Guidelines for Current No-rub Solutions
SUSAN J. GROMACKI, OD, MS, FAAO
Every year or so I write a column that outlines
manufacturers' directions for cleaning soft contact lenses with no-rub chemical solutions.
Since my last column, "No Rub Read the Fine Print,
Part 2," in April 2004, three of the major manufacturers have developed new, improved
no-rub solutions. The improvements range from tweaking the active ingredient/preservative
to adding important wetting agents. I'll provide
the run-down on manufacturers' instructions
for the new leading
multipurpose solutions. (The instructions for Bausch & Lomb's ReNu
MultiPlus remain unchanged from 2004.)
But first, have you noticed the words no rub are getting
less and less evident on solution labeling? I've always recommend rubbing anyway,
especially for silicone hydrogel materials to reduce lipid deposits. As we know, many
patients misinterpret "no rub" to mean simply removing the contact lens from the eye
and dropping it into a solution-filled case, whereas all no-rub solutions require a
rinsing step to be effective.
Patients who have difficulty complying with multi-step lens care
regimens are often attracted to multipurpose solutions that don't require a rub step.
In a study presented at the American Academy of Optometry 2005 Annual Meeting, Christina
Schnider, OD, from Vistakon found that adding a rub step to both MPS and peroxide cleaning
regimens improves the solutions' efficacy even in a patient population prone
So, here are the latest instructions for the newer no-rub solutions,
taken from each solution's packaging, current as of press time.
Opti-Free Replenish (Alcon)
"Thoroughly rinse each side of the lens (5 seconds) with Opti-Free
Replenish... If your eye care professional directs you to rub your lenses, place several
drops on the contact lens and rub for several seconds. Then follow the directions
above...If using Opti-Free Supraclens Daily Protein Remover, follow these directions,
including rinsing before putting the lenses on your eyes."
This solution requires a six-hour soak for disinfection, and patients
can store lenses in the solution for up to 30 days.
Complete MoisturePlus (AMO)
"Rinse each side of the lens for 5 seconds...your doctor may recommend
additional care procedures (such as rubbing your lenses). This may be particularly important
if lenses are kept longer than 90 days...place 3 drops or more of solution on each
lens surface and gently rub for at least 10 seconds."
This solution requires a four-hour soak for disinfection, and patients
can store the lenses in Complete for up to 30 days.
Aquify (CIBA Vision)
"5 Minute Express Option (With a Rub). Apply at least 3 drops of
Aquify on each side of the lens and gently rub the lens 10 seconds per lens side.
Rinse the lens thoroughly with Aquify."
"No Rub Directions for Use. Thoroughly rinse each side of the lens
This solution requires a four-hour soak without the rub, and patients
can store lenses in the case for up to 30 days.
I will update this list periodically if any additional procedural changes
occur. Until then, keep in mind that a proactive approach to good lens care goes a
long way in preventing noncompliance and its resulting complications.
For references, please visit
and click on document #131.
Dr. Gromacki has a specialty
lens and post-surgical co-management practice as part
of a multi-subspecialty
group in Ann Arbor,
Contact Lens Spectrum, Issue: October 2006