For me, I did experienced grittness when the BCL was in and the first day after the BCL was removed. Now, I feel that once in a while.peanutz wrote: ↑Apr 2nd, 2017 8:55 pmPLEC's protocol is that 5-days post-op is the EARLIEST they want people removing bandage contacts. Their notes to the optometrist (provided in an envelope after the surgery) also say that the bandage contacts they use can be kept in for up to 7 days, and if the epithelium hasn't "closed" yet, it's better to err on the side of keeping in the bandage contacts longer at 6 or 7 days rather than prematurely taking them off.
My left eye was fine when they were taken out at Day 5 (morning), but my right eye could have probably stood to wait a little more, like Day 5 end of the day, or Day 6 or 7. My right eye had a mild gritty feeling that disappeared when I put in eye drops, but after a few hours would come back. The next day it was fine.
The notes say that after removal of bandage contacts, the patient shouldn't feel a grittiness or irritation that isn't soothed by eyedrops. If they DO feel a persistent grittiness, it means that the epithelium isn't closed and that (new) bandage contacts should be put back in with additional patient visits daily until they can be removed.
The literature warns of older/other brands of bandage contacts that cause hypoxic conditions on the eye and adversely affect healing beyond 3-4 days after PRK. That may be true... but PLEC's bandage contacts and healing timelines specify removal of their bandage contacts at 5-7 days. For my eyes, end of Day 5, or Day 6 would have been the sweet spot. I felt no discomfort while they were in.
This happens to me, too, when I've applied too much. Maybe just decrease the amount you put in? I've been using the eye ointment sporadically after the 1-month mark.
As for the tip of the ointment tube... I find it hard to apply without touching my lash line. Therefore when I open it for application, I swipe the tip with a cotton pad of rubbing alcohol and squeeze out/discard a bit of ointment from the tip to "clean" it before application. I let the rubbing alcohol dry for 30 seconds, and then I go. The eye ointments are anhydrous, so if there is any bacteria sitting on the outer layer, they shouldn't be penetrating and growing inward.
@burn69 @peanutz Did it sting a little when you instill Betoptic drops?