BCLA CLEAR Presbyopia: Management with contact lenses and spectacles

Abstract

This paper seeks to outline the history, market situation, clinical management and product performance related to the correction of presbyopia with both contact lenses and spectacles. The history of the development of various optical forms of presbyopic correction are reviewed, and an overview is presented of the current market status of contact lenses and spectacles. Clinical considerations in the fitting and aftercare of presbyopic contact lens and spectacle lens wearers are presented, with general recommendations for best practice. Current options for contact lens correction of presbyopia include soft simultaneous, rigid translating and rigid simultaneous designs, in addition to monovision. Spectacle options include single vision lenses, bifocal lenses and a range of progressive addition lenses. The comparative performance of both contact lens and spectacle lens options is presented. With a significant proportion of the global population now being presbyopic, this overview is particularly timely and is designed to act as a guide for researchers, industry and eyecare practitioners alike. Abbreviations

1. CLDEQ-8 (Contact lens dry eye questionnaire)

2. COZD (Central optical zone diameter)

3. ECP (Eye care professional)

4. EDOF (Extended depth of focus)

5. PAL (Progressive addition lens)

6. PEG (Polyethylene glycol)

7. UK (United Kingdom)

8. USA (United States of America)
   

Keywords

1. Age

2. Bifocal spectacles

3. Monovision

4. Presbyopia

5. Presbyopic contact lenses

6. Presbyopia management

7. Progressive addition lenses

8. Rigid translating contact lenses

9. Rigid simultaneous contact lenses

10. Soft simultaneous contact lenses
    

1 Overall purpose

Almost two billion people are currently presbyopic [1], and this figure is set to grow as populations live longer. At the same time, people are working until later in life (and therefore deeper into presbyopia) and typical work and home settings in many parts of the world are more visually complex and demanding than for previous generations with the almost universal use of digital devices. In this context, the optimum correction of presbyopia is of key importance to successful human life and this report has been designed to provide an overview and to explore evidence for various considerations related to the two most widely adopted approaches: contact lenses and spectacle lenses. For both of these main interventions, history and market information are presented and issues related to clinical management, product performance and future directions are described. Full Research Article: https://www.contactlensjournal.com/article/S1367-0484(24)00050-X/fulltext