If someone came in with a contact lens prescription that expired in a month and they wanted to buy a year supply we were supposed to suggest making an eye appointment since it was basically expired. But I can't tell you how many times I took back patients for the pre-tests and they had spaced out their contacts so long. They would tell me that they only get eye exams every 2-3 years minimum just by working the system and buying contacts.
I applaud Costco. Most commercial entities would just dispense as many CL boxes as the patient wanted. Studies show CL patients that buy CL's from their doctors have less incidence of microbial keratitis.
I no longer fit Acuvue contacts for new fits. Those "studies" on the back of magazines that state how compliance in 2 week CL's are not reflected in my practice. I would say only 25% are switching every two weeks. I'm tired of trying to convince people to switch their AV's every two weeks. Their answer: my old doctor said I could wear them 1 or two months before switching AV's. Patients will often say CL's are too expensive. Their questionnaire will state they smoke 1 pack a day, drink once per week, have an iphone service plan with data package. Yet they can not afford $200-$300 for a supply of CL's.
My contact lenses of choice: Air Optix Aqua, Air Optix Aqua Night and Day, Purevision 2, Purevision, Biofinity, Proclear, Focus Dailies with Aqua Release.