7+ Best Color Contacts for Astigmatism 2023


7+ Best Color Contacts for Astigmatism 2023

Toric lenses with built-in pigmentation supply people with corneal irregularity the chance to right their imaginative and prescient whereas additionally altering their eye coloration. These specialised lenses mix the corrective properties of toric lenses, designed to deal with astigmatism, with the aesthetic enhancement of coloured contacts. An instance could be a affected person with astigmatism selecting hazel-tinted toric lenses to sharpen their imaginative and prescient and alter their eye coloration concurrently.

The provision of those specialised lenses represents a big development in eye care. Beforehand, people with astigmatism typically had restricted decisions in beauty contact lenses. This innovation gives a sensible resolution for these in search of each visible readability and beauty modification. The power to deal with each refractive error and aesthetic preferences contributes to improved self-confidence and general high quality of life.

This text will delve additional into the varied elements of those specialised lenses, protecting matters resembling lens varieties, becoming procedures, correct care and upkeep, and potential concerns for wearers. It is going to additionally discover the newest developments in lens expertise and talk about the way forward for imaginative and prescient correction and beauty enhancement for people with astigmatism.

1. Toric Lens Design

Toric lens design is prime to the performance of coloration contact lenses for astigmatism. In contrast to spherical lenses that right nearsightedness or farsightedness, toric lenses tackle the asymmetrical curvature of the cornea, attribute of astigmatism. This asymmetry causes mild to refract erratically, leading to blurred or distorted imaginative and prescient in any respect distances. The toric lens design incorporates various refractive energy throughout totally different meridians of the lens, compensating for the irregular corneal form and focusing mild appropriately onto the retina. This specialised design is essential for attaining clear imaginative and prescient in people with astigmatism who select coloration contact lenses for beauty functions.

The mixing of coloration pigments inside a toric lens necessitates cautious design concerns. The colour portion should not intrude with the toric parts liable for astigmatism correction. Sustaining exact alignment of the toric axis is important for optimum visible acuity. Instability or rotation of the lens can compromise the corrective impact and lead to blurred imaginative and prescient. Superior manufacturing methods and lens supplies contribute to lens stability, making certain constant and predictable imaginative and prescient correction. For example, prism ballasting and peri-ballasting are generally employed to stabilize toric lenses, minimizing rotation and sustaining optimum visible readability. Take into account a affected person with excessive astigmatism and a want for green-colored lenses. The toric design should exactly right the astigmatism whereas the inexperienced pigment stays aesthetically pleasing with out disrupting the corrective properties.

In abstract, the success of coloration contact lenses for astigmatism hinges upon meticulous toric lens design. The complicated interaction between corrective properties and beauty enhancements requires refined manufacturing processes and exact becoming procedures. Understanding the intricacies of toric lens design permits practitioners to offer optimum imaginative and prescient correction and beauty advantages for people with astigmatism, empowering them with clear, comfy imaginative and prescient and enhanced look. Challenges stay in balancing lens stability, oxygen permeability, and coloration vibrancy, however ongoing developments in lens expertise proceed to enhance the choices accessible for people in search of each visible readability and aesthetic expression.

2. Coloration Pigments

Coloration pigments are integral to the aesthetic operate of coloration contact lenses designed for astigmatism. These pigments, embedded throughout the lens materials, alter the looks of the attention by absorbing and reflecting particular wavelengths of sunshine. Cautious choice and software of those pigments are important, as they have to not compromise the optical properties or the consolation of the lens. The pigments are sometimes encapsulated throughout the lens materials to forestall direct contact with the ocular floor, making certain biocompatibility and minimizing the danger of irritation or allergic reactions. For instance, a blue pigment displays blue mild whereas absorbing different wavelengths, giving the lens its blue hue. The focus and distribution of the pigment affect the depth and saturation of the colour change. In lenses for astigmatism, the pigment placement requires cautious consideration to keep away from interference with the toric parts of the lens liable for correcting the astigmatism.

Several types of pigments exist, every with its personal traits relating to coloration vibrancy, lightfastness, and biocompatibility. Natural pigments supply a wider vary of coloration choices and are typically extra vibrant, however could also be much less lightfast than inorganic alternate options. Inorganic pigments, derived from metallic oxides, supply better stability and longevity however might have a extra restricted coloration palette. The selection of pigment is dependent upon components resembling desired coloration depth, lens materials compatibility, and regulatory necessities. Take into account a affected person in search of vibrant violet lenses: natural pigments is perhaps most popular for his or her coloration depth, whereas a affected person prioritizing long-lasting coloration would possibly go for lenses with inorganic pigments.

