PURPOSE: Soft contact lenses (SCLs) can be a convenient option for patients who do not wish to use spectacles or undergo refractive surgery. This study aimed to assess the real-world performance of, and eye care practitioner (ECP) satisfaction with, Bausch + Lomb (B+L) SCLs. Here, we present a sub-analysis of patients with astigmatism who were fit with a toric kalifilcon A daily disposable SCL.

METHODS: This was a retrospective, multicenter, cross-sectional case review and survey study of licensed optometrists with ≥1 year of experience fitting SCLs. ECPs provided a deidentified convenience sample of ≥10 cases from experienced (≥3 months) SCL users who were refit with a B+L toric SCL, and completed a user-experience survey. Cases reported here had documented visits between October 2020 and September 2025. Key outcomes included monocular and binocular distance best-corrected visual acuity (BCVA), reasons for fit, lens fit characteristics, and adverse events (AEs); survey outcomes included practice characteristics and ECP satisfaction. The protocol received central institutional review board exemption.

RESULTS: This sub-analysis included 50 eyes (28 patients) from six clinical sites. Mean±standard deviation (SD) age at initial lens fitting was 43±13 years, and 68% of patients were female. At baseline with habitual correction, 59% of eyes and 76% of patients had monocular and binocular BCVA of 20/20 or better, respectively. At initial fitting with the toric SCL, 86% of eyes and 82% of patients achieved monocular and binocular BCVA of 20/20 or better, respectively, through over-refraction. Reasons for fitting with the toric SCL included patients' preference for a daily disposable option, and the need for improved visual performance, comfort, and safety. At most recent follow-up, mean±SD lens wear duration was 0.5 (0.6) years (range 0 days–2.2 years); 84% of eyes and 86% of patients achieved monocular and binocular BCVA of 20/20 or better, respectively. No AEs were reported. Of the six ECPs surveyed, three were from small-size practices (2–10 ECPs), one worked independently, and two worked in medium/large practices (≥11 ECPs). ECPs reported performing a mean±SD of 1945±855 SCL fittings/year. Mean±SD ECP overall satisfaction (from 1, very dissatisfied, to 5, very satisfied) with the toric SCL was 4.8±0.5 (n=5 ECPs).

CONCLUSION: This sub-analysis of the real-world performance of SCLs demonstrated that toric kalifilcon A daily disposable SCLs provided good visual outcomes for patients with astigmatism, with no AEs reported. ECPs reported high overall satisfaction with the SCL. These findings suggest that toric kalifilcon A daily disposable SCLs represent a suitable option for patients with astigmatism looking to switch lenses.