Contact Lens Exams and Fitting
Duke eye specialists offer fitting and management of contact lenses to correct nearsightedness, farsightedness, vision impacted by an irregularly shaped cornea (astigmatism) and presbyopia, also known as reading vision. We also provide specialty services and custom lenses to improve your vision if you have keratoconus or irregular astigmatism, which can result from an eye injury. We work closely with people who need contact lenses following Lasik surgery - to improve either near or distance vision not corrected by surgery - and following trauma to the eye. If you were born without a lens in your eye, or it was surgically removed - a condition known as aphakia - or if you have a condition condition called aniridia, in which you lack part or all of the colored part (iris) of your eye, we recommend and fit custom contact lenses that improve your vision.
Contact Lens Fitting and Management
Whether you need contact lenses for routine vision correction or a more complex condition, we can help you correct your vision and see clearly. We routinely perform contact lens fitting and management, and work with people who have complex eye conditions who require specialty care.
Choose Duke for your contact lens fitting and management because we offer:
- Top-ranked Care. The Duke Eye Center is consistently ranked among the top ten eye centers in the nation by U.S. News & World Report and Ophthalmology Times.
- Routine Eye Care. We offer comprehensive eye care to children and adults as part of annual visits and contact lens fittings in convenient locations throughout the greater Triangle area.
- Comprehensive Care for Multiple Eye Conditions. Many of the people we treat experience more than one eye concern. Our specialists work closely together to manage your eye diseases. If you require multiple visits for different eye disorders, we make every effort to coordinate your care and maximize your convenience.
- Specialty Contact Lenses. Medical conditions that require complex fittings may be treated with a variety of lens types. We work closely with your eye specialist to ensure you receive the contact lens that is best for you. Likewise, people with corneal diseases or conditions such as keratoconus, corneal scars, or who have undergone a corneal transplant, may benefit from specialty contact lenses. Scleral, hybrid, and corneal rigid contact lenses can improve vision. Of these, scleral lenses are often the preferred treatment because they provide increased comfort and excellent visual acuity that is not possible with other lenses. These lenses are considered “medically necessary” because they are not a cosmetic use-- a patient has no choice but to wear them to improve vision.
- Custom Contact Lenses. In addition to customizing your contact lenses, we help you find the best color contact lens or disposable contact lenses for your needs.
Fitting and Follow Up
Contact lenses are FDA-regulated medical devices used in direct contact with the eye. A comprehensive eye exam and contact lens fitting are required before contact lenses can be dispensed or a contact lens prescription released. This exam ensures your optimal eye health, and determines your suitability for contact lens wear.
Tests your vision using an eye chart and assesses your eye health. Measurements of your cornea's shape and curvature, as well as your pupil and iris, help determine the appropriate shape and size of your contact lenses. Your eyes' ability to produce tears will also be assessed.
Your doctor will discuss the many options in contact lenses available to you, including monovision lenses that correct one eye for near and one eye for distance vision, and multifocals, which can correct both near and distance vision. You will also learn the pros and cons of short-term lenses that are removed daily, and lenses that can be worn for longer periods of time. Your doctor will also review the differences in soft and rigid lenses, and lenses that can change your eye color. Options in specialty lenses for complex cases will be discussed if appropriate.
You will be trained to place the contact lens in your eye, then asked to do it yourself. After a few minutes of wearing the contact lenses, your eyes will be checked to evaluate the contact lens fit, and how it is position in your eye. Upon completion, you will receive your prescription, which includes the power, curve and diameter of your contact lenses.
While you may only need one fitting session, there are times when the process requires several appointments. This ensures your ultimate satisfaction and the health of your eyes. Follow up appointments may be necessary to ensure:
- The contact lenses are fitted well
- The prescription provides the best possible vision
- The eyes have responded positively to the contact lens material
- There are no problems with insertion or removal
- You understand and are complying with the recommended wear schedule, replacement schedule, and care regimen
Contact lens prescriptions will not be written for those who do not keep follow-up appointments.
We continue to offer specialty lenses to our patients. You may use your prescription for routine vision correction contact lens wherever contact lenses are sold.
Contact lens wearers must undergo an annual comprehensive eye and contact lens exam. Contact lens exams have a separate fee that is not included in your comprehensive exam. The contact lens exam fee is determined by the type of lenses prescribed, the difficulty of the fit, and whether or not you are a first-time contact lens wearer. This fee is non-refundable and due at the time of service. Payment for specialty contact lens is due at the time of order.
We offer a 100 percent refund on specialty contact lenses returned within the warranty period, which is typically 60 or 90 days. Contact lens fitting fees are non-refundable. There is no warranty for lost lenses.