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Medical Forum / General / Vision / March 2006Multi-focus not working out
Ready to throw in the towell. Maybe someone here can offer a pathway through this that I haven't seen, as of yet. I got my 1st set of B&L SofLens Multi-vision lenses 6 wks. ago. Had good near and far (not perfect, but good) vision for an hour after which it deterioriated over the next few hours to mediocre (not terrible, but can't read license plates, difficult to see computer & book text). There was no improvement after 2 wks., so had a 2nd set provided. Same reaction, i.e., good vision for the first hour and deterioration to mediocre after that. After 2 wks. I had a 3rd. correction provided and had the exact same experience; after the first hour the vision fell to mediocre. Interestingly, every morning starts with better than mediocre vision and then deterioriates over the next 6 hours to just passable, i.e., moderately blurry with medium or greater lens awareness at the end of this 6 hour period. All through this process I had light to the occassional extreme burning in my eyes, which, after 6 irritating weeks my doc finally changed my solution from an "all-in-one" to Ciba's Clear Care. The stinging is down to 10% of what it had been. I now have from zero to medium lens awareness. Changing the solution has increased the comfort, but , after 5 days, has not affected the quality of the vision. Note: I had worn hard contacts for 40 years, so I'm not new at this. My doc says my expectations may be too high; I say that I probably shouldn't be driving - and I'm serious. Reading license plates is out of the question and reading freeway exit signs is hard until they're right up there. I'm losing confidence in my doc for the reasons referred to above (incorrect solution for 6 wks.; expectations suggestion; no vision improvement -at all - after 3 sets; doesn't seem to have a coherent plan; and so on, I need to take action and would like to hear some serious suggestions on what to do next. Thanks for reading this very long note. mick > I need to take action and would like to hear some serious suggestions > on what to do next. Thanks for reading this very long note. Everyone is different, I can't offer you a "pathway" but I am using the B&L SofLens Multifocals succesfully for two years. It took some trial and error to get the right prescription. Several sets of trial lenses. And you certainly should not have any stinging at all. Never had any stinging. If you don't have confidence in your doc switch to another one.  SignatureCharles > Ready to throw in the towell. Maybe someone here can > offer a pathway through this that I haven't seen, as of [quoted text clipped - 3 lines] > suggestions on what to do next. Thanks for reading this > very long note. If you have doubts about your doc then switch. Some are better than others some you just get along with better than others. I initially went to a doc considering contacts. He tried accuvue multifocals. I didn't like them and we kept trying a different script. Vision was lousy and it seems my brain doesn't do well with multifocals. I kept suggesting RGPs but he always responded with "you don't want those". He finally said, more or less, that we were done and that 90% of contact wearers would be happy with my vision. I very much got the impression that it was the $300 in-and-out treatment and I'd used up the allotted time. Different doc tried a couple of different soft contact solutions just for a baseline knowing that I was interested in RGPs. Then we moved on to the RGPs and more than a dozen visits and half that many trials later I'm really thrilled with the translating trifocals I have. What a difference! The doc really worked with me, listened to what I had to say, got to know my preferences, expectations, and worked through fitting solutions and products he had never tried before. You may not be in the first situation but you just might not communicate well with your current doc or he might not communicate well with you. For me the very best I achieved with soft multi-focal CLs was not acceptable for me. You didn't really say if the first hour of vision you get would be acceptable for you? -Quick give monovision a try. My mom didnt like multifocals either but she does fine with monovision. If you dont like monovision, then youll need to take reading glasses with you everywhere you go or just give up contacts and get bifocal glasses and enjoy! > give monovision a try. My mom didnt like multifocals > either but she does fine with monovision. If you dont > like monovision, then youll need to take reading glasses > with you everywhere you go or just give up contacts and > get bifocal glasses and enjoy! Why have you excluded translating bi/trifocal contacts? -Quick > > give monovision a try. My mom didnt like multifocals > > either but she does fine with monovision. If you dont [quoted text clipped - 5 lines] > > -Quick I'm not usually one to defend Aceman, Quick, but I don't think his post excluded anything. He probably is not familiar with translating bi- or tri-focal contacts. (Not many people are familiar with them.) He just recommended a solution that works for his mother, monovision. That doesn't exclude other options. >>> give monovision a try. My mom didnt like multifocals >>> either but she does fine with monovision. If you dont [quoted text clipped - 12 lines] > a solution that works for his mother, monovision. That > doesn't exclude other options. Read his next 2 sentences... -Quick >>>> give monovision a try. My mom didnt like multifocals >>>> either but she does fine with monovision. If you dont [quoted text clipped - 14 lines] > > Read his next 2 sentences... oops, "read his next sentence". (I thought it was 2 but it turned out to be a single run-on sentence). He definitely excludes other options whether he knows about them or not. Reading that you might think he was speaking with some authority and there simply weren't any others. My reply wasn't a question to Ace. It was to point out to the OP that there were other options. I guess it wasn't the best way to do it. -Quick > -Quick > Ready to throw in the towell. Maybe someone here can offer a pathway > through this that I haven't seen, as of yet. [quoted text clipped - 34 lines] > > mick These soft multifocals lenses are a mixed lot; some patients I have in them do wonderful and are extremely happy while others do not do so well. In your case, you've worn rigid cl's for 40 years so it doesn't surprise me you are not in the "happy camper" group. I'd put you in a rigid bifocal lens- you'd be much happier. frank I suspect it isn't just your first set of multi-focals, but your first set of contact lenses. Correct? I don't think stinging could have anything to do with the lenses being multi-focal. It could perhaps have something to do with the lens material, or the solutions, or the base curve and diameter, etc. Since the vision is good when you first put on the lenses each day, I suspect the blurriness has something to do with some substance created by your eye interacting with the lens, which clouds up the lens. Now I just noticed where you had worn hard contacts for 40 years. Soft contacts are normally much more comfortable than hard ones. Did you never have problems with the hard lenses? There are also rigid gas permeable ("hard") multifocal lenses. In fact, they are supposed to often give better vision than the soft ones. If you didn't have comfort problems with your hard lenses, you might want to look at this. One contributor to this news group, Dr. Larry Bickford, is an expert on multifocal hard lenses. If the problem is some kind of reaction your eyes have to the Soflens material, you could try a different soft lens material. If multifocal does not work out for you, another contact lens option for myopic presbyopics (if you want to avoid or minimize the use of reading glasses) is monovision. Of course, another choice is to have single-vision contacts fitted for distance vision in both eyes, and to use reading glasses for close work. It does sound like your current eye doc might not be the best. In any case, it never hurts to get a second opinion. If you don't feel confidence in your present eye doc, you very well might want to try another one, and see what he or she has to say. (Of course, there could be increased expenses associated with that.) > Ready to throw in the towell. Maybe someone here can offer a pathway > through this that I haven't seen, as of yet. [quoted text clipped - 34 lines] > > mick |
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