In conclusion, coloration pigments play an important function within the aesthetic attraction of coloration contact lenses designed for astigmatism. The choice, software, and kind of pigment considerably affect the ultimate coloration, sturdiness, and biocompatibility of the lens. Balancing aesthetic concerns with the optical necessities of toric lenses stays a problem, however ongoing developments in pigment expertise and lens manufacturing proceed to broaden the choices accessible to people in search of each imaginative and prescient correction and beauty enhancement. Additional analysis and growth give attention to enhancing pigment stability, rising coloration vibrancy, and enhancing the long-term security and luxury of those specialised lenses.

3. Oxygen Permeability

Oxygen permeability is a crucial think about sustaining corneal well being for any contact lens wearer, particularly these with astigmatism utilizing coloration contact lenses. The cornea, avascular in nature, depends on atmospheric oxygen for its metabolic processes. Contact lenses, appearing as a barrier, can impede this oxygen transmission, probably resulting in corneal hypoxia and associated problems. Sufficient oxygen permeability is subsequently paramount in making certain the long-term well being and luxury of the cornea in people utilizing coloration contact lenses for astigmatism.

  • Materials Properties

    The oxygen permeability of a contact lens is primarily decided by the fabric from which it’s manufactured. Silicone hydrogel supplies exhibit considerably increased oxygen transmissibility in comparison with conventional hydrogel supplies. This enhanced permeability permits for better oxygen circulation to the cornea, lowering the danger of hypoxia-related problems. For coloration contact lenses for astigmatism, silicone hydrogel supplies are typically most popular resulting from their superior oxygen permeability, enabling longer and extra comfy sporting instances. For example, a silicone hydrogel lens with a Dk/t of 150 permits considerably extra oxygen to succeed in the cornea than a hydrogel lens with a Dk/t of 30.

  • Lens Thickness

    Lens thickness instantly influences oxygen transmission. Thicker lenses, even when made from extremely permeable supplies, can impede oxygen circulation. In toric lenses for astigmatism, sustaining sufficient oxygen permeability whereas accommodating the various thickness required for astigmatic correction presents a design problem. Minimizing the middle thickness of the lens whereas preserving the mandatory corrective energy is essential for optimum oxygen supply to the cornea. For instance, a thinner lens on the heart, even with a barely decrease Dk/t worth, might present higher oxygen transmission than a thicker lens made from a fabric with the next Dk/t.

  • Water Content material

    Whereas water content material contributes to lens consolation, it doesn’t instantly correlate with oxygen permeability. In some instances, increased water content material may even hinder oxygen transmission, particularly in conventional hydrogel lenses. Silicone hydrogel lenses, nonetheless, can obtain excessive oxygen permeability even with decrease water content material, providing a stability between consolation and corneal well being. A lens with excessive water content material and low oxygen permeability can really result in corneal edema, whereas a silicone hydrogel lens with average water content material and excessive oxygen permeability can preserve corneal well being even throughout prolonged put on.

  • Medical Significance

    Sustaining sufficient corneal oxygenation is essential for stopping problems resembling corneal neovascularization, edema, and microbial keratitis. These problems can result in discomfort, blurred imaginative and prescient, and probably critical long-term penalties for ocular well being. Correct lens becoming and adherence to prescribed sporting schedules are important in minimizing the danger of those problems. Common eye examinations and consultations with eye care professionals are very important for monitoring corneal well being and making certain the continued suitability of coloration contact lenses for astigmatism. Neglecting oxygen permeability can result in vital issues, underscoring the significance of contemplating this issue when deciding on and becoming these lenses.

In conclusion, oxygen permeability is a paramount consideration within the profitable use of coloration contact lenses for astigmatism. Materials properties, lens thickness, and water content material all work together to affect the quantity of oxygen reaching the cornea. Prioritizing lenses with excessive oxygen transmissibility, making certain correct match, and adhering to beneficial put on schedules are important for preserving corneal well being and maximizing the advantages of those specialised lenses. Ongoing developments in lens supplies and designs proceed to enhance oxygen permeability, providing people with astigmatism better decisions in coloration contact lenses whereas minimizing the dangers related to lowered oxygen transmission to the cornea.

