Kinetic visual disturbances with contact lenses

Kinetic (variable) visual disturbances in contact lens wearers may be generated optically or mechanically. These disturbances are categorized in two groups: 1) those affecting both phakic and aphakic contact lens wearers; and 2) those peculiar to aphakic patients. Within each category disturbances vary with the types of lens used. In this review, the optical and mechanical bases for the various problems are discussed, as are possible solutions. It is emphasized that the ophthalmologist prescribing contact lenses should be aware of the patient's work hazards and requirements, and weight the advantages and disadvantages of contact lenses. For example, is the patient exposed to high temperatures, heavy or fast-moving equipment, altered barometric conditions, etc.? Is physical exertion required? Employers and fellow workers should be aware of the contact lens wearers in their work force.