Choosing the Perfect Fit: Demystifying Contact Lens Fittings

February 9, 2024
A contact lens case sitting on top of an eye chart

Read time: 5 minutes


When it comes to taking care of your eye health, regular eye exams are essential. However, if you're considering making the switch from glasses to contact lenses or just starting your journey with them, a contact lens fitting is a crucial step that often accompanies your eye exam. In this blog post, we'll explore what a contact lens fitting is, what's included, how it is conducted by the optometrist, and why it's an additional fee on top of your comprehensive eye exam.


What is a Contact Lens Fitting?


A contact lens fitting is a specialized assessment conducted by an optometrist to determine the suitability of contact lenses for your eyes. These lenses, classified as medical devices by the FDA and subject to the Fairness To Contact Lens Consumers Act, require meticulous attention to detail. This law protects both the consumer and the optometrist by providing clear guidelines regarding what constitutes a valid contact lens prescription, its expiration timeframe, and more.


What's Included in a Contact Lens Fitting?


  • Eye Health Assessment: The optometrist will begin by examining the overall health of your eyes, adhering to FDA regulations. This ensures that any underlying conditions or irregularities are addressed, promoting safe contact lens wear.
  • Prescription Assessment: Ensuring your prescription adheres to the Fairness To Contact Lens Consumers Act, the optometrist will assess your refractive error to determine your contact lens prescription.
  • Tear Film Evaluation: A thorough tear film evaluation is conducted, as prescribed by FDA guidelines, to address dry eye concerns that may affect your contact lens experience.
  • Corneal Measurement: Precise measurements of your corneas are taken, adhering to the law's requirements, ensuring a proper fit.
  • Lens Selection: Following FDA regulations, the optometrist selects contact lenses suitable for your needs, ensuring that you receive lenses that align with your prescription and eye health.
  • Trial Lenses: You will often be given trial contact lenses to wear for a specific period, as mandated by the Act, allowing you and the optometrist to assess comfort, vision clarity, and overall suitability.
  • Instruction and Education: As the final part of the fitting process, in accordance with FDA guidelines, an optician will educate you on inserting, removing, and caring for your contact lenses, ensuring your safety and comfort.


How is a Contact Lens Fitting Conducted?


A contact lens fitting, both a science and an art, adheres to FDA regulations and requires a high level of expertise and experience from the optometrist. The process typically follows these steps:


  1. Discussion: You'll begin by discussing your lifestyle, activities, and any specific concerns or preferences you have regarding contact lenses. This information helps the optometrist make recommendations that align with FDA standards.
  2. Eye Health Exam: Adhering to FDA regulations, the optometrist examines your eyes to ensure they are healthy and suitable for contact lens wear.
  3. Prescription Assessment: The optometrist ensures that your contact lens prescription meets the guidelines set forth by the Fairness To Contact Lens Consumers Act.
  4. Tear Film Evaluation: The optometrist checks the condition of your tear film as mandated by the law and may recommend solutions for dry eyes if necessary.
  5. Corneal Measurement: Using specialized instruments, they measure the curvature and size of your corneas to meet FDA requirements.
  6. Lens Selection: Based on the gathered data, the optometrist selects contact lenses in accordance with the Act and may provide you with trial lenses.
  7. Education: You'll receive detailed instructions on how to handle and care for your lenses, ensuring proper hygiene and safety in accordance with FDA guidelines.
  8. Follow-Up: You'll schedule a follow-up appointment to assess the fit and comfort of the lenses, maintaining compliance with the Act.


Special Considerations in Contact Lens Fittings


While contact lenses offer a fantastic solution for many, certain individuals may need special attention during the fitting process. Allergies, dry eye, and previous eye injuries are among the factors that require careful consideration:


  • Allergies: Individuals with allergies may be more prone to eye irritation, making it crucial to choose lenses that minimize discomfort. Optometrists take into account any known allergies during the fitting process to recommend suitable lens materials and care routines.
  • Dry Eye: Dry eye syndrome can affect the comfort of wearing contact lenses. Optometrists may suggest specific lens materials or lubricating eye drops to alleviate dryness and enhance comfort. Regular follow-ups are essential to monitor and adjust the fitting as needed.
  • Previous Eye Injuries: Those with a history of eye injuries may have unique considerations in lens fitting. Optometrists carefully assess the eye's health and structure to recommend lenses that provide both comfort and vision correction without exacerbating any existing issues.


Why is a Contact Lens Fitting an Additional Fee?


