We offer a wide selection of contact lenses including disposable soft contact, bifocal/multifocal, toric, and colored lenses. Whether you wear daily, weekly or monthly disposables, or conventional (vial) lenses, we have a selection of lenses that fit your needs.
A good contact lens fit starts with a thorough eye exam to ensure the most up-to-date prescription and rule out any pre-existing conditions that could interfere with contact lens wear.
Dr. Ruiz will determine the best fitting lens based on your lifestyle needs, the shape and health of your eye. In most cases, you’ll have the opportunity to try lenses on the same day as your exam. You can even go home with a few samples before making a final decision.
We follow up the initial fitting and then make any necessary changes in fit or materials to get you the best possible fit. Our trained staff will teach all our patients proper contact lens care and also possible consequences if proper care is not taken. Then we continue with long-term follow-up to monitor the condition of the lenses and to ensure that proper hygiene is being maintained.
Bifocal and Multifocal Contact Lenses
If you are over 40 and have difficulty seeing close up, you probably have a common age-related condition called presbyopia which is when the eye’s natural lens loses the ability to focus on close objects. Presbyopia is a natural process that occurs as the eye ages and affects the majority of people from age 40 and upward. Individuals with presbyopia are often familiar with the need to hold reading materials such as newspapers an arm’s length away from their eyes in order to see clearly, yet reading glasses with bifocal or multifocal (such as progressive) lenses can help.
Fortunately for those who don’t like the look, feel or inconvenience of reading glasses, there is another option. Bifocal and multifocal lenses are also available in contact lenses in both soft and Rigid Gas Permeable (RGP) varieties.
Multifocal contact lenses give you added freedom over glasses and they allow you to be able to view any direction – up, down and to the sides – with similar vision. People wearing progressive lenses in glasses on the other hand have to look over their glasses if they want to view upwards or into the distance.
Multifocal contact lenses are generally designed in one of two ways, as either simultaneous vision lenses or alternating vision lenses.
Simultaneous Vision Lenses
The most popular version of multifocal contact lenses, simultaneous vision lenses present the distance and near vision zones of the lens at the same time. Typically after a short adjustment period your eyes learn to utilize the segment of the lens that they need to focus on the desired object and essentially ignore the other.
Translating or Alternating Vision lenses
Similar to bifocal eyeglass lenses, these contacts are divided into distinct areas or zones and your pupil will move to the desired zone depending on your vision needs. Typically the top of the lens, which is what you look through when looking straight ahead is for distance vision and the bottom area (what you look through when you look down) is for near vision. However, this can be reversed according to unique vision needs.
An Alternative Option to Multifocal Contact Lenses: Monovision
Monovision is another contact lens alternative for presbyopia particularly if you are having difficulty adapting to multifocal lenses. Monovision splits your distance and near vision between your eyes, using your dominant eye for distance vision and your non-dominant eye for near vision.
Typically you will use single vision lenses in each eye however sometimes the dominant eye will use a single vision lens while a multifocal lens will be used in the other eye for intermediate and near vision. This is called modified monovision. Dr. Ruiz will perform a test to determine which type of lens is best suited for each eye and optimal vision.
Are Contact Lenses Right for You?
If you have presbyopia, contact lenses may be a great option for you. Many people prefer the look and convenience of contact lenses over traditional reading glasses. We can talk about the options available to you.
Gas Permeable (GP) Contact Lenses
Gas Permeable (GP) or Rigid Gas Permeable (RGP) contact lenses are an alternative to soft contact lenses that are made from a hard, oxygen permeable material. GP lenses are currently less popular than soft lenses but offer a number of advantages and are continuing to improve as research and technology advance.
GP contacts are made of a firm plastic material which allows the passage of oxygen through the lens to your cornea and the front surface of your eye – essentially allowing your eye to “breathe”. This increases comfort, health and safety during contact lens wear.
Benefits of GP or RGP Contact Lenses
Because of the strong material and the ability to diffuse oxygen, GP lenses offer a number of advantages over soft contact lenses.
