A composition comprising at least about 20% by weight of at least one linear diblock macromonomer comprising about 20% to about 70% by weight of at least one hydrophilic block, said hydrophilic block consisting essentially of monomeric units derived from at least one hydrophilic acrylic monomer and about 30% to about 80% by weight of at least one hydrophobic, permeable block, said hydrophobic block comprising about 80% to about 100% by weight of monomeric units derived from at least one silicone acrylate, said composition comprising no more than about 75% by weight of a matrix formed from the random polymerization of a mixture of monomers, said composition before said polymerization including about 5% to about 45% by weight of at least one silicone acrylate, said mixture of monomers including an amount of hydrophilic monomer effective to provide a final composition which upon hydration comprises at least about 10% by weight water, said composition after hydration being clear and wettable, said macromonomer being copolymerized throughout said matrix.