One of the more challenging patients we work with in the office is the long time contact lens wearer who has turned 40 or older and is losing their ability to focus up close with their contact lenses. There are three ways to deal with it. The first way is by far the easiest but sometimes least convenient, that is wearing reading glasses over the contact lenses for near. The second way and successful for some is wearing one eye for reading and one eye for distance. This causes a blur in one of the eyes for reading and blur in the other eye for distance. The issue that is very important here is driving, particularly at night. There are ways to deal with this situation. The third method of fitting this type of patient is with multifocal contact lenses. The technology of these lenses has improved greatly over the last several years. These lenses do not work on everybody but when they work, they work.