Finding contact lenses that fit comfortably and provide clear vision requires more than picking a prescription off the shelf. A contact lens fitting in Tulsa involves precise measurements, professional evaluation, and education on proper wear and care. Whether you're switching from glasses or trying contacts for the first time, understanding the fitting process helps ensure you get lenses that work for your eyes and lifestyle.
What Is a Contact Lens Fitting?
A contact lens fitting measures the unique shape and size of your eyes to determine which contact lenses will fit properly and provide optimal vision. Unlike glasses, contact lenses sit directly on the surface of your eye, making proper fit critical for both comfort and eye health.
During a contact lens fitting, an optometrist evaluates:
- Corneal curvature: The front surface of your eye has a specific curve. Lenses must match this curvature to sit properly and move naturally with each blink.
- Pupil and iris diameter: These measurements determine the appropriate lens diameter to ensure proper coverage and centering.
- Tear film quality: Your natural tears lubricate contact lenses. The optometrist checks tear production to identify any dryness issues that might affect lens wear.
- Prescription needs: Contact lens prescriptions differ from eyeglass prescriptions because the distance from the corrective surface to your eye is different.
- Eye health status: A thorough examination checks for conditions that might make contact lens wear unsafe or uncomfortable.
A contact lens fitting takes 30-60 minutes and may require a follow-up appointment to verify that your trial lenses are working well after a few days of wear.
Types of Contact Lenses Available
Contact lenses come in multiple types based on replacement schedule, material, and design. Your optometrist recommends specific options based on your prescription, eye shape, lifestyle, and health needs.
Daily Disposable Lenses
Worn once and thrown away at the end of each day. You open a fresh pair every morning.
- No cleaning or storage needed
- Reduced infection risk
- Convenient for part-time wearers
- Good for people with allergies
Best for: People who value convenience, athletes, travelers, or those with seasonal allergies.
Weekly and Bi-Weekly Lenses
Removed nightly and cleaned with solution. Replace after one or two weeks of use.
- Lower cost than daily disposables
- More oxygen-permeable materials available
- Easier to handle than daily lenses
Best for: Regular contact lens wearers who don't mind a nightly cleaning routine.
Monthly Lenses
Removed nightly, cleaned, and replaced after 30 days of use.
- Most economical option for full-time wearers
- Available in extended ranges (toric, multifocal)
- Durable construction
Best for: Daily contact lens wearers with stable prescriptions who want the lowest per-wear cost.
Specialty Lenses
Address specific vision problems or eye conditions that standard lenses cannot correct.
- Toric lenses: Correct astigmatism
- Multifocal lenses: Multiple focal points for presbyopia
- RGP lenses: Sharper vision for high astigmatism or keratoconus
- Scleral lenses: For severe dry eye or irregular corneas
The Contact Lens Fitting Process
A contact lens fitting follows a structured process to ensure your lenses fit properly and provide safe, comfortable vision.
Step 1: Comprehensive Eye Examination
The fitting begins with a comprehensive eye exam to determine your prescription and check eye health. The optometrist looks for conditions that might affect contact lens wear, such as dry eye, allergies, or corneal irregularities.
Step 2: Corneal Measurements
The optometrist uses a keratometer or corneal topographer to measure the curvature of your cornea. This measurement determines the base curve of your contact lenses. Lenses that are too flat or too steep cause discomfort and vision problems.
Step 3: Pupil and Iris Sizing
Using a pupillometer or millimeter ruler, the optometrist measures your pupil and iris diameter. This ensures the lens diameter provides proper coverage and centering on your eye.
Step 4: Tear Film Assessment
A tear film evaluation checks the quantity and quality of your natural tears. Tests may include tear breakup time or Schirmer test strips. If you have dry eyes, the optometrist may recommend specific lens materials or moisture treatments.
Step 5: Lens Selection and Trial Fitting
Based on your measurements and lifestyle needs, the optometrist selects trial lenses. You'll wear these in the office for 10-20 minutes while the doctor evaluates lens movement, coverage, comfort, and vision quality.
Step 6: Instruction and Training
Once proper-fitting lenses are identified, you receive hands-on training in insertion and removal techniques, cleaning and storage procedures, wearing schedule, signs of problems, and when to replace lenses.
Step 7: Trial Period and Follow-Up
You take home trial lenses to wear for several days. At the follow-up visit, the optometrist checks lens fit after settling, eye health, vision clarity, and comfort level.
First-Time Contact Lens Wearers: What to Expect
Starting contact lenses comes with a learning curve. Most first-time wearers adapt within 1-2 weeks.
Initial Insertion Challenges
Your eyes have a natural blink reflex that makes touching them difficult. This is normal. Most people take 5-10 minutes to successfully insert their first lens. With practice, insertion takes less than 30 seconds.
Adjustment Period
- Days 1-3: Awareness of the lens. Mild discomfort or tearing. Vision may fluctuate.
- Days 4-7: Increased comfort. Less awareness during wear. Vision stabilizes.
- Days 8-14: Most people forget they're wearing lenses. Insertion and removal become routine.
Building Wearing Time
Start with 4-6 hours per day and increase by 1-2 hours daily as tolerated. This gradual approach allows your eyes to build tolerance without overwhelming them. Do not sleep in lenses unless they're specifically approved for extended wear.
Contact Lens Care and Maintenance
Daily Cleaning Routine (Bi-Weekly and Monthly Lenses)
- Wash hands with soap and dry with a lint-free towel
- Remove one lens and place in palm
- Apply 3-4 drops of multipurpose solution to lens
- Rub gently in a circular motion for 10-15 seconds
- Rinse lens with fresh solution
- Place in clean case filled with fresh solution
- Repeat for second lens
Important Don'ts
- Never use tap water on lenses or cases (contains bacteria)
- Never reuse solution (loses disinfecting power)
- Never top off old solution with fresh (dilutes effectiveness)
- Never use saliva to wet lenses (introduces harmful bacteria)
Signs You Need to Remove Your Lenses
Remove lenses immediately if you experience sudden vision loss or blurring, eye pain or severe discomfort, excessive tearing or discharge, light sensitivity, redness that doesn't resolve within 15 minutes of removal, or feeling like something is scratching your eye.
Find a Contact Lens Provider in Tulsa
Contact lens fitting requires specialized equipment and training. Find qualified optometrists with experience fitting your specific lens type.
Browse Eye Doctors