Do Multifocal Contacts Work? What to Expect

Multifocal contact lenses help individuals see clearly at multiple distances. They address presbyopia, a common age-related condition that makes it difficult for the eye to focus on close-up objects. These lenses offer a convenient alternative to traditional eyeglasses for many experiencing this natural vision change.

Understanding Multifocal Contact Lenses

Multifocal contact lenses incorporate multiple prescription strengths into a single lens. This design allows for clear vision at various distances, including near, intermediate, and far. Unlike traditional single-vision lenses, which correct only one range of vision, multifocal lenses provide a seamless transition between focal points.

These lenses use strategic arrangements of optical zones with differing powers across the surface. Some designs use concentric rings, while others feature aspheric designs that blend multiple prescriptions gradually. The brain learns to select the appropriate focus from these multiple images, allowing the wearer to see objects clearly whether close by or far away.

Ideal Candidates for Multifocal Contacts

Ideal candidates for multifocal contact lenses are those experiencing presbyopia, which usually begins around age 40. These lenses are particularly beneficial for those who wish to reduce reliance on reading glasses or switching between different eyewear. A willingness to adapt to a new way of seeing and realistic expectations about the visual outcome are important for success.

Candidates often have healthy eyes and an active lifestyle. While prior contact lens experience can be helpful, it is not a strict requirement. Some designs are also available for individuals with astigmatism, broadening the pool of potential wearers.

The Adjustment Period and Expectations

Adapting to multifocal contact lenses involves an adjustment period, as the eyes and brain learn to interpret visual information from the different zones within the lens. Wearers might experience initial blurriness, particularly at intermediate or far distances. Other common visual disturbances include glare or halos around lights, especially in low-light conditions or at night.

Some individuals may notice ghosting or a slight reduction in contrast sensitivity, which occurs because multiple focal points are projected onto the retina at once. Patience is important, as it can take several weeks for the brain to fully acclimate to the new visual experience. A proper fitting process with an eye care professional is important, as they determine the most suitable lens design and power to optimize vision and comfort.

Alternatives to Multifocal Contacts

Several alternative vision correction options exist to address presbyopia for individuals for whom multifocal contact lenses are not suitable. One common approach is monovision, where one eye is corrected for distance vision and the other for near vision using single-vision contact lenses. This method requires the brain to adapt to using each eye for different tasks.

Another alternative involves wearing single-vision contact lenses for distance correction and supplementing them with over-the-counter reading glasses for close-up tasks. Progressive eyeglasses, similar to multifocal contacts but worn on the face, offer a gradual transition of power for distance, intermediate, and near vision. For those seeking a more permanent solution, vision correction surgeries, such as refractive lens exchange, can address presbyopia by replacing the eye’s natural lens with an artificial multifocal or extended depth of focus intraocular lens.