Contacts for astigmatism and multifocal contact lenses: yes, you can wear contacts
Astigmatism and reading glasses used to rule contacts out. Not anymore. Here's how toric and multifocal lenses work, and who they suit.
Two groups of people still believe they can't wear contacts: those with astigmatism, and those over 40 who've started needing readers. Both were true twenty years ago. Neither is true now.
Astigmatism: toric lenses
Astigmatism means the front of the eye is shaped more like a spoon than a ball, so light focuses at two different points and everything is slightly smeared. A toric contact lens has different powers in different directions, and it's weighted so it settles in the correct orientation on the eye and stays there through blinks.
Modern torics come in daily disposables, monthlies and, for very high astigmatism, custom designs. The fitting takes a little more precision than a standard lens, because the lens has to sit at exactly the right angle, so we check it on the eye and adjust. Most people with astigmatism can wear them comfortably.
Over 40: multifocal contacts
Once near vision starts to go, you have three options in contacts:
- Multifocal contacts put distance and near power in the same lens, in rings or zones, and your brain learns to use the right one. Newer designs are dramatically better than the early ones, and many people never go back to readers.
- Monovision corrects one eye for distance and the other for near. It suits some people well and drives others crazy; we try it before committing.
- Distance contacts plus readers for the phone and menus. Simple, and still a good option.
There are also multifocal toric lenses for people who need both.
What to expect at the fitting
A contact lens exam measures your prescription and the shape of your eye, then we put trial lenses on and check how they sit, move and feel. You take them home for a week, come back, and we fine-tune. If you're new to contacts, we also teach you insertion and removal at your own pace. Here's the full walkthrough.
Honest expectations
Torics may need a few days for your eyes to settle. Multifocals trade a little crispness at extremes for freedom from readers; most people find the trade worth it, some don't, and we'll tell you which camp you're likely in before you buy a year's supply.
Book a contact lens exam in Rochester Hills at (248) 375-0040. VSP and most vision plans cover the exam and fitting.
20/20 Vision is an independent optometry practice and designer eyewear boutique at 3110 Walton Blvd, Rochester Hills, MI 48309, serving Rochester Hills, Rochester, Oakland Township, Auburn Hills and Troy since 1980. Eye exams with Dr. David Dolan, OD. In-network with VSP.