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Medical Forum / General / Vision / April 2006

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Lenses For Athletes

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Alana - 11 Apr 2006 14:47 GMT
I am an aging athlete but still ski and cycle hard as well as kayak and run.
My bifocals make me nuts with the rapidly changing scenes going by. And my
bifocals no longer work for intermediate sight. I can see 20" and from 10'
to infinity but the mid-range is blurry.

My doctor wants to put me into progressives but I am concerned about the
lack of peripheral vision and my easy of getting dizzy.

What have other active people found with progressives or trying to find a
glass that provides for all three ranges.

Konnie
Dr. Leukoma - 11 Apr 2006 17:19 GMT
Have you considered some of the soft multifocal contact lenses out
there?

DrG
CatmanX - 11 Apr 2006 21:25 GMT
WTF???   You totally confuse me. First, why bifocals? The only people I
put into bifocals these days are those who can't/won't wear
multifocals. Most of the newer designs have minimal distortion and
don't affect peripheral vision.

What sort of athlete are you? The reason I ask, is that I would have
had you in contacts years ago for sport if you were at all serious.
Contacts give much more freedom for sport, better peripheral and
dynamid vision, no fogging, allow you to wear sunglases and don't
bounce around. You don't have to hold your head at funny angles when
cycling and don't get splashes of water all over them when kayaking.

My recommendations are multifocals for general wear and contacts for
sport. You can look at daily lenses for starters, or 2 weekly lenses.

dr grant
acemanvx@yahoo.com - 12 Apr 2006 00:27 GMT
why not wear contacts for distance since you use your eyes for
distance? When reading, either put reading glasses over them or remove
your contacts.
Alana - 12 Apr 2006 03:54 GMT
I have extremely dry eyes so my doc wont prescribe contacts anymore -by
multi-focal do you mean progressives.

> WTF???   You totally confuse me. First, why bifocals? The only people I
> put into bifocals these days are those who can't/won't wear
[quoted text clipped - 12 lines]
>
> dr grant
CatmanX - 12 Apr 2006 05:03 GMT
  "I have extremely dry eyes so my doc wont prescribe contacts
anymore"

That is really dumb, to be blunt. There are several materials you can
use these days to allow you to perform with CL's. Focus night & day,
purevision, O2 Optix, Acuvue advance and OaSys, proclear, ciba dailies
are all designed to be worn for longer with fewer dry eye problems. You
don't have to wear them asa a full-time lens, but to put in for an hour
or so when you run, ride or paddle is only a little common sense. The
aim with sports vision is to allow you to compete and train to your
maximum capacity. Sports doctors send injured players back onto the
field to compete, we do no different. In your position, it may be that
an hour or 2 is all you may wear the lenses comfortably, but at least
you can go without glasses. Give some of the newer lenses a try.

    "by multi-focal do you mean progressives. "

Progressives are multifocals. They are much better for most people, and
after a little adaptation, you should find the same too.

dr grant
Scott Seidman - 12 Apr 2006 13:10 GMT
"CatmanX" <drgrant@ozemail.com.au> wrote in news:1144814611.964085.78490
@g10g2000cwb.googlegroups.com:

> Progressives are multifocals. They are much better for most people, and
> after a little adaptation, you should find the same too.
>
> dr grant

For my outdoor sports, I enjoy a full field view for distance, but there is
a good deal of close up work (like tying on flies and such), for which I
now use a flip down magnifier.  Action Optics is a company that makes
sunglasses for outdoor sports, and they find that when people want a
bifocal for near, they prefer it lower on the eye than the "normal" bifocal
add.  When I move to a bifocal, I plan to take their word for it, and try
their's for outdoor sports.

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Scott
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Dr. Leukoma - 12 Apr 2006 13:52 GMT
Good observation.  Golfers in particular hate bifocals, and so we place
the bifocal very low and rather small.  But, as a serious recreational
athlete myself, I rather hated wearing glasses because of the sweat
factor.

DrG
Scott Seidman - 12 Apr 2006 14:14 GMT
"Dr. Leukoma" <drg@leukoma.com> wrote in news:1144846343.121079.183020
@g10g2000cwb.googlegroups.com:

> Good observation.  Golfers in particular hate bifocals, and so we place
> the bifocal very low and rather small.  But, as a serious recreational
> athlete myself, I rather hated wearing glasses because of the sweat
> factor.
>
> DrG

As a flyfisherman, I consider glasses mandatory for safety reasons.  When I
teach new flyfishermen, I always tell them to wear glasses, and to carry a
whistle.

Of course, when flyfishing, if you're working so hard you're sweating,
you're doing it wrong ;)  

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Scott
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Scott Seidman - 12 Apr 2006 14:22 GMT
> "Dr. Leukoma" <drg@leukoma.com> wrote in news:1144846343.121079.183020
> @g10g2000cwb.googlegroups.com:
[quoted text clipped - 12 lines]
> Of course, when flyfishing, if you're working so hard you're sweating,
> you're doing it wrong ;)  

As an interesting aside, I was fishing with one of our Institute of Optics
members and his son.  At the time, they were both fairly novice at
flyfishing.  The father is one of the big guys in wavefront corrective
optics as applied to the eye.

For me, presbyopia was just starting to kick in, and I was having some
trouble tying on flies.  This guy suggested I take off my glasses to tie on
the flies.  I then told him how a few years before I lost a pair of glasses
in a stream changing from sunglasses to clear lenses at dusk, and that in
or near the water, the glasses stay on my face now.

Soon after that, I arrived at the flip-down magnifier option, and I've been
pretty happy with that.

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Scott
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Quick - 12 Apr 2006 22:46 GMT
> Good observation.  Golfers in particular hate bifocals,
> and so we place the bifocal very low and rather small.

Spot on. I'm wearing translating trifocals. I can deal with
the blur using woods and irons (heh, once you're setup
you should be able to swing with your eyes closed...).
It's putting where I suffer.  I'm working on my doc to
think about an inverted translating bifocal.  The trick
would be to have to look up to engage the near segment
while having it out of the way when looking straight
ahead.  I'm not sure I've convinced him that I'm serious...

-Quick
CatmanX - 14 Apr 2006 01:29 GMT
I go one step further. One bifocal in front of the dominant hand side,
e.g. right eye for a right handed golfer, and decentre temporally. This
mens there is no bifocal in front of the eye nearest to the pin, the
bifocal is out of the way and set low with a reduced add. Usually the
golfer wants enough to fill out a score card and inspect clubs and
balls.

Sports vision can be quite challenging to customise the best option for
a given
Quick - 12 Apr 2006 22:41 GMT
>      "by multi-focal do you mean progressives. "
>
> Progressives are multifocals. They are much better for
> most people, and after a little adaptation, you should
> find the same too.

Ummm, this may not be a good description to give a
layman. Progressives change focus depending on
which part of the lens you look through.  Many of the
multifocal contacts work by presenting the eye/brain
with multiple images (each in it's own focus? -- how
would you word that?). Your brain then picks the image(s)
in best focus and ignores the others. I guess this
effect can/is accomplished by some designs that are
"progressive" but the whole range is within the optical
zone of the pupil?

...painfully obvious that I'm not a doc or even a well
informed patient... but I thought he would get the
impression that the contacts would be/work like
progressive spectacles.

-Quick
 
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