A good contact lens fit starts with a thorough eye exam to ensure the most up-to-date prescription and rule out any pre-existing conditions that could interfere with contact lens wear.

We will determine the best fitting lens based on your lifestyle needs, as well as the shape and health of your eye. In most cases, you’ll have the opportunity to try lenses on the same day as your exam. You may even go home with a few samples before making a final decision.

We follow up the initial fitting to make any necessary changes in fit or materials to get you the best possible fit. We teach all our patients proper contact lens care and also possible consequences if proper care is not taken. Then we continue with long-term follow-up to monitor the condition of the lenses and to ensure that proper hygiene is being maintained.

• Disposable Soft Contact Lenses
  Learn more about the differences in monthly, bi-weekly, and daily contact lenses.
• Contact Lenses for Astigmatism
  “I can’t wear soft contacts; I have astigmatism.” This once-true statement is now simply a myth.
• Bifocal and Multifocal Contact Lenses
  If you need correction for reading but dislike the idea of bifocal eyeglasses, you may have contact lens options available to you.
• Scleral Lenses
  Scleral contacts are large-diameter gas permeable contact lenses specially designed to vault over the entire corneal surface and rest on the “white” of the eye (sclera). In doing so, scleral lenses functionally replace the irregular cornea with a perfectly smooth optical surface to correct vision problems caused by keratoconus and other corneal irregularities.
• Orthokeratology
  Wouldn’t it be great if you could correct your eyesight and reduce your dependence on glasses or contact lenses – without having to undergo eye surgery? It might sound far-fetched, but it may be possible with orthokeratology.

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Bi-Weekly and Monthly Contact Lenses

Monthly and bi-weekly disposable contact lenses require more upkeep than daily disposables, requiring daily cleaning and storage in proper contact lens solution. They are, however, more economical overall, since less material goes into making them and you do not have to buy contact lenses as often. Additionally, monthly and bi-weekly contact lenses offer the possibility of extended wear, some lenses allow up to 30 days of continuous day and night contact lens wear, without the necessity of taking them out.

Daily Disposables

Although slightly more costly than monthly and bi-weekly contacts, daily disposable contact lenses are an increasingly popular alternative, because they offer the same crystal clear vision, without the need for daily cleaning and disinfecting. Daily disposables allow contact lens wearers the ability to simply throw away each day’s pair of contacts before bed, and open a brand new pair the very next day to enjoy the benefits and comfort of clean, clear, crisp contact lenses. Uncomfortable protein deposits, normally associated with bi-weekly and monthly contact lenses, are no longer an issue, and the chances of developing contact lens related eye infections, normally associated with monthly and bi-weekly contact lenses, become almost a non-issue.

Many disposable contact lenses, of all varieties, also offer tints and colors that may accent your natural eye color or change your eye color altogether. For more information, speak with your eye doctor today.

What are Toric Contact Lenses?

Toric contact lenses are designed to correct astigmatism and custom made to fit the eye of the patient. Rather than having a perfectly spherical surface like standard contact lenses, toric lenses have a more oblong shape made to accommodate the shape of the astigmatic eye. Toric lenses can be made of either soft or rigid gas permeable (RGP) lens material, however the soft toric lenses are more common.

Soft toric contact lenses are also designed in such a way that the lenses must stay aligned on the eye to maintain proper vision. Sometimes as the eye moves or blinks the lens can rotate considerably on the eye. If this rotation continues with a soft toric lens, a rigid gas permeable lens might be more effective. Rigid gas permeable lenses have a longer initial adjustment time, but once this has passed they are usually just as comfortable as soft contact lenses and they are often easier to care for.

Toric lenses are available in every wearing schedule from daily disposable to long-term wear. Due to the customization required, toric lenses tend to be more expensive and may take more laboratory time to make than traditional lenses.

If you have astigmatism, finding the right fit for your contact lenses is essential. Speak to your eye doctor today for a full assessment to determine which type of toric lenses will work best for you to help you see and feel your best.

