Gas Permeable (GP) or Rigid Gas Permeable (RGP) contact lenses are an alternative to soft contact lenses that are made from a hard, oxygen permeable material. GP lenses are currently less popular than soft lenses but offer a number of advantages and are continuing to improve as research and technology advance.
GP contacts are made of a firm plastic material which allows the passage of oxygen through the lens to your cornea and the front surface of your eye - essentially allowing your eye to “breathe”. This increases comfort, health and safety during contact lens wear.
Advantages of gas permeable lenses
GP lenses allow your eyes to "breathe" better
GP lenses allow more oxygen to reach the front surface of the eye. This reduces the risk of eye problems caused by hypoxia (reduced oxygen supply). Gas permeable lenses provide a better oxygen supply than most soft lenses because:
- The silicone-containing lens materials of GP lenses are more permeable to oxygen than many soft lens materials (though new "silicone hydrogel" soft lenses are comparable to GPs in oxygen transmission).
- GP lenses are smaller in diameter than soft lenses, so they cover up less of the front surface of the eye (the cornea).
- Gas permeable lenses hold their shape and move on the eye with each blink. This movement pumps oxygen-containing tears under the lens. Soft lenses conform to the shape of the cornea and have only minimal movement with blinks, so little or no tears circulate under soft lenses.
GP lenses provide sharper vision
Because they are custom-machined to a smooth surface and maintain their shape on the eye, GP lenses provide sharper vision than soft lenses, which can fluctuate in shape and clarity if they start to dry out. Gas permeable lenses also provide a more stable and accurate correction of astigmatism.
GP lenses last longer
GP lenses are rigid, so there's no worry about ripping or tearing them. They are also easier to keep clean and don't need to be replaced frequently like soft lenses. With proper care, a single pair of GP lenses can last a year or longer. And since they're long-lasting, GP can be less expensive than soft lenses in the long run.
Because they are made to order, there is an initial cost investment and they will take up to a week to manufacture if you do need a replacement pair.
GP Lenses for Myopia Management and Ortho-K
Research shows that gas permeable lenses might be effective in slowing the progression or worsening of myopia or nearsightedness, particularly in children. They are also used in Orthokeratology (ortho-k), a vision-correcting procedure in which you wear the lenses at night to reshape your cornea for improved vision during the day.
GPs for Astigmatism
GP lenses are ideal for individuals with astigmatism that may have been told that they cannot wear soft contacts. Because of the rigid nature of the lens, they hold their shape on the eye allowing for more clear and stable vision correction
Health And Hygiene Benefits
Unlike soft lenses, GPs don’t contain water which makes them less likely to attract and breed bacteria that can cause eye infections. Further protein deposits won’t build up on the lens, keeping them cleaner and healthier.
Because they are made with strong durable material, GP lenses won’t tear and are easy to clean and disinfect. RGPs maintain their firm shape and will not dehydrate. Further GPs last longer than soft lenses - when cared for properly, a pair can last a year or more.
The downside of GP contact lenses
So why doesn't everyone wear GP lenses? Potential disadvantages of GP lenses (compared to soft lenses) include:
Adapting to GP lenses
Unlike wearing soft lenses (which are comfortable right from the start), you may need a few weeks before you can wear GP lenses comfortably all day. Initially, you may be able to wear the lenses only a few hours daily until your corneas adapt to them. But if you can tough it out for those first few days, you may be pleasantly surprised at how comfortable GP lenses become. Many people who switch from soft lenses to gas permeable lenses say GP lenses are more comfortable than soft lenses (after their eyes fully adapt) and their vision is noticeably clearer.
Inability to wear part-time
To fully adapt to GP lenses and to stay comfortable wearing them, you have to wear them every day. If you stop wearing them for several days, you will be more aware of the lenses on your eyes and you'll have to re-adapt to the lenses.
Increased possibility of dislodging
Because they are smaller than soft lenses, gas permeable lenses can dislodge from your eyes during contact sports or if you rub your eyes aggressively.
Vulnerability to sand and dust
GP lenses don't conform to the shape of your eye like soft lenses do, so it's possible sand or dust can get under your lenses at the beach or on a windy day. (You can minimize this risk by wearing wrap-style sunglasses outdoors.)
Higher lens replacement costs
Unlike soft lenses, which come in limited sizes, GP lenses are custom-made to the shape of your eye. This makes GP lenses more expensive to replace if you lose them. Also, it can take up to a week to get a GP lens replaced.So it's a good idea to purchase a spare pair to avoid the inconvenience of being without your GP lenses if you lose or break one.
Best of both worlds?
Since comfort is the primary barrier to GP use, an interesting innovation is the hybrid contact lens. These lenses have a GP center, surrounded by a soft lens "skirt." The goal of hybrid lenses is to provide the clarity of a gas permeable lens and wearing comfort that rivals that of a soft lens.
Call for more information and a trial fitting
To see if gas permeable lenses are right for you, call our office for more information and to schedule a trial fitting.