4. Prescription Accuracy

Prescription accuracy is paramount for profitable coloration contact lens put on in people with astigmatism. An inaccurate prescription, whether or not for the spherical or cylindrical element, or an incorrect axis orientation, can compromise visible readability and luxury. The toric lens design depends on exact alignment with the astigmatic axis of the cornea to right the refractive error. An incorrect axis, even by a couple of levels, can induce ghosting, blurring, and eye pressure. Equally, an inaccurate spherical element can under- or over-correct the myopia or hyperopia current, resulting in suboptimal visible acuity. For example, a prescription with an axis off by 10 levels can considerably blur imaginative and prescient, whereas an incorrect spherical energy can exacerbate current refractive errors. Take into account a affected person with -2.00 sphere and -1.50 cylinder at 90 levels. A lens prescribed with -2.00 sphere and -1.50 cylinder at 80 levels, whereas seemingly shut, will lead to noticeable blurring because of the axis misalignment.

Moreover, prescription accuracy influences lens match and stability. An incorrect prescription can result in a poorly becoming lens, rising the probability of lens rotation and decentration. This instability can additional compromise the corrective impact of the toric lens, exacerbating the visible distortions attributable to the wrong prescription. For instance, a lens with extreme motion can intermittently blur imaginative and prescient because the toric axis shifts away from the supposed orientation. This dynamic blurring can contribute to discomfort and visible fatigue. Past speedy visible penalties, an ill-fitting lens resulting from prescription inaccuracies also can enhance the danger of corneal problems, resembling abrasions or hypoxia, resulting from altered tear change and oxygen permeability. Exact measurements and cautious becoming procedures are essential for optimizing lens stability and minimizing these dangers.

In abstract, prescription accuracy is non-negotiable for attaining optimum visible outcomes and making certain corneal well being in people with astigmatism sporting coloration contact lenses. Even seemingly minor discrepancies within the prescription can considerably influence visible readability, consolation, and lens stability. Meticulous refraction methods, exact lens manufacturing, and correct becoming protocols are important for maximizing the advantages of coloration contact lenses for astigmatism whereas mitigating the dangers related to inaccurate prescriptions. The interaction between prescription accuracy and lens efficiency underscores the significance of complete eye examinations and ongoing collaboration between eye care professionals and sufferers to attain profitable outcomes in managing astigmatism with coloration contact lenses.

5. Correct Becoming

Correct becoming is essential for profitable coloration contact lens put on, significantly for people with astigmatism. Toric lenses, designed to right astigmatism, require exact alignment with the corneal floor to operate successfully. A poorly becoming lens can rotate or decenter, misaligning the toric axis and compromising the supposed astigmatic correction. This misalignment can result in blurred imaginative and prescient, ghosting, and discomfort. For instance, a lens that rotates excessively could cause intermittent blurring because the toric axis shifts away from the proper orientation, resulting in fluctuating visible acuity and potential eye pressure. Moreover, an improperly fitted lens can disrupt tear movie distribution, resulting in dryness, discomfort, and an elevated threat of problems resembling corneal abrasions or infections. Take into account a affected person with a steep cornea fitted with a flat lens; the lens might transfer excessively, whereas a flat cornea fitted with a steep lens might lead to a good, uncomfortable match, probably proscribing oxygen circulation to the cornea.

A number of components contribute to correct lens becoming, together with lens diameter, base curve, and, critically for toric lenses, rotational stability. The lens diameter should correspond to the horizontal seen iris diameter to make sure sufficient corneal protection with out impinging on the sclera or conjunctiva. The bottom curve, reflecting the curvature of the posterior lens floor, should conform to the corneal curvature to make sure correct centration and motion. Rotational stability, particular to toric lenses, refers back to the lens’s skill to keep up its supposed orientation on the attention. Varied lens design options, resembling prism ballasting and peri-ballasting, affect rotational stability. A well-fitted toric lens will exhibit minimal rotation, making certain constant alignment of the toric axis with the astigmatic axis of the cornea. For example, a lens with good rotational stability will persistently return to its right orientation after blinking, whereas a poorly stabilized lens will exhibit extreme and unpredictable rotation, resulting in fluctuating imaginative and prescient.

