The Best Contact Lenses of 2020 for Dry Eye & Astigmatism

Jul 14, 2020
5 min read
780 views

For those patients who experience both dry eyes and astigmatism, the concomitance of these two problems can cause discomfort with contact lens wear. Here are some of the best options for these patients.

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Dry eye and astigmatism are common ocular disorders, and for many people these conditions can often co-exist. In contact lens-wearing patients, the concomitancy of these issues can generally result in decreased contact lens comfort and reduced clarity of vision. There are, however, a multitude of contact lens options that are more optimally designed to help alleviate these symptoms. In this article, we will discuss a variety of contact lenses that have been shown to be popular lens options amongst prescribers and patients.

Best Daily Disposable Contact Lenses:

Tie #1: Acuvue® Oasys 1 Day for Astigmatism

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Image source: Johnson & Johnson Vision

eyelid-stabilization.jpg

Image source: Johnson & Johnson Vision

Lens Parameters:

  • Manufacturer: Johnson & Johnson
  • Material: Senofilcon A
  • Technology: HydraLuxeTM , Blink Stabilized®
  • Oxygen Transmission (Dk/t): 129 x 10-9
  • Water Content (%): 38

This lens has arguably become the most prescribed daily disposable lens for astigmatism on the market and has become a go-to lens for many prescribers. Through its eyelid-stabilized lens design, undesirable lens rotation is mitigated by the presence of 4 stabilization zones within the lens. This helps maintain position and clarity during blinking and reduces the chance of lens fallout. The Acuvue® Oasys 1 Day for Astigmatism lens also manages to retain moisture very well for longer periods of time due to its tear-infused Hydraluxe® technology. As a bonus feature, this lens also provides the largest range of axes available in a soft contact lens, making it an option for a larger scope of patients1.

Tie #2: MyDay® Toric

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Image source: CooperVision

Lens Parameters:

  • Manufacturer: Cooper Vision
  • Material: Senofilcon A
  • Technology: Smart Silicone™, & Optimized Toric Lens Geometry
  • Oxygen Transmission (Dk/t): 90
  • Water Content (%): 45

Another good option for a daily disposable toric lens is the MyDay® Toric from Cooper Vision. Many patients find that it is a worthwhile lens choice that meets their vision and comfort needs all while being hassle-free as a daily disposal. It is usually lower in cost as compared to the Acuvue® Oasys 1 Day for Astigmatism and thus may serve as a budget-friendly option for patients. The MyDay® toric’s design is based on optimized toric lens geometry, similar to the Biofinity® Toric, which is its monthly counterpart (more on this lens later). This design allows for a uniform horizontal ISO thickness, a smooth, continuous ballast, and a large toric optic zone, allowing for enhanced comfort and optimized vision, even during blinking2. Furthermore, the MyDay® toric is made with Smart Silicone™ chemistry, which uses a unique blend of hydrogel and silicone to enhance oxygen permeability. Currently, this lens contains only a 4.4% amount of silicone, making it one of the lowest percentages of silicone found in a silicone-hydrogel daily disposable lens3.

Best Bi-Weekly Contact Lens: Acuvue® Oasys for Astigmatism

acuvue-oasys.jpg

Image Source: Johnson & Johnson Vision

Lens Parameters:

  • Manufacturer: Johnson & Johnson
  • Material: Senofilcon A
  • Technology: Hydraclear® PLUS & Eyelid Stabilized®
  • Oxygen Transmission (Dk/t): 129 x 10-9
  • Water Content (%): 38

The Acuvue® Oasys for Astigmatism bi-weekly lens is an excellent option for patients who are expecting to wear lenses for an extended period of time. Similar to its dailies version (Acuvue® Oasys 1 Day for Astigmatism), they are the original lens to have been designed with eyelid stabilization and Hydraclear® technology4 and thus, can offer a similar level of comfort and quality of vision as the daily disposal.

Best Monthly Disposable Contact Lens: Biofinity® Toric & Biofinity® XR Toric

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Image source: CooperVision

Lens Parameters:

  • Manufacturer: Cooper Vision
  • Material: Comfilcon A
  • Technology: Aquaform®, & Optimised Toric Lens Geometry™
  • Oxygen Transmission (Dk/t): 116 Dk/t
  • Water Content (%): 48

The Biofinity® Toric would be the lens I would favor for patients in need of a monthly astigmatism corrective lens. It has consistently shown to be a reliable, long-wearing lens thanks to its Aquaform® technology, allowing it to have a high breathability and Dk value. As with the MyDay® Toric lens, this lens also utilizes optimized toric lens geometry, allowing for decreased rotation via its ballast toric design5.

Its extended range version, the Biofinity® XR Toric, further sets the Biofinity® Toric lens family apart from other monthly torics. The impressive range of powers available can allow for the successful fitting in patients with spherical powers ranging anywhere from +10.00 to -10.00D and cylinder powers from -2.75 onwards to -5.75D 6.

References:

  1. https://www.jnjvisionpro.com/products/acuvue-oasys-1-day-astigmatism
  2. https://coopervision.com/practitioner/our-products/myday-family/myday-toric https://coopervision.co.uk/practitioner/our-products/contact-lens-technology/optimised-toric-lens-geometry
  3. https://www.reviewob.com/new-daily-disposable-toric-lens-introduced-u-s/
  4. https://www.jnjvisionpro.com/products/acuvue-oasys-2-week-contacts-astigmatism
  5. https://coopervision.co.uk/practitioner/contact-lenses/biofinity-toric
  6. https://coopervision.com/our-company/news-center/press-release/coopervision-announces-limited-rollout-biofinity-xr-toric#:~:text=Biofinity%C2%AE%20XR%20toric%20lenses%20will%20be%20available%20in%20sphere,steps)%20and%20axis%20of%205

Here’s a 36 page guide on understanding dry eye and meibomian gland dysfunction. Learn how you can treat MGD using LipiFlow, and how to bring this technology to your practice.

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About Neety Kochar, OD

Neety Kochar, O.D. graduated from the Illinois College of Optometry in 2014, and now practices in Toronto, ON and San Francisco, CA. Neety's clinical interests lie in primary eye care, contact lenses, ocular disease and pre/post surgical management. She is deeply passionate about public outreach and believes in spreading knowledge to patients and her colleagues through writing and public speaking within her community. When outside the exam room, she loves to be with her loved ones, doing yoga, trying new recipes or travelling.


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