Find Contact Lenses and quality eye care in Madison, NJ

Contact Lenses

hate-eye-glassesYour satisfaction with contact lenses is critical to us at Madison Eyes. Your ability to comfortably wear contacts with excellent vision, safely and conveniently, is something that we continue strive for. We’ve seen nearly every type of contact lens issue and have learned what works. We make it easy for you. 

We have lots of experience (see below). You will be able to try out contacts without any obligation to buy them, but when you are ready we offer competitive pricing and make it exceptionally easy to actually get your lenses.

We keep multiple thousands of contacts in our extensive inventory covering all major brands. We usually will have free samples of your exact contacts and very often will have boxes of your contacts in our office available for sale. In most cases we will mail lenses to you at no additional charge. We handle virtually all brands, types, and materials. You’ll be able to take advantage of our large presence in the field that gets us the latest technology and at low prices for you.

Dr. Naftali finished his residency training, which included specialty contact lens fittings in 1990. Early in his career he practiced at two nationally known practices primarily devoted to contact lenses. There he fit specialty lenses under the guidance of experts in the field. Dr. Lacotte, while a more recent graduate, has been in eye care for 9 years. He has a special interest in the fitting of bifocal/multifocal contacts and CRT lenses to correct myopia and astigmatism.

We fit new potential wearers, refit dissatisfied wearers, and renew prescriptions for successful contact wearers of all types. We stock many thousands of lenses in a wide array of prescriptions. You will likely be able to leave with well-fitting contacts on your first visit. Whether or not you’ve been told that you are an ideal candidate (or perhaps even if you’ve been told that you are not a candidate), we will give you the thorough evaluation you may not have previously received. This has allowed us to successfully fit many patients who have not been successful with contacts or were uncertain about trying them in the past. Some of the types of contact lenses that we offer include:

  • Soft and rigid gas permeable
  • Daily wear and extended wear
  • Astigmatic, bifocal, and multifocal
  • 1-day daily disposable, biweekly, monthly, quarterly, and traditional replacement
  • Eye color changing, visibility tinted, and custom shaped or powered contacts
  • Synergeyes hybrid and CRT corrective lenses

We don’t fit everyone into the same type of lens, rather we listen to your wants and needs and take into account your prescription and ocular characteristics that lead us to recommend what will be best for you.

You’ll feel safe and treated fairly as our policies are very customer friendly:

  • We encourage you to try the actual lenses you need before you buy
  • We only use name brands; we don’t trick you with “house brands” that are not elsewhere available
  • We do this with prices similar to or often even lower than over the internet
  • If you ever run out we will nearly always be immediately able to tide you over
  • Free exchanges made for your purchased contacts if your prescription changes*
  • “Let your fingers do the walking,” you can order by phone and we will generally mail your lenses to you for no additional charge

Contact Lenses

Contacts Lenses for the “Hard-to-Fit” Patient

Not everyone is an ideal candidate for contact lenses. If you have one or more of the following conditions, contact lens wear may be more difficult:

  • astigmatism
  • dry eyes
  • presbyopia
  • giant papillary conjunctivitis (GPC)
  • keratoconus
  • post-refractive surgery (such as LASIK)

But “difficult” doesn’t mean impossible. Often, people with these conditions can wear contacts quite successfully. Let’s take a closer look at each situation – and possible contact lens solutions.

Contact lenses for astigmatism

Astigmatism is a very common condition where the curvature of the front of the eye isn’t round, but is instead shaped more like a football or an egg. This means one curve is steeper or flatter than the curve 90 degrees away. Astigmatism won’t keep you from wearing contact lenses – it just means you need a different kind of lens.

Lenses specially designed to correct astigmatism are called “toric” lenses. Most toric lenses are soft lenses. Toric soft lenses have different corrective powers in different lens meridians, and design elements to keep the lens from rotating on the eye (so the varying corrective powers are aligned properly in front of the different meridians of the cornea).

In some cases, toric soft lenses may rotate too much on the eye, causing blur. If this happens, different brands that have different anti-rotation designs can be tried. If soft lens rotation continues to be a problem, gas permeable (GP) lenses (with or without a toric design) can also correct astigmatism.

Contact lenses for dry eyes

Dry eyes can make contact lens wear difficult and cause a number of symptoms, including:

  • a gritty, dry feeling
  • feeling as if something is in your eye
  • a burning sensation
  • eye redness (especially later in the day)
  • blurred vision

If you have dry eyes, the first step is to treat the condition. This can be done a number of ways, including artificial tears, medicated eye drops, nutritional supplements, and a doctor-performed procedure called punctal occlusion to close ducts in your eyelids that drain tears away from your eyes.

