Updated on 

April 21, 2022

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Best Contacts for Astigmatism

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. 

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

"Astigmatism, if untreated can give an appearance of images being 'stretched out,'" says Dr. Yuna Rapoport.

Meet the Expert

Dr. Rapoport is a cataract and refractive surgery board-certified and fellowship-trained ophthalmologist.

She specializes in laser corrective and cataract surgery, keratoconus, dry eye, comprehensive exams, contacts, and glasses.

She and her team at Manhattan Eye provide a customized approach and plan to each patient’s visual needs.

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.

Dr. Rapoport points out that if you are tired of contacts or glasses, there are numerous laser refractive procedures that can fix astigmatism. These include LASIK, PRK, ICL (implantable collamer lens), and RLE (refractive lens exchange).

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.

We asked the expert, Dr. Rapoport, her opinion on the 7 best contacts for astigmatism.

Top Recommendations from an Opthalmologist
Best Contacts For Dry Eyes - Acuvue Oasys 1-Day with HydraLuxe for Astigmatism
Best Daily Contacts - Acuvue Oasys 1-Day with HydraLuxe for Astigmatism
Best Weekly or Bi-Weekly Contacts - Acuvue Oasys with HYDRACLEAR PLUS for Astigmatism
Best Monthly Contacts - Bausch & Lomb ULTRA for Astigmatism
Best for Sensitive Eyes - Acuvue Theravision with Ketotifen
Best Multifocal Contacts - Bausch + Lomb Ultra Multifocal for Astigmatism
Best Extended Wear Contacts - None!

Here's what she said:

Top 7 Contacts for Astigmatism

Best Contacts For Dry Eyes: Acuvue Oasys 1-Day with HydraLuxe for Astigmatism

Dry eyes are a common problem for people with astigmatism. That’s why Acuvue Oasys with HydraLuxe for astigmatism are one of the most popular contact lenses on the market.

They feature HydraLuxe® technology with an embedded wetting agent. This allows tears to wet the lens like they would your eye. Plus the added convenience of never needing solution or contact cases.

Lens Features:

  • High UV protection (at least 82% of UV-A and 97% of UV-B radiation)
  • Tear-infused with HydraLuxe Technology
  • Material: 62% samfilcon A; 38% water 
  • Manufacturer: Johnson & Johnson

Best Daily Contacts: Acuvue Oasys 1-Day with HydraLuxe for 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.

Again, Acuvue Oasys 1-Day with HydraLuxe for Astigmatism lenses top the list of this category.

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.

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: Bausch & Lomb ULTRA for Astigmatism

Monthly contacts only need to be replaced every 30 days. Bausch & Lomb ULTRA have MoistureSeal technology and OpticAlign Design which provides clear vision, stability, and all-day comfort. 

Lens Features:

  • MoistureSeal Technology
  • OpticAlign Design
  • Material: 54% samfilcon A; 46% water
  • Manufacturer: Bausch + Lomb

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: Acuvue Theravision with Ketotifen

The FDA recently approvevd Acuvue Theravision with Ketotifen contact lenses. These contact lenses help people with allergic eye itch. Ketotifen is an established antihistamine.

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.

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: None!

"I don't ever recommend extended wear contacts because of increase in neovascularization (new blood vessel growth around the outside)," says Dr. Rapoport

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.

Best Places to Buy Contacts

Best Overall

1-800 Contacts is our #1 recommendation to buy contacts online.

Also Great
glasses usa logo

GlassesUSA has a huge selection of contacts, glasses, & sunglasses.

Best Places to Buy Glasses

Best Overall

Warby Parker has stylish, high-quality frames at affordable prices.

Also Great

Liingo Eyewear is another great option to buy glasses online.

Best on a Budget

EyeBuyDirect has a wide variety of budget frames starting at $6.

8 Cited Research Articles
  1. Eye Health Statistics. American Academy of Ophthalmology, www.aao.org/newsroom/eye-health-statistics
  2. Ferrer-Blasco, Teresa, et al. “Prevalence of Corneal Astigmatism before Cataract Surgery.” Journal of Cataract & Refractive Surgery, Elsevier, 21 Dec. 2008, www.sciencedirect.com/science/article/abs/pii/S0886335008010523.  
  3. Holden, Brien A. “The Principles and Practice of Correcting Astigmatism with Soft Contact Lenses.” Wiley Online Library, John Wiley & Sons, Ltd, 23 Apr. 2009, onlinelibrary.wiley.com/doi/abs/10.1111/j.1444-0938.1975.tb01830.x.  
  4. Holladay, Jack T, et al. “Analysis of Aggregate Surgically Induced Refractive Change, Prediction Error, and Intraocular Astigmatism.” Journal of Cataract & Refractive Surgery, Elsevier, 1 Feb. 2001, www.sciencedirect.com/science/article/abs/pii/S0886335000007963.  
  5. Holladay, Jack T., et al. “Evaluating and Reporting Astigmatism for Individual and Aggregate Data.” Journal of Cataract & Refractive Surgery, Elsevier, 19 Mar. 2013, www.sciencedirect.com/science/article/abs/pii/S0886335098800758.  
  6. Morgan, Philip B., and Nathan Efron. “Prescribing Soft Contact Lenses for Astigmatism.” Contact Lens and Anterior Eye, Elsevier, 30 Jan. 2009, www.sciencedirect.com/science/article/abs/pii/S1367048408001616.  
  7. Remon, Laura, et al. “Visual Acuity in Simple Myopic Astigmatism: Influence of Cylinder Axis.” Journal of the American Academy of Optometry, Optometry and Vision Science, May 2006, journals.lww.com/optvissci/Abstract/2006/05000/Visual_Acuity_in_Simple_Myopic_Astigmatism_.11.aspx
  8. Uçakhan, Ömür  Ö, and Yağmur  Seda Yeşiltaş. “Correction of Irregular Astigmatism With New-Generation Hybrid Contact Lenses.” Contact Lens Association of Ophthalmologists, Eye & Contact Lens: Science & Clinical Practice, Mar. 2020, journals.lww.com/claojournal/Abstract/2020/03000/Correction_of_Irregular_Astigmatism_With.5.aspx.
Melody Huang is an optometrist and freelance health writer. Through her writing, Dr. Huang enjoys educating patients on how to lead healthier and happier lives. She also has an interest in Eastern medicine practices and learning about integrative medicine. When she’s not working, Dr. Huang loves reviewing new skin care products, trying interesting food recipes, or hanging with her adopted cats.
Michael is the content strategist and a lead content writer for Vision Center. With eight years of experience in the world of content strategy and creation, Michael specializes in medical copywriting and advanced research methodologies.
https://www.visioncenter.org/author/michael/
Author: Michael Bayba  | UPDATED April 21, 2022
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Medical reviewer: Dr. Melody Huang, O.D.
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Dr. Melody Huang, O.D.
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The information provided on VisionCenter.org should not be used in place of actual information provided by a doctor or a specialist.

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