The aim of the study was to evaluate the effectiveness of multifocal contact lens correction in patients with presbyopia and myopic refractive error. The study involved 45 patients with myopia ranging in age from 43 to 56 years in conditions of habitual monofocal contact lens correction, a month after the selection and wearing multifocal contact lenses. Contact correction was carried out according to standard procedures taking into account the accuracy of contact lens fitting, with carrying out functional tests for the "dry eye" syndrome and evaluation of corneal epithelial thickness (Optovue, USA). The assessment of the following parameters of visual perception was made: far, near and middle distance (monocular and binocular) visual acuity, the spatial contrast sensitivity, stereovision (I & II Lang test), the area of binocular interaction field (binarymeter), the quality of vision (VF-14 test ). The use of multifocal contact lenses for the correction of presbyopia with the initial myopic refraction ensures high functional results at different distances. Patients with a myopic refraction, previously used contact lenses, easy pass to multifocal correction option. The greatest satisfaction by achieved vision noted in those patients who had achieved refraction (-)0.5 diopters. In the selection of contact lenses in older patients the thickness of the corneal epithelium and tear film validity must be taken into account.