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Medical Forum / General / Vision / October 2006more on the Dominant Eye
OK, when he gave me the new monovision lens, left for reading, he had me cover my right eye with this black "spoon" and read the chart. The only way I could read the chart well with my left eye, was if I closed the right eye behind the spoon. If the right eye was left open behind the spoon, the left eye could not read the line on the screen clearly. So which is the Dominant Eye? > OK, when he gave me the new monovision lens, left for reading, he had me > cover my right eye with this black "spoon" and read the chart. [quoted text clipped - 8 lines] > Message posted via MedKB.com > http://www.medkb.com/Uwe/Forums.aspx/vision/200610/1 This makes no sense to me. With both eyes open, your distance vision will be as good as whats in the better eye. If you close the worse eye, your vision shouldnt change. If you close the better eye, youll see less with the worse eye. Let me try to make it simple. Have you tried monovision in the right eye? In the left eye? Did monovision work in either eye? If not, monovision just isnt for you. Ive tried monovision in my dormant left eye, undercorrecting my nondormant right eye and I didnt like it at all. Tried reverse monovision and also didnt like it. I then tried undercorrecting both eyes and I loved it! But it doesnt matter since I dont tolerate contacts well and with glasses, I can and do take them off for reading. Hope this helps. With all due respect, I am looking for information from two types of people: doctors, and people who have been successfully wearing contact lenses for a long time. So I don't think your experience can help me. But thanks anyway. >> OK, when he gave me the new monovision lens, left for reading, he had me >> cover my right eye with this black "spoon" and read the chart. [quoted text clipped - 13 lines] >matter since I dont tolerate contacts well and with glasses, I can and >do take them off for reading. Hope this helps. > With all due respect, I am looking for information from two types of people: > doctors, and people who have been successfully wearing contact lenses for a > long time. Marcia, I was wondering. Did you try the multi-focals without monovision? I am wearing multi-focal contact lens and they work fine without monovision for both distance and reading.  SignatureCharles He gave me one multi focal and one regular distance vision. By the end of the day I was incapacitated by such nausea I returned them the next day. The nausea took hold for 2 days....I actually lost 2 pounds over it. Sorry, I can't bring myself to try them again....that's how bad it was. >> With all due respect, I am looking for information from two types of people: >> doctors, and people who have been successfully wearing contact lenses for a [quoted text clipped - 3 lines] >monovision? I am wearing multi-focal contact lens and they work fine >without monovision for both distance and reading. > He gave me one multi focal and one regular distance vision. By the end of > the day I was incapacitated by such nausea I returned them the next day. The > nausea took hold for 2 days....I actually lost 2 pounds over it. > > Sorry, I can't bring myself to try them again....that's how bad it was. You mean a multi-focal in one eye and a regular in the other? If that is so I don't get why he would do that. If that is what you mean then I suggest trying multi-focals in both eyes. I don't see why you would get nausea if both were the same type. It seems more likely you would get nausea from monovision. SignatureCharles I have had slight monovision for over 10 years. Then this last year I got a bit more serious presbyopia, so, rather than a drastic change, I was hoping we could take the same solution and just make it more so. I am guessing that is why he went with a mult-focal in one and distance in the other. The problem is, now, I have been back 7 times already. And it still is not right. I am tired of going back and frustrated. So I just want him to take this monovision (which is still not good enough to allow me to see all the font sizes I need) and just make them comfortable (one of them irritates) and just get on with my life with an imperfect solution. I have already invested again 7 visits over 1.5 months (he doesn't have a lab, so it takes a week each time; my now retired doctor had his own lab...he always sent me home with the perfect fit). I have already invested $250 (and have not yet been billed the cost of the lenses yet). I just want it to stop. >> He gave me one multi focal and one regular distance vision. By the end of >> the day I was incapacitated by such nausea I returned them the next day. The [quoted text clipped - 7 lines] >nausea if both were the same type. It seems more likely you would get >nausea from monovision. > I have had slight monovision for over 10 years. Then this last year I got a > bit more serious presbyopia, so, rather than a drastic change, I was hoping > we could take the same solution