Optical Quality and Visual Performance With Different Toric Contact Lens Designs

Abstract

Objectives: To evaluate the optical quality of different toric contact lens (CL) designs and compare their on-eye visual correction performance. Methods: Twenty soft CL wearers aged 20 to 39 years were enrolled. Two daily disposable silicone-hydrogel toric CLs were tested: the “Eyelid Stabilized Design” (ESD-CL) and prism-ballast design (PB-CL); a spherical daily disposable silicone hydrogel CL (spherical CL) was used as a control. On-eye performance was compared for corrected distance visual acuity (CDVA), astigmatism, and ocular higher-order aberrations (HOAs); astigmatism and ocular HOAs were measured with a wavefront sensor. The subjective quality of vision, rated for “blurred vision” and “double vision,” lens rotation, and fitting were also compared. Results: The ESD-CLs, PB-CL, and no-CL provided better CDVA than spherical CL (P<0.05). Compared with spherical CL and no CL, PB-CL and ESD-CLs caused significantly lesser astigmatism (P<0.05). Coma was significantly lesser with ESD-CLs than that with PB-CL (P<0.05); total HOAs did not differ among the four conditions. The subjective ratings for blurred and double vision were significantly lower with ESD-CLs than those with spherical CL (P<0.05). Conclusions: Toric CLs provide a better CDVA than spherical CLs. However, differences in coma and subjective symptoms may occur because of the design of toric CLs.