Hard to Fit Contacts in Seattle, WA
Many eye conditions require specialized contact lenses, and finding the right fit is not always easy. At Spex in the City in Seattle, WA, Dr. Raghuram fits hard to fit contacts for patients with astigmatism, keratoconus, dry eye, and other challenges, focusing on both clear vision and all-day comfort so you can enjoy the freedom of contact lenses again.
Request an AppointmentWhat Makes Eyes Hard to Fit for Contacts?
Standard contact lenses work well for many people, but certain eye conditions and corneal shapes make it difficult to find lenses that are comfortable and provide clear vision. You may be considered “hard to fit” if you have:
- Astigmatism, especially moderate to high astigmatism
- Keratoconus or another irregular corneal shape
- Dry eye that makes lenses uncomfortable
- Presbyopia and need for both distance and near vision
- A history of corneal surgery, including LASIK or other refractive procedures
- Giant papillary conjunctivitis or sensitivity to lens materials
- Very high prescriptions
A specialized contact lens exam helps identify the lens design that will work best for your eyes.
Soft Contact Lenses
Soft contact lenses are the most common choice and a good starting point for many patients. Made from flexible, breathable materials, they allow oxygen to reach the cornea and help retain moisture. Many soft lenses are disposable, so you can replace them daily, every two weeks, or monthly. Daily disposable lenses can be especially helpful for people with allergies or dry eye, since a fresh, clean lens goes in every morning.
Toric Lenses for Astigmatism
Toric lenses are designed specifically to correct astigmatism. They have different powers in different meridians of the lens and are weighted or shaped to stay properly oriented on the eye. Toric designs are available in both soft and rigid materials, which has made contact lens wear possible for many people with astigmatism who could not tolerate hard lenses. For most astigmatism patients, toric lenses are the preferred option.
Rigid Gas Permeable Lenses
Rigid gas permeable (RGP) lenses are firm lenses that hold their shape on the eye. Because they create a smooth optical surface over an irregular cornea, they can deliver remarkably sharp vision for patients with high astigmatism or keratoconus, often bringing very poor eyesight close to 20/20. RGP lenses are durable and move less on the eye than soft lenses, though they require an adjustment period. Our optometrist provides careful fitting and follow-up to help you adapt comfortably.
Lenses for Presbyopia and Other Needs
Patients over 40 who struggle with near vision may benefit from multifocal contact lenses or monovision fittings, allowing them to see clearly at multiple distances without reading glasses. Specialty lenses are also part of our myopia control program for children with progressing nearsightedness.
Our Fitting Process
Fitting specialty lenses takes time and precision. Dr. Raghuram measures the shape and health of your cornea, evaluates your tear film, and may try several lens designs to find the right balance of comfort and clarity. Follow-up visits allow fine adjustments to fit and power. Keeping a current pair of eyeglasses as a backup is always recommended.
Find Comfortable Contacts in Seattle, WA
If you have been told you are hard to fit, or you have given up on contacts in the past, Spex in the City can help. Call our office at (206) 526-2020 or request an appointment to learn more about hard to fit contacts.
Hard to Fit Contacts FAQs
What does it mean to be hard to fit for contact lenses?
It means your eyes have a condition or shape, such as astigmatism, keratoconus, or dry eye, that makes standard lenses uncomfortable or ineffective.
Can I wear contacts if I have astigmatism?
Yes. Toric soft lenses and rigid gas permeable lenses are designed to correct astigmatism.
What lenses are best for keratoconus?
Rigid gas permeable lenses and other specialty designs are often recommended because they create a smooth optical surface over an irregular cornea.
Are rigid gas permeable lenses uncomfortable?
They may feel noticeable at first, but most patients adapt within a few weeks with proper fitting and gradual wear.
Can I wear contacts if I have dry eye?
Many people can. Daily disposable lenses, different lens materials, and dry eye treatment can improve comfort.
Can I wear contacts after LASIK?
Some patients can. A specialty contact lens fitting can determine which lens designs are appropriate for a cornea that has had surgery.
How do I schedule a hard to fit contact lens exam?
Call Spex in the City at (206) 526-2020 or request an appointment online.