I wore hard lenses back in the 1980s before there was astigmatism correction in soft lenses. I was always fine with them and used to think it funny that soft lens wearers had to “cook” their lenses, were always destroying lenses, etc. I never understood the benefits of soft lenses.
Since then, soft lens tech has obviously evolved. No cooking, simple solutions, throwaway lenses for daily wear, and extended use. For normal applications, doctors now seem to steer new users invariably toward soft lenses. I had my D.O. tell me that she only does hard lenses for people with vision problems that require them.
I got off my lenses for reasons I can’t really recall; probably because my prescription was changing so much every year. From 1989 to 1998 I wore glasses exclusively.
In 1998 I decided I wanted to be glasses-free. The doc tried to put soft lenses in my eyes, but one of them hurt immediately, so I asked for hard lenses, which the doc seemed to think was a bad idea. I had to have the right lens adjusted because it wasn’t pumping out the goo much, or whatever. For some reason I did not feel comfortable using the lenses for reading, but overall I liked them.
In 2000 I went back to Japan and for whatever reason stopped wearing my lenses (why do I forget this?). In 2002, however, I again wanted lenses, so the optometrist recommended soft lenses. This time they felt alright, and I got daily use without the astigmatism correction, as I really didn’t want to bother soaking them and fooling around with them. I wore them pretty much just to look better on occasion.
But I pretty much hated them. More on this in a moment.
In 2006 I really wanted to make my appearance better so I lost weight and again went for lenses. This time, however, I planned to wear them almost all the time. I mentioned hard lenses to the doc, asked him if he ever prescribed them any more. He said yes, all the time: Some people really prefer the sharper vision they can offer. But he nevertheless firmly steered me toward soft lenses, saying that if I could get used to them, I would really prefer the comfort.
I didn’t. Here are the problems I’ve had with soft lenses. This is one of those times in my life where I feel really different from 95% of the population and wonder if that’s not my fault.
- Can’t get them in. I’ve been doing it for over a year and my technique has improved somewhat, but I have a devil of them time with them. I dreaded my morning routine and having to fight with these bastards every time. OK, here’s where I feel like an idiot–who else has problems with getting in their soft lenses.
But I have small eyes and long eyelashes. In the morning my eyes are puffy and even smaller. I just can’t.get.them.in. Not easily.
For the record, however, the left lens is much easier to get in. I think it’s because it’s not my dominant eye, so I can aim for it better, plus I can pull back my left lashes better with the fingers of my right hand. The fact that the left lens is easier to get in hints that my failure to get the technique down is my fault, to some degree.
In contrast, hard lenses are very small. As an 8th grader, I was able to get them in and out perfectly with five minutes of training. This was never an issue, never a thing I gave a second’s thought to.
- Feel dirty after going in. I take care of them as I should, but many times out of ten the lenses just feel grungy and painful after I get them in. Which makes problem #1 above so much the worse, and I have to keep putting them in and out.
How is it that something that feels fine all day could get dirtier overnight in the solution? This dirty feeling is exacerbated by the fact that it is hard to force soft lenses to feel clean (see point #4).
In contrast, hard lenses have a consistent feel going in. Sometimes there can be a particle that can cause acute tearing, but this is usually washed away in a second or so.
- Feel dirty/painful at random, unpredictable times. The great (and I would say) single flaw of hard lenses is that the wind can blow or something, a dust particle gets underneath the lens, and you can tear up and it can be almost blinding. I freely admit that this is a substantial issue. What mitigates this problem, however, is that it is easy to tear up and flush out the dust, or, if necessary, pop out the lens, wipe it with your finger with a bit of solution (or spit, if that’s all you have), and fix the problem quickly.
However much the whole insertion technique issue is my fault, the random grunginess of soft lenses isn’t. I may be the only one with this problem (am I?), but it’s not anything I’m doing.
Some days, my lenses feel great all day and I never notice them. Others, one or both of the lenses has a problem and it’s just unbearable.
In contrast, hard lenses can cause severe acute annoyance, but you either flush the irritant away or can fix the problem pretty easily.
- Cannot be forced to feel clean. This is really, really annoying. Let’s say the lens feels dirty. I pinch it out. Generously rub it with solution. Put it back in. Nope. Out again. Rub. In. Nope. Out again. Nuke with solution, rubbing vigorously. This time OK! Ten minutes pass. Whoops, same problem again. Pinch out lens, put in soaking solution. Insert new lens…
And that’s in the morning when I have a convenient source of water and a place to rub the lenses with solution safely. If you’re in your car and the lenses start acting up, bad. Just bad.
In contrast, hard lenses get reliably clean every time. I’m not proud of it, but I’ve licked my lens clean when I didn’t have water, and that works too.
Those are the major points that make soft lense, in my view, worse than hard for me. There are a few others of less importance. Soft lenses are very easy to lose in water or if you drop them. Sayonara. If they dry up they’re destroyed. A toric lens provides a pretty inferior way of correcting astigmatism. Etc.
The only advantages of soft are the supposed better comfort right off the bat and the ability to keep them in your eyes for a week, sleeping in them, etc. The latter is for me just a joke, as I can barely stand to keep them in my eyes for a full day, most days.
Today I picked up my hard lenses, popped them in, and was used to them in five minutes, despite not having worn hard lenses for the past seven years. The vision is just incredible, sharper than anything else I’ve ever had.
So, please comment on anything above and tell me about your own experiences with the two types of lenses. Also, do you agree with me that always steering new patients to soft is not necessarily a good thing? Thanks!