Hard To Fit Contacts

Contact lenses are not an easy solution for every person suffering with vision problems. Some eye conditions make wearing contacts a difficult proposition. However, it does not rule out wearing contact lenses altogether. It just means patients need to discuss options with their eye care provider and obtain specialized hard to fit contacts for their specific vision problems.
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Reasons for Hard to Fit Contacts

Finding contact lenses that fit and wearing contact lenses in general can be made more challenging when these conditions affect your eyes:

  • Astigmatism
  • Dry eyes
  • Giant Papillary Conjunctivitis (GPC)
  • Keratoconus
  • Presbyopia


Astigmatism: Astigmatism develops when the front of the eye curves into a bulge or oval shape. It causes blurred vision and can be difficult to correct because regular contacts cannot account for the bulging.

Dry Eyes: When eyes become excessively dry, it leads to irritation, burning, redness and blurred vision. Contact lenses can exacerbate these conditions by making it feel like a foreign object is stuck in your eye.

GPC: This form of conjunctivitis is caused by inflammation on the inner surface of the eyelid. Protein buildup on contact lenses can make this condition worse.

Keratoconus: This is an uncommon condition that causes major discomfort when wearing contacts. Keratoconus happens when the cornea becomes thinner and allows the eye to bulge forward. The bulge forms into a cone shape.

Presbyopia: Eyes tend to have a tougher time focusing on close objects as they age. This condition is known as presbyopia. It typically affects people aged 40 or older.


Solutions for Hard to Fit Contacts

Wearing contacts is not impossible if you suffer from one of the above conditions. However, you do need to meet with an eye care professional to be prescribed contact lenses that are tailored to deal with your specific vision condition.

Gas permeable lenses are a good solution for patients who suffer from GPC or Keratoconus.

In contrast with traditional soft contact lenses, rigid gas permeable (RGP) or scleral contact lenses are a possible solution for patients who suffer from GPC or Keratoconus. A RGP or scleral lens will limit protein deposits from accumulating which may reduce GPC symptoms. It may also be effective in containing corneal bulging and relieving pressure on the tissue for a Keratoconus sufferer.

Toric lenses are useful for correcting astigmatism. These lenses are oriented to a specific rotation which must remain stable on the eye in order to properly correct the astigmatism. Toric lenses are are often custom made to correct a specific astigmatism. For that reason, this type of lens usually takes longer to make and costs more than a traditional contact lens.

Bifocal and multifocal lenses can help remedy presbyopia. Monovision lenses are another option for presbyopia. Monovision is achieved by having one lens fitted for distance vision and the other for seeing close objects.

​​​​​​​Medicated eye drops can be an effective solution for dealing with dry eyes. They will lubricate eyes enough to make contact lenses more bearable, although punctal occlusion may also be indicated to plug the tear ducts in some extreme cases. GPC symptoms can also be lessened through medicated eye drops. Medications may flush out protein deposits and reduce inflammation.

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