Acuvue Oasys 1-Day: A Review

7:00 AM

I have to admit, when I heard about the launch of Acuvue Oasys 1-Day this fall, I was a bit confused about what was missing in the premium contact lens market place that another spherical daily contact could fill.   Acuvue already had a silicone hydrogel lens in Acuvue TruEye, which never really took off as a premium product because it was too stiff in lens texture to keep pace with Dailies Total 1 in patients with sensitive or dry eyes.  But Acuvue's latest launch is a truly successful contact lens that not only will compete with the two other premium lenses on the market, Dailies Total 1 and MyDay, but also offers the widest fitting range for a premium product to date.


The Details:

Power Range:  +8.00 to -12.00
Base Curve:  8.5 and 9.0 in all power options!!
Diameter: 14.3  
Material:  Silicone Hydrogel/ senofilcon A  with 121 Dk/t (oxygen transmissibility)




What's Different: 
Acuvue Oasys 1-Day changes up the moisturization polymers within the popular Oasys senofilcon A material to create a lens that's made to lock in hydration and achieve that "no lens" feel. You'll notice "HydraLuxe" on the packaging which is a new innovation in their "Hydraclear" moisture network for keeping the Acuvue lens comfortable all day long -- this time the moisture particles (polyvinylpyrrolidone or PVP) are bound within the lens in a matrix that's made to mimic the mucin layer of your natural tear film, simulating your own eye to prevent lens drying.   The lens is also packaged in a saline solution set to mimic the salinity of actual tear film, meaning less irritation or discomfort when you put the lens on your eye straight out of the package. Another difference is the increased diameter of the lens. At 14.3 mm it is one of the larger contact lenses on the market, which allows it to drape over a larger range of corneal shapes and sizes.  They also expanded out the optical zones of the lens to help increase visual performance for patients with larger pupils.  Like all Acuvue products the lens comes with a light blue visibility tint, and Class 1 UV protection against UV-A and UV-B rays.


My Take:
This is a truly comfortable contact lens, and where I never found Acuvue TruEye very comfortable (I'm pretty intolerant to most silicone hydrogel lenses, even dailies), this lens performed on par with Dailies Total 1 and MyDay in my experience.  The truth is that all three of these premium contact lenses are fantastic in my book, and as a consumer and patient I would have a hard time deciding which one worked best for me.  We are in a true renaissance for contact lens comfort and performance, but the biggest limiting factor on these premium contact lens products has been their limited parameters.  This month Dailies Total 1 is now expanded to include plus powers, so now all three lenses are available to hyperopes as well as myopes.  There are still no premium lens products for astigmatism or multifocal needs at this time. One place where Acuvue may have a leg up on it's competition is that it offers two base curves, letting patients with significantly flatter corneas enjoy the comfort of a premium lens product as well. It also handles extremely well compared to Dailies Total 1 which is known to be especially slippery when trying to remove from the eye.  If you are having a hard time getting Dailies Total 1 out at the end of the day, Oasys 1-Day may be the product that you prefer.

While for me there is no clear winner against these three lenses for best performance, I'd love to hear your opinions!  Please post your thoughts on this new product so we can learn more about what works for you and what doesn't.

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68 comments

  1. I've tried the Acuvue Oasys 1-Day and I personally do not like it. It was uncomfortable and irritating, and I couldn't wear them for longer than five hours. Maybe I should give them another try.

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    1. If you had a bad experience, it probably isn't the lens for you. Luckily there are so many other great options that are worth trying out there! Or if your eyes are too dry for contact lens wear at all, you may be a great candidate for medical dry eye treatment to achieve a better ocular environment to keep your contact lenses hydrated and comfortable.

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  2. Dr L.

    I am having such a hard time choosing between this lens, and the MyDay 1 Day lens - any suggestions/which one should I go with?

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    1. Honestly they are both so good! I've been so happy with Dailies Total 1, MyDay, and Oasys 1-Day I would be hard pressed to tell you which is my favorite. I do think both MyDay and Oasys have better handling, so for people who struggle with inserting and removing lenses both of these would be better than Dailies Total 1. Past that if you felt one lens has better vision, go with that. MyDay has aspheric optics which some people get better vision with, but not everyone has the same vision out of every lens. Oasys 1-Day has the perk of superior UV protection so if macular degeneration runs in the family, or you have a personal ocular history of risks with sun damage, this lens provides better protection for the retina.

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    2. I have worn the Acuvue Moist dailies for years. Tried the Oasys....had a bad experience. Bad eye strain and sensitivity to light. Gave me a bad headache for a week. Tried two different powers. Finally back in my Acuvue Moist and no problems. The Oasys daily lenses are thicker and really caused problems for me. I have light blue eyes and +5.75 Rx.

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  3. Totally - it's definitely between the Oasys and the MyDay, both 1-days. Which one is more breatheable & does that mean more breathe-ability is better for the eye? also, what's the difference in material between these two lenses?

