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Mick Noonan  
#1 Posted : 01 May 2014 13:13:12(UTC)
Rank: Forum user
Mick Noonan

I've posted on the topic of contact lenses v arc eye myself before... and I'll do so again, as it makes my blood boil.

We've been through the debate and anyone with sense, or the ability to read, can see that it's a myth. I, however, have been handed a new knee-jerk decision based on contact lenses.

The decision has been made to ban their use due to the risk of dust/dirt particles getting in behind the lens and doing it's damage from there.

I've not been offered any science to explain how the dust/dirt might get under there. I myself am a wearer of lenses and if there's any dust/dirt under there, as you are putting it in, then you have to immediately take it back out - like when an eyelash gets in there. If dust/dirt gets in your eye, with the lens already in, then there's no difference between the lens and non-lens wearers. This is personal experience only...

So then, the conspiracy theory I'm working on is that someone doesn't like contact lenses, or those that wear contact lenses, or "corrective lens deniers".
PIKEMAN  
#2 Posted : 01 May 2014 13:31:48(UTC)
Rank: Super forum user
PIKEMAN

They are often banned on chemical sites, since any splash may cause the lens to melt and turn sticky etc, also they allow any liquid to get under them by capillary action, so you cannot wash this off with eye wash - you would have to take the lens out before using eye wash.

Not sure that this scenario would apply with dust in eye though - but if small dust particles could get under the lens, you could not wash it out. This may be the reasoning. Contact lenses can move, so small stuff on the surface of the eye might go under them?
John J  
#3 Posted : 01 May 2014 13:42:39(UTC)
Rank: Super forum user
John J

Pikeman wrote:
They are often banned on chemical sites, since any splash may cause the lens to melt and turn sticky etc, also they allow any liquid to get under them by capillary action, so you cannot wash this off with eye wash - you would have to take the lens out before using eye wash.

Not sure that this scenario would apply with dust in eye though - but if small dust particles could get under the lens, you could not wash it out. This may be the reasoning. Contact lenses can move, so small stuff on the surface of the eye might go under them?


Well, other than a few exceptions, they shouldn't be.

http://rehs.rutgers.edu/...les/NIOSHContactLens.pdf
John J  
#4 Posted : 01 May 2014 13:50:36(UTC)
Rank: Super forum user
John J

Can I ask all those with a policy that contact lens can't be worn - how do you enforce it?
Jake  
#5 Posted : 01 May 2014 14:16:30(UTC)
Rank: Super forum user
Jake

Also bear in mind some people (like myself) have no choice but to wear contact lens' to lead a normal life - certain eye conditions cannot be corrected by glasses.
chris.packham  
#6 Posted : 01 May 2014 14:32:10(UTC)
Rank: Super forum user
chris.packham

Maybe I am thick, or perhaps it is the approach of old age, but I fail to follow some of the logic by those claiming that contact lenses should not be worn. Surely if there is potential eye exposure to chemicals/dust, etc. that could damage they eyes appropriate eye protection should be in use. If this is the case, then why should the wearing of contact lenses represent any additional hazard, since eye exposure is now adequately controlled? If the PPE fails, then my risk assessment would consider this as serious, whether contact lenses or exposure eyes are concerned. Or am I missing something obvious?
Chris
Mick Noonan  
#7 Posted : 01 May 2014 17:07:37(UTC)
Rank: Forum user
Mick Noonan

Pikeman, I challenge your position re contact lenses and chemicals. Unless I have read your post in a way that you had not intended, you are saying that chemicals pose an additional danger to the lens wearer.

I disagree, and would put it to you that your arguements could be equally applied to the eyelid, given a similar set of circumstances. Also, they cannot, unlike lenses, be removed in an emergency. My (limited) research into this led me to a paper that suggested there was neither benefit, nor disadvantage, to wearing lenses in the event of chemical splash.

Steve, the arguements for and against never mention PPE because the assumption is always that it has been circumvented. Mostly this would be ingress of chemical or dust/dirt to the eye after first having made contact with an unprotected part of the face or head.

One of our recent classic examples is dust whipped up in windy conditions (PPE cannot defend that) and another is welding/grinding whilst supine. Very small objects become dislodged, land on the face/forehead/eyebrows and are worked into the eye from there. Either way, every reason (in my experience) put forward in support of the ban on contact lenses is baseless.

Remember that the null hypothesis here is that wearing lenses has no effect.

Mick
jay  
#8 Posted : 01 May 2014 17:26:16(UTC)
Rank: Super forum user
jay

There is authoritative evidence etc that in general, contact lenses are not a problem for chemical splashes.


The "myth" was based on unsubstaintiated information and has been found as not cerdible by the American Chemical Society and others.

http://pubs.acs.org/cen/safety/19980601.html

Guidelines for The Use of Contact Lenses In Industrial Environments
http://www.aoa.org/patie...-industrial-environments

Use of Contact Lenses in an Industrial Environment
http://www.acoem.org/Con...dustrialEnvironment.aspx


NIOSH Issues New Recommendations For Contact Lens Wearers
http://www.ccohs.ca/news...1/ezine.html#hazardalert

stevedm  
#9 Posted : 02 May 2014 09:03:53(UTC)
Rank: Super forum user
stevedm

...apparently it comes from the fact that the US banned decorative lenses a wee while back....

...there is the risk of infections and damage to the eye if you don't follow simple hygiene rules...not putting the lens back until it is cleaned in fresh solution if it is a disposable lens then just replace it..I have come across decorative lenses during eye tests in the UK..as we have a sense of humour...but unless they come from your optician don't use them..oh an don't try and make up your own lens solution, it causes most of the infections and at least one case of corneal cancer that I am aware of...DOH!
PIKEMAN  
#10 Posted : 02 May 2014 09:26:45(UTC)
Rank: Super forum user
PIKEMAN

If you read my post you will find that I stated that they were banned on some chemical sites, and gave the reasoning behind it. I am not suggesting any sort of blanket rule.

Some chemicals (eg solvents) which splashed into the eye could create an additional problem for contact lens wearers in that they would start to dissolve or soften the lens or get behind the lens. A simple risk assessment process would show this.

As for PPE, often safety specs are mandatory but they do not deal with anything other than splashes etc - for protection against eg being sprayed by a substance a visor or goggles is required. So, safety specs might be worn for general purposes but you could still get a serious splash if you are in the wrong place at the wrong time. If we follow the logic that PPE protects anyway, so that's it, we would not bother with eye wash stations would we?

What this all tells me is that there is no rule as such - it comes back to - risk assessment.

Incidentally I have contact lenses but when I worked with chemicals, wore prescription safety specs.

Finally, I had a colleague who got Sodium Hydroxide in his eye. His eyesight was saved by a brilliant first aider. If he had had a contact lens in, I personally think that the damage would have been worse. When someone has something in their eye, it is difficult enough to get them to open their eye to get eye wash in, there is NO WAY they would be able to get a lens out. IMHO.

How many of the posters here have managed eye safety in a chemical environment? It comes down to judgement. Remember this. Get it wrong and someone could lose their eyesight. If in doubt, be cautious.
stevedm  
#11 Posted : 02 May 2014 09:39:05(UTC)
Rank: Super forum user
stevedm

I did and I agree..having trained such first aiders..I have and do manage chemical safety in emergency response for first responders...we were talking about dust and grit not chemical splashes.
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