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BCLA CLEAR Presbyopia: Management with contact lenses and spectacles

  • Philip B. Morgan
  • , Nathan Efron
  • , Eric Papas
  • , Melissa Barnett
  • , Nicole Carnt
  • , Debarun Dutta
  • , Andy Hepworth
  • , Julie-Anne Little
  • , Manbir Nagra
  • , Heiko Pult
  • , Helmer Schweizer
  • , Bridgitte Shen Lee
  • , Lakshman N. Subbaraman
  • , Anna Sulley
  • , Alicia Thompson
  • , Alexandra Webster
  • , Maria Markoulli
  • Eurolens Research, Division of Pharmacy and Optometry, University of Manchester, United Kingdom. Electronic address: [email protected].
  • Myopia Profile Pty Ltd, Brisbane, Queensland, Australia,Queensland University of Technology (QUT) School of Optometry and Vision Science, Kelvin Grove, Queensland, Australia
  • School of Optometry and Vision Science, University of New South Wales, Sydney, NSW 2052, Australia
  • University of California, Davis Eye Center, Sacramento, CA, United States
  • EssilorLuxottica Europe North, Bristol, United Kingdom.
  • Centre for Optometry and Vision Science, Biomedical Sciences Research Institute, Ulster University, Coleraine, United Kingdom.
  • Dr Heiko Pult - Optometry and Vision Research, Weinheim, Germany.
  • CEO Helmer Schweizer Consulting Group (HSCG), Bassersdorf, Switzerland.
  • Vision Optique and Ocular Aesthetics dba Ocular Clinical Trials, Houston, TX, United States.
  • Global Clinical Development & Medical Affairs, Alcon, United States.
  • CooperVision International Ltd, Chandlers Ford, United Kingdom.
  • Association of British Dispensing Opticians, United Kingdom.

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Abstract

This paper seeks to outline the history, market situation, clinical management and product performance related to the correction of presbyopia with both contact lenses and spectacles. The history of the development of various optical forms of presbyopic correction are reviewed, and an overview is presented of the current market status of contact lenses and spectacles. Clinical considerations in the fitting and aftercare of presbyopic contact lens and spectacle lens wearers are presented, with general recommendations for best practice. Current options for contact lens correction of presbyopia include soft simultaneous, rigid translating and rigid simultaneous designs, in addition to monovision. Spectacle options include single vision lenses, bifocal lenses and a range of progressive addition lenses. The comparative performance of both contact lens and spectacle lens options is presented. With a significant proportion of the global population now being presbyopic, this overview is particularly timely and is designed to act as a guide for researchers, industry and eyecare practitioners alike.

Original languageEnglish
Article number102158
Number of pages39
JournalContact Lens & Anterior Eye : The Journal of the British Contact Lens Association
Volume47
Issue number4
Early online date16 Apr 2024
DOIs
Publication statusPublished - Aug 2024

Bibliographical note

Copyright © 2024 The Author(s). Published by Elsevier Ltd on behalf of British Contact Lens Association. This is an open access article under the CC BY license (https://creativecommons.org/licenses/by/4.0/).

Funding

BCLA CLEAR Presbyopia was facilitated by the BCLA, with financial support by way of educational grants for collaboration, publication and dissemination provided by Alcon, Bausch + Lomb, CooperVision, EssilorLuxottica, and Johnson & Johnson Vision. The authors thank Neil Handley, PhD, AMA, FRSA, Museum Curator, The College of Optometrists for his advice around the history of spectactle lenses.

Keywords

  • Rigid translating contact lenses
  • Presbyopic contact lenses
  • Presbyopia management
  • Monovision
  • Bifocal spectacles
  • Soft simultaneous contact lenses
  • Age
  • Rigid simultaneous contact lenses
  • Progressive addition lenses
  • Presbyopia

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  • BCLA CLEAR Presbyopia: Epidemiology and impact

    Markoulli, M., Fricke, T. R., Arvind, A., Frick, K. D., Hart, K. M., Joshi, M. R., Kandel, H., Filipe Macedo, A., Makrynioti, D., Retallic, N., Garcia-Porta, N., Shrestha, G. & Wolffsohn, J. S., 8 Apr 2024, (E-pub ahead of print) In: Contact Lens & Anterior Eye : The Journal of the British Contact Lens Association. 47, 4, 19 p., 102157.

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  • BCLA CLEAR Presbyopia: Definitions

    Wolffsohn, J. S., Naroo, S. A., Bullimore, M. A., Craig, J. P., Davies, L. N., Markoulli, M., Schnider, C. & Morgan, P. B., Aug 2024, In: Contact Lens & Anterior Eye : The Journal of the British Contact Lens Association. 47, 4, 8 p., 102155.

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  • BCLA CLEAR Presbyopia: Evaluation and diagnosis

    Wolffsohn, J. S., Berkow, D., Chan, K. Y., Chaurasiya, S. K., Fadel, D., Haddad, M., Imane, T., Jones, L., Sheppard, A. L., Vianya-Estopa, M., Walsh, K., Woods, J., Zeri, F. & Morgan, P. B., Aug 2024, In: Contact Lens & Anterior Eye : The Journal of the British Contact Lens Association. 47, 4, 32 p., 102156.

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