Health and Hygiene Benefits:
Unlike soft lenses, GPs don’t contain water which makes them less likely to attract and breed bacteria that can cause eye infections. Further protein deposits won’t build up on the lens, keeping them cleaner and healthier.
Because they are made with a strong durable material, GP lenses won’t tear and are easy to clean and disinfect. RGPs maintain their firm shape and will not dehydrate. Further GPs last longer than soft lenses – when cared for properly, a pair can last a year or more.
GP contact lenses are custom made for each patient based on the eye’s individual curvature, size, corneal shape. Their ability to transmit oxygen reduces eye problems such as dry eyes caused by reduced oxygen that are common in many brands of soft lenses or hard (non-GP) lenses.
GP lenses have a smaller diameter than soft contacts, meaning that they cover less of the surface of your eye. While this may take some time getting used to initially, ultimately many find that they are just as if not more comfortable than soft contacts.
Due to the rigid material, GPs have a smooth surface and maintain their shape, moving along with the eye to hold their place. This provides sharp and stable vision. Further they do not dehydrate, which is often a cause for reduced vision with other lenses.
Because they last so long, GPs are much more cost effective than soft lenses, especially disposable lenses that require a constant supply. Because they are made to order, there is an initial cost investment and they will take up to a week to manufacture if you do need a replacement pair.
GPs for Astigmatism
GP lenses are ideal for individuals with astigmatism that may have been told that they cannot wear soft contacts. Because of the rigid nature of the lens, they hold their shape on the eye allowing for more clear and stable vision correction.
Adapting to GP lenses
One of the downsides of GP contact lenses is that they require an adaptation period, particularly if you are used to soft lenses with a larger diameter. One of the major differences is an experience of “lens awareness” in which you feel the edge of the lens when you blink. It could take up to a few weeks to get used to the lenses but many people report that after this initial period they find that GP lenses are just as if not more comfortable than soft lens varieties.
GP Lenses for Myopia Control and Ortho-K
Research shows that gas permeable lenses might be effective in slowing the progression or worsening of myopia or nearsightedness, particularly in children. They are also used in Orthokeratology (ortho-k), a vision correcting procedure in which you wear the lenses at night to reshape your cornea for improved vision during the day.
Contact Lenses for the “Hard-to-Fit” Patient
It is not uncommon for patients to have difficulty wearing contact lenses for a number of reasons. Due to the individual eye shape, certain conditions or impairments or the aftermath of surgery, some patients are considered to be “hard to fit” as contact lens wearers.
For hard to fit patients that prefer to wear contact lenses however, there are options available that can provide comfortable and effective contact lens wear. This will require a specialized fitting with Dr. Ruiz who is an expert that knows your condition and the various products available to find the right match for your specific condition. You may be considered a hard to fit contact lens candidate if you have one of the following conditions:
Dry Eyes and Contact Lenses
Dry Eye Syndrome causes your eyes to feel dry, gritty, burning, red, and irritated. Dry Eye Syndrome can also cause blurred vision. Often these symptoms can sometimes worsen by the use of contacts. In fact, many people who do not normally suffer from chronic dry eyes, will experience some of these symptoms as a result of contact lens wear.
First of all, if you have chronic dry eyes, you should see your eye doctor for treatment and relief before you think about contact lenses. Once your dry eyes are treated, it is safe to try contacts and there are a number of options that can be considered.
Many brands of soft contacts and products such as disinfectant and cleansing solutions are made with ingredients that are designed to be more comfortable for individuals with dry eyes. Your eye doctor will be able to recommend some of these brands and products to you. Alternatively, gas permeable (GP) or rigid gas permeable (RGP) lenses are made with a hard material that in some cases does not dry out like soft lenses and they are able to hold a certain amount of moisture beneath the lens to keep the eye from drying out. Gas permeable lenses are a very good option and can be quite comfortable for individuals with dry eyes.
Additionally, Dr. Ruiz might recommend a specific wearing schedule such as limiting the time you wear your contacts throughout the day or replacing your contacts on a more frequent basis.
