Macula Pucker - Contact lens to artificially blur vision in one eye

Discussion in 'Contact Lenses' started by Raj, Jun 19, 2007.

  1. Raj

    Raj Guest

    I read this post in the web. It will be really helpful, to know what
    you guys think about such a solution of vision with one eye. The gist
    of this post is that, you put a high power contact lens to completely
    bloc the vision in your blurred/wavey eye. This allows the other eye
    to work properly with out the interference in one eye.

    , too, was dianosed with Macular Pucker about a year ago, following an
    MRI to determine whether or not there might be a brain tumor since I
    first began having problems I could only describe as seeing double,
    mostly while working on my computer screen or reading. It was several
    months into the problem before I discovered the wavy line effect (left
    eye) and then realized I wasn't seeing double but the wavy line was
    causing items in one line to move up into the line above (a real
    problem when you work all day with figures as I do in my job as a
    Payroll Administrator.
    After being examined by an opthamologist, who determined I was not a
    candidate for surgery, I resolved the problem by putting a patch on
    the left lens of my glasses, thus viewing my computer screen and
    reading items only through my right eye (I could see fine for driving
    and the "big picture" was only in detail that things were
    The patch was not exactly satisfactory so I eventually saw a retina
    specialist to see if surgery might be a better answer. He, too,
    advised against surgery in my case but did send me back to my
    optometrist to see if there might be a different answer where glasses
    were concerned.
    Bingo! My optometrist said "let's do something drastic and put a
    strong contact lens on your left eye to suppress the vision enough to
    allow only your right eye to see detail." When he put the contact in
    and details were clear and straight, I cried tears of joy. What a
    difference from wearing the patch.
    It's been several months now since I started wearing the contact and I
    couldn't be happier with this solution. My contact is soft and the
    type that can be worn all the time (even to sleep). It's also the type
    that only needs to be removed and cleaned once a month, and after
    three months I throw it away and put in a new one.
    This may not be the answer for everyone with this condition but I
    definitely recommend it as a possibility for anyone who is still
    trying to find a solution to see detail better without resorting to
    Raj, Jun 19, 2007
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  2. Raj

    Jane Guest

    No solution works in all cases. A macular pucker affects central
    vision only; peripheral vision in the affected eye is unaffected. In
    your case, does the pucker bother you enough that you'd be willing to
    lose most of your depth perception, as well as your peripheral vision
    in the affected eye? In this case, you might be better off wearing an
    occlusion foil on your glasses lens, which would probably give you
    better binocular vision than the contact lens solution. I can provide
    you with references about this in the medical literature to take to
    your doctor.

    In recent years, new equipment has become available, which makes
    having a vitrectomy a lot safer (when done by an experienced retinal
    surgeon.) I don't know where you live, but you might consider going
    to a large metropolitan area and getting a second opinion about
    surgery from a top doctor in the field. S/he would probably be
    connected with a teaching hospital. Best of luck.
    Jane, Jun 19, 2007
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  3. Raj

    Dan Abel Guest

    Many people only see with one eye. My wife and I are two of them. Our
    brains ignore the image from the bad eye.
    Dan Abel, Jun 19, 2007
  4. pretty interesting solution. peripheral vision is not so sensitive to
    refractive error anyhow.
    michael toulch, Jun 20, 2007
  5. Raj

    Raj Guest

    Hello Jane

    Thank you for your reply. Can you please point me with the references.
    Also i have written to you personally.

    Raj, Jun 22, 2007
  6. Raj

    Raj Guest


    Thanks for your reply. I can see what you are saying. In one weeks
    time, my brain is adopting to the rcent happenning in m eye, but my
    mind hasn't. I guess, it is going to take some time.

    Raj, Jun 22, 2007
  7. Raj

    Dan Abel Guest

    It takes a long time. Unfortunately, the more you block the vision in
    the bad eye, the longer it will take.
    Dan Abel, Jun 23, 2007
  8. Raj

    Jane Guest

    Raj, take a look at "Nonsurgical Management of Binocular Diplopia
    Induced by Macular Pathology" by Mark Silverberg, et al. in Archives
    of Ophthalmology, Vol. 117 No. 7, July 1999. (Googling the title will
    take you to the abstract. Non-professionals can also access the
    complete article online for free by registering--but I can't remember
    how I did it.) The article describes how blurring the vision in the
    affected eye with a Bangerter occlusion foil eliminated diplopia
    related to macular disease in all of the patients studied, while
    allowing them to retain some peripheral vision in their affected eye.
    This method reduced acuity in the affected from 20/40 to 20/100
    depending on the patient, which would probably be better acuity than a
    high plus contact lens would give. I'm hypothesizing that a Bangerter
    foil would also reduce binocular distortion.

    I think that Dan Abel has raised a valid point. My macular pucker
    developed over a few months, and my brain apparently learned to ignore
    the distorted image. Unless I closed my "good" eye, I was rarely
    aware of the waviness and distortion in my bad eye. I suspect that
    your brain will learn to adapt to the distortion, too. But maybe a
    Bangerter foil would make your binocular vision more comfortable
    Jane, Jun 23, 2007
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