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Contact lens notes:

Cleaning Products
MPS vs H2O2: equally effective methods. In one-step peroxide systems (built-in catalyst), ineffective
against acanthamoeba cysts compared to two-step systems (catalyst added in manually after
disinfecting in H2O2)

MPS usually take 6hours+ (preferably overnight) for disinfection to become effective.

Lens Deposits:
- Occurs within minutes of wear. Most effective way of removing build-up is rub and
rinse + proper hygiene.
- Hydrogel:
o Main protein deposited on lens = denatured lysozyme (easily deposits on
HWC ionic CL) –
 proteins are detrimental to ocular health as there could be
inflammatory reactions
o HWC nonionic hydrogels can attract lipids
- SiH:
o Attract more lipid deposits than hydrogel. Lipid deposits may not be
detrimental to comfort  can represent a healthy tear film
- RGP:
o Silicone increases protein deposition
o Fluorine increases lipid deposition
- Calculi localized elevations on anterior of lens. Composed of calcium, lipids,
mucoproteins. Due to lens overwear past replacement schedule causing wetting
agents to focally degrade of lens surface. More frequent in HWC (hydrogel).

- Mucin balls (unconcerning) due to mechanical interaction between cornea/tear film


and high modulus SiH.

Product information Price


Alcon AoSept Plus $31 for
(America: Clear Care) 450mL
AoSept Plus & 6hr soak. One-step system. Effective against acanthamoeba. $35 for
Hydraglyde Contains Hydraglyde. 450mL
3% H2O2
OptiFree Puremoist MPS – contains Hydraglyde (newer technology > Tearglyde) $20 for
420mL
Contains Boric acid (antiobiotic/soothing properties) and sodium
citrate.
PolyQuad + ALDOX preservatives.

OptiFree Replenish MPS – contains Tearglyde $19 for


420mL

OptiFree Express MPS

Bausch EasySept (N/A Aus)


and Lomb BioTrue MPS with hyaluronan (wetting agent), dual disinfection $23 for
720mL
Contains sulfobetaine (antibacterial) and sodium citrate
PolyQuad + Polyaminopropyl biguanide

ReNu Advanced MPS, triple disinfection (Polyquad, Polyamino, Alexidine)


ReNu Fresh
ReNu Sensitive
Boston Enzymatic
Cleaner
Boston Cleaner
Boston Conditioning
Boston Rewetting
Menicon Progent Protein and disinfectant (once/week) for RGPs
Mix Progent A (red; sodium hypochlorite/bleach) and Progent B
(blue; potassium bromide) and allow CLs to soak for 30 minutes. Any
longer can discolour lenses.

JnJ OxySept

Can store RGPs dry or with a conditioning solution.

------------------
Causes of ghosting: decentred lens, pupil not covered by optic zone, rotated lens,

Tighter lens = higher diameter, lower BC

Toric stabilization by company:

- JnJ: Accelerated stabilization: dynamic stabilisation


- Coopervision: Optimised Toric Lens Geometry: peri-ballast
- Alcon:
o Precision curve design:
o Precision balance: prism ballast
- BnL: peri-ballast

Silicon hydrogel:

- Generally higher modulus > hydrogel. Consider hydrogel for CLPC and SEALs.
- Silicone is hydrophobic, so requires addition of wetting agents for comfort

UV protection:
Class 1: >90% of UVA and >99% of UVB
Class 2: >50% of UVA and >95% of UVB

PureVision vs PureVision 2: PV2 has greater Dk/T > PV. However, PV has fitting range of either 8.3 or
8.6mm BC, while PV2 only has 8.6mm.

Soft CLs specification: BC/Power/Dia

Daily

RE Range BC Dia Modulus Material UV block Dk/t Cost


(mm) (mm) (MPa)
Cooper MyDay +8  -12 8.4 14.2 0.4 SiH 85% UVA 100 $61 30pk
- Vision (0.50 steps after +5 and -6) Stenfilcon A 95% UVB

Comes in MF
MyDay Toric +6  0 (0.50 steps) 8.6 14.5 0.4 SiH 85% UVA 80 $64 30pk
0  -10 (0.50 after -6) Stenfilcon A 95% UVB
-0.75, -1.25, -1.75, -2.25 in axis
20, 10, 180, 170, 160 and
70, 80, 90, 100, 110 (ATR/WTR
ONLY)
Clariti +8.00 to -10.00 (0.50D steps after 8.6 14.1 0.5 SiH 50% UVA 86 $42 30pk
±6.00D)
Somofilcon A 95% UVB

