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Precision Contact Lenses

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About the Atlanta Center for Precision Contact Lenses

No two eyes are the same, yet most contact vendors treat them as if they fit in a handful of pre-defined categories. The Atlanta Center for Precision Contact Lenses at Optique is the premier location for custom contact lens fitting, design, and supply in Atlanta.

Dr. Cohen leverages years of experience to bring custom solutions to patients with extreme astigmatism, eye’s that require non-traditional contact shapes, or for whom off the shelf contacts bring discomfort. Schedule a consultation and see how much clearer your vision can be with a contact solution that is as unique as your eyes.

The Atlanta Center for Precision Contact Lenses is the ONLY center in Atlanta that specializes in speciality contact lenses.

The Exclusive Provider of SightSleep Technology

SightSleep is our proprietary orthokeratology technique. Orthokeratology (ortho-k) is the fitting of specially designed gas permeable contact lenses that you wear overnight. While you are asleep, the lenses gently reshape the front surface of your eye (cornea) so you can see clearly the following day after you remove the lenses when you wake up.

Sight Sleep logo1

Contact Lenses for the “Hard-to-Fit” Patient

Not everyone is well suited to the most common types of contact lenses. If you have one or more of the following conditions, contact lens wear may be more challenging:

  • astigmatism
  • dry eyes
  • presbyopia
  • giant papillary conjunctivitis (GPC)
  • keratoconus
  • post-refractive surgery (such as LASIK)

But “challenging” doesn’t mean impossible. Often, people with these conditions can wear contacts quite successfully. The Center for Precision Contact lenses can take a closer look at your situation and design a treatment that is right for you.

Contact Lenses For Astigmatism

Astigmatism is a very common condition where the curvature of the front of the eye isn’t round, but is instead shaped more like a football or an egg. This means one curve is steeper or flatter than the curve 90 degrees away. Astigmatism won’t keep you from wearing contact lenses – it just means you need a different kind of lens.

Designing contact lenses for astigmatism can be as simple as creating a toric or curved lens, but in patients where there is too much astigmatism, or when the lens rotated on the eye, specialty designs may be required to maintain crisp vision.

Dr. Cohen has extensive experience with the prescription and management of patients who require contact lenses for astigmatism.

Contact Lenses For Dry Eye

Dry eyes can make contact lens wear difficult and cause a number of symptoms, including:

  • a gritty, dry feeling feeling as if something is in your eye
  • a burning sensation
  • eye redness (especially later in the day)
  • blurred vision

If you have true dry eyes, the first step is to treat the condition, however you may have contact lens induced dryness where the type of lens you are wearing doesn’t interact well with your eye and your tears.

In moderate to severe cases, Dr Cohen is able to create a specialty scleral lens design that vaults the cornea to allow a tear layer to sit behind the lens and maintain constant contact with the eye, thus relieving dry eyes.  This type of design is highly specialized and Dr Cohen has many patients referred to him from around the south east to be fit using his techniques.

Contact Lenses for Giant Papillary Conjunctivitis (GPC)

Giant papillary conjunctivitis (GPC) is an inflammatory reaction on the inner surface of the eyelids. One cause of GPC is protein deposits on soft contact lenses. (These deposits are from components of your tear film that stick to your lenses and become chemically altered.)

Usually, changing to a one-day disposable soft lens will solve this problem, since you just throw these lenses away at the end of the day before protein deposits can accumulate on them.

In some cases of GPC, a medicated eye drop may be required to reduce the inflammation before you can resume wearing contact lenses.

Contact Lenses for Presbyopia

Presbyopia is the normal loss of focusing ability up close when you reach your 40’s.

Today, there are many designs of bifocal and multifocal contact lenses to correct presbyopia.

During your contact lens fitting we can help you decide whether bifocal/multifocal contact lenses or monovision is best for you.

Dr. Cohen is considered a multifocal contact lens expert and has built his contact lens practice successfully fitting these hard to fit lenses.

Contact Lenses for Keratoconus

Keratoconus is a relatively uncommon eye condition where the cornea becomes thinner and bulges forward. The term “keratoconus” comes from the Greek terms for cornea (“kerato”) and cone-shaped (“conus”). The exact cause of keratoconus remains unknown, but it appears that oxidative damage from free radicals plays a role.

Gas permeable contact lenses have historically been the treatment option of choice for mild and moderate keratoconus. Because they are rigid, GP lenses can help contain the shape of the cornea to prevent further bulging of the cornea. They also can correct vision problems caused by keratoconus that cannot be corrected with eyeglasses or soft contacts.

