Learn More. The Peer-to-Peer request must be received by Maryland Amerigroup maryland prior authorization Care within two 2 business days of the initial notification of the denial. The intent of the Peer-to-Peer is to discuss the denial decision with the ordering clinician or attending physician. For specific details prioe authorization requirements, please refer to our Quick Reference Guide. Certain carefirst mental providers require prior authorization regardless of place of service.
The surface of Total30 is designed to mimic those special cells. Since the lens surface is design just like your corneal cells, it actually pushes away external items like lipids and bacteria. This keeps your contacts healthy all month long! Alcon introduced the Water Gradient technology in their Dailies Total1 product. This is a unique lens design that helps pull water into the edges of the contact lens, ensuring the lens stays moist all day long.
In the new Total30, Alcon has improved the Water Gradient technology so it lasts all month long. According to a study that Alcon conducted, their water gradient tech keeps the Total30 lenses moist for over 2 times as long as other monthly lenses. If you are familiar with Alcon's Dailies Total1 , you may know that product also features the Water Gradient technology.
Although both of these contacts contain that same technology and have similar names, they're actually quite different. To start, they are made of completely different materials. Total1 is made of delefilcon and Total30 is made of lehfilcon.
Total1 is designed to only last one day of wear and cannot be reused. Total30 is designed to keep moisture for an entire month. Despite the similarities, these two contact lenses are not interchangable. For now, Total30 only comes in one base curve 8. Alcon may choose to make this product available in more base curves or diameters in the future. Total30 has sphere powers from That range should cover most people wearing spherical contact lenses.
Yes, Total30 for Astigmatism was launched in December It has all the same great technology as the regular Total30, but it is designed for astigmatism. The available astigmatism options are pretty broad, so it should cover most people. Since it is a new product, expect shipments for this astigmatism lens to take a little bit longer. Since it is a brand new product, Total30 isn't available in a multifocal lens for presbyopia yet.
According to an interview with Alcon's President , they anticipate launching a multifocal version of Total30 about 12 months after the regular Total30 launch. If you are looking for a multifocal contact lens in the meantime, check out our review on the best options.
Total30 is a brand new contact lens, so it is a little bit pricier than older contact lenses on the market. However, with the new technology in this lens that price difference is worth it!
At the end of the day, contact lenses are all about comfort. If you are looking for a monthly contact lens that beats every competitor on comfort, then Total30 is probably the lens for you.
Be sure to ask your eye doctor if they have fitting kits for this new contact so you can try it for yourself. No, you cannot sleep in Total30 contacts. You need to take them out each night before you go to bed and store them in solution. You can reuses these lenses for up to a month. They are very comfortable to wear and durable. In my opinion these contacts are a swing and a miss. Uncomfortable from the moment I put them in until I take them out.
Vision varies in blurryness the whole time. Worst contacts ever. Peripheral vision is warped like looking through water.
I will be returning them. Absolutely unwearable. I thought I would try these from my doctors recommendation. Boy was that a mistake and an even bigger mistake that I bought a year supply.
Just called my doctor to change back after only 3 months. I work with computers all day and they terribly dry my eyes out even with the protection of 0 prescription blue light glasses. I highly do not recommend. These are the absolute worst. I have issues getting them out of my eyes sometimes as well.
I truly hope that the mass quantity of negative reviews reaches others before buying these. One tip is with any Alcon lense, soak it in optifree for 24 hours before using, for best clarity. Yesterday I was wearing Air optix, thinking I need to get these out of my eyes, all day. They put pressure on my eyes, for what ever reason. Precison 1 is the most comfortable, that I can wear all day forgetting they are in. They seem to put pressure on my eyes, but clarity is top notch.
But I wor them all day, I found vision clarity varied not good , like a wave of water, under the lense at times. But one more shot after full soaking over night.
They are easier on my eyes than Airoptix, if have to wear all day. But neither beat precison 1 for all day comfort. I am so happy to see that I am not the only one who absolutely hates these lenses. After about 10 days they are so uncomfortable and blurry that I went through all 24 pair in less than a year.
I highly recommend you avoid them. Not a fan! Sure, why not? Big mistake. I bought a 6 month supply and it was basically torture to get through them. When I was on the last pair, I had my doctor change my prescription back to Air Optix.