In conclusion, correct becoming is important for maximizing the visible advantages and luxury of coloration contact lenses for astigmatism. Correct measurements of corneal curvature and diameter are important stipulations for profitable becoming. Lens choice ought to prioritize designs that promote rotational stability to make sure constant and predictable astigmatic correction. A well-fitted lens minimizes visible distortions, enhances consolation, and reduces the danger of problems. Collaboration between eye care professionals and sufferers is essential all through the becoming course of to attain optimum outcomes and guarantee long-term satisfaction with coloration contact lenses for astigmatism. Ongoing developments in lens design and becoming methods proceed to refine the method, providing improved consolation, imaginative and prescient, and security for people with astigmatism in search of each visible correction and beauty enhancement.

6. Lens Care

Correct lens care is important for sustaining ocular well being and maximizing the lifespan of coloration contact lenses for astigmatism. Neglecting lens hygiene can result in microbial contamination, rising the danger of infections, irritation, and probably sight-threatening problems. Given the complicated design of toric lenses, meticulous care is especially vital to protect their structural integrity and optical efficiency. Efficient lens care practices reduce protein and lipid deposits that may accumulate on the lens floor, compromising visible readability and luxury.

  • Cleansing

    Thorough cleansing removes particles, cosmetics, and microbial contaminants from the lens floor. Really helpful cleansing options, particularly formulated for contact lenses, needs to be used in accordance with the producer’s directions. Rubbing the lens gently between the fingertips, even with “no-rub” options, enhances the cleansing course of. Keep away from utilizing faucet water, saliva, or home made options, as these can introduce dangerous microorganisms or injury the lens materials. For instance, a multipurpose resolution can each clear and disinfect lenses, simplifying the care routine.

  • Rinsing

    Rinsing removes residual cleansing resolution and any loosened particles from the lens floor. Sterile saline resolution is the beneficial rinsing agent. Thorough rinsing is essential to attenuate the danger of chemical irritation or allergic reactions attributable to residual cleansing resolution parts. Keep away from reusing saline resolution, as this will introduce contaminants. An instance of efficient rinsing entails directing a gradual stream of saline over each surfaces of the lens for a number of seconds.

  • Disinfection

    Disinfection eliminates or neutralizes dangerous microorganisms that may adhere to the lens floor. Varied disinfection strategies exist, together with chemical disinfection utilizing multipurpose options or hydrogen peroxide methods, and thermal disinfection utilizing warmth. The chosen disinfection methodology needs to be suitable with the lens materials and adjust to producer suggestions. Failure to correctly disinfect lenses considerably will increase the danger of microbial keratitis, a critical corneal an infection. For instance, a hydrogen peroxide system successfully disinfects lenses however requires a neutralization step earlier than insertion to forestall corneal injury.

  • Storage

    Correct lens storage maintains lens hydration and prevents microbial progress. Lenses needs to be saved in a clear lens case full of recent disinfecting resolution. The lens case needs to be changed commonly, sometimes each three months, to attenuate the danger of contamination. Keep away from topping off previous resolution, as this will dilute the disinfectant and compromise its effectiveness. instance of correct storage entails inserting cleaned and disinfected lenses in a clear case full of recent resolution, making certain the lenses are totally submerged.

In conclusion, meticulous lens care is important for people utilizing coloration contact lenses for astigmatism. Common cleansing, rinsing, disinfection, and correct storage are crucial for stopping infections, sustaining lens integrity, and making certain optimum imaginative and prescient and luxury. Adhering to those practices extends lens lifespan and minimizes the danger of problems. Neglecting lens care can have critical penalties for ocular well being, emphasizing the significance of incorporating these practices into day by day routines. By following beneficial lens care procedures, people with astigmatism can safely and successfully benefit from the beauty and visible advantages of coloration contact lenses.

7. Potential Problems

Whereas coloration contact lenses for astigmatism supply vital advantages, potential problems can come up, significantly with out correct care and lens choice. Understanding these potential points permits wearers to make knowledgeable selections and take acceptable preventative measures. Ignoring these potential problems can jeopardize ocular well being and compromise the advantages these specialised lenses present.

