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What Are Hard To Fit Patients?

At our Newport News Optometric practice we see patients all the time who are classified as hard to fit. A hard to fit contact lens patient is someone who has had trouble in the past wearing contacts. There are many reasons why this may have been the case, some of the most common reasons are:

  • Corneal Irregularity
  • Astigmatism
  • Keratoconus
  • Keratoglobus
  • Giant Papillary Conjunctivitis (GPC)
  • Severe Dry Eyes
  • Presbyopia
  • Post-LASIK or other refractive surgery
  • Pellucid Marginal Degeneration

Can A Hard To Fit Patient Wear Contact Lenses?

The short answer is in most situations YES, however since most eye doctors are not trained in specialized lenses such as Scleral Lenses, a hard to fit patient should see an eye doctor that specializes in fitting hard to fit patients and has the technology that is needed to correctly fit specialty contacts.

The advances in contact lens technology have created a lot of potential for many different types of people to wear contact lenses. Some of the most innovative contact lenses for hard to fit patients include:

Scleral Lenses

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These large diameter contacts rest on the sclera or the white part of your eye which means that they exert less pressure and are more comfortable. Because of their design they are particularly comfortable for patients with severe dry eyes and Keratoconus.

  • Clearer vision.
  • Longer Lifespan when compared to other contact lens constructions.
  • Easier handling.
  • Less risk of complications.
  • More comfortable.
  • More stable on the eye.

Types Of Contact Lenses

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Hybrid Contact Lenses

Hybrid contact lenses provide a combination of rigid gas permeable lenses in the middle (vaulted for Keratoconus patients) combined with soft lenses on the periphery. More comfortable especially for Dry eyes sufferers.

  • Clearer vision.
  • More stability.
  • Less chance of dirt or dust under the contact.
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Gas Permeable Contacts

The latest Rigid Gas Permeable contact lenses have the highest oxygen permeability allowing for increased comfort over traditional lenses. Since they don't change shape when blinking, wearers report sharper vision over soft contacts.

Unlike soft contacts RGP contact lenses do take time to get used to for comfort. These contacts also have a longer lifespan in comparison to other contact constructions.

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Toric Contact Lenses

Toric Lenses are specially designed custom contact lenses for people with high astigmatism. They are available in Gas Permeable, Soft, and Hybrid design. Due to the level of customization these lenses and fittings are pricier than traditional.

  • They use a meridian system based on your unique eyes to provide custom power based on the exact needs of your eyes.
  • Designed to maintain proper position on your eye.
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Custom Soft Contacts

In some cases our eye doctor may recommend custom soft contacts for patients with Keratoconus.

Those who enjoy the visual acuity of Scleral lenses or GP lenses however find that the level of comfort is still not doable.

While not a first choice for patients with Keratoconus, in some cases a custom soft contact may be the best alternative.

Contact Lenses For Dry Eyes

dry eye doc chalkWith so many people working in front of a computer all day, our eye doctor sees patients regularly who want to continue to wear contact lenses, however find that their eyes are drying out and uncomfortable.

The first step for our eye doctor is to determine the root cause for the discomfort. During the contact lens exam/eye exam our eye doctor will analyze various elements to determine if the cause is the contact lens or other sources such as MGD.

If the culprit is contact lenses our eye doctor will discuss the many available options for dry eyes sufferers such as GP lenses and soft contacts that are designed specifically for the dry eyes sufferer.

Why Choose N2 Eyes For your Contact Lens Exam? compress image (45)While choosing an Optometrist for your contact lens exam/fitting for most patients is pretty easy, for the hard to fit patient that is not always the case. Many Optometrists don’t have the equipment or the experience fitting hard to fit patients.

There are so many innovations in the contact lens industry that what may have been a cutting edge contact lens for Keratoconus 5 years ago when the doctor was in school, is no longer considered a good choice. In addition many of the most advanced contact lenses require specialized equipment that is not available at your average optometric practice.

Dr. Cassis is passionate about hard to fit contacts, ask her about Scleral lenses….and you will see just how much she loves the topic. She is a member of the leading organizations in her field and regularly attends seminars on the latest innovations in contact lens technology.

Call Us! 757-337-4544 Schedule A Contact Lens Exam



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