I'm an Optometrist and just got back from a (Ciba, Atlanta) special program dealing with their new Progressive Focus contact lens. All of these lenses are a big compromise, but they also have some real advantages. Issue number one is that you must not have over one diopter of astigmatism. Issue number two is that you must be willing to give up some clarity (as compared to perfect spectacles) at both near and far. If those are reasonable compromises, then you can consider two of the healthiest lenses. One is the Acuvue bifocal and the other is the new Ciba lens. For most people, the Ciba lens provides better distance vision and more depth of field at near. Unfortunately, the expertise needed to fit this lens is rather thin at this time. The lens is brand new on the market and few docs have been exposed to the special techniques needed to get to a good endpoint. Your best bet is to take your noise maker with you to the office and try various lenses while looking at true distance, or go home with the textbook lens plus three other lenses. The other lenses for your shooting eye should be as follows. One lens a step more plus. One lens a step more minus and a third lens two steps more minus. This lens will either work, or it won't. Failure may be the end result, but you do gain the ability to hold your head in any position and see at all distances. BTW, if you tell me where you live, I may know of one of Ciba's training docs in your area.