GP lens eye Rounds

PRESBYOPIA: Presbyopic Contact Lens Designs

Allison Jussel Zagst OD, MS, FAAO

Gas Permeable Contact Lenses

• Translating Bifocal Lens
  • Also available as a multifocal
  • Best option for critical vision needs
  • Pupil measurements and lid position are critical considerations
  • Fit sets available for diagnostic fitting in office
  • Can accommodate a high add power if desired
• Aspheric Multifocal Contact Lenses
  • Typically empirically ordered
  • Center-Near and Center-Distance options available
  • Pupil size of critical importance to success
  • More successful with lower add powers
• Concentric Multifocal Contact Lenses
  • Typically empirically ordered
  • Center-Near and Center-Distance options available
  • Similar to many soft multifocal contact lens designs
  • Centration is critical for success

Hybrid Contact Lenses

• Extended Depth of Focus Hybrid Contact Lenses
  • Empirically Ordered
  • Unique lens design meant to improve vision at all distances
  • Available in low, medium or high add
  • Option for patients who do not habituate well to GP lens sensation
• Aspheric Multifocal Hybrid Contact Lenses
  • Empirically Ordered
  • Similar design to available GP options
  • Pupil size measurements are important

Scleral Contact Lenses

• Largely aspheric and proprietary multifocal designs
  • Available in Center-Near and Center-Distance designs
• May be able to better accommodate higher astigmatism and irregular corneas
• May be best for patients with ocular surface disease

Sources

1. https://www.reviewofoptometry.com/article/pearls-for-fitting-the-presbyopic-patient
2. https://www.reviewofcontactlenses.com/article/gp-multifocal-contact-lenses-the-2024-lineup
3. https://synergeyes.com/professional/duette/duette-progressive/
4. https://synergeyes.com/professional/synergeyes-id-edof-product-page/
5. https://clspectrum.com/issues/2015/december/multifocal-scleral-lenses/