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We are pleased to announce that all three of our Vision Source locations will be reopening for service during the week of May 4th, 2020.

During this difficult time, we have made adjustments to our services to ensure the health and safety of your patients, our staff, and our Doctors. Click here to read more.

Home » Contact Lenses » Contact Lenses for the “Hard-to-Fit” Patient

Contact Lenses for the “Hard-to-Fit” Patient

It is not uncommon for patients to have difficulty wearing contact lenses for a number of reasons. Due to the individual eye shape, certain conditions or impairments or the aftermath of surgery, some patients are considered to be “hard to fit” as contact lens wearers.

For hard to fit patients that prefer to wear contact lenses however, there are options available that can provide comfortable and effective contact lens wear. This will require a specialized fitting with an eye doctor that is an expert that knows your condition and the various products available to find the right match for your specific condition.  You may be considered a hard to fit contact lens candidate if you have one of the following conditions:

  • Dry Eyes
  • Astigmatism
  • Giant Papillary Conjunctivitis (GPC)
  • Keratoconus
  • Pellucid Marginal Degeneration
  • Post-LASIK or other refractive surgery
  • Presbyopia (reduced near vision common in individuals aged 40 and over).
  • Corneal Scarring

Dry Eyes and Contact Lenses

Dry Eye Syndrome causes your eyes to feel dry, gritty, burning, red, and irritated.  Dry Eye Syndrome can also cause blurred vision. Often these symptoms can sometimes worsen by the use of contacts. In fact, many people who do not normally suffer from chronic dry eyes, will experience some of these symptoms as a result of contact lens wear.

First of all, if you have chronic dry eyes, you should see your eye doctor for treatment and relief before you think about contact lenses. Once your dry eyes are treated, it is safe to try contacts and there are a number of options that can be considered.

Many brands of soft contacts and products such as disinfectant and cleansing solutions are made with ingredients that are designed to be more comfortable for individuals with dry eyes. Your eye doctor will be able to recommend some of these brands and products to you. Alternatively, gas permeable (GP) or rigid gas permeable (RGP) lenses are made with a hard material that in some cases does not dry out like soft lenses and they are able to hold a certain amount of moisture beneath the lens to keep the eye from drying out. Gas permeable lenses are a very good option and can be quite comfortable for individuals with dry eyes.

Additionally, your doctor might recommend a specific wearing schedule such as limiting the time you wear your contacts throughout the day or replacing your contacts on a more frequent basis.

Toric Lenses for Astigmatism

Astigmatism is a condition that causes blurred vision (in some cases double vision) because rather than being round, the front of the eye (the cornea) has two curves instead of one, therefore, having two focal points instead of one. This makes it hard for traditional contact lenses to fit and therefore requires specialized contact lenses such as toric lenses or rigid gas permeable lenses (RGPs).

Toric contact lenses are designed to correct astigmatism and custom made to fit the eye of the patient. Most are made of soft material designed to stay in place on the eye, however in some cases, when the rotation of the lens (due to blinking and eye movement) can’t be stopped, gas permeable lenses might be tried. Due to the customization and more complicated fitting process required for these lenses, they are more expensive and take more time for the contact lens laboratory to make than traditional lenses.

Giant Papillary Conjunctivitis (GPC) and Contact Lenses

GPC is a type of conjunctivitis in which the inner surface of the eyelid becomes swollen.  The condition can be caused or worsened by a buildup of protein deposits on contact lenses.  Your eye doctor may either recommend daily disposable lenses or RGP lenses (which are not water based) and therefore have less of a tendency for protein buildup.  Your doctor may also prescribe medicated eye drops and require you to stop the use of contact lenses until the symptoms improve.

Rigid Gas Permeable (RGP) or Gas Permeable (GP) Lenses

Rigid Gas Permeable (RGP) also known as Gas Permeable (GP) lenses are effective for many hard to fit patients.  The hard, oxygen permeable material lets the eye breathe and significantly reduces the chance of infection due to protein deposits which tend to harbor bacteria on soft lenses.  RGPs also hold moisture under the lens to keep eyes from drying out.

