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Medical Forum / General / Vision / October 2005Wearing Eyeglasses With Contacts
I've done a little Internet searching around, and so far found no information on the idea of wearing contacts and eyeglasses at the same time. After ten years since the onset of middle age in my life, I am now compelled to use prescription lenses. OTC reading glasses just don't make it anymore. I'm far sighted, have an astigmatism, and have developed presbyopia to where I simply must wear glasses to read or work with things up close. Now with years of experience with taking care of cheap OTC glasses, and with eyes that need something better, I'm ready to own some quality prescription eyewear. Anyway, I'm thinking that contacts that corrected for my astigmatism and hyperopia would be best for my outdoor activities, while a supplemental pair of bifocals would serve for providing for good visual acuity for up-close work and detailed focusing at intermediate ranges. To be clear, I'm thinking that a good idea for my needs would be to wear contacts all day. Additional to the contacts when needed, I'd wear eyeglasses that provide a boost for adapting to presbyopia so I can read fine print and have a clearer intermediate focus. So my question goes something like this: Do people use contacts and prescription eyeglasses at the same time? >So my question goes something like this: Do people use contacts and >prescription eyeglasses at the same time? Yup. I did it for years. In my case, it was because my prescription was too meaty to do a really good job in cosmetically acceptable glasses. Also, we were trying to determine -- if LASIK were elected -- which refractive error would we fix: astigmatism or hyperopia. I wore the hyperopic correction in the contact lenses, had a pair of astigmatic correction only glasses to wear for distance vision, then another pair of glasses that had astigmatic correction /and/ some plus power in them for near work. Works ok. I think it's less unusual than you might think.  SignatureLive simply so that others may simply live > So my question goes something like this: Do people use contacts and > prescription eyeglasses at the same time? Yes.. especially when the prescriptions are high plus or high minus. It's tougher and more expensive to make contacts work well for astigmatism. so I usually put the sphere part (near or farsighted correction) in contacts, and use glasses for the astigmatism and near. -MT > So my question goes something like this: Do people use contacts and > prescription eyeglasses at the same time? Sure. No big deal. Do it all the time for people in situations similar to yours. The contact lenses can be set for distance or near, with or without astigmatism correction and the spectacles set up to correct what the contacts do not. An often-used solution is contact lenses for best distance correction including all or most of the astigmatism (if that works well) with PAL (progressive multifocal) spectacles: no distance correction (except for any not-in-contact lens astigmatism) with progressive intermediate-to-near. Pretty simple and straightforward. --LB, O.D. > > So my question goes something like this: Do people use contacts and > > prescription eyeglasses at the same time? [quoted text clipped - 9 lines] > > --LB, O.D. That would be an ideal solution! Just got word on an O.D. in Seattle, whom I will likely be visiting soon. - Mykal >> So my question goes something like this: Do people use >> contacts and prescription eyeglasses at the same time? [quoted text clipped - 10 lines] > astigmatism) with progressive intermediate-to-near. > Pretty simple and straightforward. Ok, I have something a bit more challenging then. We haven't worked out all the parameters with my trifocal translating RGPs but I like/will like them. The problem is the center segment which is only 1 mm high. (Ideally I think I would like the center segment to be at least 2 mm high taking the extra out of the lower segment). This is sufficient for most walking around, driving, etc. but I spend a good part of my day in front of dual 21" monitors at a distance of about 32" and the 1 mm center segment only covers maybe1/3 of the monitor vertically. So... I was thinking it would be nice to have "upside down" progressives for the PC with the top 3/4 intermediate leaving only the bottom 1/4 for reading. I suppose I could be dead before we got everything tweaked properly... -Quick > I spend a good part of my day in front of dual 21" monitors > at a distance of about 32" and the 1 mm center segment > only covers maybe1/3 of the monitor vertically. So... I was > thinking it would be nice to have "upside down" progressives > for the PC with the top 3/4 intermediate leaving only the > bottom 1/4 for reading. Another solution would be smaller monitors closer. Then you could sleaze by with cheap bifocals. Of course, no one will be impressed by cheap bifocals or small monitors. To me, a practical solution for indoors would be add 1.0D for the room and 2 or 2.25 for the closer work. One could consider the half-and-half lenses. I think they are called "Franklin" (after Ben) or "Library". But, heck, you cannot mail-order that kind. They are, however, unique, and somewhat fashionable. Poets and scholars use them. Gloriously, IOL implants have left me seeing quite sharply at ~ 1M, and with apparently only about a half diopter of unresolved astigmatism. So I am doing just fine with little Walgreen half-pane +1.25D reading glasses. But basically my biggest problem is being able to read the schedule while watching the TV. Here, the smaller-and-closer solution is also applied to TV sets. In a couple of weeks, the time will be right for refraction and the fitting of eyeglasses. So I need to make my decisions carefully as SS will only pay for one pair of eyeglasses, and, case of bifocals, with visible edges between the panes. > I suppose I could be dead before we got everything tweaked properly... When you are dead, you can see everything clearly again. -- Dicky (Saving up for the trip) |
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