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Medical Forum / General / Vision / September 2006Macrolens
DrG (or anyone besides Ace): I went to my new eye doc today for my annual checkup, and to get a second opinion on my RGP fit. I mentioned Macrolens, and he said he had fit them quite a bit a few years ago, but nobody could really wear them for more than four hours or so due to lack of sufficient tears and oxygen under the large lens. People really liked the vision but just couldn't wear them all day. Was this your experience, and has something changed within the last few years to improve this? When I asked before, you didn't really indicate any downside. -- > DrG (or anyone besides Ace): > [quoted text clipped - 10 lines] > > -- No. That has not been my experience. As with any contact lens, YMMV. I agree that tear circulation under the lens can be an issue, as it can be with any lens. My assistant wears Macrolenses, and my wife also wears them when she chooses to wear contact lenses. Most of the Macrolenses I fit are for special cases, i.e. post-LASIK, keratoconus, post-corneal transplant, etc. DrG > Most of the Macrolenses I fit are for special cases, i.e. post-LASIK, > keratoconus, post-corneal transplant, etc. > > DrG Why is that? There must be _some_ downside you are avoiding by defaulting to the small RGPs. Comfort, cost, quality of vision ... something. Do your wife and assistant wear them simply because they like them, or because they are special cases? Thanks. -- > Why is that? There must be _some_ downside you are avoiding by > defaulting to the small RGPs. Comfort, cost, quality of vision ... > something. Do your wife and assistant wear them simply because they > like them, or because they are special cases? My wife wore corneal RGP lenses for much of her life. Her eyes became dry, red, etc. She also has astigmatism. Toric softs didn't work for her. Macrolenses did. My assistant had LASIK in 1998. Now she sees one image instead of multiple images. She has to remove the lenses during the day to rinse them, but it's worth it to her. There are many nuances to fitting contact lenses that come only from many years of experience and cannot be explained in one paragraph. Macrolenses can be complex to fit. I am one of those who leans towards disposable soft lenses for simple prescriptions. In some situations, Macrolenses are a problem solver. For specialty fits, I can charge enough of a fee to cover the increased chair time and costs associated with fitting the Macrolens. My advice is to go to the C&H Contacts website and find a fitter in your area who will trial fit you. Unfortunately, you may have to shell out some bucks to try them. DrG |
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