How Do Bifocal Contact Lenses Work?
Bifocal contact lenses provide two different prescriptions in the same lens. They correct your vision at all distances.
The most common bifocal contacts are soft contacts with concentric circles of distance and near vision, like a bull's eye target.
Presbyopia is a refractive error (vision problem) that people develop between 40 and 45 years of age. The dual prescription in bifocal contact lenses helps fix vision problems in presbyopic patients.

Everything We Recommend | |
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Best Overall (Monthly) - | Bausch + Lomb Ultra for Presbyopia |
Best Weekly/Biweekly - | Acuvue Oasys Multifocal |
Best Dailies - | 1 Day Acuvue Moist Multifocal |
Best for Dry Eyes - | Proclear Multifocal |
Best for Astigmatism - | Bausch + Lomb ULTRA Multifocal for Astigmatism |
Best for Extended Wear - | Bausch + Lomb PureVision 2 Multi-Focal |
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Best Place to Buy Contacts: 1800 Contacts
Bifocal Contact Lenses vs. Multifocal Contact Lenses
The main difference between bifocal contacts and multifocal contacts is vision correction power:
Bifocal Lenses
Bifocal contacts have two lens powers (or ‘prescriptions’) in one lens. They correct more than one refractive error.
Segmented bifocal contacts have a defined segment between the top prescription (for distance) and the bottom prescription (for closer vision). These are only available as hard lenses.
Concentric bifocal lenses (available as soft or hard lenses) have either the near or distance power in the center of the lens and the opposite power in the outer area of the lens.
Multifocal Lenses
Multifocal contacts have multiple powers in each lens. They help people focus on objects at more than two distances.
Aspheric multifocal lenses have a gradual transition between near and distance vision. They function similarly to progressive eyeglasses.
Concentric multifocal contacts have rings of alternating distance and near power, similar to a bullseye target.
6 Best Bifocal and Multifocal Contact Lenses
Best Overall (Monthly): Bausch + Lomb Ultra for Presbyopia

Bausch + Lomb Ultra for Presbyopia contacts features Moistureseal technology, which maintains moisture in your eye for up to 16 hours. These multifocal contacts have a 3-Zone Progressive Design that gives you clear distance and near and middle vision.
Lens Features:
- MoistureSeal technology maintains 95% of lens moisture for 16 hours
- 3-Zone Progressive Design for sharp vision
- Material: 54% samfilcon A; 46% water
- Manufacturer: Bausch + Lomb
Best Weekly/Biweekly: Acuvue Oasys Multifocal

Acuvue Oasys lenses feature a pupil-optimized design for clear near, middle, and distance vision. They also provide UV protection and stabilize your tear film. These are weekly/biweekly lenses that need to be replaced every 1-2 weeks.
Lens Features:
- Designed for people struggling with presbyopia
- Pupil Optimized Design Technology
- Material: 62% Senofilcon A; 38% water
- Manufacturer: Johnson & Johnson
Best Dailies: 1 Day Acuvue Moist Multifocal
1-Day Acuvue Moist contacts are some of the most popular contact lenses on the market. These are the same lenses but with multifocal vision correction.
They have LACREON Technology, which is extra moisture built into the lens. The moisture-rich ingredient acts like natural tears to provide a cushion of moisture all day. The lenses also protect your eyes from 82% of UV-A rays and 97% of UV-B rays.
Lens Features:
- High UV protection (at least 82% of UV-A and 97% of UV-B radiation)
- LACREON® technology
- Material: 42% etafilcon A; 58% water
- Manufacturer: Johnson & Johnson
Best for Dry Eyes: Proclear Multifocal

Proclear contacts are the only lens that is FDA-approved to improve lens-related dryness and discomfort. They are made with PC Technology™ that use Phosphorylcholine (PC). This material attracts water and keeps lenses hydrated all day.
