Ive heard of people wearing readers over contact lenses but what about distance glasses?

Discussion in 'Glasses' started by Ace, Oct 27, 2006.

  1. Ace

    Ace Guest

    Howcome few people think about it? It seems that optometrists and their
    patients place too much emphasis on distance vision but if that person
    spends most of his time reading or on the computer, wouldnt it be a
    better choice to undercorrect with contact lenses to avoid readers and
    instead wear distance over them for stuff like driving or watching
    movies? Marcia is one person that can really benefit from that
    unconventional method. She spends 90% of her time reading! Yet she
    wants to wear reading glasses 90% of the time when she could
    undercorrect and wear distance glasses 10% of the time! If someone is
    going to be in glasses almost full time, then this defeats the purpose
    of contact lenses(OrthoK, Intacs, Lasik, etc) and its best to just
    stick to bifocals/progressives.

    I have undercorrected both eyes with contacts and I actually like it. I
    retain the ability to see clearly from near without much of an impact
    on distance vision. You can always move a little closer to see
    something in the distance but your arms arent long enough to read!
    When/if I get orthoK(less risky than Intacs but also less convinent) or
    Intacs(a big IF but still have much to research on the pros and cons
    and risks) I will be undercorrected(a full correction isnt possible nor
    do I want one) then I will be free of glasses except for driving and
    movies in which a thin pair will suffice just fine. I will be able to
    do anything near without glasses and most distance tasks without
    correction for the matter as the blur will be very slight, my brother
    and most of my friends I know just forgo correction with -1 to -2
    refractive states. Almost all presbyopic people would much rather be a
    little myopic than plano except for those that hate reading and have no
    clue how to use a computer.
    Ace, Oct 27, 2006
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  2. Ace

    Dan Abel Guest

    Some people have thought about it, and decided that it didn't make much
    sense for most people.

    Most people value both distance and close vision. Many people find that
    it is easier to wear reading glasses, and have their "no glasses" vision
    set for distance. I was given a choice, and chose distance vision (I
    have IOLs in both eyes, and the doctor can put any strength in).

    Many people find that weather conditions are better inside. One of the
    things I like best about not having glasses for distance is that I don't
    have to deal with fogged or wet glasses.

    Another factor is that I have a zillion OTC reading glasses, in
    different strengths. I buy them at Costco at US$18.99 for three pairs.
    They work just great. If I had gotten my eyes set for close, I would
    have had to pay for prescription glasses for distance.

    It's mostly a personal preference thing. Whatever works best for you is
    what you should do.

    I don't believe that's true.
    Dan Abel, Oct 27, 2006
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  3. Ace

    Ace Guest

    Very well, I shall back off as you wish. If you ever need any help all
    you have to do is ask. You do know we respect everyone and want the
    best for them and are just trying to be helpful. I wish you luck in
    however method you chose to deal with your dilemna.

    If your toric contacts go higher, its possible to overcorrect you into
    myopia. However I guess myopia is a strange concept for a hyperope just
    like hyperopia is strange for me. If you break glasses all the time(be
    more careful!) then I guess its better to break cheapo readers than
    expensive prescription glasses. However if you have to wear reading
    glasses most of the time, might as well get progressive glasses in your
    prescription and wear contacts for distance only. Makes no sense to
    wear both glasses and contacts when glasses alone does the job.

    Dont knock it till you try it. If it works, good!

    Look up presbyopia and youll see your falacy in that. Monovision is a
    crude compromise and it still sounds crazy to me but some people swear
    by it. Multifocal contacts didnt seem to make much of a difference for
    me and my mom. As for IOLs, what if you ended up a bit overcorrected?
    Can they be removed and the correct ones put in(more risks incurred im
    sure) or would you just have to wear bifocals full time? I know a lady
    who ended slightly overcorrected with IOLs and now needs bifocals or
    she cant see clear at *any* distance! With an undercorrection, you are
    in focus *somewhere* so its risky at best asking to be plano.

    A slight undercorrection still wont warrant distance glasses for most
    things and you still retain much of the ability to see well from close.
    I guess it depends on the person but I would want it that way and
    simulating the undercorrection with older glasses, this is the way to

    I have several readers and only use them for magnifying glass and to
    simulate different levels of myopia. Yes distance glasses cost more
    than readers but if you spend 90% of your time reading, you only need
    to wear glasses 10% of the time. This is the case for me which is why I
    want good near vision.

    You wont know till you try it. If it works, good! There are many people
    that use their eyes for near more than distance and never think of
    undercorrecting themselves to avoid readers! Presbyopia arent a problem
    for myopes unless you want to make it be.

    I can show you proof that when getting IOLs, -1.5 was the refraction
    most people chose. Unless you are very active in the outdoors, you will
    be *less* dependant on glasses at -1.5 than plano!
    Ace, Oct 28, 2006
  4. Ace

    Dan Abel Guest

    What's this "we" stuff? Do you feel like Dr. Grant respects everybody
    here? How about Otis and his many detractors? You and I don't appear
    to be reading the same newsgroup.

    A presbyopic hyperope will appear to be myopic when trying to look at
    things at a distance while forgetting to remove the lenses used for
    close vision.

    As usual, I don't agree.

    I've tried just about everything, it seems.

    I don't have to look it up. I've been there and done that.

    My wife and I have our own version of "monovision". We only see out of
    one eye.


    Never tried these and don't want to.
    There are risks to surgery. I fully understood going into it that I
    might end up wearing glasses full time. Since I had already worn very
    thick glasses for 35 years, the prospect of wearing thin ones didn't
    sound too bad.

