Article Date: 6/1/2005

contact lens management
Progressive Toric Aimed at Boomers

New specialty lens helps you meet the needs of astigmatic presbyopes.

Many of the patients we fit with contact lenses when they were younger now either have, or will have near point difficulties, and want to remain in contact lenses. They want to maintain a youthful image, so they look to us for help in meeting their vision requirements with contact lenses. This presents certain challenges for patients, particularly for presbyopes with astigmatism, which becomes more problematic with age.

Always on the lookout

Since joining my practice in 1972, my associates and I have participated in the investigational trials of many contact lenses and solutions. Because we are always looking for new technologies to keep our presbyopic/astigmatic patients satisfied, I was pleased to be included in a 20-practice trial lens study for the new CIBASOFT Progressive Toric (CPT) lens in late 2004.

The CIBASOFT Progressive Toric, or CPT

Get in on a growth industry

According to industry studies, in the United States, presbyopes with 0.75 diopters of cylinder or greater account for 30% of the entire vision correction population. In fact, the presbyopic patient represents the largest growing segment, with more than 100 million people over the age of 45. Among that population, more than half are astigmats.

Success from the start

While there are other quality toric bifocal lens manufacturers in the industry, my results with them were fair at best, so I really enjoyed putting the CPT to the test.

To my pleasant surprise, the first 13 patients that I fit with the specialty CPT lens were success stories on the first try! When that happens, you become much more confident in trying the lens with other patients. Since then, I've tried the CPT lenses on more than 100 patients. We've had a success rate around 75% on the first try, and about 80% with a second.

It's my go-to lens

After several months, I've found that the CIBASOFT Progressive Toric lens works extremely well with patients who have low, as well as high astigmatism, giving them better near and intermediate vision without compromising distance. And my patients tell me that the quality of their vision is excellent with this lens.

I've also found the simplicity of fitting this lens to be an added bonus. Though I am not a fan of empirical fitting, the combination of factors, including the base curve radius, overall diameter, thickness and lens material ensures a well centering lens. Those of us who have worked with specialty multifocal lenses for some time know that no single design will meet everyone's needs. However, in my practice, the CPT has been a valuable addition as the lens of first choice to try on my astigmatic presbyopes.

Keep 'em satisfied

Like most optometric practices, we have more competition than ever before. Many practitioners may subconsciously believe that astigmatic presbyopes are uncommon. In reality, one of every two presbyopes that walk into an optometry practice could benefit from an astigmatic component in their correction.

I find that many of my patients are open to discussions about specialty lenses that meet their needs. When I find a lens that works as well as the CIBASOFT Progressive Toric, it's a welcome addition to my practice and helps me keep my patients coming back.

References available on request.




Optometric Management, Issue: June 2005