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    1. Both lenses are made from a material called silicone hydrogel which is highly breathable. The oxygen transmissibility of Oasys 1-Day is 121 and MyDay is 100. Anything 100 and above is considered extremely safe. The Oasys lens material has a proprietary moisture polymer built into the lens called HydraLuxe, but MyDay has its own moisture polymer too. The details of the lens chemistry is patent protected to prevent copycat designs to new lenses, just like medication patents on new products, so true specifics are hard to come by.

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  4. Hoping you can help. Been wearing Acuvue Trueye Daily Nar B for years with great success. I recently ran out and they are discontinued. I had an allergic reaction to the Dailies Total 1 last year and could not wear contacts for 3 months. I also tried Acuvue Trueye Daily Nar A, and they became extremely uncomfortable after about 5 hours.

    I tried Oasys 1 Day this week and experienced a lot of itchiness within 5 minutes. Can I be allergic to the solution vs the lens? Should I try rinsing first? Is there anything else to try? HIGHLY sensitive eyes in -10.00. Thanks!

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    1. You can absolutely try rinsing with sterile saline in case it is a preservative sensitivity. There isn't a good bottled saline out now since Unisol 4 was discontinued but the Simply Saline spray by Arm & Hammer is a good alternative. All the lenses you listed were silicone hydrogel contact lenses, so you may be sensitive to silicone. I would try Acuvue 1 Day Moist since it has no silicone. The Trueye product had silicone in it too, but maybe it was a one-off you could tolerate that one.

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    2. I have exactly the same problem. They immediatly cause an itchy feeling in my eye after inserting them. Does it work just to rinse them with simple saline solution before inserting them? Can any saline solution be used?

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    3. Definitely sounds like a preservative sensitivity! I like rinsing with preservative free saline like Purilens Plus (easy to get though Amazon).

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  5. Price and quality wise it is more reasonable to wear Acuvue Oasis 2 week HYDRACLEAR PLUS.
    Just calculate the price of one contact lens for 1 day vs 2 week and you realize that you are choosing the cheaper lenses (1 day) paying more money.
    1 Day lens cost you around $0.8. 2 week lens costs 4.1$. That includes manufacturer profit.
    Now the quality. Oxygen transmissibility measured in Dk/t:
    1 Day lens = 121
    2 Week lens = 147
    So I would call 1 Day Oasis lenses a very good marketing move, but I wonder why people buys that? I realize some lazy people don't like to hassle with the solution, but then there is AIR OPTIX
    NIGHT & DAY that lets you wear lenses for 30 days and have Dk/t of 175.
    So I personally wold be choosing between 2 weeks Acuvue Oasis OR 30 day Air Optix Nigt & Day.
    I am wearing 2 weeks Acuvue Oasis for 6 years already and just got Acuvue Oasis 1 Day to try as recommended by optician. But after looking at technical data for them I now understand that the recommendation was sponsored by Acuvue. I have only discovered Air Optix Night & Day and I am going to try them. I am not going to wear them for 30 days non-stop though, but it is good to know that I can forget putting them off some nights.

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    1. Thanks for sharing your thoughts! I would put forward that if you can wear Acuvue Oasys 2 week or Air Optix Night and Day, you would never, ever be someone this daily lens is made for. Premium daily lenses like Acuvue Oasys 1 Day or Dailies Total 1 are designed for people that can't tolerate other lenses -- whose eyes are so dry or so sensitive that any repeatable wear lens would literally feel like a rock under their eyes. I'm one of those people, so I completely understand their pain. Another thing I'd like to point out is that oxygen transmissibility (Dk/t) isn't a ranking system. A lens with a higher Dk/t isn't "better" than another lens on comfort, and if you have a healthy eye and aren't sleeping in your lenses, then the amount of oxygen transmissibility doesn't need to be all that high. A Dk/t in the 20s or 30s is totally acceptable in a daily disposable lens in a healthy eye. Where oxygen transmissibility matters is when you are wearing the lenses for weeks at a time, exposing your eye repeatably to bacteria and a deteriorating lens material. With a fresh clean lens every day, your immune system isn't being compromised, so having a higher Dk/t doesn't matter much at all for the average person (again unless your eye is damaged from previous contact lens or disease issues).

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    2. Had a great comment from another doc sent this AM that points out the other great reason that dailies are superior outside of just comfort. If you read my blog you know I agree with this 100%: "One day lenses are not just for the intolerant. They have a 15x lower infection rate than 2-4 week lenses and less chance of developing a reaction to protein build up. They cost more, but what value do you put on your eyes? Incidentally lenses like Night and Day if worn for 30 days including sleep, have a 15x GREATER infection rate than 2-4 week lenses, so keep well away from this modality - they are a major incident waiting to happen". --thanks Dr. DC for your comment!