  • Big Papillary Conjunctivitis (GPC)

    GPC, an allergic inflammatory response, can develop in response to contact lens put on. It entails the formation of huge bumps on the underside of the eyelids, resulting in itching, discomfort, and mucus discharge. Within the context of coloration contact lenses for astigmatism, protein deposits on the lenses can exacerbate GPC. Correct lens care and protein removing are important for minimizing this threat. For instance, a affected person neglecting common lens cleansing would possibly expertise elevated GPC signs, whereas enzymatic cleaners might help handle protein buildup, lowering the probability of this complication.

  • Corneal Neovascularization

    Corneal neovascularization is the irregular progress of blood vessels into the cornea. It may be triggered by power hypoxia, typically related to insufficient oxygen permeability of contact lenses. Coloration contact lenses, particularly these with decrease oxygen permeability, can enhance this threat. Selecting lenses with excessive oxygen transmissibility and adhering to beneficial sporting schedules are essential for minimizing the danger of corneal neovascularization. For example, a affected person sporting lenses with low oxygen permeability for prolonged durations would possibly develop corneal neovascularization, whereas switching to silicone hydrogel lenses can considerably cut back this threat.

  • Infectious Keratitis

    Infectious keratitis, a critical corneal an infection, can happen resulting from microbial contamination of contact lenses. Improper lens hygiene practices considerably enhance this threat. Coloration contact lenses, like another contact lenses, require meticulous care to forestall microbial progress and subsequent an infection. Thorough cleansing, disinfection, and correct storage are essential. For instance, reusing lens resolution or neglecting to scrub the lens case can introduce pathogens, rising the danger of infectious keratitis. A affected person growing ache, redness, and light-weight sensitivity after utilizing improperly cleaned lenses may need contracted infectious keratitis, requiring speedy medical consideration.

  • Corneal Abrasions

    Corneal abrasions, scratches on the corneal floor, can happen resulting from varied components, together with improper lens insertion and removing, international physique entrapment below the lens, or a poorly becoming lens. With coloration contact lenses for astigmatism, an improperly fitted lens could cause extreme friction on the cornea, rising the danger of abrasions. Cautious dealing with and making certain a correct match are important for minimizing this threat. For instance, a lens that matches too tightly can rub towards the cornea, rising the danger of abrasion. A affected person experiencing sudden ache, tearing, and international physique sensation after inserting a lens may need a corneal abrasion, necessitating lens removing {and professional} analysis.

These potential problems underscore the significance of cautious lens choice, meticulous hygiene practices, and common eye examinations. Whereas coloration contact lenses for astigmatism present beauty and imaginative and prescient correction advantages, minimizing these dangers by correct care {and professional} steerage is important for sustaining long-term ocular well being. Ignoring these potential problems can result in vital discomfort, imaginative and prescient impairment, and probably irreversible injury to the attention. Steady developments in lens supplies and designs attempt to mitigate these dangers, however particular person accountability in correct lens care and adherence to skilled suggestions stays paramount for protected and profitable coloration contact lens put on.

Ceaselessly Requested Questions

This part addresses widespread inquiries relating to coloration contact lenses for astigmatism, offering concise and informative responses to facilitate knowledgeable decision-making and promote optimum lens put on practices.

Query 1: Are coloration contact lenses for astigmatism costlier than common contact lenses?

Usually, specialised lenses, together with these combining coloration enhancement and astigmatism correction, incur increased prices because of the extra intricate manufacturing course of and specialised becoming necessities.

Query 2: Can people with excessive astigmatism put on coloration contact lenses?

Developments in lens expertise have expanded choices for people with increased ranges of astigmatism. Consulting an eye fixed care skilled is essential to find out suitability and accessible choices.

Query 3: How lengthy can coloration contact lenses for astigmatism be worn day by day?

Really helpful day by day put on time varies relying on particular person components and lens kind. Following prescribed put on schedules and consulting an eye fixed care skilled is essential to make sure corneal well being.

Query 4: Do all eye colours obtain the identical vibrancy with coloration contact lenses?

The ultimate coloration look is dependent upon the person’s pure eye coloration and the opacity of the lens. Lighter eyes are inclined to exhibit extra noticeable coloration change in comparison with darker eyes.

Query 5: Can coloration contact lenses for astigmatism right all forms of astigmatism?

Whereas these specialised lenses tackle commonest types of corneal astigmatism, sure irregular astigmatisms might require various corrective options. Skilled session is beneficial to find out acceptable choices.

