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Medical Forum / General / Vision / May 2006

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First progressives for computer user

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Albert - 08 May 2006 22:22 GMT
I need advice on brands and types of progressive lenses.
My prescription for a first pair of progressive is as follow:
OD: -1.25 (-0.75 at 90°) add +1.5
OG: -1.25 (-1 at 60°) add +1.5
I work about 6 hours on computer everyday. At the moment I use my distance
lenses to read the screen of my computer but every time that I need to read
a paper I have to take off my glasses (actually I have not much problem
reading without glasses at a normal distance). From what I have understood,
because of my heavy use of computer work, lenses with a wide intermediate
zone would be appropriate in order to have all the computer screen in focus
without having to move my head. I don't do a lot of reading. I would like
one pair of glasses that I could use also for my everyday life (walking,
driving,...).About sport activity my distance glasses should be OK I guess.
Thank you very much for Help.
Sandro
acemanvx@yahoo.com - 09 May 2006 00:33 GMT
your ADD cancels out the minus in your glasses so they are basically
plano except the slight cylindar. How well do you see the computer
screen without glasses? Should be almost perfectly clear and can save
the hassles of computer glasses. If that wont do, get a seperate pair
for the computer with only cylindar correction
Albert - 09 May 2006 07:48 GMT
> your ADD cancels out the minus in your glasses so they are basically
> plano except the slight cylindar. How well do you see the computer
> screen without glasses? Should be almost perfectly clear and can save
> the hassles of computer glasses. If that wont do, get a seperate pair
> for the computer with only cylindar correction

Without glasses I am able to read on my computer screen, howerver I have to
make an effort because the vision is not very clear. The distance between my
computer screen and my eyes is about 60 cm, to be able to read i need also
to get closer (maybe 40 cm distance). Do you think that reading the computer
screen without glasses is not easy for me because of my astigmatism?
acemanvx@yahoo.com - 09 May 2006 23:57 GMT
"Without glasses I am able to read on my computer screen, howerver I
have to
make an effort because the vision is not very clear. The distance
between my
computer screen and my eyes is about 60 cm, to be able to read i need
also
to get closer (maybe 40 cm distance). Do you think that reading the
computer
screen without glasses is not easy for me because of my astigmatism?"

something isnt right. If you are -1.25 with -1 astigmastim, you have a
spherical equivalent of -1.75 and can see perfect from 57 centimeters.
If you need to be 40 centimeters, you are -2.5 diopters. Your glasses
have an ADD of +1.5  which lets you see clear from 2/3 of a meter or
66cm If you can not see clearly from 2/3 meter without glasses, its
logical your eyes are worse than -1.5 which is probably the case. You
posted a pescription that may be outdated and your new pescription is
higher.
Albert - 10 May 2006 08:16 GMT
Sorry I forgot to say that the correction for the glasses that I have now
(distance glasses) is different
from my prescription.
The correction for my glasses now:
OD: -1.25 (-0.5 at 90°)
OG: -1.25 (-0.5 at 60°)
The difference appart from the ADD 1.5 is that my astigmatism got worse.
Now about the distances that I gave in the previous post. I did not make any
precise measurement
so I just gave approximate values.
I have just done some measurements now using my laptop screen:
-Without glasses the distance between my eye and computer screen where I can
see most clearly
is 50 cm.
-With my present glasses this distance is 80 cm.
So in my previous post I Underestimated those distances. At work I guess
that the distance
from my computer screen is closer to 80 cm than 60 cm.
Without glasses at 66 cm I can read the screen however it is not very clear.
I don't know how to convert corrections from my prescription to distances as
you did,
but do you think the prescription is now in accordance with those new
distances values?
I must add that my prescrition is 6 months old now although I don't think
that my vue has changed in 6 months.
> "Without glasses I am able to read on my computer screen, howerver I
> have to
[quoted text clipped - 14 lines]
> posted a pescription that may be outdated and your new pescription is
> higher.
Neil Brooks - 10 May 2006 00:03 GMT
> your ADD cancels out the minus in your glasses so they are basically
> plano except the slight cylindar. How well do you see the computer
> screen without glasses? Should be almost perfectly clear and can save
> the hassles of computer glasses. If that wont do, get a seperate pair
> for the computer with only cylindar correction

Hey, Ace?

Why were these bifocals prescribed for the original poster in the first
place?

Could it be that he has near-point esophoria?  Do you know?  Did you
ask??  Do you understand the implications of near-point esophoria and
what complications *your* advice could cause him if this is the case?

