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Medical Forum / General / Vision / February 2006

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I went from -2.5 to -3.0 in less than two months =(

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Spockie - 21 Feb 2006 02:00 GMT
I went from -2.5 to -3.0 in less than two months =(

I was perscribed -2.5 in both eyes at walmart with acuvue advance.

Now, i got -3.0 in both eyes from costco with acuvue oasys. Just great. =(
otisbrown@pa.net - 21 Feb 2006 02:08 GMT
Dear Spockie,

Congratualtions!

In short order you can expect
Neil Brooks to post warnings
against you for making that statement,
and then he will file a charge
against you for giving "medical"
advice.

Best,

Otis
acemanvx@yahoo.com - 21 Feb 2006 02:41 GMT
your eyes are getting worse due to wearing a minus lens for all the
near work you do. -3 contacts are as strong as -3.75 glasses for some
people, including me. Ive warned you about this in the past but you
dont care. I guess as a(extend) contact wearer, you only "see" your
blurry vision once a month for a few minutes, the rest of the time,
your contacts are in.
Mike Tyner - 21 Feb 2006 06:08 GMT
> your eyes are getting worse due to wearing a minus lens for all the
> near work you do. -3 contacts are as strong as -3.75 glasses for some
> people, including me. Ive warned you about this in the past but you
> dont care.

And I've asked where you find this comparison between human myopes wearing
minus and those who don't.

-MT
acemanvx@yahoo.com - 21 Feb 2006 22:20 GMT
http://www.preventmyopia.org

All your infomation is there. Minus lens combined with close work is a
recipe for rapidly increasing myopia. This explains why many college
students become myopic or have their myopia increase.

"Can you show me the math for this calculation?"

The math means nothing because contacts behaive differently for
different people's eyes. The average is 1.25 times so you multiply -3
contacts by 1.25 and you get -3.75 in glasses. My friend wears -3
contacts but her -3 glasses are too weak. Shes going to the optometrist
to get -3.75 glasses. Another lady wears -4.25 and -4.75 contacts but
shes -5.25 and -6 in glasses. Theres several factors that determine
what contact lens power the person needs. You can not directly convert
as each person may be different. I was told I needed -4.75 contacts for
my -5 glasses pescription. This would overcorrect me by a diopter to a
diopter and a half. The -3.25 contacts I have correct me about as well
as my -4.25 glasses.
CatmanX - 21 Feb 2006 22:27 GMT
You are so full of sh.t. The maths is everything. There is no 1.25
multiplier. Go back to your room and j.rk off.

You also know you have no friends, so stop making them up.

dr grant
Mike Tyner - 21 Feb 2006 23:30 GMT
> http://www.preventmyopia.org
>
> All your infomation is there. Minus lens combined with close work is a
> recipe for rapidly increasing myopia. This explains why many college
> students become myopic or have their myopia increase.

Where is the comparison that shows myopes getting more nearsighted because
they wear glasses?

You never did say.

> "Can you show me the math for this calculation?"
>
> The math means nothing because contacts behaive differently for
> different people's eyes.

More erroneous information brought to you by Aceman.

-MT
acemanvx@yahoo.com - 22 Feb 2006 00:05 GMT
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.

http://www.i-see.org/against_glasses.html

http://www.myopia.org/08chapter3.htm
CatmanX - 22 Feb 2006 02:46 GMT
Yes, the scripts were wrong in the first place.

dr grant
acemanvx@yahoo.com - 22 Feb 2006 05:01 GMT
I think my optometrist would know what he was doing when he pescribed
me. Many of my friend's glasses pescriptions are 1.25 times higher than
their contacts. read about vertex distance and get back to me.
Mike Tyner - 22 Feb 2006 05:12 GMT
>I think my optometrist would know what he was doing when he pescribed
> me. Many of my friend's glasses pescriptions are 1.25 times higher than
> their contacts. read about vertex distance and get back to me.

Why? We've told you what the textbooks say about vertex distance and you
always know better.

-MT
CatmanX - 23 Feb 2006 09:51 GMT
Hey dickhead, you have been told by at least 4 optoms here you are
wrong. What does it take for you to listen?

Now f.ck off and go to bed you little w.nker.
CatmanX - 23 Feb 2006 09:51 GMT
Hey dickhead, you have been told by at least 4 optoms here you are
wrong. What does it take for you to listen?

Now f.ck off and go to bed you little w.nker.
Mike Tyner - 22 Feb 2006 05:06 GMT
>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.

We certainly do.

-MT
Neil Brooks - 22 Feb 2006 06:13 GMT
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.
Signature

Live simply so that others may simply live

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?
Signature

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
CatmanX - 21 Feb 2006 07:34 GMT
Can you show me the math for this calculation? I calculate -3.00 in
CL's is -3.00 in glasses, but heck, my optometry degree isn't worth
much, or so the engineers keep telling me.

Spockie, you may find that either the first or second test may have the
wrong answer. _0.50 does not usually occur in 2 months.

dr grant
 
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