One of the almost inevitable effects of aging is a condition called presbyopia. If you find that you can only read the newspaper if you hold it at arm’s length or have trouble reading the labels on medicine bottles, then you’re probably suffering from the gradual decline in the ability to focus on objects that are closer than arm’s length. If you thought that your only option was bifocal glasses, think again! Advances in the contact lens industry have made it possible for you to wear bifocal contact lenses – and no one has to know.
The traditional eye correction treatment for presbyopia is bifocal glasses – glasses that combine both a prescription for nearsightedness and one for farsightedness in one lens. Bifocal contact lenses are made the same way. They are soft contact lenses designed to float on the surface of your cornea and correct both vision problems in one of several ways. Your eye care provider can help you decide on the best option for your particular eye care needs.
Translating bifocal contact lenses
Translating lenses are the closest to traditional bifocals, with the near and far prescriptions in distinctly separate areas. Usually the prescription for near vision is at the bottom of the lens and the one for far at the top, but occasionally the doctor may reverse the prescription for special needs.
In addition, some people need a third correction, and all three lens strengths will be combined in one lens. These lenses work well for most people who need correction for nearsightedness, but the lens needs to be able to move easily on the surface of the cornea. This can be a problem for people with large pupils or drooping eyelids.
Annular bifocal contact lenses
For those with small pupils, or those whose vision needs very little correction, there are annular bifocal contact lenses. Rather than separating the prescriptions into two distinct areas, annular lenses have the prescriptions arranged in concentric rings around the center of the lens. Your doctor will help decide the exact placement of the rings. As with translating lenses, you’ll learn to focus through the part of the lens most appropriate for the needs of a task.
Aspherical bifocal contact lenses
In these lenses, the prescription areas of the contact lens are placed near the center of the eye. It’s the most like natural vision, where your eyes ignore far objects when doing near work, and reverse that when focusing on objects in the distance.
Monovision fitted contact lenses
Technically speaking, these aren’t bifocal lenses. Instead, one eye wears a prescription for nearsightedness and the other for farsightedness. While it may take a bit of practice, your eyes will get used to focusing on the tasks you’re doing with the appropriate eye.
Hybrid bifocal contact lenses
With hybrid bifocals, your doctor fits one eye with a bifocal lens and the other with a prescription for a stronger need. Like monovision lenses, your eyes will use the right eye for the right task.
All of these types of lenses are increasingly available as both disposable and extended wear lenses, or as rigid gas permeable lenses. If you find that you just aren’t seeing as well as you used to, have a chat with your eye care professional to find out if bifocal contact lenses are right for you.