The last few years have produced quite a bit of innovation in contact lenses for keratoconus. There are now several soft lenses for keratoconus, as well as many scleral lenses. These are large lenses made of GP material that remain completely above the cornea, with the outer edge of the lens resting on the white of the eye (sclera).

Another option is called “piggybacking,” where soft and GP lenses are worn together on the eye for greater comfort than a GP alone would provide. Hybrid contact lenses that have a GP center surrounded by a soft “skirt” can produce the same effect.

Dr. Cohen is experienced in dealing with Keratoconosis in patients and can discuss whether gas permeable, soft, or a combination of the two lenses would be the best solution for you.

Contact Lenses After Corrective Eye Surgery

Hundreds of thousands of people each year have LASIK surgery to correct their eyesight. Sometimes, vision problems remain after surgery that can’t be corrected with eyeglasses or a second surgical procedure. In these cases, Dr. Cohen often prescribes gas permeable contact lenses – including large GP scleral lenses – that can often restore visual acuity and eliminate problems like glare and halos at night. Scleral lenses remain the best options for these patients.

Chronic Dry Eye

Are you using eye drops more and more frequently? Are your eyes constantly dry or itchy? Do you occasionally get blurry vision? You may have Chronic Dry Eye, also known as Dry Eye Disease, a condition in which a person doesn’t produce enough tears to lubricate the eye. If any of these symptoms sound familiar you should schedule a comprehensive eye examination with us immediately to see if EyeLove or Xiidra may be a solution for you. Chronic Dry Eye is a condition that can worsen over time, and if left untreated it can eventually cause damage to the front surface of your eye and impair your vision.

Problem-Solving Contact Lens Fittings Cost More

At the Atlanta Center for Precision Contact Lenses we pride ourselves on offering expert, personalized care and finding the best solution at the best cost. However, fitting contact lenses to correct or treat any of the above conditions will generally take much more time than a regular contact lens fitting. These “hard-to-fit” cases usually require a series of office visits before the final contact lens prescription can be determined. Also, the lenses required for these conditions are usually more costly than regular soft contact lenses. Therefore, fees for these fittings are higher than fees for regular contact lens fittings. Call our office for details.

Find Out if You Can Wear Contact Lenses

If you are interested in wearing contact lenses, call us at the Atlanta Center for Precision Contact Lenses to schedule a consultation. Even if you’ve been told you’re not a good candidate for contacts because you have one of the above conditions or for some other reason, Dr. Cohen may be able to help you wear contact lenses safely and successfully.

Research Study

Dr. Cohen has been involved in contact lenses and vision research for more than 25 years. He is currently looking for patients who may be eligible to participate in studies directed toward the development and improvement of soft (toric) contact lenses for astigmatism.

To be eligible for participation in this this research study, you must:

  • Be between the ages of 18 and 55
  • Be a current spectacle wearer or be a current wearer of soft (toric) contact lenses for astigmatism
  • Have healthy, non-diseased eyes
  • Be able to complete 3 office visits over about 2 weeks
  • Be willing to keep all appointments and follow instructions for the study
  • Not be currently participating in any other soft contact lens studies

If you fit these criteria, you may be eligible to participate. Qualified participants may be compensated for their time. To see if you qualify and to find out about other requirements for study participation, please call us.



At the Atlanta Center for Precision Contact Lenses, we use WAVE, a CAD (computer aided design) system for customizing contact lenses. Dr. Cohen designs the lenses and therefore has the flexibility to incorporate any minor changes to design or prescription to maximize comfort and vision.

Optometrist Develops Lenses to Reshape Eyes

Cohen’s photographs line the walls at his two Atlanta practices, and he also sells his eye wear brand, Karoo, at his shop at Ponce City Market in Midtown Atlanta. In addition to developing a line of eyeglasses, Cohen has developed his own “orthokeratology” technique…

Click here to read more of the Atlanta Business Chronicle’s Q&A with Dr. Cohen!

Keratoconus Specialist in Atlanta

Keratoconus is a medical condition where the central cornea thins and there is a protrusion of the corneal tissue into a “cone”, which distorts vision. Most moderate to severe keratoconus patients cannot wear glasses and require custom fitted contacts.

Dr. Cohen is highly trained in this rare treatment and receives many referrals from corneal specialists all over Atlanta to fit Keratoconus patients.

Call the Atlanta Center for Precision Contact Lenses today at (404) 844-1511!