progressive contacts

Discussion in 'Contact Lenses' started by Ann, Jun 17, 2006.

  1. Ann

    Ann Guest

    Can someone tell me what progressive contact lenses are like? What
    sort of vision can you get from them? Is it the same as glasses with
    blur each side or are they pretty clear all across?

    Also can they also be for astigmatism or is that asking too much?

    Ann
     
    Ann, Jun 17, 2006
    #1
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  2. Ann

    Charles Guest

    I am using the B&L Softlens Multifocals and have pretty good distance
    vision, 20/20 in my right eye and slightly less in my left eye. I am
    happy with the combined distant vision which is very clear. I would say
    I have 95% or more distance. Up close I can read everything, books,
    newspapers, computer screen, etc. without readers. So I call that 100%.


    My vision is much better with these multifocal contacts than with
    bi-focal or progressive glasses, or regular glasses for distance and
    readers for reading. Obviously everyones result won't be the same, some
    won't get a good result. It took three or four sets of trail and error
    to find the right prescription, but as they say, if I had not tried
    fitting them and gone beyond the first set I would not have had the
    good result from these lenes.
     
    Charles, Jun 17, 2006
    #2
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  3. Clarity is a very subjective thing.

    Either you aren't super critical about your vision and are very
    content with functional vision, or you just had a much better than
    average response to the contact lenses.

    Either way, you are a happy patient which is very important.
    That is a good point.

    Patients need to be prepared up front (as far as time and cost) that
    it might take several trial pairs to get the best combination that
    works best for them.
     
    Anon E. Moose, Jun 17, 2006
    #3
  4. Ann

    Charles Guest

    I am super critical about my vision. My sister is wearing the same
    lenses and so is my second cousins wife. They are happy with the lenses
    too. But that is a small sample. Those of you who are in the vision
    practice no doubt have experience with the average response. I don't.
    It does seem these lenses are more difficult to fit that the average
    Optometrist might not be as up on it as they are with standard lenses.
     
    Charles, Jun 18, 2006
    #4
  5. Ann

    Quick Guest

    You should iterate the various solutions for presbyopes.
    The OP did say progressive and you seem to be refering
    to multifocals but I'm wearing translating trifocals and I'm
    thrilled.

    -Quick
     
    Quick, Jun 18, 2006
    #5
  6. Ann

    LarryDoc Guest

    And the "new and improved" version, Purevision Multifocal is simply
    awesome. It is essentially the same design as the old Soflens
    Multiifocal in the Purevision silicone material. In the few months that
    they've been available, my user group, now numbering a couple of dozen
    (including myself), are 100% "functionally satisfied" with the majority
    achieving 20/20 or better distance vision and perfect near and
    intermediate acuity.

    It is indeed true that some people will not achieve the same "crystal
    clear" distance vision as with single vision lenses, but the gap is
    clearly (pun intended) narrowing.

    Significant stigmatism can be a deal breaker for some. Multifocal,
    astigmatism correcting soft lenses are manufactured by only a few
    companies. I have had mixed success with those. The vast majority of
    patients are functionally very happy with them and some do indeed
    achieve a good 20/20 acuity. Not all. They are more difficult to fit and
    more costly.

    Many practitioners are still unaware of the PV Multifocal as the company
    has only in the last few weeks begun actively marketing them. B&L is not
    the only company manufacturing excellent soft lens multifocals but
    thusfar the only one in silicone hydrogel offering extended wear
    capabilities. Additionally, there are RGP multifocals that for some
    people can offer outstanding optics.

    As to functionality, Dr. Anon, as far as I'm concerned, soft and RGP
    multifocals are a considerable step up from spectacle progressive
    additional lenses. My vision may not be exactly as it was 20 years ago,
    but it's pretty damn close, 24/7. If more people were aware of
    multifocal lenses and more practitioners actively fit them, I think you
    see a booming boomer contact lens market.

    LB, O.D.
     
    LarryDoc, Jun 18, 2006
    #6
  7. Ann

    Ann Guest

    Sounds promising from what most have said. I only have one eye which
    is where my problems begin. I can't use progressive glasses, they
    were hopeless, just not enough area of useful vision, and I can't
    carry on with two pairs of glasses. It just doesn't work. I've taken
    to wearing the reading glasses all the time and putting up with blur
    in the distance but that is now becoming a problem. I need to do
    something. I will phone round on Monday and find someone who can
    help.

    I have a daft problem in that I don't mind it taking time to find
    something that works but I always feel like I'm a bother if I have to
    go back and say they don't work or are uncomfortable. I gave up
    contacts years ago because I didn't want to keep going back. I just
    feel like I'm being a trouble. I suppose I shall just have to get
    over that :)

    Ann
     
    Ann, Jun 18, 2006
    #7
  8. Ann

    Ann Guest

    That would be very useful. I didn't know there were so many different
    options.

