> I look at it from a safety standpoint. I'm astigmatic and can see
> NOTHING clearly without help. My contacts correct for distance for
[quoted text clipped - 14 lines]
>
> (3) Binoculars work better if you don't wear glasses.
> Most people value both distance and close vision. Many people find that
> it is easier to wear reading glasses, and have their "no glasses" vision
> set for distance. I was given a choice, and chose distance vision (I
> have IOLs in both eyes, and the doctor can put any strength in).
> Many people find that weather conditions are better inside. One of the
> things I like best about not having glasses for distance is that I don't
> have to deal with fogged or wet glasses.
> It's mostly a personal preference thing. Whatever works best for you is
> what you should do.
> I don't believe that's true.
> you have to do is ask. You do know we respect everyone and want the
> best for them and are just trying to be helpful.
What's this "we" stuff? Do you feel like Dr. Grant respects everybody
here? How about Otis and his many detractors? You and I don't appear
to be reading the same newsgroup.
> If your toric contacts go higher, its possible to overcorrect you into
> myopia. However I guess myopia is a strange concept for a hyperope just
> like hyperopia is strange for me.
A presbyopic hyperope will appear to be myopic when trying to look at
things at a distance while forgetting to remove the lenses used for
close vision.
> If you break glasses all the time(be
> more careful!) then I guess its better to break cheapo readers than
> expensive prescription glasses. However if you have to wear reading
> glasses most of the time, might as well get progressive glasses in your
> prescription and wear contacts for distance only. Makes no sense to
> wear both glasses and contacts when glasses alone does the job.
As usual, I don't agree.
> Dan Abel wrote:
>
[quoted text clipped - 4 lines]
>
> Dont knock it till you try it. If it works, good!
I've tried just about everything, it seems.
> > Most people value both distance and close vision. Many people find that
> > it is easier to wear reading glasses, and have their "no glasses" vision
> > set for distance. I was given a choice, and chose distance vision (I
> > have IOLs in both eyes, and the doctor can put any strength in).
>
> Look up presbyopia and youll see your falacy in that.
I don't have to look it up. I've been there and done that.
> Monovision is a
> crude compromise and it still sounds crazy to me but some people swear
> by it.
My wife and I have our own version of "monovision". We only see out of
one eye.
:-(
> Multifocal contacts didnt seem to make much of a difference for
> me and my mom.
Never tried these and don't want to.
> As for IOLs, what if you ended up a bit overcorrected?
> Can they be removed and the correct ones put in(more risks incurred im
> sure) or would you just have to wear bifocals full time?
There are risks to surgery. I fully understood going into it that I
might end up wearing glasses full time. Since I had already worn very
thick glasses for 35 years, the prospect of wearing thin ones didn't
sound too bad.
> > Many people find that weather conditions are better inside. One of the
> > things I like best about not having glasses for distance is that I don't
[quoted text clipped - 5 lines]
> simulating the undercorrection with older glasses, this is the way to
> go.
Try IOLs and *THEN* let us know what you think. There is absolutely
*no* accommodation with them.
> > Another factor is that I have a zillion OTC reading glasses, in
> > different strengths. I buy them at Costco at US$18.99 for three pairs.
[quoted text clipped - 6 lines]
> to wear glasses 10% of the time. This is the case for me which is why I
> want good near vision.
I doubt that I spend more than four or five hours a day at close work
(reading and computer). With my reading glasses, I have clear vision at
almost any distance.
> > It's mostly a personal preference thing. Whatever works best for you is
> > what you should do.
[quoted text clipped - 9 lines]
> most people chose. Unless you are very active in the outdoors, you will
> be *less* dependant on glasses at -1.5 than plano!
I'd like to see that, if you have a convenient URL. My Email address is
good if you don't have a URL but can cut and paste, or attach. It's too
late for me, but many people eventually get cataracts, so this would be
good for me to know.

Signature
Dan Abel
dabel@sonic.net
Petaluma, California, USA
Ace - 31 Oct 2006 13:36 GMT
> What's this "we" stuff? Do you feel like Dr. Grant respects everybody
> here? How about Otis and his many detractors? You and I don't appear
> to be reading the same newsgroup.
Otis is a nice guy. Grant lacks manners and curses like a sailor.
> A presbyopic hyperope will appear to be myopic when trying to look at
> things at a distance while forgetting to remove the lenses used for
> close vision.
And an emmetrope will see very blurry from closer range if he forgets
his readers.
> As usual, I don't agree.
Your call. In the far future when I develop cateracts, ill be chosing
about -1.5 undercorrection. The margin of error is typically plus/minus
.5 but can be higher. The last thing I want is to end up hyperopic, if
I do, those IOLs are comming right out and getting exchanged with the
approperate power. I would rather be -3 than have *any* amount of
hyperopia because hyperopes cant see clearly and they see almost
nothing from near(IOLs have zero accomodation) while myopes are in
focus *somewhere* and dont require glasses full time(unless your highly
myopic) unlike hyperopes.
> I've tried just about everything, it seems.
except multifocal contacts ;)
> I don't have to look it up. I've been there and done that.
I also am familiar with presbyope but mine isnt as bad as yours since
im younger.
> My wife and I have our own version of "monovision". We only see out of
> one eye.
amblyopia?
