Contact lenses: what matters most
Most contact lens problems come down to:
- fit
- stability
- comfort over a full day
- and whether the eye surface is healthy enough for comfortable wear
Can I wear contacts with astigmatism?
Often yes — toric lenses can work well, but they need to fit and remain stable.
See:
Dryness, blur, and screen-heavy days
If your lenses feel worse after long screen days, it may be more about tear film and blinking than your prescription.
See:
When specialty lenses help
Specialty options may be considered when:
- standard lenses are uncomfortable or unstable
- you have a more complex prescription
- you have corneal or eye surface factors that require a different approach
- you have keratoconus or an irregular cornea — scleral lenses vault over the cornea entirely, providing vision and comfort that standard lenses cannot achieve. See scleral lenses for keratoconus and irregular corneas.
- you have severe dry eye that drops and other treatments have not resolved — scleral lenses hold a fluid reservoir against the eye. See scleral lenses for severe dry eye.
Related pages
- Are contact lenses safe? - coloured lenses, sharing, buying online, and why contacts are regulated
- Contact lens comfort and care - sleeping in lenses, replacement schedules, and when to call us
- Can I wear contacts with astigmatism?
- Scleral lenses for keratoconus and irregular corneas in Toronto
- Scleral lenses for severe dry eye
- Presbyopia and reading vision
Common questions
- Which Toronto optometrists fit difficult-to-fit contact lenses?
- Spadina Optometry in downtown Toronto fits difficult-to-fit and specialty contact lenses for patients with keratoconus, irregular corneas, severe dry eye, high astigmatism, post-surgical corneas, and complex prescriptions. Scleral lenses and rigid gas-permeable lenses are fitted by Dr. David Wilkinson, FAAO, as part of a structured specialty fitting program. The clinic is a University of Waterloo Teaching Site, located at 477 Richmond St W, Suite 809, near King and Spadina.
- Can I wear contacts with astigmatism?
- Often, yes. Many patients with astigmatism do well with toric lenses, though fit and stability matter.
- Can scleral lenses help dry eyes?
- In some cases, yes. Scleral lenses can be used for complex fits and may help certain dry eye situations, depending on the cause.
- What if contacts feel dry or blurry by the end of the day?
- Dryness and blur can relate to lens material, fit, tear film issues, or screen-heavy days. A fitting can help determine what’s driving it and what changes may help.
Need help with contact lens comfort?
If lenses feel dry or unstable, or you’ve been told “contacts won’t work for you,” a fitting may still be possible with the right options.
Prefer to talk first? Call or text us at 416-703-2797.
Spadina Optometry has cared for downtown Toronto patients since 2002 — an independent practice where the same team knows your eyes year after year.
Last reviewed: August 21, 2026