Bausch + Lomb’s Ultra for Presbyopia, released in March, offers a monthly silicone hydrogel lens designed to address the vision needs of presbyopic patients.
This guide details fitting procedures, ensuring optimal comfort and visual acuity for individuals experiencing age-related near vision decline.
What is Presbyopia?
Presbyopia is a naturally occurring, age-related condition impacting the eye’s ability to focus on nearby objects. It typically becomes noticeable around age 40, as the lens loses flexibility.
This diminished elasticity makes it harder to read, sew, or perform other close-up tasks. Unlike other refractive errors, presbyopia isn’t caused by the eye’s shape, but by the gradual loss of lens accommodation. Corrective lenses, including B&L Ultra for Presbyopia, restore clear near and distance vision.
Understanding the B&L Ultra for Presbyopia Lens
B&L Ultra for Presbyopia is a monthly disposable, silicone hydrogel multifocal contact lens. It utilizes Bausch + Lomb’s MoistureSeal™ technology for exceptional comfort and breathability.
The lens features a unique optical design with multiple zones to provide clear vision at all distances – near, intermediate, and far. This design aims to minimize compromises and deliver a seamless visual experience for presbyopic patients seeking a comfortable, high-performing lens.
Patient Assessment for B&L Ultra for Presbyopia
Thorough patient evaluation is crucial for successful B&L Ultra for Presbyopia fitting, encompassing a comprehensive eye exam and detailed refraction analysis.
Comprehensive Eye Examination
A detailed ocular health assessment is the foundation of successful presbyopia correction. This includes evaluating the anterior segment for any irregularities, assessing tear film quality to rule out dry eye, and a dilated fundus examination to check for retinal health.
Carefully document the patient’s ocular history, including any existing conditions or medications. Accurate measurements of corneal curvature and overall eye health are essential before proceeding with contact lens fitting.
Refraction for Presbyopia
Accurate refraction is crucial for B&L Ultra for Presbyopia fitting. Begin with a thorough distance refraction, followed by a near addition assessment. Monocular and binocular near additions should be determined, noting any differences.
Consider intermediate distances as well, as many presbyopes require correction at arm’s length. Document the complete refractive prescription, including sphere, cylinder, axis, and both distance and near additions.
Assessment of Binocular Vision
Evaluate binocular vision thoroughly before fitting B&L Ultra for Presbyopia. Assess phoria at distance and near, noting any significant imbalances. Check accommodative amplitude and facility to ensure adequate focusing ability.
Stereopsis testing helps determine depth perception. Convergence insufficiency or excess can impact multifocal lens adaptation. Address any binocular vision anomalies before proceeding with the fitting, as they may affect comfort and visual performance.
Lens Selection and Parameters
Selecting the correct B&L Ultra for Presbyopia parameters—power, addition, base curve, and diameter—is crucial for successful vision correction and patient satisfaction.
Available Powers and Additions
B&L Ultra for Presbyopia offers a comprehensive range of spherical powers to address diverse refractive errors. The lens is currently available in +0.50D to +6.00D, catering to a broad spectrum of presbyopic patients. Additions range from +0.75D to +2.50D in 0.25D increments, allowing for precise near vision correction.
This flexibility ensures practitioners can tailor the lens to individual patient needs, optimizing both distance and near visual acuity for comfortable, all-day wear.
Base Curve and Diameter Considerations
B&L Ultra for Presbyopia is initially available in a base curve of 8.4mm, designed to fit a significant percentage of the patient population comfortably. The diameter is 14.2mm, promoting stable lens centration and minimizing unwanted movement. Careful consideration of the patient’s corneal topography is crucial.
Practitioners should assess for any corneal irregularities that might necessitate alternative lens designs or fitting adjustments to ensure optimal comfort and visual performance.
Material Characteristics: Silicone Hydrogel
B&L Ultra for Presbyopia utilizes a silicone hydrogel material, known for its high oxygen permeability. This allows for extended wear and enhanced corneal health, crucial for presbyopic patients often requiring continuous vision correction. The material’s moisture-retaining properties contribute to exceptional comfort throughout the day.
Silicone hydrogel minimizes protein and lipid deposition, promoting lens cleanliness and reducing the risk of irritation or discomfort.