(older SiH than


MyDays)

Clariti Toric +4.00D to -9.00D (0.5 steps after -6) 8.6 14.3 0.5 SiH 50% UVA 57 $48 30pk
Somofilcon A 95% UVB
-0.75, -1.25, -1.75, -2.25 in axis 10
steps

Proclear 1 day SPH: -0.25 to -6.00DS with 8.7 14.2 0.4 Hydrogel NO 25 $53 30pk
0.25 steps
Omafilcon A

Biomedics +6  -10 (0.50 steps after -6.50 8.6/ 14.2 - Hydrogel - 27


(Ocufilcon D)
Xtra and +5.50) 8.8
Biomedics Xtra 8.7 17
toric
JnJ Acuvue Oasys +0.50 to +6.00 (0.25D steps) 8.5/9 14.3 0.7 SiH 90% UVA 121 $59 30pk
1 day +6.00 to +8.00 (0.50D steps) (Senofilcon A) 99% UVB $98 90pk
-0.50 to -6.00 (0.25D steps)
-6.50 to -12.00 (0.50D steps)
Acuvue Oasys +4  -9 (0.50 steps after -6) 8.5 14.3 0.7 SiH 90% UVA 121 $69 30pk
1 day (Senofilcon A) 99% UVB $161 90pk
Astigmatism -0.75, -1.25, -1.75, -2.25 in axis 10
steps

Acuvue Trueye + 6  -12 (0.50 steps after -6) 8.5/9 14.2 0.66 SiH Class 1 118
(older SiH than (Narafilcon A)
Oasys)

Acuvue Moist + 6  -12 (0.50 steps after -6) 8.5/9 14.2 0.3 Ionic Hydrogel 88% UVA 33 $44 30pk
(Etafilcon A) 95%UVB
$98 90pk
Comes in MF
Acuvue Moist +4  -9 (0.50 steps after -6) 8.5 14.5 0.3 Ionic Hydrogel 82% UVA 24 $58 30pk
Astigmatism (Etafilcon A) 97% UVB
-0.75, -1.25, -1.75, -2.25 in axis $128 90pk
20, 10, 180, 170, 160 and
Comes in MF 70, 80, 90, 100, 110 (ATR/WTR
ONLY)
Alcon Dailies Total 1 +0.50  +8.00 (0.50 after 6.50) 8.5 14.1 0.7 SiH NO 156 $70 30PK
-0.50  -15.00 (0.50 after 6.50) (Delefilcon A) $180 90PK

Comes in MF
Precision +0.50  +8.00 (0.50 after 6.50) 8.3 14.2 0.6 SiH Class 1 100 $61 30PK
-0.50  -12 (0.50 after 6.50) (Verofilcon A) $158 90PK

Dailies +0.50  +8.00 (0.50 after 6.50) 8.7 14 0.5 Non-Ionic No 26 $54 30PK
Aquacomfort -0.50  -15.00 (0.50 after 6.50) Hydrogel $126 90PK
Nelfilcon A

Dailies +4  -8 (0.50 steps after -6.50) 8.8 14.4 0.5 Non-Ionic No 26 $66 30PK
Aquacomfort Hydrogel $160 90PK
Toric -0.75, -1.25, -1.75, -2.25 in axis Nelfilcon A
20, 10, 180, 170, 160 and
70, 80, 90, 100, 110 (ATR/WTR
ONLY)
Focus Dailies +0.50  +6.00 8.6 13.8 0.9 Hydrogel - 26 -
-0.50  -15.00 (0.50 after 6.50) Nelfilcon A

Bausch BioTrue +6  -12 (0.50 after 6.50) 8.6 14.2 0.5 Nonionic Class 2 42 $52 30pk
and Hydrogel $125 90pk
Lomb Nesofilcon A
Comes in MF
Biotrue Astig +4  -9 (0.50 after 6) 8.4 14.2 0.5 Nonionic Class 2 42 $66 30pk
Hydrogel
-0.75, -1.25, -1.75 at axis 10 steps Nesofilcon A

