The Dailies Total 1 Multifocal Fitting Guide is a comprehensive resource for eye care professionals, detailing lens design, fitting steps, and troubleshooting tips to ensure optimal vision and comfort for presbyopic patients.

Understanding Presbyopia
Presbyopia is an age-related decline in near vision, typically starting around age 40, caused by reduced lens flexibility, impacting daily activities and quality of life.
What is Presbyopia?
Presbyopia is a natural age-related condition that affects the eye’s ability to focus on near objects, typically beginning around age 40. It occurs as the lens inside the eye loses flexibility, making it harder to adjust focus for tasks like reading or using a smartphone. This decline in near vision is a normal part of aging but can significantly impact daily activities and quality of life. Presbyopia progresses over time, increasing the need for vision correction, such as reading glasses or contact lenses. Understanding this condition is essential for eye care professionals to address the visual needs of presbyopic patients effectively, especially when fitting multifocal contact lenses like Dailies Total 1 Multifocal.
Impact on Vision
Presbyopia significantly impacts vision by reducing the eye’s ability to focus on near objects, making tasks like reading, using a smartphone, or performing fine detail work challenging. As the lens loses flexibility, near visual acuity declines, often leading to blurred vision at close distances. This condition progresses over time, worsening as individuals age, and can interfere with daily activities, reducing quality of life. Presbyopia affects depth perception and may cause eye strain or headaches from prolonged efforts to focus. It also limits the ability to adapt quickly between near and far objects, making activities like driving or multitasking more difficult. Addressing presbyopia is crucial to restore clear, comfortable vision and maintain independence in daily life.

Key Features of Dailies Total 1 Multifocal
Dailies Total 1 Multifocal features a unique lens design with smooth power gradients and an optimized optical zone for clear vision. Made from Delefilcon A material, it offers high oxygen permeability and SmarTears technology for enhanced comfort and moisture retention, ensuring excellent all-day wearability.
Lens Design
The Dailies Total 1 Multifocal features Alcon’s innovative PRECISION PROFILE lens design, which incorporates a smooth progression of power gradients from the distance periphery to the near center power. This design ensures a seamless transition between distance, intermediate, and near vision, minimizing visual aberrations and providing sharp, clear vision at all distances. The lens also boasts an optimized optical zone, tailored to accommodate a wide range of pupil sizes, ensuring consistent visual performance regardless of lighting conditions. This advanced design addresses the unique challenges of presbyopia by delivering a natural viewing experience, with minimal adaptation required for patients transitioning to multifocal lenses.
Material and Comfort
Dailies Total 1 Multifocal lenses are crafted from Delefilcon A, a high-performance silicone hydrogel material that prioritizes both comfort and eye health. This advanced material offers exceptional oxygen permeability, ensuring adequate oxygen supply to the cornea for healthy, comfortable wear. Additionally, the lenses feature SmarTears Technology, which incorporates a hydrophilic surface that attracts and retains moisture, reducing dryness and irritation throughout the day. This combination of material and technology creates a lens that not only addresses the visual needs of presbyopic patients but also provides a comfortable wearing experience, making it an excellent choice for daily use. The design ensures long-lasting comfort, even during extended wear, making it ideal for patients seeking a hassle-free solution for their multifocal needs.
The Fitting Process
The fitting process for Dailies Total 1 Multifocal lenses involves a systematic approach, including initial assessment, lens selection, trial fitting, optimization, and follow-up, ensuring optimal vision and comfort.
Initial Assessment
The initial assessment for fitting Dailies Total 1 Multifocal lenses begins with a comprehensive review of the patient’s prescription, including sphere, cylinder, axis, and add power. The spherical equivalent distance power is calculated to determine the starting point for lens selection. Ocular dominance is evaluated using methods like the 1.00D blur test to guide add power assignment. The patient’s visual needs, lifestyle, and daily activities are discussed to tailor the fitting approach. Pupil size and corneal curvature are measured to ensure proper lens centration and comfort. This step lays the foundation for a personalized fitting experience, ensuring the lenses meet the patient’s unique requirements for clear vision at all distances.
Lens Selection
Lens selection for Dailies Total 1 Multifocal involves determining the appropriate base curve, diameter, and add power based on the patient’s prescription and ocular characteristics. The spherical equivalent distance power is calculated from the patient’s sphere and cylinder values, serving as the foundation for lens power selection; Add power options (low, medium, high) are chosen to address the patient’s presbyopia needs, with the dominant eye typically receiving the higher add power. The eye care professional may use trial lenses to refine the selection, ensuring the chosen parameters align with the patient’s visual and comfort requirements. Proper lens selection is critical for achieving clear vision at all distances and maximizing patient satisfaction with the multifocal design.
Trial Fitting
Trial fitting is a critical step in the Dailies Total 1 Multifocal fitting process, allowing patients to experience the lenses before finalizing the prescription. The eye care professional places the selected trial lenses on the patient’s eyes and evaluates their fit, centration, and movement. Visual acuity is assessed at distance, intermediate, and near to ensure clear vision across all ranges. The patient’s feedback on comfort and vision quality is essential during this phase. Adjustments to lens power, base curve, or add power may be made based on the trial results. This hands-on approach ensures the lenses meet the patient’s specific needs, providing a personalized solution for presbyopia correction. Trial fitting is a dynamic process that may require multiple iterations to achieve optimal vision and comfort.
Lens Optimization
Lens optimization is a refined process to fine-tune the fit and vision of Dailies Total 1 Multifocal lenses. After the initial trial, the eye care professional assesses visual acuity at distance, intermediate, and near. Adjustments to lens power, add power, or base curve may be made to enhance clarity and comfort. Patient feedback is crucial, as it guides further refinements. The goal is to achieve balanced vision across all distances while ensuring the lenses are well-tolerated. This iterative process may involve multiple adjustments, ensuring the final prescription meets the patient’s unique needs. Proper optimization ensures optimal visual outcomes and long-term satisfaction with the lenses. It is a collaborative effort between the patient and eye care professional to personalize the fit for the best results.
Follow-Up
A follow-up appointment is essential to ensure the Dailies Total 1 Multifocal lenses are performing optimally. Typically scheduled a few weeks after the initial fitting, this visit allows the eye care professional to assess the patient’s adaptation to the lenses. Visual acuity at distance, intermediate, and near is re-evaluated to confirm the lenses are meeting the patient’s visual needs. Any discomfort, dryness, or vision disturbances are addressed, and adjustments to the prescription or fit may be made. The follow-up also provides an opportunity to reinforce proper hygiene and wear habits, ensuring long-term eye health and satisfaction with the lenses. This step is critical for achieving the best possible outcomes and maintaining patient confidence in their multifocal contact lens solution.

