/ /

  • linkedin
  • Increase Font
  • Sharebar

    5 reasons ODs don’t fit toric contact lenses

    Here’s why these reasons no longer resonate


    Looking ahead

    While recent launches with expanded parameters and improved materials and lens wettability may help reduce industry-wide contact lens dropout, there are still unmet needs in the toric space, namely the multifocal market. A daily disposable toric multifocal design is much needed.

    It’s never been easier to fit astigmats with reduced chair time, improved vision with expanded parameters, and better comfort. Fitting with the Golden Rule will likely help you build patient loyalty and referrals. Provide the highest standard of care and potentially prevent dropouts by not missing opportunities to treat the ocular surface and refit patients into toric lenses to ensure happy patient and practice outcomes.

    Related: Embracing new contact lens technology


    1. Dumbleton K, Woods CA, Jones LW, Fonn D. The impact of contemporary contact lenses on contact lens discontinuation. Eye Contact Lens. 2013 Jan;39(1):93-9.

    2. Nichols, JJ. Contact Lenses 2016. CL Spectrum. Available at: http://www.clspectrum.com/issues/2017/january/contact-lenses-2016. Accessed 5/17/17.

    3. Richdale K, Berntsen DA, Mack CJ, Merchea MM, Barr JT. Visual acuity with spherical and toric soft contact lenses in low- to moderate-astigmatic eyes. Optom Vis Sci. 2007 Oct;84(10):969-75.

    4. Cox DJ, Banton T, Record S, Grabman JH, Hawkins RJ. Does Correcting Astigmatism with Toric Lenses Improve Driving Performance? Optom Vis Sci. 2015 Apr;92(4):404-11.

    5. Morgan PB, Efron N, Toshida H, Nichols JJ. An international analysis of contact lens compliance. Cont Lens Anterior Eye. 2011 Oct;34(5):223-8.

    6. Momeni-Moghaddam H, Naroo SA, Askarizadeh F, Tahmasebi F. Comparison of fitting stability of the different soft toric contact lenses. Cont Lens Anterior Eye. 2014 Oct;37(5):346-50.

    7. Boychev N, Laughton DS, Bharwani G, Ghuman H, Wolffsohn JS. How should initial fit inform soft contact lens prescribing. Cont Lens Anterior Eye. 2016 Jun;39(3):227-33. 

    8. Young G, Hunt C, Covey M. Clinical evaluation of factors influencing toric soft contact lens fit. Optom Vis Sci. 2002 Jan;79(1):11-9.

    9. Sulley A, Young G, Hunt C. Factors in the success of new contact lens wearers. Cont Lens Anterior Eye. 2017 Feb;40(1):15-24.

    10. Nichols JJ, Willcox MD, Bron AJ, Belmonte C, Ciolino JB, Craig JP, Dogru M, Foulks GN, Jones L, Nelson JD, Nichols KK, Purslow C, Schaumberg DA, Stapleton F, Sullivan DA; members of the TFOS International Workshop on Contact Lens Discomfort. The TFOS International Workshop on Contact Lens Discomfort: executive summary. Invest Ophthalmol Vis Sci. 2013 Oct 18;54(11):TFOS7-TFOS13.

    11. Lemp MA, Crews LA, Bron AJ, Foulks GN, Sullivan BD. Distribution of aqueous-deficient and evaporative dry eye in a clinic-based patient cohort: a retrospective study. Cornea. 2012 May;31(5):472-8.

    12. Johnson & Johnson Vision Care. Acuvue Oasys 1-Day for Astigmatism. Available at: https://www.acuvueprofessional.com/product/acuvue-oasys-1-day-for-astigm.... Accessed 5/17/17.

    Read more in our Toric Contact Lens Resource Center

    Charissa Young, OD, FAAO
    Charissa D. Young, OD, FAAO, practices in Seattle, WA. Dr. Young is interested in dry eye and specialty contact lenses. She is involved ...


    You must be signed in to leave a comment. Registering is fast and free!

    All comments must follow the ModernMedicine Network community rules and terms of use, and will be moderated. ModernMedicine reserves the right to use the comments we receive, in whole or in part,in any medium. See also the Terms of Use, Privacy Policy and Community FAQ.

    • No comments available

    Optometry Times A/V