> Just got my frequency 55 soft toric trial contacts after two weeks. Again, > they are Frequency 55's, which I really hate. I wore contacts several > years ago, and it took several tries to "get it right." I'm not sure why that means you should "hate" a particular brand. F55 torics are about as stable and predictable as other brands. They also come in two shapes, and you didn't say which.
> I haven't worn them for about 4 years. I went to Eyeland and my > prescription was: > > Right Eye: -4.25 x -3.25 x 020 > Left Eye: -4.50 x -2.75 x 155
> I got those trial contacts and they were bad. The left eye felt good but > the right eye didn't seem to fit right and had frequent blurriness. It helps to deal with vision and comfort as two separate issues. I gather the right eye *felt* ok, but the vision varied.
> I wasn't happy with Eyeland so I went to America's Best about three months > later. Not necessarily a step upwards. Torics are tricky and America's Best usually caters to price shoppers.
> My prescription was: > > Right Eye: -4.00 -3.75 x 025 > Left Eye: -4.25 -3.25 x 155 Believe it or not, those two prescriptions are very similar. Notice in each case the first number goes down but the second number goes up. Those changes offset each other and if you figure the spherical equivalent (a standard measurement of overall strength) you find each eye stayed exactly the same. Also notice that the third number (axis) was identical in the left eye and only changed by 5/180 in the right.
> So, which prescription is right? You'd probably be happy with glasses made from either pair. They probably represent accurate measurements at different ends of normal diurnal variation.
> Why the change after just 3 months? As I said, it isn't a big change. And astigmatism doesn't typically change much. But readings vary by +/-025 on the same day with the same examiner, so a variance of 050 over three months is no surprise. And one meridian got 025 steeper and the other got 025 flatter; that's typical of the variation you'd see in an individual.
Probably the biggest variable is examiner instructions and the patient's own sensitivity to cylindrical blur.
Other causes for variation are dehydration eg antihistamines, exposure, climate etc., as well as hormonal skin changes, sleep, and lots of others.
But yours didn't change much.
With toric contacts ( and glasses) it's usually preferable to undercorrect astigmatism than to overcorrect it. So if you were making glasses, use the first prescription. If *your* contacts are made the same strength as your glasses, something is wrong.
NO toric will stay in place 100% of the time. If it does it's too tight. So instead of looking for the "right" contacts, try to find the least annoying of them. With your prescription, it's unreasonable to expect torics to be as sharp as glasses.
If you want perfection, you should check into gas perm contacts. Sometimes they work out better than glasses but we'd need to know more about you.
-MT, OD
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