Letters to the editor: UPP, dry eye, and more
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Soap makes all the difference
While wholeheartedly agreeing with Dr. Brimer’s article, “Patient perception vs. reality with compliance” (January 2015), an important piece of the puzzle continues to be left out. Particularly, what the patient washes hands with also factors into the total lens wearing experience. Any soap containing emollients, moisturizers, etc., can spell doom to an otherwise happy patient. Most of these chemicals and substances do not rinse off the hands without leaving behind a residue that gets transferred from hand to lens.
Single-use lenses are not a problem. Two-week interval lenses are not as big a problem, but even these patients should be monitored for GPC and other lens-related concerns. One-month interval lenses definitely become a comfort problem starting at about two to three weeks into a fresh pair. Then, if you factor in non-compliance, practitioners really start to see more GPC and will hear more comfort complaints. Except for non-compliant patients, all patients will notice an increase in wearability and comfort when using a basic glycerin soap prior to handling their lenses. It has worked in my practice for 35 years!
Richard K. Ditto, OD
Fort Worth, TX