Toric Lenses for Astigmatism Recommended By Dr. Ruiz
Astigmatism is a condition that causes blurred vision (in some cases double vision) because rather than being round, the front of the eye (the cornea) has two curves instead of one, therefore, having two focal points instead of one. This makes it hard for traditional contact lenses to fit and therefore requires specialized contact lenses such as toric lenses or rigid gas permeable lenses (RGPs).
Toric contact lenses are designed to correct astigmatism and custom made to fit the eye of the patient. Most are made of soft material designed to stay in place on the eye, however in some cases, when the rotation of the lens (due to blinking and eye movement) can’t be stopped, gas permeable lenses might be tried. Due to the customization and more complicated fitting process required for these lenses, they are more expensive and take more time for the contact lens laboratory to make than traditional lenses.
Giant Papillary Conjunctivitis (GPC) and Contact Lenses
GPC is a type of conjunctivitis in which the inner surface of the eyelid becomes swollen. The condition can be caused or worsened by a buildup of protein deposits on contact lenses. Your eye doctor may either recommend daily disposable lenses or RGP lenses (which are not water based) and therefore do not have a tendency for protein buildup. Dr. Ruiz may also prescribe medicated eye drops and require you to stop the use of contact lenses until the symptoms improve.
Rigid Gas Permeable (RGP) or Gas Permeable (GP) Lenses
Rigid Gas Permeable (RGP) also known as Gas Permeable (GP) lenses are effective for many hard to fit patients. The hard, oxygen permeable material lets the eye breathe and significantly reduces the chance of infection due to protein deposits which tend to harbor bacteria on soft lenses. RGPs also hold moisture under the lens to keep eyes from drying out.
Rigid Gas Permeable (RGP) Lenses for Keratoconus
Keratoconus is a condition in which the cornea thins and bulges forward into a cone shape. Traditional contact lenses may cause some discomfort in these patients and the vision may still be blurry therefore RGPs are often used for treatment for mild, moderate, and some severe cases. Rigid gas permeable lenses may help to slow down the cone shape from worsening in some cases. Further, RGPs are able to assist in vision correction for keratoconus which is often not possible with soft contacts or even eyeglasses.
Post-LASIK or Vision Correction (Refractive) Surgery
While LASIK surgery has a very high success rate, there are vision complications and symptoms that sometimes remain. Night vision after LASIK, in particular, can sometimes give you side effects such as glare or halos around lights. RGPs are often effective in helping with these side effects and restoring clear vision.
Bifocal and Multifocal Contact Lenses for Presbyopia
Presbyopia is a common condition in those people usually over 40 years old in which the eyes’ ability to focus on close objects is impaired. Many people keep a pair of bifocal or multifocal glasses on hand for times when they have to read menus, newspapers, books, and other objects that require near vision. For those that prefer contact lenses over eyeglasses, bifocal and multifocal contact lenses are an option.
For some patients that have presbyopia and need correction for distance vision as well, one option is monovision. Monovision is a contact lens fitting process in which you wear a contact lens in one eye for distance vision and the other contact lens of your other eye for near vision. Another option is multifocal contact lenses. In this contact lens fitting process, both eyes are usually fit for distance vision and both eyes are used for near at the same time. Both contact lens fitting options usually take about one week for the brain and the eyes to adjust.
If you have one of these conditions or find contact lens wear difficult for another reason, please tell us. As technology improves there are more and more options for hard to fit contact lens patients to benefit from the comfort and convenience of contact lens use.
Toric Contact Lenses for Astigmatism
Astigmatism is a condition that is caused by an irregular shape of the cornea – the clear part of the eye that covers the iris and the pupil. The cornea is usually smooth, round, and spherical but in an astigmatic eye, the cornea turns into a shape that is not spherical and develops a second curve. One of the primary duties of the cornea is to focus light onto the retina which enables you to see clearly. When the cornea is out of shape and develops two curves, this created two focal points therefore causing blurred vision.
