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Medical Forum / General / Vision / July 2007

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Help needed about Torics!

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emanhwang@gmail.com - 05 Jul 2007 05:29 GMT
Hello all,

I am currently on a trial basis with Proclear Torics. I have been
wearing them for under two weeks now. The first day I got them they
seemed wonderful. Comfort was great then and now. However, from the
third day I noticed my vision got worse. Here are some of the
problems:

- short periods of major blurriness
- objects at long distance appear hazy
- double-vision type effect, particularly with anything lighted at
night
- lights have halos around them at night

Here is my prescription by the way:

OD  -2.75  -0.75  x15

OS  -3.75  -1.25  x170

The Proclear Torics I am trial-ing have a BC 8.8 and DIA 14.4

I am tempted to try regular, spherical lenses for a change to see if I
can leave my astigmatism uncorrected. Do you recommend this course of
action? And if so, what brand of regular contact lenses would you
advise me to try given the information above?

I want to give Acuvue a shot, but they have so many different product
lines like Acuvue 2, Advance, Oasys, etc.

Please help! Any information is greatly appreciated, particularly
those who are qualified to give advice. Thanks.
Dr Judy - 05 Jul 2007 18:03 GMT
On Jul 5, 12:29 am, emanhw...@gmail.com wrote:
> Hello all,
>
[quoted text clipped - 28 lines]
> Please help! Any information is greatly appreciated, particularly
> those who are qualified to give advice. Thanks.

When are you booked to see your fitter again?  The lenses need to be
assessed on the eye to determine what is wrong -- rotation? coating?
dry eye? solution sensitivity?

Again, once your fitter determines what the problem is, he/she will be
able to advise on a therapy whether it be a change in fitting, change
in lens brand, change in care.

Dr Judy
fenster - 05 Jul 2007 19:53 GMT
> On Jul 5, 12:29 am, emanhw...@gmail.com wrote:
>
[quoted text clipped - 42 lines]
>
> - Show quoted text -

I had my refitting just today. My doctor told me it was a matter of
compromise and that every toric will give me some sort of problem. I'm
already very aware that he is the only one who can give me the best
diagnosis, but I wanted a second opinion. That's why I am on here.

Anyway, I am seeing about 20/15 with the Proclear Torics but I think
my blurriness is coming from rotational problems. My doc gave me a
pair of Frequency 55 Aspherics to try over the weekend. I must say
already that I have trouble seeing letters at long distance. Long
distance equates to anything past 15 feet. Comfort-wise it is fine,
but I am most worried about my vision clarity.

I am ready to give up on my doctor and simply diagnose myself. I am
going to buy a couple of boxes on 1800contacts from what I have
learned so far. The fitting sessions simply are not working and after
2 1/2 weeks my patience is running out.

I will be prescribing myself Acuvue as they come in the closest BC and
DIA to what I have so far.

The adjusted prescription to compensate for my astigmatism will be:

OD  -3.00    BC 8.8  DIA 14.4
OS  -4.25    BC 8.8  DIA 14.4

I simply took half the CYL and added that to the Sphere. See? I can be
an eye doctor already!
Mike Tyner - 05 Jul 2007 20:34 GMT
> I am ready to give up on my doctor and simply diagnose myself. I am
> going to buy a couple of boxes on 1800contacts from what I have
> learned so far. The fitting sessions simply are not working and after
> 2 1/2 weeks my patience is running out.

You've tried two different fits and neither was satisfactory. Good toric
fits often require significantly more.

> I simply took half the CYL and added that to the Sphere. See? I can be
> an eye doctor already!

Then you'd know that spectacle Rxs over -400 are usually too strong for
contacts, and you'd know that the Acuvue 8.8 is uncomfortable on a lot of
people. If the problem were mine I'd be recommending Oasys -300 and -400,
and warning you to insist on comfort and return if that fit isn't
comfortable.

-MT
fenster - 05 Jul 2007 21:08 GMT
> > I am ready to give up on my doctor and simply diagnose myself. I am
> > going to buy a couple of boxes on 1800contacts from what I have
[quoted text clipped - 14 lines]
>
> -MT

Thanks Mike, finally some good recommendations I can let my doctor
know about. Would the Oasys fit though? They have only a DIA of 14.0
Mike Tyner - 05 Jul 2007 21:29 GMT
> Thanks Mike, finally some good recommendations I can let my doctor
> know about. Would the Oasys fit though? They have only a DIA of 14.0

Diameter isn't very important in fitting.

Oasys only comes in one shape/size.

-MT
fenster - 06 Jul 2007 02:42 GMT
> > Thanks Mike, finally some good recommendations I can let my doctor
> > know about. Would the Oasys fit though? They have only a DIA of 14.0
[quoted text clipped - 4 lines]
>
> -MT

It seems that BC is one of the important factors in the fitting
process, moreso than DIA. I don't think the Oasys would fit my eye,
considering the comfort I have in my 8.8/14.4 Proclear Torics are
actually pretty good. Plus the steepness of it would not pair well
with my astigmatism, theoretically.

