Contact Lenses:
Types of Contacts
Confused about contacts? Advances in contact lens technologies have
created many options in addition to hard and soft lenses. Today,
contact lenses are likely to be described in one or several of the
following ways.
By their
prescribed wearing period: The time that the lenses are left in the
eyes.
- Daily
Wear (Up to 18 hours)
-
Extended Wear (For overnight use, up to seven days)
By their
replacement schedule: The time interval for replacing lenses.
-
Planned - (Frequent replacement: 1 month, 1-2 weeks; daily
disposable)
-
Unplanned, or Conventional Replacement - (No specific time schedule
before lenses are replaced)
By the
type of vision correction for which they are designed:
-
Spherical (For near- or farsightedness -- myopia or hypermetropia)
- Toric
(For astigmatism)
-
Bifocals (For presbyopia)
By the
type of tint they have:
- Tinted
to improve handling only
- Tinted
to enhance your eye color (For light-color eyes)
- Tinted
to change your eye color (Opaque tints for light or dark eyes)
- Clear
- without tints
Of
course, contact lenses are also still described by the basic type of
material of which they are made.
- Soft
(hydrophilic)
- Rigid
Gas Permeable
By Wearing
Period
Daily Wear: Lenses prescribed for daily wear are to be worn
only during waking hours, usually up to a maximum of 18 hours. Daily
wear lenses are removed at night and cleaned and disinfected after
each removal.
Extended Wear: Extended wear
lenses may be worn on an overnight basis for up to seven consecutive
days (six nights). You should wear your lenses on an extended wear
basis only on the advice of your optometrist.
Extended
wear lenses generally have a higher water content or thinner center
thickness than other lenses and permit more oxygen to reach the eye.
However, their use has been linked to a higher incidence of eye
problems. Extended wear lenses need to be cleaned and disinfected at
recommended intervals or discarded after use.
By
Replacement Period
Contact lens are often prescribed with a specific replacement schedule
suitable to your specific needs. Planned (or Frequent) Replacement
contacts are disposed of and replaced with a new pair according to a
planned schedule. Unplanned replacement lenses (often called
conventional lenses) are not replaced according to a pre-determined
schedule. They are typically used for as long as they remain
undamaged, usually around 12 months for soft lenses.
Why
replace lenses frequently?
Almost immediately after they are inserted, contact lenses begin
attracting deposits of proteins and lipids. Accumulated deposits, even
with routine lens care, begin to erode the performance of your
contacts and create a situation that presents a greater risk to your
eye health.
A
specific replacement schedule helps to prevent problems before they
might occur. Contact lens wearers, in turn, enjoy the added comfort,
convenience and health benefits of a planned replacement program.
Planned replacement lenses are generally a thinner design or are made
of different, more fragile materials with a higher water content than
unplanned replacement or conventional contact lenses.
Based on
a complete assessment of your needs, a prescription for planned
replacement lenses may call for replacement:
-
Quarterly,
-
Monthly
- Every
1-2 weeks
- Daily
Except
for daily disposables, planned replacement lenses require cleaning and
disinfection after each period of wear unless they are discarded
immediately upon removal. Planned replacement lenses can be worn as
daily wear -- removed before sleep -- or as extended wear, if
recommended by your practitioner.
By Type of
Vision Correction Required
Contact lenses may be identified by the type of refractive error they
are designed to correct.
-
Spherical contact lenses for nearsightedness (myopia) and
farsightedness (hypermetropia);
- Toric
contact lenses for astigmatism;
-
Bifocal lenses for presbyopia, the loss of ability to focus on
reading or close-up activities.
As an
alternative to special bifocal contact lenses, many practitioners use
a system called monovision where one eye is fitted with a distance
lens and the other with a reading lens. Approximately two-thirds of
patients adapt to this type of contact lens wear.
By Type of
Tint
Contact lenses may be described as clear or tinted. Tints are used to
make lenses more visible during handling, or for therapeutic or
cosmetic reasons. Tints can enhance eye color, or change it
altogether.
Three
categories of tinted contact lenses are available.
-
Cosmetic enhancement tints are translucent and are designed to
enhance your natural eye color. They are best for light-colored eyes
(blues, greens, light hazel or grays). When wearing these tints, the
color of your eye is a blend of the lens tint and your natural eye
color and iris pattern.
- Opaque
or "cosmetic" tints change the color of your eyes whether they are
dark or light. The pattern on the lens, which is colored, overlies
the colored part of your eye, resulting in a color with a natural
look.
-
Visibility tints are very pale, colored just enough to make the
contact lens visible while you are handling it. They usually have no
effect on eye color.
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