



Types of Contact Lenses:
Modern contact lenses fall into two categories: soft
lenses that are made from water-containing plastics, and GP
or "oxygen permeable" rigid contact lenses.
Contact lenses may also be classified by wearing
schedule. Daily wear lenses must be removed, cleaned and
stored each night, while extended wear contact lenses are
made from materials which are safe for sleep. You may also
have heard of "continuous wear" contact lenses, a type of
extended wear that can be worn for up to 30 days.
Various lens designs are available for different vision
problems. Spherical contact lenses correct nearsightedness
or farsightedness and are indicated by a minus or plus in
your prescription, respectively. Bifocal contact lenses are
similar to multifocal eyeglasses in that they use different
optical zones to correct presbyopia (the decreased ability
to see at both near and far distances). Toric contact lenses
correct astigmatism, which can accompany either
nearsightedness or farsightedness.
Bifocal Contact Lenses
provide clear vision and varying distances
Colored Contact
Lenses give your
eyes a subtle or dramatic change
Disposable Contact
Lenses enable a
healthier wearing experience
Extended Wear
Contact Lenses
for safe overnight wear or naps
Gas Permeable (GP)
Contact Lenses
for the ultimate in crisp vision
Silicone Hydrogel
Contacts transmit
more oxygen to your eyes
Toric Contact
Lenses provide
good vision if you have astigmatism
Bifocal contact lenses are designed to provide good
vision to people who have a condition called presbyopia.
The main sign that you're developing presbyopia is that
you need to hold menus, newspapers and other reading
material farther from your eyes in order to see it clearly.
Bifocal contact lenses come in both soft materials and
rigid gas permeable (GP) materials. Some can be worn on a
disposable basis. That means you have the convenience of
throwing the lenses out at specified intervals (even daily,
in some cases) and replacing them with fresh, new lenses.
Colored contact lenses come in three kinds: visibility
tints, enhancement tints, and opaque color tints.
Many of these colored contact lenses are available in
plano form, as well as in designs for people who have
astigmatism, need bifocals, or want a disposable contact
lens.
A visibility tint is usually a light blue or green
tint added to a lens, just to help you see it better during
insertion and removal, or if you drop it. Since it's a very
light tint, it does not affect your eye color.
An enhancement tint is a solid but translucent
(see-through) tint that is a little darker than a visibility
tint. An enhancement tint does change your eye color. As the
name implies, it's meant to enhance the existing color of
your eyes. These types of tints are usually best for people
who have light colored eyes and want to make their eye color
more intense.
Color tints are deeper, opaque tints that can
change your eye color completely. Usually they are made of
patterns of solid colors. If you have dark eyes, you'll need
this type of color contact lens to change your eye color.
Color contacts come in a wide variety of colors, including
hazel, green, blue, violet, amethyst and gray.
The companies that make colored contact lenses have gone
all out to mimic the natural look of the colored portion of
the eye. Since this area is made up of colorful shapes and
lines, some color contacts feature a series of tiny colored
dots on the lens to make them look more natural on the eye.
But the center of the lens, the part that lies over your
pupil, is clear so you can see.
Costume or theatrical contact lenses also fall into the
category of opaque color tints. Long used in the movies (one
example is The Man Who Fell to Earth), these
special-effect contact lenses are now widely available for
novelty use and can temporarily transform the wearer into an
alien or jaguar, among others.
Disposable contacts are worn for a specific period of
time, then thrown out and replaced with fresh lenses.
Disposables have become the most common type of contact
lenses.
Many eye care practitioners and consumers prefer
disposable contacts for their health and convenience
benefits.
What Are Disposable Contact Lenses?
You need to understand the terminology:
-
Disposable lenses =
replaced every two weeks, or sooner
-
Frequent replacement
lenses = replaced monthly or quarterly
-
Traditional (reusable)
lenses = replaced every six months or longer
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The term "disposable" often refers to both disposable and
frequent replacement lenses.
Replacement Schedule vs. Wearing Schedule
A common source of confusion about contact lenses
involves replacement and removal intervals:
-
Replacement schedule refers to how often your lenses are
discarded and replaced — that is, whether they are
disposable, frequent replacement or reusable.
- Wearing
schedule refers to how often you remove your contacts (but
don't necessarily discard and replace them). Daily wear
means you remove them each night. Extended wear means you
sleep in them.
Disposable contacts can be prescribed either for daily
wear or extended wear, depending on your eye physiology and
needs.
Extended wear contact lenses may be the right option for
you if you would like to wake up each day with clear vision.
Contact lenses are available for two different wear
schedules:
- daily
wear (you remove them before sleeping)
- extended
wear (you leave them in overnight)
In the United States, the FDA has approved some contact
lenses for daily wear only and others for extended wear.
Extended wear lenses allow more oxygen to reach your cornea.
Most extended wear lenses are FDA approved to be worn
without removal for up to seven days. A newer type of soft
contact lens material, silicone hydrogel, is considered
"super-permeable," and some lenses made from this material
are approved for up to 30 days of wear without removal.
Also, some gas permeable lenses can be worn for up to a
month at a time. This 30-day type of extended wear lens
sometimes is called "continuous wear."
After recent improvements in design and materials, these
lenses now can be worn safely for the full 30 days for those
who can tolerate them. Even if you don't feel comfortable
wearing the lenses for the full time period, you still can
change them out at extended wear intervals that best suit
you.
Soft contact lenses are most common, but there is another
lesser-known category of contact lens materials: gas
permeable (GP) contact lenses, also known as RGPs, rigid gas
permeable, or oxygen permeable lenses.
GP contact lenses are rigid, but they shouldn't be
confused with old-style "hard" contact lenses, which are now
obsolete. Hard contact lenses were made of a material known
as PMMA. Before 1971, when soft contact lenses were
introduced, just about all contact lenses were made from
PMMA.
The problem with PMMA lenses is that they are difficult
to get used to and somewhat uncomfortable to wear. Also,
PMMA does not allow oxygen to pass through it, and healthy
eyes need plenty of oxygen.
A new generation of "super-permeable" contact lenses can
transmit unprecedented amounts of oxygen to your cornea and,
in some cases, enable 30 consecutive days of wear without
removal.
Silicone hydrogel contact lenses represent a breakthrough
over traditional hydrogel soft contact lenses, because
silicone lets so much oxygen (essential for a healthy
cornea) pass through the lens. "We're talking about lenses
that breathe six to seven times more oxygen than previous
lenses," says P. Douglas Becherer, OD, former chairman of
the American Optometric Association's Contact Lens and
Cornea Section.
Silicone hydrogel contact lenses have caught on with both
wearers and eye care practitioners. By 2009, silicone
hydrogel lenses are expected to account for 60 percent of
U.S. soft contact lens sales (in dollars), according to
equity research firm Robert W. Baird & Co.
Toric contact lenses are made from the same materials as
regular ("spherical") contact lenses, so they can be either
soft or RGP. The difference is in the design of the lens.
Toric lenses have two powers in them, created with
curvatures at different angles (one for astigmatism, the
other for either myopia or hyperopia). There's also a
mechanism to keep the contact lens relatively stable on the
eye when you blink or look around. To provide crisp vision,
toric contact lenses cannot rotate on your eye.
Toric Contact Lens Cost
Properly fitting a toric lens takes more of your eyecare
practitioner’s time and requires more expertise than regular
contacts. Consequently you can expect that a fitting for
torics will be more expensive than a regular contact lens
fitting. The lenses themselves also cost more than spherical
lenses.