Monovision and Contact Lenses

Monovision is a type of vision correction technique for those dealing with presbyopia, a condition that commonly affects individuals as they age and experience difficulty focusing on close objects. In this blog, we’ll explore what monovision is, how it works with contact lenses, and what to consider if you’re thinking about trying it.

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Photo by cottonbro studio

What is Monovision?

Monovision is a technique where one eye, usually the dominant eye, is corrected for distance vision and the other eye is corrected for near vision. The goal is to provide a functional range of vision without needing additional eyewear. For instance, one contact lens might be set for seeing far away, while the other is optimized for close-up tasks like reading.

How Monovision and Contact Lenses Work

Monovision can be achieved with a combination of different types of contact lenses, including:

  • Spherical Contact Lenses: These lenses provide a single prescription power and can be used in the eye for distance or the eye for near vision.
  • Toric Contact Lenses: If you have astigmatism, toric contact lenses can be used with monovision. These lenses are specifically designed to correct the irregular shape of the cornea that causes astigmatism while also accommodating the monovision approach.
  • Multifocal Contact Lenses: Multifocal lenses offer a gradual change in prescription powers and can be used in a modified monovision setup. They are designed to provide a smoother transition between distance and near vision, potentially reducing the need for your brain to constantly switch focus.

Adapting to Monovision

The brain plays a crucial role in adapting to monovision. Initially, you may experience some difficulty as your brain learns to process the different inputs from each eye. It takes time for the brain to adapt to the disparity between the two eyes. However, most people find that their vision stabilizes after a few weeks of consistent use.

Benefits of Monovision Contact Lenses

Convenience

Monovision contact lenses may eliminate the need for reading glasses and offer the convenience of not having to switch between different pairs of glasses. This is particularly useful for activities such as driving, where you need clear distance vision, and reading, where close-up vision is essential.

Enhanced Visual Range

By correcting one eye for distance and the other for near vision, monovision lenses can provide a broad range of visual clarity. This can be beneficial for tasks that require both close and far sight, such as using a computer while also needing to look up at the screen or across the room.

Aesthetic Appeal

Contact lenses, including those used for monovision, provide a cosmetic advantage over glasses. They are less noticeable and can be a preferred choice for those who dislike wearing glasses.

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Photo by Vlada Karpovich

Things to Consider Before Trying Monovision

Visual Compromise

Monovision is not without its trade-offs. Some people may experience reduced depth perception and decreased clarity in intermediate distances. This can be particularly noticeable when performing tasks that require precise visual judgment, such as driving at night or engaging in certain sports.

Initial Adjustment Period

The transition to monovision lenses involves an adjustment period. It can take a few weeks for your brain to adapt to the new way of seeing. During this time, you may experience visual distortions or discomfort.

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Photo by Pavel Danilyuk

Consultation with an Eye Care Professional

Monovision with contact lenses offers a practical solution for managing presbyopia. While it may take some time to adjust, the benefits may outweigh the challenges. Before deciding on monovision, it’s essential to consult with an eye care professional to determine if this approach aligns with your vision needs and lifestyle.

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Photograph of Ivan Yong

Ivan Yong

Dr. Ivan Yong is an optometrist with over a decade of experience in the optical industry. He earned his doctorate from the Southern California College of Optometry and has practiced in multiple settings, including private practice, community health, and ophthalmology. Dr. Yong aims to expand access to affordable eyewear and improve eye health worldwide.