How to fix scleral lens insertion problem

Issue : Normal Saline Solution spilled out of lens before insert.

Solution

  1. Place your scleral lens directly on top of the suction cup (a plunger) and full fill the lens with normal saline.
  2. Placing a mirror flat on the table in front of you will helpful.
  3. Look down directly to the mirror and tuck your chin into your chest.
  4. Your nose should be perpendicular to the floor.
  5. Open eyes wide and then move the suction cup toward to your eyes without spilling the saline.
  6. Put the scleral lens into the eyes and then close your eyes.

ที่มา : https://eyepeopleoptometry.com/scleral-lens-training/

Issue : Cannot insertion lens (stuck or blink)

Solution : The problem of lens insertion usually occur from the following reasons.

  1. Scaring to touch your eyes.
  2. Can’t to open your eyes wide. The right way to open the eyes, you must open your eyes as wide as possible and can’t blink.
  3. Blink during lens insertion.

If you can’t fix the problem by yourself. You can record video while inserting the lens and sent to Line @drbirlcl , so Dr.Bird can advise you correctly.

Issue : Poor vision after wearing the lens.

Solution :

  1. Bubbles underneath the lens (Most common). If you see bubbles underneath the lens it will cause discomfort as well as poor vision and it may be necessary to remove and re-insert.
  2. Dirty lens. The lens may have protein deposit and it can solve by using protein cleaner solution (Progent) at lease every 2-3 months.
  3. Wrong wearing the lens. You will check the lens correctly before insertion. If you can’t remember, call to Dr. Bird please.

Issue : Feel pain and red eyes after wearing the lens.

Solution : The problem of eyes discomfort and pain after wearing the lens usually occur from the following reasons.

  1. It may have foreign body underneath the lens (Most important). You will be necessary to remove for clean the lens and reinsert.
  2. The lens damaged, chipped or broken. After remove contact lens and then noticed that the lens is defective. Do not insert lens because the lens can cause eyes injury. Should call to order a new lens.
  3. Hypersensitivity to preservative. The contact lens solutions have preservative and it may cause pain and red eyes. You have to clean the lens with normal saline before wearing the lens to avoid the preservative. (caution : you have to drop the normal saline after opened 14 days because the normal saline have’t preservative if you use normal saline more than 14 days it may have bacteria inside the bottle and don’t soak the lens with normal saline)
  4. Unclean hand.
  5. Take too long time to insert the lens. You will feel better if you close your eyes for a moment. Better way you should do a lot of practice how to insert the lens for cut your time.

ที่มา : https://www.medicalnewstoday.com/articles/321739

Issue : Feel discomfort after wearing the lens.

Solution : The problem of eyes discomfort after wearing the lens usually occur from the following reasons.

  1. Unclean hand. It may have dust underneath the lens and make you feel discomfort. You should wash your hand before insert the lens.
  2. Dust underneath the lens. You should remove the lens to clean and then reinsert but if you don’t feel better, you should remove the lens and call to Dr.Bird.
  3. The lens damaged, chipped or broken. After remove contact lens and then noticed that the lens is defective. Do not insert lens because the lens can cause eyes injury. Should call to order a new lens.
  4. If you feel a little discomfort every time or almost time after insert the lens, the lubricant eye drops will helpful.

Issue : Feel burning eyes after wearing the lens.

Solution : The issue of burning eyes after wearing the lens usually occur from the following reasons.

  1. Soak the lens with Clear care less than 6 hours. You should remove the lens and clean with normal saline several times and then you will feel better. If you still feel burning eyes 4 hours or more, you should go to see ophthalmologist.
  2. Hypersensitivity to preservative. The contact lens solutions have preservative and it may cause pain and red eyes. You have to clean the lens with normal saline before wearing the lens to avoid the hypersensitivity (caution : you have to dropped the normal saline after opened 14 days because the normal saline haven’t preservative, if you use normal saline more than 14 days it may have bacteria inside the bottle and so don’t soak the lens with normal saline).
  3. Unclean hand. It may have dust underneath the lens and make you feel burning eyes. You should wash your hand before insert the lens.
  4. Take too long time to insert the lens. You will feel better if you close your eyes for a moment. Better way you should do a lot of practice how to insert the lens for cut your time.

Issue : Bubble underneath the lens after wearing the lens.

Solution : If you see bubbles underneath the lens, it will cause discomfort as well as poor vision and it may be necessary to remove and reinsert. You should full fill the lens with normal saline and be careful to spilled it out during insert the lens.

ที่มา : http://thesclerallenscenter.com/insertion-bubbles/

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