Lens Insertion/Removal and Care

Contact lenses are not an easy solution for every person suffering with vision problems. Some eye conditions make wearing contacts a difficult proposition. However, it does not rule out wearing contact lenses altogether. It just means patients need to discuss options with their eye care provider and obtain specialized hard to fit contacts for their specific vision problems.

Reasons for Hard to Fit Contacts

Finding contact lenses that fit and wearing contact lenses in general can be made more challenging when these conditions affect your eyes:

  • Astigmatism
  • Dry eyes
  • Giant Papillary Conjunctivitis (GPC)
  • Keratoconus
  • Presbyopia

Astigmatism: Astigmatism develops when the front of the eye curves into a bulge or oval shape. It causes blurred vision and can be difficult to correct because regular contacts cannot account for the bulging.

Dry Eyes: When eyes become excessively dry, it leads to irritation, burning, redness and blurred vision. Contact lenses can exacerbate these conditions by making it feel like a foreign object is stuck in your eye.

GPC: This form of conjunctivitis is caused by inflammation on the inner surface of the eyelid. Protein buildup on contact lenses can make this condition worse.

Keratoconus: This is an uncommon condition that causes major discomfort when wearing contacts. Keratoconus happens when the cornea becomes thinner and allows the eye to bulge forward. The bulge forms into a cone shape.

Presbyopia: Eyes tend to have a tougher time focusing on close objects as they age. This condition is known as presbyopia. It typically affects people aged 40 or older.


For the best results and health of your eyes Unique PH and PROGENT is our recommended brand of choice for soaking and disinfecting CRT lenses.

Menicon Unique pH® is a highly effective and well respected multipurpose solution for gas permeable contact lenses. This solution conditions lenses by adjusting to the eye’s natural tear pH to enhance the wettability and comfort of gas permeable contact lenses on insertion. This formula is designed to provide a soothing effect during lens wear. The solution disinfects lenses using antimicrobial agents, which destroy harmful microorganisms (germs), commonly found on the surfaces of lenses. Simply by soaking it removes dirt, protein deposits and debris from your contact lenses. N

For the best results and health of your child’s eyes our office recommends PROGENT BIWEEKLY DESINFECTANT since it is the most effective solution available on the market that cleans lenses and removes surface protein deposits after a short soak without manual rubbing.

Menicon PROGENT is a highly effective deposit and protein remover, a cleaner compatible with all CRT contact lenses. In fact, it is ideal for the growing number of gas permeable lenses that have surface plasma coatings for comfort that should not be mechanically cleaned or rubbed. Simply soaking the lenses for 30 minutes will ensure the removal of deposits as well as the organisms most likely to contaminate lenses, including bacteria, fungus, molds and yeasts. It is recommended that patients remove proteins with Menicon PROGENT bi-weekly.

TO ORDER SOLUTIONS SIMPLY GO TO http://store.meniconamerica.co... and under first time patient registration enter your e-mail address as well as your eye care professional’s starter code: Ideal Family Eye Care 011-395-K

Once you have registered, you will have access to Menicon’s line of lens care solutions.

Always contact your practitioner if you are planning to change recommended  solutions!!! There are other, however less favorable solutions that are available in TRAGET, WALGREENS ANS CVS BOSTON SIMPLUS , CLEAR CARE or PEROXY CLEARmight be alternatively used, however they are less likely recommended by Ortho K specialists around the world.

Alternative Cleaning Systems

Alternative Multipurpose solutions are used to clean lenses. One solution is used for everything. **** Avoid rinsing with Peroxy Clear and Clear Care since it will burn !!!!! It must soak for at least 8 hours before those solutions will turn into neutral water. **** Always use designated containers for Peroxi Clear and Clear Care

How to Disinfect Your Lenses in solutions

First, discard any leftover solution in the case. Clean the case with warm water; allow case to air dry when not used. To avoid mixing the lenses, always clean one lens at a time. To clean your retainers place one lens in the palm of your hand and fill with Unique PH or Boston Simplus. Place your finger inside the lens and rub around your palm in circular motions for 30 seconds. That is how to clean the “outside” of the lens. To clean the “inside”, take the same finger and rub it along the “inside” of the lens. Move your finger along the inside of the lens for 30 seconds. Place the disinfected lens into case and completely cover it with Unique PH / or Simplus Solution. Securely close the case and repeat steps 1-3 with your other lens. Clear Care and PeroxiClear are similar systems, they are interchangeable products. Both systems actively clean and remove protein from the lenses, while killing germs and bacteria which can cause eye infections. This system is reserved for patients that require a system without preservatives. Follow the instruction directions while using those two products