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    3. Everyone's financial situation is different. The old saying goes, people put their money were their heart is. In simple language, many people want the BEST in comfort, convenience, and safety. Premium lenses appeal to these people. Take, for instance, a major league baseball player who depends on their eyes to be the best at their game. Given their multi-million dollar a year income, spending a thousand dollars a year on contact lenses would be a no-brainer.
      For the rest of us with limited discretionary budgets, choosing between no contacts (because of comfort) and expensive contact lenses is also a no-brainer.

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    4. I would love to be able to use the Acuvue Oasys 2 week lenses in order to save money, but after about 4 days it feels like there is sandpaper in my eyes and they become completely uncomfortable. My eye doctor can even see the build up on the lenses no matter which solution I use. So I've had to switch to 1 day despite the cost. It's not all marketing or hype. Some people need them.

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    5. I also have build-up that prevents me from wearing the longer contacts. I would gladly pay less! Not just for the 'lazy'...

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    6. Good lord, just because someone uses dailywear lenses does not qualify them as 'lazy'. Quite the opposite actually for some people.

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  6. I have just switched from Total 1 to Oasys one day. I found the Toral 1s to be pretty comfortable, but for some reason, they affected my near and medium distance vision in such a way that I would never wear them in the house. They became a lens that I only wore when I had to drive or be outside. I know this is vague but this is the best I can explain this. I have now been wearing the Oasys one day for a week and just love them. The optics work much better for me, and although these are not as "slippery" as the Total 1s, I find them just as comfortable. Just one note: I decided on dailies because of the lipid build up on most longer-wear lenses. I was barely getting one week from Air Optix lenses. I think the key in the premiums daily lineup is to have as many options as possible as we have different needs. For me, I think the Oasys one day will be the lens of choice for some time.

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    1. Been using aqua aqua comfort plus for years and my eye dr gave me total 1's to try today, and while very comfortable, I lost alot of my close vision, and I'm 48 and my close vision has been suffering for years now. And total 1 made it worse.

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  7. I would love to have Acuvue Oasys 1-Day with colors especially in green, brown, and grey. For some strange reason there is no 1 day contact lenses with colors for us who have +1.0 or above.

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  8. I am an optometrist and I personally prefer Oasys 1day over the rest as it has superior UV protection which I believe everyone should have as long as you wear CL and go outside. Total 1 has poor handling and many of my patients have trouble taking them out at the end of the day. MyDay has a steep BC which gives me a burning sensation when I try them on and have to remove immediately. If they release a BC of 8.8 may help. Overall, I believe Oasys 1day is the best out of the 3 if you are not sure which to go with. Of course, some may still prefer the other 2 and that's fine.

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  9. Are these made of the same material as Oasys 2 week? I could not tolerate those. I am having a difficult time finding a new lens now that the Advance has been discontinued. I have tried Air Optix, Biofinity, Ultra and the new Vita. Also tried to go back to Acuvue 2. All have been dry and/or itchy. It has been suggested to try the one days. Not really wanting to spend so much, but it may be my only option at this point. or just wear glasses.

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    1. Both are made out of a material called senofilcon A but the wetting agents, the size and shape of the lens are are all different. I'd say it's worth a try! I haven't found many patients having issues with the comfort on the daily lenses.

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  10. I know exactly what you're talking about!!!
    The focus characteristics of Total 1 when you're in the office/house/building and when you're outside - flactuate
    I want to try Oasys Hydraluxe

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  11. i am so happy i found this page! i've got chronic dry eye (restasis never worked) and have been with acuvue oasys for over a decade. i've tried dailies before but i think they gave me dailies and i could feel them in my eye so i gave up on them. i just saw my eye doctor who had me try out biofinity which felt like cats were scratching my eyeballs. i need to order more asap and i can't decide if i should try this kind, and if it doesn't work out then return them and go back to 2 week, or not? do you have recommendations? i never wear them to sleep - i'm a total clean freak! my prescription is -4.75 and -4.25. any thoughts? thanks again!!

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    1. I would definitely give Acuvue Oasys 1 Day a try - it's designed to be more comfortable and better hydrated than the Acuvue Oasys 2 week lens because it has more tear film binding PVP in the lens matrix, helping it stay better hydrated by your own tear film. I would also recommend being evaluated for other dry eye treatments: Lipiflow, Xiidra, nutritional supplements, blinking exercises. You might need one or all of these treatments to be comfortable enough for contact lens wear depending on your personal dry eye case.

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  12. Hi Dr. - I wanted to try out these three brands of daily disposable so I can compare their comfort. Is it bad for your eyes to go from one kind to the next - in other words let's say I try one for a week each. Is this detrimental to be testing until I decide on which one is for me? Thank you!

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    1. Sure that's fine! As long as your doctor has verified the brands you are trying will fit your eye, it's perfectly fine to switch between them to compare. I often have my patients compare 2 brands when they have struggled finding something that is comfortable for them.

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    2. Yes - right now we are looking at the Total 1s and the Acuvue Oasys Dailies which would both fit me. Thanks!