Total30 made my eyes so dry and uncomfortable in the afternoons and evenings. Also, they are extremely thin and easy to tear. I tore 3 Total30 lenses in less than 6 months. Never again. Unfortunately, I have nothing good to say about these contact lenses. Have worn Biofinity for years…eye doctor recommended Total 30 as an option. Worst contact ever…dries eyes out after 4 or 5 hours…not able to wear all day. Switched back to Biofinity…sticking with Biofinity. About 4 days in, I started having foggy vision, especially around bright lights, where it looks like a foggy rainbow.
Just want to confirm what many of the other reviews are saying! I wish I would have read these reviews before purchasing these awful contacts! They were great for the first two weeks, then one day I woke up with dry, red, swollen eyes, I waited two weeks to let my eyes heals and tried again only wearing them for 1 hour.
I woke up again with red bloodshot sore eyes! These have been comfortable for me and I can wear them fine all day. I had a terrible time with Acuvue drying my eyes out. Even Acuvue Oasis dried my eyes out. I told my eye doc and she gave me some Total 30 and it was a huge difference right away.
They were comfortable the first day and I can still wear them all day with no problem. Different strokes for different folks. Utterly garbage contacts.
Please do not buy these. They were highly recommended by my doctor saying these are better than airoptix night and day.
But there is a night and day difference between the two. When you open a new pair these are awesome for a few hours. Then they are useless- blurry, foggy vision, dry eyes after these, stick to the eyeball sand when I try to take them off, makes my eye red for hours. If I could get a refund or even an exchange with the night and day ones I would highly appreciate that.
Wow, so glad I found these reviews because I thought it was just me! These contacts are terrible. I can wear the 'TruEye' lens longer, without drying my eyes, and I notice them a lot less at the end of the day. The 'Dailies Total 1' was fine for about the first 6 or 7 hours of wear, then they started bothering my eyes. I am going to stay with the 'TruEye' lens, for it is still the best lens on the market! That's the great thing about seeing your optometrist and trying out new lens technologies-- there are so many new contact lenses, you won't know which one works great for you without experiencing them first hand!
Every lens won't work for every person, so you have to have a great relationship with your doctor in finding the lens that makes you happy. So I tried these at my last eye apt.
Are they strictly one day wear? My doctor implied that it would be ok to wear the same pair for a second day if I stored and cleaned them properly. Unfortunately they haven't been studied for longer than 1 day of use, so until they are FDA tested for such, I would advise against it.
If you were to have any issues with infection or scar tissue formation, you wouldn't have any legal standing if you were overwearing the lenses past what the FDA has approved. I always side with the legal approval on these things. These lenses are not made to be stored in solution, so "storing and cleaning them properly" isn't really an option.
The water gradient is unique to this material and would be affected by being placed in solution for any period of time. I have been using Moist and recently tried Dailies Total 1. They did "feel" comfortable but at the end of the day I could not get them off my eyeball!
I tried them for three days. I used moistening drops throughout the day, tried applying a moistening drop directly onto the lens before putting in my eye, on one occasion. The lenses would not come off my eyeball no matter what I tried Well that is to say, nothing that was suggested to me worked. I had to resort to gliding my fingernail underneath the edge of the lens to peel them off.
At least the Moist lenses will come off with only a few moistening drops. My vision is better with the Moist also. You are not the only one that has trouble taking these out! The curvature of your eye and the moisture level of your cornea and eyelid just might not work well with this lenses makeup chemically and curvature.
A great example of how there is no 1 perfect contact lens that every nod can wear. I am glad you have had good success with Acuvue's daily! I am so glad to see this review. When I used the Focus Dailies, I had problems getting them off of my eye all the time. One contact even ripped in half when trying to get it out of my eye, which was a trip to the eye doctor and some prescribed eye drops.
That is when I switched and was told that when a patient called in for an appointment for a lens issue ripping, stuck in eye, whatever , their first question was, "Was it a Focus Daily contact lens? I tried these for only 10 minutes, one was not that comfortable so I thought I would take it out , omg it took 25 minutes to get it out!
I could not get a grip of it, I then tried rinsing my eye with saline, finally I got them both out. My eyes were so sore and red, took hours to recover. I have worn all brands of contact lenses for the last 32 years and I have never experienced this before. They need to come with a tiny suction cup so as to get them off the eyeball. I also have trouble taking them out, just can't seem to grab them, they are so slippery. I agree the same features that make them so comfortable I can hardly tell they are in my eye sometimes, blinking over them is great, is probably the same feature that makes them comfortable to use.
