best contacts for dry eyes and astigmatism

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What is Astigmatism?

Astigmatism is a type of refractive error. (Refractive errors are eye problems that affect your vision). If you have astigmatism it means your cornea is misshapen.

The cornea is your eye’s outermost lens. It focuses the light that enters your eye. 

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A normal cornea is spherical. With astigmatism, the cornea has an irregular curve. A misshapen cornea changes how light passes through to your retina.

Astigmatism can cause:

  • Blurry vision
  • Poor night vision
  • Squinting and eye strain
  • Eye irritation
  • Headaches

The causes of astigmatism are unknown. Many believe that genetics play a large role.

It is common for astigmatism to occur with nearsightedness (myopia) or farsightedness (hyperopia).

Correcting Astigmatism

Astigmatism is often present at birth, however, it can develop at any age. Mild astigmatism may not need to be corrected. Moderate or severe cases need treatment for sharper vision. Glasses, contact lenses, and surgery are the most common ways to correct astigmatism. 

Read more about LASIK for Astigmatism.

Read more about glasses for astigmatism.

Many people prefer wearing contacts to correct their astigmatism. They are affordable, convenient, and provide excellent visual acuity. 

You can use soft or hard (rigid gas permeable, or RGP) contacts to correct astigmatism. Most people opt for soft contacts since they are comfortable and easy to use. Soft lenses are made from a silicone hydrogel material, which creates a soft, breathable lens that still provides sharp vision.

You’ll need special lenses, called “toric” lenses if you have astigmatism. Toric contacts are specifically designed to have two “powers.” One corrects your astigmatism and the other corrects your near or farsightedness. They also have a weight on the bottom to make sure they stay in place and don’t rotate. (Normal lenses have one power and your vision is not affected if they rotate).

*NOTE: It’s important to know that contact prescriptions and glasses prescriptions are different. If you only have glasses, your current prescription won’t work for contact lenses. Make sure you have a professional contact lens fitting exam from an eye doctor before purchasing lenses from online retailers.

There are many different types of contacts for astigmatism. Here are the best contact lenses for each category:

Top 7 Contacts for Astigmatism

Best Contacts For Dry Eyes: 1-Day Acuvue Moist Astigmatism

Dry eyes are a common problem for people with astigmatism. That’s why 1-Day Acuvue Moist are one of the most popular contact lenses on the market. They feature LACREON® technology with an embedded wetting agent. This gives your eyes a cushion of moisture all day. Plus the added convenience of never needing solution or contact cases.

1 day acuvue moist for astigmatism 2

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Lens Features:

  • High UV protection (at least 82% of UV-A and 97% of UV-B radiation)
  • BLINK STABILIZED® design to keep contacts in place
  • Material: 42% polymer; 58% water 
  • Manufacturer: Johnson & Johnson

Best Daily Contacts: 1-Day Acuvue Moist Astigmatism

Many contact wearers prefer daily disposable lenses for their convenience. You don’t need a contact case or solution. Instead you throw each pair out at the end of the day. 

They also are better for your eye health. Your eyes contain calcium, proteins, and lipids. These build up on reusable lenses and increase your chance of infection. Disposable contacts are always sterile, greatly reducing your chances of infection.

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Again, 1-Day Acuvue Moist Astigmatism lenses top the list of this category.

1 day acuvue moist for astigmatism 2

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Best Weekly or Bi-Weekly Contacts: Acuvue Oasys with HYDRACLEAR PLUS for Astigmatism

Weekly contact lenses can be worn for one to two weeks. Once again, Acuvue tops the list in this category. Acuvue Oasys lenses come with HYDRACLEAR® PLUS technology. This helps to stabilize tear film, resulting in less dryness.

Acuvue Oasys with HYDRACLEAR PLUS for Astigmatism

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Lens Features:

  • Highest UV protection of any contact lens
  • BLINK STABILIZED® design to keep contacts in place
  • Material: 62% polymer (senofilcon A); 38% water
  • Manufacturer: Johnson & Johnson

Best Monthly Contacts: Biofinity Toric Monthly

Monthly contacts only need to be replaced every 30 days. Biofinity Toric Monthly lenses are made of silicone hydrogel. This is a very breathable material that lets oxygen pass through efficiently. 

