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Contacts Making me Farsighted

 
 
Jacob S
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      11-25-2007, 03:59 AM
I'm having some trouble with my contact lenses, vision performance
wise.

Got my eye exam, said I have astigmatism. Prescription was:
OD (Right) : Sphere:-1.25 // Cylinder:-0.75 // Axis 115
OS (Left) : Sphere:-1.00 // Cylinder:-1.00 // Axis 157

The contacts I bought were B&L Purevision Toric (after my optometrist
erroneously told me they weren't available in Canada for another
year).

I find with my right eye, I'm having trouble seeing things close up.
My focus gets blurry as I read things closely.
My left eye - I kind of did a stupid thing here - they didn't have
cylinder 1.00 so I got -0.75, turns out to be too low (Spherical
equiv. 1.38 vs. 1.50). Again though, my near vision is worse.

Is this just the way things go? Maybe I should get a second opinion. I
have coverage so it's not a problem from a financial perspective to
try other things out.



 
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Jacob S
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      11-27-2007, 06:13 AM
> > Got my eye exam, said I have astigmatism. Prescription was:
> > OD (Right) : Sphere:-1.25 // Cylinder:-0.75 // Axis 115
> > OS (Left) : Sphere:-1.00 // Cylinder:-1.00 // Axis 157

>
> It's important to know whether this prescription is stronger than you've
> worn before. Temporary near complaints are common when adapting to a new,
> stronger prescription.
>
> > I find with my right eye, I'm having trouble seeing things close up.
> > My focus gets blurry as I read things closely.

>
> It's important to know your age. Problems like this are more common in the
> late 30s, and almost universal after 40.


22. It's fine otherwise. Kind of hard to quantify, but I'd guess I've
lost about an inch of near focus (ie. I could hold things an inch
closer before, say about 4.5-5" away).

> > My left eye - I kind of did a stupid thing here - they didn't have
> > cylinder 1.00 so I got -0.75, turns out to be too low (Spherical
> > equiv. 1.38 vs. 1.50). Again though, my near vision is worse.

> That compromise is pretty conventional. Most doctors would round the
> cylinder down, and most people wouldn't notice much difference. Toric
> contact lenses are always an approximation. "Rounding down" should help your
> near vision.


Oh oh, you're encouraging me. I tend to already ask a lot of questions
and logic out things in my own way. I think this is the big one
though. According to this eye chart:

http://www.keratoconus-group.org.uk/...llen_3m_A4.pdf (E
measure 45mm, I stood ~ 3m away).

my left eye is 20/50.
my right eye is 20/15 (possibly better, but it was getting blurry).

Down being -0.75, or because the quantities are negative, -1.25? :P
The optometrist said it'd be okay to wear spherical. I thought I could
do better by having two torics instead of some sort of "mixture" but
didn't realize that my compromise was off until I plugged the numbers
in to optometric toolbox (http://www.thomson-software-solutions.com/
html/optometric_toolbox.html).

> > Is this just the way things go? Maybe I should get a second opinion. I
> > have coverage so it's not a problem from a financial perspective to
> > try other things out.

>
> Vision plans are not like medical insurance. Most vision plans cover only
> one examination every one or two years. They will not usually cover a
> "second opinion."


That's okay, I'm fast learning how to do this myself. Now if I can
just find an old spam mail for one of those diploma mills... :P Heck,
those lens swapping machines look like they only cost around 40 grand
and I've still got a soul to sell.

> Did you have glasses made from the new prescription?
>
> -MT, OD


I'm wearing glasses from a year old 'script, apparently not much
changed. I see much better with them.

Thanks for the insight!

I think I've convinced myself to just order another pair for my left
eye @ 1.50. I'll check my Alberta Blue Cross plan to see if I'll have
any trouble but I think I'll be okay; I've got an annual "spending
account" for things like eyeglasses and orthodontics that's always
gone unused. That was the setup with my trial pair (1.50 left, toric
right) and it worked great (still not as good as my glasses though),
but I always try to get better results ;0
 
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Dr Judy
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      11-27-2007, 01:43 PM
On Nov 27, 2:13 am, Jacob S <jacob...@gmail.com> wrote:

> Down being -0.75, or because the quantities are negative, -1.25? :P
> The optometrist said it'd be okay to wear spherical. I thought I could
> do better by having two torics instead of some sort of "mixture" but
> didn't realize that my compromise was off until I plugged the numbers
> in to optometric toolbox (http://www.thomson-software-solutions.com/
> html/optometric_toolbox.html).


Are you just ordering contacts without a fitting a a doctor's
prescription for contacts? That is a problem. Torics can rotate,
sometimes with the stiffer materials like PureVision there are tear
lens consideration. You need your contact lens fitter to fit the lens
and specify the powers.

Dr Judy
 
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