Vision Expo 2026: Consumer perspectives on opticianry and contact lens success

During Vision Expo 2026, Andrew Bruce LDO, ABOM, NCLEM, FCLSA, and Mark Schaeffer, OD, FAAO, discussed the widespread misunderstanding patients have about contact lenses and highlights the need for stronger patient education within optometric practices. According to Schaeffer, many patients lack awareness of the differences between contact lenses and the complex decision-making process that eye care professionals use when prescribing them. Research suggests that 6 out of 10 patients have no opinion on whether contact lenses differ from one another, indicating a limited understanding of the features, technology, and design considerations that influence lens selection. As a result, many patients enter an optometry office simply expecting to “get a lens,” without recognizing the clinical evaluation and lifestyle considerations that inform the provider’s recommendation.

Shaeffer emphasized that contact lens selection involves evaluating multiple aspects of a patient’s daily life and visual needs. Factors such as how long patients wear lenses during the day, whether they wake up early and need all-day comfort, or whether they require sharp vision in low-light or nighttime conditions all play a role in determining the most appropriate lens. Additionally, practitioners must balance these discussions with other components of a comprehensive eye examination, including reviewing prescription changes and assessing potential risks for ocular or systemic conditions such as glaucoma, diabetes, or macular degeneration. Because primary care visits involve numerous topics, detailed education about contact lenses can sometimes be overlooked or compressed due to time constraints.

To address this challenge, Bruce highlighted the importance of collaboration within the practice, particularly the role of opticians. Opticians often spend more time with patients after the exam, which positions them well to reinforce educational messages, explain lens features, and discuss additional options. They can also introduce concepts such as dual wear—using both glasses and contact lenses—so patients understand that vision correction does not have to be limited to a single modality. For example, contact lenses may be especially useful for activities such as exercising, when glasses may be less convenient.

Schaeffer and Bruce also point to a communication gap between patients and doctors when it comes to discussing contact lenses. Schaeffer compared the situation to a “middle school dance,” where both sides may be waiting for the other to initiate the conversation. Patients may not ask about contact lenses because they assume they are not candidates, while doctors may wait for patients to express interest. Simply asking a straightforward question—such as whether the patient has ever considered contact lenses—can open the door to a productive discussion and help patients explore their options.

Ultimately, Schaeffer underscored that patients value choice and personalized care. Just as they select frames based on style and lenses based on visual performance, they benefit from contact lens options tailored to their lifestyle. By clearly explaining the reasoning behind lens recommendations and engaging patients in the decision-making process, optometrists and opticians can better demonstrate their expertise and help patients understand the value of modern contact lens technology.