> Thanks for the reply. My contacts are certainly not centered, although
> my doc things they are within tolerance (to me they look very low).
> How could this lead to foggy, yet sharp vision?
Generally the contact gives you good vision only through the portion of your
pupil that it covers. If that's 75% of the total area of your pupil, you get
a crisp image from 75% of the rays, but it's surrounded by a blurry image
contributed from the 25% bypassing the contact. This haze would come and go
as the lens moved in and out of place. It would probably be associated with
"flare", a semicircular reflection produced by the meniscus at the lens
edge.
You didn't describe variability, or flare when the lens moves, so poor
centration may not be the problem.
You haven't said whether the haze disappears _immediately_ after switching
to glasses. That's important if you're worried about edema.
Corneal edema (CE, or CCC for Central Corneal Clouding) used to be very
common with PMMA contact lenses, and it always persisted more than a minute
or two after removing contacts.
CE would likely be spotted in the slit lamp if it were present. It stands
out. But probably you weren't examined at night, after several hours of
wear. CE would increase as the day goes on and start reversing soon after
you remove lenses.
If your haze persists after switching to glasses, another possibility is a
GP footprint, a temporary impression of the lens edge pressed into the
corneal epithelium, from a lens that sticks off-center and doesn't move
enough.
So, if the haze goes away after switching to glasses, it's likely buildup or
surface contamination.
Consider using a Q-tip soaked in cleaner, spinning it gently against the
back surface of the contact once a week or two. Sometimes your cleaning
routine misses that surface if your fingers are too big, etc. Make sure your
lenses stay wet after massaging with conditioner. If it beads up, there's
oil on the lens.
-MT
Charles - 17 Jul 2006 03:43 GMT
> Generally the contact gives you good vision only through the portion
> of your pupil that it covers. If that's 75% of the total area of your
[quoted text clipped - 3 lines]
> place. It would probably be associated with "flare", a semicircular
> reflection produced by the meniscus at the lens edge.
It doesn't sound like this is my problem, although its tough to tell
for sure from these descriptions. It seems to me more like either a
dry lens surface or a "greasy" lens surface. Sometimes I get these
symptoms to an extent that they are obvious in bright daylight and they
go away instantly with drops or tearing - so I know it's something on
the surface. Maybe I always have it to some extent and only notice it
at night.
> You didn't describe variability, or flare when the lens moves, so
> poor centration may not be the problem.
I'm generally pretty aware lens movement since I can see the edges ever
so slightly. The night fogginess did not appear to be related.
> You haven't said whether the haze disappears immediately after
> switching to glasses. That's important if you're worried about edema.
I'll have to wait until fall and do some experimentation. I've been
wearing my lenses from 7AM to about 8 or 9PM and it doesn't get very
dark until almost 10PM right now.
> Corneal edema (CE, or CCC for Central Corneal Clouding) used to be
> very common with PMMA contact lenses, and it always persisted more
> than a minute or two after removing contacts.
Thanks for the info. What you are describing is a temporary thing?
I've been reading about a chronic condition unrelated (or not
necessarily related) to contacts. It sounds pretty scary to me and I
_don't_ want to have it!