Once the dry eye condition is treated and symptoms are reduced or eliminated, contact lenses can be tried. Certain soft contact lens materials work better than others for dry eyes. Also, GP lenses are sometimes better than soft lenses if there’s a concern about dry eyes since these lenses don’t dry out the way soft lenses can.

Replacing your contacts more frequently and reducing your wearing time each day (or removing them for specific tasks, such as computer work) can also reduce dry eye symptoms when wearing contacts.

Contact lenses for giant papillary conjunctivitis (GPC)

Giant papillary conjunctivitis (GPC) is an inflammatory reaction on the inner surface of the eyelids. One cause of GPC is protein deposits on soft contact lenses. (These deposits are from components of your tear film that stick to your lenses and become chemically altered.)

Usually, changing to a one-day disposable soft lens will solve this problem, since you just throw these lenses away at the end of the day before protein deposits can accumulate on them. Gas permeable lenses are also often a good solution, as protein deposits don’t adhere as easily to GP lenses, and lens deposits on GP lenses are more easily removed with daily cleaning.

In some cases of GPC, a medicated eye drop may be required to reduce the inflammation before you can resume wearing contact lenses.

Contact lenses for presbyopia

Presbyopia is the normal loss of focusing ability up close when you reach your 40s.

Today, there are many designs of bifocal and multifocal contact lenses to correct presbyopia. Another option for presbyopia is monovision. This is wearing a contact lens in one eye for distance vision and a lens in the other eye that has a modified power for near vision.

During your contact lens fitting we can help you decide whether bifocal/multifocal contact lenses or monovision is best for you.

Contact lenses for keratoconus

Keratoconus is a relatively uncommon eye condition where the cornea becomes thinner and bulges forward. The term “keratoconus” comes from the Greek terms for cornea (“kerato”) and cone-shaped (“conus”). The exact cause of keratoconus remains unknown, but it appears that oxidative damage from free radicals plays a role.

Gas permeable contact lenses are the treatment option of choice for mild and moderate keratoconus. Because they are rigid, GP lenses can help contain the shape of the cornea to prevent further bulging of the cornea. They also can correct vision problems caused by keratoconus that cannot be corrected with eyeglasses or soft contacts.

In some cases, a soft contact lens is worn under the GP lens for greater comfort. This technique is called “piggybacking.” Another option for some patients is a hybrid contact lens that has a GP center, surrounded by a soft “skirt”.

Contact lenses after corrective eye surgery

More than one million Americans each year have LASIK surgery to correct their eyesight. Sometimes, vision problems remain after surgery that can’t be corrected with eyeglasses or a second surgical procedure. In these cases, gas permeable contact lenses can often restore visual acuity and eliminate problems like glare and halos at night.

GP lenses are also used to correct vision problems after corneal transplant surgery, including irregular astigmatism that cannot be corrected with eyeglasses.

GP lenses prescribed after LASIK and corneal transplants sometimes have a special design called a “reverse geometry” design to better conform to the altered shape of the cornea. The back surface of these lenses is flatter in the center and steeper in the periphery. (This is the opposite of a normal GP lens design, which is steeper in the center and flattens in the periphery.)

Problem-solving contact lens fittings cost more

Fitting contact lenses to correct or treat any of the above conditions will generally take much more time than a regular contact lens fitting. These “hard-to-fit” cases usually require a series of office visits and multiple pairs of trial lenses before the final contact lens prescription can be determined. Also, the lenses required for these conditions are usually more costly than regular soft contact lenses. Therefore, fees for these fittings are higher than fees for regular contact lens fittings. Call our office for details.

Find out if you can wear contact lenses

If you are interested in wearing contact lenses, call our office to schedule a consultation. Even if you’ve been told you’re not a good candidate for contacts because you have one of the above conditions or for some other reason, we may be able to help you wear contact lenses safely and successfully.

Contacts Lenses for the “Hard-to-Fit” Patient

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Our Insurance plans:
  • Aetna
  • Cigna
  • EyeMed
  • Horizon Blue Cross/Blue Shield
  • Medicare
  • Oxford
  • United Health Care
  • VSP (Vision Service Plan)

...This is a partial list, please click here to see the complete list and eligibility limitations.

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Moving here from the south, I was quite impressed by the warm and helpful demeanor of his whole staff. You feel at ease in his office and during the exam.

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