-2.25 in axis
20, 10, 180, 170, 160 and
70, 80, 90, 100, 110 (ATR/WTR
ONLY)
Soflens +6.50  -9 (0.5 after 6.50) Nonionic 20 $65 30pk
Hydrogel
Hilafilcon B

Solfens Astig 0  -9 (0.50 after 6) 8.6 14.2 Nonionic 20


Hydrogel
-0.75, -1.25 at axis 20, 90, 160, Hilafilcon B
180

Fortnightly
RE Range BC Dia Modulus Material UV block Dk/t Cost
(mm) (mm) (MPa)
Cooper- CAir +8.00D to -12.00D (0.50D steps after 8.4 14.2 0.6 SiH Class 1 110 $43 6pk
±6.00D)
Vision Fanfilcon A

Improved >
Avaira on water
content and UV
CAir Toric +4.50  -10 (0.50 steps after 6) 8.5 14.5 0.6 SiH Class 1 110 $60 6pk
Fanfilcon A
-0.75, -1.25, -1.75, -2.25 in axis 10
steps

Avaira Vitality +0.25  +8 (0.50 after 6) 8.4(+) 14.2 0.5 SiH Class 2 125 $43 6pk
-0.25  -12 (0.50 after 6)
8.5(-) Enfilcon A

Avaira Toric +6  -10 (0.50 after 6.50) 8.5 14.2 0.5 SiH Class 2 91 $60 6pk
Enfilcon A
-0.75, -1.25, -1.75, -2.25 in axis 10
steps
JnJ Acuvue Oasys +0.50  +8.00 (0.50 after 6) 8.4/ 14 0.7 SiH Class 1 147 $48 6pk
(up to 6 -0.50  -12.00 (0.50 after 6) 8.8 (Senofilcon A) $150 24pk
nights EW)

Acuvue Oasys +6  -9 (0.50 steps after -6) 8.5 14.3 0.7 SiH Class 1 121 $71 6pk
Astigmatism (Senofilcon A)
(up to 6 -0.75, -1.25, -1.75, -2.25, -2.75 in axis
nights EW) 10 steps

Acuvue Oasys +0.25  +8 (0.50 after 6) 8.4/ 14 0.7 SiH Class 1 121 $79 6pk
Transition -0.25  -12 (0.50 after 6) 8.8 (Senofilcon A)

Bausch Soflens Nonionic


and Hydrogel
Lomb Hilafilcon B

Solfens 66 +6  -9 (0.50 after 9) Nonionic


Astig Hydrogel
-0.75, -1.25, -1.75, -2.25 in axis 10 Alphafilcon A
steps

Monthly
Monthlies can be worn EW up to 6 continuous nights, unless indicated otherwise.

RE Range BC Dia Modulus Material UV block Dk/t Cost


(mm) (mm) (MPa)
Cooper- Biofinity +8  -12 (0.50 after 6) 8.6 14 0.75 SiH No 160 $100/6m
Vision Comfilcon A

Biofinity XR +8.50  +15 (0.50 steps) 8.6 14 0.75 SiH No 160 $200/6m
-12.50  -20 (0.50 steps)
Comfilcon A
Biofinity Toric +8  -10 8.7 14.5 0.75 SiH No 160 $120/6m
Comfilcon A
-0.75, -1.25, -1.75, -2.25 in axis 10
steps

Biofinity Toric +10  -10 (0.50 after 6) 8.7 14.5 0.75 SiH No 160 $205/6m
XR -0.75  -5.75 in axis 5 steps Comfilcon A
Biofinity +8  -12 8.6 14 0.75 SiH No 160
Energy Comfilcon A

For those
with accom.
fatigue/early
presby
Proclear +8.00D to -12.00D (0.50D steps after 8.6 14.2 0.4 Hydrogel No 27 $74/6m
±6.00D)
Omafilcon A

Proclear Toric +4.50  -10 (0.50 steps after 6) 8.8 14.4 0.4 Hydrogel No 27 134/6m
Omafilcon A
-0.75, -1.25, -1.75, -2.25 in axis 10
steps
Proclear Toric +10  -10 (0.50 steps after 6.50) 8.4/ 14.4 0.4 Hydrogel No 27 $206/6m
XR 8.8. Omafilcon A
-0.75  -5.75 in axis 5 steps
JnJ Acuvue Vita +8  -12 (0.50 after 6) 8.4/ 14 0.77 SiH: Class 1 147 $76/6m
8.8 Senofilcon C

