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Episode 34: Success with CLs in Emmetropes

by David Kading, OD, FAAO, Mile Brujic, OD

When presbyopia catches up with emmetropes, they become frustrated. We have been very successful offering multifocal contact lenses to emmetropes, however, setting proper expectations is crucial as there will be some level of visual compromise. We perform a swinging lens test with a +2.00 D lens while the patient looks at a distance chart to identify dominance. Other tests that allow us to evaluate visual acuity such as a Multifocal Simulator, can help determine a patient’s level of compromise. Unless a patient has demonstrated success with monovision, we typically avoid that strategy.