A contact lens fitting is an additional fee due to the specialized expertise, adherence to FDA regulations, and the personalized care it entails. The fitting process follows a structured approach that guarantees both your vision and eye health align with federal standards. Fitting fees begin at $95 and may vary depending on the complexity of the fitting, ensuring that you receive the highest level of care and expertise throughout the process.


Optimizing Clarity and Comfort at Urban Optiks Optometry


At Urban Optiks Optometry in San Diego, we prioritize the importance of a meticulous contact lens fitting to guarantee adherence to FDA standards and to deliver optimum clarity and comfort for our clients. Our experienced optometrists conduct a thorough examination encompassing the overall health of the eyes, evaluating aspects such as corneal curvature, tear film quality, and existing conditions. To ensure a precise fit tailored to each patient's unique eye anatomy, accurate measurements are taken.


We understand that lifestyle preferences play a crucial role in the selection process, whether it's opting for daily disposables or extended wear options. Our optometrists take into account individual factors like allergies or dry eye conditions that may influence the choice of lenses. This comprehensive assessment enables our team to offer personalized recommendations, ensuring that the chosen contact lenses not only meet but exceed our patients' expectations in terms of comfort, visual acuity, and overall eye health.


Are you ready to see if contact lenses might be a good fit for you? Schedule a contact lens fitting today.

Share this blog post on social or with a friend:

The information provided in this article is intended for general knowledge and educational purposes only and should not be construed as medical advice. It is strongly recommended to consult with an eye care professional for personalized recommendations and guidance regarding your individual needs and eye health concerns.


All of Urban Optiks Optometry's blog posts and articles contain information carefully curated from openly sourced materials available in the public domain. We strive to ensure the accuracy and relevance of the information provided. For a comprehensive understanding of our practices and to read our full disclosure statement, please click here.