Query 6: Are there any particular cleansing options beneficial for coloration contact lenses for astigmatism?

Compatibility between lens supplies and cleansing options is important. Consulting an eye fixed care skilled ensures acceptable resolution choice and minimizes potential problems associated to lens deposits or chemical interactions.

Understanding the nuances of coloration contact lenses for astigmatism empowers knowledgeable selections and promotes protected and efficient lens put on. Consulting with an eye fixed care skilled is at all times beneficial for personalised steerage and addressing particular person wants.

This data gives a complete overview of coloration contact lenses for astigmatism. For additional inquiries or personalised steerage, consulting an eye fixed care skilled is beneficial.

Important Suggestions for Coloration Contact Lens Wearers with Astigmatism

People with astigmatism in search of beauty enhancement by coloration contact lenses require specialised care and consideration. The next suggestions present sensible steerage for protected and profitable lens put on, selling optimum imaginative and prescient and ocular well being.

Tip 1: Seek the advice of a Certified Eye Care Skilled: A complete eye examination is essential for correct astigmatism evaluation and acceptable lens choice. Skilled steerage ensures correct match, optimum imaginative and prescient correction, and minimizes potential problems.

Tip 2: Prioritize Oxygen Permeability: Sufficient oxygen transmission to the cornea is important for stopping hypoxia-related problems. Silicone hydrogel lenses, recognized for his or her excessive oxygen permeability, are typically beneficial for prolonged put on consolation and corneal well being.

Tip 3: Emphasize Lens Stability: Toric lenses, designed for astigmatism correction, require stability on the attention. Focus on lens designs that reduce rotation and decentration with an eye fixed care skilled, making certain constant and predictable imaginative and prescient correction.

Tip 4: Preserve Meticulous Lens Hygiene: Correct cleansing, rinsing, and disinfection are essential for stopping infections and sustaining lens integrity. Adherence to beneficial lens care practices minimizes the danger of problems and extends lens lifespan.

Tip 5: Observe Prescribed Put on Schedules: Exceeding beneficial put on instances will increase the danger of problems resembling corneal hypoxia and infections. Adhering to prescribed put on schedules and permitting the eyes sufficient relaxation durations promotes ocular well being.

Tip 6: Schedule Common Eye Examinations: Ongoing monitoring of ocular well being is important for detecting potential problems early. Common eye examinations allow well timed intervention and changes to lens kind or put on schedule as wanted.

Tip 7: Perceive Potential Problems: Consciousness of potential problems, resembling large papillary conjunctivitis, corneal neovascularization, and infectious keratitis, empowers proactive administration and knowledgeable decision-making.

Tip 8: Take away Lenses Instantly if Discomfort Happens: Discomfort, redness, or blurry imaginative and prescient can point out a possible drawback. Immediate removing of lenses and session with an eye fixed care skilled facilitates well timed intervention and prevents problems.

Adhering to those pointers promotes a constructive expertise with coloration contact lenses for astigmatism, making certain optimum imaginative and prescient correction, consolation, and long-term ocular well being.

By following the following tips, people can successfully handle their astigmatism whereas having fun with the beauty advantages of coloration contact lenses, contributing to improved imaginative and prescient and enhanced self-confidence. The next conclusion will summarize the important thing takeaways and reinforce the significance of accountable lens put on.

Conclusion

Toric lenses with coloration pigmentation supply people with astigmatism a possibility to deal with each visible correction wants and aesthetic preferences. This text explored crucial elements of those specialised lenses, together with toric lens design, coloration pigment integration, oxygen permeability concerns, prescription accuracy, correct becoming protocols, important lens care practices, and potential problems. Understanding the interaction of those components is essential for profitable lens put on and sustaining long-term ocular well being. Emphasis on skilled steerage all through the method, from preliminary session and lens choice to ongoing monitoring and care, is paramount.

Advances in lens expertise proceed to broaden choices and enhance outcomes for people with astigmatism in search of beauty enhancement. Accountable lens put on, knowledgeable by complete data {and professional} steerage, empowers people to attain optimum imaginative and prescient correction and aesthetic expression whereas safeguarding ocular well being. Continued analysis and growth promise additional developments in lens supplies, designs, and care practices, enhancing the security, efficacy, and accessibility of coloration contact lenses for astigmatism.