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Medical Forum / General / Vision / June 2005

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RGP specialist?

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Quick - 24 Jun 2005 19:22 GMT
I'm in San Jose, CA

Anybody have a recommendation for a specialist
in fitting RGPs?

I'm in the process of being fitted/prescribed soft
contact lenses. I have an small astigmatism in one
eye and a smaller(?) astigmatism in the other. I
need/want bifocals. Right now we're trying out the
Acuvue bifocals,
Left: 8.5/14.2, +1.00 add +2.00
Right: 8.5/14.2 +1.50 add +2.00
Been about a week with this script and the distance
is still blurry. I also get a pretty good starburst effect
from point light sources (especially headlights). We're
going to try the CIBAs or BioCurves next.  The bifocal
part works pretty well and I can do without my readers.
Things seem to be worst with a lot of detail and movement.
Like driving in traffic.

I'm interested in trying RGPs. Current doc seems pretty
biased against them for me. I've mentioned my interest
in them twice now and he's just said something to the
effect of "no, you don't want those". I mentioned that I've
read that they are clearer and at least as good in O2
transmission with respect to wearing them 12 to 16 hours
a day. He mentioned something along the lines of they
are a bit deceptive in claiming that since they are smaller
the flow around them is better... I didn't press it.

I'd like as clear and accurate vision as possible. I'm willing
to sacrifice some distance vision to be able to do without
readers. I don't want starbursts around point light sources.
I'm willing to put up with (relatively) a good amount of
discomfort.

My plan is to follow the soft contacts through with the
current doc until we resolve a solution/prescription and
order my year's supply. Then I'd like to find someone
specializing in fitting RGPs and get a set of those. I'm
assuming the exam, complete fitting and a set of RGPs
would be around $500? I'd then have the option of reverting
back to soft contacts.
William Stacy - 24 Jun 2005 23:51 GMT
Don't know anyone in San Jose, but if you strike out or if you are
willing to wait 'til fall, you might consider checking out the UC School
of Optometry in Berkeley.  I imagine they still run a CL clinic there
where you'll likely have access to the latest.  I'm too far (Folsom), or
I'd try a Tangent Streak bifocal on you.  Also, keep in mind the
possibility of clear lens exchange http://www.obase.net/cle.htm (and
DON"T consider LASIK for your condition.

w.stacy, o.d.

> I'm in San Jose, CA
>
[quoted text clipped - 39 lines]
> would be around $500? I'd then have the option of reverting
> back to soft contacts.
Quick - 25 Jun 2005 00:36 GMT
> Don't know anyone in San Jose, but if you strike out or
> if you are willing to wait 'til fall, you might consider
[quoted text clipped - 5 lines]
> http://www.obase.net/cle.htm (and DON"T consider LASIK
> for your condition.

Thanks. I know it's different but the image that immediately
popped into my mind was from when my parents used to
take me to the barber college for those really inexpensive
haircuts given by the students... -:)

No, I'm a long ways from considering any kind of procedure.
Contacts only for the time being. I'll look into the UC School.

What is the norm when getting fitted for RGP contacts? From
my (ongoing) current experience being fitted for soft CLs it's
been a few trials a couple of re-measures/exams. It seems
there is a good bit of trial and error to get something just
right for me.  I am guessing there is less of that with RGPs?
Maybe a careful measuring and 1 or two tweaks for fit?

thanks,
-Quick
Quick - 25 Jun 2005 00:45 GMT
>> Don't know anyone in San Jose, but if you strike out or
>> if you are willing to wait 'til fall, you might consider
[quoted text clipped - 24 lines]
> of that with RGPs? Maybe a careful measuring and 1 or two
> tweaks for fit?

Oh, and if I'm completely clueless what's the right question
to ask?  "Do you specialize in fitting RGP contacts?".

thanks,
-Quick
Mike Tyner - 25 Jun 2005 00:52 GMT
> Oh, and if I'm completely clueless what's the right question
> to ask?  "Do you specialize in fitting RGP contacts?".

Ask how many patients they have wearing RGP bifocals.

I crossposted your message to a group of optometrists. Hopefully someone
will speak up with a recommendation.

-MT
Mike Tyner - 25 Jun 2005 01:00 GMT
> I crossposted your message to a group of optometrists. Hopefully someone
> will speak up with a recommendation.

Oops I don't think they can reach you at that address. If you'll send me a
working email address I'll forward it.

-MT
Quick - 25 Jun 2005 02:32 GMT
>> I crossposted your message to a group of optometrists.
>> Hopefully someone will speak up with a recommendation.
>
> Oops I don't think they can reach you at that address. If
> you'll send me a working email address I'll forward it.

It works if you remove the "NOSPAM".

thanks,
-Quick
The Real Bev - 25 Jun 2005 03:07 GMT

> No, I'm a long ways from considering any kind of procedure.
> Contacts only for the time being. I'll look into the UC School.
>
> What is the norm when getting fitted for RGP contacts? From
> my (ongoing) current experience being fitted for soft CLs it's
> been a few trials a couple of re-measures/exams.

My friend got her RGP multifocals right on the first try.  The same guy gave
me 8 pair before we gave up on it.  

> It seems
> there is a good bit of trial and error to get something just
> right for me.  I am guessing there is less of that with RGPs?
> Maybe a careful measuring and 1 or two tweaks for fit?

My experience indicates that astigmatism is the big/insurmountable problem.

Signature

Cheers, Bev  
-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-
I bought a tape called "Subliminal Advertising"
The next day I bought 47 more.

William Stacy - 25 Jun 2005 16:54 GMT
They are not easy, and not everyone can wear them.  But I'd ask if they
fit tangent streak bifocals.  Anyone who does, while they might not
exactly be an "RGP specialist", they at least have had some experience
with the only really good translating bifocal contact lens, IMO>

w.stacy, o.d.

>  
>
[quoted text clipped - 14 lines]
>
> My experience indicates that astigmatism is the big/insurmountable problem.
Philip D Izaac - 26 Jun 2005 09:01 GMT
Gelflex Perth Australia has a great translating bifocal, it is like an
E-Line bifocal with a truncation. I have fitted many of these lenses with
excelent results.

Roland Izaac

> They are not easy, and not everyone can wear them.  But I'd ask if they
> fit tangent streak bifocals.  Anyone who does, while they might not
[quoted text clipped - 19 lines]
> >
> > My experience indicates that astigmatism is the big/insurmountable problem.
Philip D Izaac - 26 Jun 2005 11:27 GMT
Sorry forgot to mention the lens name. Its called the linear plus bifocal.

Roland Izaac

> They are not easy, and not everyone can wear them.  But I'd ask if they
> fit tangent streak bifocals.  Anyone who does, while they might not
[quoted text clipped - 19 lines]
> >
> > My experience indicates that astigmatism is the big/insurmountable problem.
 
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