Curious, does anyone have a problem discerning whether the Dallies 1 is inside or outside. I wish they had numbers on them like Acuvue. I used the curve method, also the bend method and thinks works sometimes, but there are occasions, I just can discern a noticeable difference when I flip it in and out.
Is there a recommendation for a lens like Dallies 1 but has numbers on the lens to discern correct insertion? You may like Acuvue Oasys 1 Day. It's similar in comfort to Dailies Total 1 but easier to detect inside out positioning. Acuvue lenses have a prominent blue tint along the edge of the lens when it's correct, and when they are inside out you won't see the blue. You have to have completely dry fingers to take the dailies total 1 out.
Dont add moisture or that just compounds the problem. Dry fingers and they pinch right out. I also could not get these out when I tried them on at my optometrists office.
I've been wearing contacts for over 30 years. I had to have my optometrist take them out for me! There's no way I'd ever buy them. I'm trying to understand what is wrong. Everyone seems to love these. I just tried them at the eye doctor and was given a few "samples" to take home. These do not feel at all comfortable and as one other person mentioned, are harder to remove from your eye. I still find the dailies aqua comfort plus works better for me.
Just remember, if 1 contact lens worked for everyone, they would only make 1 lens. It is great to try new things out to see if you can find something better, but don't get discouraged if you don't find these lenses to be your favorite.
Everyone's eyes have a different shape and chemistry, and no one product is a cure-all! That's what your eye doctor is here for, trying new materials out and finding what works best for your eye's own chemistry! I see that Alcon still has no plans to release DT1 in plus powers: "Currently, we do not have any information about releasing the plus powers in the Dailies Total 1 lenses. This article is old and since then Alcon has expanded the lens parameters greatly.
Also the captions on the boxes were different. Is there a difference? Ciba and Alcon are the same company, so as long as it says Dailies Total 1 it would be the same lens. Ciba is just the contact lens division within the Alcon ophthalmic drug company, which is itself just the eye division of the larger pharmaceutical company Novartis.
Confusing enough, right? Too many divisions, but makes sense now. Thank you for getting back to me. Used Acuvue almost exclusively. Tried DT1 for 6 months, because Optometrist recommended them.
I felt like I was pealing a layer of eyeball off each time I removed the lenses from my eye. Not sure how I did it for 6 months! Though I was going crazy, as all the reviews were great. Glad to see that it isn't just me that had problems.
Found a stash of left-over DT1 lenses in a drawer. Don't want to use them, but feel that tossing them would be a waste of money. They were so expensive! Tried Acuvue Trueye. Like them. They are comfortable, cheaper, and remove easily! Will be sticking with Acuvue. They are comfortable lens and I couldn't really tell they were in my eyes until later in the day.
But they did start feeling more like most other contacts I've worn after a certain amount of time. They were harder to grab to take out but never actually stuck to my eye. I stop wearing them because of the price fixing UPP mess and also for some reason I saw ghost type images a lot of the time, When I look down.
It was like a double image but would correct itself usually if I blink more. I've read other comments about this happening with some people. Also up close vision was worse with them. But the way the major contact lens manufactures have come together and stopped online discounting on certain products, its big time price fixing with a monopoly. Plus class contacts as a medical device. I hope the US senate will actually continue looking into this and have more meetings about it.
I know some states are looking into it also. Definitely I am hopeful that we get better legislation for treating contact lenses like the medical devices they are-- that would mean better safety and hopefully better insurance coverage for all wearers. Retailers that make profits on contact lenses being sold in bulk always try to fight this type of legislation since they don't accept insurance payments so would be unable to sell contact lenses in the same way.
The battle is ongoing and not likely to be soon resolved. The good news is that companies like CIBA are still working to bring new products to market despite the high competition so we can try new technologies and hopefully acheive better relief for contact lens wearers everywhere. I encourage everyone to try new products as they become available.
This one may not be right for you, but there are so many great options coming to market every year, it is always worth exploring to make your vision and comfort better! I just got a sample of the dailies total 1 today and now I am a little concerned with them sticking to my eyes as I have such trouble with dryness. Can you damage your eye by peeling them off?? The thought of that kind of scares me?
What is a general rule of how many hours you should try wearing if it's been years since you last wore contacts? These lenses are difficult for some to remove because they have such a low coefficient of friction-- your fingers may slide right over them.
