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Home » Eye Care Services » Contact Lens Exams » Hard-to-Fit Contacts

Hard-to-Fit Contacts

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.

Read about Ortho-K to see if you may be a good candidate for these gentle overnight cornea re-shaping contact lenses.

Dear Valued Patient:

We plan to re-open on May 20, 2020 to a limited schedule by appointment only—please set appointment online or call or email first.

We look forward to see you again soon!  We place the highest priority on the health and safety of our patients and our eye care staff.  Please read below:

Please read the following carefully to prepare for your visit to our office. We are implementing many new and more stringent procedures to ensure the health and safety of our patients and eye care personnel based on guidelines from the Alameda County Health Department and the CDC to help prevent the spread of COVID-19. During this time we are requiring the following for every patient and in-office encounter:

+We are starting with a limited schedule of appointments for better social distancing and for the safety of our patients (thank you in advance for your patience and understanding).

+All visits are by appointment only, there are no walk-in visits available

+All patients are required to wear their own personal mask before entering the office

+All patients are required to check in over the phone before their appointment

+Insurance coverage verifications must be taken care of before entering office for appointment

+Patient will wait outside in car until notified by text or email when they can come in for their appointment, upon entering, patient’s temperature will be taken and their hands sanitized with alcohol cleaner

+There will be no waiting area in the office, patient will be seen right away-please be on time

+Family or caregivers will need to wait outside in the car, as we will only allow patient to enter office.  Verbal consent for minors is acceptable. Updates will be given family or caregiver over the phone as needed.

+All glasses, contact lens orders will be by curb side pick up only—please call or email and we can help you set up a time to pick up your eye wear safely, maintaining social distancing

Our doctors and staff will increase our cleaning and sanitizing protocols:

+We have the latest HEPA air filters with UVC light disinfection to destroy bacteria and viruses

+Wearing protective face shields and surgical masks and medical grade disposable gloves

+All exam equipment and every surface is sanitized fully with hospital grade sanitizer after each patient encounter

+We have a new safe system of disinfection for all frames which have been touched or tried

+We screen all patients by phone to assure they have been healthy prior to their appointment

+All staff and doctors have passed additional training in more stringent sanitizing protocol

Thank you for your patience and compliance to these new and required guidelines. Our goal is to take care of your eye care needs while keeping you and your family healthy. We also want to help our community overcome this pandemic.

We will get through this together.

Please let us know if you have any questions or need more immediate assistance. 

You can set up a future appointment online at EyeCareDrLee.com or send an email to EyeCareDrLee@gmail.com or DrLeongOK@gmail.com  or call 510-668-0877

Please stay safe and stay healthy.

x

Stay up to date on our COVID-19 pandamic protocols Read Our Blog Post…

Our office continues to monitor the local health announcements on a daily basis. Optometry is an essential service and we will open to new health guidelines to help our patients while keeping everyone healthy. Please read our blog updates for our open date and new safety guidelines. Let us know if you have any questions or immediate eye care needs. Need contact lenses? Let us know, as we can send orders to you with free shipping.
We are responding faster to direct email:

eyecareDrLee@gmail.com

drLeongOK@gmail.com (for ortho-k)

Thank you, stay safe and stay healthy.

COVID-19 guidelines from CDC: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention-H.pdf