Hard lenses, made of a plastic called polymethylmethacrylate
(PMMA), were among the first contact lenses available. Although
they are not often prescribed now, they had several advantages.
They were easy to put in and take out and easy to care for. They
did not cost very much and lasted a long time. For many people,
they provided very good vision.
However, hard lenses were often uncomfortable during the first week
or two of wear. Also, they did not allow much oxygen to reach the
cornea. (The cornea is the clear dome in the front of the
eyeball.) Not getting enough oxygen can damage the cornea. Gas
permeable lenses are much more common today.
Gas permeable contact lenses
Gas permeable lenses are made of a type of plastic that allows
oxygen to reach the cornea. They are easier to care for than soft
contacts. They are also easier to insert and remove. Gas
permeable contacts can correct most vision problems. At first,
most people need a few days to get used to them. Some of the
newest gas permeable lenses are approved for extended wear. Most
contacts should not be worn during sleep. Follow your eye doctor's
recommendations about how long you can leave in extended wear
lenses.
Soft contact lenses
Soft contacts are lenses made of flexible plastic that absorbs
liquids. Unlike gas permeable or hard lenses, they usually do not
cause discomfort when you first wear them. They can correct many
vision problems. Also, soft lenses can be tinted to make your eyes
look a different color. They are often worn for sports and other
activities where gas permeable or hard contacts might come out.
Putting soft contacts in and taking them out may take a little
practice. Also, soft contacts must be cleaned and sterilized very
carefully. Daily-wear soft lenses are sterilized nightly.
Extended-wear soft lenses are sterilized each time you remove them.
Soft lenses cost more than gas permeable lenses. They may wear out
and need to be replaced more often. People who wear soft lenses
may have more problems with allergies. Also, they may develop eye
infections more often, especially if they sleep in their contact
lenses. An eye infection called a corneal ulcer can be serious.
People with dry eyes may not be able to wear soft contacts.
Regular soft lenses do not correct astigmatism (vision problems
caused by an uneven cornea) as well as gas permeable lenses do.
However, special soft lenses called toric lenses are available for
people with astigmatism.
Disposable contact lenses
Disposable contact lenses are soft contact lenses that are replaced
frequently. Some extended wear disposable contacts are worn for
1 week and then thrown away. Some are sterilized after 1 week of
wear, worn for a second week, and then thrown away. Daily wear
disposable lenses are removed and sterilized nightly for 2 weeks
and then thrown out.
The disposable contact lenses are convenient and they provide the
clear vision and comfort often associated with new lenses. They
may help people who are allergic to contact lens solutions or
protein deposits on their lenses. The disadvantages of disposable
contacts are that they cost more than other contact lenses.
Bifocal contact lenses
Bifocal contact lenses have both your distance prescription and
your reading prescription in each lens. They are available as gas
permeable or soft lenses, and as daily wear or extended wear types.
However, not everybody likes bifocal contacts so a trial period is
usually recommended.Reviewed and approved by the Wilmer Eye Institute of The Johns Hopkins
Medical Institutions, Baltimore, MD. Web site: http://www.wilmer.jhu.edu


Disclaimer: This content is reviewed periodically and is subject to
change as new health information becomes available. The
information provided is intended to be informative and educational and is not a
replacement for professional medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
HIA File eye4223.HTM Release 9.0/2006. Copyright © 2006 McKesson Corporation and/or one of its subdiaries. All Rights Reserved.
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