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Do the FDA or manufacturers have recommendations regarding the use of multipurpose solutions and silicone hydrogel lenses?

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Do the FDA or manufacturers have recommendations regarding the use of multipurpose solutions and silicone hydrogel lenses?

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Neither the FDA nor the manufacturers have much to add to this debatefor now. But, the whole to-rub-or-not-to-rub controversy is very much on everyones minds these days, chiefly because of the Fusarium keratitis outbreak that occurred last year. One-third of the Fusarium keratitis patients identified by the Centers for Disease Control and Prevention (CDC) required corneal transplants. The outbreak served as a vivid reminder of the importance of lens care regimens. To make matters worse, Acanthamoeba keratitis (AK) appears to be staging a comeback. A study in the August 2006 issue of the American Journal of Ophthalmology concluded that AK cases in contact lens wearers are increasing in frequency.1 Anecdotal reports seem to confirm this trend. In a sense, the rub-or-not-to-rub conundrum is indicative of an industry in transition. Silicone hydrogel lenses have proven themselves everything we had hoped, providing increased late-day comfort, better oxygen transmission and relief of dryness.

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