What material primarily composes most continuous wear hydrophilic soft lenses?

Most continuous wear hydrophilic soft lenses are primarily composed of silicone hydrogel. This material is designed to allow a high level of oxygen permeability while maintaining the comfort and moisture retention typical of soft lenses. Silicone hydrogel lenses are specifically formulated to enhance oxygen transmission to the cornea, which is crucial for maintaining eye health during extended wear periods.

The unique structure of silicone hydrogel permits a higher oxygen flow compared to traditional hydrophilic soft lenses, making them suitable for longer wear times, including overnight use. This increased oxygen availability helps reduce the risk of hypoxia-related complications, which can be a concern when lenses are worn continuously.

Other materials listed, such as polymethyl-methacrylate (PMMA), fluorosilicon acrylate, and silicone acrylate, do not provide the necessary oxygen permeability or comfort level required for extended wear soft lenses. PMMA, for instance, is rigid and does not permit sufficient oxygen transmission, making it unsuitable for continuous wear. Fluorosilicon acrylate and silicone acrylate are often found in various lens types, but they do not match the oxygen permeability standards of silicone hydrogel materials for this particular application.