Makeup Tips For Contact Lens Wearers

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This month’s post was originally going to discuss eye makeup tips for everyone, whether you wear contacts or not, but an interesting patient encounter last week prompted me to address contact lens wearers first. A young woman came in for her yearly eye exam and contact lens renewal complaining that a few hours after putting her contacts in her eyes the lenses became foggy and she had trouble seeing. She was wearing a two week lens, meaning she takes it out every night and cleans it and puts in a fresh lens every two weeks. This kind of contact lens usage can lead to a condition called GPC (giant papillary conjunctivitis) where one becomes sensitive/allergic to the proteins that build up on the lens over time. At first I thought this is what she had but when I looked at her contacts under the biomicroscope I immediately saw that her contacts were coated with bronze shimmery deposits that looked nothing like anything found in nature and everything like someone took blobs of makeup and threw them on her contact lenses. This prompted a conversation about her makeup habits, which actually were not bad except that when the problem would not go away she decided to put her makeup on first and then put the contact lens in. Bad move, it only made things worse. Next month we will talk more about makeup and eyes but here are some quick tips specifically about contacts and makeup.

  1. Contacts first, makeup second, and wash your hands first!
  2. Using primer on your lids prevents eye shadow from creeping into your eyes and onto your contacts, I like the one by Urban Decay.  
  3. Do not use eyeliner on your waterline – it will clog every oil gland you own and cause dry eye as well as migrating onto your contacts. 
  4. Use high quality eyeliner – I love Urban Decay 24/7, NYX waterproof retractable eye liner and Marc Jacobs Highliner gel eye crayon – they stay put without sliding around.  
  5. At the end of the day remove contacts first then remove your eye makeup.
  6. Daily disposable contacts will help prevent sensitivity to accidental buildup of anything on your lenses, whether it be makeup or proteins, this is the safest and healthiest way to successfully wear contact lenses.  

New Contact Lenses Prevent Sight From Worsening!

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When I was eight, my eye doctor prescribed glasses for me to see the blackboard. The truth was, my vision was so bad I should have worn glasses all the time, but my mother told me that wearing glasses would make my vision worse so I walked around in a blurry haze for ten years until I got my first pair of contact lenses. When my own daughter needed glasses at the age of six (bad genetics from her dad) I made sure she wore them all the time so she would not miss out on seeing the beautiful details in the world around her the way I did (love you mom). One thing that concerned me however was how quickly her prescription changed, sometimes every six months. Back then the idea of slowing the progression of nearsightedness was not even in its infancy and according to the conventional wisdom of the time I had her wear bifocals. Fast forward almost twenty years and controlling the progression of nearsightedness is now a reality. 

There are a couple of options out there such as Ortho K (wearing hard lenses overnight to reshape the cornea), atropine eye drops, and soft multifocal lenses with specific parameters to help blur certain parts of the vision and attenuate others. Although these modalities are FDA approved, they are not necessary FDA approved for myopia (nearsightedness) control. A few days ago CooperVision announced that they came out with a daily disposable soft multifocal lens called MiSight  which is specifically approved by the FDA for myopia control. This is a very exciting addition to our arsenal of myopia control tactics and one that I believe will be embraced by both parents and eye care professionals alike due to its ease of use and availability. As soon as I get more information on the accessibility of the lens I will post a little more on how the technology works and who would be a good candidate for this treatment.

Can I Swim In My Contact Lenses?

woman in water clearing his face of waterNo, no and no. Not only can you not swim in them, but you can not expose your contact lenses to any type of water at all. This includes tap water, oceans, swimming pools, lakes, hot tubs, and even showers! Soft contact lenses absorb not only the water, but any viruses, bacteria, or other microbes that are living in the water. Although rare, an organism called Acanthamoeba which lives in impure water can attach itself to your contacts and cause your cornea to become extremely infected and inflamed and can cause permanent vision loss and/or a corneal transplant if not treated quickly and aggressively.  A couple of weeks ago a young man from the UK shared his personal story of how he contracted Acanthamoeba – he initially thought he just scratched his eye putting in his contacts, but instead of getting better over time it got worse. Ultimately he was diagnosed with Acanthamoeba keratitis and even after months of different treatments and procedures he unfortunately lost the vision in his eye. The doctors concluded that he contracted the infection because he showered daily in his contact lenses. Although this is definitely a worse case scenario at the very least the water can cause your contacts to tighten up on your eye and create discomfort or can wash away your natural tears causing dry eyes. Waterproof well fitting swim goggles can be worn over contacts but an even safer option is to purchase a pair of prescription swim goggles to eliminate all risks of contamination.

#SquintLessSeeMore with Oasys Transition Contact Lenses

X331-Acuvue-Oasys-Transitions-FACEBOOK-post1Imagine this – you go outside on a beautiful sunny day and realize that you left your sunglasses at home – ordinarily you would be squinting and uncomfortable but not anymore – now your contact lenses turn dark when you go outside! Acuvue Oasys, the wildly popular two week contact lens from Johnson and Johnson has joined technological forces with Transitions Optical to create Acuvue Oasys with Transitions. This new product got so much positive buzz that it was selected by Time Magazine as one of 2018’s BEST INVENTIONS OF 2018. Like the regular Oasys lens, the Oasys with Transitions is a two week lens that can be cleaned with either standard multipurpose solution or a hydrogen peroxide based system. It takes 30 seconds to activate when you go outside and ninety seconds to turn back to clear when you go back inside. When the lens is fully activated outside it filters 70% of outdoor light, and even inside it filters about 15% of indoor light. One important thing to realize is that although you are indeed blocking UV light on the eyeball itself when you wear these contacts, you still need sunglasses to protect the skin around your eyes as well as the other parts of your eye, and the contacts never get as dark as real sunglasses. Acuvue is recommending this lens for any patient who is bothered by light sensitivity, whether indoors our outdoors. They are also recommending it for patients who experience halos and starbursts when they drive at night, as well as to those who are bothered by computer lighting. The lens does change your eye color slightly when it is activated outdoors and in studies that were conducted on patients who tried this lens only 2% were bothered by the color shift. Check out the hashtag #SquintLessSeeMore for more cool information about this innovative product which is available through our office now.

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Contact Lens Health Week

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Although we have talked about good contact lens hygiene in the past (remember the underwear analogy?) in honor of Contact Lens Health Week (August 20-24) I will reiterate some of the dos and don’ts of proper contact lens usage.

  • Don’t sleep or nap in your contacts. Ever. This kind of risky behavior increases the chances of contact lens related eye infection by 6-8 times. These types of eye infections can lead to using drops hourly, vision loss, and surgery. Just Don’t Do It.
  • Wash your hands before putting your fingers in your eyes to touch your contacts.
  • Daily disposables are the healthiest modality of contact lens wear. If you do wear bi-weekly or monthly contacts make sure you are using fresh solution in your clean case every day and don’t wear your contacts beyond the recommended wear schedule. Yuk. An old dirty contact lens can also cause infections.
  • No swimming or showering with contact lenses. Microbes in water can adhere to contacts and cause…you guessed it – terrible eye infections.
  • If your eye hurts or looks red or weird don’t put your contact lenses in your eye and hope for the best – make an appointment ASAP with your optometrist.
  • Make an appointment yearly to see your optometrist. Not all contact lens related complications are visible to the naked eye and a thorough professional evaluation is necessary to ensure your eyes are getting enough oxygen and have no corneal defects.

#onepairtakecare – you only get one pair of eyes – treat them well!

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