and just make it more so. > > I am guessing that is why he went with a mult-focal in one and distance in > the other. When I first started having presbyopia, did the monovision thing too. At that time there were not the soft multi-focal contact lenses there are now. But as the presbyopia got worse the monovision had to be adjusted. Then it reached the point that the monovision was no longer the solution. The difference between the two eyes gave me a eyestrain. So I went back to a regular prescription, no monovision and used readers for close vision. Then when multi-focal contacts came available I tried them. At first we did try those with a little monovision, I don't think the fitter was confident prescribing the new product, this was back when they first came out and was used to the monovision solution. It turned out though that the multi-focals worked well for both distance and reading without monovision. > The problem is, now, I have been back 7 times already. And it still is not > right. I am tired of going back and frustrated. So I just want him to take > this monovision (which is still not good enough to allow me to see all the > font sizes I need) and just make them comfortable (one of them irritates) and > just get on with my life with an imperfect solution. Maybe there is only an imperfect solution for you but it sounds to me like you are accepting an improper fitting for expediency rather than imperfect vision because that is the best possible in your case. > I have already invested again 7 visits over 1.5 months (he doesn't have a lab, > so it takes a week each time; my now retired doctor had his own lab...he > always sent me home with the perfect fit). I have already invested $250 (and > have not yet been billed the cost of the lenses yet). I just want it to > stop. It sounds like you might need to see a different fitter. The thing to do is when choosing a fitter is ask a lot of questions first. SignatureCharles No doctor in this area will talk to you over the phone if you are not a long standing patient. So you can only question the reception staff, which is useless. I asked many people I know who their eye doctor was and this guy was the only one that specialized in RPG lenses. I have worn hard then RPGs for over 30 years. With severe myopia, I didn't think soft lenses would work well for me (not as "crisp" they say, and I need crisp, as I am an editor). So that is why I choose this guy. Yes, it may be the fitter, but I don't have more $$ to invest another $250 on a new guy (and that doesn't include the lenses). So I guess I am stuck. I am having trouble adjusting to the increased monovision, yet I do not see well enough with what I have. Although, I do see better than my old lenses. But there is eye strain. I have had no work since this started, so I have no idea how much eye strain there will be when I am reading all day long. He won't scale back the reader, because apparently my reader is the "dominant eye" (not his choice, that is what my retired eye doctor gave me, and I could not adjust to switching--we tried). I guess at some point I am going to have to try to train my dominant eye to be the distance eye and the not so dominant to be the reader. But I am too tired and frustrated now. I am just trying to salvage my expenditure. It's 7 pm here and already I took the lenses out and am wearing my heinous glasses. I may even have to settle for readers over the new mono vision lenses, but boy will that make me unhappy. >> I have had slight monovision for over 10 years. Then this last year I got a >> bit more serious presbyopia, so, rather than a drastic change, I was hoping [quoted text clipped - 34 lines] >It sounds like you might need to see a different fitter. The thing to >do is when choosing a fitter is ask a lot of questions first. I am sorry to hear no solution seems to work for you. If you are going to wear readers, might as well stick to your progressive glasses and wear contacts for distance only like when you go out to watch a movie. You still have yet to try an undercorrection to both eyes and ive been suggesting this option several times. Marcia, I have done this myself so I know from experience and I love it much better than monovision. With an undercorrection in both eyes, reading is easy, comfortable and clear. Then I can use a thin pair of glasses for driving or distance. Please let me know what you think about that solution. Ace schreef: > This makes no sense to me. With both eyes open, your distance vision > will be as good as whats in the better eye. If you close the worse eye, > your vision shouldnt change. Sure it makes no sense to you. Again your answer shows the lack in knowledge in this field as it shows your not working in the eyecare field. It only shows that it would be nice if you kept your mouth shut. As always Ace, give mom and dad a kiss and go to bed, remember hands above the sheets to avoid getting more shortsighted as you are already. Jan (normally Dutch spoken)
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