> There are risks to surgery. I fully understood going into it that I
> might end up wearing glasses full time. Since I had already worn very
> thick glasses for 35 years, the prospect of wearing thin ones didn't
> sound too bad.
Cateract surgury isnt really elective. As soon as my cateracts have any
impact on vision, out they go and whatever IOLs using the latest
technology will be used. If my cateracts is unilateral, ill get that
one removed and if all goes well, have CLE in the other eye because of
a problem called anisekonia which will make glasses impossible to
tolerate without headaches and I cant tolerate contacts even now. Ill
then never have to worry about cateracts, why suffer anisekonia? One
reason I wont touch lasik is this will become wasted once I develop
cateracts, also lasik alters the cornea and makes IOL calculation
tricky because of a strange, distorted oblate cornea.
> Try IOLs and *THEN* let us know what you think. There is absolutely
> *no* accommodation with them.
Not till I begin to develop cateract(s) Ill have lost all accomodation
before that naturally due to presbyopia. In fact I have a mild degree
of presbyopia right now. I know it depends on the person, some are
happier with distance IOLs, others like me prefer to be in focus at
closer range. I guess being myopic much of my life and taking my
glasses off to read has made me realize how important near vision is.
> I doubt that I spend more than four or five hours a day at close work
> (reading and computer). With my reading glasses, I have clear vision at
> almost any distance.
I spend about 8 hours doing that. The slight undercorrection will keep
me out of readers(except maybe for really tiny print) and my distance
vision wont be bad enough to need distance glasses most of the time
either so ill be 80-90% free of any kind of glasses compared to you
being about 60-70% free of glasses. Theres a saying you can always step
closer to see something in the distance but your arms arent long enough
to read something nearby! :)
> I'd like to see that, if you have a convenient URL. My Email address is
> good if you don't have a URL but can cut and paste, or attach. It's too
> late for me, but many people eventually get cataracts, so this would be
> good for me to know.
I guess perhaps slightly more than 50% choose distance but then many of
those people had good distance vision much of their lives. If you take
a study that compares myopes, most will want to retain clear near
vision. Its different for emmetropes and hyperopes who tend to choose
distance more often.
http://www.facialwizard.yourpower2be.com/cataracteyesurgery.html
Monofocal intraocular lenses are lens that provide a clear vision at
one distance only. Majority of individuals who undergo cataract eye
surgery choose to see well far and correct their near vision with a
pair of eye glasses or contact lenses.
Another site:
Although some doctors use a multifocal or bifocal type of plastic lens
implant, most choose a plastic or silicone implant set for distance
vision. Within certain limits, it's possible to choose the type of
sight you prefer. For example, a very nearsighted person may choose to
be less nearsighted (to see at a distance without glasses)
Two quotes from the OPTHAMOLIC HYPERGUIDE
"If the patient has binocular cataracts, the decision is much easier
because the refractive status of both eyes can be changed. The most
important decision is whether the patient prefers to be myopic and read
without glasses, or near emmetropic and drive without glasses. In some
cases the surgeon and patient may choose the intermediate distance (-1
D) for the best compromise. Targeting for monovision is certainly
acceptable, provided the patient has successfully utilized monovision
in the past. Trying to produce monovision in a patient who has never
experienced this condition may cause intolerable anisometropia and
require further surgery.
Desired Postoperative Refraction
For monofocal lenses, surgeons have traditionally been aiming for
-0.5 D to avoid hyperopic surprise. Some surgeons will target for
monovision in the other eye, thereby attempting to produce a low range
of myopia in the fellow eye of -1.5 to -1.75. Our experience with
multifocal IOLs, such as the Array (Allergan, Irvine, Calif.) lens,
suggests that plano to 0.5 D may be a more desirable target refraction
for this type of IOL because there is less likelihood of unwanted
visual images postoperatively. Some Array surgeons target low myopia in
the fellow eye, such as -0.5, to produce micromonovision, thereby
providing a broader range of intermediate and near vision for the
bilateral Array patient. "
Dan Abel - 31 Oct 2006 17:49 GMT
[Ace snipped his claim, which was:
I can show you proof that when getting IOLs, -1.5 was the refraction
most people chose. Unless you are very active in the outdoors, you will
be *less* dependant on glasses at -1.5 than plano! ]
> > I'd like to see that, if you have a convenient URL. My Email address is
> > good if you don't have a URL but can cut and paste, or attach. It's too
[quoted text clipped - 13 lines]
> surgery choose to see well far and correct their near vision with a
> pair of eye glasses or contact lenses.
Although the above site does say that the majority choose distance, I'm
not impressed with the site. I try not to do spelling and grammar
flames on newsgroups, but when somebody puts up a site, especially one
where I have to look at ads, I expect them to proofread. For instance,
as a handy way to avoid all the pain and discomfort of cataract surgery,
try their advice:
* The individual who wants to undergo cataract eye surgery must arrive
* at least two hours after the scheduled surgery time.
My HMO made it easy, they just didn't tell you the scheduled surgery
time, just what time to be there.
> Another site:
>
[quoted text clipped - 29 lines]
> providing a broader range of intermediate and near vision for the
> bilateral Array patient. "

Signature
Dan Abel
dabel@sonic.net
Petaluma, California, USA