wear them for a while. I'm not sure why that is the case, since there has not been any improvement in visual acuity since day 1. I have noticed this with other types of contacts as well. I would think that after 30-60 minutes, if that, one can tell if there is good vision or not. Why the wait? I walk around the grocery store and feel as if I'm in a fish bowl. Until I get up close I cannot read anything clearly. This is the 3rd pair of RGP's, although the others were not of the toric design. Does it take so many attempts to find a lens that works? Sorry, some of this may be just venting, but comments are certainly welcome at this point.

well thats a good question......!? I think that solely is the talent of the ecp fitting you.....!

if you are a difficult fit yes it may but generally we FIT rgp's bang on the first go around......you should be able to see clearly immediately if not its a fit or ecp issue.

Toric mulitfocal rgp's are the most challenging to fit but do require more knowledge than basic to fit.....Multifocal lenses success is largely based on your pupil size and not everyone can adjust to having the full range of powers on the lens.

Toric multifocals have to be fit precisely. If after about 30 min to an hour of the lens settling on the eye u can't see...then it needs to be looked at.

Columbia · #16 (**permalink**) 01-03-2012, 12:06 PM

Quote:

Originally Posted by luvbostonxo2's

Toric multifocals have to be fit precisely. If after about 30 min to an hour of the lens settling on the eye u can't see...then it needs to be looked at.

So sometimes those lenses can take an hour to settle in? What do you do in the meantime? Is it uncomfortable?

luvbostonxo2's · #17 (**permalink**) 01-03-2012, 02:04 PM

Quote:

Originally Posted by Columbia

So sometimes those lenses can take an hour to settle in? What do you do in the meantime? Is it uncomfortable?

its not uncomfortable that was not a clear explanation on my part.....When you place a hard lens on the eye It can take up to a few min or up to an hour to "settle" in. This is largely due to fit, whether they are aligned to your corneal curve, flatter fit etc. depending how the curvature is prescribed to work for your eyes. If the lens has been sitting on the eye for at least 30 min and their is no improvement in vision then the power and fit needs to be adjusted.

Once properly adapted to a rgp lens, once inserted will give you hyper clear vision the minute its placed on your eyes. The wetting solution may cause some mild blurring but that goes away almost immediately.

JTKirk · #18 (**permalink**) 01-03-2012, 02:52 PM

Quote:

Originally Posted by luvbostonxo2's

its not uncomfortable that was not a clear explanation on my part.....When you place a hard lens on the eye It can take up to a few min or up to an hour to "settle" in. This is largely due to fit, whether they are aligned to your corneal curve, flatter fit etc. depending how the curvature is prescribed to work for your eyes. If the lens has been sitting on the eye for at least 30 min and their is no improvement in vision then the power and fit needs to be adjusted.

Once properly adapted to a rgp lens, once inserted will give you hyper clear vision the minute its placed on your eyes. The wetting solution may cause some mild blurring but that goes away almost immediately.

I would imagine there would be a lot of blinking going on while those RGP lenses settled down.

osroubek · #19 (**permalink**) 01-03-2012, 07:57 PM

I wanted to ask lovbostonx02's, about what I have observed regarding movement of the lens. If I look into a mirror I can see the lens drop about 1-1.5 mm below the lower edge of the iris after a blink while looking straight ahead. My vision is blurred right after a blink and improves only very slightly. Especially if I am looking straight ahead, things are very blurry. I have to tilt my head back for something near (within 2 feet) or drop my chin to get a slightly sharper distance view, but it is never sharp. While just walking, if I look straight ahead, things are very blurry. Do I have to drop my chin to see things in the distance? Does this sound like a fit problem or Rx problem? Thanks.

luvbostonxo2's · #20 (**permalink**) 01-03-2012, 10:07 PM

Quote:

Originally Posted by osroubek

I wanted to ask lovbostonx02's, about what I have observed regarding movement of the lens. If I look into a mirror I can see the lens drop about 1-1.5 mm below the lower edge of the iris after a blink while looking straight ahead. My vision is blurred right after a blink and improves only very slightly. Especially if I am looking straight ahead, things are very blurry. I have to tilt my head back for something near (within 2 feet) or drop my chin to get a slightly sharper distance view, but it is never sharp. While just walking, if I look straight ahead, things are very blurry. Do I have to drop my chin to see things in the distance? Does this sound like a fit problem or Rx problem? Thanks.

hrmmmmm......none of the above should be required! Your vision should be clear after a blink independant of head angle.....I suspect your lenses are not fitting properly!

suggest to your ecp a larger rgp lens! Not that your telling whomever how to do their job. Toric multifocals requires advanced fitting skill as its the most challenging lens to fit. Fit, pupil size, lens size and power placement are the 4 issues that have to be bang on or your correction will be skewed.

osroubek · #21 (**permalink**) 01-03-2012, 11:34 PM

Thanks for your comments. I'm pretty sure that the diameter of the current lenses are the maximal for an RGP. I will try to discuss with him those other factors.

oingoboingo · #22 (**permalink**) 01-04-2012, 11:19 AM

Quote:

Originally Posted by osroubek

I wanted to ask lovbostonx02's, about what I have observed regarding movement of the lens.

Wow. A special request. That's great, lovbostonx02's. You've been very helpful to me as well.

Droopy · #23 (**permalink**) 01-18-2012, 05:29 PM

Quote:

Originally Posted by osroubek

Thanks for your comments. I'm pretty sure that the diameter of the current lenses are the maximal for an RGP. I will try to discuss with him those other factors.

Let us know what you find out okay, osroubek?