The Dry Eye Shop is based in Poulsbo, Washington. Drop in via Zoom during our office hours! Details here - dryeyeshop.com/pages/zoom-drop-in Or visit us at dryeyeshop.com, call or text 877-693-7939, or email service@dryeyeshop.com.
Scleralfil seems to do the same job for me as Nutrifill - with both cases I still need to use a few drops of Celluvisc in each lens to avoid having to do a midday rinse rub and refill. I like that Nutrifill is based in my state, but ultimately the price just makes it so that im going to have to go with Scleralfil as my main filling solution. For any daily use product, changes in pricing will make a big difference over time.
This is helpful, thanks! I currently use Systane and Ivizia, and find it difficult getting drops out of them sometimes. I guess it's an unavoidable consequence of the design to keep bacteria out.
Thank you for this video. I have recently been prescribed what looks like the Novelia dispenser for eye drops and it has a central blue rubber plug. Used it once and now nothing will come out.. (Eysano timolol). I intend to visit my Pharmacy but wonder if you have any idea. Has the centre of the blue rubber plug been blocked by the contents drying out? At age 77, I find some of the bottles too hard to squeeze and awkward. Do the manufacturers not realise this?
Hello - so sorry for not replying sooner! Didn't see this comment in time! That's a very unusual thing to happen for this type of bottle, but I don't have any experience with it specifically for prescription eye drops - hopefully the pharmacist can give you some options! Love to hear what resolution there is! And yes, I think the manufacturers know the bottles can be a problem for some users - hence some drops they're switching back to (or adding) preservative-free vials.
@@TheDryEyeShop Thank you for replying. I have resolved the issue with my consultant and Pharmacist. Instead of the once a day Eysano, with the awkward bottle I now have Timolol BD twice a day and it comes in the standard bottle, far easier to use than the Novelia dispenser.
Back in the day when its was aosept they sold the neutralizing disk individually they came in a little box with stickers you put on the case to remind you of when to change your disk , as you kept the case as they were sold separately, that was in the late 90's early 2000 s does anyone remember that, the system consisted of. Aosept peroxide solution, miraflow extra strength daily cleaner the aosept case which originally was white you could not see thru it , the neutralizing disk and software saline you used to rinse the daily cleaner and then the lenses before insertion, and ultrazyme enzymatic cleaning tablets you used weekly because alot of people still had lenses replaced once year !! Useless info i know, thats why multipurpose solutions become so popular, not only was it time consuming but expensive if you didn't get the starter kit from your doctor that was alot to buy to start , the case, was like 12.00 , the disk were like 15 or 20 for 4 i think, then the aosept ( clear care) which was like 12.00 the daily cleaner , the saline , but i always thought it was worth it and i have never had a eye infection and i have worn soft hydrogel, silicone hydrogel, and Gas Permeable lenses !!!
Thank you! I just got my scleral lenses and my doctor did not explain any of this, he was like "You can order saline from Amazon". They also gave me a big bottle of Tangible Clean and I'm just learning that TC has to be rinsed with saline before I fill and insert the lenses 😵💫🥺
Hi there, thanks for the feedback :) As you're new to sclerals can I suggest another resource from Dry Eye Foundation: www.mbfsl.org - a whole resource center for scleral lens users (nonprofit, no commercial affiliations). Lots of handy things :)
@tsbrand1 That's a great way to reduce PF saline needs - using preserved saline for the rinsing :) For those who use a LOT of saline (common for new users especially, learning to put them in, or people with a lot of "remove, rinse, refill" needs due to midday fogging) Purilens can be a good option as well.
I purchased the Prose case for my Scleral lenses from your store a couple of months ago. Upon delivery I noticed There is no way that the clear care disc will fit into the Prose case. Do you sell an updated version of Prose case that will accept the disc ?
Hi there, I'm obviously going on a deep dive of a lot of your videos. I do have a quick question though... The video mentioned the eye and tears should have a ph of 7... I happen to have litmus strips so out of curiosity I touched it to my eye and my ph is only 4.5-5... is this common with advanced dry eye disease? At the time of doing this I hadn't had my sclerals in for over 12 hours and hadn't recently used any drops. I produce very little natural tears even with xiidra and my meibomian glands are not producing any oil at this point in my disease. I currently use addipak vials and for the most part have little issues with comfort (however I do have corneal nerve damage that waxes and wanes) and no fogging. I should probably at least try the buffered salines to see if there is any improvement on comfort. I have one eye I have issues with more than the other so I'm curious to see if this would help. Thanks again or all you do!
