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Medical Forum / General / Vision / January 2005

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RGP vs glasses Rx - Large difference in power

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Victor Poriazov - 06 Jan 2005 15:46 GMT
Because of increasing astigmatism my doctor switched me to RGP lenses.
Could you explain why there is such a great difference in power b/w my
glasses Rx and RGP rx?

Glasses:
    sph   cyl  ax
OD -4.00 -1.00 15
OS -3.00 -1.00 5

RGP:
   power   diam.  b.c.
OD -3.00    9.0    7.75
OS -1.50    9.0    7.75
(the doctor did not give me the print-out with my 'k' readings)

Thank you,

Victor
Neil Brooks - 06 Jan 2005 16:02 GMT
> Because of increasing astigmatism my doctor switched me to RGP lenses.
> Could you explain why there is such a great difference in power b/w my
[quoted text clipped - 10 lines]
> OS -1.50    9.0    7.75
> (the doctor did not give me the print-out with my 'k' readings)

I'm not a doctor, but . . . to my understanding . . . this is because of
"vertex distances."

The vertex distance is the distance between the front surface of /your/
cornea and the back surface of the corrective lens.  When a lens for
/nearsightedness/ (what you have) is moved /closer/ to the eye, it becomes
"stronger;" therefore, when you fit a contact lens, instead of glasses, you
need a lower power lens.

If you were farsighted, the power of the contact lenses would be /higher/ by
roughly the same amount.

Does that make sense?

Neil
Mike Tyner - 06 Jan 2005 16:38 GMT
> Because of increasing astigmatism my doctor switched me to RGP lenses.
> Could you explain why there is such a great difference in power b/w my
> glasses Rx and RGP rx?

In this case, it isn't because of vertex distance. It's because the tears
between the RGP lens and your eye create another lens with measurable power;
on the right eye it's roughly -1.00 horizontally and -2.00 vertically.

> (the doctor did not give me the print-out with my 'k' readings)

Assuming a normal fitting relationship between the lens and eye, the K
readings for your right eye can be calculated at roughly 44.75 / 45.75.

-MT

> Glasses:
>     sph   cyl  ax
[quoted text clipped - 10 lines]
>
> Victor
Robert Martellaro - 06 Jan 2005 16:39 GMT
>Because of increasing astigmatism my doctor switched me to RGP lenses.
>Could you explain why there is such a great difference in power b/w my
[quoted text clipped - 14 lines]
>
>Victor

Victor,

Good question. Vertex compensation would only account for .25DS on the right
only. Is this an Orthokeratology fitting? Is the left power cut for near
(monovision)? Ultimately you should consult with the doctor for this and other
questions pertaining to your eyecare.

Hope this helps

Robert Martellaro
~~~~~~~~~~~~~~~~~~
Optician/Owner
Roberts Optical
robopt@execpc.com
~~~~~~~~~~~~~~~~~~
"Science is a way of trying not to fool yourself."
 - Richard Feynman
poriazov@gmail.com - 07 Jan 2005 09:54 GMT
Thanks all for your replies.

<snip>

> Good question. Vertex compensation would only account for .25DS on the right
> only. Is this an Orthokeratology fitting? Is the left power cut for near
> (monovision)?

No, the lenses are regular daily wear. (no monovision)

I'm just curious if it is the normal practice to fit rgps with -1.0 or
-2.0 lower  power than the glasses rx.
drfrank21@hotmail.com - 07 Jan 2005 15:03 GMT
> Thanks all for your replies.
>
[quoted text clipped - 10 lines]
> I'm just curious if it is the normal practice to fit rgps with -1.0 or
> -2.0 lower  power than the glasses rx.

The final power of the cl is determined by the fitting
relationship of the k readings and the bc of the lens
(as M.T. alluded to).

After vertex is taken into account, we use SAMFAP (steeper add minus,
flatter add plus)- basically means if the base curve of the cl
is flatter than the flatter k, plus pwr (or less minus)is
added and if the bc is steeper, more minus is added to the final
pwr.

frank
 
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