It surprises me in 2017 how many new patients show up wearing monovision contact lens correction or distance contact lenses along with readers around their neck. According to these patients, they have never been presented with a multifocal contact lens option.
In the early 2000s that was certainly understandable. The designs were primitive, offering limited success despite a cumbersome fitting process. We have seen significant advances in the multifocal arena over the past two decades—advances that deserve our attention and utilization.
When it comes to rigid gas permeable or scleral lens fitting, many doctors tend to shy away. Some ODs think it’s not something one can “dabble” in. You either invest in the equipment and training to dive in, or you avoid it—at all costs.
Previously from Dr. Brimer: Sizing up daily disposable contact lenses
Whether that’s true or not, you shouldn’t be intimidated by multifocal lens fitting. After seeing my multifocal fitting success increase significantly over the past several years, I became compelled to consider the source for the momentum. Below are nine habits that may have had the biggest impact.
1. Pick your battles
As ODs, we may get caught up thinking that if we just try harder and spend more time with the patient, we can make it work. Even if that ends up being true in a few cases, realize that this is not necessarily a healthy approach for the practice.
If you’re new to multifocal contact lens fitting, choose patients who are easy to work with. Consider pupil size, visual demands, and personality when presenting multifocal contact lenses as an option.
Even when the patient is not a good candidate, you should make him aware of multifocal contact lenses and the reasoning for your recommendation against them. This prevents him from hearing about multifocal contact lenses from someone else and assuming you are behind the times.