Lens Features:
- Patented PC Technology™
- Balanced Progressive™ Technology
- Material: 38% omafilcon B; 62% water
- Manufacturer: CooperVision
Best for Astigmatism: Bausch + Lomb ULTRA Multifocal for Astigmatism

Bausch + Lomb ULTRA Multifocal for Astigmatism contact lenses fix both presbyopia and astigmatism with three technologies. 3-Zone Progressive Design corrects presbyopia, and OpticAlign corrects astigmatism. They also feature MoistureSeal technology to lock in moisture for a full 16 hours.
Lens Features:
- 3-Zone Progressive Design
- OpticAlign technology
- Material: samfilcon A 54%; 46% water
- Manufacturer: Bausch + Lomb
Best for Extended Wear: Bausch + Lomb PureVision 2 Multi-Focal

PureVision2 Multi-Focal For Presbyopia is a pair of visibility-tinted contact lenses. They are approved for daily or extended wear from 1 to 30 days.
However, not everyone can wear them overnight. Speak with your optometrist to find out if you qualify for extended wear.
Bausch + Lomb ULTRA Multifocal for Astigmatism contact lenses fix both presbyopia and astigmatism with three technologies. 3-Zone Progressive Design corrects presbyopia, and OpticAlign corrects astigmatism. They also feature MoistureSeal technology to lock in moisture for a full 16 hours.
Lens Features:
- 3-Zone Progressive Design
- Approved for extended wear up to 30 days if approved by your eye doctor
- Material: balafilcon A 64%; 36% water
- Manufacturer: Bausch + Lomb
Types of Bifocal Contact Lenses
Multifocal and bifocal lenses are made of either soft lens materials (e.g., silicone hydrogel) or rigid gas permeable (RGP) materials, also called hard contacts. Hybrid lenses are also available.
You can purchase the contacts in daily, weekly, and monthly disposable forms.
There are two factors eye care practitioners consider during eye exams to determine the type of bifocal contact lenses a patient needs. These factors include pupil size and near prescription.
There are a few types of bifocal and multifocal contact lens designs to choose from, including:
Segmented Bifocal Lenses
Segmented bifocal contacts are rigid gas permeable (GP) lenses that work similarly to bifocal glasses. GP lenses are hard contacts that allow oxygen to flow through the cornea.
They provide a defined line of separation between presbyopia correction (below) and distance correction (above). Segmented bifocal contacts are also often weighted. This makes the lenses remain in place and not move around like soft lenses.
Concentric Bifocal Lenses
These are also called simultaneous vision lenses. They do not have an upper and lower section. Instead, the lenses have an outer ring and an inner ring.
The center of the lens contains the distance vision correction, while the outer ring includes the near vision correction. Most concentric lenses provide an instant transition from one near to distance viewing.
Aspheric Contact Lenses
These provide a gradual transition between close and distance vision correction. Aspheric lenses also have a longer adjustment period.
Pros and Cons of Multifocal and Bifocal Lenses
Pros of bifocal and multifocal contacts:
- Bifocal contacts are a great alternative to bifocal eyeglass lenses
- Bifocal contacts are more aesthetically pleasing than bifocal glasses
- They are easy to adapt to and provide superior depth perception
- They are convenient (you don’t have to carry around a pair of glasses)
Cons of bifocal and multifocal contacts:
- Bifocal and multifocal contacts can be more expensive than other types of contacts, and presbyopia treatment options
- They can be challenging to adapt to if you’ve never worn contacts before
- Depending on the severity of presbyopia, reading glasses may still be necessary
- Objects may look different than they do in reality, such as appearing lower or higher
- Glares, halos, and seeing shadows in low light conditions are possible
- Some wearers experience reduced contrast sensitivity
Alternative Contact Lenses
Bifocal contact lenses are not for everyone, especially if you have trouble wearing contacts or develop other eye conditions. If bifocal lenses don’t work for your needs, your optometrist (eye doctor) may recommend:
Normal distance contact lenses combined with reading glasses, instead of wearing a pair of bifocal contact lenses.
