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Just Back from BFS!

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  • Just Back from BFS!

    After finally making up my mind just to go ahead and take the plunge, I went to BFS, stayed for 6 working days and got home last night with my new lenses. I gotta say the place is pretty impressive. Everything everyone has said about how pleasant they make it for patients, the kindness of the staff, etc. is very true. But best of all, I can see better than I have in 15 yrs and my eyes don't hurt! Can't ask for much more than that.
    My eye problems are varied: very poor vision from pellucid (a form of keratoconus where the edge of the cornea is thin and irregular), dry eye caused by MGD and whatever else they can throw in there, and a period of intense pain from recurring corneal erosions. I know that nothing is going to be an instant, magical cure, but the sclerals come closer than anything else I could have imagined. I still have to use drops throughout the day, and I still sleep in tranquileyes, but my vision now allows me to drive (not at night tho---too much glare) which is a great relief. I am trying out monovision because in addition to being very nearsighted with a large astigmatism, I now have become farsighted (another disease of the "aged"!) Not sure I'm going to be able to manage with the monovision, as apparently it takes the brain a while to adjust, but its nice not having to put reading glasses on for every little thing.
    The scleral comfort is amazing! Right from the very beginning, I couldn't even feel the presence of the lens in my right eye. My left presented more problems, but the doc that was fitting me was terrific and very willing to answer my hundreds of questions and continue to try and refine the lens so it is almost un noticeable. It still kind of shocks me that such a large *thing* in my eye could be so unobtrusive!
    I do have to take the lenses out once or twice a day to clean them and put in fresh saline. Apparently my eyes produce a lot of debris so after a while the tears trapped in between the cornea and the scleral becomes cloudy and my vision starts to deteriorate. Its a small price to pay.
    The handling of the lenses does take a bit of practice. I've worn contact lenses for many years so I'm quite comfortable sticking things in my eyes, but this is quite a different process. Its been about a week now and I'm just getting really comfortable with it. BFS has people on staff there that teach classes on just how to handle them and they spell out every step and monitor your progress. They are not going to let you take the lenses unless they are quite sure you can handle it. And they even have a 24/7 phone number for people who run into problems!
    If anyone has any questions about the process, the place, or whatever, I would be happy to answer what ever I can.

    Robin
    PS--Interestingly, most of the other patients I met while at BFS were there for dry eye relief rather than for corneal diseases, which I found very interesting. The lens was originally designed by Dr Rosenthal to treat keratoconus-like corneal diseases in people that could no longer tolerate RGPs. Its interesting that I only met one other patient there with corneal disease. The majority of patients I met were there for graft vs host disease, SJS, or Sjogrens.

  • #2
    Robin,

    Thank you for sharing. I am so glad you found relief with BFS! I only wish they were the magic bullet for everyone on here. Enjoy your new-found comfort & vision!

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    • #3
      Hi Robin! Thanks for sharing!! I think its amazing that you don't feel the presence of the lens in one of your eye. Wow! And wow, it seems like sclerals are becoming more of a common treatment for dry eyes!

      i'm glad you can see and your eyes don't hurt anymore!! That is amazing!!

      I was wondering, how long did it take for your insurance to approve the BSL, and how long after that were you able to get to BFS? I was told it can take up to 8-12 weeks, and I'm trying to wait patiently, but it's so hard to be patient!!!!

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      • #4
        I think its pretty amazing too! I still can't quite believe it and I think somewhere in the back of my mind I'm waiting for the other shoe to drop :-) Today is the first day that I've worn them all day long at home and I'm still in seventh heaven! For most of the day I'm not even aware that they are there.
        As for insurance, I can't be of much help there. When BFS told me it might take 10-12 weeks for insurance approval, I almost gagged. I decided not to wait for the insurance precertification (gulp). I spoke to the insurance person there and she told me that usually my company, Cigna, covers about 1/2 the cost. I agreed to be totally financially responsible for the full fee if Cigna doesn't reimburse them, but I "only" had to pay $3800 while there, which is 1/2 the cost. Big bullet to bite, but as my hubby said, I was pretty useless these past few months and he said he would pay almost anything to get his wife back What a guy, huh?

        I hope you hear from them soon!!