Biofinity Toric Monthly

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Lens Features:

  • Aquaform® Technology for maximum breathability and hydration
  •  Optimized Toric Lens Geometry™ reduces lens movement and increases comfort
  • Material: 52% comfilcon A; 48% water
  • Manufacturer: CooperVision

Bonus: Some patients can use Biofinity Toric Monthly lenses for up to 7 days/6 nights of continuous wear. Not all patients can achieve the maximum wear time. Speak with your eye care practitioner for more information.

Best for Sensitive Eyes: Dailies AquaComfort Plus Toric

Dailies brand lenses by Alcon are another popular choice. Their AquaComfort Plus Toric lenses provide crisp and clear vision. A moisturizing agent is released with every blink so your eyes stay moist all day.

Dailies AquaComfort Plus Toric

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Lens Features:

  • Precision Curve® design that keeps them in place
  • Blink-activated moisture technology
  • Material: 31% nelfilcon A; 69% water 
  • Manufacturer: Alcon

Best Multifocal Contacts: Bausch + Lomb Ultra Multifocal for Astigmatism

If you have presbyopia (farsightedness) and astigmatism you’ll need multifocal lenses. Bausch + Lomb Ultra Multifocal lenses are the top choice for this category. They are a monthly lens. They use a 3-Zone Progressive design. This provides vision correction up close, far away, and in between.

Bausch Lomb Ultra Multifocal for Astigmatism

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Lens Features:

  • OpticAlign design for stable, consistently clear vision
  • MoistureSeal technology maintains 95% of lens moisture for 16 hours
  • Material: 54% samfilcon A; 46% water
  • Manufacturer: Bausch + Lomb

Best Extended Wear Contacts: AIR OPTIX for Astigmatism

AIR OPTIX for Astigmatism contacts can only be worn for extended wear (24 hours including while you sleep) if directed by your eye doctor. Be sure to get a professional lens fitting and ask your eye care professional if extended wear contacts are right for you.

AIR OPTIX for Astigmatism

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Lens Features:

  • Flexible and customizable wearing schedule
  • PRECISION BALANCE 8|4® Lens Design to keep lenses from rotating
  • Material: 67% lotrafilcon B; 33% water
  • Manufacturer: Alcon

*Important Safety Information: Not all patients can wear the lenses for extended wear. Approximately 80% of patients are able to wear the contacts during the day and at night. Always follow the eye care professional’s recommended lens wear, care and replacement schedule. Overnight wear of contact lenses has been shown to increase the risk of certain serious contact lens–related complications. See more AIR OPTIX Safety Information.

If AIR OPTIX NIGHT & DAY AQUA contacts don’t work for you, Biofinity Toric Monthly may be a better option. However, they can only be worn for up to 7 days/6 nights.

Before ordering any contacts online, be sure to get an eye exam and contact lens fitting. Speak with a professional eye doctor or optometrist to find out which contact lens design is best for you.

Why Trust Us?

The Vision Center team spends several hours researching and writing every review page. We scour the internet and base all of our recommendations on:

  • Customer reviews
  • Product details and specifications
  • Company reputation and reports
  • Contemporary scholarly articles 

Every review is then edited for medical accuracy by our medical reviewer, Dr. Melody Huang, O.D..

Other Types of Contact Lenses for Astigmatism

If soft toric contact lenses are uncomfortable, or unable to correct your astigmatism, there are a couple of other options for toric contact lenses:

Rigid Gas Permeable Lenses

Rigid gas permeable, or RGP lenses, are hard contact lenses. Soft contact lenses correct mild to moderate astigmatism. RGP lenses may be beneficial for people with severe astigmatism. They provider sharper vision for high prescriptions.

RGP lenses are custom-made for every patient. They typically have a higher price tag up front but are more durable than soft contact lenses. They will last over a year with proper maintenance. This makes their cost comparable to soft lenses over time.

Many people experience discomfort when first wearing RGP lenses. They often take a few weeks or more to adapt to. They are also smaller in size than soft lenses, which makes them more likely to fall out. They may not be a good choice for people who play sports or do other physical activities.

Hybrid Contact Lenses

Hybrid contacts have a rigid gas permeable center surrounded by soft edges made of a soft hydrogel material. They provide the sharper vision of RGP lenses along with the comfort of soft contact lenses.

Like RGP lenses, hybrid contact lenses are custom made for each patient. They are similarly priced to RGP contacts, meaning they are more expensive up front, but wind up costing about the same as soft lenses over time.

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