Rebecca, I know this is a few years after you posted and I hope you still see it. I hope you have gotten over your video phobia because WOW! how helpful are these videos. I have been suffering from severe dry eye disease and MGD since my late 20's and it has progressively gotten worse over time. I have continually came back to your store to look up products because you always have the best descriptions and helpful advice. I have even noticed that you recommend where to get some products such as eye tape locally which means you put the customer over your own shop which is just unheard of now a days. Keep up the great work and know you are helpful beyond measure for those of us already trying to navigate through one of the most complicated chronic conditions. You are more helpful than most eye doctors!
Hi there, we normally wouldn't recommend the Tranquileyes/Tranquileyes XL for floppy eyelid syndrome. The most popular goggles would probably be the Post-LASIK shield because it's very rigid. In terms of tape, Mepitac is always our top recommendation. We do have an article on FES here: dryeyeshop.com/blogs/tuesday-tips-for-ecps/tuesday-tips-floppy-eyelid-syndrome (please note Eyelocc and Niteye have been discontinued).
You can find the Oasis wipes here: dryeyeshop.com/products/oasis-tears-oasis-lid-lash-tea-tree-oil-pads?_pos=5&_sid=fa03c9413&_ss=r. No rinsing required!
@@Brucelee-pv6uf Hi there, our website blocks some products from being shipped outside the US. You will need to email us with the items you're trying to order so we can determine what we can send. service@dryeyeshop.com
Shoot us an email or give us a call when we re-open next week - happy to help! Big picture though is that it's a bit of a trial and error process, because most people aren't used to sleeping with something on their face. We can help narrow things down and maybe rule out some non-starters.
I'm someone who uses Sclerafil but never the full bottle in a day. I will put a band aid over the spout so I can use it the next day. I will then discard whatever is left over. Is covering the spout safe to use the next day
Unfortunately no, this is not a safe practice. They really need to be discarded same day. This is a common problem for scleral lens users - a vial is either too much or not enough. We are hoping that eventually, one of the manufacturers will find a way to package preservative free saline in special multi-dose bottles to keep it safe without breaking the bank.
I recently started wearing a scleral lens in my left eye & I swear my Sclerafil. I normally will put a band-aid over the spout so I can use it over two days. After the second day, I throw away whatever hasn't been used, but I need to stop 😀🤦🏾♂️ Thanks for the review!!! What are your thoughts on using Refresh Celluvise for filling scleral lenses?
Here's what we say on our site about using Celluvisc to fill the lenses: Refresh Celluvisc as a supplemental filler for scleral lenses FIRST, please read this obligatory mini-lecture on "Off-Label" use of products: Manufacturers sell pharmaceutical products for specific uses and by law their label information specifies those uses only. People use products sometimes for additional purposes, and doctors also often recommend products for purposes beyond the scope of their labeled purposes. Manufacturers, however, cannot advertise their products for these "off-label" purposes, for obvious reasons! I sometimes exercise my free speech rights in this shop to identify and explain common off-label uses if I think they are important uses for patients to be aware of because they could be helpful to them. Nevertheless I'm depending on you, the intelligent, rational reader, to understand what "off-label" is and discuss any ophthalmic pharmaceutical product use with your doctor. Incidentally, there's a whole 'nuther backstory to why no dry eye drops say, on the label, that they're okay to use with contacts, relating to the fact that lubricants are regulated as drugs, while contact lens wetting drops are technically considered medical devices. But I've bored you enough - back to our regularly scheduled programming now! WHAT and WHY:For a great many years now, Refresh Celluvisc has been popular amongst PROSE and scleral lens users as a supplement to the preservative free saline they fill their devices/lenses with. I remember this personally from more than 10 years ago when some PROSE users who had chronic problems with mucous buildup inside their lenses were starting to use it. Today, one of the most frequent questions I see coming up in the Facebook groups is troubleshooting lens fogging, and many others are responding that they address this with Celluvisc. PLEASE NOTE that both mucous and fogging can be due to a number of causes, from lens fit to your cleaning and disinfection regimen, or they may be specific to eye diseases you have. So it is very, very important that you fully brief your doctor on any such things going on so they can help you resolve it. Here, I'm just pointing out what so many people already know, that Celluvisc for some users seems to successfully address these issues. HOW TO USE IT: I suspect it's different for every user. Some people put a drop of Celluvisc in the bowl of their lens and top it up with saline, some do the opposite. Some use nothing but Celluvisc. Some do half and half. Consult your doctor first and foremost, and if they OK it, experiment. HOW IT WORKS:I have no idea. Obviously it raises the pH and increases the viscosity, but I can't explain the actual mechanics. It's simply one of those things that just works.
