As far as I'm concerned, regular Clear Care (not Clear Care Plus) is still the gold standard for overnight disinfection of PROSE and scleral lenses. That was always our rule of thing. And it is certainly still the case that an awful lot of our Facebook group members and/or doctors do not get along with Clear Care Plus. Because of this, for years I did not add Clear Care Plus to the shop as I was afraid people would buy it by accident and be unhappy with it.
HOWEVER, much time has passed and I've woken up to the fact that a lot of doctors recommend the Plus *and* a lot of scleral lens users seem happy with it too, therefore, it can't simply be bad :)
Maybe. I'm not sure. And why not? Because nobody STUDIES these things. I really have a bone to pick with the industry about this, in fact, and if any doctors or patients of doctors who do a lot of research happen to read this, I hope they will take it to heart. Solutions are the make-it-or-break-it factors of scleral lenses, once we've learned insertion and removal. Solutions make all the difference in the world to successful scleral lens wear. We should have DATA to make decisions from. Would someone please figure out already which of these solutions is best, or if there is no best, surely there is a pattern to why it works better or some than others? [/rant]
Using hydrogen peroxide disinfection involves soaking the lenses for a specified number of hours overnight in a special case filled with hydrogen peroxide solution and containing a "platinum disc" that neutralizes the saline. This disc can only be used a certain number of times, and should be replaced every two months. These discs are NOT sold separately; the only way to get them is to purchase a CLEAR CARE or CLEAR CARE PLUS kit or similar.
The case included with standard CLEAR CARE kits cannot be used with PROSE devices and cannot be used safely with large scleral lenses either. Users with lenses too large for the CLEAR CARE case should purchase the PROSE Disinfection Case. We recommend the PROSE case for all lenses above 15mm. There is an option to purchase CLEAR CARE together with a PROSE case (see drop-down list) but you can also purchase the PROSE cases separately.
The only serious issue I know of when considering a generic is potential differences in performance of the neutralizing disc. Some data published in optometric periodicals suggests that the disc does not last through as many uses, which may explain why we've had reports in the user groups online about lens discomfort when using a generic.
For the standard case included in this kit (suitable for smaller lenses), it takes about 1/2 oz (15 mL) to fill it up to the fill line. However, if you use the PROSE Disinfection Case for larger lenses, it takes closer 1.5oz (44 mL) of solution to fill it up to the line. It'll go fast.
Those who use the PROSE case will note that because it is far larger than the CLEAR CARE case, they use up the hydrogen peroxide solution very quickly and have to replace their CLEAR CARE kit frequently. Here is a budget-friendly tip, but always subject to your doctor's approval! - When the CLEAR CARE (or PLUS, depending on your pref) runs out, but the disc still has plenty of time on it (remember, 2 months is the limit), substitute hydrogen peroxide 3% (big brown bottles from the drugstore) until it is time to replace the disc, at which time you can purchase a new CLEAR CARE kit. Note that neither regular CLEAR CARE nor the PLUS version is the same as 3% hydrogen peroxide (it contains a cleaning agent, among other things), so it will not do exactly the same job, and for this and the other reasons I've mentioned, you must clear it with your doctor before making this substitution.
Disinfecting your lenses is essential for all lens users. Rub cleaning is NOT a substitute for overnight disinfection, and vice versa! These are distinct steps. For more information on your scleral lens care regimen, please look for our Scleral Lens User Guide in the menu.
The only hydrogen peroxide based alternatives in the US as of this writing (April 2019) are Clear Care, Clear Care Plus, and drugstore generics.
Alternative disinfection methods for scleral lenses include multipurpose solutions such as Unique pH and Boston Simplus.
The CLEAR CARE® PLUS Cleaning & Disinfecting Solution (CLEAR CARE®
PLUS) system consists of: CLEAR CARE® PLUS and the special CLEAR CARE® PLUS lens case (the lens case). The lens case consists of a transparent cup (the cup) and a connected unit of screw cap, lens holders (baskets) and the neutralizer catalyst disc attached at the bottom. CLEAR CARE® PLUS and the special lens case must always be used together.
The preservative free, aqueous CLEAR CARE® PLUS contains: hydrogen peroxide 3%, phosphonic acid (stabilizer), sodium chloride (0.79%), phosphate (buffer system), PLURONIC® 17R4 (a cleaning agent), and HydraGlyde® Moisture Matrix (EOBO-21– polyoxyethylene-
polyoxybutylene, especially for silicone hydrogel soft lenses).
SEE PRODUCT INSERT FOR COMPLETE DETAILS.
Do not use if you are allergic to any of the ingredients.
1. Remove and place each lens into the appropriately marked L/R domed lens holder, and thoroughly rinse with CLEAR CARE® PLUS for 5 seconds.
2. Fill the CLEAR CARE® PLUS lens cup to the fill line with CLEAR CARE®PLUS and place the lens holder in the lens cup. DO NOT UNDERFILL OR OVERFILL.
3. Tighten the cap (finger tight) on the CLEAR CARE® PLUS lens cup and store lenses for at least 6 hours. DO NOT SHAKE THE LENS CASE.
4. After washing, rinsing and drying your hands, remove your lenses from lens holder. If desired or recommended by your eye care professional, rinse lenses before insertion with sterile saline. Your lenses are now ready to wear.
5. Discard used solution. Rinse the CLEAR CARE® PLUS lens cup and lens holder with sterile saline or fresh CLEAR CARE® PLUS - DO NOT USE TAP WATER OR NON-STERILE WATER. Allow the lens holder and cup to air dry. Store the lens holder cap side down, to avoid the potential for contamination.
STORAGE: If you do not intend to wear your lenses immediately after disinfection/neutralization, you may store them in the neutralized CLEAR CARE® PLUS, in the unopened CLEAR CARE® PLUS lens case for up to 7 days. After this time, your lenses must be cleaned and disinfected with CLEAR CARE® PLUS prior to wear.