Acuvue Vita +4  -9 (0.50 after 6) 8.6 14.5 0.77 SiH: Class 1 129 $89/6m
Astigmatism Senofilcon C
-0.75, -1.25, -1.75, -2.25 in axis 10
steps

Alcon Air Optix +0.25  +8 (0.50 after 6) 8.6 14.2 1 SiH No 138 $69/6m
Aqua -0.25  -12 (0.50 after 8) Lotrafilcon B
Air Optix
Aqua (or
Hydraglyde)
can only be
worn 6 Comes in MF
continuous
nights. Air Optix +6  -10 (0.50 after 6) 8.7 14.5 1 SiH No 108 $120/6m
Aqua Astig Lotrafilcon B
Night and
Day can be
-0.75, -1.25, -1.75, -2.25 in axis 10
worn for 30 steps
continuous
days.
Air Optix +0.25  +8 (0.50 after 6) 8.6 14.2 1 SiH No 138 $69/6m
Hydraglyde -0.25  -12 (0.50 after 8) Lotrafilcon B

**hydraglyde
increases
wettability and
decreases deposits
Air Optix +6  -10 (0.50 after 6) 8.7 14.5 1 SiH No 108 $120/6m
Hydraglyde Lotrafilcon B
Astig -0.75, -1.25, -1.75, -2.25 in axis 10
steps

Air Optix +6  -10 (0.50 after 8) 8.4/ 13.8 1.5 SiH No 175 $130/6m
Night and Day 8.6 Lotrafilcon A

24% WC

Bausch PureVision 2 +6  -12 (0.50 after 6) 8.6 14 1.1 SiH No 130 $80/6m
and Balafilcon A
Lomb
36% WC

PureVision 2 +6  -9 (0.50 after 6) 8.9 14.5 1.1 SiH NO 91 $96/6m


Astig Balafilcon A
-0.75, -1.25, -1.75, -2.25 in axis 10
steps 36% WC

Ultra +6  -12 (0.50 after 6) 8.5 14.2 0.7 SiH 114 $90/6m
Samfilcon A

Comes in MF
Ultra Astig +6  -9 (0.50 after 6) 8.6 14.5 0.7 SiH 114 $120/6m
Samfilcon A
-0.75, -1.25, -1.75, -2.25 in axis 10
steps
Soflens 38 +4  -9 (0.50 after 6) 8.7 14 Hydrogel 20 $105/6m
Polymacon

Soflens 59 +6  -9 (0.50 after 6) 8.6 14.2 Hydrogel 30 $57/6m


Hilafilcon B

Solfens Astig +6  -9 (0.50 after 6) 8.5 14.5 Hydrogel 20 $71/6m


Alphafilcon A
-0.75, -1.25, -1.75, -2.25 in axis 10
steps

Multifocals
Choosing suitability between Monovision or Multifocals

Monovision:

- suitable for lower adds/younger presbyopes as binocular vision is still possible. More options
available/cheaper than MF CLs.
- Better success: when doing dominance testing reveals that one eye is dominant at distance
and the other eye is dominant at near

Simultaneous vision: Aspheric (multifocals)/Concentric (distinct alternating D, Int, N zones)

- Binocular vision (stereopsis): consider visual demand, e.g. driving, fine details  trial lenses
- Fitting aspheric designs depends on pupil size. Pupil size less dependent with concentric
designs.
o Avg: 3mm (photopic), 6mm (scotopic)
o Central zone: differs between brands but around 2-3mm.
o Pupil size decreases with age (senile miosis) – also poorer dilation in scotopic
- Includes D and N-centre CLs: uses high order aberration (spherical aberration/SA) to
influence pinhole effect/depth of focus at retina; positive SA = extendedDOF
o Generally fit N-centre CLs (negative SA) for presbyopes/MF wearers and D-centre for
myopia control. Better for small pupils
o D-centre (positive SA) also for those who prioritize distance/those who need low
near power (as the pupils get smaller at near, then less +ve will be used in a D-centre
CL)/myopia control
- More expensive and less options (esp if toric)
- Better success: dominance reveals that one eye is dominant for both distance and near

**Dominance testing: +1.50 each eye @ distance. -1.50 each eye @ near.

How to fit MFs

Spherical CLs are suitable for px with 0.75 cyl or less. Determine spherical equivalent. Set
expectations.

