There are at least three kinds of bifocal contact
lens: "translating", concentric and aspheric. The question relates
mainly to the translating type, because these are the only ones that
have to be positioned correctly all the time. A translating bifocal lens
is in two halves, with the part that corrects for short-sightedness at
the top and that for long-sightedness at the bottom, pretty much the
same design as for bifocal glasses.
Such lenses are relatively small,
covering only the centre part of the eye, and they are made of a more
rigid material than the more usual soft lenses.
In addition, a small segment of the
lens is cut away at the bottom leaving a flat edge. The flat edge
ensures that the lens stays correctly aligned when you blink Its small
size and rigidity allow the eyelid to hold the lens centrally while the
eyeball translates - slithering up and down between far and near vision.
In concentric lenses, the centre is
made up of concentric bands of material that alternate between
correction for short sight and long sight. This design exploits the
adaptability of the human brain, which can keep a mixture of both near
and distant objects in focus at the same time.
The wearers "train" their brains to
"see" either close-up objects or distant ones as required, because in
effect the eye is registering both at the same time. Such lenses move
with the eyeball and it doesn't matter if they rotate on the surface of
the eye because they are symmetrical.
Finally, aspheric lenses are similar
to the progressive lenses in glasses: correction for short-sight is in
the centre of the lens, and it progressively changes to correction for
long sight towards the outside. Once again the brain has to sort out
conflicting information from the two parts of the lens.
People who wear progressive lenses
will remember the first time they tried them, when head movements
produced a wildly oscillating, completely disorientating visual field.
Somehow the brain sorts this out and, after a few hours, everything
returns to normal and perfect vision ensues.
Terence Hollingworth, Blagnac,
France