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  #14  
Old 12-22-2007, 06:40 PM
Nancie via MedKB.com
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Default Re: |Prescription

Just to follow up, my daughter picked up a pair of glasses yesterday and is
charmed by the clarity they give her. From what you said here it seems that
she could have gone on as she was but what getting the glasses has proven is
that they make a big difference. The eye doctor suggested she wears them all
day for a while to get used to them and she hasn't found any problem with the
difference between the two eyes fortunately. Like you say the one eye looks
different because of the strength but it doesn't seem to bother her so all's
well and thanks again.

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Alt 12-22-2007, 06:40 PM
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  #13  
Old 12-20-2007, 07:22 AM
rsgolds2007@gmail.com
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Default Re: |Prescription

On 12月15日, 上午1时42分, "Nancie via MedKB.com" <u36039[at]uwe> wrote:
- quote -

> My 25 year old daughter has one eye that is -2.75 and one eye that is -.75..
> The eye pro says its up to her whether she gets glasses but I think the worse
> eye is quite nearsighted. I wonder what the opinion here would be on whether
> she should get them and how much she would need to wear them.
> --
> Message posted via MedKB.comhttp://www.medkb.com/Uwe/Forums.aspx/vision/200712/1


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  #12  
Old 12-19-2007, 11:52 PM
Mike Tyner
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Posts: n/a
Default Re: |Prescription


"Robert Martellaro" <robopt[at]nospam.com> wrote

- quote -

> Which eye would you correct? One could argue that correcting the left
> would
> provide the most comfort, especially if the she has been this
> anisometropic for
> numerous years. Correcting the right or both would provide binocular
> vision.
> Your thoughts?

I didn't see a reference to left or right, but I was talking about the -275
eye.

In real life I'd probably put trial lenses on both eyes and overrefract.
Then I'd check for discomfort/phoria at near and suggest a trial run for a
week or so. If there are near problems, the first thing to do is remove
the -075 lens.

- quote -

> Possibly, although how many times do we see this type of Rx fit properly?
> To be
> sure, CLs would be the preferred solution compared to spectacle lenses
> (both
> eyes corrected), eyeglasses would probably be tolerated if they are fit
> close to
> the eyes with accurate vertical OC positioning.

Tolerated, maybe, but probably not comfortable reading in down gaze.

-MT


  #11  
Old 12-19-2007, 07:30 PM
Robert Martellaro
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Default Re: |Prescription

On Fri, 14 Dec 2007 13:18:39 -0600, "Mike Tyner" <mtyner[at]mindspring.com> wrote:

- quote -

> "Nancie via MedKB.com" <u36039[at]uwe> wrote
> > My 25 year old daughter has one eye that is -2.75 and one eye that
> > is -.75.
> > The eye pro says its up to her whether she gets glasses but I think the
> > worse
> > eye is quite nearsighted.
> Sure, but what problems does she have without glasses?
> If she's opposed to wearing glasses, a "pro" would only be concerned that
> she meets legal requirements for driving, so we can assume she sees 20/40 or
> better in the good eye, or she doesn't drive. She probably doesn't drive at
> night. She probably shouldn't, without correction. Other than driving, her
> distance vision might serve her just fine. At 25 her myopia may still
> increase, but probably not, and wearing glasses won't make any difference.
> Her glasses minify, much more in the -275 eye, and glasses can feel weird
> and hard to get used to. Also, both her eyes work _better_ than normal at
> very close distances, and glasses take that away from her. It's possible she
> got a distaste for previous glasses, even if they were "exactly right."
> Contacts don't distort the optics like glasses do. Folks like her are often
> very happy wearing a single contact lens.
> -MT, OD

> Folks like her are often very happy wearing a single contact lens.

Which eye would you correct? One could argue that correcting the left would
provide the most comfort, especially if the she has been this anisometropic for
numerous years. Correcting the right or both would provide binocular vision.
Your thoughts?

- quote -

> It's possible she got a distaste for previous glasses, even if they were "exactly right."

Possibly, although how many times do we see this type of Rx fit properly? To be
sure, CLs would be the preferred solution compared to spectacle lenses (both
eyes corrected), eyeglasses would probably be tolerated if they are fit close to
the eyes with accurate vertical OC positioning.

Robert Martellaro
~~~~~~~~~~~~~~~~~~
Optician/Owner
Roberts Optical
Wauwatosa Wi.
~~~~~~~~~~~~~~~~~~
"Science is a way of trying not to fool yourself."
- Richard Feynman
  #10  
Old 12-17-2007, 10:49 PM
Neil Brooks
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Default Re: |Prescription

On Dec 15, 6:59 pm, otisbr...[at]embarqmail.com wrote:
- quote -

> Judy is both accurate and correct in this statement.
> I agree with her.

