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Question about Contacts vs. Eyeglasses **Which helps people see better. . .Contacts or Eyeglasses? Have there been any tests done to prove it? Can you publish any information that you have about Contacts vs. Eyeglasses? I don't know of any studies that have been done to show the difference between contacts vs. eyeglasses. It depends alot on the refractive error you have. One thing that has been proven is that the myopic process is slowed down some with the wearing of the rigid contact lens. Also with the wearing of contact lenses, you have better vision in that the contact lays on the cornea and you do not have to adapt to the curvature that you have to adapt to in wearing eyeglass. Question from Northville, MI, USA I have not heard of this company but this is a concern of alot of people that would like to invent something to help those who are suffering with macular degeneration. Question from Chennai, Tamil Nadu, India The contact lens doesn't ride on the cornea but there should be a thin layer of tears between your cornea and the contact lens. Every time you blink you wash fresh tears to replace that tear layer. Question from Japan It sounds more like you could have a reaction to the solutions not the contact lenses. If you changed solutions you could be having a reaction. If you have not changed solutions then I would consult my doctor. Question from RALEIGH, NC, USA I do not know of any frame vendors that have a eye size of 68 or larger. I know Revue International has a frame with a eye size of 64. The only other choice you may have is a large sunglass frame. Question from West Hartford, CT, USA Yes, Bolle or Maui Jim sunglasses lines have a model that have side shields on the frame itself not something you add. |
Question from New Hampshire When focusing changes from morning to night, this is often a result of excessive eye muscle effort. While this can occur when ones glasses prescription is incorrect, it may simply be a result of the strain from using your eyes to a great degree. Consulting your eye doctor should allow for additional information on your particular situation. It would also be wise to have the size of your pupils evaluated, although a small difference in pupil size can be present in up to 20% of the population. A comprehensive eye examination can determine whether there is any cause of asymmetric pupils in your case. Question from Texas Unfortunately, determining the exact type of surgery for a complicated retinal injury like yours can only be done after a detailed examination of the retina. While there may be benefits to both types of surgery I would recommend consulting your own surgeon or seeking an additional opinion from another experienced retinal surgeon before making a final determination. Question from New York For most people, use of glasses while using a computer is not detrimental. However, some people who are mildly nearsighted find that their near focal point is more comfortable when not using glasses. Generally the more comfortable alternative is the best one for you. Question from Wisconsin If your mother has had persistent vision problems from her injury she should have an eye examination to determine whether corrective surgery would be possible. If the injury was primarily to the cornea, there is a good chance that surgery might help her vision. However, if there was permanent retinal damage or other structural damage to the eye, it may be difficult or impossible to restore her vision successfully. Question from New York Prices for PRK surgery vary between institutions in a given area and throughout the country. The figure you quoted is not unusual and is likely to be typical for your area, but it may be that there is some variation that you could discover by comparing quotes from other institutions. Question from Connecticut The string-like objects to which you refer are likely vitreous floaters. These are clumps of material in the jelly-like fluid within the eye that cast a shadow on the retina. If they occur intermittently without other visual symptoms in the majority of cases, they are normal. This is not likely to be related to your corneal problem, which appears to be chronic surface inflammation. While the floaters are unlikely to be a cause of a serious problem, new floaters should always be checked to ensure that there is not any problem in the retina. I would recommend a comprehensive eye examination to confirm that no other eye problem is present. Question from Georgia An ocular migraine is generally manifest by a blurry spot surrounded by zig-zag or oscillating lights. This may persist for 10-45 minutes or thereabouts, and then usually resolves completely. Most ocular migraines have little or no headache thereafter. There is no universally accepted or effective treatment of ocular migraines. Infrequent episodes may not need treatment at all. More frequent bouts can be treated with many of the same medications used for regular migraines, including Imitrex and others. Please contact us if you have further questions. Question from Connecticut If your son has noticed blurred vision while reading, he ought to have another eye examination. At his age his focusing ability may be changing and his headaches may result from visual difficulties. However, some people with perfect vision do get headaches from eye muscle fatigue. The best way to determine which of these is applicable or if any other problem is present would be a comprehensive eye examination with his eye doctor. Question from Kansas Usually Celluvisc does not cause allergic reactions as it has no preservatives and the agent itself tends not to be allergenic. Furthermore allergies to eye drops usually result in redness in the eye or occasionally swelling and irritation of the eyelid rather than the symptoms you described. However, an eye examination should be able to determine whether the Celluvisc could