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Fortunately for those who don’t like the look, feel or inconvenience of reading glasses, there is another option. Bifocal and multifocal lenses are also available in contact lenses in both soft and Rigid Gas Permeable (RGP) varieties.

Multifocal contact lenses are generally designed in one of two ways, as either simultaneous vision lenses or alternating vision lenses.

Soft Contact Lens Multifocals

Soft multifocal lenses are available in a simultaneous vision lens design. These lenses present the distance and near vision zones of the lens at the same time. Typically after a short adjustment period, your eyes learn to utilize the segment of the lens that they need to focus on the desired object and essentially ignore the other.

There are two types of simultaneous lens designs available:

• Concentric ring design: In the most basic form these are bifocal lenses that are comprised of a central circular area of one power with a ring around of the alternate power, similar to a bulls-eye. The width of each ring is variable depending on the power that is needed most and the edges of the rings can be blended for a smooth transition of focus, similar to progressive eyeglass lenses.
• Aspheric design: These multifocal lenses attempt to provide a natural vision experience by blending many lens powers across the surface and center of the lens. In this design both distance and near vision power are located in the central visual area and your eyes will adapt to focus on the area needed to view what you are looking at.

Rigid Gas Permeable Multifocals

Translating or alternating vision lenses are similar to bifocal eyeglasses, these contacts are divided into distinct areas or zones and your pupil will move to the desired zone depending on your vision needs. The top of the lens, which is what you look through when looking straight ahead is for distance vision and the bottom area (what you look through when you look down) is for near vision.

Since contact lenses sometimes move within your eye, translating lenses are held in place by a ballast which is an area that is thicker than the rest of the lens or by truncating or flattening the bottom to stay in line by the lower lid. These lenses are only available in rigid gas permeable lens material.

An Alternative Option to Multifocal Contact Lenses: Monovision

Monovision is another contact lens alternative for presbyopia particularly if you have difficulty adapting to multifocal lenses. Monovision splits your distance and near vision between your eyes, using your dominant eye for distance vision and your non-dominant eye for near vision.

Typically you will use single vision lenses in each eye, however, sometimes the dominant eye will use a single vision lens while a multifocal lens will be used in the other eye for intermediate and near vision. This is called modified monovision. Your doctor will perform a test to determine which type of lens is best suited for each eye and optimal vision.

Scleral contacts are large-diameter gas permeable contact lenses specially designed to vault over the entire corneal surface and rest on the “white” of the eye (sclera). In doing so, scleral lenses functionally replace the irregular cornea with a perfectly smooth optical surface to correct vision problems caused by keratoconus and other corneal irregularities.

Also, the space between the cornea and the back surface of a scleral lens acts as a fluid reservoir to provide comfort for people with severe dry eyes who otherwise could not tolerate contact lens wear.

Scleral Contact Lenses For Keratoconus

Many optometrists and ophthalmologists recommend scleral contact lenses for a variety of hard-to-fit eyes, including eyes with keratoconus.

In cases of early keratoconus, a standard GP lens may be used. However, if the lens does not center properly on the eye or moves excessively with blinks and causes discomfort, switching to a large-diameter scleral contact lens may solve the problem.

Because scleral lenses are designed to vault the corneal surface and rest on the less sensitive surface of the sclera, these lenses often are more comfortable for a person with keratoconus.

Also, scleral lenses are designed to fit with little or no lens movement during blinks, making them more stable on the eye, compared with traditional corneal gas permeable lenses.

Scleral Contact Lenses For Other Eye Problems

In addition to keratoconus, scleral contact lenses can be used for eyes that have undergone a cornea transplant, and for people with severe dry eyes caused by conditions such as Sjogren’s syndrome, graft-versus-host disease (GVHD) and Stevens-Johnson syndrome.

Advances in lens design technology are allowing manufacturers to design scleral lenses that can correct more conditions than ever before, including bifocal sclerals for the correction of presbyopia.

Scleral Contact Lens Cost

Scleral contact lenses are custom-made for each wearer, so fitting scleral contacts demands greater expertise and more time than fitting standard soft or GP contact lenses.

