As the baby boomer population ages, multifocal contact lenses can offer the opportunity to grow your practice. For patients that want to stay in contact lenses - fitting multifocal contact lenses may present a significant opportunity for your practice. We will provide you with tips, tools and information you need to help maximize your success. 

By properly fitting specialty lenses, you can grow your practice through patient satisfaction, retention, and referrals. We want to help increase efficiency fitting presbyopic patients. Here are some fitting tips and tools: 

Choose Bausch + Lomb ULTRA for Presbyopia contact lenses or Biotrue ONEday for Presbyopia daily disposable contact lenses.

Simplified Fitting Guide

Step 1: Update spectacle refraction and Add power

Step 2: Select contact lens distance prescription based upon spherical equivalent from spectacle Rx and following Add guidance (adjusted for vertex distance if necessary)

 Add Selection:
 +.075D to +1.50D  Low Add
 +1.75D to +2.50D  High Add

Evaluate the Lens for Success

  • Allow trial lenses to equilibrate for at least 10 minutes before assessing fit and vision
  • Evaluate distance and near vision binocularly in normal room illumination
  • If vision at distance and near are satisfactory, dispense lenses and schedule follow-up exam within 1–2 weeks

Click here for further near vision or distance vision refinement for Bausch + Lomb ULTRA for Presbyopia contact lenses >>

Click here for further near vision or distance vision refinement for Biotrue ONEday for Presbyopia daily disposable contact lenses >>

  • Identifying Good Multifocal CandidatesThe challenge of trying to guess whether or not a patient is interested in multifocal lenses can be very difficult. Here are some factors to consider.
  • Introducing Multifocal Lenses to Your Patients - Doctors who are successful at upgrading patients into multifocal lenses will say the key to their success is how they, along with their staff, communicate and position the upgrade to their patients.
  • Managing Patient ExpectationsIt's important to discuss any visual goals your patient has. Have your patient state one or two visual goals and document their goals to follow up on their progress
  • Patient Follow-Up Survey Post-fitting surveys of your contact lens patients is extremely important.

Check out the latest articles about multifocal contact lenses:


"Innovative Technology and a Passion to Keep Patients Informed"

By Gina M. Wesley, OD, MS, FAAO, Complete Eye Care of Medina, Medina, MN


"How to Build a Patient-Centric Practice: a Lesson from"

By Gina Wesley, OD, MS, Beth Wilson, and Jill Saxon, OD


"Impact of Multifocal Power Profiles on Visual Outcomes - Consistency Across Each Zone Puts Practitioners in the Position to Deliver Excellent Presbyopia Correction"

By William T. Reindel, OD, MS, Kristen Hovinga, MS, & Mohammad Musleh, MS


"Real-World Performance Captures the Presbyopic Opportunity - Innovation in Material and Optical Design Creates Positive Patient Experiences"

By Marjorie  J. Rah, OD, PHD, Jill Saxon, OD, & William T. Reindel, OD, MS


"Meeting the Presbyopic Challenge in the Digital Age - How Patients are Responding to Bausch + Lomb ULTRA for Presbyopia Lenses"

By Ian Benjamin Gaddie, OD & David I. Geffen, OD


"Leading with Innovation - Setting Up Presbyopes for Multifocal Success"

Contributors: Paul M. Karpecki, OD, FAAO, Justin Bazan, OD, Arthur Epstein, OD, FAAO, Devid Geffen, OD, Kerry Giedd, OD, FAAO, James Hoffman, OD, FAAO, Monica Johnsonbaugh, OD, Amanda Lee, OD, Scott Schachter, OD, Gina Wesley, OD, FAAO, John Womack, OD


"Capturing the Presbyopic Opportunity - Leveraging Contact Lens Innovation for Practice Success"

Featuring: Mark Wright, OD, FCOVD, Kimberly Z. Hoyle, OD, Chris Smiley, OD, Brittany M. Mitchell, OD and Justin Bazan, OD


"5 Reasons to Upgrade Patients from Monovision to Multifocals"

By Kristopher A. May, OD, FAAO
Optometry Times July, 2017.


"Toss Out the Reading Glasses - Bausch + Lomb Multifocal Contact Lenses Open Patients’ Eyes to Advancements in Technology"

By Monica Johnsonbaugh, OD


"A Modern-Day Need - Getting the Smartphone in Focus. Patients Welcome the Comfort and Clear Vision of Bausch + Lomb ULTRA for Presbyopia Contact Lenses"

By Mike Korthals, OD, Dr. Korthals & Associates Mason City and Lake Mills, Iowa


"Bausch + Lomb Multifocal Contact Lenses: Translating Insight Into Innovation - 3-Zone Progressive Design Provides Visual Clarity at Near, Intermediate and Distance"

By Jill Saxon, O.D., Director of Professional Strategy, Bausch + Lomb and Kristen Hovinga, Design Engineer, Bausch + Lomb

Learn more about the science behind multifocal technology, the mechanism of action and more in the videos below.

Optimal conversation with a Presbyopic Patient

Watch a conversation that incorporates patient-centered communication techniques

Bausch + Lomb ULTRA for Presbyopia contact lenses

Chapter 1: Presbyopia Today

Chapter 2: Research

Chapter 3: 3-Zone Progressive Design

Chapter 4: Ease of Fit

Biotrue ONEday for Presbyopia contact lenses

Biotrue ONEday for Presbyopia contact lenses MOA video



Bausch + Lomb ULTRA for Presbyopia contact lenses

Bausch + Lomb ULTRA for Presbyopia provides exceptional comfort with an easy, predictable fit. MoistureSeal Technology helps maintain 95% of lens moisture for a full 16 hours.1 The 3-Zone Progressive Design provides comfortable vision at all distances.2


    Biotrue ONEday For Presbyopia contact lenses

Biotrue ONEday for Presbyopia daily disposable contact lenses provide your patients with clear, comfortable vision across all distances.1

REFERENCES: 1. Data on file. Bausch & Lomb Incorporated. Rochester, NY; 2013. 2. Results of an online survey with patients that wore Bausch + Lomb ULTRA for Presbyopia lenses for approximately 5 days (n=608). Survey questions were top 3-box scores (% Strongly Agree, Agree, Slightly Agree) on a 6-point agreement scale