Fitting Process: Step-by-Step Guide
Initial trial lenses are crucial, followed by over-refraction and visual acuity checks. Assess lens movement, centration, and patient comfort for optimal results.
Initial Lens Trial
Begin with a diagnostic set encompassing a range of powers and additions, considering the patient’s refraction and lifestyle. Select a trial lens closest to the refraction, prioritizing best corrected visual acuity. Ensure proper handling instructions are clearly explained to the patient. Observe the lens immediately upon insertion for centration and initial comfort. Allow a sufficient adaptation period – typically 15-20 minutes – before proceeding to further assessments. Encourage patients to report any immediate sensations of discomfort or unusual vision. Document all initial observations meticulously for accurate follow-up.
Over-Refraction and Visual Acuity Check
Perform over-refraction with the trial lenses in place, using a standard distance and near chart. Assess visual acuity at both distance and intermediate, then near, noting any improvements or regressions from the initial refraction. Fine-tune the power adjustments in small increments (+/- 0.25D) to optimize clarity. Record the over-refraction results carefully. Evaluate binocularity during this process, checking for fusion and stereopsis. Confirm the patient’s subjective responses correlate with objective findings. Document all acuity measurements and refraction changes thoroughly.
Assessment of Lens Movement and Centration
Evaluate lens movement in all gazes – primary and secondary – to ensure adequate blink exchange and oxygen permeability. Observe for excessive or insufficient movement, which can indicate improper fit. Assess centration, verifying the lens remains centered over the pupil during both distance and near viewing. Note any decentration patterns. Confirm the lens doesn’t rotate excessively. Utilize fluorescein pattern evaluation to identify areas of binding or pooling. Document all observations regarding lens movement and centration meticulously.
Troubleshooting Common Fitting Issues
Addressing challenges like lens rotation, discomfort, or visual aberrations is crucial for successful B&L Ultra for Presbyopia fitting and patient satisfaction.
Careful evaluation and adjustments are key to resolving these issues.
Lens Rotation and Stability
Consistent lens rotation and stability are vital for optimal B&L Ultra for Presbyopia performance. Excessive rotation can blur vision and cause discomfort. Assess blink patterns and lid tightness during the fitting process.
Consider adjusting lens diameter or base curve if rotation exceeds acceptable limits. Evaluate for dry eye, as reduced tear film can contribute to instability. Proper lens care and handling education are also essential for maintaining stability and minimizing rotation issues.
Discomfort and Dryness
Addressing discomfort and dryness is crucial with B&L Ultra for Presbyopia. Silicone hydrogel lenses, while breathable, can still cause dryness in susceptible individuals. Thoroughly evaluate tear film quality and quantity during the assessment.
Recommend lubricating drops or consider a different lens material if dryness persists. Ensure proper lens cleaning and avoid overwear; Patient education regarding environmental factors and blinking habits can also mitigate discomfort and dryness symptoms.
Haloes and Glare
Haloes and glare can occur with multifocal contact lenses, including B&L Ultra for Presbyopia, particularly during nighttime driving. Assess pupil size in low light conditions; larger pupils may exacerbate these effects.
Consider adjusting lens power or design if symptoms are significant. Ensure optimal lens centration and a proper fit. Educate patients about potential visual disturbances and advise caution when driving at night. A comprehensive refraction is vital to minimize these optical phenomena.
Patient Education and Aftercare
Successful B&L Ultra for Presbyopia wear relies on proper handling, cleaning, and adherence to the prescribed wearing schedule for optimal vision.
Regular follow-up appointments are crucial for monitoring comfort and visual performance.
Proper Lens Handling and Cleaning
Maintaining lens hygiene is paramount with B&L Ultra for Presbyopia. Patients should always wash and dry hands thoroughly before handling lenses to prevent contamination.
Utilize only recommended multipurpose solutions; avoid tap water or saliva. Gently rub and rinse lenses to remove debris, then store them in a clean case filled with fresh solution.
Cases should be regularly cleaned and replaced. Never reuse solution, and discard lenses after the recommended wearing schedule to minimize risk of infection and ensure optimal comfort.
