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Biofinity Contact Lens Review

on April 17th, 2010 | Filed under Optoblog, Reviews

Since “Biofinity” and “Biofinity contact lens review” are the most frequently searched terms leading to my website, I thought I would give everyone my view of the Biofinity contact lens.
Biofinity Contact Lens Box
Its technical specs can be found at the Coopervision website. Silicone hyrdrogel lenses (the super breathable class of contacts) have been on the market for years, but Coopervision came to the game after Ciba, Bausch & Lomb, and Vistakon. All the latter use a special coating on the surface to make the silicone material wettable for your eye, but Coopervision’s unique Biofinity material is wettable throughout the matrix of the material.

It’s a one month lens, which is convenient for most people to remember when to toss their now old lenses which will soon become cesspools ripe for eye infections. The reason is because they build up deposits, like this:

B&L and CL Spectrum photos

Replace your contacts on schedule!!!

Lots of lenses are only two week and toss lenses, but Biofinity is resistant to deposits enough to allow it to be a one month lens. Official and approved.

Biofinity also got an FDA indication for extended wear. In other words, if your doctor thinks your eyes can handle it, Biofinity can be worn one week straight, take it out, clean it, soak it overnight, and then repeat.

Now, I’ve tried this, and while it was totally doable, for me it’s not as comfortable for extended wear compared to Ciba’s Night & Day (by the way, I refuse to call it Air Optix Night & Day Aqua because that is just waaaaaaaay too long a name for a contact lens.) But guess what. That’s just me. Maybe for you it could be fine. However, almost every patient I’ve tried this with comes back a week or two later and says they would rather be Rx’d Night & Day if extended wear was their approved goal.

If you’re just interested in daily wear (taking out every night) or if price is the main consideration, then Biofinity wins over Night & Day because it’s only around $50 per box of 6 lenses rather than Night and Day at ~$70 per box of six. Another consideration is that you can now get Air Optix Aqua (regular, NOT Night & Day) for ~$47 per box. My only beef with that is that it’s basically the same lens as O2Optix which was released as a two week lens, so I’m not sure whether to believe that Ciba wants you to wear a 4 week lens for two weeks or a two week lens for four weeks.

Comfort-wise, it seems to me that the percentage of patients that like the comfort of the Biofinity is about the same percentage of people that like the feel of O2Optix. Now, the only thing is, both those percentages are less compared to Acuvue Oasys comfort. But consider that a year supply of Acuvue Oasys (a 2 week lens) is about ~$272 while Biofinity is around $200.

Biofinity has a great toric lens in case you have low to moderate amounts of astigmatism (0.75-2.50) in one or both eyes. For mild amounts of astigmatism (0.25-0.50 and maybe 0.75), its aspheric optics help mask it for clearer vision compared to contacts without aspheric optics.

Anyway, my advice is to just try it out. If you like it, buy it. If not, try something else. That’s how I roll. I alternate between wearing Biofinity, Acuvue Oasys, and Night & Day. Mostly Night & Day. But hey, I’ve been wearing contact lenses so long that you could poke me in the eye, and I’d barely feel it. But seriously, I think I have significant corneal hypoesthesia which allows me to tolerate pretty much any lens that gets pushed out into the contact lens market.

Another consideration for you is the compatibility of lens material to your desired contact lens solution system. Some lenses can only tolerate the most expensive solutions. The Biofinity material is pretty much compatible with even the most cheapest of house brand multi-purpose solutions. On average. Your eyes may vary.

I think Biofinity is a quality lens, but take it home along with your Oasys and Night & Day or O2Optix and see which one works best at which price for you.

There, does that answer your question?

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Optoblog Wins Lottery – Retiring from Eyecare

on April 1st, 2010 | Filed under Optoblog

After spending thousands of dollars per month playing the lottery, it’s finally paid off. I won the Idaho lottery, so I’m retiring from the eyecare profession.

With all the money I can pay off my practice loan, student loan, line of credit, credit cards, taxes due and…wait, I guess I’ll have to work a few more years because I still wouldn’t have enough to retire on.

Oh well. Happy April Fools’ Day!

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Optoblog Poetry #004

on March 30th, 2010 | Filed under Poetry

Fly open. Zipper Broken.
Eyes elevated. Me Mortified.
Seventeen bucks at Division 1 saves the day.

True story, BTW.

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Amen Dr. Warren

on March 22nd, 2010 | Filed under Optoblog

Dr. Warren sums it up:

So, higher personal expenses, higher business expenses and reduced income. Not a good equation for any health care providers.

I think this picture is fitting.

Obama will leave you with pocket change.

If he succeeds, we are doomed.

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Systane Ultra is Safe for Use with Contact Lenses

on March 20th, 2010 | Filed under Optoblog

Systane Ultra is safe for use while wearing with contact lenses according to a new study.

Clinical Evaluation of Systane Ultra Safety in Contact Lens Wearers

This investigator- and patient-masked, single-site, randomized, and prospective study involved 45 successful contact lens wearers to evaluate the safety of Systane Ultra Lubricant Eye Drops in contact lens wearers. A currently marketed contact lens rewetting drop was the control solution. Eligible subjects’ baseline biomicroscopy findings, visual acuity, and corneal staining score were recorded. Subjects received either the test or control solution with masked labeling. Subjects were instructed to instill their assigned solution in both eyes: 15 minutes prior to lens insertion, at least one drop during lens wear and another drop immediately following lens removal. After 14 days, biomicroscopy results, visual acuity, and corneal staining score were recorded.