Monovision lenses are single-vision lenses rather than double-prescription lenses. In monovision contacts, your near prescription is put in one lens, and your distance prescription is placed in the other.
Multifocal monovision lenses put a single-vision lens in one of your eyes and a multifocal lens in your other eye.
Summary
Bifocal lenses provide two different prescriptions in one lens, while multifocal lenses have more than two prescriptions. They both correct a person's vision at all distances.
Both types of lenses are made of soft or hard lens materials. Hybrid lenses are also available. These contacts come in daily, weekly, and monthly disposable forms.
There are three types of bifocal lenses. These include:
- Segmented bifocal lenses
- Concentric bifocal lenses
- Aspheric contact lenses
Multifocal contact lenses have two types, including:
- Aspheric multifocal lenses
- Concentric multifocal lenses
A doctor will consider your pupil size and vision prescription before deciding the type of bifocal lens to prescribe.
Bifocal and Multifocal Contact Lens FAQ
What are the disadvantages of bifocal and multifocal contact lenses?
Bifocal and multifocal lenses can be hard to adjust to. You might experience nighttime glares, haziness, or shadowy vision during this adjustment period. These contact lenses are also more expensive than regular ones due to their complex designs and prescriptions.
How long does it take to adjust to bifocal and multifocal contact lenses?
The adjustment period for bifocal and multifocal lenses can take anywhere between a week and two months. Wearing your contacts as often as possible can speed up the process.
What brands of multifocal contacts are the best?
The best brand of multifocal contact lenses will depend on your needs. The best overall would be the Bausch + Lomb Ultra for Presbyopia. The brand also has multifocal contacts for people with astigmatism.
Do multifocal contacts work as well as glasses?
Multifocal contacts can work as well as glasses. However, they're not suited for everyone. This will depend on personal preference and a doctor's recommendations.
What are the 2 types of multifocal contact lenses available?
The two types of multifocal lenses are aspheric and concentric multifocal lenses. Aspheric multifocal lenses have a gradual transition between near and distance vision. Concentric multifocal lenses have rings of alternating powers.
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FAQs
Which is better bifocal or multifocal contact lenses? ›
Pro: Better Vision, Near to Far
Bifocal contacts have distinct zones like bifocal glasses, multifocals are made up of concentric rings that each have a different prescription. Both constructions allow for natural-feeling vision at all distances.
New multifocal options include CooperVision's MyDay® multifocal, which launched with the largest range of parameters of any daily disposable multifocal option.
Who is not a candidate for multifocal lenses? ›If someone has an ocular comorbidity in either eye (eg, severe dry eye disease, irregular astigmatism, epiretinal membranes, macular degeneration), he or she is not eligible for a multifocal IOL.
Why is my vision blurry with multifocal contacts? ›One of the most frequently asked questions in the clinic is why multifocal contacts are blurry in the distance. There is a little give and take that happens with the physics of bending light here. Multifocals essentially take away a bit of your distance clarity to allow you to see well up close.
What is the best lens of all time? ›- Canon EF 8-15mm f/4L Fisheye USM.
- Canon EF 35mm f/1.4L II USM.
- Canon EF 50mm f/1.8 STM.
- Canon EF 16-35mm f/2.8L III USM.
- Canon EF 40mm f/2.8 STM.
- Canon EF 70-200mm f/2.8L IS III USM.
- Canon EF 24-70mm f/2.8L II USM.
- Canon 50mm f/0.95.
Does Medicare cover multifocal lenses in cataract surgery? No. Medicare only covers a monofocal IOL. You can use glasses to make up the difference after surgery.
Are there problems with multifocal lenses? ›Some patients develop halos and glares surrounding lights after dark, as well as reduced nighttime vision. However, for most patients this fades over time, with about one percent having persistent night vision complaints, occasionally requiring the exchange of the lens.
