acemanvx@yahoo.com> wrote
>>I guess you and Grant have no explanation why two people could be -5 in
>> glasses but one may need -4 contacts, the other -4.5 contacts. I was -5
>> in glasses and -4 in contacts.
Ace,
I'm a little confused here and I presume you can help me:
- What is the actual vertex distance for measurements taken
using a phoropter?
- What is the actual vertex distance for measurements taken
using a trial frame?
- Given a high sphere Rx, with astigmatism, does it matter
which lens sits in which slot in a trial frame? If so, can you please
explain the appropriate technique?
- Given an actual vertex distance measurement, can you please
walk me through the math used to calculate contact lens power?
- Does that math differ if the lens being prescribed is an RGP
vs. a toric soft vs. a non-toric (spherical) soft?
Thanks. This will be useful information for me.

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Neil Brooks - 23 Feb 2006 05:29 GMT
>acemanvx@yahoo.com> wrote
>
[quoted text clipped - 23 lines]
>
>Thanks. This will be useful information for me.
Ace??
I could use your help here. Are you gonna' hook a brother up?

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Live simply so that others may simply live
acemanvx@yahoo.com - 23 Feb 2006 06:47 GMT
answers below are from a patient's point of view.
- What is the actual vertex distance for measurements taken
using a phoropter?
As a patient, I was told to look into the phoropter with my chin
resting and my head fully touching the metal. Some people sit back an
inch or two and the vertex distance results in them getting more minus
than they need. Its important the distance from any lens is equal.
- What is the actual vertex distance for measurements taken
using a trial frame?
should be exactly the same as the vertex distance your pescription
glasses are.
- Given a high sphere Rx, with astigmatism, does it matter
which lens sits in which slot in a trial frame? If so, can you please
explain the appropriate technique?
The highest power lens sits closer to your eye. If not, the vertex
distance would throw results off. The cylindar lens sits in front where
the optometrist can notice the axis.
"- Given an actual vertex distance measurement, can you please
walk me through the math used to calculate contact lens power?"
Use 1.25 times for vertex distance. My optometrist gave me -4 trial
lens. I was a -5 in glasses. However you still have to confirm using an
over-refraction. Different eyes will react differently to contacts but
many young people need 1.25 times higher glasses vs. contacts. I speak
for this result as a patient and the fact my friends have glasses
pescriptions 1.25 times higher than their contacts. Some people may
stray from the 1.25x formula due to dry eyes, strange accomodation,
steep or flat corneas, etc. ALWAYS do an overrefraction!
"- Does that math differ if the lens being prescribed is an RGP
vs. a toric soft vs. a non-toric (spherical) soft?"
I talked to an optometrist on the phone and when I told him I am -5 in
glasses, he said he will first try -4.5 RGP contacts. If they are too
strong, he will try a lower power(I lose $300 each time) till the
desired pescription is arived. For non torics, you dont want to give
them to anyone with more than a diopter of astigmastim as this will
hurt BCVA and strain the eyes. Spherical equivalent attempts to
overcorrect you to compenstate for cylindar. Basically make you +.5
diopters sphere if your cylindar is -1 diopters. Some people dont mind
this over the discomfort of torics. You may want to let the patient try
both torics and non torics and let him choose which one he prefers.
Answers from a patient. Any other questions?
Mike Tyner - 23 Feb 2006 10:51 GMT
> However you still have to confirm using an
> over-refraction.
See, that's the problem. I do that several times a day and it never comes
out to 125%.
-MT
acemanvx@yahoo.com - 23 Feb 2006 23:06 GMT
I guess you should see me and my friends who need 1.25 times higher
glasses pescription than contacts. I was -5 in glasses, -4 in contacts.
My friend is -3 in contacts, -3.75 in glasses. Another is -2 in
glasses, -1.75 in contacts.
Mike Tyner - 24 Feb 2006 00:48 GMT
>I guess you should see me and my friends who need 1.25 times higher
> glasses pescription than contacts. I was -5 in glasses, -4 in contacts.
> My friend is -3 in contacts, -3.75 in glasses. Another is -2 in
> glasses, -1.75 in contacts.
I could do that, or you could learn enough optics to confirm what's in the
textbooks.
Neither is likely to happen.
-MT