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Medical Forum / General / Vision / July 2007

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Monovision

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harnfam@iol.ie - 14 Jul 2007 12:16 GMT
Am interested in laser eye surgery and monovision has been suggested.
Am -4.00 in left eye and - 4.75 in right. Would like to try contacts
first to see if monovision suitable. What prescription would be right
for me?
Mike Tyner - 14 Jul 2007 14:58 GMT
> Am interested in laser eye surgery and monovision has been suggested.
> Am -4.00 in left eye and - 4.75 in right. Would like to try contacts
> first to see if monovision suitable. What prescription would be right
> for me?

Slainte!

I want to try on some new sandals. What size would be right for me?

-375 in both eyes.

Assuming a bunch of other stuff.

-MT OD
Edwardo Alphonse Elric - 14 Jul 2007 15:46 GMT
> <harn...@iol.ie> wrote
>
[quoted text clipped - 12 lines]
>
> -MT OD

Mike, I think that by 'prescription' this man was not referring to an
Rx, but rather a general solution. The sarcasm was quite unnecessary.
otisbrown@pa.net - 14 Jul 2007 17:04 GMT
Re:  Honest question about mono-vision.  How it should be used.

TynerOD> I want to try on some new sandals. What size would be right
for me?

Otis>  Why not try to answer the person's questions, rather than
insulting him.  You want respect?  Then show others
respect.

Otis

> <harn...@iol.ie> wrote
>
[quoted text clipped - 12 lines]
>
> -MT OD
Neil Brooks - 14 Jul 2007 17:42 GMT
>Re:  Honest question about mono-vision.  How it should be used.
>
[quoted text clipped - 4 lines]
>insulting him.  You want respect?  Then show others
>respect.

You've demonstrated the worst KIND of respect around here ... for
years.  

- You PREACH, but never discuss

- You lie on a nearly constant basis

- You question, but will never answer

- You are a human fountain of logical fallacies

- You misquote people, and attribute quotes to them that WERE NOT
theirs

- You mis-interpret studies, and then lie about them, despite having
clear explanations provided to you time and again

- You OMIT significant facts (lies of omission)

- You hurt people with your ill-informed advice

How is it that you feel justified in talking with another here about
"respect?"
Kakuzu - 14 Jul 2007 18:01 GMT
> On Sat, 14 Jul 2007 09:04:40 -0700, "otisbr...@pa.net"
>
[quoted text clipped - 31 lines]
> How is it that you feel justified in talking with another here about
> "respect?"

Who are you to lecture him about respect?

You know nothing of the word, you snobbish brat.

Go play with Otis privately, please.
Ms.Brainy - 14 Jul 2007 18:17 GMT
> Who are you to lecture him about respect?
>
> You know nothing of the word, you snobbish brat.
>
> Go play with Otis privately, please.

YOU go play with your multiple imaginary personalities in private,
please.

You have already concluded that talking to the people on s.m.v. is
useless and futile, so what are you still doing here?  Go play with
your own.

You have already realized that neither Neil nor you (or any of your
ever-growing identities) is appointed to be in charge of this NG, so
please apply this realization to yourself before you preach it to
others.
Kakuzu - 14 Jul 2007 18:53 GMT
> > Who are you to lecture him about respect?
>
[quoted text clipped - 13 lines]
> please apply this realization to yourself before you preach it to
> others.

I am always greatly entertained to read your posts, Brainy -- the
number of idiotic hypocrisies contained within them is truly amusing.

Was it not you, who so very recently made this statement?

"I have no intention to respond further to his crap.  I did not come
here to wrestle with big pigs.  My time is too valuable."

Poor memory? Poor Brainy.
Ms.Brainy - 14 Jul 2007 18:59 GMT
> > > Who are you to lecture him about respect?
>
[quoted text clipped - 25 lines]
>
> - Show quoted text -

This was written to Quasimodo.  Are you Quasimodo today?
Kakuzu - 14 Jul 2007 19:08 GMT
> > > > Who are you to lecture him about respect?
>
[quoted text clipped - 27 lines]
>
> This was written to Quasimodo.  Are you Quasimodo today?

I'd love to play with you, Brainy.

But, umm, I'm sure your time is far too valuable.
Kakuzu - 14 Jul 2007 19:10 GMT
> > > > Who are you to lecture him about respect?
>
[quoted text clipped - 27 lines]
>
> This was written to Quasimodo.  Are you Quasimodo today?

I'd love to toy with you, Brainy.

But, umm... I'm sure your time is far too valuable...
Dr Judy - 15 Jul 2007 05:13 GMT
On Jul 14, 12:04 pm, "otisbr...@pa.net" <otisbr...@pa.net> wrote:
> Re:  Honest question about mono-vision.  How it should be used.
>
> Otis>  Why not try to answer the person's questions, rather than
> insulting him.  You want respect?  Then show others
> respect.