Do eyes adjust to multifocal contacts? ›Wearing your multifocals as often as you can will help train your eyes to move between the different powers of the lenses easily. Most people are able to adjust to their multifocals in a week or two.
Do your eyes have to adjust to multifocal contacts? ›As with multifocal eyeglasses, it may take a while to adapt. Getting used to multifocal contact lenses might take you just an hour or so, or a day or two. For a few people, adjusting takes a little longer, for some no time at all.
What is the average cost of multifocal contact lenses? ›How Much Do Multifocal Contacts Cost? Disposable multifocal contacts cost approximately $30 to $120 per month or $300 to $800 per year. These contacts are typically worn to treat presbyopia, and can be daily, biweekly, or monthly lenses.
What is premium multifocal lenses? ›
Types of Premium Lenses
Multifocal lenses are IOLs that allow users to see both near and far distances. The aging process or presbyopia causes the eye lenses to harden, making it difficult to focus on near objects. The multifocal lenses can help correct cataracts and presbyopia.
Progressive lenses are multifocal with three prescriptions in a pair of eyeglasses. They're a three-for-one combo in eyewear. Bifocals and trifocals work similarly to progressive lenses and feature either two or three prescriptions in a pair of glasses.
What is the most important factor to know about a patient when prescribing multifocal lenses? ›With multifocal lenses, it is even more important to identify the patient's visual needs and document their history. Understand patient expectations to better meet them, and set your own.
Do multifocal halos go away? ›With the Panoptix lens or any multifocal lens, it is normal to have some glow as well as halos for the first six weeks or so. They generally tend to get better but do not completely go away.
What is the success rate of multifocal contact lenses? ›With the many lenses available to us it allows me to have a better than 90% success rate with multifocal contact lenses. My preference with any contact lens wearer is to utilize a daily modality and 73% of the contact lenses we sell are daily lenses.
Can multifocal contact lens prescription be wrong? ›If you have been successfully wearing multifocals before then it is likely there is something wrong with either the fitting or prescription of the lens. If you haven't worn multifocal lenses before it may be an adaptation issue but it is worth discussing with your optometrist.
Why do I see better with glasses than contacts? ›When you wear contact lenses there is no minimizing or maximizing the images you see. When you wear glasses, image size is being introduced into the equation. Think about it like using a magnifying glass.
What is D and N in multifocal contact lenses? ›The “D” lens goes on the Dominant eye and the “N” lens goes on the Non-Dominant eye.
How long does it take for multifocal contact lenses to work? ›Some people adapt to the multifocal vision system immediately, while others experience 3-D vision or shadows for about a week. The shadows diminish as you get used to the lens.
Are all multifocal contact lenses the same? ›Multifocal contact lenses come in both soft lens and rigid gas permeable (RGP, or hard) lens materials. There are two main types of multifocal contact lens designs. The most common is a set of concentric circles of lens powers prescribed for various viewing distances.
Which brand is best for contact lenses? ›
- Johnson and Johnson Contact Lenses.
- Ciba Vision Contact Lenses.
- Bausch & Lomb Contact Lenses.
- Cooper Vision Contact Lenses.
- Aryan Contact Lenses.
- Acme Yearly Toric Contact Lenses.
- Celebrations Contact Lenses.
- Silk Lens Contact Lenses.
- Olympus.
- Panasonic.
- Leica.
- Zeiss.
- Sigma.
- Tamron.
- Tokina.
- Samyang / Rokinon.
- Bausch & Lomb Soflens 59 Contact Lenses.
- Freshlook One-Day Color Pure Hazel Powerless.
- Soft Eye Diamond Eye 3 Pair.
- Bausch & Lomb Optima38 Contact Lens.
- Clear Contact Lens Monthly Power.
- Acuvue 1 Day Moist Daily Contact Lens.
Multifocal contact lenses typically cost more than other types of contact lenses because they need to correct multiple vision problems at once. You can expect to pay between $300 and $500 for a year's supply of the lenses.