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    3. So I was able to get a trial for the Oasys 1-Day and the Total 1s. I thought to wear them back to back - one day for each to see if I can get a clearer comparison. I started with the Total 1s. Pretty amazing - feels like nothing in my eye at all. I was able to get about 12-14 hours until I felt them. Removing them can be tricky like you said - fingers must very dry after washing hands. Next day tried the Oasys. Removing them from the packaging slightly more difficult than the Total 1s, but way easier to remove at the end of the day. I had very similar results with them. 12-14 hours before I felt anything. I would give the initial comfort upon insertion to the Total 1s. But I'd give slightly better clarity to the Oasys 1-Day. I'm going to wear each for a week and speak with my doc afterwards. It's a tough decision considering the Oasys have UVA/UVB blocking, but the Total 1s seem to be more affordable at the moment. Can't decide just yet! :)

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  13. but here in Pakistan I could not find accuvue ossays one day

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  14. Hey Dr. L,

    I been doing some research online on some different contact lens types and I came across a few articles like this...which seems to be pretty helpful and I had some questions for you.

    Since I'm trying to decide between staying with the Focus Dailies, in which I know are only the regular soft lenses, the Dailies Total 1's and the Acuvue Oaysis (w) Hydroluxe lenses that I've been approved for by my Eye Doctor. In my experience they all seem pretty good in their own ways, but for some strange reason, the visual clarity seems to be a little more consistent with the Focus Dailies for me, but overall comfort seems best with the Acuvue Oaysis (w) Hydroluxe 1 a days tho! Which one of those lenses have u heard to be the best in all aspects out of those three daily ones? My main concern with the Focus Dailies, is their Diameter is only @ 13.8, little smaller than the others and the Dk/t only being at a very low 28 compared to the others too! I don't know if it's just me, but it seems as tho some of the newer ones have some of the more inconsistent vision when turning your head or moving really fast sometimes, as compared to the Focus Dailies, not sure howcome tho! But the overall comfort is great on the newer ones tho! My only other thing with the Dailies Total 1's too, is not only is the vision a little more blurred at times compared to the Acuvue Oaysis 1 a days but those also have caught on my bottom eye lids a little, when blinking too...almost as if they were gonna pop out of my eyes, where as with the Acuvue Oaysis 1 a day ones, haven't caused me that issue at all thankfully...only the slight inconsistent vision! So I basically have something to like about all three of these lenses, but I would say the Acuvue Oaysis wins, in terms of overall comfort in the eyes, but Focus Dailies in terms of more consistent vision maybe! FYI, I have also tried a few other types of lenses too, such as the Biotrue 1 days, (in which my vision was even worse in those unfortunately,) Soflens 1 a days, (very uncomfortable and heavy for my eyes,) My Days, (a bit too steep of BC for me,) Air Optix Aqua, monthly's (just a slight inconsistent vision on those too at times,) but overall seem pretty comfortable tho! So I like to know, is it pretty common for the new Silicone Hydrogels to cause such thing with the vision needing to adjust a few more secs upon turning your head real fast and going from close to far too, as compared to the regular soft lenses? Which monthly lenses have you heard to provide the overall best results between the Air Optix Aquas and the B&L Ultras? I even heard about these new Hybrid lenses in which are like made from a GP at the core and Silicone Hydrogel along the edges, and may have the most precise vision overall, but are harder to come by and can be really pricey too! It appears you must be a licensed optician for this type of thing correct, just to confirm? Just to note too, I only need a prescription for distance/near sighted, my near vision is naturally perfect right now, without any astigmatism at all! Look forward to hearing about your thoughts and experiences regarding these inquiries!

    Thanks!

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    1. Hello! I'm glad you've found several options that work for you. Vision is a completely subjective experience, so no two people will think the same thing. That's why you will never hear a doctor say "this lens has better vision" when they talk about comparing soft lenses to soft lenses. You might see better out of lens A and someone next door prefers vision in lens B. There is no right or wrong -- just what you like. That's why so many brands exist! To answer your second question, yes you have to be a licensed doctor (primary care optometrist or surgical ophthalmologist) to prescribe contact lenses in the USA. In some states licensed opticians (ocular specialists that are not doctors) can prescribe contact lenses as well. I would say that RGPs and hybrids give better vision than soft contact lenses as a rule, but if you have no astigmatism and no corneal irregularity, I can't imagine any minor vision improvements would be worth what you lose in comfort. Based on your description I would chose between Focus Dailies and Acuvue Oasys Dailies and call it a success! As long as you have healthy corneas and dispose them daily as directed, the lower Dk of the Focus Dailies isn't an issue -- you aren't sleeping in them and they'll always be new so there's no real compromising issue here.