Perhaps you didn't notice, Mike did answer the question: he said -3.75
both eyes.

Dr Judy
Neil Brooks - 15 Jul 2007 05:25 GMT
>On Jul 14, 12:04 pm, "otisbr...@pa.net" <otisbr...@pa.net> wrote:
>> Re:  Honest question about mono-vision.  How it should be used.
[quoted text clipped - 5 lines]
>Perhaps you didn't notice, Mike did answer the question: he said -3.75
>both eyes.

I don't think he notices much.  

High-dose Thorazine tends to do that.
otisbrown@pa.net - 15 Jul 2007 13:18 GMT
Let us see:

It takes a -4.75 diopter, and a -4.00 diopter lens to
give 20/20 in both eyes.

So a -3.75 diopter lens will produce a -1/4 diopter
under-prescription in one eye (about 20/40) and
a -1 diopter under-prescription in the other eye, (about 20/70).

Yes, that is one possibility, provided that the person understands
that he MIGHT not be able to pass the DMV level test.
That is the part of the evaluation that was ommited.

There is clearly a second-opinion on this subject
of mono-vision.

Otis

> On Jul 14, 12:04 pm, "otisbr...@pa.net" <otisbr...@pa.net> wrote:
>
[quoted text clipped - 8 lines]
>
> Dr Judy
Mike Tyner - 15 Jul 2007 13:51 GMT
> Let us see:
>
> It takes a -4.75 diopter, and a -4.00 diopter lens to
> give 20/20 in both eyes.

Let's assume that's a spectacle prescription. He or she has never worn
contacts.

> So a -3.75 diopter lens will produce a -1/4 diopter
> under-prescription in one eye (about 20/40) and

First, 0.25 undercorrection will NOT produce 20/40. You should know that.
Second, a -400 contact is almost a quarter diopter too STRONG when the
spectacle prescription is -400. Third, people of this age are more likely to
get LESS nearsighted with time. Fourth, monovision prescriptions are often
written to favor indoor conditions. Fifth, corrected vision after LASIK is
seldom as sharp as corrected vision before LASIK.

Five reasons why my first-guess prescription would be -375 instead of -400.

Now, in my office I wouldn't do this without holding up a trial lens of -025
to see if -400 made distance vision better. If you are still following me,
you can see why there's less than a 50/50 chance that it would help.

> Yes, that is one possibility, provided that the person understands
> that he MIGHT not be able to pass the DMV level test.
> That is the part of the evaluation that was ommited.

The entire "evaluation" was omitted, Horatio.

> There is clearly a second-opinion on this subject
> of mono-vision.

And we're all entitled to your opinion, unsupported as it is by experience
or training.

-MT, OD
DarkProtoman - 18 Jul 2007 01:47 GMT
> <otisbr...@pa.net> wrote
>
[quoted text clipped - 35 lines]
>
> -MT, OD

What's "monovision"? Don't you mean "single vision --distance"?
otisbrown@pa.net - 14 Jul 2007 15:08 GMT
Subject:  Dense remarks about mono-vision.

You are norally prescribed for "Best Visual Acuity",

The -4 and -4.75 will give you 20/20 in both eyes.

But with presbyopia (with age) you will lose some
near vision.

The intention of monovision is to give you near vision
in one eye, with the other with 20/20.

One way would be to continue with the -4 diopter,
and get a -3.75 diopter for the other eye.

This would give you approximately 20/70 in that
eye, but with both eyes open, perhaps 20/20,
because the brain selects over-lays the two
images, and selects the sharper.

Thus you might request that one eye be "reduced"
in power by about 1 diopter.

This should give you reasonable near vision (with
the -1 diopter under-prescription, and excellent
vision with both eyes open.

And you are correct to "test" the concept
in this manner.  Some people like it -- others
can not stand it.

As always, you can expect that I will be
"attacked", because of this review.
Notice, they just gave you no meaningful
discussion AT ALL.

Maybe they will "wake up" now and give you
a more complete review.

Enjoy,

Otis

On Jul 14, 7:16 am, harn...@iol.ie wrote:
> Am interested in laser eye surgery and monovision has been suggested.
> Am -4.00 in left eye and - 4.75 in right. Would like to try contacts
> first to see if monovision suitable. What prescription would be right
> for me?
Neil Brooks - 14 Jul 2007 15:59 GMT
>Subject:  Dense remarks about mono-vision.

Finally, you included a disclaimer before you spewed out your usual
garbage!

