Can Contact Lens Solution Replace Saline for Eye Care? - Ophthalmology

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Can contact lens cleaning solution be used as a substitute for saline solution?


Hello Doctor: I live abroad, but in recent years, multi-purpose contact lens solutions have become popular.
In the city where I live, I can't find saline solution anymore, and the store staff told me that no one uses saline solution to rinse contact lenses anymore; one bottle of contact lens solution can handle everything.
Is this true? I am very concerned that not using saline solution to rinse my contact lenses might be harmful to my eyes (I have allergic conjunctivitis).
Additionally, I am considering getting rigid gas permeable contact lenses the next time I return to Taiwan, but I haven't seen any rigid lens solutions here.
Can I use soft lens solution to clean rigid lenses? Also, since I can't find saline solution, can I use boiled water as a substitute for saline to rinse my lenses? Furthermore, some people say that when wearing contact lenses, if the eyes feel dry, one should use saline solution, not artificial tears, while others insist that only artificial tears should be used.
Which one is correct? I have many questions, and I appreciate your guidance.
Thank you!

Xiao Feng, 20~29 year old female. Ask Date: 2005/08/19

Dr. Cai Jingyao reply Ophthalmology


Hello Doctor: I live abroad, but in recent years, multi-purpose contact lens solutions have become popular.
In my city, I can't find saline solution anymore, and the store staff told me that no one uses saline solution to rinse contact lenses anymore; one bottle of contact lens solution can handle everything.
Is this true? I am very concerned that not using saline solution to rinse my contact lenses might be harmful to my eyes (I have allergic conjunctivitis).
Rinsing contact lenses with clean saline solution is best, but I need to be aware of the expiration date since it does not contain preservatives, so it's best to use a bottle of saline solution within a week.
I am also considering getting rigid gas permeable (RGP) contact lenses when I return to Taiwan, but I haven't seen any RGP lens solutions here.
Can I use soft contact lens solution to clean my RGP lenses? Additionally, since I can't find saline solution, can I use boiled water to rinse my lenses instead? There are reports that using tap water or homemade saline solution can easily cause corneal infections.
Furthermore, some people say that when wearing contact lenses, if the eyes feel dry, one should use saline solution, not artificial tears, while others say that artificial tears are necessary.
Which one is correct? There are many issues with using preservative-free artificial tears or clean, fresh saline solution.
I would appreciate your guidance.
Thank you!

Reply Date: 2005/08/19

More Info


When it comes to eye care, particularly regarding the use of contact lenses, it's essential to understand the differences between saline solutions, multipurpose contact lens solutions, and artificial tears. Your concerns about using multipurpose solutions instead of saline, especially given your history of allergic conjunctivitis, are valid and warrant a detailed response.

1. Can Contact Lens Solution Replace Saline for Eye Care?
Multipurpose contact lens solutions are designed to clean, rinse, disinfect, and store contact lenses. They contain a variety of ingredients that help remove debris and microorganisms from the lenses, making them suitable for daily use. Saline solutions, on the other hand, are primarily used for rinsing and storing lenses but do not have disinfecting properties. Therefore, while multipurpose solutions can effectively replace saline for cleaning and storing soft contact lenses, they should not be used as a substitute for saline in all situations.

If you have allergic conjunctivitis, it's crucial to ensure that any solution you use does not exacerbate your symptoms. Multipurpose solutions are generally safe for most users, but if you experience irritation or discomfort, you may need to consult with an eye care professional to find a solution that works for you.

2. Using Multipurpose Solutions for Rigid Gas Permeable (RGP) Lenses:
You mentioned considering switching to rigid contact lenses. It's important to note that RGP lenses require specific care solutions, which are different from those used for soft lenses. Using multipurpose solutions designed for soft lenses on RGP lenses is not recommended, as they may not provide the necessary cleaning and conditioning required for RGP materials. If you cannot find RGP solutions locally, it would be best to consult with an eye care professional for alternatives or to bring the appropriate solution from your home country.

3. Can Boiled Water Replace Saline?
Using boiled water as a substitute for saline is not advisable. Boiling water may kill some bacteria, but it does not provide the same osmotic balance and pH that saline solutions do. Additionally, boiled water can still contain contaminants that could lead to infections or irritation when used in the eyes. It's best to use commercially prepared saline solutions or multipurpose solutions that are specifically designed for eye care.

4. Dry Eyes and the Use of Saline vs. Artificial Tears:
When it comes to managing dry eyes while wearing contact lenses, artificial tears are generally the recommended option. They are specifically formulated to provide moisture and lubrication to the eyes, which can help alleviate dryness and discomfort associated with contact lens wear. Saline solutions do not provide the same level of hydration and are not designed to relieve dry eye symptoms effectively.

If you experience dryness while wearing contact lenses, using preservative-free artificial tears is advisable. These can be used safely with contact lenses and can help maintain comfort throughout the day. If you find that your eyes are still dry despite using artificial tears, it may be worth discussing with your eye care provider, as they may recommend additional treatments or adjustments to your lens-wearing schedule.

Conclusion:
In summary, while multipurpose contact lens solutions can effectively replace saline for cleaning and storing soft lenses, they should not be used interchangeably with saline in all situations. For RGP lenses, specific solutions are necessary, and boiled water should not be used as a substitute for saline. When managing dry eyes, artificial tears are the preferred choice over saline. Always consult with an eye care professional if you have concerns about your eye health or the products you are using. Your eye health is paramount, and ensuring you have the right products can help maintain comfort and prevent complications.

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