16 CFR Part 315; Agency Information Collection Activities: Review; Comment Request; Contact Lens Rule: FTC Project No. R511995
Contact lens prescriptions need to be valid for 1 year. Prescriptions should include how much supply of contacts patient can order in a year and brands cannot be substituted. In my optometric experience of 14 yrs, I have seen many patients having permanent damage to their eyes and vision due to abuse of contacts. I remember fitting Contacts to this one particular patient with 8.6 base curve , high oxygen lenses since cornea was already showing some signs of hypoxia due to overwear. patient ordered contacts online thinking it would be cheaper, but when he found our prices were same as online he opted for cheaper lens with different brand and base curve. Online company did not bother sending us request if Rx was the same what we prescribed. Patient was happy he got cheaper lenses and he could still see with it. He came back three months later because vision has been distorted for sometime and glasses we gave him 3 months ago do not work either. When I looked at his cornea , it was warped and scarring inferiorly. He was wearing a very tight lens with 8.4 base curve which induced corneal warpage and blood vessels were growing 3 mm into cornea. I had to take him out of contacts for 2 yrs and after that he could only go back to contacts for occasional use. He couldn't get lasik anymore since cornea had too much neo. I felt sorry for him since he was stuck with glasses rest of his life. Only if we had strict laws on contact lens orders, he could have a better quality of life.