Are Rigid Gas Permeable Contacts Old-Fashioned?

There are many contact lens choices. At Westside Optometry we will prescribe the best lens for you, your eyes and your lifestyle.

RGP, Soft, Hybrid, Scleral
RGP, Soft, Hybrid, Scleral

The majority of contact lenses prescribed are soft lenses. Within this large category of lens are daily disposables, weekly and monthly replacement. Functional options include multifocals for presbyopia, torics for astigmatism and spherical lenses for hyperopia and myopia.
What happens if there is “a lot” of astigmatism, or astigmatism AND presbyopia or high myopia or high hyperopia? And what if the cornea has been altered by disease or refractive surgery?
Soft contact lenses can’t correct many of these conditions. That’s why there are other contact lens options. Gas Permeable (GP) contact lenses correct astigmatism, have stable crisp optics and are individually designed and manufactured. GP lenses provide more oxygen to the cornea than soft lenses. They last longer and are more durable providing a cost effective solution. Gas Permeables are available in high powers, multi-focals and special designs for irregular corneas.
Hybrids are a blend of soft and gas permeable lens designs. The center of the hybrid lens is gas permeable material and the perimeter is a silicone hydrogel material. This provides crisp optics of the GP and the comfort of a soft lens. The hybrid lenses are available in multifocals and special designs for post-LASIK and irregular corneas.

The majority of contact lens wearers use a soft contact lens, but gas permeable contacts  have many benefits and applications. Gas permeable contact lenses are not old-fashioned,  they have stood the test of time.

Types of Contact Lenses

RGP, Soft, Hybrid, Scleral
RGP, Soft, Hybrid, Scleral

At Westside Optometry we fit not only common soft contact lenses, but specialty lenses as well. In the class of soft contact lenses we are successful with daily use, 2 week and monthly replacement modalities. Within each replacement schedule are options such as designs for astigmatism and presbyopia and different  materials. Soft contacts work well for most people, but some people are very successful in rigid gas permeables (RGP).
RGPs are excellent for achieving crisp clear and stable vision. This is especially true of higher powers and astigmatic corneas. RGPs are custom designed so I can select material, color, size and power. They last on average, 2 years.
A few years ago we added the hybrid lenses to our repertoire. Hybrid lenses blend the crisp vision of RGPs and the comfort of soft lenses. They can correct most refractive errors, myopia, hyperopia, astigmatism and presbyopia. A Hybrid contact lens will last 6 months with proper care. CL profile
Newest to our arsenal of contact lenses are the scleral lenses. This is a very large, gas permeable lens that doesn’t touch the cornea. The lens rests on the sclera allowing correction for irregular corneas such as keratoconus and post-surgical eyes. Scleral lenses are also used as a treatment for extreme dry eyes.

Contact lenses are not a one size fits all, nor a one kind fits all. Different eyes require different lenses and different lenses require different care. When fitting the best contact lens for you, we also determine the best contact lens care regime to enhance your contact lens success.

Make an appointment for an eye examination online.

Bifocal Contact Lenses

I have attended 2 interactive evenings sponsored by 2 different contact lens manufacturers in the last 2 months. Both companies were promoting their soft multifocal contact lens products. Each lens type appears to offer something different.

I was able to gleen some tips that I think will improve patient success in the lenses. I am feeling more optimistic about soft multifocal contact lenses. A multifocal contact lens is designed to improve the close vision and make near tasks easier while wearing contact lenses. This is important for someone experiencing presbyopic changes and finding themselves pushing the newspaper farther away or reaching for reading glasses more frequently. The challenge with the lenses has been trying to achieve good near vision without decreasing the distance vision.

The other advantage of the newer multifocal contact lenses is they are available in the silicone hydrogel (sihy) material. The sihy material allows more oxygen to reach the cornea, less protein to deposit and better daily comfort.

To add to the excitement, a new daily use multifocal has just hit the market. I think this will help include the patients who wear their lenses intermittently or who can only wear a lens once because of comfort issues.

Click here to read more about the rigid gas permeable  multifocal contact lens designs.

Bifocal Contact Lenses

Yes, there is such as thing as bifocal contact lenses. Actually there are several different types of lenses. The rigid gas permeable multifocals provide the clearest, most stable vision. These lenses are custom designed and manufactured. Ocular health is excellent and so is the vision. Recent advancements in soft multifocals offer great comfort at most distances. The soft multifocal options include several different lens materials including the newer silicone hydrogel. They are also available for planned replacement, usually 2 weeks or 1 month, increasing convenience. Both types of contact lens multifocals minimize dependency on reading glasses.

A study published in the Optometry Visual Science journal showed that 7 out of 10 contact lens patients prefer multifocals over monovision.  Many people are successful in monovision, one eye corrected for distance and the other eye compromised for near tasks. But others struggle with the disparity between the eyes, especially driving at night and working at the computer.

Multifocal contact lenses are an alternative to monovision or using reading glasses over contact lenses.

The above pictures show some of the different rigid gas permeable multifocal options. Certain designs work better for particular tasks. For example a lens design emphasizing distance clarity is indicated if you do a lot of driving , but  if you spend most of the day in front of a computer screen you will need a lens with a large intermediate zone. If  bifocal contact lenses are something you would like to try, give the office a call or make sure to ask about it at your next visit.