No adverse events were documented for either the test or the control solution. For subjects using Systane Ultra, no statistically significant change was detected in visual acuity or corneal staining score. For subjects using the control solution, the change in visual acuity was not clinically relevant and there was no significant change in corneal staining score.

This clinical study provided evidence of safety and compatibility of Systane Ultra Lubricant Eye Drops in contact lens wearers.

SOURCE: Kading D. A two-week clinical evaluation of the safety of Systane Ultra in contact lens-wearing patients. Clin Ophthalmol 2010;4:27-32.

I have actually wanted to find out whether it binds to and gums up the contact lens. Or is this condition considered part of the “no adverse events.” Also, does it matter whether the contact is a two week lens verses a one month lens?

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Congressmen, VOTE NO on Healthcare Takeover

on March 18th, 2010 | Filed under Optoblog

What Obama and Pelosi and Reid and the democrats are doing with the “Healthcare Bill” is not reform, it is a full speed statist takeover. It is so far removed from our U.S. Constitution that it should have gone through the constitutional amendment process instead of an “up or down vote,” let alone exploring to “deem and pass.”

We have a bunch of leftists running our country and Americans won’t tolerate the erroding of their rights any longer. Congressmen, for those of you who vote Yes on this monstrosity there will be consequences. There is cause and effect. You are free to choose, but you are not free to pick the consequence of your choices. God rewards good for good and bad for evil. You will be held accountable.

Citizens, vote out of office any congressmen who votes for the healthcare takeover. Refuse to employ any ousted congressmen who voted yes. Refuse to support any group or organization that pays those ousted congressmen to speak or write books. May their names be a hiss and a byword for generations. May God forgive you because we won’t. Anyone who seeks to take away the liberty of our entire nation deserves no respect from Americans.

America, you are beginning to wake up from a hundred year sleep. While you were sleeping, progressive thought has entrenched itself in every fabric of our government and society. Our children are being trained to be liberal-by-default in our schools, by our media, and even by ourselves-because we were trained liberal-by-default also. Today we are a world away from what the Founders implemented and what made our country the greatest in the world.

Pride cometh before the fall. Please, America. We must humble ourselves. We must retrain in correct principles. We the people must have faith, hope, and charity.

I invite everyone to read: the Declaration of Independence, The Constitution, The 5000 Year Leap, The Making of America, Liberty and Tyranny, and the Scriptures.

I invite everyone to listen to Glenn Beck, Rush Limbaugh, and other liberty-loving commentators.

Next week I am participating in a caucus to choose a candidate who will appear in the primary. Probably very few readers have ever gone to a caucus. It will be my first time also. We can no longer afford to let others choose our candidates. We the people need to seek out those that will adhere to the principles of liberty and the Constitution. I invite everyone to find out their state’s election/caucus process (Utahns click here). We can’t wait to get involved in the November elections or even during the primary elections. Now is the time!

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Your TruFocals Have Arrived!

on March 17th, 2010 | Filed under Optoblog

Buy your bad donkey glasses at Trufocal.com

Buy your bad donkey glasses at Trufocal.com

Trufocals have arrived! Now all you have to do is adjust a slider to focus from near to intermediate to distance.

Sphere powers are from +6 to -11, cyl up to -3.50, any axis, up to 3 p.d. prism horizontal and vertical per lens, add up to +3.00, and p.d. from 50 to 70 mm.

Patients can upload a scan of their Rx to the TruFocal folks. That is awesome! (My bank has been accepting scans of checks for deposits since 2006. How come contact lens retailers aren’t doing this?!?!)

As soon as I have a spare $900 I’ll have to get me a pair.

(H/T to Maino’s Memos)

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AOA TV. Huh.

on March 11th, 2010 | Filed under Optoblog

UPDATE: A commenter that can be trusted explains below that the AOA doesn’t have to pay for the online video production of AOA TV. I apologize for having assumed that your dues were being wasted on TV production. I will have to research other areas of AOA spending waste.

So…your AOA dues are helping to pay for AOA TV. Wow. I’m sure that’s just what you needed.

I’m glad I haven’t been able to afford dues for a couple years. At least they aren’t wasting my money.

How do I get my AOA news? RSS.

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PEHP No Longer Allows Consultation Codes

on March 6th, 2010 | Filed under Optoblog

I got a letter this week from PEHP, a division of Utah Retirement Systems. PEHP stands for Public Employees Health Program. They state that:

Beginning April 15, 2010, PEHP will no longer reimburse consultation codes. Providers will need to bill the appropriate Evaluation and Management code for the visit.

I’ve probably never had to bill a consultation code, but I imagine ophthalmologists won’t be too happy with this change.

I wonder how long it will be until every insurance company finds out that private pay individuals rarely get billed the higher fee consultation codes…

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Utah may Change School Screening Rules for Eye Doctors

on March 5th, 2010 | Filed under Optoblog

Previously, professional eye doctors were not allowed any official capacity to run a school screening, but that may change with this proposed legislation.

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