Addressing Common Fitting Challenges
Common challenges include finding the optimal add power, ensuring proper centration, and managing dry eye symptoms. These issues require precise adjustments and patient-specific solutions for optimal comfort and vision.

Finding the Optimal Add Power
Finding the optimal add power is crucial for balancing near and distance vision in presbyopic patients. The process begins with the patient’s spectacle prescription, using the add power as a starting point. Trial lenses are then used to assess visual clarity at various distances. Adjustments may be necessary based on patient feedback and visual acuity tests. Ensuring the add power aligns with the patient’s lifestyle and visual demands is essential. Fine-tuning may involve increasing or decreasing the add power to achieve comfort and clarity. Proper documentation of outcomes helps refine the fit and ensures patient satisfaction. This step is vital for maximizing the effectiveness of Dailies Total 1 Multifocal lenses.
Ensuring Proper Centration
Proper centration of Dailies Total 1 Multifocal lenses is essential for optimal vision and comfort. The lens design, featuring a large optical zone, promotes natural centration. Eye care professionals assess corneal topography and pupil size to ensure the lens aligns with the visual axis. Trial fitting allows observation of lens movement and centration. Adjustments to base curve or diameter may be needed for optimal fit. Patient feedback on vision clarity at all distances helps confirm proper centration. Correct centration minimizes visual distortions and ensures seamless transitions between near, intermediate, and distance vision. This step is critical for maximizing the lens’s performance and patient satisfaction.
Managing Dry Eye Symptoms
Managing dry eye symptoms is crucial for ensuring comfort with Dailies Total 1 Multifocal lenses. The lenses are made from Delefilcon A, a silicone hydrogel material known for high oxygen permeability and moisture retention. SmarTears technology helps maintain hydration by mimicking the natural tears’ lipid layer. Eye care professionals may recommend lubricating drops before lens insertion or during wear. Proper fitting and lens selection can also reduce dryness. Patients should avoid rubbing their eyes and maintain proper hygiene. Regular follow-ups allow professionals to assess ocular health and address any dryness concerns. These steps ensure a comfortable wearing experience, especially for presbyopic patients prone to dry eye issues.
Patient Care and Maintenance
Proper hygiene, daily replacement, and following care guidelines are essential for maintaining eye health with Dailies Total 1 Multifocal lenses, ensuring comfort and clear vision.

