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Have You Gone Soft?
In discussing contact lens options with patients, I am often asked "What is the best lens
currently available?" The answer to this question of course, depends on the specific criteria
that we are trying to satisfy for the individual. For example, what is the best car on the
market today? Would a Ferrari be the obvious choice? Although a Ferrari is an incredible car,
a parent of five would hardly consider this the best choice of vehicles since it will not
satisfy the necessary criteria. In a similar fashion, there is no single type of contact
lens that is the "best" for everyone.
The two main types of contact lenses are soft and rigid. Soft lenses encompass many different
types but they all have one thing in common. Some percentage of the lens is made up of
water, which is what gives the plastic its floppy flexible characteristics. Rigid lenses on
the other hand are rigid because there is no water in the lens. The rigid lenses of today
should not be confused with the hard lenses of twenty-five years ago, and to the contrary are
in fact representative of the most technologically advanced lenses to date. In this country,
the national statistics show that approximately nine out of every ten contact lens wearers
are wearing soft lenses. This statistic is actually rather unfortunate since many current
soft contact lens wearers could be more appropriately and better served by wearing a rigid
lens but for any one of a number of reasons might feel that this would not work for them.
The main apprehension that seems to be associated with rigid lenses is the erroneous
assumption that since the lens is rigid, it must be painful. Unfortunately, it is a poor
choice of words in that "soft" sounds much more comfortable than "rigid" when in fact, the
comfort of a contact lens has nothing to do with the flexibility of the lens material. I
have personally refit many soft lens wearers into rigid lenses and have heard these people
comment that the rigid lenses were just as comfortable as their previous soft lenses. Of
course these individuals appreciated many other benefits from their rigid lenses and
preferred them greatly to their soft lenses. They will not return to soft lens wear again.
So you might be wondering what some of the advantages rigid lenses have compared with soft
lenses. Crisp vision is best achieved with rigid lenses. Astigmatism is better corrected
with a rigid lens also contributing to sharper vision. Handling is much easier since the
rigid lenses don’t flex you can’t put them on inside out - a common problem with soft lenses.
They are also much simpler to take care of with respect to maintenance. They tend to
stabilize the prescription from continued worsening and can even be used to reduce the
prescription though OrthoKeratology. Although the initial sensation of the lens is greater
(because it is smaller than a soft lens) the long term comfort is actually better than with
a soft lens. This is due to several reasons but are not due to the single common mistaken
belief that you develop a callous on your eye. Rigid lenses also do not dry out like soft
lenses since there is no water contained in them. Many people who suffered with dry eye
symptoms due to their soft lenses drying out, have had a rigid lens come to the rescue to
provide them with more comfortable contact lens wear.
Perhaps one of the most important features of rigid lenses is that they are healthier since
they let more oxygen get to the eye while also not accumulating as much debris, mucous,
bacteria and protein like soft lenses. Additionally, rigid lenses are custom designed,
manufactured and fit to your eyes to ensure that the lenses provide the very best vision,
comfort and health possible. All of these benefits typically have people then asking what
it is all going to cost, yet much to their surprise, the long-term costs are significantly
less than soft lenses. Whether a current soft lens wearer, former hard lens failure, or
contact lens failure in general, rigid oxygen permeable lenses may hold the key to your
great contact lens wearing success.
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