Even if it's not the case with Albert .... you are a walking (not that
I think you get out much) example of "a little knowledge is a dangerous
thing...."

Albert-

Take everything that Ace says with a liberal grain of salt ... and then
ignore it.

He's not an eye doctor, but he likes to play one from time to time.
That's fine ... until somebody takes his advice.
acemanvx@yahoo.com - 10 May 2006 00:11 GMT
I am not a doctor and never said I was one. Bifocals may have been
pescribed, probably because its easier than having to take your glasses
off, putting them on, taking them off, repeat. You can switch focus
from near to distance without having to touch your glasses. Its a
convinence thing. However for prolonged reading or computer, its fine
to take them off if you can see clear without them.
Neil Brooks - 10 May 2006 00:23 GMT
> I am not a doctor and never said I was one.

Aaaaand, of course, you never said you weren't one.  For whatever
reason, you seem pathologically unwilling to offer that up.

> Bifocals may have been
> pescribed, probably because

Sure ... absolutely, they MAY have been probably prescribed because,
blah, blah.

But what if we're dealing with a near-point esophore?  You didn't
answer my question.

What would the implications of your suggestions be IF the OP was
prescribed bifocals in order to manage near-point esophoria (quite
possible, by the way)??

Why doesn't it matter to you that the little posts that you make so
that you can feel better about yourself might hurt other people?  Why
is your potential gain in self-esteem so much more important than the
potential harm that you might cause.

Why don't/can't/won't you simply preface your posts with "I'm not an
eye doctor, but...?"

People have done that on this forum for YEARS.  There is NO DOWNSIDE in
doing that.

It shows that you care enough to express your limitations, and that
opinion or anecdotal experience is all you have.  If you have more ...
like studies or proof ... then offer it up and cite it appropriately.

This isn't a damned game, Ace.  It's people's health and their lives.
You're wrong WAY TOO often to be allowed your little hobby.
acemanvx@yahoo.com - 10 May 2006 01:14 GMT
http://www.clinicaltrials.gov/ct/gui/show/NCT00000128

http://bjo.bmjjournals.com/cgi/content/full/84/8/890

so if im trying to understand, hes a child who got bifocals to slow
down his myopia progression by restricting his accomodation demands?

Why dont we let Albert answer why he was pescribed bifocals.
Neil Brooks - 10 May 2006 02:16 GMT
> http://www.clinicaltrials.gov/ct/gui/show/NCT00000128
>
> http://bjo.bmjjournals.com/cgi/content/full/84/8/890
>
> so if im trying to understand, hes a child who got bifocals to slow
> down his myopia progression by restricting his accomodation demands?

What??

> Why dont we let Albert answer why he was pescribed bifocals.

I'm not even asking why Albert was prescribed bifocals.  If you don't
understand that, then you are in worse shape than I thought.

Go back and re-read my last post ... slowly ... and maybe ten or twelve
times.

Stop posting about people's medical issues when you are woefully
uninformed.

If you *really feel* that you want to help, then at least have the
*decency* to preface your posts with "I am not a doctor."

You are wrong WAY TOO often.  You are taking risks with other people's
eyes and you are doing it just to pump your own self-esteem (to "feel
useful").
Albert - 10 May 2006 08:27 GMT
>I am not a doctor and never said I was one. Bifocals may have been
> pescribed, probably because its easier than having to take your glasses
> off, putting them on, taking them off, repeat. You can switch focus
> from near to distance without having to touch your glasses. Its a
> convinence thing.
It is exactly the case.
Albert - 10 May 2006 08:24 GMT
> Why were these bifocals prescribed for the original poster in the first
> place?
They were prescribed because I was starting to have difficulties reading
with my present glasses. Without glasses I can read.

> Could it be that he has near-point esophoria?
My doctor did not mention that term.
> Albert-
>
> Take everything that Ace says with a liberal grain of salt ...
I take anything that anybody says on internet with caution.
I always try to do myself a little search to get confirmations.
I know I can get the best information from my doctor, however
I have to wait 2 months here before getting an appointment, so
I am trying to learn something here.
Robert Martellaro - 09 May 2006 00:43 GMT
>I need advice on brands and types of progressive lenses.
>My prescription for a first pair of progressive is as follow:
[quoted text clipped - 7 lines]
>zone would be appropriate in order to have all the computer screen in focus
>without having to move my head.

You will most likely (depending on the work distance) use the distance portion
of a progressive addition lens when looking at a desktop monitor. Eventually
(2-5 years depending on the work distance) you will need a separate pair
designed for computer use.