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  15. Hey, thanks for the replay back on that! What I wanted to ask too was, aren't the Hybrid lenses by Synergeyes that have the RGP in the center and Silicone Hydrogel on the outer part, any more comfortable than the regular RGP lenses...being their not made from all glass? Also what about the DK/t in the RGP and Hybrid lenses, are they at least 100 or more? Is their any difference in the probabilitihood of eye infection rates with the Hybrid ones...even with good care, being I know that the replacements aren't as frequent as they are with the regular soft lenses? I know most of the regular soft/Silicone Hydrogel lenses are pry much more affordable than the Hybrid or RGP ones too!


    Thanks

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    1. Most people consider Synergeyes lenses more comfortable than RGP lenses. The soft lens skirt makes it feel more like a soft contact lens. Like all contact lenses, there are materials that have higher oxygen transmission (Dk/t) than others, but yes, there are RGP and Synergeyes lenses with Dk/t around 100. The Synergeyes Duette lenses have a central RGP with 130 Dk/t and a soft lens skirt of 84 Dk/t. There's no study I can find that reports infection rates of Synergeyes lenses versus regular soft lenses, but in my clinical experience I have never had a patient get an infection with Synergeyes lens wear and I've unfortunately had several patients with infections with regular soft contact lenses (all due to poor hygiene and sleeping in the lenses/overwearing them). Like any lenses, abuse them and they could definitely cause an infection, but there is no evidence they pose a greater risk than other lenses.

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  16. Hi Doc - so after my trial of the Acuvue Oasys 1-Day vs. the Dailies Total 1 I have decided on the Dailies Total 1. I really wanted to go with the Acuvues because of their UVA/UVB blocking but I kept experiencing a slight discomfort in my left eye after a few hours of use. It's a shame because I believe they were a bit more clear. They were also easier to handle and I could easily tell they were inverted (the Dailies are definitely more difficult to tell). With the Dailies, however, I do not feel them in my eye at all for over 14 hours now day after day and the comfort level is a 10 for me. I think they aren't as clear indoors or in dim lighting but the comfort factor overrode all of that. I'm pretty good about always wearing my sunglasses outside so the UV shouldn't be an issue. Thanks for your blog!!

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  17. I tried both Oasis Dailies and the Total One Dailies. I got a box of each so I could try them both over a few months. After that, I went with the Oasis Dailies over the Total Ones. I find them more comfortable at the end of the day when the Total Ones would start to become less comfortable. They are also much easier to handle for putting in and taking out. They don't slip off your finger like the Total Ones do. Cost was about $100/year more for the Oasis vs the Total Ones, but I think it's worth the extra cost.

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  18. Hey Dr. L

    I was wondering between the Focus Dailies and Acuvue Oasys 1 day with Hydroluxe, I've notice the Acuvue ones seem a bit thicker and more durable in material compared to the Focus Dailies ones, does that have anything to do with the delicateness and quality between the two daily ones? I know the Focus Dailies are a regular soft Hydrogel which have been around for a while now, while the other is a newer Silicone Hydrogel daily one.

    Thanks

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    1. Hi! Yes, the silicone in Acuvue Oasys 1 Day increases what's called the "modulus" of the lens. It gives the contact lens a firmer texture that holds it shape more distinctly. The actual center thickness of Acuvue Oasys 1 Day is 0.07 mm; the center thickness of Focus Dailies is 0.10 mm. So technically Focus Dailies are thicker, but Oasys is firmer, so it makes it seem like it's thicker even though it isn't. Silicone increases the breathability of the contact lens, so Acuvue Oasys 1-Day has more oxygen transmission compared to Focus Dailies which may help combat issues like end of day redness.

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  19. Hey, wow, that's neat to know! I have noticed that overall with the new Silicone Hydrogels being a bit more comfortable, but with one minor drawback in my experience tho with the vision part! It seems as tho my vision goes in and out a little more whenever I turn my head or move my eyes fast enough in the newer materials as supposed to with the Focus Dailies I originally was wearing the most! I'm not so sure howcome that is tho and how common my experience is with that in the new Silicone Hydrogel ones! It be interesting to know tho. To me, my vision is very important too!

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    1. It's not uncommon for patients to feel like their vision is different between lenses. Oasys 1 Day and Focus Dailies have very different lens designs: different curvatures, different lens modulus, different companies making the optics. No two people will have the same experience in every lens - it all depends on how the lens shape, material, and optical design aligns with the shape, pupil size, and prescription of your unique eye.

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  20. Which lens re-wetting drops would u say appears to be the most liked? I've tried several different ones, but most seem very similar to me, and my optometrist didn't really recommenced a brand either, he just said as long as it's for contact lenses, that it should be fine, but I kinda wanted to see which one seems healthiest tho for regular soft and the Silicone lenses since they each have somewhat different ingredients! I've tried Visine, Refresh, Blink, and Opti-Free Pure Moist brands FYI, and I usually like to either use the sensitive eyes Saline solution, Biotrue MPS, or the Opti-Free Pure Moist MPS upon insertion of my daily lenses.

