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extended lenses in particular pose a much greater risk than daily wear lenses. Though extended-wear lenses are extremely thin and allow some oxygen--necessary for healthy eyes--to reach the cornea, they are worn continuously, including at night while the eyelid is closed. Bacteria can easily grow more easily under these conditions. Twenty-one in 1,000 extended lens wearers develop infections as opposed to 4 in 1,000 daily soft lens wearers. To reduce this risk, eye care professionals now recommend removing extended lenses at night. In addition, newer versions of extended lenses being developed may offer increased oxygen exchange and pose less risk. Disposable lenses may also help to prevent infection, since the wearer is guaranteed a clean pair of lenses every few weeks or every day.

Over 32 million people in the United States wear these small lenses that fit on top of the cornea. They provide a field of view unobstructed by lenses frames; they do not fog-up or get splattered, so it is possible to see well while walking in the rain; and they are less noticeable than any lenses style. On the other hand, they take time to get accustomed to; require more measurements for fitting; require many follow-up visits to the eye doctor; can lead to complications such as infections and corneal damage; and may not correct astigmatism as well as lenseses, especially if the astigmatism is severe.

Originally, hard contact were made of a material called PMMA. Although still available, the more common types of contact are listed below:Rigid gas-permeable (RGP) daily-wear lenses are made of plastic that does not absorb water but allows oxygen to get from the atmosphere to the cornea. (This is important because the cornea has no blood supply and needs to get its oxygen from the atmosphere through the film of tears that moves beneath the lens.) They must be removed and cleaned each night. Rigid gas-permeable (RGP) extended-wear lenses are made from plastic that also does not absorb water but is more permeable to oxygen than the plastic used for daily-wear lenses.

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