Custom Hybrid Lenses:
Hybrid lenses utilize a GP center with a soft lens edge, so they have characteristics of both GP and soft lenses. Various hybrid lens designs exist, with multiple geometries to accommodate a mild to moderate corneal irregularity. The GP portion of the lens can be modified to align with or vault over the corneal irregularity while the soft skirt an aids in adjusting lens movement, tear exchange, and lens centration and can also influence alignment of the GP portion of the lens. Hybrids can produce improved vision and comfort over corneal GPs in cases of lens decentration and lens intolerance. Of note, quality of life is similar with corneal GP, soft, and hybrid lenses. Hybrid lenses are filled with saline prior to lens application and because of the soft edge special attention to the force of lens application to avoid issues with lens wear.