Which is best for me...

Discussion in 'Optometry Archives' started by Bill, Oct 28, 2004.

  1. Bill

    Bill Guest

    Help -

    I am trying to find an alternative to wearing glasses. I have
    investigated laser vision correction, but was told only one eye is a
    good candidate. I used to wear the Boston lens and have tried the
    multifocal lens. I am *NOT* happy with my eye doctor and am going to
    go elsewhere in the future. I had to fax him the information about the
    Boston Mutlifocal lens - he new nothing about it.
    I need a doctor who is 'up' on all the latest advances in eye

    I find the Boston lens is uncomfortable for me to wear now and looking
    for an alternative. Here is my prescription as best as I can
    translate. I am looking for a multifocal solution, monovision is not
    for me.

    I would love to have some sort of laser vision, but with the astig. it
    presents a problem.

    Boston II Blue
    OD OS
    DC 8.21 8.37
    Pur -4.75 -4.25
    Dia 9.2 9.2
    Ct .14 .14

    PCR/w 12.00/.30
    SCR/w 9.87/.45
    OLD 7.7

    KR 42.00/4500 @ 15
    L 41.00/46.00 @ 170

    Bear with me, I'm trying to read the Doctor's prescription.

    Bill, Oct 28, 2004
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  2. Bill

    Evaristo Guest

    Could you tell me why ?

    Evaristo, Oct 28, 2004
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  3. Bill

    Bill Guest

    Simply because I don't want to wear glasses 24/7, I'm not comfortable with them...
    Bill, Oct 29, 2004
  4. Bill

    Evaristo Guest

    I understand.

    But you see things through them that you cannot see without them
    (or not?), what specifically is your discomfort ?

    Thanks for your answers.
    Evaristo, Oct 29, 2004
  5. Bill

    Otis Brown Guest

    (Bill) wrote in message
    Dear Bill,

    It is not clear what you request.

    I think you are requesting Lasik. There is a form
    of Lasik that can "fix" some astigmatism.

    Were you given the reason why Lasik was possible for
    one eye -- and not the other?

    Some more questions:

    Otis> Please find out the reasons why.

    I used to wear the Boston lens and have tried the
    Otis> You can probably find a doctor who will offer Lasik for

    I had to fax him the information about the
    Otis> Normal (glass) prescriptions are given (OD = Right Eye
    OS = Left eye) in terms of
    1. Diopters (minus or plus)
    2. Astigmatism (in diopters)
    3. An angle 0 to 180 degrees.

    (Contacts are different -- but that is the basic idea.)

    I am looking for a multifocal solution, monovision is not
    Otis> You must be 40 or over -- nearsighted and presbyopic.

    Otis> Not necessarily. There is a form of Lasik where the
    cornea is "cut" to remove the astigmatism. Some of the
    doctors (ODs and MDs) should be able to answer this
    question accurately.

    Otis> You basic question is about Lasik. There are
    some Lasik experts on this site. They should answer
    you shortly. (I am an engineer -- not a doctor.)

    Otis Brown
    Otis Brown, Oct 29, 2004
  6. Bill

    Dr Judy Guest

    Laser surgery can only provide a monovision correction, not a multifocal
    You have a lot of astigmatism and although there are multifocal, astigmatism
    correcting soft lenses available, success will be limited with them. There
    are a number of multifocal rigid lenses, comfort may be an issue with all of
    them. You need to find a specialist contact lens fitter.

    Two alternatives:

    Soft toric contact or rigid bitoric contact distance correction with reading
    glasses over. Doesn't get rid of glasses but is likely your best bet for
    comfort and good vision.

    Laser surgery to correct astigmatism and as much myopia as possible, then
    correct residual spherical error with multifocal soft lenses. Contact lens
    fitting is trickier after laser and soft multifocal contacts will not
    provide vision as crisp as you get with either rigid lenses or glasses.

    Dr Judy
    Dr Judy, Oct 30, 2004
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