Regardless of all that talk, I think I will be crawling back to
torics. My doctor just gave me a trial of Frequency 55 Aspherics and
they are blurry as heck when viewing things long distance and on a
computer screen.

I can only assume this means I really do need toric lenses. Perhaps my
doc can modify the prescription on my Proclears, or let me try a
different altogether. I like what I've read about B&L's Purevision
Torics. They have a smaller DIA of 14.0 which would fit tighter on my
eye, theoretically making toric rotational problems less prevalent. BC
is an 8.7, which is close to my Proclears.

Anyway, I will let my doctor be the final judge on things. It just
aggravates me that he carries primarily Coopervision products and not
much else.
p.clarkii@gmail.com - 06 Jul 2007 05:20 GMT
> > > Thanks Mike, finally some good recommendations I can let my doctor
> > > know about. Would the Oasys fit though? They have only a DIA of 14.0
[quoted text clipped - 26 lines]
> aggravates me that he carries primarily Coopervision products and not
> much else.

some observations-- the other docs have given you good advise so i'll
just make a few points.

1.  don't be so fixated on the importance of base curve and diameter.
they are not that critical to the success of soft disposable CL
fitting.  your eye doc may choose a steeper or flatter base curve
based upon the tightness of the trial lens fit at your follow-up visit
but you are trying to be overly analytical about those parameters.

2.  you have also noted that your distance vision is not very clear in
non-toric lenses.  that is enough for me to suggest that you eliminate
consideration of spherical (non-toric) lenses regardless of the brand
or base curve or whatever.

3.  coopervision makes quite good products-- especially torics.  there
is nothing wrong with their products.

4.  it takes some time to get a good toric fit.  you need to try
different lenses, then have the doc evaluate their rotational
stability on your eye.  you should compare them to different brands.
don't get impatient and just jump on something because then you could
be stuck with it as your final prescription for a full year even
though it is suboptimal just because you were impatient when you were
being fitted at the start.

5.  you cannot just call up 1800contacts and tell them whatever
contact you want.  they need to see a valid doctors prescription
before they can sell you lenses.  they used to just sell patients
whatever they asked for without checking with the eye doctors (in
blatant violation of state laws) but after strong legal pressure and
the passage of new federal laws, they are required to get a doctors
prescription and cannot substitute any other brand.
Dr Judy - 06 Jul 2007 02:39 GMT
> Anyway, I am seeing about 20/15 with the Proclear Torics but I think
> my blurriness is coming from rotational problems. My doc gave me a
> pair of Frequency 55 Aspherics to try over the weekend. I must say
> already that I have trouble seeing letters at long distance. Long
> distance equates to anything past 15 feet. Comfort-wise it is fine,
> but I am most worried about my vision clarity.

The aspheric is not a toric, so you won't see as well

> I am ready to give up on my doctor and simply diagnose myself. I am
> going to buy a couple of boxes on 1800contacts from what I have
> learned so far. The fitting sessions simply are not working and after
> 2 1/2 weeks my patience is running out.

It can take several tries to get a toric to work.  You have only tried
one.
You can't order on 1800 without a prescription.

> I will be prescribing myself Acuvue as they come in the closest BC and
> DIA to what I have so far.

One brand's fitting with the same BC and diam is not equivalent to
another.

> The adjusted prescription to compensate for my astigmatism will be:
>
> OD  -3.00    BC 8.8  DIA 14.4
> OS  -4.25    BC 8.8  DIA 14.4

Vision with this will be slightly worse than with Freq aspheric.

Dr Judy
fenster - 06 Jul 2007 02:48 GMT
> > Anyway, I am seeing about 20/15 with the Proclear Torics but I think
> > my blurriness is coming from rotational problems. My doc gave me a
[quoted text clipped - 28 lines]
>
> Dr Judy

Thanks for your input. I won't be buying my contacts on 1800contacts
after all because the cost is just too much for me to trial and error.
Regardless, I still think people order without a valid prescription.
Yes, illegal but I assume the practice is quite widespread.

In your opinion, do all the contact lens manufacturers have solid
reputations for quality? I am talking about J&J, Bausch & Lomb,
Coopervision, and CIBA. To be more specific, are one company's lenses
inferior in quality to another manufacturer's?
Mike Ruskai - 07 Jul 2007 09:03 GMT
>I want to give Acuvue a shot, but they have so many different product
>lines like Acuvue 2, Advance, Oasys, etc.

Oasys and Advance are very comfortable, but Oasys comes only in BC
8.4, which may or may not be too tight for you.

There's also Advance for Astigmatism, which apparently works a bit
differently than typical toric lenses.  They may be worth trying.
Signature

- Mike

Ignore the Python in me to send e-mail.

 
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