Medical Forum / General / Vision / May 2005
Got contacts for the first time, questions.
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reggietodd@gmail.com - 24 May 2005 22:30 GMT I just got contacts, I am nearsighted, just a little bit the doctor said. Before the contacts my vision tested at 20/30, then once they put them in I read the lines and my vision was 20/10. Then we took them out and they let me put them back in so I could practice. After that, my eyes watered up and I couldn't hardly see anything, they said it would get better so now its been 5 hours later and hasn't gotten any better, still can't see much. Just took them out and now I can see again. Is this normal, is this just something I will have to get used to and it will clear up over a few days?
Wooly - 25 May 2005 00:08 GMT Sounds as if in all the in-and-out action you contaminated the lenses. Wash your hands thoroughly with a drop of plain dish detergent, paying special attention to your fingertips. Then clean the contacts using the solutions provided to you by your optometrist. Soak them overnight in fresh solution and try them again tomorrow.
>I just got contacts, I am nearsighted, just a little bit the doctor >said. Before the contacts my vision tested at 20/30, then once they [quoted text clipped - 5 lines] >again. Is this normal, is this just something I will have to get used >to and it will clear up over a few days? +++++++++++++
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The Real Bev - 25 May 2005 03:02 GMT > Sounds as if in all the in-and-out action you contaminated the lenses. > Wash your hands thoroughly with a drop of plain dish detergent, paying > special attention to your fingertips. Then clean the contacts using > the solutions provided to you by your optometrist. Soak them > overnight in fresh solution and try them again tomorrow. And consider the possibility that you switched right and left lenses. Yes, it sounds stupid. Yes, I've done it myself :-(
> >I just got contacts, I am nearsighted, just a little bit the doctor > >said. Before the contacts my vision tested at 20/30, then once they [quoted text clipped - 5 lines] > >again. Is this normal, is this just something I will have to get used > >to and it will clear up over a few days?
 Signature Cheers, Bev --------------------------------------- That's my opinion. Ought to be yours.
Dr. Leukoma - 25 May 2005 03:08 GMT Is that your final opinion?
For one thing, I would rarely try to put a contact lens on somebody who had 20/30 vision, but that is a moot point.
The poster did not say whether the lenses were rigid or soft. It could be that the lenses aren't wetting properly, especially if they are RGP. There was no mention of pain, and so I tend to dismiss that it could be a corneal abrasion.
DrG
William Stacy - 25 May 2005 04:48 GMT > For one thing, I would rarely try to put a contact lens on somebody who > had 20/30 vision, but that is a moot point. I don't think it's moot. I put contacts on 20/30 eyes all the time. What exactly would be the problem with putting contacts on a 20/30????
w.stacy, o.d.
Dr. Leukoma - 25 May 2005 12:26 GMT Bill,
The point is moot because the poster was already wearing contact lenses.
I don't have a problem with YOU prescribing lenses for visual acuities of 20/30 or better, if that is your practice pattern. As I said before, the signal-to-noise ratio tends to be too low for my tastes. Nearly half the time those prescriptions wind up being astigmatic -- compound or mixed, and you know what that means: toric lenses that fluctuate. However, I will do it if the patient insists.
DrG
Wooly - 25 May 2005 17:45 GMT The OP stated up front that s/he was trying contacts for the first time.
Who mentioned corneal abrasion? Do I have somebody killfiled?
+++++++++++++
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otisbrown@pa.net - 25 May 2005 03:44 GMT Dear Reggiet,
Had you been wearing prescription glasses before the contacts?
What was the prescription?
-1 diopter?
Maybe the prescription was stronger that necessary.
Can your OD check this for you?
Best,
Otis
William Stacy - 25 May 2005 04:57 GMT > Maybe the prescription was > stronger that necessary. Re-read the post, otis. He had an improvement from 20/30 to 20/10, meaning he could read, at 20 ft, letters 3 times smaller than he could without the lenses. Then something happened. He couldn't even read 20/30 after re-inserting the lenses. Do you really think that too strong lenses could do that? Obviously, he contaminated the lenses, smeared them up, or something between removal and reinsertion. This is not exactly rocket science. I do hope he posts what finally happened, and I guarantee you it was NOT that the lenses were too strong...
w.stacy, o.d.
reggietodd@gmail.com - 25 May 2005 06:26 GMT Thanks for all the replies. They are soft contact lenses. We made sure the right and left eye were correct and we made sure they were not inside out. There was no pain. Right now i'm subscribing to the idea that they got dirty or smeared up with me learning, because it did take awhile for me to get them in and out. I have not put them back in yet, they are soaking in the solution and I will try again in the morning.
I do have eyeglasses that I only wear when I drive at night, but I play golf and I am unable to see far distances and reading greens is tough with my 20/30 vision and wearing the glasses while playing screws up my depth perception, I imagine playing with the contacts at 20/10 will be a dream. Hopefully they will clear up tomorrow I will post and let you guys know. Thanks again for all the replies.
reggietodd@gmail.com - 25 May 2005 06:31 GMT I believe they said the prescription was -.75 for the right and -.50 for the left.
Robert Kopp - 25 May 2005 07:00 GMT On Tue, 24 May 2005 22:31:30 -0700, reggietodd wrote:
> I believe they said the prescription was -.75 for the right and -.50 > for the left. Many people with a prescription like that find that contacts are more trouble than they're worth. Of course, in a few situations where wearing glasses is a problem, this may not be true.
 Signature Robert T. Kopp http://analytic.tripod.com/
Dr. Leukoma - 25 May 2005 12:30 GMT I agree. However, if the poster gets three full lines of improvement, and IF they don't dry out during the wearing time, then it would be worth it.
DrG
Dr. Leukoma - 25 May 2005 13:47 GMT ...whoops, make that four lines of improvement (20/25, 20/20, 20/15, 20/10).
DrG
Robert Kopp - 25 May 2005 17:48 GMT > ...whoops, make that four lines of improvement (20/25, 20/20, 20/15, > 20/10). It would be the same number of lines in metric, I guess. There is no equivalent for 20/25, so it would be 6/6, 6/5, 6/4, 6/3. Most of the world uses this.
 Signature Robert T. Kopp
http://analytic.tripod.com/
otisbrown@pa.net - 25 May 2005 16:06 GMT Dear Reggiet,
Thanks for the prescription post. The human eye (young) sometimes has the capability of 20/10. The standard for all of us is 20/20.
I assume you requested ask for a "Best Visual Acuity" prescription.
You are right -- with that level you will "see better" that most people you play golf with.
Best,
Otis
Dr. Leukoma - 25 May 2005 17:50 GMT There is no need to "ask for" a "Best Visual Acuity" prescription, as this is what is generally given by the ECP.
Secondly, 20/20 is not "the standard" for all of us.
DrG
John Yasar - 25 May 2005 23:25 GMT >Secondly, 20/20 is not "the standard" for all of us. > >DrG What do you mean by that Doc?
- PV2 Yasar, M U.S. ARMY AH-64D "Armt Dawg" A Co/602d ASB/2ID/EUSA - South Korea
Dr. Leukoma - 26 May 2005 00:36 GMT Vision is the result of a complex system comprised of optical and neural pathways. For some, this combination results in the "potential" for 20/10 vision. For others, it is 20/20, and for others still, it may be less than 20/20. However, MOST of us should have the potential for 20/20. The result is that the "default" standard is 20/20.
DrG
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