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Medical Forum / General / Vision / June 2005

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Contact lenses and double vision

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jorgito - 23 Jun 2005 02:11 GMT
I'm experiencing a bit of double vision in my left eye while wearing my
contact lenses. My right eye is OK, so I think that this could be an
astigmatism related problem... I have 0.5 (uncorrected) in my left eye
and none in my right eye. Myopia prescription is -4.0L/-3.5R.

It isn't double vision in the sense that I can see two copies of
everything.  What happens is that, with black items on white
backgrounds such as on a computer monitor, a second "copy" of the black
item appears above where the "real copy" is. And I think that these
copies are always vertically displaced. It also happens with light
items on black backgrounds.

I had the same problem with other contacts... then I don't think that
it's a fitting problem. And my right eye vision is always perfect.

I have a few questions. Is my astigmatism causing this double vision?

If this double vision is due to it, why don't I have this double vision
problem with my old glasses? They don't have any astigmatism
correction.

Why aren't there contacts with 0.5 astigmatism correction if it can be
so annoying?

My OD says that my lenses are OK and this double vision should
disappear...

Thanks a lot!
William Stacy - 23 Jun 2005 02:34 GMT
> I'm experiencing a bit of double vision in my left eye while wearing my
> contact lenses. My right eye is OK, so I think that this could be an
[quoted text clipped - 12 lines]
>
> I have a few questions. Is my astigmatism causing this double vision?

Almost certainly.

> If this double vision is due to it, why don't I have this double vision
> problem with my old glasses? They don't have any astigmatism
> correction.

Are you sure?  How do you know that? And if it's not corrected, why not?
 Does someone have something against correcting astigmatism???

> Why aren't there contacts with 0.5 astigmatism correction if it can be
> so annoying?

There are a few manufacturers of those, and it might be worth it to you.

> My OD says that my lenses are OK and this double vision should
> disappear...

Maybe so, but don't count on it.  It should be more like "you'll get
used to it".  Whatever...

w.stacy, o.d.
jorgito - 23 Jun 2005 02:42 GMT
Because they are my OLD glasses, they ware made before I had this
astigmatism. I have two glasses, one with astigmatism correction and
other without it. I don't experience double vision with anyone.

Why the problem only appears with contact lenses?

Thanks :)
doctor_my_eye@msn.com - 23 Jun 2005 03:01 GMT
I must assume that you are talking about soft lenses here, most likely
a thin soft lens or disposable.  If your cornea has high points and low
points, the soft lens can drape between the two and give you that
secondary image or ghost.  There are two possible solutions.  The first
would be wearing rigid gas permeable lenses, as they can give you
simply stunning vision when they are fit well.  Another option is to
wear a soft lens on the left eye that has an aspheric curve on it.
These lenses really work well on low cylinders like -.50.  I really
like the Ultraflex Premiere 55% aspheric disposable lens, which is now
owned by Coopervision.
jorgito - 23 Jun 2005 03:12 GMT
Yes, I'm talking about monthly disposable lenses.  I think I can live
with this double vision, it's only really noticeable when I'm using my
computer. Just I wanted to know what is causing the problem and if
these lenses could be damaging my eye :S

I'll talk my OD about those Ultraflex contacts.

Thanks
jorgito - 23 Jun 2005 03:37 GMT
BTW, aren't Focus Dailies aspheric lenses? I used to wear them and I
had the same problem in my left eye.

jorgito ha escrito:
> Yes, I'm talking about monthly disposable lenses.  I think I can live
> with this double vision, it's only really noticeable when I'm using my
[quoted text clipped - 4 lines]
>
> Thanks
doctor_my_eye@msn.com - 23 Jun 2005 13:45 GMT
Nope.  Focus Dailies, and all other Focus products are not aspheric.

> BTW, aren't Focus Dailies aspheric lenses? I used to wear them and I
> had the same problem in my left eye.
[quoted text clipped - 8 lines]
> >
> > Thanks
jorgito - 23 Jun 2005 14:19 GMT
OK, I thought I read it in some message of this gruop.

Thanks
William Stacy - 23 Jun 2005 05:27 GMT
> Because they are my OLD glasses, they ware made before I had this
> astigmatism. I have two glasses, one with astigmatism correction and
> other without it. I don't experience double vision with anyone.

Sorry, but the only way you can be sure is to have somebody put the lens
on a lensometer.  Lots and lots of people are walking around with
astigmatism corrections and don't know it.  Like an Rx -5.00 -.50 x 180
Most docs woudn't even mention the .5 cyl to the patient, or mention
that the patient even has astigmatism.  They would just say the person
is a 5 D. myope.  And astigmatism ususally doesn't *happen* like that,
one day you don't have it the next day you do. It is pretty much there
for good, since it is the shape of your eye that determines it.

> Why the problem only appears with contact lenses?

My guess is that in fact it is corrected in your glasses (have anyone
put them on a lensometer, it probably won't even cost you anything), but
there are other, more exotic explanations.  But certainly, a spherical
soft lens will not correct your astigmatism, if that is what is causing
the doubling, and a half D. toric soft lens will, as will an RGP
(usually), as will a pair of glasses.

w.stacy, o.d.
jorgito - 23 Jun 2005 14:13 GMT
OK, I'll try to know it for sure. I'm doubting now. But I remember my
OD saying something like "you have developed astigmatism" two years
ago, my other glasses where 4 or 5 years old by then. So I'm thinking
that my old glasses don't correct my astigmatism.

But you are right, I cannot know it for sure if someone doesn't put my
glasses on a lensometer :)

BTW, why the double vision disappears at some moments (my vision is
perfect then, even when I look at my computer LCD)?

Thanks a lot.

> > Because they are my OLD glasses, they ware made before I had this
> > astigmatism. I have two glasses, one with astigmatism correction and
[quoted text clipped - 19 lines]
>
> w.stacy, o.d.
jorgito - 23 Jun 2005 14:27 GMT
Just one more comment. I have put my right eye lens (of my new glasses)
in front of my left eye and I think that some doubling appears, but I'm
not really sure if it's due to the spherical correction difference
between the two lenses (1D) or to that -0.50 astigmatism.
William Stacy - 23 Jun 2005 15:13 GMT
> BTW, why the double vision disappears at some moments (my vision is
> perfect then, even when I look at my computer LCD)?

.5 cyl is pretty small, so it could easily be masked by several factors,
including tear film meniscus effects, contact lens "tenting" or
whatever, and even lighting conditions or eyelid position.

w.stacy, o.d.
jorgito - 23 Jun 2005 17:27 GMT
It's curious, I have been using the computer for 15 or 20 minutes and
my vision has been perfect. A few days ago the double vision didn't
disappear for more than 2 or 3 minutes.

I have been using glasses for 15 years and I'm a new contact lenses
user, so I'm thinking that I could need some time to adapt to my
contacts vision (besides the uncorrected astigmatism).

Thanks a lot for your help!
 
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