Often, computerized maps of the curvature of the entire cornea are generated to facilitate the lens fitting, and several trial lenses of different sizes and curvatures may be applied to the eye during the fitting process.

Also, depending on the complexity of the problem and how the individual eye tolerates the scleral lens, adjustments of lens parameters may be needed, which will require additional lenses to be made and exchanged. The entire scleral lens fitting process can take several visits to determine the optimal lens for each eye.

While many individuals who use scleral lenses have worn soft or corneal GP lenses in the past, the process for applying and removing scleral lenses may take some practice. The additional time needed to master this, due to the larger size of the lenses and the fluid reservoir under the lenses, needs to be taken into consideration during the fitting process.

For these and other reasons, scleral contact lenses can cost significantly more than standard contacts; in fact, it is not uncommon for scleral contacts to cost three or four times more than standard lenses.

Gas permeable (GP) lenses specialized for ortho-k are inserted at bedtime and worn as you sleep. Throughout the night, the lenses reshape your cornea gently so that your vision becomes clear on the following morning. The correction is temporary, and ideally no eyeglasses or contact lenses will be needed on the next day or two. In order to maintain sharp visual acuity on a daily basis, you need to wear the ortho-k reshaping lenses every night.

Candidates for Ortho-K

Ortho-k is very suitable for nearsighted people who are not appropriate candidates for vision correction surgery, such as children. Individuals of all ages with healthy eyes can try ortho-k, namely because it can be discontinued at any point without permanent effects to the eyes.

People who require vision correction and engage regularly in sports or work in extremely dusty, dirty environments will also appreciate the convenience of ortho-k.

Orthokeratology for Myopia Control

Evidence suggests nearsighted kids who undergo several years of orthokeratology may end up with less myopia as adults, compared with children who wear eyeglasses or regular contact lenses during the peak years for myopia progression. Studies have found that Ortho-K can slow the progression of nearsightedness up to 50% in some cases. For example, a child whose prescription is -1.00 at the age of six may expect to be a -7.50 by the age of 17, whereas, with treatment his/her prescription may only be a -3.25. Why does this matter? As nearsightedness increases the risk for retinal detachment, cataracts, and glaucoma increase. There are also limitations on how much nearsightedness can be corrected with laser surgery. Sometimes a person can have too much nearsightedness to be a candidate for refractive surgery.

Vision Results from Ortho-k

Success rates for ortho-k are generally higher for more mild vision prescriptions. The ideal goal is to provide 20/20 vision without any need for eyeglasses or contacts during the day.

According to FDA trials more than 65% of ortho-k patients were provided with 20/20 visual acuity. A whopping number of more than 90% of ortho-k patients achieved 20/40 vision or better (this is the legal requirement for driving without vision correction in most states). Consult with your eye doctor to find out if your vision prescription is within range for successful ortho-k treatment.

Note that although improvement in vision is generally reported within a day or two of wearing ortho-k overnight, the full effects may not be experienced until the lenses are worn for a few weeks. During this transition period, your vision will probably not be as crisp as it was with regular contacts or eyeglasses, and glare or halos around lights may be visible. Until ortho-k works fully, a temporary pair of eyeglasses may be required for specific actions, such as driving at night.

How Does Ortho-k Feel?

Although some people have trouble wearing regular gas permeable contact lenses during the day, ortho-k GP lenses are worn while sleeping – so discomfort and awareness of the lenses in your eyes is generally not an issue.

Is Ortho-k expensive?

Professional fitting for ortho-k requires a series of visits to your eye doctor. A number of pairs of contact lenses are also generally needed. GP lenses that are special for ortho-k are more costly than standard contacts. In sum, the fees for ortho-k add up to a higher total than regular contact lenses.

LASIK after Ortho-k

Refractive surgeries, such as LASIK, are possible after treatment with ortho-k lenses. Yet because ortho-k works to reshape your cornea, you are required to stop wearing the lenses for several months before undergoing LASIK. This allows your eyes to return to their original shape.

It’s important to inform your LASIK surgeon if you’ve been wearing ortho-k lenses, and you will be advised as to how long of a wait is necessary before having the laser procedure.