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Review
. 2024 Aug;47(4):102158.
doi: 10.1016/j.clae.2024.102158. Epub 2024 Apr 16.

BCLA CLEAR Presbyopia: Management with contact lenses and spectacles

Philip B Morgan  1 , Nathan Efron  2 , Eric Papas  3 , Melissa Barnett  4 , Nicole Carnt  3 , Debarun Dutta  5 , Andy Hepworth  6 , Julie-Anne Little  7 , Manbir Nagra  8 , Heiko Pult  9 , Helmer Schweizer  10 , Bridgitte Shen Lee  11 , Lakshman N Subbaraman  12 , Anna Sulley  13 , Alicia Thompson  14 , Alexandra Webster  14 , Maria Markoulli  3
Affiliations
Free article
Review

BCLA CLEAR Presbyopia: Management with contact lenses and spectacles

Philip B Morgan et al. Cont Lens Anterior Eye. 2024 Aug.
Free article

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.

Keywords: Age; Bifocal spectacles; Monovision; Presbyopia; Presbyopia management; Presbyopic contact lenses; Progressive addition lenses; Rigid simultaneous contact lenses; Rigid translating contact lenses; Soft simultaneous contact lenses.

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Conflict of interest statement

Declaration of competing interest Philip B Morgan has received honoraria from Alcon, Bausch + Lomb, CooperVision, Menicon and Johnson & Johnson and grants/funding from Alcon, Bausch + Lomb, Clearlab, CooperVision, Daysoft, Johnson & Johnson Vision, Mark'Ennovy, Menicon and Visco Vision. Nathan Efron has received honoraria from CooperVision. Eric Papas has had grant funding from CooperVision and Alcon. Nicole Carnt has had funding from Alcon. Manbir Nagra provides consultancy to Menicon and Johnson & Johnson Vision. Helmer Schweizer provides consultancy to Alcon and Bausch + Lomb. Lakshman Subbaraman is an employee and has stock ownership of Alcon. Anna Sulley is an employee of CooperVision. At the time of writing this this paper Andy Hepworth is an employee of EssilorLuxottica. Melissa Barnett, Debarun Dutta, Julie-Anne Little, Heiko Pult, Bridgitte Shen Lee, Alicia Thompson, Alexandra Webster and Maria Markoulli have no declarations of competing interest.

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