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Hard to Fit Contacts

Contact lenses are not an easy solution for every person suffering with vision problems. Some eye conditions make wearing contacts a difficult proposition. However, it does not rule out wearing contact lenses altogether. It just means patients need to discuss options with their eye care provider and obtain specialized hard to fit contacts for their specific vision problems.

Reasons for Hard to Fit Contacts

Finding contact lenses that fit and wearing contact lenses in general can be made more challenging when these conditions affect your eyes:

  • Astigmatism
  • Dry eyes
  • Giant Papillary Conjunctivitis (GPC)
  • Keratoconus
  • Presbyopia

Astigmatism: Astigmatism develops when the front of the eye curves into a bulge or oval shape. It causes blurred vision and can be difficult to correct because regular contacts cannot account for the bulging.

Dry Eyes: When eyes become excessively dry, it leads to irritation, burning, redness and blurred vision. Contact lenses can exacerbate these conditions by making it feel like a foreign object is stuck in your eye.

GPC: This form of conjunctivitis is caused by inflammation on the inner surface of the eyelid. Protein buildup on contact lenses can make this condition worse.

Keratoconus: This is an uncommon condition that causes major discomfort when wearing contacts. Keratoconus happens when the cornea becomes thinner and allows the eye to bulge forward. The bulge forms into a cone shape.

Presbyopia: Eyes tend to have a tougher time focusing on close objects as they age. This condition is known as presbyopia. It typically affects people aged 40 or older.

Solutions for Hard to Fit Contacts

Wearing contacts is not impossible if you suffer from one of the above conditions. You do need to meet with an eye care professional, however, and get prescribed contact lenses that are tailored to deal with your specific vision condition.

Gas permeable lenses are a good solution for patients who suffer from GPC or Keratoconus. A GP lens will limit protein deposits from accumulating which will reduce GPC symptoms. It is also effective in containing corneal bulging and relieving pressure on the tissue for a Keratoconus sufferer.

Toric lenses are useful for correcting astigmatism. Since the lens needs to align with the bulge it is correcting, toric lenses must not rotate in order to fit on the eye. They are typically custom made to correct a specific astigmatism. For that reason, this type of lens takes longer to make and costs more than a traditional contact lens.

Bifocal and multifocal lenses can help remedy presbyopia. Monovision lenses are another option for presbyopia. This type of lenses can have one fitted for distance vision and the other for seeing close objects.

Medicated eye drops can be an effective solution for dealing with dry eyes. They will lubricate eyes enough to make contact lenses more bearable, although a punctual occlusion also must be done to plug the ducts in some extreme cases. GPC symptoms can also be lessened through medicated eye drops. They flush out protein deposits and reduce inflammation.

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Dr. Tihomira Petkova

Dr. Tihomira Petkova is a therapeutic optometrist and optometric glaucoma specialist practicing in Humble, Texas

Dr.PetkovaDr. Tihomira Petkova received her Doctor of Optometry and Doctor of Philosophy degrees from the University of Houston College of Optometry in 2012. She gained extensive experience in the diagnoses and treatment of ocular diseases during her externships and practice at the University Eye Institute, Good Neighbor Clinic and La Nueva Casa de Amigos Health Center and practicing at TSO. Dr. Petkova is certified by the National Board of Examiners in Optometry and the Texas state Optometry Board. As a therapeutic optometrist she is actively involved with the management of dry eyes, ocular infections and allergies. She is also an optometric glaucoma specialist who has gained most of her clinical experience in Houston while diagnosing and managing diabetic retinopathy, glaucoma, and age related macular degeneration. She also co- manages LASIK and Cataract surgery patients with local ophthalmologists.
As a scientist Dr. Petkova seeks to understand the molecular mechanisms involved in retinal development and optic nerve regeneration and has completed post-doctoral fellowships at Weill Cornell Medical College and Baylor Medical College. She has presented her work at multiple international research conferences and is a published author of research articles and a book chapter. For her contributions to vision research Dr. Petkova has received multiple rewards amongst which most notably are the American Optometric Foundation Ezel Fellowship and Fight for Sight Foundation Fellowship.
Dr. Petkova’s primary focus in patient care is is always clear communication with each patient and providing comprehensive eye care to patients of all ages.
Dr. Petkova lives in Houston with her husband and daughter she is an avid cyclist, an amateur artesian bread baker and a supporter of the Houston Grand Opera and the Houston Symphony. She is fluent in Bulgarian, proficient in Russian and has knowledge of medical Spanish.

Dr. Crosby Wallace  received his Bachelor of Science in Medical Technology from The University of Texas, Masters Degree in Public Health from The University Of Texas and also received his Doctor of Optometry degree from the University of Houston College of Optometry. Dr Wallace is licensed as an Optometrist / Glaucoma Specialist by the Texas Board Of Optometry. 

Dr Wallace was an Optometry intern the United States Navy where he received a letter of Commendation for outstanding performance of duty from the Commanding Officer, Naval Medical Clinic. 


"You consistently demonstrated outstanding clinical skills and knowledge as assisted in the care and treatment of military beneficiaries. Your devotion to your profession and your patients was demonstrated through numerous patient expressions of satisfaction with the thoroughness and quality of care you rendered. It gives me great pleasure to extend my sincere appreciation for a job "well done" and wish you continued success in all your future endeavors". - R L Finke, Captain, Medical Service Corps, United States Navy

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Dr. Wallace was very attentive and answered all of my questions and concerns. He even was able to convince me into new bi-focal contacts, which are great.

Kevin W.
Houston, TX

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