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Medical Forum / General / Vision / November 2006

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Question about contact lens prescription

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Sultin - 24 Nov 2006 01:51 GMT
I recently got my first pair of contacts.  My doctor told me that in terms
of contact lens strength, he took my glasses prescription and just lowered
it a little bit.  He said that since the contacts are closer to the eyes,
they don't have to be as strong.

This made sense to me, but I've been wearing them for a week and I see
better with my glasses.  I can read the digital clock display on my cable
box from 15ft. just fine with my glasses, but they're a little blurry with
the contacts.

Should I get the contacts bumped up?  Or is this how contacts are normally?

Thanks.
p.clarkii@gmail.com - 24 Nov 2006 02:45 GMT
talk to your doctor about it.  possibly you might be able to slightly
increase the power of your contacts to improve your distance vision.
perhaps you have a slight bit of astigmatism that a toric lens would
help with.  your doctor has the best information.

yes-- at prescriptions that are at about -4.50D strength or higher it
is necessary to adjust contact lens power down slightly to account for
vertex distance.

when your eyeglass Rx is measured it can be measured precisely.
glasses can then be made to exactly match your needs.  however when
soft contact lenses are used the doctor must put you in the closest
available lens power because they are premanufactured to certain
parameters rather than custom made.  sometimes people notice the
difference.

==============

> I recently got my first pair of contacts.  My doctor told me that in terms
> of contact lens strength, he took my glasses prescription and just lowered
[quoted text clipped - 9 lines]
>
> Thanks.
Mike Ruskai - 26 Nov 2006 09:46 GMT
>I recently got my first pair of contacts.  My doctor told me that in terms
>of contact lens strength, he took my glasses prescription and just lowered
>it a little bit.  He said that since the contacts are closer to the eyes,
>they don't have to be as strong.

You make it sound as if he didn't do a proper examination.  I hope
that wasn't the case.  There's more to it than strength - you need to
have your cornea's curvature measured, so you know what range of base
curves you can use.

>This made sense to me, but I've been wearing them for a week and I see
>better with my glasses.  I can read the digital clock display on my cable
>box from 15ft. just fine with my glasses, but they're a little blurry with
>the contacts.
>
>Should I get the contacts bumped up?  Or is this how contacts are normally?

As someone else pointed out, astigmatism could be an issue, if your
glasses correct for it but your contacts don't.

However, if you don't have signifcant astigmatism, then you should
bump the contacts up to the next step (they're manufactured in 0.25
diopter increments).  A soft lens should have correction at least as
good as glasses (there are several optical benefits to being in
contact with the cornea, as opposed to being suspended a variable
distance away).

If you do have mild astigmatism, bumping might still help.  You can
also try aspheric lenses, which supposedly help with mild astigmatism
(i.e. less than 0.75, which is the minimum that toric contact lenses
are made to correct).
Signature

- Mike

Ignore the Python in me to send e-mail.


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