Boston Simplus
Boston Simplus is a popular multi-purpose solution for cleaning, rinsing, disinfection and condition of GP lenses including sclerals. It is sold in a 3.5oz bottle.
VibrantVue
VibrantVue is a preservative-free unbuffered saline (0.9% sodium chloride solution). It is packaged in 5mL vials and sold in a box of 100 vials. It has a low pH (between 5.1 and 5.6) according to the packaging.
Tangible Boost
Tangible Boost is a prescription-only, monthly treatment to restore the Tangible Hydra-PEG coating, and maintain the wettability of Tangible Hydra-PEG coated lenses.
Unique pH
Unique pH is a multi-purpose solution suitable for rinsing, cleaning, conditioning and disinfection of GP lenses. It is quite popular particularly with people who are sensitive to other contact lens solutions.
Unique pH is sold in 4oz bottles and 2.5oz bottles. The 2.5oz bottles are popular for domestic ravel as they are TSA-compliant.
Unique pH is compatible with Hydra-PEG coated lenses.
Scleralfil
Scleralfil is a preservative-free saline packaged in 10mL vials and sold in a box of 30 vials. It is a buffered saline, i.e. it has additives which stabilize the pH at a level similar to the eye.
Scleralfil vials are exceptionally user-friendly as they are easy to open and designed to stand up on their own.
Nutrifill
Nutrifill is a preservative-free saline solution with electrolytes (Calcium, Magnesium, Potassium, Phosphate, Sodium). As a buffered saline, it has additives which maintain the pH at a level similar to the eye.
Nutrifill is packaged in 10mL vials and in a box of 35 vials. It is particularly popular with people who have ocular surface diseases.
Lacripure
Lacripure is an unbuffered preservative-free saline (0.9% sodium chloride solution) packaged in 5mL vials. It comes in a box of 98 vials. For people who need very little saline per session, it can last up to 3 months.
As an unbuffered saline, Lacripure is slightly acidic, though its pH seems to be significantly higher than the inhalation solution which are sometimes recommended for use with scleral lenses for cost savings.
Purilens Plus Saline
Purilens Plus (and Purilens Mini) is a pH balance preservative-free saline sold in 4oz or 2oz bottles. It is buffered (i.e. it has additives to maintain a pH similar to the eye). It is very popular with new scleral lens users who need a lot of saline for multiple insertion attempts, and it is popular with people who, in general, need a lot of solution for rinsing, for example if they are repeatedly removing, cleaning and re-applying their lenses during the day.
Purilens is packaged in a multi-dose bottle. It is important to understand that these bottles can become contaminated and must be discarded within 14 days. You must be very careful to avoid touching the tip of the bottle to your lenses, eyes, or any surface. Some providers recommend refrigerating this product and some may recommend that you discard it within a shorter period than the FDA-approved 14 day labeling, if you are using it for filling lenses and not just rinsing.
The Purilens caps are the “puncture” type: you remove the cap, remove the white plastic ring, then replace the cap and screw it in hard to puncture the sealed bottle top.
See Green Plunger Stand System
The See Green Plunger Stand is a compact, contoured base for use with an application plunger. Plunger stands are very helpful for scleral lens users who need both hands for their lid spread or who have hand tremors.
Please note that there are two versions of the stand, one of which has a slot for use with the See Green Inserter (the light).
S5 Mini
The S5 Mini inserter is a 5.5” high lighted plunger stand whose base suctions to a counter top for stabilization.
The S5 offers advantages for those concerned about the stability of their scleral lens application stand or who have to stoop too far for other stands. According to Amazon, personal coaching is included with the purchase.
See also: S5 Inserter, which is the same concept but has a telescoping base that allows you to raise the plunger holder to standing height.
See Green Scleral Lens Inserter
The See Green Scleral Lens Inserter provides a small powered green light which is inserter into a specially adapted application plunger. This light helps guide lens positioning during lens application.
Some people use the See Green light, some use the See Green stand, and some use both.
Progent
Menicon PROGENT is a highly effective deposit and protein remover suitable for gas permeable lenses, including sclerals. It is popular for people with chronic stubborn deposits on their lenses.
To use Progent with scleral lenses, you need to separately purchase a special basket style case (Progent Large Diameter Case) . This case cannot be used for disinfection with Clear Care because it is not vented.
S5 Inserter
The S5 inserter is a lighted plunger stand on a telescoping base that suctions to a counter top for stabilization.
The S5 is by far the tallest stand on the market and may be particularly helpful for taller individuals. According to Amazon, personal coaching is included with the purchase.
See also: S5 Mini inserter, which is the same concept but without a telescoping base.
PROSE case
The PROSE case is a specialty case from BostonSight designed for PROSE device disinfection using hydrogen peroxide systems (Clear Care). It is very large and requires approximately 1.5oz (44mL) of Clear Care or hydrogen peroxide per use.
This case requires a catalyst disc, which is not included and cannot be purchased separately. To obtain a catalyst disc, you need to purchase Clear Care, remove the disc from the Clear Care case and place it in the PROSE case. This is an OFF LABEL use of Clear Care, so consult your provider.
This case is suitable for lenses from 16mm to 22mm diameter and is not suitable for corneal RGPs or soft lenses. The basket diameter is approximately 25mm. If your lenses are larger than 22mm, please ask your provider for guidance.
Do not use Progent cleaner with this case.
Progent large diameter lens case
The Progent case is a Menicon brand “basket”-style specialty case for using Progent cleaning solution with scleral lenses.
The Progent case accommodates lenses between 11mm and 23mm diameter.
As a matter of safety, this case should never be used with hydrogen peroxide cleaning systems (Clear Care). H2O2 requires a vented case.