Clear Care Basics:

Clear Care/ Peroxi Clear should always be used with the lens case and the built-in neutralizing disc that is provided in every package Always soak lenses in the provided lens case for at least six hours prior to inserting on the eye When a new package of Clear Care/ Peroxi Clear is opened, always use the new lens case provided to ensure proper neutralization and discard the old case to reduce the potential for contamination Never put Clear Care/Peroxi Clear directly into the eye Never rinse lenses with Clear Care/ Peroxi Clear prior to insertion on the eye, as the solution must be neutralized Never use Clear Care/ Clear Care in a flat lens case

Lubrication Drops: are used before retainer lenses are placed in the eyes at night and before they are removed in the morning. All those drops are available in CVS, TARGET, WALGREENS.

RECOMMENDED!!!! Refresh Optive Preservative Free is a lubrication drop made by a company called Allergan that is Preservative free and it comes in vials. It’s placed in the eyes before retainer lenses are put in at night and before they are removed in the morning.

Refresh Liquigel is a lubrication drop made by a company called Allergan . It’s placed in the eyes before retainer lenses are put in at night and before they are removed in the morning. It is not preservative free. It is a thicker drop that makes your lenses more comfortable when you put them in at night. It is not preservative free so might in some cases crate residue on lenses.

Systane Ultra, made by Alcon, is another popular and easily obtained lubricating drop. It is available at most Target, Wal-Mart, drug stores and supermarkets.

Refresh Optive, also made by Allergan, is a thicker drop that makes your lenses more comfortable when you put them in at night.  

INSERTING YOUR LENSES http://www.crtvision.com/crt-lens-care/

Solutions for Hard to Fit Contacts

Wearing contacts is not impossible if you suffer from one of the above conditions. You do need to meet with an eye care professional, however, and get prescribed contact lenses that are tailored to deal with your specific vision condition.

Gas permeable lenses are a good solution for patients who suffer from GPC or Keratoconus. A GP lens will limit protein deposits from accumulating which will reduce GPC symptoms. It is also effective in containing corneal bulging and relieving pressure on the tissue for a Keratoconus sufferer.

Toric lenses are useful for correcting astigmatism. Since the lens needs to align with the bulge it is correcting, toric lenses must not rotate in order to fit on the eye. They are typically custom made to correct a specific astigmatism. For that reason, this type of lens takes longer to make and costs more than a traditional contact lens.

Bifocal and multifocal lenses can help remedy presbyopia. Monovision lenses are another option for presbyopia. This type of lenses can have one fitted for distance vision and the other for seeing close objects.

Medicated eye drops can be an effective solution for dealing with dry eyes. They will lubricate eyes enough to make contact lenses more bearable, although a punctual occlusion also must be done to plug the ducts in some extreme cases. GPC symptoms can also be lessened through medicated eye drops. They flush out protein deposits and reduce inflammation.


If your lens lands on the white part of the eye:

Gently move the lens back to the center of the eye by using your eyelids. Push the lens onto the cornea while the eye is open, by pushing the lens with your EDGE of your upper or lower eyelid. NEVER place your finger directly over the center of the lens and drag it into place.

Removing Your Lenses without a Plunger

Method 1: Use of plunger as instructed by your doctor

Method 2: Blink

Place your index finger at the outer junction of your upper and lower lids; stretch the skin outward and slightly upward while keeping your eyes wide open. Cup your other hand below your eye and blink briskly. The pressure of the eyelid will pinch the lens and the lens will drop out into the palm of your hand. Method 3: Two-Finger

Hold your eye WIDE open. Place one finger on the very edge of your upper lid and the finger of the other hand on the very edge of your lower lid. Push your upper and lower lid against the eye, making sure that you are not pulling the lids away. Press against your eye and then slide your fingers together. Keep your fingers in a straight line up and down; otherwise when you close your eye the lens will go towards one of the corners of your eye. If the lens de-centers onto the white part of your eye, it must be re-centered before repeating the removal procedure. Maintaining pressure on your lids, bring your two fingers together in a hard blinking motion.

Scleral Lens Insertion Removal


Standard Soft Lens Insertion & Removal


Synergeyes Lens Insertion & Removal


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9:00 am - 5:00 pm
7:00 am - 3:00 pm
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