Vision satisfaction at dispensing visit may predict multifocal contact lens success
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NEW ORLEANS — Overall vision satisfaction when fitting multifocal contact lenses increases the chances of at-home success and intention to purchase, according to Percy Lazon de la Jara, PhD, director of research programs at CooperVision.
“If practitioners follow the fitting guide of the manufacturers and they ask one question at the dispensing visit, they could predict which patients are going to be successful and which patients won’t be successful with multifocal contact lens correction,” Lazon de la Jara told Healio at Academy ’23.
Lazon de la Jara and colleagues conducted a retrospective analysis of three randomized studies, which included 210 participants aged 41 to 71 years who were fitted for multifocal contact lenses. Researchers found that using a grading scale from zero to 100, if patients rated their vision satisfaction below 80, the chances of having a poor performance after 1 week was nearly 75%.
“If they tell you, ‘My score is below 80,’ do not dispense that lens,” Lazon de la Jara said. “There are two things you can do: Try to improve the vision performance through autorefraction or change the product.”
However, patients with scores higher than 80 were more likely to report vision satisfaction after 1 week, with chances of poor satisfaction dropping to 23.1%. In those who rated their vision satisfaction at 91 or higher, chances of reporting poor vision satisfaction at 1 week were even lower at 9.3%.
“Practitioners believe they can send patients home when the vision is not that great at the dispensing visit and say, ‘Well, your brain will get adapted. You’ll get used to it.’ That won’t happen,” Lazon de la Jara said. “If they don’t like it at the beginning, they won’t like it after 1 week.”