A silicone hydrogel formed from a reaction mixture comprising, (a) from 37 to 70 wt% of at least one slow reacting monomer selected from the group consisting of N-vinylamide monomer of Formula I, vinyl pyrrolidone of Formula II-IV, N-vinyl piperidone of Formula V: wherein R is H or methyl; R 1, R 2, R 3, R 6, R 7, R 10, and R 11 are independently selected from the group consisting of H, CH 3, CH 2 CH 3, CH 2 CH 2 CH 3, C(CH 3) 2; R 4 and R 8 are independently selected from the group consisting of CH 2, CHCH 3 and C(CH 3); R 5 is selected from H, methyl, ethyl; and R 9 is selected from CH=CH 2, CCH 3 =CH 2, and CH=CHCH 3; (b) from 20 to 60 weight% of at least one mono (meth)acryloxyalkyl polydialkylsiloxane monomer of Formula VII or the styryl polydialkylsiloxane monomer of Formula VIII: wherein R 12 is H or methyl; X is O or NR 16; Each R 14 is independently a C 1 to C 4 alkyl which may be fluorine substituted, or phenyl; R 15 is a C 1 to C 4 alkyl; R 13 is a divalent alkyl group, which may further be functionalized with a group selected from the group consisting of ether groups, hydroxyl groups, carbamate groups and combinations thereof; a is 3 to 50; R 16 is selected from H, C 1-4, which may be further substituted with one or more hydroxyl groups; (c) at least one hydroxyalkyl (meth)acrylate or (meth)acrylamide monomer of Formula IX or a styryl compound of Formula X wherein R 1 is H or methyl, X is O or NR 16, R 16 is a H, or C 1 to C 4 alkyl, which may be further substituted with at least one OH; R 17 is selected from C 2 -C 4 mono or dihydroxy substituted alkyl, and poly(ethylene glycol) having 1-10 repeating units; wherein said at least one hydroxyalkyl (meth)acrylate or (meth)acrylamide monomer and said slow reacting monomer are present in mole percents which form a molar ratio of hydroxyl groups to slow reacting monomer of between 0.15 and 0.4; and (d) at least one crosslinking monomer. (a) from 37 to 70 wt% of at least one slow reacting monomer selected from the group consisting of N-vinylamide monomer of Formula I, vinyl pyrrolidone of Formula II-IV, N-vinyl piperidone of Formula V: wherein R is H or methyl; R 1, R 2, R 3, R 6, R 7, R 10, and R 11 are independently selected from the group consisting of H, CH 3, CH 2 CH 3, CH 2 CH 2 CH 3, C(CH 3) 2; R 4 and R 8 are independently selected from the group consisting of CH 2, CHCH 3 and C(CH 3); R 5 is selected from H, methyl, ethyl; and R 9 is selected from CH=CH 2, CCH 3 =CH 2, and CH=CHCH 3; wherein R is H or methyl; R 1, R 2, R 3, R 6, R 7, R 10, and R 11 are independently selected from the group consisting of H, CH 3, CH 2 CH 3, CH 2 CH 2 CH 3, C(CH 3) 2; R 4 and R 8 are independently selected from the group consisting of CH 2, CHCH 3 and C(CH 3); R 5 is selected from H, methyl, ethyl; and R 9 is selected from CH=CH 2, CCH 3 =CH 2, and CH=CHCH 3; (b) from 20 to 60 weight% of at least one mono (meth)acryloxyalkyl polydialkylsiloxane monomer of Formula VII or the styryl polydialkylsiloxane monomer of Formula VIII: wherein R 12 is H or methyl; X is O or NR 16; Each R 14 is independently a C 1 to C 4 alkyl which may be fluorine substituted, or phenyl; R 15 is a C 1 to C 4 alkyl; R 13 is a divalent alkyl group, which may further be functionalized with a group selected from the group consisting of ether groups, hydroxyl groups, carbamate groups and combinations thereof; a is 3 to 50; R 16 is selected from H, C 1-4, which may be further substituted with one or more hydroxyl groups; wherein R 12 is H or methyl; X is O or NR 16; Each R 14 is independently a C 1 to C 4 alkyl which may be fluorine substituted, or phenyl; R 15 is a C 1 to C 4 alkyl; R 13 is a divalent alkyl group, which may further be functionalized with a group selected from the group consisting of ether groups, hydroxyl groups, carbamate groups and combinations thereof; a is 3 to 50; R 16 is selected from H, C 1-4, which may be further substituted with one or more hydroxyl groups; (c) at least one hydroxyalkyl (meth)acrylate or (meth)acrylamide monomer of Formula IX or a styryl compound of Formula X wherein R 1 is H or methyl, X is O or NR 16, R 16 is a H, or C 1 to C 4 alkyl, which may be further substituted with at least one OH; R 17 is selected from C 2 -C 4 mono or dihydroxy substituted alkyl, and poly(ethylene glycol) having 1-10 repeating units; wherein said at least one hydroxyalkyl (meth)acrylate or (meth)acrylamide monomer and said slow reacting monomer are present in mole percents which form a molar ratio of hydroxyl groups to slow reacting monomer of between 0.15 and 0.4; and wherein R 1 is H or methyl, X is O or NR 16, R 16 is a H, or C 1 to C 4 alkyl, which may be further substituted with at least one OH; R 17 is selected from C 2 -C 4 mono or dihydroxy substituted alkyl, and poly(ethylene glycol) having 1-10 repeating units; wherein said at least one hydroxyalkyl (meth)acrylate or (meth)acrylamide monomer and said slow reacting monomer are present in mole percents which form a molar ratio of hydroxyl groups to slow reacting monomer of between 0.15 and 0.4; and (d) at least one crosslinking monomer.