PURPOSE: Tear film changes during contact lens (CL) wear can drive CL dryness and discomfort, a key reason for discontinuation. Digital device use can worsen this through altered blinking and eye strain. CL care solutions may improve wear experience by addressing mechanisms of discomfort; although satisfaction with available solutions is high, many wearers still experience dryness. Biotrue Hydration Plus (BHP) is a multi-purpose solution (MPS) developed to improve comfort. This report describes results of a real-world evaluation of BHP MPS among habitual soft CL wearers who are heavy digital device users experiencing CL-related dryness.

METHODS: Eligible adults (≥18 years) who were habitual soft CL users with an eye exam within 2 years were recruited to the study. The cohort of interest included heavy digital device users (≥10 weekday hours using a computer, smartphone/tablet, or gaming) who reported CL-related dryness at baseline. Participants used BHP MPS for 7 days with a new pair of CLs before completing an online survey (7-point Likert scale). A two-sided asymptotic binomial test assessed whether >50% of responses indicated agreement.

RESULTS: Of a total of 194 participants who were heavy digital device users experiencing CL-related dryness (47.9% female, mean age 41.9 years), a majority (58.8%) had been wearing CLs for >10 years, and 60.3% wore their CLs for 7 days/week. At the end of the trial period, 99.5% of participants were satisfied with how CLs felt after using BHP MPS; 95.4% agreed that BHP MPS helped CLs stay comfortable throughout the day, and 93.3% agreed that BHP MPS helped keep CLs comfortable even when using screens for hours. In addition, 93.8% agreed that BHP MPS helps keep CLs comfortable so they do not feel like their eyes are tired. Agreement rates were 97.9% for gentleness on eyes, 97.4% for keeping lenses feeling clean, and 93.8% for helping to prevent CL dryness. Within-group agreement responses were statistically significantly greater than 50% for all performance attributes (p<0.001).>

CONCLUSIONS: This MPS demonstrated strong satisfaction and performance in this population. CL care solution choice can support a positive real-world wear experience, including for those with extensive digital device use, which commonly contributes to CL dryness.