Patient motivation: the foundation of success

Suitable patients may include established, successful distance only contact lens wearers, as well as new wearers who are strongly motivated to remain independent of spectacles.^1-3 Motivation is a critical factor for success with soft multifocal contact lenses.^1-3

Both pre-presbyopic and presbyopic patients are frequently unfamiliar with the term presbyopia and its implications.² The need for presbyopic correction is also commonly perceived negatively, often as a sign of ageing.² Consequently, many patients are aware of visual symptoms for some time before seeking advice from an eye care professional.²

It is important to balance positivity with realism when communicating with presbyopes. Patients should be advised that the aim is to provide functional vision for approximately 80% of daily visual tasks.^1,3,4,5 While most activities can be performed comfortably for the majority of the time, patients should also be informed that supplementary reading spectacles may occasionally be required, particularly for fine or sustained near tasks.^1,5

Contact lens selection

The principles guiding contact lens material selection, replacement frequency, and wearing schedules are broadly the same for presbyopic and non-presbyopic patients.² Eye care professionals should prioritise comfort, visual performance, convenience, and minimal disruption to ocular physiology.²

The prevalence of clinically diagnosed dry eye disease and meibomian gland dysfunction increases with age, emphasising the importance of careful material selection to maximise comfort.³

In addition, age-related reductions in corneal endothelial cell density – which are essential for fluid regulation– highlight the need for contact lenses with adequate oxygen transmission to support endothelial integrity.^6,7

Initial lens power

Fitting begins with an up to date refraction³ and using the relevant fitting guide to maximise success.^3,8

Prescriptions should be configured to maximise positive power in the distance portion, often achieved by loading plus power into the non-dominant eye without compromising binocular distance vision.²

The aim is to prescribe the highest acceptable plus for distance and the minimum plus for near to reduce the risk of over accommodation, particularly in patients with residual accommodative ability.³

To optimise outcomes, trial periods should be conducted using the most accurate prescription on-eye, rather than the closest available option.⁸

Research shows that patients reporting high overall vision satisfaction at the initial fitting are likely to maintain high satisfaction after one week of wear.⁸ In addition, patients increasingly expect a fast and efficient fitting experience.

67% of presbyopic soft contact lens wearers report reluctance to attend multiple or lengthy appointments.⁹

Introducing clariti^® 1 day multifocal with CooperVision^® Binocular Progressive System™

As part of the continued investment in the clariti^® 1 day family, CooperVision® introduces the redesigned clariti^® 1 day multifocal, incorporating the innovative CooperVision® Binocular Progressive System™, first introduced in MyDay® multifocal.¹⁰

For early presbyopes, the system combines two low-add aspheric centre near designs with a wide distance area and progressing into the near zone.¹⁰

As presbyopia progresses, the system combines the wide clear distance vision of the low-add with increasing near support. In the aspheric medium-add design, the central reading area is strengthened and widened.¹⁰

For later stage presbyopes, the system combines the wide, clear distance vision of the low-add with a high-add lens designed with a single-powered, spherical centre-near zone and dual-intermediate power zones. This centre-near design has dual-intermediate power zones, along with a single powered central reading zone for those wearers who need the most help with their near vision.¹⁰

Together, these designs allow the eyes to work in tandem, enabling a simple initial fit and smooth progression as near vision demands increase.¹⁰

Additional features include WetLoc® Technology to support all day comfort while allowing 100% corneal oxygen consumption to help maintain ocular health, UV blocking capability*, and an Optimised Comfort Edge™ to provide high levels of comfort from first fit.^11-13

clariti® 1 day multifocal supports fitting efficiency. In a clinical study, 100% of patients fitted with clariti® 1 day multifocal 3 add were successfully fitted with two pairs of lenses or less, and 89% of patients were fitted with the final prescription with the first pair of lenses.¹⁴ The OptiExpert™ app further facilitates easy fitting by converting spectacle prescriptions — including sphere, toric, multifocal, and toric multifocal — into contact lens prescriptions using a smart calculator.^†

How does the original 2 add clariti^® 1 day lens compare to the new 3 add design?

When evaluated via a dispensing study, at a two-week visit, the mean distance and near visual acuity were improved for the clariti® 1 day multifocal with Binocular Progressive System™ when compared with the existing clariti^® 1 day multifocal 2 add.^‡15

Summary: Motivation is a key determinant of success with soft multifocal contact lenses, particularly as both pre-presbyopic and presbyopic patients are often unfamiliar with presbyopia and its implications.²  With lens selection, comfort, visual performance, convenience, and minimal impact on ocular physiology should be prioritised.² Consider fitting clariti^® 1 day multifocal, with its three add Binocular Progressive System™  offers high levels of comfort, easy handling, excellent value, and clear vision at all distances for all stages of presbyopia.^10,12,16-18

Packaging for illustration purposes only.

Footnotes

*Warning: UV-absorbing contact lenses are not substitutes for protective UV-absorbing eyewear, such as UV-absorbing goggles or sunglasses, because they do not completely cover the eye and surrounding area. Patients should continue to use UV-absorbing eyewear as directed.

^†Based on retrospective analysis of 26 patients (52 eyes) with subjective refractions ranging between +5.00D to -6.00D and ≤-1.00 D cylinder].

^‡Distance logMAR VA -0.05 vs -0.02 (p < 0.01), near VA 0.06 vs 0.11 (p = 0.02) for BPS vs 2 ADD respectively.