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Making recommendations for vision correction in sports
OT spoke to three suppliers about meeting the visual and high-performance needs of patients involved in sports
07 February 2025
Whether a career, a hobby, or even somewhere in between, for sporting enthusiasts it is all about performance.
Fortunately, there are a number of solutions for patients looking to meet their vision correction.
Essential equipment
Ludwig Eberlein, international coordination, Vision Sensation at Silhouette Eyewear, highlighted the protective functions that sports eyewear can play, sharing: “90% of serious eye injuries could be prevented by wearing appropriate eyewear.”
Aside from protection, he suggested: “It is essential to offer the best contrast for every light circumstance, to ensure detailed vision and to avoid eye fatigue.”
For an athlete, this can make all the difference when it comes to staying focused.
In 2024, Silhouette brand evil eye introduced the peaklite goggle – a lightweight design with integrated optical inserts in the filter lens using an adapter system. This removes the requirement for additional clip-ins or a second lens for this design.
Eberlein explained that there is a focus on prescription glazing throughout the frame development process, with product development and lens lab teams working closely together. Athletes are also involved in the process to test the products in real-world conditions.
“We are not just producing sports eyewear, we are producing sports eyewear as essential sports equipment,” he told OT.
When making a recommendation for sports eyewear to a patient, Eberlein shared: “Sports glasses are a classic second pair offer that must be offered proactively. Many patients simply do not know that sports eyewear with prescription lenses is available.”
Ludwig on fitting sports eyewear
- First, the frame really has to fit to ensure a safe positioning on the head
- All our performance models are equipped with features like adjustable nose pads, tri-fit, grip zones, and sweatbars
- We offer goggles for alpine sports, pro models like the ‘Elate’ that can be equipped with a nose cover or a face cover, lightweight half rims for running, and flotation bands and head bands
- All frames can be disassembled into their individual parts and each part can be reordered individually. You don’t just throw away your bike because of a broken part, you repair it
- We offer 14 different lens filters.
Daytime freedom
Josie Barlow, head of customer support at Menicon UK, shared that in a conversation regarding a patient’s history and symptoms: “We think about people’s lifestyles, but we can sometimes be bit too focused on their job, rather than thinking about what they do outside of work which could influence what we are going to suggest.”
“We can get a holistic look at a whole person and that can give us some really good clues as to what contact lens would work for them.”
For some patients engaged in sports, ortho-k can be a positive option. Swimmers, rugby or football players and gymnasts, might all benefit from this freedom.
Barlow said: “While we talk about ortho-k for myopia progression, I think we don’t tend to talk about it quite so much with patients who would benefit from it – either from a lifestyle perspective or just being correction-free throughout the day.”
In addition to a range of soft lenses, Menicon offers the Menicon Z Night ortho-k contact lens for non-progressing myopes, and the Menicon Bloom Night for children who require myopia control.
Sharing how she might discuss the option of ortho-k with a patient, Barlow gave the example of a patient who is a regular swimmer, suggesting she might ask: “Have you thought about this type of contact lens that you can sleep in overnight? In the morning when you wake up, you’re free of spectacles for the rest of the day. That would free you up for swimming multiple times a week and you won’t have to worry about not being able to see when you’re in the pool, or going in your glasses.”
“I would explain that they could wear these contact lenses seven nights a week and they are not going to need any vision correction at all any other time of the day. They are going to be able to do everything with that one contact lens,” she said.
Josie on scleral lenses
Barlow highlighted the important role that scleral lenses can play for patients who would most benefit from this option.
“This would be for those individuals who maybe have a really high astigmatism, or an irregular cornea,” Barlow said, adding: “If we’ve established that they are a good candidate for this type of lens, if the individual is keratoconic, for example, I would talk to them about the type of vision correction they currently have and why that might be problematic for the sports they are playing.”
If proposing a scleral lens as an option, Barlow suggested she might ask the patient: “Have you thought about having something like this, which won’t become dislodged and will stay on your eye and will give you good clarity of vision so you will be able to perform really well?”
Barlow reflected: “We want to give our patients functional vision, because that is what they need. But I think we do forget, particularly with keratoconic patients, that they might want to participate in sports, go for a run, or play football, and we can facilitate that really easily.”

With these frames in particular, it is important to consider the peripheral visual system, Fazal shared: “It is critical for reaction time and how the individual wearer will perform.”
“This is where the challenge lies for us as lens manufacturers, because inevitably as you look off-axis to the periphery, you are going to perceive more distortion, more aberration, and induced prism where we don’t really want it,” she said.
To meet this need, Hoya has designed the Sportive range of lenses with both single vision and multifocal options, that uses a prism compensation technology to optimise the high-curved lenses for wrap frames.
The Sportive range supports wearer activities through power compensation and binocular vision design adaptation, with technology introduced to reduce perceived peripheral and prismatic distortion, Fazal shared.
Five challenges presented by wrap frames
Fazal highlighted some of the issues that can present lenses are not optimised for the wrap-around style of frames wearers might use for sporting activities:
- Oblique astigmatism, reducing visual acuity across the lens and increasing perceived visual discomfort
- Mean power of lens changes as the wearer looks across the lens
- Centration changes are induced
- A different frontal angle or pantoscopic tilt that needs to be compensated to help with unwanted prism and symptoms of discomfort
- Right and left nasal and temporal lens aberrations are not symmetrical leading to reduced peripheral field and visual discomfort.
Fazal highlighted that this would be dependent on the prescription and individual wearer parameters.
The lenses are also available in a number of tints and coatings to enhance contrast and reduce glare.
When dispensing sports eyewear, ensure the frames are in line with optical performance, Fazal advised, but also that the lenses are designed to support that wearer’s need.
Advising that the practice team should be kept up-to-date on their knowledge of fitting and measurements, Fazal also highlighted the need to ask enough questions of the patient.
Fazal commented: “Are you asking enough questions about working distances? Contrast, lighting, or colour perception requirements? If they play a sport, what is the speed of objects as they move – are they static or moving? All these questions will help you to select the right sports lens.”
Sofia on wrap frames for comfort
Fazal highlighted the different reasons a patient might seek out sportier styles of lenses and frames, such as wraparound designs.
“As an optometrist, I would see people who preferred a more wrapped frame because they had dry eyes and this would help alleviate some of those symptoms when they were outside,” she explained.
“It doesn’t have to be a fast-paced, dynamic sport. It could be hikers and ramblers, or patients who enjoy fishing or sailing,” she said, adding that wearers could be primarily looking for wind, UV protection, and comfort.
For patients who are photophobic a frame that fits closer to the contours of the face can be more comfortable, while a patient with cataracts might also be seeking a lens that can provide a wide view and comfortable contrast.
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