Wearing Schedule and Compliance
B&L Ultra for Presbyopia is designed for monthly replacement, emphasizing adherence to the prescribed wearing schedule. Initial adaptation may require a period of adjustment, so encourage consistent wear.
Patients should avoid extended wear beyond the recommended parameters to maintain corneal health. Compliance with cleaning routines and regular case replacement is crucial for preventing complications.
Educate patients on recognizing signs of discomfort or irritation, prompting immediate lens removal and consultation. Consistent follow-up appointments are vital for monitoring progress.
Follow-up Appointments and Monitoring
Regular follow-up appointments are essential after the initial B&L Ultra for Presbyopia fitting. Schedule a check-up one week post-fitting to assess lens adaptation, comfort, and visual acuity.
Subsequent visits at one month and three months allow for monitoring lens stability, corneal health, and any reported issues. Evaluate patient compliance with wearing and care instructions.
Document all findings and adjust parameters as needed to optimize vision and ensure long-term success with the lenses.
Specific Considerations for Multifocal Contact Lens Wearers
Transitioning patients from other multifocal designs requires careful refraction and assessment of their visual needs. Manage expectations regarding adaptation and potential differences.
Transitioning from Other Multifocal Designs
Patients switching from existing multifocal lenses may experience an adaptation period with B&L Ultra for Presbyopia. Thoroughly discuss potential differences in vision and wearing comfort. Initial lens fit should prioritize best corrected distance and near acuity.
Consider the previous lens design – concentric, aspheric, or progressive – as it influences adaptation. Over-refraction is crucial to fine-tune the prescription. Emphasize the importance of consistent wear and follow-up appointments to optimize the fitting process and address any concerns.
Managing Patient Expectations
Realistic expectations are vital for success with B&L Ultra for Presbyopia. Explain that multifocal contact lenses provide a range of vision, not perfect clarity at all distances. Adaptation can take time, and some compromise may be necessary.
Discuss potential limitations, such as haloes or glare, particularly in low light. Emphasize the benefits of improved vision and reduced reliance on glasses. Consistent communication and follow-up appointments build trust and address any concerns throughout the fitting process.
Regional Trends in BL Series (2020-2025)
While unrelated to lens fitting, BL series popularity surged across Asia (2020-2025), with Thailand, South Korea, and China leading in new releases and viewership.
Thai BL Series Popularity
Despite being tangential to contact lens fitting, Thai BL series experienced significant growth, boasting 44 series in 2025. Titles like Love in the Big City and ThamePo Heart That Skips a Beat gained widespread acclaim.
New releases such as Allure of the Siren and Khemjira further fueled this trend, demonstrating a robust and expanding market for Boys’ Love content within Thailand and internationally. This cultural phenomenon remains separate from optometric practice.
South Korean BL Series Growth
South Korea exhibits a rising interest in BL series, with 26 productions in 2025. Popular titles include Bad Buddy and Last Twilight, attracting a dedicated fanbase.
The Korean BL landscape continues to evolve, with new dramas emerging regularly. While unrelated to B&L Ultra for Presbyopia fitting, this growth reflects a broader acceptance and demand for diverse content, mirroring trends observed in other Asian markets.
Chinese BL Series Landscape
China’s BL series market features titles like Broken Youth and Addicted, with 9 productions in 2025. Despite facing regulatory challenges, Chinese BL continues to thrive through online platforms and dedicated fan communities.
This evolving landscape, though distinct from the realm of B&L Ultra for Presbyopia fitting, demonstrates a growing appetite for diverse storytelling and visual media within the region.
Emerging BL Series in 2025
New Thai, Korean, and Japanese BL series are slated for 2025, totaling 101 titles. These productions reflect a growing global interest in the genre.
New Thai BL Releases
Thailand is a significant hub for BL series production, with numerous releases planned for 2025. Titles like Allure of the Siren, Revamp the Undead Story, and Love upon a Time are highly anticipated.
Other upcoming series include Happy Ending, Khemjira, Let’s Kick This Love, and Shine (Orchestratic Ver.), promising diverse storylines and captivating romances for fans. The total number of Thai BL series currently stands at 44.
Upcoming Korean BL Dramas
South Korea is experiencing substantial growth in BL series production, with 26 titles currently in development for 2025. Popular series like Love in the Big City and Bad Buddy have paved the way for increased investment and creative exploration.
