PRESBYOPIAPresbyopic Contact Lens Designs
Allison Jussel Zagst OD, MS, FAAO
Corneal Gas Permeable Contact Lenses
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- Translating Bifocal Lens
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- May be best option for critical vision needs
- Pupil measurements and lid position are critical considerations
- Fit sets available for diagnostic fitting
- Can accommodate a high add power
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- Aspheric Multifocal Contact Lenses
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- Typically empirically ordered
- Center-Near and Center-Distance options available
- Pupil size of critical importance to success
- More successful with lower add powers
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- Concentric Multifocal Contact Lenses
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- Typically empirically ordered
- Center-Near and Center-Distance options available
- Similar to many soft multifocal contact lens designs
- Centration is critical for success
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- Translating Bifocal Lens
Hybrid Contact Lenses
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- Extended Depth of Focus Hybrid Contact Lenses
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- Empirically Ordered
- Available in low, medium or high add
- Option for patients who do not habituate well to GP lens sensation
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- Aspheric Multifocal Hybrid Contact Lenses
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- Empirically Ordered
- Similar design to available GP options
- Pupil size measurements are important
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- Extended Depth of Focus Hybrid Contact Lenses
Scleral Contact Lenses
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- Largely aspheric and proprietary multifocal designs
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- Available in Center-Near and Center-Distance designs
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- May be able to better accommodate higher astigmatism and irregular corneas
- Largely aspheric and proprietary multifocal designs
Sources
- https://www.reviewofoptometry.com/article/pearls-for-fitting-the-presbyopic-patient
- https://www.reviewofcontactlenses.com/article/gp-multifocal-contact-lenses-the-2024-lineup
- https://synergeyes.com/professional/duette/duette-progressive/
- https://synergeyes.com/professional/synergeyes-id-edof-product-page/
- https://clspectrum.com/issues/2015/december/multifocal-scleral-lenses/