In doing so, scleral lenses functionally replace the irregular cornea with a perfectly smooth optical surface to correct vision problems caused by keratoconus and other corneal irregularities. Before inserting scleral lenses, begin by washing your hands with mild soap and dry well with a lint-free towel before handling the lenses.
Place lens on insertion tool OR stabilize lens on fingers placed in the tripod method, then fill bowl of lens to the top with non-preserved sterile saline. Remember: there are many ways to insert scleral lenses. We recommend you pick the method that works best for you. Before removing scleral lenses, always wash hands with mild soap and dry well with a lint-free towel before handling the lenses.
Find a Doctor in Your Area. Benefits of a Hybrid lens. What is a hybrid contact lens? What is silicone hydrogel? What is a progressive contact lens? What is a multifocal contact lens? Do these lenses correct astigmatism? Duette Contact Lens Questions. Rinse your lenses with a daily cleaner approved for soft contact lenses. Never use tap water to rinse or store your lenses. With the pad of your ring finger, gently rub the entire lens in a circular motion against the palm of your hand.
Be sure to thoroughly clean the front and back of the lens and then rinse it well with a preservative-free saline solution such as LacriPure from Menicon. Store your lenses in either a hydrogen peroxide system OR multi-purpose disinfecting solution.
The recommended replacement schedule for Duette lenses is every six months. How to put in Duette contacts Always wash your hands with mild soap and dry them well with a lint-free towel before handling the lenses. Putting in Duette lenses is just like putting in a soft contact lens. Place the lens on the tip of your finger. A drop of preservative-free lubricant can be added to the bowl, if desired.
Pull down on you lower lid and gently place the lens on your eye. Slowly release your eyelid and blink several times. Place the tissue over your forefinger and thumb.
Using one hand, pull your upper lid back. Using your finger on the opposite hand, pull down your lower lid gently. Fingers need to be dried with a towel between each removal attempt. Rubbing fingers together until heat is felt from the friction will also ensure fingers are completely dry. UltraHealth Contact Lens Questions. Use a daily cleaner at the end of the day. Place the lens bowl side up in the palm of your hand and apply the cleaner.
With the pad of your ring finger gently rub the lens back-and forth. Be sure to clean both sides of the lens. Then rinse the lens with a preservative-free saline solution such as LacriPure from Menicon. For disinfection, use chemical not heat disinfection systems Multi-Purpose or Hydrogen Peroxide solutions , as recommended by your eye care professional. Wash your hands. Choose a method that works best for you.
Use either an inserter, or stabilize the lens between your index and middle finger or use three fingers to balance the lens. Fill the bowl of the lens to the top with preservative-free saline to avoid air bubbles. Lean forward and tuck your chin to your chest. Your nose should be perpendicular to the floor. We also use third-party cookies that help us analyze and understand how you use this website.
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It is mandatory to procure user consent prior to running these cookies on your website. Synergeyes contact lens: notice the darker colored hard lens RGP in the center to provide sharp, clear optics If you are a patient interested in trying the Synergeyes lenses, here are some things to know: 1 The lenses are quite large and can be hard to get used to at first.
A lot of my patients request to try them, but when they see the size difference compared to their soft lenses they aren't as keen. For best comfort you will fill the contact lens bowl up with solution before inserting it, to provide added moisturization. To insert the lens patients often need to lean forward over a mirror placed flat on a table, and then insert the lens straight up towards the center of the eye.
Due to this insertion method, it is not a great lens choice for a first time wearer due to the learning curve involved with inserting a lens of this size. Most patients have no trouble after a short course of practice. Lid awareness should resolve with proper fit and adaptation time, but I have had patients with dry eye complaints prior to trying this lens notice their dryness seems worse. This dryness issue is not affecting all of my patients, but I am still working on how to resolve the complaints.