>I don't do a lot of reading. I would like
>one pair of glasses that I could use also for my everyday life (walking,
>driving,...).About sport activity my distance glasses should be OK I guess.

A general purpose PAL with a generous clear distance zone may be the best choice
here.  

>Thank you very much for Help.
>Sandro

Your welcome.

Robert Martellaro
~~~~~~~~~~~~~~~~~~
Optician/Owner
Roberts Optical
~~~~~~~~~~~~~~~~~~
"If a million people believe a foolish thing, it is still a foolish thing."
-  Anatole France
Albert - 09 May 2006 07:59 GMT
> On Mon, 8 May 2006 23:22:06 +0200, "Albert"
> <sandro.dalsecco@numericable.fr>
[quoted text clipped - 30 lines]
> choice
> here.
I need a clarification here because I know very little about PAL. If I
choose a PAL with
a generous distance zone it will reduce either the intermediate zone (called
corridor zone?) or
the near distance zone or both. What is exacltly the benefit of this
intermediate zone? I thought
I could use it for intermediate distance (computer reading for instance) but
maybe I missunderstood.
If my PAL has a large distance zone then I will use it for computer reading
right? So I will not need that intermediate zone. And I will use the near
distance zone for reading. Is that correct?
Can you give me some brands or models of general purpose PAL?
Thanks again.
Sandro
Robert Martellaro - 09 May 2006 18:38 GMT
>If my PAL has a large distance zone then I will use it for computer reading
>right? So I will not need that intermediate zone. And I will use the near
>distance zone for reading. Is that correct?

Yes. However, because you are in front of a monitor for extended periods of
time,  you might feel more comfortable using a separate pair of glasses designed
for your work distances. Nevertheless, I would hold off on the computer glasses
until the vision is unacceptable and/or other symptoms are present.

>Can you give me some brands or models of general purpose PAL?

Zeiss Gradal Top, Shamir Genesis are good examples. Avoid "short corridor"
designs (Ellipse, XS, Piccolo, Concise) and older "hard designs" (VIP, Super
No-Line).

>Thanks again.
>Sandro

Find an experienced optician- They'll get it right the first time.


Robert Martellaro
~~~~~~~~~~~~~~~~~~
Optician/Owner
Roberts Optical
~~~~~~~~~~~~~~~~~~
"If a million people believe a foolish thing, it is still a foolish thing."
-  Anatole France
Dick Adams - 09 May 2006 21:36 GMT
I admit to being baffled by the content of this thread.

My experience is the single-vision eyeglasses are quite good
for computer use.  They are the same eyeglasses which are good
for reading.

The trick is to get a small enough computer screen so it looks
right at reading distance, (50 cm for add +2.0).  When people
see you with such a dinky computer screen on your desk, they
will lose their respect and scorn you.

So the Dr.s are right to put you in fancy glasses.  People will
look up to you in those, particularly if they look expensive and
have a high-tech story to go with them.

--
Dicky
Albert - 10 May 2006 19:33 GMT
> On Tue, 9 May 2006 08:59:28 +0200, "Albert"
> <sandro.dalsecco@numericable.fr>
[quoted text clipped - 6 lines]
> Super
> No-Line).
Here in France opticians offer mostly Varilux from Essilor lenses. Do you
know
which model would be OK for me? Ipseo, Physio, Panamic, Comfort? By the way
what means
exactly "short corridor" design?
Thanks again
acemanvx@yahoo.com - 11 May 2006 18:37 GMT
If you can see clearly from 50cm you are -2 but I guess your cylindar
makes things a little blurry even from near so you have to get closer
than usual to reduce the blur. I was correct about your reason for
bifocals. Perhaps getting computer glasses JUST for your astigmastim
will be more convinent than using bifocals and tilting your head up
using the computer? I have a seperate pair of glasses I use for the
computer :) If my vision wasnt so bad id forgo glasses for computer
Neil Brooks - 11 May 2006 19:01 GMT
> I was correct about your reason for
> bifocals.

As I said ... it doesn't MATTER whether or not you were correct in this
case.  What matters is that you are making wild-a$$ guesses without any
formal training to back you up, and with a batting average of less than
.500 -- meaning you're wrong more often than you're right.

I know this makes you feel special ... loved ... useful ... but you
still haven't come up with a SINGLE VALID REASON why you won't simply
let people know that you are NOT A DOCTOR.

You're going to hurt somebody--somebody desperate for information that
acts on the assumption that "we're all eye doctors here," little boy,
and--with any luck--they'll seek vengeance on you.
 
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