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Medical Forum / General / Vision / September 2006

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New 1.74 index lenses - bad "fishbowling"

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NotShorty - 07 Sep 2006 06:33 GMT
Everyone here seems very knowledgeable. I'm glad I found this group!

I just got some new 1.74 index + ALIZE lenses fitted into my ~5 year
old frames (formerly with polycarbs of unknown Rx).

New lenses:
OD -7.00, CYL -1.25
OS -7.00, CYL -0.75

So, as my subject implies - I am having distortion/eye strain problems.
I see very well at arm's length, but essentially everything else,
especially movement, causes strain and occasionally some minor nausea.

Worst of all, I am dissatisfied that I just spent a good deal of money,
and I am having severe enough problems that I'm seriously considering
having them put the old ones back in. I mean, there was nothing wrong
with my old lenses, I mostly just upgraded for aesthetic reasons. Well,
I was wearing my glasses more often because my contacts were giving me
problems with accommodative excess, (I'm a medical student) so I
figured I might as well look good.

What do you think? Would adjustments fix this, or was this an unwise
purchase?

Thanks,
NS
Mark A - 07 Sep 2006 07:04 GMT
> Everyone here seems very knowledgeable. I'm glad I found this group!
>
[quoted text clipped - 22 lines]
> Thanks,
> NS

The higher the lens index, the lower the optical quality of the lens (except
for polycarb which has the worst optics of any commonly prescribed lens).
You may want to consider a 1.67 lens instead of 1.74 to improve the optical
quality, and your lens will still be thinner and lighter than your old ones
(polycarb is 1.59 index).

With a 1.74 lens, you most likely have an aspheric design, which means that
the fitting is extremely important to good vision. An aspheric lens must be
placed in the proper position in the frame so that it is optically centered
when the frame is on your face. Try moving your frame around on your face to
see if that improves your vision at all (and move it closer and further from
your face). Poor fittings are a not unusual, and a common reason for lens
remake. In any event, I would go back to the optical shop and ask to speak
to the most experienced optician (or OD if that is where you purchased your
glasses).

You may also need an adjustment to your Rx, so I would talk to your OD about
your problems. You should out what your old Rx is, and if it significantly
different you should discuss with your OD. If you don't have your old Rx,
ask any optician to measure the lens power from your old lenses.
CatmanX - 07 Sep 2006 08:58 GMT
Firstly, this is quite normal with your script. It will take a few
days, but you should adapt to the glasses quite happily.

Second, make sure you have the frames adjusted properly. The angle of
tilt and the heights of lenses arfe critical with this script.

dr grant
NotShorty - 08 Sep 2006 23:14 GMT
Hi, thanks for the great feedback! I've have gotten slighly more
tolerant of the glasses, but I discovered somthing else interesting
that I'd appreciate advice on...

My Frequency 55 Toric contacts are half a diopter more negative in the
right as compared to the left:

contact lenses
OD: -6.50
OS: -6.00

Problematic 1.74 eyeglass lenses:
OD: -7.00
OS: -7.00

Now yes, I know contacts are closer to your retinas, so you need less
power... but if right eye and left eye have unequal focal lengths, I
should expect that the lenses in my glasses would also be unequal,
right?

So expected for glasses:
OD: roughly -7.25 or so
OS: -7.00

(or)

OD: -7.00
OS: roughly -6.75 or so

I scheduled for re-diagnoses for contacts and glasses for next week.
Educated opinions are greatly appreciated, as I would like to be
involved in getting the best solution for my vision needs.

NS
Mark A - 09 Sep 2006 00:24 GMT
> I scheduled for re-diagnoses for contacts and glasses for next week.
> Educated opinions are greatly appreciated, as I would like to be
> involved in getting the best solution for my vision needs.
>
> NS

If you are going to get a remake because they change your Rx, I would
seriously consider 1.67 or 1.71 index instead of 1.74 to improve the optical
quality of the lens.
 
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