What's my best bet?

Discussion in 'Optometry Archives' started by mypet, Jul 23, 2003.

  1. mypet

    mypet Guest

    My yearly eye exam is this week and it struck me that I may have
    choices to make in what types of vision correction would be possible
    for me. I was wondering if the posters here would hear me out and
    make suggestions?

    I would love to try the bifocal contacts if possible. I have tried
    contact lenses before, but while the right eye did fine and was
    comfortable the left eye (the one with astigmatism) got irritated,
    uncomfortable and foggy with protein buildup in abt 3 to 4 hours! It
    seemed odd to me that the contact lenses in one eye should do fine and
    the other be miserable. I have changed optometrists and would like to
    try them again.
    or
    should I just try to get distance contacts and get a pair of reading
    glasses if could be successful this time?
    or
    is CRT an option? There is a dr. in my area that offers it, but I
    don't know anyone who has tried it.
    I would just like to have some thoughts of possibilities in order that
    I could discuss with the dr. before the office visit

    Here's my prescription as of my last appt.

    spherical cylindrical axis
    d.v od -400 -75 40

    os -500 -75 155

    n.v o.d +100

    o.s. +100
     
    mypet, Jul 23, 2003
    #1
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  2. mypet

    Mike Tyner Guest

    The discomfort and clouding you mentioned may have more to do with the fit or
    the material than with your astigmatism, which is equal in both eyes according
    to the prescription you posted.

    One of the first things I'd try is a pair of -400 contacts, which leaves you
    with lots of options for getting a comfortable fit and a material that doesn't
    attract your protein as much.

    There are several other options, and since there's some compromise involved in
    all of them, you should ask for alternatives so you don't expect one arrangement
    to work perfectly everywhere. If you want that, get glasses.

    - monovision with ordinary -400 lenses in each eye - cheap and convenient, so
    try that first. If it isn't great, a box of -500 lenses can give you the
    alternative of full distance correction for occasions when you drive much, or go
    to the opera.

    - monovision with torics in one or both eyes - better vision than the first
    option but lenses more expensive, and fewer shapes to fit

    - bifocal contacts - more expensive, no correction for astigmatism, and about
    the same "fog" as monovision (bifocal torics are available but save them for
    last ($$). Limited shapes and materials available

    - full distance correction with sphere or toric lenses and drugstore glasses for
    reading (those are helpful as "boosters" with the other three options also.

    Again, everything you can do involves some compromise, so it's a matter of
    compromising where it suits you best.

    -MT
     
    Mike Tyner, Jul 23, 2003
    #2
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  3. mypet

    Mike Tyner Guest

    Acuvues (etafilcon?) aren't the most deposit resistant, but individuals vary as
    much as materials do. Sometimes the older material (polymacon) does better,
    sometimes it takes something like Proclear, which is better'n average (and costs
    more too.)

    Start with the weakest reading glasses, usually +1.25; sometimes +1.00 is
    available.

    -MT
     
    Mike Tyner, Jul 24, 2003
    #3
  4. mypet

    mypet Guest

    Has anyone determined why one person would have excess protein buildup
    and another would not? Would it be an allergy problem, irritation
    problem or...what? BTW, the Dr. said that I don't have a moisture
    problem.
     
    mypet, Jul 25, 2003
    #4
  5. mypet

    mypet Guest

    I went for my appt. yesterday and the dr. wanted me to try the bifocal
    lenses at no cost. I explained the protein problem I had before and
    he said, "All lenses are the same, people are different. If you were
    a secreter then you may not be a secreter now. Try them, take them out
    to clean them before going to bed and don't sleep in them. Come back
    in a week."

    My distance vision is very good, but I told him that my near vision
    was no better than if I were not wearing anything at all. He said,
    "we are shooting for comfort and distance for the time being and if I
    was comfortable leaving the building in the ones he had me in at that
    time and did ok during the week he would change the prescription in
    the lenses and "sneak up" on the near vision." He was moving at the
    speed of sound and I don't have a clue what this process is going to
    be. Has anyone else gone through this and did you see any improvement
    in near vision after the first week?
     
    mypet, Jul 26, 2003
    #5
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