Measure pupil size in both photopic and scotopic conditions.

Alcon fit guide (aspheric MF CL):

Progressive design of MF CLs allows for px to use it at various distances. If px wants a CL more for
intermediate, then still follow the normal fitting guide.

1. Determine new max plus CL rx from scratch even if rx was done recently
2. Determine dominant eye for distance.
3. Add +0.25 each eye
4. Determine lowest expected add for that px’s age
a. Lo (up to +1.25), Med (+1.50  +2.00), Hi (+2.25  +2.50)
5. When trialling lenses, allow px to explore environment for 5-10 mins
6. After adapting to lenses: over-rx:
a. Distance over-rx:
i. OU open, +0.25 flippers over each eye until distance VA declines. This can be
a significant amount due to high amount of -ve in CL periphery. If >+0.75
each eye, consider new rx
ii. If px accepts +ve (allow px to look around with over-rx)  adjust distance
power in that particular eye
iii. If issues with near vision: add +0.50 to distance rx of non-dominant eye (will
make near better, but distance should be acceptable). Not given
1. If vision is not functional at near AND distance, remove +0.50 and
adjust add:

Increase it to MED OU to give near boost.


Having non-dominant eye at HI so it is better for near viewing.
Having non-dominant eye at MED so

iv. If distance over-rx is satisfactory but makes near vision unsatisfactory: adjust
Add:

7. Advice and expectations:


a. 1 week readjustment
b. May need more light when working at N (to constrict the pupil to N-centre) +
sunnies when outside (to dilate the pupil to D-periphery)

JnJ fit guide:

1. Determine distance rx
2. Dominance testing
3. Select lowest expected add

Biofinity fitting guide (toric/D or N centre)

CN – 2mm central optic zone + 1mm transitional zone

CD – 3mm central zone + steep transitional zone

Recommended to fit CN in +2 ADD and above because typically at that age, there is senile miosis. CD
OU may be unsuitable as px may not be able to access the ADD. CN OU may be unsuitable as there is
a large transitional zone, and px may not be able to use Distance.

In many other brands, with larger ADDs, CN-centre is smaller with a steeper transition to periphery
compared to lower ADD options (so that poorly dilating pupils can still access the distance section).

Dailies

RE Range BC Dia Modulus Material UV block Dk/t Cost


(mm) (mm) (MPa)
Cooper Clariti +5  -6 8.6 14.1 0.5 SiH Class 2 86 $63 30pk
Vision Aspheric Centre-N Add: Filcon II 3
High (+2.25  +3)
Low (up to +2.25)
Proclear 1 day +6  -10 (0.50 after 6) 8.7 14.2 0.4 Hydrogel NO 25 $45 30pk
Single Add aspheric Centre-N for up to Omafilcon A
+2.50

JnJ Acuvue Moist +6  -9 8.4 14.3 0.3 Ionic Hydrogel Class 2 26 $64 30pk
MF (Etafilcon A) $167 90pk
Low, Med, High, aspheric design
Centre N

Alcon Dailies Total 1 +6  -10 8.5 14.1 0.7 SiH NO 156 $88 30PK
MF (Delefilcon A) $225 90PK
Low, Med, High, aspheric design
Centre N
Dailies +6  -10 8.7 14 0.5 Non-Ionic No 26 $72 30PK
Aquacomfort Hydrogel $177 90PK
MF Low, Med, High Nelfilcon A

Bausch BioTrue +6  -9 8.6 14.2 0.5 Nonionic Class 2 42 $64 30pk


and Hydrogel
Lomb Low, High Nesofilcon A
Aspheric

Fortnightly

NOT AVAILABLE IN AUS

RE Range BC Dia Modulus Material UV Dk/t Cost


(mm) (mm) (MPa) block
JnJ Acuvue Oasys -9  +6 8.4 14.3 0.7 SiH Class 1 147
MF(US)/ (Senofilcon A)
Centre-D zonal aspheric
Presbyopia (UK)
Low - +0.75  +1.25
Med - +1.50  +1.75
High - +2.00  +2.50