Since you seem to be in the mood to answer questions, Uncle Otie, how
about answering these:

 www.nbeener.com/NDB_OSB_Qs.txt

To the original poster: Otis is dangerous, ill-informed, dishonest,
and ANYTHING BUT an eye care professional.

He has HARMED numerous people by his advice on the internet.  It's
best simply to ignore him.

You can get some good information about monovision, conceptually,
here:

http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1809906

Good luck.

Neil
Shahbaz - 18 Jul 2007 12:19 GMT
Hi, Heretic, Thanks for your input, and the excellent information. I
apologize I don't have as much time to spend right now, as I'd like. I
appreciate your e ...

paul baxt
http://www.paul-baxt.com/
Glenn - USAEyes.org - 14 Jul 2007 17:13 GMT
What amount of myopia (nearsighted, shortsighted) vision in the
undercorrected eye is best for monovision will depend greatly on your
personal desire. Your eye doctor will probably start with about a 1.50
diopter undercorrection and then adjust up or down per your
preference.

After you have tried monovision contacts for several weeks you will
know if monovision works for you - it does not for everyone - and then
you can consider monovision Lasik or whatever surgery your doctor
recommends.

You may want to read our article about monovision at:
http://www.usaeyes.org/lasik/faq/lasik-monovision.htm

Glenn Hagele
Executive Director
USAEyes (TM)
Patient Advocacy Surgeon Certification

"Consider and Choose With Confidence" (TM)

Email to glenn dot hagele at usaeyes dot org

http://www.USAEyes.org

Lasik Bulletin Board
http://www.USAEyes.org/Ask-Lasik-Expert/

I am not a doctor.

Copyright 2007
All Rights Reserved
DarkProtoman - 18 Jul 2007 23:18 GMT
On Jul 14, 9:13 am, Glenn - USAEyes.org
<glenn.hageleSTOPS...@USAEyes.org> wrote:
> What amount of myopia (nearsighted, shortsighted) vision in the
> undercorrected eye is best for monovision will depend greatly on your
[quoted text clipped - 26 lines]
> Copyright 2007
> All Rights Reserved

What's monovision? Couldn't you just use multifocal contacts or
progressive eyeglasses? Besides, eyeglasses can really accent your
face if you get the right frames. And you can get Transitions coating
on eyeglasses so you won't need an extra pair of sunglasses. And you
should get the Crizal anti-scratch and anti-reflective coating.

Tell me, am I a more reliable source of info than Otis Brown?
Glenn - USAEyes.org - 18 Jul 2007 23:34 GMT
A detailed article about monovision is at:

http://www.usaeyes.org/lasik/faq/lasik-monovision.htm

Glenn Hagele
Executive Director
USAEyes (TM)
Patient Advocacy Surgeon Certification

"Consider and Choose With Confidence" (TM)

Email to glenn dot hagele at usaeyes dot org

http://www.USAEyes.org

Lasik Bulletin Board
http://www.USAEyes.org/Ask-Lasik-Expert/

I am not a doctor.

Copyright 2007
All Rights Reserved
Fred - 14 Jul 2007 20:13 GMT
>Am interested in laser eye surgery and monovision has been suggested.
>Am -4.00 in left eye and - 4.75 in right. Would like to try contacts
>first to see if monovision suitable. What prescription would be right
>for me?

I wear contacts and my prescription for distance vision is -5.5/-4.5
(L/R).  i was initially aginst the monovision idea as I wanted to have
both eyes in good focus at a distance.   I tried -4.5 in both eyes as
sugggested by an eye doctor friend but I found the left eye was just a
little too undercorrected and I could always notice the left eye being
blurry at a distance even though the right eye was sharp.  My brain
was not totally ignoring the left image at a distance, probably
because it was too different from the right.  I had some other lenses
that were -4.75 and tried one of those in my left eye and it seemed to
work better for me.  With distance vision, it seems like both eyes are
sharp although if I close my right eye I can see the left is out of
focus.  But with both eyes open it LOOKS like everything is in good
focus as a distance.  And when I look up close, like reading, again it
seems like everything is in good focus unless I close my left eye,
then I notice the right eye is out of focus..  So I think the key to
successful monovision is finding the prescription for the non-dominant
eye that works at reading distance but is not TOO far out of focus at
a distance that you notice it,   The brain seems to select which ever
eye is the sharpest/most comfortable, and at a typical computer screen
distance this can shift from one eye to the other without me noticing
as I move slightly closer or farther away from the screen.  Apparently
the prescription needs to be fairly precisely chosen but once you get
it right it can be very convenient.  I still keep some -5.5 lenses for
days when l be driving, etc where I want to optimize my distance
vision.
 
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