There is definitely no denying that daily disposable or single use contact lenses are taking the marketplace by storm.  If you are a regular blog reader, you know that I am passionate about the unparalleled comfort and health benefits of wearing single use contact lenses.  And for many people that are part-time contact lens wearers, dailies have the added benefit of being markedly less expensive; you only use the lenses that you need, and you never have to buy solutions.  With the unparalleled explosion of single use lenses on the market, this year has seen a lot of growth in the multifocal daily contact lens realm.  Multifocal contact lenses are designed to help the wearer focus in a range of  visual needs, from far distance, to computer, to cell phone reading.  Many people that need multifocal lenses spend significant amounts of their day battling dryness -- either due to extended computer use or due to hormonal and body chemistry changes occurring as we enter our forties and fifties.  Daily wear lenses can maximize lens comfort by offering the least risk of dryness with contact lens wear, and also now provide that vision flexibility that we need as our eyes enter presbyopia (or what many people will just call "tired eyes" and trouble focusing up close).  If that sounds like you, here are some great new lens options to explore with your doctor:

Proclear 1-Day Multifocal

The near center progressive design can give wearers variable vision depending on their pupil size, so what power each person needs to achieve their visual needs is dependent to a large degree on their anatomy via

This was the first readily available daily disposable multifocal on the market, and the Proclear 1-Day line of lenses tends to be very comfortable for most wearers.  The design is a bit challenging since finding the right power of the lens is not intuitive.  Luckily CooperVision has provided a detailed fitting guide to get you off to the right start.

8.7 BC
Power Range = +6.00 to -10.00
The lens is not add power designated which makes the fitting process less intuitive.  I always discuss with patients that I do not expect the contact lens prescription for this lens to match in any way what their glasses or previous contact lens prescriptions have been because of this disconnect in the way the lens is fit.





Dailies Aqua Comfort Plus Multifocal

A schematic of the design: near center, with rings of intermediate and then distance fanning out. via

When this lens launched earlier this year it was a great alternative option because it offered a design that doctors are already comfortable and familiar with fitting.  This lens uses the exact same multifocal design set-up to Air Optix Multifocal, and it is easy to transition patients that have worn the Air Optix lens into this daily version if they need the added comfort benefit without expecting to lose any vision.  You can follow the Air Optix Multifocal Fitting Guide to get started.



Biotrue ONEday for Presbyopia
This lens is just hitting the market in a limited initial roll out, and I am very excited to have it in my arsenal.  Using the same "3-Zone Progressive" design that is found in the Purevision2 Multifocal lens, I am especially happy to have this design as a daily option because I have found that this lens has been very effective for many of my patients.  Again, if you have patients happily wearing the Purevision2 lens, changing to Biotrue ONEday will be a seamless transition in vision if they need the added comfort of a daily lens.

8.6 BC
Power Range = +6.00 to -9.00
Add power = Low only at this time, with additional roll-out of High add power next year

1-Day Acuvue Moist Multifocal
This lens is slated to hit the market in late 2015, but we don't know much about what it will bring to the dailies multifocal market.  The 1-Day Acuvue Moist material is one of my favorites for all day comfort, so this fact alone is worth being hopeful.  Previous Acuvue multifocal designs (Oasys for Presbyopia, anyone?) have been left behind as newer options with better optics emerged, but Johnson and Johnson is introducing a brand new multifocal design for this lens.  Not much is known about the characteristics of this design at this time, but I will continue to keep you updated as we learn more!

With the start of 2014 there is so much to look forward to in the world of contact lenses.  Last year saw great improvements in the market place with the US launch of Dailies Total 1, Biotrue One Day, and the new Purevision 2 Multifocal contact lens.  All of these lenses have found steady use in my practice, and speak to the major innovation in the industry.

So what is on the agenda for contact lenses in 2014?  Here's a break down of the most buzzed-about lenses expected to launch this year:

Dailies Aqua Comfort Plus Multifocal and Toric
Why do spherical patients get all the perks?  No more is that the case, with great astigmatism and multifocal lens designs on the market for patients that have issues with dryness or allergies, are part time wearers, or just enjoy the convenience, comfort and health benefits of daily wear.  Ciba is using their same material from the popular Dailies Aqua Comfort Plus line in these new lens options.  The Dailies Aqua Comfort Plus Toric lens will replace their Focus Daily Toric offering, but offer wider parameter options and better comfort.  The plan is for them to be priced just below the Acuvue 1-Day Moist for Astigmatism lens that has topped the daily toric market the last few years.

The Dailies Aqua Comfort Plus Multifocal will utilize this same material, and the already successful Air Optix Multifocal design to bring distance and reading vision to the over 40 population.  This lens will be a direct competitor to Cooper's Proclear 1-Day Multifocal (the only other single-use multifocal lens on the market).  Cooper's product has been knocked for its limited near ability in older patients, so the new Ciba design should offer a bit more reading function.

These should be available nationwide at your optometrist's office in the very near future.

CooperVision's MyDay Daily
That's right, Cooper is launching a third daily lens option this year that features their new "Smart Silicone" design, a polymer that has a high Dk/t (100 with a -3.00 lens) but utilizes a lower silicone modulus.  Silicone has long been polarizing, offering high oxygen to the eye, but in many people causing poorer comfort since the lenses attract more lipid debris.  By lowering the silicone content, they hope to achieve the comfort of hydrogel lenses without the oxygen and water content loss.  The lens was launched in Europe in 2013 but will be making it's American debut this year.  The real perk is the power range being offered:  +6.00 to -10.00.  Lenses like Dailies Total 1 are still not offered in any plus power options, so having a new lens for hyperopes designed to combat comfort issues will be a useful option.

Menicon Miru 1-Day
Another new-comer to the American lens market is Menicon's new daily lens, using an HEMA/GMA-based material that is designed to molecularly immitate the mucus layer of the tear film in the way it bonds water.  The real seller for this lens is the packaging -- their flat pack design is only 1mm thick and stores the lenses so that they are always upright (taking away that annoying inside out contact lens issue).  Designed for Japan where the dailies marketplace is huge, this lens is targeted for easy travel, storage, and convenience. Where comfort is king in the States, I don't know how well this lens will perform, but the packaging concept is innovative enough for customers to take a second look.

              Very popular in Japan, the Miru 1-Day add features catchy, cute, and quirky marketing.

Air Optix Colors

Did you wear this contact lens?  Don't be upset when your doctor tells you the bad news.  As of March 31st, 2013 production stopped. There is no way to get this lens anymore.  Time to find a new product, and unfortunately, the options are limited. via

Is this finally happening?? How many years have we heard about Ciba's launch of a better, healthier color lens option.  Word on the street is that 2014 is the year.  Finally, I may not hate color contact lenses so much.  Maybe.  But with Acuvue entirely discontinuing their color lines, and Freshlook options being pared down to minimum power availability, the color market is apt for the taking.  Will they offer an enhancer option instead of the usual opaques?  No news as to that, but all of the unhappy previous Acuvue 2 Enhancer wearers that are stuck without a tinted lens on the market place may still be without a new home.  If you apply to this category, Focus Monthly Softcolor is really the closest viable option without going to a custom tinted lens, and the patients that I have refit from Acuvue 2 Enhancers to Focus Softcolors have not been happy thus far. If you are reading this, Ciba, please make a subtle enhancer tint option in your Air Optix Color launch!!