The good news is that this same characteristic makes them ideal for patients with dry eye. Your eyelids should glide right over them as you blink too! A good rule of thumb for first time wearers is shoot for hours of wear on day one. Then add one to two hours every day until you have made it to a full day, typically hours for contact lens wear. These lenses are the least likely lenses on the market to stick to your eyes before removal but are some of the hardest for people to grip to remove, so if you have to use too rough of an approach, you may inadvertently scratch your eye.
Please let your doctor know if you are having difficulty so they can help, either with more removal training to make you comfortable or with a prescribed dry eye regimen to better help your eyes tolerate contact lens wear. I thought they were great until I got 2 boxes with lens folded up and scrunched up and cause blurry uncomfortable vision. And told this is normal delivery to not have lens resting flat in container.
Yes I have to throw out nearly every other contact in some boxes, it's extremely frustrating quality control, because when I do get a good pair, I love these contacts. They don't dry up, and are more comfortable to wear for extended periods of time, but the quality is so hit or miss I'm considering going back to my old kind.
It is possible to get a bad "batch" of lenses with any product. When you purchase contact lenses from a private doctor's office they usually have no trouble replacing your lenses for you if they contact their company representative to report a quality issue.
I've always had great customer service at Alcon getting lenses replaced if a quality issue is reported. I have the same exact problem with folded up lenses and they act like its normal. I was also told to open the package and let the lens sit over night in a solution.. Thought it was just me. Just a heads up-- if you don't see your post appearing and you've commented about the length of time you wear your lenses I can't publish your post due to FDA guidelines.
As a doctor running this blog, I ethically and morally can't condone lens overwear. If you were to get an infection or something worse I would never want to allow information on this page that would lead you to think it was safe. Please understand that I'm not blocking your comments out of any other reason than complying with FDA regulations -- this lens is only approved for 1 day of wear, and legally I cannot recommend wearing it for longer than this.
I make no sense to overwear 1 day contact lenses or try to clean them. After use they are finished.. I love these contacts. I have terrible dry eye an I've tried Acuvue Oasys and Air Optix and both felt like sandpaper after about two hours of wear. But with Dailies Total 1 I can't even feel them in my eyes. It's glorious. I can usually feel the edges of the contacts every time I blink, but with these, my eyelids glide right over them. The only issue I have with them is when I look at my computer and phone screen it's bright and causes a glare.
When I look down at my phone I see double and it's kind of blurry. Do you know why this is happening or has anyone else had this issue? It might be my slight astigmatism but this didn't happen with my other contacts that didn't have astigmatism correction either.
Glad to hear this lens is so comfortable for you. Definitely schedule with your doctor about the vision issue. This lens sometimes needs a step up or down in power than you would wear in other lenses to achieve the same clarity. If you can't get clear vision in this lens you may see better with a similar high moisture daily lens product like MyDay or Acuvue Oasys 1Day. Hi: I was used to Dailies I tried Total 1, same power, and I got blurry vision like my eyes were dry.
Should I try step up in power or step down? I could not see well at long range. Middle range was OK and short range also had glare. Honestly there is no way to know whether you need stronger or weaker without seeing your doctor.
This lens is sometimes unpredictable as to whether the power holds true or needs to be compensated. If vision continues to be a problem, you might want to try MyDay or Acuvue Oasys 1-Day -- they tend to run truer on refractive correction in my experience.
Are the total 1 still the best option for those who suffer from dry eyes and need a daily lens? Or something new and better has come out in these last 2 years?
Some people prefer one over the others, but I find them all equally comfortable. The Proclear 1 day contact lens has been reported very effective for helping out with dry eyes and it is one of the cheapest contact lenses on the market.. The PC technology used in the lense have a good outcome for dry eyes. Hi Dr. L Is My day a good lens for my power for I"m currently are using 3 type of lens which are Myday, dailies total 1 and acuvue true eyes You can really pick any of these that you like best and expect healthy eyes and clear vision.
L - Hoping that you can help me! I tried a few other brands but these were amazing. However, as time went on, I found that I had the same issues as some of the comments above where my vision was blurry in certain scenarios From above: The only issue I have with them is when I look at my computer and phone screen it's bright and causes a glare.
