Specialty Contact Lenses for Complex Vision Needs
Not every eye fits comfortably into a standard contact lens. At 20Twenty Eyecare, we provide specialty contact lens fittings for patients with complex prescriptions, dry eyes, irregular corneas, keratoconus, and myopia progression in children.
Using detailed corneal mapping and personalized evaluations, we customize each lens fit to improve comfort, clarity, and long-term eye health.
Whether you have struggled with contacts in the past or are looking for a more advanced solution, our team is here to help you find lenses that truly fit your eyes and your lifestyle.
Ready to get started? Contact us to schedule your contact lens exam and fitting today.
Precision Fitting with Corneal Topography
A successful specialty contact lens fit starts with understanding the unique shape of your eyes. Corneal topography provides a detailed map of the cornea’s surface and curvature, offering information not visible during a standard exam alone.
This technology is especially important for patients with keratoconus, irregular corneas, dry eye disease, or more complex prescriptions because even small differences in corneal shape can affect comfort, clarity, and lens performance.
By using precise measurements and detailed imaging, we can customize specialty lenses more accurately, helping improve vision quality and overall comfort.


A Customized Approach to Contact Lens Fittings
Specialty contact lenses require more than a basic prescription check. During your evaluation, we assess:
- Your prescription and visual needs
- Corneal health and eye surface comfort
- Lens fit and movement
- Tear film quality and dry eye symptoms
- Corneal shape using corneal topography
We also encourage patients to take their lenses for a “test drive” before purchasing an annual supply to check that they work well in everyday environments. We keep many trial lenses in the office, so most patients leave with lenses to begin trying right away.


Scleral Lenses for Keratoconus, Dry Eye, and Irregular Corneas
Scleral lenses are among the most innovative contact lens options available for patients with complex eye conditions or who experience discomfort with traditional lenses.
Unlike standard contact lenses, scleral lenses vault over the cornea and rest on the white part of the eye. This creates a smooth optical surface while maintaining a layer of moisture between the lens and the eye, often providing dramatically improved comfort and clarity.
Scleral lenses are commonly recommended for:
- Keratoconus
- Irregular corneas
- Severe dry eye disease
- Corneal scarring
- Patients who struggle with traditional contact lenses
For many patients, scleral lenses can provide sharper vision and more stable comfort throughout the day.
Specialty Lenses for Astigmatism and Multifocal Vision
We fit specialty lenses for patients who require more customized vision correction, including:
- Toric lenses for astigmatism
- Multifocal contact lenses
- Multifocal toric contact lenses
- Dry eye-friendly contact lens options
These designs help provide clearer vision at multiple distances while improving overall comfort and lens stability.


MiSight Contact Lenses for Myopia Control
MiSight 1 day contact lenses are specially designed for children with myopia, or nearsightedness. In addition to providing clear vision, these lenses are designed to help slow the progression of myopia as children grow.
Because myopia progression can increase the risk of future eye health problems, early management is an important part of protecting long-term vision.
MiSight lenses are daily disposable, making them a convenient and hygienic option for active children and families.
Find Specialty Contact Lenses That Truly Fit
The right specialty contact lenses can make a significant difference in how you see and feel each day. At 20Twenty Eyecare, we take the time to understand your eyes, your lifestyle, and your visual goals before recommending a solution.
If you’re interested in exploring scleral lenses, multifocal contacts, or myopia control options for your child, we are here to help you find lenses designed specifically for your needs.
We also offer convenient online ordering services so you can refill your prescription from the comfort of your own home.
Book your specialty contact lens consultation today and experience a more personalized approach to contact lens care.
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Come Visit Us in Bozeman
Our Address
Contact Information
- Phone: 406-522-8888
- Fax: 406-404-1885
- Email: info@20twentymt.com
Hours of Operation

What People Are Saying
Testimonials
I had a great experience at 20twenty eyecare from start to finish. Dr. Blom and Cora were friendly, knowledgeable, and great to work with. Cora was fantastic when helping me pick out and fit my frames. She picked out frames that would best suit my face and made sure everything fit comfortably. I’m really happy with my experience and would definitely recommend them to anyone!
Bailey
I was very well taken care of at 20Twenty. Dr Blom and the staff were great. I felt the exam was very thorough and not rushed. Dr Blom spent a lot of time with me and was very good at explaining my tests. I would highly recommend him. He has also taken excellent care of my daughter. Much appreciated.
Wally
What a kind and professional staff! I felt heard and allowed to ask questions. The office was very clean and with today’s health concerns, that is important. My Dr. was thorough and I felt well taken care of. I was grateful that my annual vision health was taken seriously with Professionalism. A patient of 4 years.
April
20Twenty Eyecare is the very best that I have experienced anywhere. All of the staff, from the front desk to the examining rooms and the opticians are very professional, extremely knowledgeable, and always willing to explain what they are doing and answer questions. They are always very thorough and get it right the first time. Thank you for a very pleasant experience each time that I visit.