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Medical Forum / General / Vision / April 2004

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Contact lenses with cylinders

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dove_g - 29 Apr 2004 08:45 GMT
Hello to all.

Don't know if I correctly typed, is there contact lenses with minus
dioptry and cylinders, or this cylinders can only be setup on glasses.
Btw can someone explain me what is this cylinder and what deffetc is
that?

Thank you.
Mike Tyner - 29 Apr 2004 18:51 GMT
Soft contacts are called "toric" when they correct astigmatism.

Ordinary soft lenses are "spherical" because they have the same power along
every diameter.

Real eyeballs aren't exactly spherical. Sometimes the refracting surfaces are
shaped more like a football or the outer edge of a doughnut (torus-toric).

The toric shape on the cornea can be matched with a toric shape in glasses or
contacts, to make a toric lens clearer than a spherical one. But the lens has to
be held at a certain orientation.  If you fold your glasses up and look through
one lens at different orientations, people with astigmatism see blurry if their
glasses are turned vertical.

Contacts, too. Toric contacts are only clear in one orientation and finding a
brand and shape to stay in place can be tricky.

Actually, toric lenses are clear in two orientations. Can you see why?

-MT

> Hello to all.
>
[quoted text clipped - 4 lines]
>
> Thank you.
Dan Abel - 29 Apr 2004 21:17 GMT
> Actually, toric lenses are clear in two orientations. Can you see why?

Yes, unfortunately.

:-(

I have a buckle on my right eye (a strip of rubber sewn on the eyeball to
fix a retinal detachment).  Thus my astigmatism cannot be completely
corrected with simple cylinder.  I'm told that there is nothing else
available.  My vision isn't so great with that eye anyway, so I'm not so
concerned.

Signature

Dan Abel
Sonoma State University
AIS
dabel@sonic.net

Mike Tyner - 29 Apr 2004 19:42 GMT
I didn't explain that "cylinder" is a term for the _difference_ between the
steepest and  flattest curves on a toric surface.

-MT

> Hello to all.
>
[quoted text clipped - 4 lines]
>
> Thank you.
dove_g - 30 Apr 2004 12:10 GMT
>I didn't explain that "cylinder" is a term for the _difference_ between the
>steepest and  flattest curves on a toric surface.

Thank you, I understand now, so If I turn my glasses verically I will
not see that good as in horisontal way.
And then yes, lenses can rotate by axis so there is no help.

Thank you.
Dan Abel - 30 Apr 2004 17:23 GMT
> And then yes, lenses can rotate by axis so there is no help.

Toric contacts do sometimes rotate on the axis so that they don't work.
However, they are weighted on the bottom so they generally stay in
position.  I have worn torics for years.  You put them in and then blink a
few times.  Before you blink your vision is blurry.  After blinking a few
times things come into focus better.

Signature

Dan Abel
Sonoma State University
AIS
dabel@sonic.net

Jan - 30 Apr 2004 22:22 GMT
> > And then yes, lenses can rotate by axis so there is no help.
>
> Toric contacts do sometimes rotate on the axis so that they don't work.
> However, they are weighted on the bottom so they generally stay in
> position.

Dan, there are dynamic stabilized toric contactlenses to, contactlenses
which are wedge shape tapered (thinner) in a straight line at the top and
bottom.
Due to the pressure of the eyelids they are forced keep stable in a more or
less horizontal position.
I.e the Acuvue toric soft lenses.
Furthermore there are contactlenses with a toric shaped backcurve which are
falling in place on the opposite toric shape of the cornea ( simple
explained )

Jan (normally Dutch spoken)

 I have worn torics for years.  You put them in and then blink a
> few times.  Before you blink your vision is blurry.  After blinking a few
> times things come into focus better.
 
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