I was able to figure out that the blurriness was coming from my right eye. I went to the doctor and we checked my prescription which was one measure too powerful so I tried the lesser strength but the issue persisted. I went back to the doctor again and he said that, as far as he could see, the contacts fit just fine. I mentioned that I had read that sometimes an astigmatism can cause contacts to fit improperly so he rechecked for an astigmatism and said that I did not have that.
Sorry in advance about this answer: I unfortunately can't explain why you may experience worse vision in this lens verses another. We can theorize that maybe the material difference or the aspheric optic design of Biofinity gave you better vision compared to dailies total 1.
Without examining you personally, I can't make a suggestion about what specifically might not be working for you. If you bought your lenses at your doctors office, they may be able to contact their Alcon representative to see if there is any way to return your lenses for even partial credit despite the opened boxes. I'm not sure if the company reps can work out anything, but it's the only thing I can think of to try.
Not every lens works for every person, and this one just didn't work for you. I have this same problem. My old contacts same power work fine but the Dailies total 1, after performing fine for a few months, blur up - usually in my right eye, occasionally in my left.
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The vision could be improved with better near vision. The PanOptix trifocal lens, a recent addition to the presbyopic IOL market, has some surgeons reconsidering their options.
The surgeons weighed in on mixing lenses. Some think that the advent of trifocals may minimize the need to mix lenses. Another surgeon has mixed ReStor lenses before, but may change tacks.
Looking down the road, surgeons also commented on presbyopic lenses they may be using in the future. In terms of the answers with the largest percentages, 22 percent say they may use the Symfony, 19 percent are considering the PanOptix 14 percent specify the toric version and 8 percent may use the Crystalens AO. When tackling astigmatism with an IOL, the most popular option on our survey is the AcrySof monofocal toric, chosen by 46 percent of the respondents. Twenty-eight percent prefer the Tecnis toric, 9 percent use the ReStor toric the most and 7 percent choose the Symfony toric.
Toggle navigation Clinical advice you can trust. Monofocal Update As in years past, ease-of-use and minimal dysphotopsias are important factors for surgeons when they choose a monofocal intraocular lens. Multifocal contact lenses are for people with presbyopia—a condition that makes it more difficult to focus up close. But who gets presbyopia in the first place?
Almost everyone will start to see the effects of aging eyes around age Presbyopia is what happens when the eye's lens loses flexibility. Farsightedness is what happens when the eyeball is too short.
The symptoms are similar, but unlike presbyopia, farsightedness is due to the size and shape of your eye. Alcon multifocal contact lenses can help you see clearly near and far without the hassle of readers.
The world's only multifocal water gradient lenses that provide a cushion of moisture so it feels like you're wearing nothing at all. Get all-day comfort with clear vision up close, far-away and everywhere in between. See clearly at all distances, near and far, in a comfortable monthly replacement contact lens.
Alcon multifocal contacts are aspheric. That means that near power is in the center of the lens, and gradually transitions to the intermediate and distance powers as it moves forward. Multifocal lenses let you see clearly near, far and in-between, so typically there's no need for glasses or readers while you're wearing them.
No, our multifocal lenses are not weighted, so they are about the same thickness as regular contact lenses. While it might take some time to get used to your new multifocal contact lenses, most people adjust successfully. You can enjoy the benefits of Alcon multifocal contacts for less than the cost of a cup of coffee a day. You can find Alcon multifocal contact lenses at select eye doctors across the country.
To find a location near you, click here. You can also find Alcon multifocal contact lenses at most major retailers that have an eye center, as well as some online retailers. Ask your eye doctor if they have experience fitting Alcon multifocal contact lenses. Or use our doctor finder to locate an experienced eye doctor near you.
See product instructions for complete wear, care and safety information. Multifocal Contact Lenses As you age, the lenses of your eyes become less flexible. Try Before You Commit.
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Mar 12, · “Multifocal implants” have multiple focal points, and can be thought of as bifocal or trifocal implants. As an example, consider a bifocal implant, such as the ZMB00 Multifocal . Multifocal Lens Implant Review In the past, the primary objective of cataract surgery was to restore a person’s vision for watching television, and other distance vision tasks. To see plainly up close, an individual would have to use bifocals or reading glasses after cataract elimination to remedy the inevitable post-surgical presbyopia. Apr 26, · Initially, I was very impressed with the brightness of my vision after the first implant (right eye). My vision was blurry at all ranges (near, mid, and far) from the onset. I was told this .