Monthly

RE Range BC Dia Modulus Material UV block Dk/t Cost


(mm) (mm) (MPa)
Cooper- Biofinity MF +6  -10 (0.50 after 6) 8.6 14 0.75 SiH No 128 $134/6m
Vision Comfilcon A
Centre D or N for:
+1, +1.50, +2, +2.50
Concentric but able to use intermediate

Biofinity Toric +10  -10 (0.50 after 6) 8.7 14.5 0.75 SiH No 128 $195/6m
MF Comfilcon A
-0.75  -5.75 (0.50 steps) in axis 5
steps

Add: +1, +1.50, +2, +2.50


Proclear MF +6.00  -8.00D (0.50 after 6) 8.7 14.4 0.4 Hydrogel No 27 $176/6m
Centre D or N for: Omafilcon A
+1, +1.50, +2, +2.50
Concentric but able to use intermediate

Proclear MF +20  -20 (0.50 steps after 6.50) 8.4/ 14.4 0.4 Hydrogel No 38 228/6m
Toric 8.8 Omafilcon B
-0.75  -5.75 (0.50 steps) in axis 5
Uses dynamic steps
stabilisation
Centre D or N for:
+1, +1.50, +2, +2.50
Proclear MF +20  -20 (0.50 steps after 6.50) 8.4/ 14.4 0.4 Hydrogel No 27 $240/6m
XR 8.8. Omafilcon A
Centre D or N for:
+3  +4 (0.50 steps) for +6  -8
+1  +4 (0.50 steps) for _>+6, -8
Alcon Air Optix +6  -10 8.6 14.2 1 SiH No 138 $160/6m
Aqua MF Lotrafilcon B
Low, Med, High
Aspheric

Comes in MF
Air Optix +6  -10 8.6 14.2 1 SiH No 138 $160/6m
Hydraglyde Lotrafilcon B
MF Low, Med, High
Aspheric

Bausch PureVision 2 +6  -7 8.6 14 1.1 SiH No 130 $180/6m


and MF Balafilcon A
Lomb Low (up to +1.25), High (+1.50 to
+2.50)
Concentric but able to use intermediate

Ultra +6  -10 8.5 14.2 0.7 SiH 114 $80/6m


Presbyopia Samfilcon A
Low (up to +1.50), High (+1.75 to
+2.50)
Soflens MF +6  -7 8.5/ 14.5 Hydrogel 20 $184/6m
8.8 Polymacon
Low (up to +1.25), High (+1.50 to
+2.50)

Fitting RGPs
Specifications: BOZR:OZD / Secondary curve radii: SCR diameter / Peripheral CR : PCRD; BVP

Cosmetics
Dailies

RE Range BC Dia Modulus Material UV block Dk/t Cost


(mm) (mm) (MPa)
JnJ Acuvue Define +1  -9 (0.50 steps from -6.50) 8.5 14.2 0.3 Ionic Hydrogel Class 2 25 $50 30pk
(Cosmetics) (Etafilcon A)

Alcon Fresh-look 1- 0  -6 8.6 13.8 Hydrogel 26 $32 10pk


day colour Nelfilcon A

Blue, green,
grey, hazel
Freshlook 0  -8 (0.50 after 6) 8.6 13.8 Hydrogel $55 30pk
Illuminate Nelfilcon A
Brown/black-
Enlarges iris in
Asian eyes

Fortnightly

RE Range BC Dia Modulus Material UV block Dk/t Cost


(mm) (mm) (MPa)
Alcon Freshlook 0  +6 (0.50 after 2) 8.6 14.5 Hydrogel 26 $75 2pk
Colorblend 0  -8 (0.50 after 6) (Phemfilcon A)
Cosmetics

Blues, brown,
greens, greys, hazel,
honey, sapphire,
turquoise
Freshlook +6  -8 (0.50 after 6) 8.6 14.5 Hydrogel $75 2pk
Colors (Phemfilcon A)

Blue, green,
sapphire, violet
Freshlook +6  -8 (0.50 after 6) 8.6 14.5 $120 6pk
Dimensions

Aqua, blue,
green

Monthly

RE Range BC Dia Modulus Material UV block Dk/t Cost


(mm) (mm) (MPa)
Alcon Air Optix +6  -8 (0.50 after 6) 8.6 14.2 1 SiH No 138 $55 2pk
Colours Lotrafilcon B

Blues, brown,
greens, greys, hazel,
honey, sapphire,
turquoise

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