Published: 26 March 2022

When soft contact lenses first came on the scene, the ocular community went wild. People no longer had to put up with the initial discomfort of hard lenses, and a more frequent replacement schedule surely meant better overall health for the eye, right? In many cases this was so. The first soft lenses were made of a material called HEMA, a plastic-like polymer that made the lenses very soft and comfortable. The downside to this material was that it didn’t allow very much oxygen to the cornea (significantly less than the hard lenses), which bred a different line of health risks to the eye. As contact lens companies tried to deal with these new issues, they started to create frequent-replacement lenses made from SiHy, or silicone hydrogel. The oxygen transmission problem was solved, but an interesting new phenomenon occurred. Because these were supposed to be the “healthiest” lenses ever created, many people started to overwear their lenses, which led to inflamed, red, itchy eyes; corneal ulcers; and hypoxia (lack of oxygen) from sleeping in lenses at night. A new solution was needed. Thus was born the daily disposable contact lens, which is now the go-to lens recommendation of most eye care practitioners. Daily disposables (dailies) are for one-time use, and therefore there is negligible risk of overwearing, lack of oxygen, or any other negative effect that extended wear (2-week or monthly) contacts can potentially have. While up-front costs of dailies are higher than their counterparts, there are significant savings in terms of manufacturer rebates. In addition, buying contact lens solution is no longer necessary! While a small minority of patient prescriptions are not yet available in dailies, the majority are--and these contacts have worked wonders for patients who have failed in other contacts, especially those who have dry eyes. Ask your eye care professional if dailies might be the right fit for you. Article contributed by Dr. Jonathan Gerard

Published: 14 March 2022

Ocular allergies are among the most common eye conditions to hit people of all ages. Though typically worse in the seasons of Spring and Summer, some people suffer with allergies all year. This is especially true for people who have allergies to pet dander, mold, dust mites, and other common allergens that tend to linger throughout the year. The hallmark sign of ocular allergies is itching. While itching can be a symptom of other eye conditions, the likelihood that there is at least some allergy component to the condition is quite high. This seems to be particularly true when the itching occurs mainly in the inner corner of the eyes. This signals that the condition is allergy-related, whereas itching along the eyelid margin suggests other conditions. Allergy itching is usually accompanied by redness, tearing, and string-like mucus discharge from the eye. When accompanied by rhinitis, sinusitis, and sneezing, people can truly suffer from their allergies - especially as it relates to the eye. The good news is there are numerous avenues for relief from this annoying condition. There are many over-the-counter antihistamine drops. Talk to your eye doctor about which ones are recommended. In particularly severe cases, prescription antihistamine/mast cell stabilizer combination drops, or even topical steroids, can be used. In addition, cold compresses can be a great therapy in combination with the drops. Article contributed by Dr. Jonathan Gerard