Facts You Need To Know About Contact Lenses

FAQ’s

Who should I see if I need a contact lens consultation?

Dr. Lee Raykovicz is one of the few fellowship-trained contact lens specialists in the region. In specializing in contact lens fitting and care, he brings a higher degree of knowledge and experience to our patients, especially those with challenging contact lens needs. As the former director of the Contact Lens Clinic at Johns Hopkins, Dr. Raykovicz can often successfully fit many patients who have failed previously or not achieved the level of vision they require. If you are considering contact lenses for the first time, you can rest assured you are receiving the very best contact lens care available as his patient.

I'm interested in wearing contact lenses. How long does it take to get used to them?

This depends. Whether fit with soft or rigid gas permeable (RGP) contact lenses, there is usually an adjustment period. You may be immediately comfortable or it may take a week or so. Your doctor can discuss this with you.

Are contact lenses difficult to care for?

Generally, contact lenses are very easy to care for. At Mecklenburg Eye Associates we will ensure you understand and demonstrate the proper means for inserting, removing, cleaning, disinfecting, and caring for your contact lenses. Either way, it is important to follow the directions of your doctor or contact lens technician to ensure the best possible experience.

How old must children be before they can wear contact lenses?

There is no set rule. It really depends on the responsibility of the child. Dr. Raykovicz has fit babies as young as two weeks (for certain medical conditions) but can assess each individually. This decision is best made with the parent and doctor.

What types of contacts are available?

Contact lenses come in a variety of types, materials, and uses. Most patients are fit into some type of disposable soft contact lens. The advantage of soft disposable contacts is related to ocular health. A cleaner lens is a healthier, more comfortable lens. Even with proper care and cleaning, contact lens comfort and safety decreases the longer the lens is worn before it is replaced. Soft disposable contact lenses generally are healthy, comfortable, convenient, and affordable.

Rigid gas permeable lenses (RGP's) are also an option. Generally the vision achieved with RGP’s are superior compared to soft contact lenses and even glasses. The trade off with RGP’s is that the adaption phase is generally a bit longer and lens awareness, in the beginning, can be a little more obvious.

Additionally, there are also “hybrid” contact lenses that possess the best qualities of both soft and RGP contact lenses. Dr. Raykovicz can discuss these options with you.

I’ve been told I was not a candidate for contact lenses. Why?

This can often be frustrating. There are very few examples or conditions where contact lens wear is not feasible. Astigmatism, the need for reading glasses, and other medical conditions such as keratoconus and previous ocular injury or surgery ARE NOT necessarily reasons why a patient could not or should not wear contact lenses. In fact, many of these examples are best served by contact lenses to allow patients their best, most functional vision. Sometimes there are medical conditions which prevent contact lens wear but this is rare. Your doctor can discuss this with you.

What medical conditions can be helped by contact lenses?

Corneal diseases/conditions such as keratoconus or previous scarring and/or injury; aphakia (the absence of a human or artificial lens in the eye); presbyopia (the need for reading glasses) are all conditions that can be helped with contact lenses. For more see our medical conditions section.

If I have a medical condition requiring contact lenses for optimal vision, will my insurance pay for them?

In many instances medical insurances can help pay for medically indicated contact lenses. Once you are examined and it is determined you would be a candidate for such lenses, our billing department can assist with your insurance claims. There is no guarantee of payment, but our billing department is extremely knowledgeable billing for medically indicated contact lenses and will do everything it can to help.

Is it ok to sleep in your contact lenses?

Although some (extended wear) contact lenses are FDA approved to sleep in, the doctors at Mecklenburg Eye Associates do not recommend it. Sleeping in your contact lenses increases such risks as potentially sight threatening infections and abnormal blood vessel growth in the cornea. There are exceptions to this but generally we do not condone it.

I'm looking for a specific type of contact lens. Do you know where I can find it?

If you don't have a contact lens prescription for the lens you are interested in, you must first visit your eye doctor for an eye exam and a contact lens fitting. This is true even if you don't need vision correction and are interested in only colored contacts or novelty (special-effect) contact lenses.

Why?

Contact lenses are medical devices regulated by the FDA. For your safety, the doctor needs to perform a specialized fitting for you for new wearers and a medical evaluation annually for existing wearers. This is to lessen or eliminate any potential problems associated with contact lens wear.

What forms of payment does your web site accept and is my information secure?

We accept Visa, MasterCard, Discover, and American Express for orders placed on our web site. Each transaction is handled through our secure 128-bit encrypted server.

When can I expect to receive my lenses?

In stock orders placed before 5pm EST Monday thru Friday will ship the next business day. We offer several different delivery options to best suit your needs.

What are your return policies?

Contact lenses can ONLY be returned or exchanged for medical and prescription issues, and must be pre-approved by the prescribing physician or contact lens specialist. Fitting fees are non-refundable.

Primaryecp.com will not assume responsibility for lenses returned for credit via a non-traceable delivery service. For your protection please send returns via a service through which you can obtain proof of delivery, we recommend USPS Priority Mail Service.

