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Medical Forum / General / Vision / July 2006

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Latest after cataract surgery problem

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Roy Starrin - 11 Jul 2006 20:04 GMT
Many of you are familiar with the problems I had when an erroneously
placed LRI done to my OD incident to cataract surgery 12/12/05
produced the following kind of Rx history:
OD Before:  1-27-05      +4.00/-1.25/090  Add +2.50
OD After      1-05-06      +0.50/-3.00/100  Add +2.25
Last revision:
OD Chg.      4-25-06      +0.75/-3.00/099  Add +2.25
As previously discussed, I had Supralase 06/16/06 to correct (only)
that astigmatism.  This is the first refraction since then
OD NOW    7-11-06      +0.50/SPH          Add +2.25
A lens is now being made.  I fully expect there will be more changes,
but am certainly happy thus far.  I see this team again in September
for any revisions, but then will immediately be seen by an independent
OD for his Rx and will be fit and followed by him after that.
I would expect things to be stable by Christmas.  Does that seem
reasonable to you???
            Roy
acemanvx@yahoo.com - 11 Jul 2006 20:55 GMT
> Many of you are familiar with the problems I had when an erroneously
> placed LRI done to my OD incident to cataract surgery 12/12/05
[quoted text clipped - 13 lines]
> reasonable to you???
>              Roy

Congras! All your cylindar is gone! You are still very slightly
farsighted so your distance vision wont be quite perfect and you wont
see a thing from up close. Only 2.25 add? This would be good for seeing
at intermediate of 2 to 2.5 feet. You may need trifocals or
progressives with a 3.5 add for reading.
Mike Tyner - 11 Jul 2006 23:38 GMT
> see a thing from up close. Only 2.25 add? This would be good for seeing
> at intermediate of 2 to 2.5 feet.

Wrong.

> You may need trifocals or
> progressives with a 3.5 add for reading.

Wrong.

Thank you for playing.

-MT
serebel - 12 Jul 2006 01:56 GMT
> Congras! All your cylindar is gone! You are still very slightly
> farsighted so your distance vision wont be quite perfect and you wont
> see a thing from up close. Only 2.25 add? This would be good for seeing
> at intermediate of 2 to 2.5 feet. You may need trifocals or
> progressives with a 3.5 add for reading.

 "Congras", the retard is also a cataract expert.
Roy Starrin - 12 Jul 2006 14:30 GMT
>>  This is the first refraction since then
>> OD NOW    7-11-06      +0.50/SPH          Add +2.25

>Congrats! All your cylindar is gone! You are still very slightly
>farsighted so your distance vision wont be quite perfect and you wont
>see a thing from up close. Only 2.25 add?
>at intermediate of 2 to 2.5 feet. You may need trifocals or
>progressives with a 3.5 add for reading.
My error for not making it clearer.  These will be trifocals
His original script for OD was for a trifocal with a 2.75 add.
I asked him to change this as OS is a 2.25 add trifocal.
We will sort all this out as we go, and when both are reasonably well
stabilized, will adjust the ADDS as necessary.
I will say however, that (and physics of optics is not my bag) to me,
as the ADD strength increases, the depth of the "good vision zone"
seems to decrease, requiring I be very exact where I place my eyes in
relation to what I am trying to see.  I spend many hours at the PC,
frequently kicked back in my office chair with about 45" eye-to-screen
distance and my keyboard/mouse in my lap.  Right now I am using a pair
of old executive bifocals from my Navy days which seem to enable me to
do that.  
I am a bit afraid of progressives, believing the "good vision zone" is
too narrow.  It has been suggested to me that something similar to the
Sola Access lens could widen this zone and provide me good computer
vision.  Otherwise, I may simply have a pair of executive (full width)
computer bifocals made.
But first, gotta get the eyes stable for the primary glasses so that I
can add self-darkening, etc.
The rest---maybe next year
 Thanks again to all, for all your help/advice during this ordeal
     Roy
William Stacy - 12 Jul 2006 14:37 GMT
Sounds good, but what are the acuities in that eye now? (aided and unaided)?

w.stacy, o.d.

> Many of you are familiar with the problems I had when an erroneously
> placed LRI done to my OD incident to cataract surgery 12/12/05
[quoted text clipped - 13 lines]
> reasonable to you???
>              Roy
Roy Starrin - 12 Jul 2006 22:09 GMT
>Sounds good, but what are the acuities in that eye now? (aided and unaided)?

Define please "acuities"  I see about 20/30 in that eye now unaided; a
little better than 20/20 aided (as seen through that crazy machine
y'all use with all the dials on it) - If that is what you mean.
Without the new lens it is hard to tell. My perception is that SPH did
not change  with the surgery which was designed only to correct CYL.
I have been without a lens in my glasses for OD since the surgery.
Am doing well.  Will often watch the TV w/o glasses.
And, best of all, the earth is flat again, and I seem to have normal
depth of field.
And special thanks to you who gave me the best advice of all - get an
independent OD you have confidence in to go over your eyes - and
follow his advice.  I did; it worked.  He sent me to the most recent
surgeon who used his method to correct the mess made by his
predecessor.  As soon as the current "team" sees me again in mid-SEPT
I will take that refraction to that optometrist for his information,
but let him really do a refraction.  Then he will continue to follow
and prescribe for my new eyes.
 
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