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Medical Forum / General / Vision / December 2006difficulty reading the menu
HI, I waitress two nights a week, and have a real hard time seeing the menu when a customer points at a partcular item he wants to order. I wear strong bifocals and can see ok at a distance and if things are close enough to read normally, but my manager has noticed how hard a time I have waitressing. Can anyone give me some help in getting glasses I can see better with? This is a real problem!! Shaunna ___________________________________________ Meet me at Yahoo! http://profiles.yahoo.com/shaunna_yokem by the pic at your page it looks like you are VERY hyperopic with bifocals. are you aphakic? (did you have cataract surgery as a baby?) anyway, unless you have some organic reason you can't be corrected to "normal" vision (in the 20/20 range), getting a good refraction should do the trick. You might also want to try contacts. Make sure you have medical insurance, because you might just qualify for some refractive surgery (clear lens exchange and/or iol implant) in the future. w.stacy, o.d. > HI, > [quoted text clipped - 9 lines] > ___________________________________________ > Meet me at Yahoo! http://profiles.yahoo.com/shaunna_yokem Ys, I did have cataracts as a baby and have had glasses ever since. I can see ok, not quite 20/20, but pretty good, and have no problems reading anything but really fine print, like the phone book!! But the probelm is that in this situation things are too far away for my near lenses at the bottom of my glasses, but too close for my distance part of my glasses. Actually, this has always been a prblem, but as a waitress it is really crippling. What can I do about it?? Shaunna ___________________________________________ Meet me at Yahoo! http://profiles.yahoo.com/shaunna_yokem > by the pic at your page it looks like you are VERY hyperopic with > bifocals. are you aphakic? (did you have cataract surgery as a baby?) [quoted text clipped - 19 lines] > > ___________________________________________ > > Meet me at Yahoo! http://profiles.yahoo.com/shaunna_yokem ok then you should be able to get a decent result. 1. get a careful refraction, and ask for an "add" power that gets you 20/20 at about 17 inches. this can be in a. a regular bifocal that will give you good far and near vision, but you might have a problem between 20 inches and 60 inches out. b. a trifocal, that will give you good vision at all distances, but will have 2 lines per lens, instead of 1. c. a progressive, that will give you good vision at all distances, without lines, but you will have small areas of intermediate and near vision. d. contacts plus glasses (my favorite choice, if you can wear CLs). they will give you great distance vision, and you will only nead a weak pair of glasses for the other distances (which can be single vision readers, bifocal, trifocal or progressive "over-wear" glasses. e. get iols. careful here, and drop me a line about this if you decide to do it. they will be like contacts, except you don't have to put them in an out every day, week, month, whatever. You'll still need the d. solutions for reading, unless you opt for mono. which reminds me, do BOTH eyes correct to near 20/20 and do you have normal binocularity? the answer tho those ?s will help me in recommending a solution. w.stacy, o.d. > Ys, I did have cataracts as a baby and have had glasses ever since. I > can see ok, not quite 20/20, but pretty good, and have no problems [quoted text clipped - 32 lines] >>>___________________________________________ >>>Meet me at Yahoo! http://profiles.yahoo.com/shaunna_yokem I can't often read the menu in restaurants because of low lighting. I keep a small keychain light for that reason. It's the size of a nickel and sheds a lot of light. >ok then you should be able to get a decent result. > [quoted text clipped - 24 lines] > >w.stacy, o.d. b. My two cents. Robert Martellaro ~~~~~~~~~~~~~~~~~~ Optician/Owner Roberts Optical Wauwatosa Wi. ~~~~~~~~~~~~~~~~~~ "An expert is a person who has made all the mistakes that can be made in a very narrow field." - Niels Bohr > ok then you should be able to get a decent result. > [quoted text clipped - 24 lines] > > w.stacy, o.d. I asked my eye doc about trifocals and they cannot be made in my prescription--it's too