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        • #5
          Robin,

          Just wondering -- Do you still have to use as many drops with the lens as you were using without the lens? My vision is fine but my eyes are seriously dry. Do you think the lens could help someone whose problem is just dryness? Thanks!

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          • #6
            There were alot of patients there with dry eye. Their literature states that the sclerals can help dry eye because the cornea is constantly bathed in artificial tear solution. You can go to their website and read what they have to say about treating dry eye.
            http://www.bostonsight.org/index-1.htm
            Hope that helps.

            Robin

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            • #7
              Hi Robin,

              Thanks for the reply. Oh yes, I have already read everything on their website but just wanted to get the perspective of someone who has the lens, especially since you mentioned you still have to use lots of artificial tears. I am really glad it has helped you so much though!

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              • #8
                From my perspective, things couldn't be better. I would say though that dryness was not my primary problem. My big problem was poor vision and recurrent erosions. The sclerals seem to have solved much of that. The dryness does persist and I do use artificial tears during the day, although less than I used to. I think I only used them 2 times today and my eyes are really comfortable. The reason I have to take the lenses out once or twice during the day and clean and reinsert them is because my eyes seem to slough off some debris. It lands in the tear reservoir between the cornea and the underside of the lens and then my vision becomes cloudy. Today I only had to clean them once, about 6 hours after I put them in. I don't find it difficult to do though, as I've become pretty good at taking them out and inserting!

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                • #9
                  Thanks for the info! Having my eyes bathed in tears all day sounds like heaven.

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                  • #10
                    Robin H

                    Congratulations on finding relief with the BFS

                    I am a prior patient there as well and got my lensesFebruary 2009
                    I have a host of problems as well but one that we seem to have in common is I get alot of mucus in my eyes and have to change the fluid 2 to 3 times a day also.
                    I have found to help the lens last longer btwn changes I put in a vial of Celluvisc first and then top it off with the saline solution. My Dr there recommended that and it seems to work much better than just filling with the saline...just an option if you wanted to try it

                    Refresh is the brand and Celluvisc is the name of the eyedrops, much thicker than other drops

                    Also if you have a CVS around you, CVS sells their own brand of preservative free Saline Solution and I have found it is the cheapest and also the perfect size bottle as it works out to use for 2 days which is the recommended time as per BFS.

                    Glad to hear you are having great success and relief as well, just wish others could too

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                    • #11
                      Christine,
                      Thanks for the advice. I will try using the Celluvisc. I think I actually some in the house so will experiment tomorrow.
                      I found the CVS saline also! Have been using it since I had to travel and was happy to find that it came in 3oz bottles rather than 4oz. Occasionally I also the individual viles of unpreserved but unbuffered saline that Rebecca sells in the dryeyeshop. Great for carrying around in your purse if needed for emergencies.
                      BTW, who was your doc at BFS?

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                      • #12
                        Robin H

                        Yes try it out and see how that works for you.

                        I made friends with the manager at the CVS by my house and she orders extra stock for me on the saline and keeps it in the back so I go in once a month and buy like 6 boxes at time which seems to last about a month.
                        I know they are the perfect travel size and Airline approved which is great and seems to be the cheapest

                        Also if you have a Bed Bath Beyond with the Harmon section in it by you I have found that is the cheapest place to buy the Oxysept for cleaning at night and also the Celluvisc plus you can use all those coupons they send all year long

                        My Dr. was Dr. Karen Carrasquillo (not sure on spelling her last name) She was wonderful and there was another Dr. interning from Indian that worked with her on designing my lenses.

                        Good luck with them

                        Who was your Dr?

                        Comment


                        • #13
                          I saw Dr Qwok there.

                          Tried the Celluvisc today. Kind of blurry when I first put them in but it cleared up pretty soon. Not sure I notice much difference tho. Will continue with it for a while and see if I notice any difference.

                          Thanks for the tips!

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                          • #14
                            RovinG

                            I know someone else treated by Dr Qwok
                            I met him there and stayed in touch with him
                            he unfortunately is having a hard time with his lenses but they are working on it

                            yes it can be a bit blurry at first because that one is so thick compared to others but I guess I am so used to it after a year with them now

                            anytime good luck

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