Secrets to Multifocal Fitting Success 

  1. Create realistic expectations. Make sure patients know your goal is to provide a balance of acceptable and functional vision for both near and far, but it is possible that neither will be completely perfect again.
  2. Discuss what vision distances are most critical. Prescribe accordingly to best suit individual needs and fine-tune for near, distant, or intermediate vision.
  3. Explain that the patient’s vision has forever changed. Make sure each patient understands their vision is never going to be exactly as it was when they were younger because they now have multiple prescriptions. Assure them you will get them to functional vision based on the reality of their general eye health, ability to adapt, and age.
  4. Patience, patience! Adjusting to MFLs (especially torics) takes time. This may be the most critical thing for success. Patients, doctors, and staff should be equally committed to sticking with the lenses until they realize their full potential. Neuroadaptation could last up to six months so patients shouldn’t give up until the lens technology has been given a chance to work as it’s designed to do.
  5. Stay enthusiastic about the benefits that MFL lenses provide. Be proactive in anticipating your patients’ concerns and make sure your whole practice shares your positive, attentive attitude.Presbyopia is one of the fastest growing segments in the contact lens industry.  An estimated one million current contact lens wearers become presbyopic each year and roughly 45% are astigmatic. As these lens wearers experience more difficulty focusing at near, they’re also faced with fewer toric contact lens options. ECPs who can successfully help these patients find an acceptable alternative stand to tap into a hugely underserved and profitable market.


Fitting the astigmatic presbyope in multifocal contact lenses (MFLs) has traditionally been difficult due to poor rotational stability. They were also hard to reproduce and took too long to deliver to the patient. The ASTERAâ„¢ Multifocal Toric from Alden Optical has proven to be a game changer, combining C2â„¢ multifocal optics developed by Precilens in Europe with Alden’s own Dual Elliptical Stabilizationâ„¢ (DES). The result is clear and stable vision at all distances with custom parameter capability.

The C2 optics provide stabilized near and distance zones along with large spherical zones to ensure minimal visual compromise. There are also three add profiles, which allows ECPs to fit a wider range of patients. Alden’s DES technology continues to provide faster rotational alignment, improved orientation, superior rotational stability, and reduced lens thickness. Lenses can be created with virtually any base curve and diameter, and Alden guarantees order fulfillment in just three days.

Quick turnaround time is essential to any ECP’s success. “There aren’t a lot of manufacturers of toric multifocals,” Richard Chute, OD, from Victor, NY, says. “Prior to using the ASTERA Multifocal Toric, we waited two or three weeks to get trials to our patients. And the fitting process would go on for up to two months. With ASTERA, fitting takes just one to two weeks and we’re getting great results.” Chute says his patients have seen impressive improvements to their nighttime distance vision and they’re troubled a lot less by shadowing and glare, enabling them to see road signs easier at night. “Everyone says how comfortable they are, too, from the morning to the end of the day,” Dr. Chute adds.

ASTERA has made fitting MFL torics easier than ever before. Highly satisfied MFL CL wearers are great word-of-mouth referrers, so mastering the art of fitting and prescribing ASTERA Multifocal Torics is a great way to ensure your practice stays busy””and profitable!

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*Please add 2-3 days for prosthetics and enhancement tints. Alden Optical, ASTERA, EZ-Exchange, NovaKone, and Zeniens are trademarks or registered trademarks of Alden Optical Laboratories.



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