OUR LATEST POSTS

Woman wearing yellow-rimmed sunglasses and a cream-colored top with arms above her head.
October 22, 2025
Discover why some designs endure in fashion. Explore how eyewear luxury brands like Urban Optiks Optometry blend style with timeless quality.
Woman in profile view looking off in the distance, with a blurred person in the background.
October 17, 2025
Discover how eye movement patterns reveal emotional intelligence. Learn the science behind gaze, cultural variations, and how eye-tracking research enhances communication, leadership, and emotional skills.
Man in plaid blazer and sunglasses, standing outdoors with autumn foliage.
October 12, 2025
Discover handcrafted eyewear designed for San Diego’s fall lifestyle. Explore artisan frames at Urban Optiks Optometry that blend comfort and style.
Close-up of an eye with an abrasion, illuminated with ultraviolet light.
October 7, 2025
Read time: 5 minutes The cornea is the clear, dome-shaped surface at the front of the eye. It plays two essential roles: focusing light for sharp vision and protecting the eye’s delicate inner structures from debris and infection. Because it is both exposed and highly sensitive, the cornea is especially vulnerable to injury. A scratch or scrape on its surface is known as a corneal abrasion. While many abrasions are minor and heal quickly, they can cause significant discomfort and may lead to complications if left untreated. Knowing the causes, symptoms, and treatments can help you protect your vision and respond appropriately if an injury occurs. What Is a Corneal Abrasion? A corneal abrasion is a scratch or scrape on the epithelium, the thin outer layer of the cornea. This surface contains numerous nerve endings, which explains why even small abrasions often cause sudden, sharp pain. Along with discomfort, abrasions can also blur vision until the surface has healed. You can find out more about corneal abrasions in this article from Harvard Health Publishing . Common Causes Corneal abrasions often happen in everyday life, from something as simple as rubbing the eye too hard to environmental hazards at work or outdoors. Some of the most common causes include: Foreign particles such as dust, sand, or metal shavings entering the eye Accidental scratches , often from fingernails or makeup brushes Improper contact lens use , including wearing them overnight or with poor hygiene Paper cuts from envelopes or books Tree branches or leaves encountered outdoors Workplace hazards , especially when protective eyewear is not used Symptoms to Watch For Because the cornea is so sensitive, symptoms usually appear immediately. These may include: Sudden eye pain, especially noticeable when blinking Redness, tearing, and excessive blinking A persistent sensation of something in the eye (foreign body sensation) Light sensitivity ( photophobia ) Blurred or decreased vision Difficulty keeping the eye open These symptoms can overlap with other conditions, including corneal infections, so a professional exam is recommended rather than self-diagnosis. Diagnosis Eye doctors typically use a slit-lamp microscope to examine the cornea in detail. They may also apply a fluorescein dye, which makes scratches more visible under blue light. This exam helps confirm the abrasion and check for any trapped foreign objects. In more serious cases, or if caused by high-velocity particles, additional imaging may be used. Treatment and Healing Most corneal abrasions heal within 24 to 72 hours. Treatment focuses on pain relief, preventing infection, and supporting the natural healing process. Depending on the injury, your doctor may recommend: Lubricating drops or ointments to ease irritation Antibiotic drops to prevent infection (especially important for contact lens wearers) Prescription drops to relax eye muscles and reduce pain in some cases Avoiding contact lenses until healing is complete Protective eyewear to prevent further trauma Eye patches are rarely used today, and steroid drops are generally avoided during the initial healing period since they can slow recovery. Special Considerations for Contact Lens Wearers Contact lenses increase the risk of both abrasions and infections. Wearing lenses too long, handling them without proper hygiene, or sleeping in them can scratch the cornea and create conditions for bacterial growth. If you wear contacts and develop sudden eye pain, redness, or blurry vision, remove the lenses immediately and see your eye doctor. Continuing to wear contacts over an abrasion can worsen the injury and delay healing. When to Seek Medical Care Even if symptoms seem mild, it’s best to have corneal abrasions evaluated by an optometrist or ophthalmologist. Seek prompt care if: Pain lasts longer than 24 hours Vision becomes increasingly blurry Sensitivity to light worsens There is discharge, swelling, or signs of infection You have a history of recurrent corneal erosions Without treatment, abrasions may lead to complications such as corneal ulcers or scarring, both of which can cause permanent vision changes. Prevention  Many abrasions are preventable with good habits. Steps you can take include: Wearing protective eyewear during high-risk activities like construction, sports, or yard work Handling contact lenses with clean hands and avoiding overnight wear unless prescribed Replacing eye makeup tools regularly and keeping them clean Avoiding rubbing your eyes, especially in dusty or dry environments Using artificial tears to keep the eyes hydrated The Takeaway Corneal abrasions may be common, but they should never be ignored. With proper treatment, most heal quickly and without lasting effects. However, untreated abrasions can progress into serious eye conditions that permanently affect vision. Whether from contact lenses, workplace exposure, or everyday accidents, protecting your cornea is essential to safeguarding your eyesight. Learn more about other corneal conditions in this article from the National Eye Institute.
Woman with dark hair squinting at sunglasses with a concerned expression.
October 2, 2025
Learn what causes eyewear allergies, common frame material triggers, and hypoallergenic alternatives
Doctor holding a brain model, showing a patient, other doctors looking at scan in background.
September 27, 2025
Learn how strokes can affect vision, from field loss to eye movement issues, and discover strategies that support adaptation and visual independence.
Woman in sunglasses with shopping bags over her shoulders is smiling while outdoors.
September 22, 2025
Explore how touch, sight, and feel impact your fashion choices. Visit Urban Optiks Optometry in San Diego for an immersive sensory shopping experience.
Two women in sunglasses and fashionable accessories, smiling and posing together.
