Contact Lens Fitting - 3 months so far (astigmatism)

Discussion in 'Contact Lenses' started by squarenesswafer, Aug 26, 2006.

  1. Hello,
    My wife has astigmatism in one eye and it has already been about 3
    months of weekly visits trying different contacts, and she is still
    unable to obtain a good fit.

    I was wondering if after 3 months, many of you would consider giving
    up? The doctor we are going to is a bit far away (recommended by a
    friend), and weekly trips are starting to wear on us (we thought we'd
    go there a total of 3 times at most, and we have gone about a dozen
    times now).

    Based on the lack of progress (this week, her lenses were the worst she
    has tried...), we are thinking that this could go on for many more
    months. Due to the long distance, we are considering going to a closer
    doctor. We also wonder whether we'll get better luck with a different

    On the other hand, we wonder whether she should give up on wearing

    I'd be interested in hearing any thoughts on the difficulty of
    obtaining contacts for astigmatism, and what we might expect going
    forward. Thank you very much for any thoughts.
    squarenesswafer, Aug 26, 2006
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  2. squarenesswafer

    Charles Guest

    If your doctor has seen you almost weekly for 3 months, I'd be very
    impressed at his patience. My experience so far has been that I
    apparently become a "problem patient" after returning more than once or

    In any case, I feel your pain, since I too am trying to get contacts to
    work for astigmatism. I started with RGP's (rigid gas permeable)
    contacts, and I can tell you that the vision is great with them. They
    are not as comfortable as soft contacts, and they take a few weeks to
    get used to. My problems have been subtle things like glare from
    bright lights, and a some strange night vision effects, but I think
    everyone is different. It's definitely worth considering.

    Charles, Aug 26, 2006
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  3. squarenesswafer

    Ace Guest

    Why dont you try glasses? Charles is much happier with glasses but his
    vanity makes him put up with contacts which are both uncomfortable and
    dont give as good vision.
    Ace, Aug 27, 2006
  4. squarenesswafer

    Ace Guest

    Why dont you try glasses? Charles is much happier with glasses but his
    vanity makes him put up with contacts which are both uncomfortable and
    dont give as good vision.
    Ace, Aug 27, 2006
  5. squarenesswafer

    Ace Guest

    Why dont you try glasses? Charles is much happier with glasses but his
    vanity makes him put up with contacts which are both uncomfortable and
    dont give as good vision.
    Ace, Aug 27, 2006
  6. squarenesswafer

    Charles Guest

    Ignore Ace. Vision with contacts is superior to glasses - in my case.
    I never really got used to the distortion effects of cylinder
    correction, but these are not apparent with contacts.

    Charles, Aug 27, 2006
  7. squarenesswafer

    drfrank21 Guest

    Torics (astigmatic) soft cl's can really be a hot or miss
    situation. Sometimes the initial trial lenses will provide
    great fit and vision and other times, after trying 2 or 3
    different designs, the patient still has problems. At times,
    because of the actual prescription or how the corneal
    topography is, it may not be possible to achieve a
    "perfect fit" vision-wise.

    Without knowing the the prescription of your spouse or what
    has been tried, it's impossible to give specific advice. It's
    tough to start over but you may want to think about it.
    Getting a fresh perspective from another provider may do
    the job. And trying a rigid gas perms (although there are
    trade-offs) can be another option.

    drfrank21, Aug 28, 2006
  8. Thank you to everyone for the responses. I will ask the eye doctor
    about rigid gas perms... i've heard good things about them. Yea, i
    guess it is difficult to really know what to do, but after 3 months
    (especially with the distance involved), we are really getting anxious
    to get this done.

    She does have glasses and they work great. But she does enjoy wearing
    contact lenses. She bought some overseas, that were not intended for
    astigmatism, but we are unable to use that expired prescription (plus
    we hope that we can get better contacts for her).

    Thanks again for the responses.
    squarenesswafer, Aug 28, 2006
  9. squarenesswafer

    The Real Bev Guest

    I had at least 15 approintments spanning a year, and I still have only
    one pair of 3-month lenses (out of 5 pair) that I actually find
    wearable. 3 months is NOTHING!
    The Real Bev, Aug 29, 2006
  10. squarenesswafer

    p.clarkii Guest

    sometimes it can be difficult to fit a particular patient with soft
    torics. but in general i think they are more likely to be acceptable
    to patients comfort-wise than RGPs. regardless RGPs are worth a try if
    soft lenses don't work out readily. sometimes its just important to
    communicate straightforwardly with the doctor about what your desires
    and disappointments are. if I were you i would honestly talk to the
    first doctor about your disappointments in the repeated visits, and
    failing that then visit a second doctor and tell him your
    story/interests to give it one more chance in the hand of a different

    tell him/her you are on the verge of quitting on contacts but you want
    to give it one final best chance and not draw it out for a long time
    and spend a lot of money. if i were your doctor I would get you a
    couple of pairs of good quality trial soft torics to compare at home
    (no charge for the lenses) and then have you follow-up with me for a
    quicky check appointment after 2-3 weeks wearing your best-choice pair
    of trial lenses. after that I might tweak it a time or two more
    (again, the lenses are free) and/or try a pair of gas perm lenses
    depending upon your results with the soft disposables and whether we
    both think the situation seems promising. after one more follow-up
    appointment I think we could be on pretty sure footing with regards to
    getting a successful fit or knowing whether we had a chance of being
    successful at all.

    i find you can quickly cut to a final decision and avoid a bunch of
    trips if you and the doctor get together on the same page about your
    wishes and just communicate well. some patients are harder to fit than
    others, and some patients expect something better than you can give

    p.clarkii, Aug 29, 2006
  11. squarenesswafer

    LarryDoc Guest

    Dear Bev (and I mean that!),

    Someone has to be in the 10-15% of potential contact lens wearers that
    just don't work out so well, or not at all. Someone. It's a numbers

    I do so wish you could be in the much larger subgroup of delighted
    wearers! And perhaps one day soon the right combo of design and material
    will find it's way onto your deserving eyes.

    And to the original poster: trust me on this: it's also a disappointment
    for us practitioners when we can't please you folks quickly and
    conveniently. We try. It's in our best interests to get it right ASAP,
    you know.

    LB, O.D.
    (still waiting for MY perfect lens, BTW. I hear it may be out in two
    weeks! Of course I've heard that before ;-(
    LarryDoc, Aug 29, 2006
  12. Thanks, that makes sense.
    And also, thanks to Larry Doc for the insight. I understand the
    difficulty it must be for practitioners as well. Actually, my wife has
    been happy with some of the previous pairs she wore, but we've left it
    to the doctor to decide what's best.

    We'll probably go back one more time, and if the next pair doesn't
    work, we will probably go to a closer doctor.

    Thanks again for the input.
    squarenesswafer, Sep 1, 2006
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