I would love to switch everyone , but must be my cheap friends . They all seem to balk at the cost of switching to the newer lenses, especially when they are doing great with the cheaper lens. The other docs in my practice seem bent on stocking only the newer lenses for trials. Heck our sets change every year with the flavor of the month. First Advance, then Oasys...... it's a racket if you ask me. I appreciate the safety profile of a higher DK lens, etc, but my experience is that if they are paying double for a lens they will often cut corners and wear it longer, etc which has it's own risk. I suppose I could convince them to get a couple sets of more affordable lens options, but hard to justify with my small volume.
Side question, if you switch someone from their good ole store-bought Soflens 38, etc to a different lens, do you make them come back in a couple weeks to recheck? I always have , which is another hurdle to switching them from their current lens. It's not unusual for a patient to have a different fit on that follow-up so I have continued to do it, what do others do?