The irregular shape of the eye makes it hard for traditional contact lenses to fit and provide clear vision and therefore requires specialized contact lenses such as toric lenses or rigid gas permeable lenses (RGPs).
What are Toric Contact Lenses?
Toric contact lenses are designed to correct astigmatism and custom made to fit the eye of the patient. Rather than having a perfectly spherical surface like standard contact lenses, toric lenses have a more oblong shape made to accommodate the shape of the astigmatic eye. Toric lenses can be made of either soft or rigid gas permeable (RGP or GP) lens material, however the soft toric lenses are more common.
Toric contact lenses are also designed in such a way that the lenses stay in place on the eye to maintain proper vision. Sometimes as the eye moves or blinks the lens can rotate considerably on the eye. If this rotation continues with a soft toric lens, a rigid gas permeable lens might be more effective. Rigid gas permeable lenses have a longer initial adjustment time, but once this has passed they are usually just as comfortable as soft contact lenses and they are often easier to care for.
Toric lenses are available in every wearing schedule from daily disposable to long-term wear. In some cases you may even find colored toric contact lenses. Due to the customization required, toric lenses tend to be more expensive and may take more laboratory time to make than traditional lenses.
If you have astigmatism, finding the right fit for your contact lenses is essential. Speak to Dr. Ruiz today for a full assessment to determine which type of toric lenses will work best for you to help you see and feel your best.
Eye Exams for Contact Lenses
Contact lenses are a great alternative to wearing eyeglasses. An often unknown fact is that not all patients wear contact lenses as their primary source of vision correction. Each patient is different, with some patients wearing contact lenses only on weekends, special occasions or just for sports. That is the beauty of contact lens wear, the flexibility it gives each individual patient and their lifestyle.
If you decide to opt for contact lens wear, it is very important that the lenses fit properly and comfortably and that you understand contact lens safety and hygiene. A contact lens exam will include both a comprehensive eye exam to check your overall eye health, your general vision prescription and then a contact lens consultation and measurement to determine the proper lens fit.
The Importance of a Comprehensive Eye Exam
Whether or not you have vision problems, it is important to have your eyes examined regularly to ensure they are healthy and that there are no signs of a developing eye condition. A comprehensive eye exam will check the general health of your eyes as well as the quality of your vision. During this exam Dr. Ruiz will determine your prescription for eyeglasses, however this prescription alone is not sufficient for contact lenses. The doctor may also check for any eye health issues that could interfere with the comfort and success of contact lens wear.
The Contact Lens Consultation
The contact lens industry is always developing new innovations to make contacts more comfortable, convenient and accessible. Therefore, one of the initial steps in a contact lens consultation is to discuss with your eye doctor some lifestyle and health considerations that could impact the type of contacts that suit you best.
Some of the options to consider are whether you would prefer daily disposables or monthly disposable lenses, as well as soft versus rigid gas permeable (GP) lenses. If you have any particular eye conditions, such as astigmatism or dry eye syndrome, Dr. Ruiz might have specific recommendations for the right type or brand for your optimal comfort and vision needs.
Now is the time to tell Dr. Ruiz if you would like to consider colored contact lenses as well. If you are over 40 and experience problems seeing small print, for which you need bifocals to see close objects, your eye doctor may recommend multifocal lenses or a combination of multifocal and monovision lenses to correct your unique vision needs.
Contact Lens Fitting
One size does not fit all when it comes to contact lenses. Your eye doctor will need to take some measurements to properly fit your contact lenses. Contact lenses that do not fit properly could cause discomfort, blurry vision or even damage the eye. Here are some of the measurements your eye doctor will take for a contact lens fitting:
In order to assure that the fitting curve of the lens properly fits the curve of your eye, your doctor will measure the curvature of the cornea or front surface of the eye. The curvature is measured with an instrument called a keratometer to determine the appropriate curve for your contact lenses. If you have astigmatism, the curvature of your cornea is not perfectly round and therefore a “toric” lens, which is designed specifically for an eye with astigmatism, would be fit to provide the best vision and lens fit. In certain cases your eye doctor may decide to measure your cornea in greater detail with a mapping of the corneal surface called corneal topography.
