Fitting Retinal Disease Patients

Contact Lenses
3 tips for optimizing vision and comfort

By: Ryan McKinnis, OD, FAAO

Optometric Management March 2, 2026 Vol 61, Issue March-April 2026 Page(s): 24

Clinical Report: Fitting Retinal Disease Patients

Overview

This report outlines strategies for optimizing contact lens fitting in patients with retinal diseases. Key considerations include confirming retinal stability, understanding visual deficits, and selecting appropriate lens materials and designs to enhance comfort and vision.

Background

Fitting contact lenses in patients with retinal disease presents unique challenges due to potential fluctuations in retinal function and associated visual deficits. Understanding the interplay between retinal health and contact lens wear is crucial for achieving optimal patient outcomes. This topic is particularly relevant as the prevalence of retinal diseases continues to rise, necessitating effective management strategies.

Data Highlights

No numerical data available in the source material.

Key Findings

Confirm retinal stability before fitting contact lenses, ideally waiting 2-3 months post-stabilization.
Patients with peripheral retinal disease may benefit from standard soft lenses that optimize central vision.
High-DK silicone hydrogel or daily disposable lenses are recommended for patients with ocular surface disease.
Rigid gas permeable (RGP) or scleral lenses are suitable for patients with irregular astigmatism or corneal distortion.
Training for lens insertion and removal may require additional time for older patients or those with dexterity concerns.

Clinical Implications

Clinicians should prioritize confirming retinal stability and understanding the patient's visual experience when fitting contact lenses. Selecting the appropriate lens material and design can significantly enhance comfort and visual outcomes for patients with retinal disease.

Conclusion

A structured approach to contact lens fitting in retinal disease patients can improve both clinical outcomes and patient satisfaction. Ongoing communication and support are essential throughout the fitting process.

PentaVision

Optometric Management