Multifocal contact lenses are more complex to manufacture and require more skill to fit. All soft bifocal contact lenses are considered "simultaneous vision" because both far and near vision are corrected simultaneously, regardless of the position of the eye. Commonly these are designed with distance correction in the center of the lens and near correction in the periphery, or viceversa. Rigid gas permeable contact lenses most commonly have a small lens on the bottom for the near correction: when the eyes are lowered to read, this lens comes into the optical path.
Complications due to contact lens wear are relatively common, affecting roughly 5% of contact lens wearers each year. Excessive wear of contact lenses, particularly overnight wear, is associated with the most serious safety concerns. Problems associated with contact lens wear may affect the eyelid, the conjunctiva, the various layers of the cornea, and even the tear film that covers the outer surface of the eye.