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Medical Forum / General / Vision / May 2004

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Unusual astigmatism question

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Jack Brody - 06 May 2004 21:31 GMT
 Most of a year after cateract removal and lens implant,
my right eye needs:

                      -1.0  -1.75 @ 10 deg.

 A thin line at 100 deg. focuses sharply with its best
correction, but a thin line at 10 deg. is less sharp
with its best correction.  Corrected vision is good, but it is
difficult to measure the correct Rx because of the above.

 Note that the surgery required intact removal of the lens,
phaco not possible, and some stitching on top of the eye.
Stitches were never removed, though they may have dissolved.
The Rx the day after surgery was:

0   -4.0 @10 deg.

 Is this a known condition?  Clearly something more than
correctable astigmatism?

Thanks,

Jack
Roland Izaac - 27 May 2004 18:47 GMT
>  Most of a year after cateract removal and lens implant,
>my right eye needs:
[quoted text clipped - 5 lines]
>with its best correction.  Corrected vision is good, but it is
>difficult to measure the correct Rx because of the above.

with the above astigmatic correction, the minus power is greater along
the 100 deg meridian. this means that if you were only correcting
yourself with the spherical correction, the blur will occur parallel
to the 100 deg line. Since this blur is along this line, the line will
remain thin and sharp as the blur is not perceived. When looking at
the 10 deg line the bluring will occur perpendicular to this line
which you will perceive as blured. This will occur until the correct
astigmatic correction is used. My guess then is that your cylinder
correction is undercorrected. This is of course asuming that there are
no other problems with the eye's optical system.

>  Note that the surgery required intact removal of the lens,
>phaco not possible, and some stitching on top of the eye.
[quoted text clipped - 9 lines]
>
>Jack
Roland Izaac - 27 May 2004 18:59 GMT
If you observations are made at reading distance and you are
presbyopic, the opposite may be true and you could be overcorrected.
Forgot to mension this in the earlier post.

Roland J. Izaac
 
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