Preservative Free Salines for Sclerals Part 2: Brand Comparison
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- Опубликовано: 27 июл 2024
- This is part 2 of a series on preservative free saline solutions used with scleral lenses and PROSE devices. In this session we review the features, sizes, pros, and cons of several brands of preservative free salines.
PART 1: • Preservative Free Sali...
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I am beyond grateful for this information!
This is so helpful, thank you for the clarity and wealth of information as always :-)!
Thanks for really good information, and can't wait for the 4oz purilens, and thank you for all your help since 2016 just weeks after Unisol4 was d/c and you provided me with Purilens Plus
I really needed this
Very appreciated...thank you!
great info! thank you!!
I'm having good experience switching from Scleralfil and Purilens to Modudose but yeeeeeeeeah those things are hard to separate and open.
Thank you for your help! My eye doctor told me to go to Walmart and pick some up but they did not have them and it’s been so frustrating.
Oh that's too bad! Yes unfortunately preservative free salines aren't sold in drugstores... you might find Purilens at Bed Bath & Beyond. - The other local possibility is Addipak or similar unbuffered saline, but you probably have to have a prescription for it.
Im using addipak and its working just fine but idk if i should switch to purilens plus or not
We have none if these brands in my country, I use preservative saline to fill my lenses, it's just uncomfortable and gets better as the day progresses but then it gets foggy later in the day.
My experience with the buffered solutions is they feel more comfortable in the eye initially upon insertion. HOWEVER I have found after 4 or 5 days of use (Purilens) I notice my eyes are slightly blurrier than normal. I suspect the chemicals added to buffer the ph may be irritating the cornea and possibly causing some slight edema.
Thanks for sharing! You know what's really interesting to me about salines is how widely different the responses are. For example, for me personally, it's the opposite... I can do unbuffered for a few days before I really start noticing a difference (comfort and redness) and go back to buffered. Then there's all the people mixing saline (either type) with artificial tears (which incidentally all contain buffers as well). We're long overdue for some real science studying the features of these salines that matter for purposes of scleral lens use.
I agree, more studies need to be done as well as well as more products available. My current practitioner just tells me to use B & L sensitive eyes saline as they have recommended it for years. It has a very weak formula of preservatives. I don't, as I don't feel comfortable using any preservatives on a compromised cornea long term. I may try a drop of the B & L with the unbuffered but other than some slight initial discomfort with the unbuffered (30 min) I really can't tell the difference between buffered and unbuffered in terms of comfort over short and long term (hours and days).
@@BryanByTheSea I just had a peek at the ingredients in B&L Sensitive Eyes... it has the same borate buffers that Purilens and ScleralFil has. Who knew salines were so complicated :)
Yes, and a lot depends on the formulations, but I bet they are all very similar, I never tried it more than a day or so, so can't speak to as to how safe it is long term considering it has preservatives added. But the percentages of preservatives are on magnitudes less than other solutions, so perhaps it can be used, at least on a temporary basis. Certainly would be a cheap option.
Thank you for the great info. 🙏 😀 Do you happen to know if thew B&L ScleraFil will be available in Canada anytime soon?
Hi there, I don't believe they have plans for Canada currently but I could be wrong, I will ask next time I talk to them!
The Dry Eye Shop Thank you, keep up the good work 👍
Is purilens plus for use of sclerlalens when you put them on your eye or it’s just cleaning
Use for filling sclerals is "off-label". It's a preservative-free saline, and buffered to match the pH of the eye, which is what makes it popular for use with sclerals. You definitely want to ask your eye doctor what's OK to use in your sclerals.
It's not a cleaning solution, i.e. it does not contain cleaning agents. The labeling is for cleaning because they sell it for use with the cleaning unit.
I have Keratoconus..
And I've opted on my Dr.'s advice to wear Scleral Hard contacts..
I've subscribed to your
Channel, Because I'm
Not familiar with all the
Terminologies that That I hear..😟, I can Barely follow you..
I've bought the 100ct
Off of Amazon..But l Kept wearing a Hybrid
Set instead of wearing
The Scleral contacts Right away..And now Have decided to wear
The Scleral now full Time ,I bought the a Solution about 2 1/2
Years ago is it safe to
Use it???
I like your Presentation
Too!👍I Subscribed..
Hi there, please check the expiration date on your product. You should not use anything that has expired. I'm glad we are able to help. If you have questions you can always email us at service@dryeyeshop.com or call us at 877-693-7939.
Hi there, I just saw your comments here. If we can help more don't hesitate to reach out by phone 877-693-7939 or email service@dryeyeshop.com with any questions - also the Dry Eye Foundation has a Zoom group every Thursday evening at 5pm Pacific (8pm Eastern) which is a good place to connect with questions. www.dryeyefoundation.org/calendar
About your 2.5 year old solution - have you checked the expiration? If it's been expired for awhile I would definitely throw it away :)
What’s your thoughts on Tangible Clean, or is the Boston one better??
Hi there - not quite sure which Boston solution you're referring to. The only one we would consider comparable to Tangible is Boston Simplus. I think it really comes down to personal experience, all of these have many fans! The three that are compatible with Hydrapeg coating are Unique pH, Tangible Clean and Boston Simplus. I'm a Unique fan, personally :)
What's the shelf life on the solutions..I bought the 100 pack pink ones
That have the twist of tops..maybe two years ago..😟,I have scleral Contacts and I'm just wondering if the Solution is still usable?
Thank you ma'am
The product may be expired by now. Please check the expiration, it should be stamped on the vial.
Ma'am how do you store you contact Utensils?? Do you Keep them in a Soaking solution until
You use them from Time to time..Help😟
Thank you:
Hi there! If you're asking about scleral lenses specifically (or other rigid gas permeable types) most people keep them in a multi-purpose contact lens solution in order to keep them disinfected. If you have long gaps where you're not wearing them (weeks/months) then ask your eye doctor's office if it is OK to store them dry. They would need to be disinfected before using them again though. I hope this helps!
I'm someone who uses Sclerafil but never the full bottle in a day. I will put a band aid over the spout so I can use it the next day. I will then discard whatever is left over. Is covering the spout safe to use the next day
Unfortunately no, this is not a safe practice. They really need to be discarded same day. This is a common problem for scleral lens users - a vial is either too much or not enough. We are hoping that eventually, one of the manufacturers will find a way to package preservative free saline in special multi-dose bottles to keep it safe without breaking the bank.
is its ok to use Its more then I time
one*
She answered in the video. All of them are single use only except Purilens (since it has a closable bottle). So the single use ones shouldn't be used more than once, or else you run the risk of contamination and getting more acidic (moreso in unbuffered solution).
None of these work for me without getting milky foggy after a few hours. Seems like Nutrifill lasts the longest
Sorry to hear that. Saline solutions are not the only cause of fogging though - you might want to check our tutorial and see if any of these items may be worth discussing with your scleral lens specialist:
products.dryeyeshop.com/en-US/part-8-%22midday-fogging%22-rinsing-and-removal-and-other-practical-daily-tips-33962
@@TheDryEyeShop Yes I’m due for a check up. Clearance looks good with no fluorescein getting in. Did lipyflow treatment last month and going to try adding Hydrapeg to the new lense
@@Fisheyedfool I think I’m going to try it. It may be my tear quality also