    Ann
     
    Ann, Jun 18, 2006
    #8
  9. Ann

    Charles Guest

    It is good to hear those are awesome. I am waiting to finish my last
    boxes of Softlens and then will have those fitted. Are you and your
    user group wearing the Purevision overnite?
     
    Charles, Jun 18, 2006
    #9
  10. Ann

    Dr. Leukoma Guest

    Most multifocal soft lenses work on the principle of concentric optics.
    As such, the results are very pupil dependent. As well, early
    prebyopes who require the least amount of near correction seem to do
    the best. I fit lots of progressive contact lenses, and I would be
    very sceptical of promises of 100% success. The fact is that some
    patients will do better with monovision.

    To my knowledge, I believe that there is only one company making a
    toric multifocal contact lens for astigmatism. I wear contact lenses
    for distance, and progressive eyeglasses for reading because I hate
    compromised vision.

    DrG
     
    Dr. Leukoma, Jun 18, 2006
    #10
  11. Ann

    Jane Guest

    Triton bifocal soft contact lenses promise uncompromised distant and
    near vision as well as astigmatism correction. Has anyone had
    experience with these contacts? Approximate cost?
     
    Jane, Jun 18, 2006
    #11
  12. Ann

    Dr. Leukoma Guest

    *Snicker*

    Yes, I have a trial set. They are translating-type, i.e. the near
    correction is in the bottom half of the lens. The lens is prism
    ballast and is truncated. The design is similar to the translating RGP
    types of bifocal lenses. The cost is about the same as the RGP
    bifocal. They are NOT disposable.

    DrG
     
    Dr. Leukoma, Jun 18, 2006
    #12
  13. Ann

    Dr. Leukoma Guest

    The reason for the *snicker* is the promise of uncompromised vision.
    It's a bit extravagant.

    DrG
     
    Dr. Leukoma, Jun 18, 2006
    #13
  14. Ann

    Jane Guest

    Dr. G, please elaborate on potential problems with the Triton lenses.
    I like to be as informed as possible before I spend (waste?) my money,
    so your comments will be appreciated.
     
    Jane, Jun 18, 2006
    #14
  15. Ann

    Dr. Leukoma Guest

    The single biggest problem I have encountered is that they aren't as
    comfortable as other soft lenses, but YMMV.

    You should be able to go through a trial fitting without committing to
    purchasing the lenses, so maybe you should try them out.

    DrG
     
    Dr. Leukoma, Jun 18, 2006
    #15
  16. Ann

    Quick Guest

    Do you mean across the entire near range (anything not
    distant)? Or for a fixed near point? If the latter why not
    translating RGPs (not considering compliance)?

    -Quick
     
    Quick, Jun 18, 2006
    #16
  17. Ann

    Ann Guest

    This is all so complicated. So what do you suggest for a one eyed
    person who isn't after perfect vision because I haven't had perfect
    vision for a long time? I need something that is useable.

    I read a lot on the web today and lots of times they talk of one eye
    being set to this and the other to that. Of course I don't have that
    option. so do you do you think it is at all feasible that I will get
    something?

    Ann
     
    Ann, Jun 18, 2006
    #17
  18. Ann

    Dr. Leukoma Guest

    I would recommend a Hoya Summit ECP progressive lens in Trivex
    material, with a balance lens in front of the non-seeing eye. Forget
    the bifocal contact lens.

    DrG
     
    Dr. Leukoma, Jun 18, 2006
    #18
  19. Ann

    The Real Bev Guest

    The best ones (RGP) I tried on were like having real eyes. If I looked
    at something close, even if it was above my head, it was in sharp focus.
    If I looked at something in the gutter in the far side of the street,
    it was in focus. It was wonderful.

    The bad part was that due to the angle of my astigmatism they wouldn't
    stay in place and I only got that perfect vision for one second out of
    60. YMMV and probably will. Good luck.
     
    The Real Bev, Jun 19, 2006
    #19
  20. Ann

    The Real Bev Guest

    Remember, they're being paid to make you happy; it's not a charity.
    Going back over and ofer again is a nuisance for you, but it's not a
    reason to feel guilty.

    I tried 8 pair of RGPs before giving up, and at least half a dozen pair
    of soft lenses -- and even then, only half of the six-packs that I
    ordered work correctly. I have had similar difficulties with three
    different practitioners, leading me to think that perhaps I was intended
    for a planet where everyone lives underground like moles and has no need
    of eyes.
     
    The Real Bev, Jun 19, 2006
    #20
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