Which is best for me...

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Bill - 28 Oct 2004 20:28 GMT

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
care/wear.

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.

Thanx
Bill

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Evaristo - 28 Oct 2004 23:06 GMT

>Help -
>
>I am trying to find an alternative to wearing glasses.

Could you tell me why ?

Thanks.

--
"It is not faith that cures, but a proper use of the eyes."

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Bill - 29 Oct 2004 13:29 GMT

> >Help -
> >
[quoted text clipped - 3 lines]
>
> Thanks.

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

Reply to this Message

Evaristo - 29 Oct 2004 17:20 GMT

>> >Help -
>> >
[quoted text clipped - 5 lines]
>
>Simply because I don't want to wear glasses 24/7, I'm not comfortable with them...

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.

--
"It is not faith that cures, but a proper use of the eyes."

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Otis Brown - 29 Oct 2004 19:43 GMT

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:

> 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.

Otis> Please find out the reasons why.

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.

Otis> You can probably find a doctor who will offer Lasik for
your.

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
> care/wear.

> 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.

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

> for me.

Otis> You must be 40 or over -- nearsighted and presbyopic.

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

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.

> 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
[quoted text clipped - 4 lines]
>
> Bear with me, I'm trying to read the Doctor's prescription.

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
www.myopiafree.com

> Thanx
> Bill

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Mike Tyner - 30 Oct 2004 15:06 GMT

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

His keratometry readings point to the answer:

>> K R 42.00/45.00 @ 15
>> L 41.00/46.00 @ 170

In the right eye, 45-42 = 3D of astigmatism. In the left eye, it's 46-41 =
5D.

-MT

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Dr Judy - 30 Oct 2004 16:56 GMT

> Help -
>
[quoted text clipped - 14 lines]
> I would love to have some sort of laser vision, but with the astig. it
> presents a problem.

Laser surgery can only provide a monovision correction, not a multifocal
correction.

> Boston II Blue
> OD OS
[quoted text clipped - 9 lines]
> KR 42.00/4500 @ 15
> L 41.00/46.00 @ 170

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

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

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