WFC?
  #9  
Old 12-17-2007, 04:44 AM
Nancie via MedKB.com
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Default Re: |Prescription

Thanks everyone. She has the prescription and I'll relay this conversation to
her and suggests she gets some glasses to see what difference they make.

--
Message posted via http://www.medkb.com

  #8  
Old 12-16-2007, 09:32 AM
Mike Ruskai
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Default Re: |Prescription

On or about Fri, 14 Dec 2007 17:42:27 GMT did "Nancie via MedKB.com"
<u36039[at]uwe> dribble thusly:

- quote -

> My 25 year old daughter has one eye that is -2.75 and one eye that is -.75.
> The eye pro says its up to her whether she gets glasses but I think the worse
> eye is quite nearsighted. I wonder what the opinion here would be on whether
> she should get them and how much she would need to wear them.

Given the difference, I'd say contacts are the best bet. As Mike
Tyner pointed out, glasses shrink images, and the one eye would look
quite a bit smaller than the other (there'd probably be around a 5%
difference in apparent size betwen the eyes, which is something her
brain would need to get used to). This effect is diminished to the
point of non-existence with contacts.

I'm not an OD (unlike Tyner), but I think two contacts, to full
correction, would be better. She is, after all, only 25, so
presbyopia (losing the ability to focus on near objects as the lens
gets old and inflexible) is 15+ years away. She may not really
appreciate what she's been living with until full sharpness of vision
is provided. She can always back the prescription up, if easier near
vision is desired (which would obviate the need for two contacts if
you go back far enough).

Overall, I can't imagine going without correction in her situation.
-2.75 in that one eye is pretty severe. That means objects start
becoming blurry a bit more than 14 inches away from that eye. A great
eye for extended periods of reading, but not so good at other times.
--
- Mike

Ignore the Python in me to send e-mail.
  #7  
Old 12-16-2007, 01:59 AM
otisbrown@embarqmail.com
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Default Re: |Prescription


Judy is both accurate and correct in this statement.

I agree with her.

Best,

Otis


On Dec 15, 12:21 pm, Dr Judy <mpac...[at]rogers.com> wrote:
- quote -

> On Dec 15, 9:01 am, "Nancie via MedKB.com" <u36039[at]uwe> wrote:
> > She went to get her eyes tested because she felt she didn't see quite so well
> > as her friends, she said like far across the room and bus numbers. So the eye
> > doctor said it was up to her and she didn't get any glasses because she
> > thought he was saying it was unnecessary. She does drive but said for most
> > things she can squint her eyes a bit which helps. Should she get another test
> > for a 2nd opinion?
> She doesn't need to waste money on a second opinion. She has a good
> first opinion which is "its up to you whether you get glasses or
> not". She can see reasonably well with both eyes open and no glasses
> and a little better with glasses. If she doesn't like squinting or
> finds the distance blurry then she can get glasses. No one is going
> to tell her that she must get glasses unless she fails the local legal
> driving requirement and even then she will simply be told that she
> must wear glasses to legally drive; whether she wears them for other
> activities is up to her.
> Dr Judy

  #6  
Old 12-15-2007, 11:20 PM
Mike Tyner
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Default Re: |Prescription


"Dan Abel" <dabel[at]sonic.net> wrote

- quote -

> I'm curious as to why you are recommending a single lens. I've worn a
> single lens, and I've worn two. Contacts are a hassle, but the
> difference between one lens and two isn't much different, maybe a few
> seconds for insertion and removal.

There's a lot we don't know, but here are some reasons:

One is that the -275/-075 rx may be 025 more than really necessary. If so,
the -075 eye actually needs -050 and -050 contacts are often not worth the
effort.

Another reason is that people with this scrip often declare "my good eye is
just fine. I don't need anything for it." So it's much easier for them to
accept the need for one lens, rather than two. Needing two contacts means
the problem seems twice as bad.

Another, probably the biggest reason - she's used to undercorrection and may
find full correction distasteful. Leaving the 075 eye uncorrected retains
some of the near advantage and makes the transition easier. Then, 15 years
from now, monovision requires no "adjustment" at all.

-MT


  #5  
Old 12-15-2007, 07:55 PM
Dan Abel
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Default Re: |Prescription

In article <xJWdncNweKI6Qf_anZ2dnUVZ_oaonZ2d[at]giganews.com> ,
"Mike Tyner" <mtyner[at]mindspring.com> wrote:


- quote -

> Contacts don't distort the optics like glasses do. Folks like her are often
> very happy wearing a single contact lens.

I'm curious as to why you are recommending a single lens. I've worn a
single lens, and I've worn two. Contacts are a hassle, but the
difference between one lens and two isn't much different, maybe a few
seconds for insertion and removal.

--
Dan Abel
Petaluma, California USA
dabel[at]sonic.net
 

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