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How do hard contacts work?

Published in Contact Lens Mechanics 3 mins read

Hard contact lenses, also known as rigid gas permeable (RGP) lenses, work by correcting vision issues while maintaining eye health. Here’s how they function:

Lens Material and Oxygen Permeability

Unlike traditional soft contact lenses, hard contacts are made from durable, silicone-containing compounds. This material is crucial because:

  • Oxygen Transmission: The primary feature of these materials is their ability to allow oxygen to pass through to the cornea, the clear front surface of the eye.
  • Corneal Health: This oxygen permeability is essential for maintaining the health of the cornea. The cornea relies on direct oxygen supply from the air, and using a contact lens can restrict this access.
  • Reduced Risk: By allowing oxygen to pass through, hard contacts help reduce the risk of corneal hypoxia (oxygen deficiency), which can lead to complications.

How Hard Contact Lenses Provide Vision Correction

Hard contact lenses provide vision correction in a distinct way:

  • Precise Shape: The rigid nature of these lenses ensures that they maintain a specific shape on the eye.
  • Tear Layer Optics: Rather than conforming to the shape of the cornea, they create a new refractive surface by floating on a thin layer of tears. This layer of tears fills any gaps between the lens and the cornea.
  • Sharp Vision: The precise surface of the lens combined with the tear film results in a very sharp and stable image compared to some soft contact lenses.

Advantages Over Soft Lenses

Gas permeable (GP) lenses, though less popular than soft lenses, offer certain benefits:

Feature Hard Contact Lenses (GP/RGP) Soft Contact Lenses
Material Silicone-containing compounds, rigid Flexible hydrogels or silicone hydrogels
Oxygen Permeability High oxygen transmission, promotes corneal health Variable, may be lower than GP lenses
Vision Correction Very sharp, stable vision due to precise shape and tear layer interaction Good vision, can be prone to movement and variable sharpness
Durability More durable and long-lasting Less durable, needs more frequent replacement
Handling Requires more care during insertion, removal, and cleaning Generally easier to handle
Ideal For Specific refractive errors, such as astigmatism; can be better for certain dry eye conditions. General use, comfortable for most wearers, wide variety of parameters.

Key Takeaway

Hard contact lenses are designed to allow oxygen to reach the cornea by being made from materials that are permeable to oxygen. They provide a stable, clear vision by creating a new refractive surface using tears and their rigid shape.

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