Hyperopic patients, for the most part, obtain sharper visual optics with a center-near design as with Bausch + Lomb’s PureVision2 Multifocals.
ACUVUE OASYS Brand Contact Lenses for PRESBYOPIA from Johnson & Johnson Vision Care offers a center-distance design.

New options are available in the multifocal arena that will help wearers see better.

Dependable contact lenses for presbyopes are emerging in the industry as the demand for simultaneous distance and near correction increases. Today’s presbyopes now have the option of multifocal or monovision lenses if they want help in their efforts to ditch reading glasses.

Practitioners are leaning toward multifocal versus monovision lenses to provide binocular vision and overall better visual success. Luckily, multiple presbyopic options are available, including daily disposables, planned disposables, higher DK values for optimal health, and thinner lens designs for better comfort. Options also come in soft contact lenses, gas permeable (GP), or hybrid designs.

Thanks to their ease of fitting and high level of initial comfort, practitioners often turn to soft multifocal lenses. These lenses typically employ a center-near aspheric design with the exceptions of Johnson & Johnson Vision Care, Inc.’s ACUVUE OASYS Brand Contact Lenses for PRESBYOPIA, which offer a center-distance design, and CooperVision’s Proclear and Biofinity multifocal lenses, which feature a D lens (center distance) for the dominant eye and an N lens (center near) for the non-dominant eye.

Hyperopic patients, for the most part, obtain sharper visual optics with a center-near design, as offered by Alcon’s DAILIES AquaComfort Plus Multifocal lenses, and by the PureVision2 Multifocal by Bausch + Lomb, which have a 3-Zone Progressive design that improves near, intermediate, and distance vision. Myopes achieve better success with center-distance designs or combination distance and near designs. With recent demands for disposables, manufacturers now offer multifocals in daily, two-week, and monthly modalities.

Presbyopes will find superb vision in GP’s translating/segmented, aspheric, and concentric designs. GP manufacturing labs advocate combination aspheric-concentric designs for optimal vision, especially now with the availability of higher add powers in this modality. Translating designs are primarily chosen for individuals requesting uninterrupted distance and near vision, and for patients with large pupils (greater than 6mm).

These offer the clarity of a gas permeable product with peripheral lens comfort provided by the soft lens skirt. SynergEyes now offers Duette Progressive, a hybrid CL for astigmatism and presbyopia, which features a high Dk design and SoftCushionâ„¢ Comfort Technology. The straightforward fitting approach leads to improved first lens experiences and more successful patient outcomes.

With the variety of multifocal lenses out there, practitioners should be able to effortlessly find a suitable option for each patient. Assessing the patient’s hobbies, work environment, and previous wearing history will lead to the best success and increased patient referrals to the office.

Anar Maurya specializes in fitting specialty contact lenses at Woodhams Eye Clinic in Atlanta, GA.


Alcon Laboratories, Inc. •800-451-3937 •

Bausch + Lomb •800-828-9030 •

CooperVision, Inc. •800-341-2020 •

Johnson & Johnson Vision Care, Inc. •800-843-2020 •

SynergEyes, Inc. •877-SEE-2012 •


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