Proper Hygiene
Proper hygiene is crucial for maintaining eye health and ensuring the longevity of Dailies Total 1 Multifocal lenses. Patients should always wash their hands thoroughly with soap and water before handling their lenses. Avoiding exposure to water while wearing lenses, such as during swimming or showering, can reduce the risk of contamination. Additionally, touching the lenses should be minimized to prevent the transfer of bacteria or other foreign particles. Cleaning and disinfecting the lenses with the recommended solution is essential, and patients should never reuse or top off solution. Following the manufacturer’s guidelines for hygiene practices helps prevent complications like infections or discomfort. Proper hygiene habits are key to a safe and successful wearing experience with Dailies Total 1 Multifocal lenses.
Wear and Care Instructions
Dailies Total 1 Multifocal lenses are designed for daily disposable use, ensuring convenience and hygiene. Patients should wear the lenses as directed by their eye care professional, typically for up to 16 hours per day. Lenses should be replaced daily to maintain optimal comfort and vision. Proper care involves handling the lenses with clean, dry hands and storing them in the provided blister pack with the correct solution. Avoid exposing the lenses to water, including during swimming or showering, to minimize contamination risks. Always use the recommended multipurpose solution for cleaning and disinfecting, and never reuse or top off solution. Following these wear and care instructions helps maintain lens performance, prevents complications, and ensures a comfortable wearing experience for presbyopic patients.
The Role of Technology in Fitting
Technology, like the ACUVUE Simplifit Calculator, streamlines the fitting process by providing precise lens parameter recommendations, enhancing accuracy and efficiency for optimal patient outcomes.
ACUVUE Simplifit Calculator
The ACUVUE Simplifit Calculator is a digital tool designed to enhance the fitting process of multifocal contact lenses. It combines astigmatism and multifocal calculators into one platform, streamlining the process of determining the optimal trial lens power for patients. By incorporating a 12mm vertex calculation across each power meridian, the calculator ensures precise and accurate recommendations. This tool is particularly useful for eye care professionals, as it saves time and improves fitting accuracy. The calculator is part of the Dailies Total 1 Multifocal Fitting Guide, aiding in the selection of the correct lens parameters based on the patient’s prescription and visual needs. Its efficiency and precision contribute to better patient outcomes, making it an essential resource for professionals aiming to provide optimal multifocal lens fitting experiences.
Digital Tools for Optimal Fit
Digital tools play a pivotal role in achieving an optimal fit for Dailies Total 1 Multifocal lenses. Advanced software, such as the ACUVUE Simplifit Calculator, streamlines the fitting process by integrating multifocal and astigmatism calculators. These tools enable eye care professionals to quickly determine the ideal trial lens parameters, including add power and axis, based on the patient’s prescription. Additionally, digital platforms allow for real-time data synchronization, ensuring accurate and efficient lens selection. These tools also provide personalized recommendations, reducing the need for trial and error. By leveraging digital solutions, professionals can enhance fitting accuracy, improve patient satisfaction, and streamline the overall process. This technology ensures that patients receive lenses tailored to their unique visual needs, optimizing both comfort and vision clarity at all distances.

Patient Consultation and Communication

Effective communication is key to successful multifocal lens fitting. Discussing patient history, lifestyle, and visual preferences ensures personalized solutions, fostering trust and better outcomes.

Importance of Patient History
Understanding a patient’s history is crucial for successful multifocal lens fitting. This includes prior contact lens experience, visual concerns, and lifestyle demands, which guide lens selection and customization.
Reviewing the patient’s ocular health, previous prescriptions, and adaptation to vision correction helps tailor the fitting process, ensuring comfort and clarity while addressing specific presbyopic needs effectively.
Setting Realistic Expectations
Setting realistic expectations is vital for patient satisfaction with Dailies Total 1 Multifocal lenses. Patients should understand that multifocal lenses may require adaptation, and vision at all distances might not be perfect for everyone. While these lenses offer clear vision across near, intermediate, and far distances, individual results can vary based on prescription, pupil size, and lifestyle demands.
Eye care professionals play a key role in managing expectations by discussing potential outcomes, including the possibility of compromise between near and distance vision. Patients should also be informed about the importance of follow-up appointments to fine-tune the fit and address any concerns. By aligning expectations with realistic outcomes, patients can better appreciate the benefits of Dailies Total 1 Multifocal lenses in improving their daily vision and comfort.

The Dailies Total 1 Multifocal Fitting Guide provides a structured approach to optimizing vision and comfort for presbyopic patients. By following the guide, eye care professionals can effectively address the unique needs of each patient, ensuring a successful fitting experience. The guide emphasizes the importance of proper lens selection, trial fitting, and follow-up care to achieve optimal outcomes. With its advanced lens design and comfortable material, Dailies Total 1 Multifocal lenses offer a reliable solution for patients seeking clear vision at all distances. By adhering to the principles outlined in this guide, practitioners can enhance patient satisfaction and improve quality of life for those with presbyopia.