I just got diagnosed with keratoconus and im getting fitted for Scleral lenses. I find it absolutely absurd that these brands arent accommodating and we have to hack things together just ot take proper care of our eyes. If i had a 3d printer i would just go in and make deeper baskets. its probably pretty easy to do. Clearcare couldve just made their baskets a bit deeper but instead they decided to take the time to make their catalys harder/impossible to remove. So dumb
Hi there, we actually made this video before those frames were released. Rebecca is going to make a new video on those styles. Keep an eye on our channel or subscribe. I'll try and remember to come back and share a link once she publishes it!
For a 4yr old video - this has been a great resource! Thank you for taking the time to discuss the different brands and the how the eyes cups are suppose to come close in contact with the skin and where to watch out for with gaps. Thank you for pointing out alternative brands. I have a high Rx and suffer from ABMD (anterior basement membrane dystrophy). Was looking at Ziena brand and was able to get my hands on two pairs to look at up here in Massachusetts at Mass Eye & Ear. The Ziena Nerus + Seacrest, was wondering what the difference were exactly. The Nerus proved to be a somewhat tighter fit but a slight gap above. I really want to order the Ziena Verona (which they did not have) and will surely try their 10-day trial to see if that is applicable.
Hello Rebecca, so i really need your help . and i love my doctor but she just confused me lol. so i use hard contacts and have been using boston simplus to store my contacts and the pink addipaks to fill my contacts. Can i use purilens for both filling and storing? if not what do you recommend. And I understand you arent giving me medical advice I am just curious as to what you would do. Thank you so much and thank you for this video.
Hi there! Regarding Purilens - definitely NO - It's not safe to store any contacts in preservative-free saline at all. The only safe use of Purilens with lenses is rinsing and filling. What you're calling storage is really overnight disinfection, That can be done with a multi-purpose solution (there are many, Boston Simplus is a good reputable one) or wit Clear Care, which is a slightly more complicated system using hydrogen peroxide that gets "neutralized" overnight in a special case. I think that the term "saline" can get confusing because some people use that term to refer to soft contact lens solutions in general, including multi-purpose solutions (i.e. solutions that can be used safely to rinse lenses but which are also used for disinfection). However, saline solutions have no ability to clean lenses, and preservative-free salines are not safe to store lenses in. Hope this helps! Here's a couple of pages from our tutorial that you might find helpful - products.dryeyeshop.com/en-US/part-7-cleaning-and-disinfecting-scleral-lenses-33961 products.dryeyeshop.com/en-US/part-3-rinsing-&-filling-33957
It's hard to predict what will work best for any individual, but I'd say broadly speaking, the drier your eyes, the more likely you are to prefer a buffered saline, and Nutrifill is the best of those. I myself am partial to Scleralfil's vial type - hands down the best designed on the market, and the saline itself is quite good. Lacripure is a good product and good option for those who want a smaller vial (it's 5mL, versus 10mL for Scleralfil and Nutrifill). Personally, my most recent routine (it changes over the years) has been to use Nutrifill at home, and Scleralfil while traveling, but on my last couple of trips I stuck with Nutrifill the whole time, my eyes just seem happier with it.
@@TheDryEyeShop I just ordered LaCrifill. There were some good ratings for it. You metioned in the video Nutrifill was kind of like Scleralfil. I had issues with Scleralfil in the past, so I went with LaCrifill. Just having a lot of issues. And to be honest, I was using Clear Care as a wetting solution for insertion. And not the best at cleaning, I thought Clear Care did that automatically. Got to step up my game on eye care. Thanks
@@keithclark8030 Alright best of luck with the Lacripure, it's quite popular :) Clear care as a wetting solution!!!! Yikes. That's hydrogen peroxide. Very uncomfortable for the eyes to say the least. Glad you figured it out. Clear Care is excellent as a disinfection solution, but not safe to get anywhere near the eyes unless it's neutralized by being in the special case overnight.
@TheDryEyeShop It was neutralized is I was using a couple drops of GelTeal for comfort. Was still having a lot of issues, so I'm looking for a better option.
Thank you, Rebecca, for continuing to provide invaluable resources for dry eye sufferers. My dry eye journey started in 1999 and you were the only person trying to find solutions and talking about dry eyes on the internet. I cannot imagine the endless suffering I would have experienced if it weren't for you. Twenty four years later, I still go to you first when I need an update for my condition. Thank you from the bottom of my heart!
Such an awesome video. Just got Bell's Palsy and needed something for eye. Don't want to wear a patch, one-eyed thing cuz I'm a salesman and a vocal performer...kinda have to look semi-normal but still need protection. This is the best video ever for dry-eye stuff. Hope you are doing well still. Do you sell stuff or just give great advice? :)
Hi there, we're still in business at dryeyeshop.com. Since this video was made we had a palsy patient who reported cutting the Ziena silicone shield in half and only using the shield on his affected eye.