Rigid Gas Permeable (RGP) Lenses for Keratoconus

Keratoconus is a condition in which the cornea thins and bulges forward into a cone shape.  Traditional contact lenses may cause some discomfort in these patients and the vision may still be blurry therefore RGPs are often used for treatment for mild, moderate, and some severe cases.  Rigid gas permeable lenses may help to slow down the cone shape from worsening in some cases. Further, RGPs are able to assist in vision correction for keratoconus which is often not possible with soft contacts or even eyeglasses.

Post-LASIK or Vision Correction (Refractive) Surgery

While LASIK surgery has a very high success rate, there are vision complications and symptoms that sometimes remain.  Night vision after LASIK, in particular, can sometimes give you side effects such as glare or halos around lights.  RGPs are often effective in helping with these side effects and restoring clear vision.

Bifocal and Multifocal Contact Lenses for Presbyopia

Presbyopia is a common condition in those people usually over 40 years old in which the eyes’ ability to focus on close objects is impaired. Many people keep a pair of bifocal or multifocal glasses on hand for times when they have to read menus, newspapers, books, and other objects that require near vision.  For those that prefer contact lenses over eyeglasses, bifocal and multifocal contact lenses are an option.

For some patients that have presbyopia and need correction for distance vision as well, one option is monovision.  Monovision is a contact lens fitting process in which you wear a contact lens in one eye for distance vision and the other contact lens of your other eye for near vision.  Another option is multifocal contact lenses.  In this contact lens fitting process, both eyes are usually fit for distance vision and both eyes are used for near at the same time.  Both contact lens fitting options usually take about one week for the brain and the eyes to adjust.

If you have one of these conditions or find contact lens wear difficult for another reason, speak with your eye doctor. As technology improves there are more and more options for hard to fit contact lens patients to benefit from the comfort and convenience of contact lens use.

Tear Film Evaluation

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We are pleased to announce that all three of our Vision Source locations will be reopening for service during the week of May 4th, 2020.

During this difficult time, we have made adjustments to our services to ensure the health and safety of your patients, our staff, and our Doctors.

For the Protection of Our Patients, we have implemented the following procedures in our clinics:

Limited Appointment Scheduling - in order to ensure we are able to properly disinfect and adhere to Social Distancing Guidelines set forth by our local authority.  Certainly, urgent and emergency patients will be prioritized.

Fever Free Environment - Temperatures will be taken upon entering the clinic of all patients, staff, and doctors.  Anyone with 99.5 degrees or higher will be asked to reschedule.  Anyone who is taking a fever-reducing medication such as ibuprofen or acetaminophen will be asked to reschedule once the medication is clear from their system so we can be sure of an accurate temperature reading.

Pre-Screening Questionnaire - We will continue to ask any patient with URI symptoms to reschedule their appointment until they have been asymptomatic for 3 days or have a negative COVID test.

Face Covering - We are requiring everyone entering our clinics to wear some type of facial covering such as a homemade mask, scarf, bandana, or handkerchief.

Wash hands and sanitize - Upon entering the office, everyone will be asked to sanitize their hands.  Additionally, we will request they sanitize their hands before re-entering the business area.

All Vision Source staff with direct patient contact will be required to wear a mask.

Social Distancing - We are limiting the number of patients in our office and are asking, when possible, only the patient enters our clinics for their visit.  Please ask the person with your patient to stay in their car.  We can text them if they need their assistance.

When scheduling patients, we will be:

  1. Asking them if they have been diagnosed with COVID or been in contact with someone who has been diagnosed with COVID.  In those cases, we will postpone seeing the patient unless emergent.
  2. We will ask if they have any current symptoms of COVID.
  3. They will be notified that upon arrival to our office they will have their temperature taken.
  4. We will ask the patients NOT to bring family members with them into the office and we ask patients to wait in the car until they are called inside for their appointment.
  5. We will ask the patient to bring their own mask or face covering.  All of our doctors and any staff who will have direct patient contact will be masked.

Thank you for your support and understanding during these unprecedented times.

Please stay safe and healthy.

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