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Contact Lens Spectrum

Article

Research Review: Pre-Presbyopes and Multifocal Contact Lenses

As evidence supporting the use of multifocal soft contact lenses in slowing myopia progression continues to grow, the performance of these types of lenses in non-presbyopic patients has spurred further study.

By: Alex Hui, OD, PhD, FAAO
Contact Lens Spectrum January 1, 2026 Vol 41, Issue January-February 2026 Page(s): 8
5 Key Takeaways

  • 1

    Multifocal soft contact lenses (MFSCLs) are being studied for their effectiveness in slowing myopia progression in non-presbyopic patients.

  • 2

    Pre-presbyopes retain accommodative ability and larger pupil sizes, which may influence their visual experience with MFSCLs.

  • 3

    Visual acuity with center-distance MFSCLs decreases under low-contrast conditions and larger pupil sizes compared to single-vision lenses.

  • 4

    Pupil-optimized MFSCLs show improved near visual acuity and reading speed but lower distance visual acuity compared to single-vision lenses.

  • 5

    Patient satisfaction varies, with single-vision lenses rated higher for distance vision and glare, while MFSCLs are preferred for near vision tasks.