Pupil or Iris Size
Your eye doctor may measure the size of your pupil or your iris (the colored area of your eye) with an instrument called a biomicroscope or slit lamp or manually with a ruler or card. This measurement is especially important if you are considering specialized lenses such as Gas Permeable (GP) contacts.
Tear Film Evaluation
One of the most common problems affecting contact lens wear is dry eyes. If the lenses are not kept adequately hydrated and moist, they will become uncomfortable and your eyes will feel dry, irritated and itchy. Particularly if you have dry eye syndrome, your doctor will want to make sure that you have a sufficient tear film to keep the lenses moist and comfortable, otherwise, contact lenses may not be a suitable vision option.
A tear film evaluation is performed by the doctor by putting a drop of liquid dye on your eye and then viewing your tears with a slit lamp or by placing a special strip of paper under the lid to absorb the tears to see how much moisture is produced. If your tear film is weak, your eye doctor may recommend certain types of contact lenses that are more successful in maintaining moisture.
Contact Lens Trial and Prescription
After deciding which pair of lenses could work best with your eyes, Dr. Ruiz may have you try on a pair of lenses to confirm the fit and comfort before finalizing and ordering your lenses. Dr. Ruiz would insert the lenses and keep them in for 15-20 minutes before examining the fit, movement and tearing in your eye. If after the fitting, the lenses appear to be a good fit, Dr. Ruiz will order the lenses for you. He will also provide care and hygiene instructions including how to insert and remove your lenses, how long to wear them and how to store them if relevant.
Your eye doctor may request that you schedule a follow-up appointment to check that your contact lenses are fitting properly and that your eyes are adjusting properly. If you are experiencing discomfort or dryness in your eyes you should visit your eye doctor as soon as possible. Your eye doctor may decide to try a different lens, a different contact lens disinfecting solution or to try an adjustment in your wearing schedule.
Daily Disposable Contact Lenses
Proper contact lens care can be a daunting task for many. Making sure that you, or your children, are using the right contact lens solution, in the right amount and changing it every day, as well as sticking to your doctor recommended replacement schedule every 2 weeks to a month, is a burden that most are not ready to handle. As a matter of fact, recent studies reveal that as few as 2% of all contact lens wearers actually clean and store their contact lenses as they are supposed to. As a result, the majority of people wearing rigid gas permeable or bi-weekly and monthly disposable contacts, expose their eyes daily to a host of harmful bacteria that can grow on their lenses over time and cause serious eye infections that have the potential to do severe damage to their eyes, up to and including total blindness.
Fortunately, a significantly safer contact lens alternative does exist – daily disposable contact lenses.
With daily disposable contact lenses, you are able to experience crystal clear vision every day, without the worry or stress of proper storage and cleaning. Simply throw today’s pair away before bed, and enjoy the benefits and comfort of a brand new, clean, crisp pair of contact lenses the very next morning. Contact lens-related infections and eye conditions that result from improper cleaning and storage are a thing of the past. Now, you can enjoy the simple pleasures of crisp, clean, comfortable vision at the start of every day.
Another important advantage of daily disposable contact lenses is that there is no longer a need for you to worry about being forgetful when it comes to your contact lens replacement schedule. Many people are not aware of the extent of damage that can be done when contact lenses are not changed for a clean, new pair on time. Wearing of contact lenses until they become uncomfortable to wear, and then switching them out, is an all-too-common and very damaging practice. Most people are unaware that by the time their contact lenses feel uncomfortable on the eye, serious damage may have already been done. With daily disposables, if you can remember that every morning starts with a new pair, then you’re set.
Daily contact lenses are a great way to start enjoying stress-free, crystal clear vision every day. For more information, and to find out if daily disposable contact lenses are right for you, contact your Killeen Vision Source at (254) 634-7805 today!