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Types of lenses

There are 3 types of soft lenses :

  • Traditional soft lenses
  • Lenses with frequent renewal
  • Daily lenses

Traditional soft lenses

  • Their frequency of renewal is annual.
  • They allow the correction of all visual defects and are manufactured for parameters that cover a wide range including high power.
  • The major disadvantage is the progressive fouling by the proteins of the tears, source of more frequent infectious and allergic complications, than in lenses with frequent renewal: this fouling induces a decrease of the comfort as the aging of the lens.

Lenses with frequent renewal

  • Their renewal frequency is two weeks, one month or three months.
  • The more frequent the renewal, the lower the risk of allergy and discomfort related to deposits.
  • Lenses with frequent renewal can correct all types of visual defects: myopic, hyperopic, astigmatic and more recently presbyopes.
  • Some lenses with frequent renewal have been approved for continuous wear night and day, for a duration of up to 4 weeks. However, continuous wear should only be done with the consent of your ophthalmologist and under strict medical supervision.

Daily disposable lenses

  • A disposable daily lens is for single use and should not be reused. It does not require any maintenance.
  • A daily lens is a lens having a life of one day. It is thrown away every night after daily use.
  • Its advantage lies in the fact that it is a new lens, clean and sterile at each port, so it will be more comfortable and will have fewer risks of infection and allergies through the absence of deposits and cleaning products.
  • The daily lenses are the indication of choice during the occasional wearing or the practice of a sport by a holder of rigid lenses.
  • The main drawback is the limited choice in power and radius of curvature.

Their Material

  • During the 1970s, hydrophilic soft lenses (containing 38 to 72% water) appeared in plastic material in annual renewal.
  • In the 80s / 90s appeared the soft lenses hydrogel with frequent renewal followed by daily disposables.
  • Then in 1999 appeared the first lenses with high oxygen permeability, the Silicone-hydrogel which was an important technological advance in the evolution of soft lens material for a better respect of the physiology of the cornea, they exist in any type of frequent and daily renewal.

Limitations of the indication of soft lenses

  • In cases of major vision defects, greater than 10 diopters, visual results are often inferior to those obtained with rigid lenses.
  • Irregular corneas (by wound, surgery or keratoconus) can not obtain a good view with soft lenses, it is in rigid lenses permeable to oxygen or scleral lenses that must be adapted.

A rigid lens is characterized by:

  • Its material: PMMA (polymethylmethcrylate) or family of fluo-siloxane-methacrylates whose silicone component gives a very good oxygen permeability and therefore less risk of hypoxia.
  • Its geometry: Sphero-aspheric, Aspheric, Toric
  • Its diameter: there are several diameters adapted to each case
  • Its radius of curvature, the choice of which will depend on the shape of the cornea
  • Its power: there is a wide choice of power

Having a wide choice of material and models allows your ophthalmologist a personalized adaptation.

Particularity of the rigid lens compared to the flexible

There exists under the rigid lens a meniscus of tear corresponding to a layer of the tear film posterior to the contact lens essential to the corneal metabolism, it is 10 times more important under the LR than under the LS. LR allows better oxygenation of the cornea.
Infections and allergies are much less common in rigid lenses than in soft lenses.

They are indicated for:

  • Children because they provide better safety and physiological respect of the cornea
  • Strong ametropia and rigid lenses give better visual quality than soft lenses
  • Lacrimal dryness (air conditioning, at work on screen, smoky atmospheres, hot air)
  • Progressive intolerance to soft lenses, patients “at the end of soft”
  • Irregular Cornea (Keratoconus / Post Graft / Post Lasik / Post Traumatic)
  • Continuous wearing up to 30 days possible: the rigid lenses respect the ocular physiology, they do not cause lack of oxygen (acute or chronic), which makes it possible to propose some rigid lenses in prolonged port (day and night) in certain special cases.

The limits of rigid lenses

  • Occasional Wear
  • The lack of motivation because more difficult to bear in the beginning compared to soft lenses.
  • NO ! the colored lens is not a beauty accessory, it can not be bought in perfumery or other beauty space!
  • NO ! Lenses are not lent between girlfriends for an evening, the risk of infection related to germs carried by the lens is very important, the AIDS virus has, for example, was found in small amounts in the tears of infected people .
  • Yes ! the colored lens is a medical device subject to the same rules of prudence and hygiene rules as all other soft lenses.
  • Yes! Colored lenses require the same care as all lenses: rigorous hygiene is essential.
  • Yes ! it requires adaptation in his ophthalmologist as for other soft lenses.
  • Colored lenses will be delivered by your optician and on medical prescription.
  • Colored lenses can be flat (that is, without optical correction) for those who do not need it and want to wear lenses only for aesthetic reasons, but they also correct myopic, hyperopic and astigmatism.

Unlike other so-called contact lenses, scleral lenses are larger in diameter, do not rest on the cornea but on the sclera (the “white” of the eye), less sensitive and less fragile.

This avoids direct contact with the cornea, which is protected by a reservoir of liquid (physiological saline), This allows a constant hydration and oxygenation of the cornea, promoting healing and maintaining a constant level of hydration and therefore greater than any other tear substitute.

They are indicated in pathologies of the ocular surface for which the therapies usually proposed remain rare and often ineffective:

  • Neurotrophic keratitis
  • Stevens Johnson’s case,
  • rosacea
  • Severe eye dryness

They are indicated in corneal surface abnormalities that can not be corrected by glasses or other types of lenses:

  • keratoconus,
  • Cornea Plana,
  • Very important irregular astigmatism
    • Post transplant,
    • Post refractive surgery or
    • Post traumatic.