Contact Lens: Test 2: Solutions Part 2

Front 1

What are 2 disadvantages of heat disinfection?

Back 1

Can't be used with group IV. Cooks proteins on lenses.

Front 2

What is an advantage of heat disinfection?

Back 2

Cheap: store in saline to heat lenses.

Front 3

Stand out feature of Opti-Free Express?

Back 3

Contains Aldox preservative that allows "Stand Alone" disinfectant approval.

Front 4

Preservatives in Opti-Free Express

Back 4

Aldox and Polyquaternium (polyquad)

Front 5

Cleaner in Opti-Free Express

Back 5

Sodium Citrate (non-surfactant cleaner)

Front 6

"No Rub" does not mean no rubbing required. What does it mean?

Back 6

Cleaning is done by rinsing the lenses, 5 secs each side upon removal.

Front 7

What type of lenses is Opti-Free RepleniSH designed for?

Back 7

Silicon hydrogels

Front 8

Stand out feature of Opti-Free RepleniSH?

Back 8

TearGlyde (attracts moisture to lenses)

Front 9

What solution replaced SoloCare?

Back 9

Aquify (Ciba)

Front 10

Stant out features of Aquify (Ciba)?

Back 10

5 minute soak time, with rubbing. Silver in case (Progaurd) has natural antibacterial property.

Hint 10

None

Front 11

Preservatives in Aquify?

Back 11

Polyhexanide (biguanide), EDTA (chelating agent)

Front 12

What allows Aquify to have a better fluid retention in lens?

Back 12

Dexpant-5 and sorbitol to bind water to lens.

Front 13

Preservatives in Complete (AMO)

Back 13

Polyhexamethylene biguanide (PHMD), EDTA

Front 14

Stand out feature of Complete

Back 14

"No Rub", hydroxypropyl methylcellulose (enhances comfort as a viscosity agent, nuetralize biguanide)

Front 15

What is hydroxymethylcellulose similar to?

Back 15

Carboxymethylcellulose in Refresh.

Front 16

Preservatives in ReNu Multiplus (B&L)?

Back 16

DYMED, EDTA

Front 17

What is the unique protein remover in ReNu Multiplus?

Back 17

Hydranate (chelates calcium, allowing protein to be removed from lens)

Front 18

What is the history behind ReNu MoistureLoc?

Back 18

ReNu Multiplus was reformulated so there was no staining with SiHy. Pulled off market b/c of fungal keratitis.

Front 19

What type of solution is Boston Simplus (Polymer)

Back 19

RGP multipurpose solution

Front 20

Preservatives in Boston Simplus.

Back 20

Chlorhexidine and Polyaminopropyl biguanide.

Front 21

Unique feature of Boston Simplus.

Back 21

Instructions are to digitally clean after soak.

Front 22

Bostom Simplus: other notes

Back 22

Good protein remover, 2nd generation MPS for RGPs from Polymer.

Front 23

Unique pH (Alcon)

Back 23

RGP MPS

Front 24

Preservatives of Unique pH (Alcon)

Back 24

Polyquad and EDTA

Front 25

Stand out feature of Unique pH?

Back 25

Viscosity changes according to pH of tears, tailoring it to patient's needs.

Front 26

What type of patient is a multi-bottle system good for?

Back 26

Long term replacement schedules.

Front 27

Cleaner in AOSept (Ciba)

Back 27

MiraFlow

Front 28

Main ingredient in AOSept

Back 28

Isopropyl alcohol, makes it antimicrobial.

Front 29

Other points about AOSept

Back 29

Extra strength cleaner, probably best soft contact lens cleaner made, not very good for RGPs, but good for in-office cleaning of RGP's prior to diagnostic fit.

Front 30

Clear Care (Ciba)

Back 30

"One bottle" peroxide system, put surfactant cleaner in peroxide, rinse lenses in basket for 5 secs with clear care, then soak.

Front 31

Boston Original

Back 31

CLEANER: abrasive with silica, not good for softer, higher Dk lenses. CONDITIONER: very viscous for lens surface wettability, preserved w/ chlorhexadine and EDTA.

Front 32

Optimum

Back 32

A MSP, but has benzyl alcohol as preservative so can't put in eye. Must rinse lens, then apply optimum rewetting drops before insertion. Great system for lipid depositors and allergies.

Front 33

Which system is great for lipid depositors and allergies?

Back 33

Optimum

Front 34

Optimum Extra Strength Cleaner

Back 34

Used weekly or PRN

Front 35

Enzyme products

Back 35

Used to remove bound protein from lenses. Traditionally used once a week. Tablets, vials, saline or MPS: very cumbersome to use, very poor compliance. Newer products are liquid drops.

Front 36

Supralens

Back 36

Enzyme product. Pancreatin, low concentration intended for daily use. One drop in lens well along with daily solution. MUST rinse lens prior to insertion. For soft lenses probably the most compliance b/c of ease of use.

Hint 36

None

Front 37

Boston Liquid Enzyme

Back 37

Subtilisin A. Weekly product for RGPs, 2 drops in each well. Must rinse lense prior to insertion.