September 15, 2025
Discover how accessories and confidence transform style. Explore luxury sunglasses brands to elevate your look with Urban Optiks Optometry.
Colorfully dressed young adults posing as a photographer takes their picture.
September 11, 2025
Explore how pop culture influences your style. Discover practical tips, including contact lenses in San Diego, to enhance your everyday fashion.
A collage of images of people wearing glasses
September 4, 2025
Uncover how your personal style choices in luxury designer eyewear reflect your personality. Explore the latest trends at Urban Optiks Optometry.
Woman wearing yellow-rimmed sunglasses and a cream-colored top with arms above her head.
October 22, 2025
Discover why some designs endure in fashion. Explore how eyewear luxury brands like Urban Optiks Optometry blend style with timeless quality.
Woman in profile view looking off in the distance, with a blurred person in the background.
October 17, 2025
Discover how eye movement patterns reveal emotional intelligence. Learn the science behind gaze, cultural variations, and how eye-tracking research enhances communication, leadership, and emotional skills.
Man in plaid blazer and sunglasses, standing outdoors with autumn foliage.
October 12, 2025
Discover handcrafted eyewear designed for San Diego’s fall lifestyle. Explore artisan frames at Urban Optiks Optometry that blend comfort and style.
Close-up of an eye with an abrasion, illuminated with ultraviolet light.
October 7, 2025
Read time: 5 minutes The cornea is the clear, dome-shaped surface at the front of the eye. It plays two essential roles: focusing light for sharp vision and protecting the eye’s delicate inner structures from debris and infection. Because it is both exposed and highly sensitive, the cornea is especially vulnerable to injury. A scratch or scrape on its surface is known as a corneal abrasion. While many abrasions are minor and heal quickly, they can cause significant discomfort and may lead to complications if left untreated. Knowing the causes, symptoms, and treatments can help you protect your vision and respond appropriately if an injury occurs. What Is a Corneal Abrasion? A corneal abrasion is a scratch or scrape on the epithelium, the thin outer layer of the cornea. This surface contains numerous nerve endings, which explains why even small abrasions often cause sudden, sharp pain. Along with discomfort, abrasions can also blur vision until the surface has healed. You can find out more about corneal abrasions in this article from Harvard Health Publishing . Common Causes Corneal abrasions often happen in everyday life, from something as simple as rubbing the eye too hard to environmental hazards at work or outdoors. Some of the most common causes include: Foreign particles such as dust, sand, or metal shavings entering the eye Accidental scratches , often from fingernails or makeup brushes Improper contact lens use , including wearing them overnight or with poor hygiene Paper cuts from envelopes or books Tree branches or leaves encountered outdoors Workplace hazards , especially when protective eyewear is not used Symptoms to Watch For Because the cornea is so sensitive, symptoms usually appear immediately. These may include: Sudden eye pain, especially noticeable when blinking Redness, tearing, and excessive blinking A persistent sensation of something in the eye (foreign body sensation) Light sensitivity ( photophobia ) Blurred or decreased vision Difficulty keeping the eye open These symptoms can overlap with other conditions, including corneal infections, so a professional exam is recommended rather than self-diagnosis. Diagnosis Eye doctors typically use a slit-lamp microscope to examine the cornea in detail. They may also apply a fluorescein dye, which makes scratches more visible under blue light. This exam helps confirm the abrasion and check for any trapped foreign objects. In more serious cases, or if caused by high-velocity particles, additional imaging may be used. Treatment and Healing Most corneal abrasions heal within 24 to 72 hours. Treatment focuses on pain relief, preventing infection, and supporting the natural healing process. Depending on the injury, your doctor may recommend: Lubricating drops or ointments to ease irritation Antibiotic drops to prevent infection (especially important for contact lens wearers) Prescription drops to relax eye muscles and reduce pain in some cases Avoiding contact lenses until healing is complete Protective eyewear to prevent further trauma Eye patches are rarely used today, and steroid drops are generally avoided during the initial healing period since they can slow recovery. Special Considerations for Contact Lens Wearers Contact lenses increase the risk of both abrasions and infections. Wearing lenses too long, handling them without proper hygiene, or sleeping in them can scratch the cornea and create conditions for bacterial growth. If you wear contacts and develop sudden eye pain, redness, or blurry vision, remove the lenses immediately and see your eye doctor. Continuing to wear contacts over an abrasion can worsen the injury and delay healing. When to Seek Medical Care Even if symptoms seem mild, it’s best to have corneal abrasions evaluated by an optometrist or ophthalmologist. Seek prompt care if: Pain lasts longer than 24 hours Vision becomes increasingly blurry Sensitivity to light worsens There is discharge, swelling, or signs of infection You have a history of recurrent corneal erosions Without treatment, abrasions may lead to complications such as corneal ulcers or scarring, both of which can cause permanent vision changes. Prevention  Many abrasions are preventable with good habits. Steps you can take include: Wearing protective eyewear during high-risk activities like construction, sports, or yard work Handling contact lenses with clean hands and avoiding overnight wear unless prescribed Replacing eye makeup tools regularly and keeping them clean Avoiding rubbing your eyes, especially in dusty or dry environments Using artificial tears to keep the eyes hydrated The Takeaway Corneal abrasions may be common, but they should never be ignored. With proper treatment, most heal quickly and without lasting effects. However, untreated abrasions can progress into serious eye conditions that permanently affect vision. Whether from contact lenses, workplace exposure, or everyday accidents, protecting your cornea is essential to safeguarding your eyesight. Learn more about other corneal conditions in this article from the National Eye Institute.
Woman with dark hair squinting at sunglasses with a concerned expression.
October 2, 2025
Learn what causes eyewear allergies, common frame material triggers, and hypoallergenic alternatives