Right now my efforts are centered over adjusting the fit to ensure that adequate tear flow is present under the lens. As far as solutions, I have been told by reps that the Revitalens solution is highly recommended with Synergeyes wear to improve comfort, though many other multi-purpose solutions can be effectively used. Personally I have had great success with Aquify and Clearcare solutions with this lens. Of course, I just love Clearcare in general, but that is another post, hah. Suffice it to say that Revitalens is NOT what the current data supports even though the initial lens launch recommended this product.
BioTrue is the solution of choice for Synergeyes Duette, with regular cleaning with an additional build up remover like MiraFlow. Some of this is inherent in the lens design and I do try to tell patients exactly what their expectations should be.
The design of this lens is called "simultaneous vision," and what that means to the wearer is that you are seeing both distance vision and near vision information "simultaneously.
It can take weeks of wearing time to know if this lens design will work for you. If you are a doctor fitting this lens, to increase distance vision you need to switch to a larger add zone, or consider going to a steep base curve skirt. To improve near vision, the add zone size needs to be small. Patients should expect to pay a higher contact lens fitting fee because your fit is going to include several visits to perfect your lens parameters. This is different from traditional RGP hard contact lens wearers that may sometimes be able to use their lenses for years.
If anyone has stories to share about these lenses, I would love to hear them! I'm 47 now unfortunately and hate wearing glasses now. At first i only needed them for reading but now the arms legnth is fuzzy and I have an astigmatism along with "OLDER" eyes! I tried to get fitted for soft contacts but didn't like the results so I went to another optomitrist to see about GP lenses.
She suggested the new Duette lenses instead since I have seasonal allergies. I am going in tomorrow to see an optomitrist she reccomended that is familiar with the new Duette multifocal lenses.
What can I expect at my fitting for these lenses and do you think the Duettes would be a better choice than the GP lenses. The Duette lenses are a nice option because they offer the vision of a GP lens without the drastic decrease in initial comfort that you will experience comparing a hard lens to a soft lens.
Because these lenses are worn 6 months at a time, they can still cause some issues with seasonal allergies and dryness, so you may find that you need a really good prescription allergy eye drop this time of year to control things enough to wear the lenses.
When you have astigmatism and presbyopia the change that happens to all of us after age 40 where reading vision becomes difficult wearing contact lenses gets significantly more complicated because we are trying to get a lens for you to see both distance and near vision.
You may find that the reading vision with the Synergeyes Duette Multifocal lens is still difficult in some situations. Lighting is always a huge help; and this lens functions best in bright light for maximum reading vision. Expect the fitting process with this lens to be a process. Your doctor may need to bring you back 2 or 3 times to get an appropriate fit and visual function with the lens because these are custom lenses.
Please feel free to post about your personal experience! I've been wearing Duette's now for about 5 months. I am 46 and have worn glasses since I was 6. I couldn't get crisp vision at any depth and I was frustrated.
I also have an astigmatism. My eye doc suggested Duettes and I was skeptical. I still can't believe the results I immediately got. The tech put the contacts in and walked away. I grabbed a magazine and could read crystal clear. I have actually tried these lenses. Unfortunately I cannot use them. I would love to the sight is so much crisper. However can get them in but can't get them out.
I have tried numerous times - the last time it appeared to have dried to eye and the ophthalmologist almost couldn't get them out. Severely painful at that point. I'm sorry that these lenses didn't work for you -- I have had patients that had similar difficulties. Unfortunately while there are a wide range of parameters, these lenses still don't fit well to every eye shape.
It sounds like this lens just won't work for your eye at all. If anyone out there has infrequent difficulty removing this lens, try wearing a latex glove when removing. The glove will easily adhere to the lens surface, and it should come off with relative ease! This is my second day of trying the second pair of lenses.
I was so happy that everything looks clear and crisp in a distance, with a minor discomfort on the right eye and a little trouble reading up close. Then I read some reviews online and some are complaining about wearing them at night time. I'll probably stay with the soft contacts. Glare is a really common complaint with all multifocal contact lenses,with soft, hard, and the Synergeyes lenses The reason is that in order for you to see both at distance and near, there are rings of power within the contact lens to give you a range of vision.
