I've worn continuous wear contacts before they came out on the market, for about 3 years now, the benefits of volunteering to be a company guinea pig. I've been able to keep mine in for up to 4-6 months per pair with very little oxygen depletion to the eye, and virtually no protein deposition on the lens. They monitor me close, so I should add the disclaimer that (1) I have ocular physiology that is somewhat unique and allows me to do this, and (2) doing this without monitoring and letting too much protein deposition on the lens will predispose your eye to infections and damage as a result of O2 starvation, so YMMV.
I do always carry a spare set of lenses on long treks, and have had to swap them, as a result of getting windblown dust in my lens and not be able to clean it properly. I'd rather put in a new lens, it's very hard to resterilize a dirty lens on the trail.