If you are unsure how to proceed with your return please contact 704-334-2020.

Who should I see if I need a contact lens consultation?

Dr. Lee Raykovicz is one of the few fellowship-trained contact lens specialist in the region. In specializing in contact lens fitting and care, he brings a higher degree of knowledge and experience to our patients, especially those with challenging contact lens needs. As the former director of the Contact Lens Clinic at Johns Hopkins, Dr. Raykovicz can often successfully fit many patients who have failed previously or not achieved the level of vision they require. If you are considering contact lenses for the first time, you can rest assured you are receiving the very best contact lens care available as his patient.

Medical Conditions

"As a cornea specialist and eye surgeon, I can appreciate the clinical skills necessary to fit all types of contact lens patients. However, fitting contact lenses for keratoconus patients is a difficult challenge for any eye doctor. Dr. Raykovicz was able to fit "my" keratoconic eyes with comfortable lenses that provide great vision."
Samuel Santander, MD, MPH, Cornea & Cataract Surgeon

Keratoconus

Keratoconus is a non-inflammatory thinning, steepening, and distortion of the cornea. This irregularity usually causes blurriness, distortion, and lack of visual quality. The amount experienced by the patient depends on the severity of disease. The onset of keratoconus usually starts in the teenage years or early 20s. It rarely develops after the age of 35. Keratoconus affects males and females equally and typically affects both eyes. The incidence of keratoconus is about 2 to 3 people per 1000 population.

As the condition worsens, typically the best vision is afforded with RGP contact lenses. There are some designs specific for keratoconus. Soft lenses generally do not provide adequate vision. Wearing RGP’s can be challenging with keratoconus secondary to corneal sensitivity. However, one new type of contact lens made by Synergeyes, can allow for increased patient comfort and vision for conditions such as keratoconus.

When, and if, contact lenses fail, a corneal transplant may be necessary. However, to achieve optimal vision after transplant surgery, a medically indicated RGP is often needed. Therefore, it is always best to manage keratoconus with contact lenses for as long as possible and most patients (90%) never go on to need a corneal transplant. Dr. Raykovicz has extensive training and experience fitting and managing such lenses for keratoconus. See our Doctor’s Bio section.

What causes Keratoconus?

We don’t really know. Some feel there is a genetic cause while others believe it is from another underlying disease of condition.

Irregular Astigmatism

Millions of Americans have lost vision due to ocular trauma and various corneal conditions. Conditions include: keratoconus, pellucid marginal degeneration, poor refractive surgery outcomes, corneal scarring from infection or injury, severe dry eye, corneal dystrophies, and after corneal transplant surgery.

Usually these cases result in irregular astigmatism. Irregular astigmatism is where the cornea becomes so distorted that conventional spectacles or contact lenses cannot completely correct the vision. However, special RGP contact lenses properly fit by an experienced doctor can often correct this irregular astigmatism allowing patients to not only see substantially better but go on to lead normal, visually enhanced lives.

Dr. Raykovicz has extensive training and expertise in such lenses. See Doctor’s. Bio. Dr. Raykovicz has examined and managed thousands of patients with irregular astigmatism. If you have been told you are not a candidate for contact lenses, nothing else can be done, or you are in need of a corneal transplant, consider a second opinion by Dr. Raykovicz. Often, patients told such can still be helped with medically indicated contact lenses.

Doctor’s Bio

Dr. Raykovicz was born and raised in Binghamton, N.Y. He attended the State University of New York College at Oswego for undergraduate and The New England College of Optometry where he earned his Doctor of Optometry degree. After, graduating, Dr. Raykovicz was then accepted at the State University of New York College of Optometry for an additional year of study and training and completed his residency in Cornea and Contact Lenses. This extra year of training is only completed by a distinct few and sets Dr. Raykovicz apart from most other doctor’s.

Once Dr. Raykovicz completed his residency, he joined the renowned Wilmer Eye Institute at Johns Hopkins Hospital. Working in the Cornea and Refractive Surgery Department alongside many of the best surgeons and ophthalmologists in the world, he became Director of the Wilmer Eye Institute Contact Lens Department. Over his nearly four years at Wilmer, Dr. Raykovicz examined, consulted, fit, and managed every conceivable contact lens patient, corneal disease and disorder. Many well-known and respected politicians, TV and movie personalities, professional athletes, dignitaries, and other doctor’s trusted their eye and contact lens care to Dr. Raykovicz.

Dr. Raykovicz joined Mecklenburg Eye Associates in September, 2009. He is excited to bring his knowledge and expertise of all types of contact lenses, including medically indicated contact lenses to the patients of Mecklenburg Eye Associates.

"As a cornea specialist and eye surgeon, I can appreciate the clinical skills necessary to fit all types of contact lens patients. However, fitting contact lenses for keratoconus patients is a difficult challenge for any eye doctor. Dr. Raykovicz was able to fit "my" keratoconic eyes with comfortable lenses that provide great vision." Samuel Santander, MD, MPH, Cornea & Cataract Surgeon