Think of your multifocal lens like a bullseye target. As light hits each ring, glare is created. For many people the glare will improve as they adjust to the lens design, but if weeks goes by without resolution, your brain will likely be unable to ignore the ring-induced glare and you may always have this issue no matter how long you wear the lens.
Thanks for your reply. I am now testing the third pair. They are very comfortable now and the reading is much better. The left eye looks good so far, clear and no more glare at night. The doctor told me he gave me a flatter version, not sure what he meant to improve the glare. I will try it out for one week and hope that it will go away. What is the medical reasoning that the lenses are no longer good after six months.
Why can these lenses only be worn for six months. What happens after six months? I have worn RGP for about 17 years due to Keratocons and when I began wearing duete lenses I have experience a total of 9 infections and damage in my right eye. The soft contact lens skirt on the Synergeyes lens deteriorates to a point that it is not comfortable or healthy to the cornea to wear after 6 months.
Traditional RGP or hard lenses do not deteriorate as quickly as soft contact lenses do, which is why RGP wearers often keep their lenses for 1 or 2 years without needing to replace them. If you are getting infections with Synergeyes it could be due to the age of the lens older than 6 months? Definitely you should see your doctor-- it's never safe to have infections, especially that many!
I have been wearing duette lenses for two years now but when I got my new prescription, the lenses have a different feel when I touch them. They also feel different on my eyes and I am having ghost vision like I did the first several months that I got used to my others. Did the company change the material of the lenses or are there different types of duettes? My old bottles say Duette HD and the new bottles just say Duette on the front.
I haven't heard anything about material changes from Synergeyes. I did notice that they dropped the "HD" from their branding but I was told it's just a new marketing strategy. Were your old lenses older than 6 months when you changed to the new pair?
There is a chance that you are just "breaking in" a new lens again -- as the lens ages the material warps and stiffens which changes how it fits on your eye and the vision you will get. I've been wearing Duette Multifocals for a few years. Now I see there is a Duette Progressive lens. What is the difference?
The lenses aren't really different, they just rebranded the fitting matrix for doctors so that it was more like fitting a soft multifocal contact lens picking the add power instead of a large or small add zone. On the vision side of things they are the same; just more intuitive for the doctor to select your right distance and reading powers now.
Many doctors still prefer Duette Multifocal if they learned to fit on that version because they already understand the fitting guide and how to manipulate the add zones. I hope all or you are well I have a quick question with regards to the duette multifocals or progressives I am currently in Biofinity multifocal and Air Optix prior to these.
My doctor has trouble with the range If my distance is clear my near vision is not strong enough and if my near is perfect, my distance is blurred. Will the duette multifocals or progressives improve this problem?
Unfortunately the Synergeyes lens might not help-- it also uses a ring design providing simultaneous distance and near vision. That means for every improvement to distance vision, reading will be a little worse and vice versa.
Where this lens shines is if you have uncorrected astigmatism limiting vision in soft lenses. Outside of that it has all the issues of a soft multifocal-- halos, shadows, and the simultaneous vision issues of the eye seeing multiple images at one time. Steve, I had the same problems you were having in soft multifocals, using Air Optix and Biotrue's newest soft lens too.
The Duette multifocals were a huge improvement! I'm a pharmacist so I need to see who's walking down the hall, the computer, and the tiny little inscriptions on tablets. Multifocals never could get my near vision as crisp as I needed it with only a High or Low add. And I'd tried every brand on the market. Duettes are made individually for my specific prescription. I suggest you give them a try. I didn't experience any of the halos, shadows, or multiple images Dr. L has mentioned.
My brain couldn't seem to adapt to modified monovision where you wear a lens in your dominant eye for far vision and a lens in you nondominant eye for near vision. There was no problem with that with Duettes. I think if I'd followed my doctor's advise and not tried wearing them 16 hours a day initially the break in period wouldn't have been a week. My only problem was with dryness when using antihistamines during allergy season.
Otherwise, the large lens was no problem and getting them in and out was not an issue. I'm Duette's biggest advocate!
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