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Medical Forum / General / Vision / June 2005

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Contact lens fitting in progress:  A couple of questions

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groupslrn@rettacs.org - 02 Jun 2005 01:25 GMT
A recent comprehesive eye exam revealed that my vision is 20/30 in the
right eye, 20/50 in the left with astigmatism in both.  I requested a
try at contact lenses and the office set up a fitting procedure.

First pass:  Preference Toric soft lenses (numbers obtained from
doctor's assistant)
Right eye: +25, cylinder -75, axis 165
Left eye: +50, cylinder -150, axis 85

I believe they gave me the +50 for the left eye after two left eye
lenses with a shallower curve popped off and disappeared before I
realized what happened.

Result after first followup:  Doctor says vision is 20/20 but that the
left lens may be moving slightly in-place causing occasional blurring
before it reseats.  I did mention that nighttime blur and flare seem
greater than uncorrected.

In an effort to see if this could be improved, she suggested Hydrasoft
Options which may provide better control of lens parameters and fit at
higher cost.  She did say that they were physically larger and that it
would not necessarily be a slam dunk.

Second pass:  Hydrasoft Options
Right eye: same
Left eye: cylinder changed to -125, others same

These feel a little weird compared to the others.  I am occasionally
conscious of something in the peripheral vision (edge of the lens?),
close-in material is ok, but items at a distance are either fuzzy
and/or distorted.  When I look at the floor and then move my head
up/around, there is a sense of distortion.  I have tried adding
eyedrops in case there was any issue of an airgap between the lens and
the surface of the eye.  I will have a followup in a few days.

So, the question:  Is this a normal part of the brain's adjustment to
the new lenses and worth a couple of days of trial?  Or do first
impressions matter most, suggesting I should revert to the Preference
Torics and live with the wobbly left lens?  Or are there other options?

Thanks,

--- Ravi
LarryDoc - 02 Jun 2005 17:21 GMT
> So, the question:  Is this a normal part of the brain's adjustment to
> the new lenses and worth a couple of days of trial?  Or do first
> impressions matter most, suggesting I should revert to the Preference
> Torics and live with the wobbly left lens?  Or are there other options?

Your experiences result from inappropriate lens fit and design. A couple
of days of trial >>>with lenses that perform reasonably well<<< is a
good idea.  Sounds like you need to try something else, considering
there are dozens of other lenses available.

--LB, O.D.
groupslrn@rettacs.org - 02 Jun 2005 20:52 GMT
[ deletia ]

> Your experiences result from inappropriate lens fit and design. A couple
> of days of trial >>>with lenses that perform reasonably well<<< is a
> good idea.  Sounds like you need to try something else, considering
> there are dozens of other lenses available.

Thank you.  I have reverted to the older pair that mostly work and will
inform the physician accordingly when I go in for another followup
visit.
The Hydrasofts were giving me a mild headache after a few hours and I
decided that they weren't worth the risk (I also found them harder to
insert due to their weight and size).

--- Ravi
 
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