This article was originally released on October 22, 2022. It has been updated for 2024.
The last few years have continued to see expansion in the soft contact lens market. Specifically, we are seeing more options in the “specialty” soft categories—astigmatic and presbyopic options. In late 2022, CooperVision expanded the parameters of MyDay toric by almost 70%, providing most astigmatic patients with a premium silicone hydrogel daily disposable option.1
We have also seen new multifocal options come to market, like Bausch + Lomb’s daily disposable INFUSE,2 Alcon’s monthly replacement TOTAL30,3 and Acuvue MAX Multifocal,8 offering more multifocal options to the majority of contact lens wearers in the presbyopic age range.
When considering what is new in the soft contact lens space, it is important for eye care providers to consider what might be new to them. It’s easy to get into a prescribing rut and reach for the same (possibly older or dated) option out of habit.
Have the newer options listed below found their way into your practice? Have you trialed a “new to you” astigmatic lens on a patient recently? Have you made yourself familiar with a multifocal that is a different design than your “go to” option?
One of my favorite things about the contact lens space is that it is always changing and evolving. Consider the new options listed here and push yourself to also evolve in order to meet the visual needs of your patients.
The value of daily disposable soft contact lenses
I recently had a patient who was quite happy in their current daily disposable contact lenses ask, “Is there anything new I can try?” I love it when a patient asks me a version of this question.
It indicates that this particular patient might be an “early adopter,” someone who tends to embrace new technology before the rest of the general population. I’d also like to think my patients ask me this question because I have consistently offered them new and updated product options in the past.
One of the best things about the contact lens market is that it is always evolving and advancing. So, in the soft contact lens world, what are some of the newest and most exciting improvements and options we can offer our patients?
Daily disposable soft contact lenses continue to be increasingly prescribed by eyecare providers (ECPs) and embraced by patients. Almost 50% of all soft prescriptions worldwide are for daily disposable options.4 This is likely, in part, due to the increased number of brand options, price points, and parameters available.
Outlining the choices for patients with astigmatism
Notably, in the last few years, Bausch + Lomb launched a new silicone hydrogel daily option called INFUSE, and Alcon expanded their toric daily disposable options into two price categories by launching Precision1 and Dailies Total1 with astigmatic parameters.
Both of these Alcon products boast the manufacturer’s unique water gradient material design, which enhances comfort and oxygen permeability. With the continued expansion of the daily disposable category, for single vision soft contact lens wearers, there is almost no reason to not prescribe a daily disposable.
Nearly every parameter is now available for patients with spherical and/or mild to moderate astigmatic prescriptions in a daily disposable option. As well, most manufacturers offer daily disposable product options at various price points, making this modality more accessible to patients, regardless of budget.
What are my options for presbyopic patients?
Presbyopes present a challenge to ECPs because they have high visual and comfort demands. A daily disposable option is often the best for comfort, but it needs to be paired with excellent multifocal optics in order to satisfy the unique visual needs of a presbyopic contact lens wearer.
With the expansion of daily disposable parameters, we’ve seen more presbyopic options in the multifocal category. We know that presbyopes prefer multifocal designs to monovision options in most instances, so ECPs should strive to fit their presbyopes with a multifocal and daily disposable whenever possible.5,6
The ability of modern multifocals to correct vision at all distances for presbyopic soft contact lens wearers is continuously showing improvement. New multifocal options include CooperVision’s MyDay multifocal, which launched with the largest range of parameters of any daily disposable multifocal option.7
In 2022, Johnson & Johnson Vision debuted 1-Day ACUVUE Oasys MAX multifocal, which utilizes the pupil-optimized design initiated in 1-Day ACUVUE Moist and improves the Oasys material’s ability to stabilize the tear film.
This development was achieved with Tearstable technology, including the Optiblue blue-violet filter to refine vision quality at all distances.8 These upgraded material and optical features are also available in a single vision option the ACUVUE Oasys MAX.
Treating myopia progression with soft contact lenses
Interest in myopia management is also on the rise, and our product options and evidence to support the practice of controlling myopia progression keep improving.
The FDA approval of CooperVision’s MiSight, a daily disposable multifocal soft contact lens specifically for the management of myopia progression, was an exciting development in late 2019.9 Additionally, their power expansion to cover up to -10.00 D earlier this year allows ECPs to prescribe the lenses for even more patients.10
Visioneering Techonologies, Inc. (VTI) also introduced the MyPath program, which provides educational resources for ECPs interested in initiating myopia management in their practice.11
While not a soft lens advancement, Johnson & Johnson Vision announced the FDA approval of ACUVUE Abiliti, the newest orthokeratology lens approved for myopia management.12 These FDA approvals add legitimacy to our practice of controlling myopia progression and ensure that there will be more developments in the years to come.
Going above and beyond
Even when our patients are “happy” with whatever lens brand or modality they are wearing, it is important to think about what new options have arisen since their last visit and what new products they may benefit from trying. We practice at a time when many “happy” patients feel like they can forgo their annual eye exam and order contact lenses online.
By offering these patients new options, updated products, and vision and comfort solutions to problems they may not even be aware they have, you impart extra value on their annual visit to your office.
Take the initiative–you don’t need to wait for an early adopter to ask you about what’s new in the contact lens world, you can make it a habit to offer the latest and greatest to every patient you see.
Financial Disclosure: Dr. Rueff is a Professional Affairs Consultant for Johnson & Johnson Vision, Inc.
Note: This article has been corrected to clarify that the ACUVUE Abiliti lens is the newest, not the first, orthokeratology lens approved by the FDA for myopia management.
