Developing a Strategy for Lens Selection

Sep 8, 2022
5 min read

I saw a new, adult patient recently who was interested in trying soft contact lenses for the first time. His prescription was spherical, mildly myopic, and non-presbyopic in both eyes. In my practice, I am fortunate to have access to fitting sets from all four major manufacturers, so for this patient the options seemed to be essentially endless.

With so many options, it can feel daunting to determine the “best” contact lens to initially choose for a patient.

Contact lens considerations

I often hear other doctors or student interns rationalize a lens choice because they personally prefer that lens brand. While personal experience is important, some patients prefer certain brands over others, and it may not always be the brand you like for your own eyes. In a perfect world, there would be large, randomized clinical trials that would compare all of the lens brands to one another and tell us which lens is the best choice for different kinds of patients.

Unfortunately, those types of clinical trials don’t really exist. We typically rely on reports comparing two to four lens brands/modalities to one another or studies that report on the performance of one brand. While this evidence is meaningful, it can still leave a clinician wondering how to make the best lens choice for the patient, especially when you consider that personal and lifestyle factors also play a major role in the success a patient has with a lens brand or modality.

Winning strategy for lens selection

We have to develop a strategy, therefore, to select contact lenses for our patients. While this process can sometimes feel somewhat non-scientific and random, you can practice a step-wise approach that lends reason and rationale to your lens selection.