Understanding the Fitting Guidelines
Fitting Guidelines for DAILIES® AquaComfort Plus® Multifocal and AIR OPTIX® AQUA Multifocal Contact Lenses
Follow these easy steps to fit successfully
Initial Lens Selection
- Determine vertex-corrected, least minus/most plus, spherical equivalent distance Rx.
- Determine lowest acceptable spectacle add.
| DAILIES® AquaComfort Plus® Multifocal and AIR OPTIX® AQUA Multifocal Contact Lenses ADD Selection | |
|---|---|
| Spectacle Add | Both Eyes |
| Up to +1.25 |  |
| +1.50 to +2.00 |  |
| +2.25 to +2.50 |  |
Adaptation Time
- Allow patients to adapt to the lenses for 5 to 10 minutes while experiencing real-world vision outside the exam room.
- If the patient is satisfied with vision at distance and near, dispense the initial diagnostic lenses.
NOTE: If the patient has a visual concern at distance or near, proceed to Distance Over-Refraction.
Distance Over-Refraction
- Any over-refraction should be done outside of the phoropter with the patient viewing a distant target under binocular conditions. Without occulsion, perform a monocular distance over-refraction for each eye.
- Begin by placing additional plus in 0.25D steps until the patient reports a decline in the quality of the distance vision. Try to over-refract with minus lenses only after plus lenses are rejected.
- Verify results binocularly at distance and near, utilizing hand-held lenses and everyday viewing objects instead of acuity charts.
- Insert the new trial lenses, keeping the ADD the same, and re-evaluate distance and near-vision binocularly.
NOTE: If distance and near vision are functional for the patient after the Distance Over-Refraction, dispense the new lenses for a one- to two-week, real-world experience and adaptation, and schedule a Follow-Up Visit.