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    1. I recommend Systane Ultra or Refresh Optive with contact lenses. Blink is also a good drop.

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  21. Oh alright, so it doesn't have to say for (contact lenses only) on the box then?

    I also see that Alcon is coming out with a new Air Optix monthly lens with the Hydroglyde, I'm gonna see about trying that one out since I already have a prescription for the Air Optix Colors and Aqua. The online retailer won't let us order it tho, unless it actually states the Hydroglyde version on the script, even tho all the other stats look very similar as the Colors and Aqua do.

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    1. Yes, both Optive and Systane Ultra are safe with contact lenses, and way better quality than the other drops you've been using. As for Air Optix with Hydraglyde, it is the same material and curvature as Air Optix but a different wetting angle. I would go through your doctor to get a sample, because to be able to buy it you'd have to get them to write a specific prescription for Air Optix with Hydraglyde.

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  22. I just went to my optometrist to at least request a trail of the Air Optix Hydroglyde and the Night and Day's seeing how they'll feel vision wise and comfort. If they don't end up working out, I'll see about requesting the Biofinity, Proclear, Avaira by Coopervision, and the Purevision 2 ones by B&L to compare with, seeing which ones will give me the most precise and consistent vision! I did ask him about which MPS he most recommended for the Silicone and regular soft lenses, and he said the Opti-Free Pure Moist as that's what they use in their office all the time, so I asked him if it was ok to use any other one too, that states for Silicone Hydrogels and or regular soft ones, such as the Bio True kind too, and he said that he thinks that theirs an ingredient that has the potential of being toxic when mixed in with the Silicone material, in which to me if that were to be the case, other companies wouldn't pry be making them at all that are comparable to the Alcon's version of the MPS. Not sure if maybe it's just coming from the fact that they only use that in their office and rather for everyone to stick with that. Kinda interesting to know tho. I personally like the Bio True one too when I've tried it, and I find sometimes when I've soaked some of my lenses in the Pure Moist one by Alcon, not sure if it's the solution or not, but if left in a few days while I decide to wear my glasses, when I go to insert those lenses back in my eyes again, I've had some that have been kinda compromised with not being able to see out of the lens and I have no clue why a solution would cause that, if that's the case. I wanted to ask, you suppose it's ok to mix match brands of MPS and eye drops brands, since they won't have the same ingredients if we mix matched the brands for both? I'm trying to become as educated as possible when it comes to this stuff! It sounds like you seem to know a lot about this kinda thing too, as a 2nd form of advice.


    Thanks

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  23. So ya know, I am giving the Air Optix Hydroglyde and the night and day version a try and so far they both seem to offer me pretty good vision, more consistent than a lot of the dailies I've tried interestingly! The only thing I notice with the Night and Day's version tho is that I can feel the edges on the bottom of my eye lids slightly if I blink hard enough or move my eyes a certain way, but not too bad tho, and they seem slightly less rigid than the Hydroglyde ones too, even tho their both monthlies! Not sure whether if that means the Air Optix Hydroglydes are more durable or not and are able to withstand more or not either? The Night and Day's almost make me think of the Focus dailies I've worn too, due to their same exact sizing, just slightly more rigid of course being that Focus Dailies are a daily with much less DK/t. If all continues to go well with these ones, I might see about maybe getting approved for both and than I can alternate one month for one the other month for the other kind or something! I did want to ask tho, since my doctor really seems to be a big fan of Alcon products, and they just use Pure Moist solutions in their office, do you suppose it's still safe enough to use the Replenish of the Opti Free, or the Bio True one too, cause my Optometrist told me that the Bio True may have some sort of ingredient that can potentially become toxic to the eye or Silicone Hydrogel lens in which can make the eyes red or irritated, even tho they all state on the box that their all for that type of lens material and Bio True seems to be more for the natural tears of ur eyes too according to the packaging anyway, so I'm a lil confused with that now! I've tried them all, and not much difference for me really with the MPS! I have noticed tho that with the Opti Free Pure Moist MPS, if my lenses are soaked long enough in it like a few days of not wearing them, that one of my lenses has had the optical part compromised by being hazy and just not being able to see out of it...not sure if it's because of the extra moistening ingredient in the Pure Moist and maybe that ingredient binds with the lens too much to where it leaves a permanent coating or something, but it makes me a little apprehensive of getting that kind of MPS now tho, although it seemed like a good solution otherwise for me! This was when I've used the regular Air Optix Aqua's FYI! Is it also safe to use a different brand MPS than a re-wetting drop being that it would mean different ingredients in the eyes and lenses? Look forward to your reply.


    Thanks

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  24. I have worn Acuvue Oasys with Hydraclear Plus 2-week lenses for probably 15 years. I now have dry eye and wake up multiple times a night needing to put drops in my eyes (they are non-prescription Refresh Optive). I just got a new prescription for contact lenses. I want to try daily lenses because my 2-week lenses get smudgy, dirty, and annoying, and the feeling of replacing them with a new pair is always so wonderful that I'd love to have that experience every day. I found that it is pretty much cost-prohibitive, but I decided to get samples of daily lenses anyway from my optometrist.

