The Acuvue Define Design: Is Your Vision Refined or Declined?

Background: To investigate the influence of limbal ring-design 1-Day Acuvue® Define® decorative lenses on ocular wavefront aberrations and visual performance. Methods: In 68 eyes of 34 subjects, LogMAR visual acuity, contrast sensitivity, and higher-order aberrations (HOAs) were evaluated before and during decorative disposable contact lens wear (1-day Acuvue® Define®; Vistakon, Jacksonville, FL). Corneal HOAs across a 4mm and 6mm pupil were measured for tilt, coma, trefoil, spherical, and total aberrations. Results: There were no significant differences in the measured visual performance or HOAs between the 1-Day Acuvue® Define® and the 1-Day Acuvue® Moist®. Conclusions: The limbal ring-design 1-Day Acuvue® Define® soft contact lenses were not found to induce HOAs and negatively affect visual performance in comparison to the clear 1-Day Acuvue® Moist®. In our study, we found the decorative lenses were often decentered, resulting in poor cosmetic appearance. Further investigation is needed to evaluate subjective visual and cosmetic performance of this lens design.