Common Issues with Orthokeratology Lenses: Expert Answers - Ophthalmology

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Dear Patient,
Thank you for your questions regarding your experience with orthokeratology lenses. It's important to address these issues as they can significantly affect your comfort and vision quality. Let's break down your concerns one by one.

1. Blurred Vision After Extended Wear: It's not uncommon for individuals wearing orthokeratology lenses to experience changes in vision clarity after prolonged use. The primary function of these lenses is to reshape the cornea to correct refractive errors, and they typically require a minimum of 6 to 8 hours of wear to achieve optimal results. However, if you are noticing that your vision becomes blurry after wearing the lenses for more than 6 hours, it could be due to several factors.
One possibility is that your cornea may not be responding as expected to the lens shape, which can happen if your prescription has changed over time. If your refractive error has decreased, the lenses may be too strong for your current needs, leading to suboptimal vision. Additionally, factors such as lens fit, tear film stability, and even environmental conditions can affect how well the lenses perform. It would be advisable to revisit your eye care professional to assess your current prescription and lens fit to ensure they are still appropriate for your eyes.

2. Discomfort from Boston Soothing Solution: The discomfort you experience with the Boston Soothing Solution could indeed be related to your skin sensitivity. While your eyes may not show signs of allergic reactions, the ingredients in the solution could irritate the skin around your eyes, especially if they come into contact with your eyelids. It’s essential to apply the solution carefully to avoid excess contact with your skin.
If you suspect that your skin is reacting to the solution, you might consider switching to a preservative-free lubricant or a different brand of eye drops that are specifically formulated for sensitive skin. Always consult with your eye care provider before making any changes to your eye care regimen. They can recommend alternatives that are less likely to cause irritation while still providing the necessary moisture for your lenses.

In summary, both of your concerns warrant further evaluation by your eye care professional. Changes in vision clarity after extended wear of orthokeratology lenses can indicate a need for a prescription update or a reassessment of lens fit. Additionally, skin irritation from the soothing solution can often be managed by switching products or adjusting your application technique.
It’s crucial to maintain regular follow-ups with your eye care provider, especially after wearing orthokeratology lenses for an extended period, to ensure that your vision remains clear and your eye health is protected. Thank you for reaching out with your questions, and I hope this information helps clarify your concerns.

Best regards,
Doctor Q&A Teams

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