    I figured I'd try Acuvue Oasys with Hydraluxe daily lenses. I tried them for a week and my eyes burned painfully every day. They were also uncomfortable and irritating for me after only 8 hours of wear (I normally wear my lenses 14-16 hours per day).
    I went back to the optometrist and he gave me Bausch & Lomb's BioTrue dailies to try. So far so good.

    Since then, I have been doing my own online research about Dk/t values, which I have seen already discussed here, but I have not seen anybody discussing percentage of water content in the different lenses.
    Acuvue Oasys has a relatively high Dk/t value, which is great, but both the 2-week Oasys and the Daily Oasys have a relatively LOW water content at only 38%. I read that the cornea has a water content of 73%, and that the contact lenses having less than 73% water content draw water out from the eye which may potentially cause dry eye. Is this correct?

    I will ask my doctor if I may try Dailies Total 1 next, since they have a very high Dk/t value at 156, and a high water content (surface water content > 80%, center water content 33%). I wonder if the high water content may be why they are difficult to remove as some people have said. MyDay water content is at 46%.

    From what I understand, lenses that have a high Dk/t value usually have a low water content %, and lenses that have a high water content typically have a low Dk/t. Dk/t is important when you take frequent naps, even if you don't sleep in your lenses overnight. Since I've had a history of corneal vascularization from lenses that did not allow enough oxygen to get to my corneas, a high Dk/t value is VERY important to me. Since I now suffer from dry eye, a lens that has a high water content is also important to me, and Acuvue Oasys just doesn't have that, which is why I think I found the daily lenses to be irritating to my eyes. (although the 2-week lenses were not, so I may be wrong).

    Any thoughts would be appreciated. Thanks.



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    Replies
    1. The water content in both Acuvue Oasys 1 Day and Acuvue Oasys 2 week are both 38% so I wouldn't think the water content would be influencing your comfort. The only real difference between these lenses is the additional PVP content in the 1 Day lens which helps lens wettability and binding with the natural tear film. Perhaps the additional PVP was just not as comfortable to you? This is why it's so difficult to make a lens that everyone loves. Everyone's personal body chemistry is so different, there's no way to predict how each eye will react to each lens. Anything we say about water content or moisture polymers is a generalization, but on your unique eye you make experience something entirely different.

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  25. Correction to my previous comment about MyDay % water content - it is 54%, not 46%.

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  26. Thanks Dr. L! Actually, I was wrong about my suggestions about water content. In my reading today, I learned that for people with dry eye, a lens with a LOW water content is preferred, because a high water content lens will draw water from the eye to maintain its moisture.
    So I am back to looking for a daily lens just like Acuvue Oasys but without the burning. My eyes are very sensitive so it's possible that the PVP was the culprit. Thanks for your help.

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  27. I just want to voice my concern about Alcon Dailies Total 1. I have worn Acuvue One Day Moist for years with great success. However, recently my optometrist had me try Dailies Total 1 to see if they would further help my dry eye problem. Long story short, they are so incredibly difficult to remove and after only wearing them for 3 hours the one in my left eye was virtually superglued onto my cornea! Being a weekend I was unable to get an appointment and after a half hour of trying to remove it I began to panic. In the process I tore and abraded my cornea badly. After spending a Sunday morning in the emergency and numerous follow up appointments with my opthamologist my eye is finally healing. Needless to say I will never put Dailies Total 1 in my eyes again! Upon further research I discovered that I was not the only one finding great difficulty in removing them with severe consequences. They are obviously not for everyone. There are several theories among my doctors as to why this happened but they all revolve around the composition of the lenses themselves. Thank you for taking time to read this.

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  28. Hi, I have been wearing contacts for over 30 years but as I got older, my eyes got dryer and I found it very hard to tolerate lenses for more than a couple of hours. I have tried every daily lens there is. I have worn My Day for the past 2 years and they are the best I've had up to now. However, my eyes still felt dry after a few hours. My doctor tried me on the Acuvue Oasys with Hydraluxe and they are much better. I hardly feel I am wearing lenses at all. If buying them, make sure you get the ones with Hydraluxe as there are other Acuvue Oasys lenses but it is the HYDRALUXE ones that make all the difference.

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  29. Hi, I have been wearing Acuvue Trueye daily and I don't see much discussion here comparing these to the Acuvue Oasys daily. Is the latter the newer product? Which one is better? I love the Trueye except that ever since they changed the material from B to A I am finding a lot of the lenses blurry out of the box and have to discard them. I am open to considering another daily product and was wondering if someone can offer their experience between the two? Thank you.

