Updated JUN 15, 2023 • 10 min read
An estimated 45 million people in the United States wear contact lenses, 90% of those are soft contact lenses. [1]
Soft contact lenses offer good visual acuity and ease of care. The particular type of contact lens that is prescribed will determine the best cleaning option for that lens material. Following care, cleaning and wear guidelines will go a long way in helping soft contact lens wearers enjoy clear, comfortable vision through healthy eyes.
The clear protective outer window of the eye is known as the cornea. The cornea requires moisture, oxygen and nutrients to remain clear and healthy. A soft contact lens needs to allow tears to flow under the lens and oxygen to travel through it.
Soft contact lenses are made of hydrogel and silicone hydrogel, water-loving materials that oxygen can flow through. Each brand has its own proprietary formulation which gives the lens unique properties.
For example, some lenses have higher water content, others have more oxygen transmissibility. The shape, size and flexibility vary between brands, as well.
Your contact lens cleaning routine will depend on the type of contacts you wear.
Your doctor will recommend the best lens care system for the particular type of soft lens and your eye health requirements. Immediately after a soft contact lens is removed, the lens must be cleaned, disinfected and rinsed before storing in a clean lens case.
The additional step of an enzymatic cleaner may be needed. Handling one lens at a time will simplify the process while avoiding inadvertently mixing up the left and right lens.
Before removing your contacts, always wash your hands preferably with an antimicrobial soap, and then thoroughly dry your hands with a clean, lint-free towel. Soaps with lotion may leave a film on your lenses.
Each cleaning system has its unique set of directions for proper care of contact lenses. Please follow your doctor’s and the manufacturer’s directions.
Multipurpose cleaners combine cleaning, disinfecting, rinsing and storage into one solution.
Step 1: Clean contact lens– Place a lens in the palm of your clean, dry hand. Add a few drops of fresh solution to both sides of the lens. Lightly rub for 20 – 30 seconds. The FDA recommends light rubbing even when using a “no-rub” type of solution. [2]
Step 2: Rinse contact lens – Rinse both sides of the lenses.
Step 3: Protein Remover – An enzymatic protein remover may be recommended by your doctor. Depending upon the brand of protein remover recommended this step is done either every day or once a week. Rinse well before proceeding.
Step 4: Disinfection & Storage – Fill your clean lens case with fresh solution. To disinfect your clean lenses, put them into the case for 6 – 8 hours or overnight depending upon the manufacturer’s directions.
For a preservative-free deep cleaning of soft lenses, use a hydrogen peroxide system to clean, disinfect and remove protein build-up.
Hydrogen peroxide (H2O2) will cause a chemical burn if used in the eye. A neutralizer converts the H2O2 to water (H2O). Some hydrogen peroxide systems use a case with a built-in platinum disc to neutralize the H2O2; other systems use a neutralizing tablet.
Step 1: Wash and dry your hands, remove your lenses and place in the cleaning system’s lens basket.
Step 2: Rinse the lenses with the cleaning system’s solution for 5 seconds or as directed by the manufacturer.
Step 3: Fill the cleaning system’s case with their solution.
Step 4: Place the lenses in the case and don’t forget to tighten the lid.
Step 5: Soak for 6+ hours. After soaking, the lenses are ready to use. A sterile ophthalmic grade saline or multipurpose solution may be used if a solution is needed. The platinum neutralizer will need to be replaced regularly, per the manufacturer.
Other methods to care for soft contact lenses: There are devices that use ultrasonic waves or subsonic agitation to clean soft contact lenses.[3] Depending upon the particular device, the lenses are placed in baskets marked R and L for right and left lens then filled with an ophthalmic saline solution or multipurpose cleaning solution.
First and foremost, to avoid the chance of a sight-threatening eye infection, never use water (including tap water or any type of bottled water) to clean your contact lens case!
And how to actually do it?
Typically, when a doctor prescribes a particular brand of contact lens, the same brand of solutions will be recommended at the same time. Generic or store brands may change the solution’s formulation.
Ask your doctor if a different brand of solution will keep your lenses clean, disinfected and ready to wear without damaging your lenses.
Soft contact lens rewetting drops: These drops are used to lubricate and rewet soft lenses while being worn. Some brands help to reduce deposits. Ask your doctor which brand is the best one for your lenses and how often it can be used.
Daily cleaner: Daily cleaners clean debris from your lenses. This does not disinfectant your lenses. Additional solutions for rinsing and disinfecting will be needed.
Daily protein remover and enzymatic cleaner: There are several types of cleaners that remove proteins and other deposits on lenses. Some brands are used with a multipurpose cleaner once daily during disinfection, while other brands are used once per week to get the job done.
Preservative-free saline: The preservatives in ophthalmic solutions may cause irritation. A preservative-free saline may be used with soft lenses but has a very limited shelf life. [4] Read the manufacturer’s label to make sure.
Saline does not clean or disinfect contact lenses. Avoid touching the tip of the bottle. If your soft contact lens completely dries out, it needs to be replaced.
To avoid the chance of a sight-threatening eye infection, never use water including tap water or any type of bottled water on your soft lenses.
Soft lenses should not be worn in situations where they might come into contact with water such as swimming or bathing. For this same reason, hands need to be dry after washing when working with your contact lenses and lens case.
The reason soft contact lenses should not be exposed to water is an organism known as Acanthamoeba.
Acanthamoeba is a single-celled protozoan that is commonly found in the environment and can cause a sight threatening eye infection known as Acanthamoeba keratitis. Infection occurs when this organism gets trapped under a soft lens; it has nowhere to go, so it burrows into the cornea.
Acanthamoeba is found in water sources such as swimming pools, spas, and lakes to include tap, well and bottled water.
Soft contact lenses should not be used in situations where water contamination is possible. Do not use homemade contact lens solutions. To keep your lens case clean, use a multipurpose cleaner, not tap water.
Although fungal eye infections are rare, they are difficult to effectively treat.
Frequently these infections are related to an eye trauma involving soil, water, plants and/or organic matter.
Another source of infection is associated with a contaminated soft lens case or solution.
Ophthalmic solutions have very strict requirements for sterility.
So after learning about soft contact lenses and how to properly clean them, here are a few general tips about contacts that you might find useful:
Published June 15, 2023|Updated June 15, 2023
SOURCES
Types of contact lenses and materials, specialty lens types available, including your prescription needs.
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