Which lens Does Medicare pay for? ›Medicare covers medically necessary cataract surgery with standard intraocular lenses. Medicare won't cover advanced technology lenses or elective surgery primarily to correct vision from nearsightedness or astigmatism, called “refractive lens exchanges.”
Does cataract surgery correct astigmatism? ›Patients with 1.0 D or more of astigmatism are shown to benefit from correction during or after cataract surgery, as visual acuity can decline to 20/25 with 0.75 D and 20/40 with 1.5 D of astigmatism.
Can you drive at night with multifocal lenses? ›Summary: A new study suggests that older adults who wear multifocal contact lenses to correct problems with near vision, a very common condition that increases with age, may have greater difficulty driving at night than their counterparts who wear glasses.
Should seniors wear progressive lenses? ›These are usually recommended for individuals who lost their ability to naturally shift the focus of their eyes due to presbyopia and age. Progressive lenses. If you are over 40, your doctor may require you to wear progressive lenses, which are effective on bringing back your near and far visions.
What is the difference between toric and multifocal contact lenses? ›A toric IOL can correct up to 4.50 diopters of corneal astigmatism. Multifocal IOLs correct a range of visual fields. The newest designs split light into several focal points to provide high quality vision. Patients who have presbyopia (impaired near vision) and astigmatism, may have success with multifocal IOLs.
Can multifocal contacts cause headaches? ›Multifocal lenses work best when they're customized to your exact and unique requirements. When you're ready to get fitted, make a point to work with a professional you can trust. Having a wrong prescription can leave you with headaches, eye strain or even nausea.
Is there a top and bottom to multifocal contact lenses? ›
These are GP multifocal lenses that are designed like bifocal eyeglass lenses. The top part of the lens has the distance power, and the bottom part of the lens contains the near power.
How long does it take for eyes to adjust to multifocal contacts? ›Getting used to multifocal contact lenses might take you just an hour or so, or a day or two. For a few people, adjusting takes a little longer, for some no time at all. Yet once your eyes and brain have adapted to the new way of seeing, multifocal magic becomes a daily joy.
Do multifocal contacts work as good as glasses? ›Multifocal lenses are an extremely successful option for presbyopia as it eliminates switching back and forth between reading glasses and ordinary spectacles. Multifocals are available both in eyeglasses and contact lenses and your eye doctor will discuss how these lenses can enhance your lifestyle.
Can you drive at night with multifocal contact lenses? ›If you wear monovision or multifocal contact lenses you may find that your distance vision, especially at dusk is compromised. You may need to consider wearing glasses for driving at night, or swapping to a pair of distance only contact lenses, to give you the best vision.
How do you train your eyes for multifocal contact lenses? ›Wear your multifocals at all times for the first few days.
Wearing your multifocals as often as you can will help train your eyes to move between the different powers of the lenses easily. Most people are able to adjust to their multifocals in a week or two.
Among the most common symptoms patients experience when wearing multifocal eyeglasses for the first time are headaches, nausea, dizziness and depth perception problems. You might feel a swim and sway effect, be uncomfortable using the stairs, and have a hard time focusing between intermediate and near distances.
Why do I see worse with contacts than glasses? ›The most common reasons for blurry vision with contacts are an outdated prescription, a new prescription you haven't adjusted to yet, wearing your contacts for too long, contacts that don't fit correctly, and allergies. Should I see a doctor if my vision remains blurry with contacts?
What does D or N mean on multifocal contact lenses? ›D/N: D/N stands for dominant or nondominant eye—multifocal and bifocal contacts have different levels of vision correction for each. Your dominant eye is associated with distance vision, and your nondominant eye is associated with near vision.
Are multifocal contact lenses worth it? ›Multifocal contact lenses allow you to see near, medium, and far distances with better visual acuity and less juggling of other devices, like wearing contacts and also wearing reading glasses. They are not for everyone, but they can be very helpful for some people who have more than one refractive error.