Some people prefer wearing spectacles during working hours, for any number of reasons (remember "power glasses" on Wall Street?), and prefer wearing contact lenses in social settings. In the past many of these patients were satisfied with less-than-optimum acuity at near, and wore either single vision contact lenses or older design soft bifocals that allowed them to see a menu but thats about all they could see.
According to Warren G. McDonald, Ph.D., F.N.A.O., director of contact lens services at the Jacksonville Eye Clinic in N.C., today there are a large number of disposable and planned replacement multifocal designs thatre perfect for these patients, and even provide great vision in all ranges. All you need to do is recommend the products and present them properly as an addendum to spectacles.