rpames,
The trouble with recommending to patients that you can extend the life of a soft contact lens is, where does it stop? Is it OK to wear a two week lens for four weeks? Six? Two months? Till it feels bad? And how many patients understand what "really taking care of them" means? It's a slippery slope, and one I don't recommend anyone goes down.
I like the sponge analogy. I also like the seatbelt analogy. Most patients overwear from time to time, and most of them never have a problem, so they don't understand why you recommend changing more often. So I tell them it's like not wearing your seatbelt. You could go for years without getting into an accident and be fine. But is it worth the risk?
Tom Stickel
Indiana U. 2001