About BostonSight® PROSE Device Cleaning
Q. What is the most current cleaning protocol?
A. We are dedicated to selecting the best products and cleaning regimen for our patients. This means that from time to time we change the products we use. The current cleaning regimen includes the use of Optimum Extra Strength Cleaner by Lobob, Clear Care, and preservative-free saline, prescribed for you.
Q. Where can I purchase my cleaning supplies?
A. Please see the BostonSight PROSE Prosthetic Device Use and Care Guide for more information.
Q. Is H²O² (brown bottle hydrogen peroxide) approved for use with BostonSight PROSE devices and if so, how do I use it?
A. Yes, you can use H²O², but its usage comes with a disclaimer. PLEASE READ ALL OF THE INSTRUCTIONS BELOW BEFORE USING H²O².
Brown bottle, 3% hydrogen peroxide is NOT FDA approved for PROSE device disinfection. It is not micro-filtered for impurities, and does not contain stabilizing buffers or salts like Clear Care. Some patients report redness and/or discomfort with its use. If at any time while using brown bottle H²O² you experience increased redness, burning, or pain, discontinue usage and use ONLY Clear Care.
The platinum catalyst disc that comes packaged with Clear Care (which is not available to purchase by itself) is required to properly disinfect your devices in the PROSE disinfection case. Therefore, you must purchase Clear Care periodically.
After purchasing Clear Care, remove the platinum catalyst disc from the arbor of the Clear Care case and insert it onto the PROSE disinfection case as described in the BostonSight® PROSE Treatment Guide: Prosthetic Device Use and Care. Then follow the instructions for proper disinfection.
The Clear Care platinum catalyst will effectively neutralize the H²O².
At the end of the 8th week, you must dispose of the platinum catalyst and replace it with a new one. This can only be done by purchasing a new bottle of Clear Care.
*NOTE: A generic equivalent of Clear Care is available as a store brand at Target (it will say “compares to Clear Care” on the package). Please refer to the BostonSight PROSE Solution and Accessory Buying Guide.
Q: Is there a cheaper alternative to the preserved saline prescribed for me?
A: Yes. You may use Sodium Chloride Inhalation Solution USP, 0.9% as a substitute. This is available at your local pharmacy with a prescription or online without a prescription at: http://www.medonthego.com/search.asp?keyword=sodium. It is available in 3, 5, and 10 mL vials and comes in boxes of 100. This will cost you in the range of $12-25 for a box of 100, which should last one month. Compared to the $45+ dollars a month for Purilens Plus, this translates into significant savings.
NOTE: While most people can use Sodium Chloride Inhalation Solution USP, 0.9% in place of the preserved saline prescribed for them, some will develop mild redness, burning, and/or discomfort, as it is not buffered. If you develop these symptoms, discontinue use immediately and resume use of the preserved saline prescribed for you. Bausch + Lomb Sensitive Eyes Saline may be used for RINSING ONLY. YOU MUST always FILL devices with preservative-free sterile saline solution, prescribed for you, as described above.
Q: Is okay to use the drops that claim to reduce protein buildup on contact lenses on my PROSE device(s)? If so, which brand should I use?
A. We suggest using Ultrazyme Enzymatic Cleaner or Boston One-Step Liquid Enzymatic Cleaner as directed on the package inserts. For the Ultrazyme, add one tablet to your PROSE disinfection case with Clear Care or 3% hydrogen peroxide solution and disinfect normally as instructed in the BostonSight PROSE Treatment Guide: Prosthetic Device Use and Care. For the Boston One-Step, empty one vial into your PROSE disinfection case with Clear Care or 3% hydrogen peroxide solution and disinfect normally as instructed in the BostonSight PROSE Treatment Guide: Prosthetic Device Use and Care.
Q. How often do I need to replace my basket disinfection case and plungers?
A. With proper use as outlined in the BostonSight PROSE Treatment Guide: Prosthetic Device Use and Care, the plungers should be replaced every six to 12 months; sooner if the edges become rough, uneven, or the suction is no longer sufficient. The disinfection case should be replaced every one to two years; sooner only if it breaks. Disinfection cases and plungers are available at The Dry Eye Shop: http://www.dryeyeshop.com/lens-care-c32.aspx.