    Try IOLs and *THEN* let us know what you think. There is absolutely
    *no* accommodation with them.

    I doubt that I spend more than four or five hours a day at close work
    (reading and computer). With my reading glasses, I have clear vision at
    almost any distance.

    I'd like to see that, if you have a convenient URL. My Email address is
    good if you don't have a URL but can cut and paste, or attach. It's too
    late for me, but many people eventually get cataracts, so this would be
    good for me to know.
    Dan Abel, Oct 29, 2006
  5. Ace

    Ace Guest

    Otis is a nice guy. Grant lacks manners and curses like a sailor.

    And an emmetrope will see very blurry from closer range if he forgets
    his readers.

    Your call. In the far future when I develop cateracts, ill be chosing
    about -1.5 undercorrection. The margin of error is typically plus/minus
    ..5 but can be higher. The last thing I want is to end up hyperopic, if
    I do, those IOLs are comming right out and getting exchanged with the
    approperate power. I would rather be -3 than have *any* amount of
    hyperopia because hyperopes cant see clearly and they see almost
    nothing from near(IOLs have zero accomodation) while myopes are in
    focus *somewhere* and dont require glasses full time(unless your highly
    myopic) unlike hyperopes.

    except multifocal contacts ;)

    I also am familiar with presbyope but mine isnt as bad as yours since
    im younger.

    Cateract surgury isnt really elective. As soon as my cateracts have any
    impact on vision, out they go and whatever IOLs using the latest
    technology will be used. If my cateracts is unilateral, ill get that
    one removed and if all goes well, have CLE in the other eye because of
    a problem called anisekonia which will make glasses impossible to
    tolerate without headaches and I cant tolerate contacts even now. Ill
    then never have to worry about cateracts, why suffer anisekonia? One
    reason I wont touch lasik is this will become wasted once I develop
    cateracts, also lasik alters the cornea and makes IOL calculation
    tricky because of a strange, distorted oblate cornea.

    Not till I begin to develop cateract(s) Ill have lost all accomodation
    before that naturally due to presbyopia. In fact I have a mild degree
    of presbyopia right now. I know it depends on the person, some are
    happier with distance IOLs, others like me prefer to be in focus at
    closer range. I guess being myopic much of my life and taking my
    glasses off to read has made me realize how important near vision is.

    I spend about 8 hours doing that. The slight undercorrection will keep
    me out of readers(except maybe for really tiny print) and my distance
    vision wont be bad enough to need distance glasses most of the time
    either so ill be 80-90% free of any kind of glasses compared to you
    being about 60-70% free of glasses. Theres a saying you can always step
    closer to see something in the distance but your arms arent long enough
    to read something nearby! :)

    I guess perhaps slightly more than 50% choose distance but then many of
    those people had good distance vision much of their lives. If you take
    a study that compares myopes, most will want to retain clear near
    vision. Its different for emmetropes and hyperopes who tend to choose
    distance more often.


    Monofocal intraocular lenses are lens that provide a clear vision at
    one distance only. Majority of individuals who undergo cataract eye
    surgery choose to see well far and correct their near vision with a
    pair of eye glasses or contact lenses.

    Another site:

    Although some doctors use a multifocal or bifocal type of plastic lens
    implant, most choose a plastic or silicone implant set for distance
    vision. Within certain limits, it's possible to choose the type of
    sight you prefer. For example, a very nearsighted person may choose to
    be less nearsighted (to see at a distance without glasses)

    Two quotes from the OPTHAMOLIC HYPERGUIDE

    "If the patient has binocular cataracts, the decision is much easier
    because the refractive status of both eyes can be changed. The most
    important decision is whether the patient prefers to be myopic and read
    without glasses, or near emmetropic and drive without glasses. In some
    cases the surgeon and patient may choose the intermediate distance (-1
    D) for the best compromise. Targeting for monovision is certainly
    acceptable, provided the patient has successfully utilized monovision
    in the past. Trying to produce monovision in a patient who has never
    experienced this condition may cause intolerable anisometropia and
    require further surgery.

    Desired Postoperative Refraction
    For monofocal lenses, surgeons have traditionally been aiming for
    -0.5 D to avoid hyperopic surprise. Some surgeons will target for
    monovision in the other eye, thereby attempting to produce a low range
    of myopia in the fellow eye of -1.5 to -1.75. Our experience with
    multifocal IOLs, such as the Array (Allergan, Irvine, Calif.) lens,
    suggests that plano to 0.5 D may be a more desirable target refraction
    for this type of IOL because there is less likelihood of unwanted
    visual images postoperatively. Some Array surgeons target low myopia in
    the fellow eye, such as -0.5, to produce micromonovision, thereby
    providing a broader range of intermediate and near vision for the
    bilateral Array patient. "
    Ace, Oct 31, 2006
  6. Ace

    Dan Abel Guest

    [Ace snipped his claim, which was:

    I can show you proof that when getting IOLs, -1.5 was the refraction
    most people chose. Unless you are very active in the outdoors, you will
    be *less* dependant on glasses at -1.5 than plano! ]

    Although the above site does say that the majority choose distance, I'm
    not impressed with the site. I try not to do spelling and grammar
    flames on newsgroups, but when somebody puts up a site, especially one
    where I have to look at ads, I expect them to proofread. For instance,
    as a handy way to avoid all the pain and discomfort of cataract surgery,
    try their advice:

    * The individual who wants to undergo cataract eye surgery must arrive
    * at least two hours after the scheduled surgery time.

    My HMO made it easy, they just didn't tell you the scheduled surgery
    time, just what time to be there.
    Dan Abel, Oct 31, 2006
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