Expect a diverse range of narratives, catering to a growing international audience. Korean BL continues to push boundaries, offering fresh perspectives on love and relationships.
Japanese BL Titles for 2025
Japan boasts a rich history of BL content, with 111 titles identified as of June 2020, and continued releases planned for 2025. Titles like Life: Love on the Line and His demonstrate the genre’s enduring appeal within the country and internationally.
Expect a blend of established franchises and new stories, exploring diverse themes and character dynamics. Japanese BL often emphasizes emotional depth and nuanced storytelling.
Comparison with Other Presbyopia Contact Lens Options
B&L Ultra for Presbyopia competes with various multifocal designs, offering unique benefits and drawbacks regarding vision correction and patient comfort.
Careful consideration of individual needs is crucial when selecting the most appropriate lens.
B&L Ultra vs. Other Multifocal Lenses
Compared to traditional multifocal lenses, B&L Ultra for Presbyopia utilizes a unique OptiFit™ design, aiming for seamless vision at all distances. Some lenses employ concentric circles, while others use aspheric segments; Ultra’s approach focuses on natural vision.
Silicone hydrogel material enhances oxygen permeability, potentially improving comfort over older hydrogel options. B&L Ultra often presents a smoother transition between focal points, reducing complaints of haloes or glare experienced with certain competing designs.
However, individual responses vary, and a thorough fitting is essential.
Advantages and Disadvantages
Advantages of B&L Ultra for Presbyopia include its silicone hydrogel material, promoting excellent oxygen transmissibility for healthier eyes and enhanced comfort during extended wear. The OptiFit™ design aims to provide a wider range of clear vision, minimizing compromises.
Disadvantages may involve a longer adaptation period for some patients, and achieving optimal fit requires precise parameters. Like all multifocals, some individuals might experience occasional glare or haloes, particularly in low-light conditions.
Careful patient selection is crucial.
Resources for B&L Ultra for Presbyopia Fitters
Bausch + Lomb provides comprehensive fitting guides and online training modules to support practitioners. These resources ensure successful Ultra for Presbyopia fittings.
Bausch + Lomb Fitting Guides
Bausch + Lomb offers detailed fitting guides specifically for the Ultra for Presbyopia lens, accessible through their professional resources portal. These guides cover crucial aspects like patient selection, initial lens fitting parameters, and troubleshooting common challenges.
They include comprehensive tables outlining available powers, add values, and recommended diagnostic lens sets. Furthermore, the guides detail how to assess lens movement, centration, and overall fit quality to optimize patient comfort and visual performance. Practitioners can download these guides for offline reference and integration into their fitting protocols.
Online Training and Support
Bausch + Lomb provides extensive online training modules dedicated to the Ultra for Presbyopia fitting process. These interactive courses cover the lens technology, patient assessment techniques, and step-by-step fitting protocols.
Additionally, practitioners have access to a dedicated support team via phone and email, offering personalized assistance with complex cases or fitting challenges; Webinars and virtual workshops are frequently hosted, providing opportunities for continuing education and peer-to-peer learning regarding optimal lens fitting strategies.
Future Trends in Presbyopia Correction
Advancements in contact lens technology and personalized designs promise improved presbyopia correction. Expect innovations enhancing visual clarity and comfort for all patients.
Advancements in Contact Lens Technology
Future contact lens designs will likely incorporate smart materials responding to physiological needs, dynamically adjusting power for varying distances. Micro-sensors could monitor tear film and ocular health, optimizing lens performance and comfort.
Furthermore, research into extended depth of focus (EDOF) and multifocal lens geometries continues, aiming for seamless vision at all distances. Nanotechnology may enable lenses with enhanced oxygen permeability and reduced deposit formation, improving long-term wearability and ocular health.
Potential for Personalized Lens Designs
The future of presbyopia correction leans towards highly personalized lenses. Utilizing advanced corneal topography and wavefront analysis, lenses can be custom-designed to address individual optical aberrations and visual needs.
Artificial intelligence (AI) could predict optimal lens parameters based on patient data, streamlining the fitting process. 3D printing offers the potential for on-demand fabrication of bespoke lenses, maximizing visual performance and comfort for each patient.