strong. Contacts have never worked for me, so maybe IOLs are the way. I don't have 20/20 inboth eyes, or even in one eye. I am about 20/40 in my good eye, and 20/200 in my bad eye. Shaunna ___________________________________________ Meet me at Yahoo! http://profiles.yahoo.com/shaunna_yokem > I asked my eye doc about trifocals and they cannot be made in my > prescription--it's too strong. Contacts have never worked for me, so > maybe IOLs are the way. I don't have 20/20 inboth eyes, or even in one > eye. I am about 20/40 in my good eye, and 20/200 in my bad eye. I'd really be surprised if you couldn't get them in your power. Maybe his lab doesn't do them. Anyway, I think there's hope for you in the new lens implants that leave your existing crystalline lens in place. It's pretty new, and you'd want to go to the absolute best since you only have one good eye. And in the meantime, your doc can at least make a stronger bifocal, if not a trifocal, that will enable you to read a menu. w.stacy, o.d. >> I asked my eye doc about trifocals and they cannot be made in my >> prescription--it's too strong. Contacts have never worked for me, so [quoted text clipped - 3 lines] >I'd really be surprised if you couldn't get them in your power. Maybe >his lab doesn't do them. I can get a trifocal in a +14BC up to a six add. Unless the Rx is above +14.00D trifocals should be doable. It sounds like the OP is looking over the patron's shoulder to see the menu at about 30" to 35", hence the need for trifocals. >Anyway, I think there's hope for you in the new > lens implants that leave your existing crystalline lens in place. [quoted text clipped - 3 lines] > >w.stacy, o.d. Anterior phakic refractive lens (APRL)? Robert Martellaro ~~~~~~~~~~~~~~~~~~ Optician/Owner Roberts Optical Wauwatosa Wi. ~~~~~~~~~~~~~~~~~~ "An expert is a person who has made all the mistakes that can be made in a very narrow field." - Niels Bohr > > I can get a trifocal in a +14BC up to a six add. Unless the Rx is above +14.00D > trifocals should be doable. Thanks. I thought that was probably true. Another example of a practitioner denying something is made, perhaps out of ignorance, perhaps something more sinister. Very bad. > Anterior phakic refractive lens (APRL)? Actually, that was a mistake on my part. I had forgotten that she was aphakic. She would be a candidate for a pseudophakic iol, but she would need very specialized surgery because I'm pretty sure the capsule and all are gone. w.stacy, o.d. > > > > I can get a trifocal in a +14BC up to a six add. Unless the Rx is above +14.00D [quoted text clipped - 3 lines] > practitioner denying something is made, perhaps out of ignorance, > perhaps something more sinister. Very bad. My prescripition is in the +16 range, which makes getting any decent pair of glasses made. Mostly they optician tried to peddle the lenticular design-you know, those bubble lenses--which focus fine but leave almost no peripheral vision. In the past year or so I have found a place that can make the lenses 'full field', but never have I found anyone who can make these in a trifocal design. I would be delighted to do so!! > > Anterior phakic refractive lens (APRL)? > > Actually, that was a mistake on my part. I had forgotten that she was > aphakic. She would be a candidate for a pseudophakic iol, but she would > need very specialized surgery because I'm pretty sure the capsule and > all are gone. You are correct. There are really no anchoring structures for the IOL. Love, Shaunna allrighty then, I retract my comment about your doc. I checked with my lab and it does look like trifocals are not available in your powers. Your best bet remains IOL implants. Tricky on eyes like yours, so if you decided to do it, make sure you find the best surgeon in your area, or out of it if you don't mind traveling. Another choice would be contacts. I assume you've tried them, but even if you have, a contact that corrects the main error would allow you to get ordinary power bifocals for wearing over them. The third best option is to just get a stronger bifocal made, and know that your intermediate range vision (say 20 to 30 inches out) will not be so good (you will have to move closer or farther away to see clearly). Good luck. w.stacy, o.d. > > [quoted text clipped - 37 lines] > > |
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