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Factors That Influence the Success of Contact Lens Fitting in Presbyopes

A Multicentric Survey

Zeri, Fabrizio Ph.D.; Di Censi, Manuele B.Sc.; Livi, Stefano Ph.D.; Ercoli, Antonio B.Sc.; Naroo, Shehzad A. Ph.D.

doi: 10.1097/ICL.0000000000000606

Objectives: To evaluate the key factors behind successful and unsuccessful wear of contact lenses (CLs) for patients with presbyopia.

Method: A multicenter survey was conducted using a questionnaire, in eight CL centers, among two groups of presbyopes: successful wearers (SWs), who were presbyopic and wearing CLs successfully, and unsuccessful wearers (UWs), who tried unsuccessfully to wear CLs to manage their presbyopia and had stopped wearing CLs.

Results: A total of 237 completed questionnaires were returned; 178 from SWs and 59 from UWs. Successful wearers used CLs 5.8±1.5 days a week and additional reading spectacles were never used by half of the SWs. Among SWs, the most important reason to continue wearing CLs was convenience (61%), whereas among UWs, the most important reason to discontinue wearing CLs was poor vision (80%). A logistic regression analysis showed that the absence of astigmatism (P<0.05), a higher subjective satisfaction (P<0.05), a better subjective perceived vision at distance (P<0.01), and a lower subjective loss of visual contrast (P<0.05) were able to predict the success of CL use for presbyopia.

Conclusions: This study explores the predictors for determining successful or unsuccessful CL wear in presbyopes. Among ophthalmic, demographic, lifestyle, and subjective variables, the latter seems to be of greater importance in determining the success of CL wear. Therefore, it is necessary that subjective variables are taken into account by the CL practitioner when approaching presbyopic CL fitting in practice.

School of Life and Health Sciences (F.Z., S.A.N.), Aston University, Birmingham, United Kingdom; Department of Materials Science, University of Milano Bicocca (F.Z.), Milan, Italy; COMiB Research Centre in Optics and Optometry (F.Z.), University of Milano Bicocca, Milan, Italy; Ottica Giorgi (M.D.C.), Rome, Italy; Department of Social and Developmental Psychology (S.L.), La Sapienza University of Rome. Italy; and Ottica Optariston (A.E.), Rome, Italy.

Address correspondence to Fabrizio Zeri, Ph.D., Ophthalmic Research Group, School of Life and Health Sciences, Aston University, Birmingham B4 7ET, United Kingdom; e-mail:

During the period of the research, Dr Fabrizio Zeri was funded with the support of the European Union under a Marie Curie Intra-European Fellowship for Career Development (FP7), Grant Agreement number 622786.

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Accepted February 26, 2019

© 2019 Contact Lens Association of Ophthalmologists, Inc.