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  30. Hello, I have been wearing the Acuvue Trueeye for years but am not satisfied with their quality- some of the lenses are folded inside and when I put them on, they are blurry. Leaving them in the lens containers with solution after I opened them doesn't help. I am interested in switching to another daily product. Can anyone share their experienice with the Oasys daily lens compared to the Trueeye?

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  31. Thanks for this post. After wearing Air Optix Night & Day for about 10 years on an extended wear basis (monthly disposal), I switched to Acuvue Oasys on an extended wear basis (weekly disposal) because I needed the flatter fitting. (Every practitioner I've ever been to delights in telling my I have very flat corneas.)

    My eyes have been a little uncomfortable lately, so after a few days in glasses, I'm currently wearing Acuvue Oasys on a daily wear basis. If I find myself struggling with cleaning the lenses each night (I haven't had to do it for years), I'll switch to dailies, and from your review these would be worth a try.

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  32. I've been a TruEye user for years and just recently switched to Oasys 1 Day with Hydraluxe. I have dry eyes and have noticed that I could wear the 1 Day a lot longer than the TruEye. With TrueEye, my eyes would get dry and feel very tired by the end of the day.

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  33. I wear Total 1's multifocal, which are really comfortable even after 16 hours each day. On the other hand, I used to wear Oasys 2 week, and really like their visibility tint and inverted lens indicator. Does J&J produce a multi-focal version of the 1-Day Oasys lens?

    ReplyDelete
    Replies
    1. Right now only Acuvue 1 Day Moist is available in a multifocal.

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  34. I have been wearing Air Optix day/night monthlies with no problem, except for the hassle of cleaning every night. I would like to try daily disposables. Fortunately, I can afford any brand, and would like to get the most comfortable. Would Oasys with Hydrolux be the best bet?

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  35. Hello! I have been a TruEye wearer for the last 2 years. I tried the Oasys HydraLuxe and they feel amazing. However, I noticed the tint on them is significantly darker than the TruEye. When I compare with the lenses in, my eyes become darker (I have really light eyes) due to the darker tint. Is there another product you would recommend or should I just stick with the TruEye?

    ReplyDelete
    Replies
    1. If you are looking for another silicone hydrogel daily lens in the same category but with less tint, you might prefer Clariti 1-Day or MyDay from CooperVision.

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  36. I have worn contact lenses for the last 45 years... PMMA, hybrid, extended wear, daily wear soft, RGP, and disposables. I recently switched from 2-week Acuvue Oasys disposables to the 1-day lenses. I find the daily disposables to be incredibly comfortable and provide much improved visual quality, both day and especially night. They are easier to handle than the others. I've also had no problem with naps.

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  37. I've been wearing contact lenses for almost 25 years and always found the acuvue brand most comfortable. I have astigmatism and have been wearing the Oasys biweekly lenses and found they are very comfortable. They tend to get somewhat dry towards the end of the day. I'm going to try the Oasys 1 day for astigmatism in the hopes that they will be more comfortable.

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  38. Hi Dr. L,

    I generally have a dry eye problem, so wearing contacts on a daily basis is very difficult for me. I also work on the computer all day. In the past I have tried Dailies Total 1, Acuvue Oasys 1-Day and MyDay. Out of 3, MyDaya was the worst for my eyes - it was very uncomfortable from the get-go. Total 1 is good, but it offers less focus (especially switching from screen to the paper, etc., difficult to take in and out, and hard to tell the right side. Oasys 1-Day provides clearer vision out of 3 and is much easier to handle. However, even on the best day I can only wear them for about 6-7 hours and then I need drops to extend the wearing time to a few more hours. Not ideal because changing to eye glasses in the middle of the day is annoying. Currently, I am trying Biotrue OneDay and Extreme H2O Daily. This was my first day wearing Biotrue - and unfortunately I had to take them out early because one of my eyes had blurry vision. So I am not sure if that's this particular lenses or BioTrue is not that clear in terms of vision. At this point, I am about to give up on the idea that I can wear contact lenses on a daily basis and just stick with Total /Oasys 1-Day for special occasions. Any recommendations?

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    Replies
    1. Are you being treated for dry eye? When you've tried every single available brand of contact lens, and are still finding them too uncomfortable to wear, it's a clear sign that your eye's surface is not compatible with lens wear. Many people do end up giving up on contact lenses for this reason, but treating your underlying dry eye (whether with prescription drops like Xiidra or procedures like Lipiflow), could help keep you in contact lenses long term!

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    2. Thank you, Dr. L. No, I haven't been treated for my dry eye condition. My eyes never really bother me when I wear glasses. Yes, it is a bit read and tired at the end of the day, but since I work on the computer all day - it is expected. I never use drops because my eyes don't really bother me that much. The problem becomes very obvious when I wear contacts. I will definitely ask my doctor about dry eye treatment, especially because I am considering LASIK in the next few years. Sometimes I feel that I feel that my eyes just don't react well to contact lenses. I just hope that it will not make me ineligible for LASIK in the near future.

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