be giving you a reaction, as individual responses can vary greatly. Question from Massachusetts The elevated intraocular pressure you described is unlikely to cause the sensation of "glowing" lights at night or the bright ring of light you have noticed. Nevertheless, because of your chronically elevated pressure it would certainly be wise to have a comprehensive examination to ensure that no other eye problems are developing. Furthermore, a second opinion can often be beneficial in cases where pressure is borderline in order to confirm the findings you have been given. Question from Minnesota Twitching of the eyelid is a common problem, which can result from fatigue, stress or eyestrain. Visual difficulties certainly are one cause and adaptation to a new prescription could possibly give you such symptoms. It would be wise to consult your doctor to determine whether the prescription is involved or whether other causes may be at fault. Question from Michigan Gentle rubbing of the eyes usually does not cause any permanent harm, although it may worsen any pre-existing itching or exacerbate mild irritation. However, rubbing the eyes while wearing contacts, either soft or hard, can cause damage to the contact or to the eye. Generally it is wise to avoid any rubbing of the eye while wearing contact lenses. Question from Texas The pain and redness you describe should certainly be evaluated by an ophthalmologist to determine its source. While sometimes the diagnosis of such a problem can be difficult, the severity of the symptoms you described certainly deserves a detailed evaluation. The only way to determine the exact cause will be with a comprehensive examination. Question from Illinois Most optical shops sell sunglasses with safety lenses that would be adequate for your needs. Often these will have polycarbonate impact resistant lenses. However, your local optician should be able to enlighten you on the specific types available and which ones might be most practical for your needs. Question from New York While it is possible that your cup-to-disc ratio of 0.75 to 0.8 is entirely normal for you, it would be wise for you to be monitored regularly for the development of glaucoma. It appears that all your tests thus far have been normal, but there is a theoretical possibility that the appearance of your disc demonstrates a potential susceptibility to glaucoma in the future. Question from Canada For most people who have had successful treatment for a retinal tear or retinal detachment, strenuous exercise is not a problem, as long as it does not involve any direct contact with or blow to the eye. Normally weight-lifting would not be a problem if there is no active retinal disease present. Question from Ohio Herpes infections of the eye generally have a very characteristic appearance. As a result, laboratory testing is often not necessary to confirm the presence of a herpes infection in the eye. However, if such testing is necessary culturing of the virus or testing for its presence by the use of a fluorescent antibody technique are both quite effective. If you have concerns about such a problem, consulting your ophthalmologist should allow you to determine whether any testing would be beneficial to you. Question from Turkey Optic neuritis is an inflammatory disease of the optic nerve, which results in loss of vision. In most patients vision returns after a period of some weeks and frequently returns to the same level that existed prior to the episode of optic neuritis. However, in some patients, permanent damage is done to the optic nerve and vision never returns to its previous level. Question from Shalimar, Florida, USA The best way to clean your AR coated lens is to wet the lenses first use warm water and soap to clean and to break up the oils and grease from your skin. Dry with a cloth. Yes there are AR solutions, Reflection Free is a very good one. They are improving the AR coating. The Crizal coating is the newest one. Question from Houston, Texas, USA Question from Ireland Try: Narcissus Foundation
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Question from Arizona Dilating drops generally do not cause any reactions, but in rare cases, symptoms like yours can occur. One component of dilating drops is similar to a medication that affects nerves elsewhere in the body. Although very little is absorbed from the eyedrop occasionally this is enough to cause your reaction. You should mention to any future eye doctors that this problem occurred. That may allow for use of a different eyedrop or avoiding the use of these drops unless it is particularly necessary. Question from California Most optical shops or medical supply houses would have access to charts for visual acuity testing. One important factor your son might want to consider is effects on quality of vision at distance and at near, ideally measured at 20 feet and at approximately 14 inches. Good luck. Question from Illinois Loss of eyelashes is usually the result of inflammation in the eyelid, which causes damage to the lash follicles. However, there are some other rarer conditions that can create the same problem. A comprehensive eye examination by an ophthalmologist should help to delineate the source and best treatment for your problem. Question from New York The twitching you are describing is referred to as blepharospasm. This is almost never a serious eye problem, but if it is new or persistent, a comprehensive eye examination can help to delineate any possible source. There is no universally effective treatment, but fatigue, eyestrain and stress may be related and it is always wise to check whether your eyesight is normal or if some assistance is helpful. Question from New Jersey Although dry eyes are a common problem, this almost always results from inadequate secretion of tears, rather than excessive re-absorption. A mucous membrane such as the conjunctiva can absorb fluid, but usually the amount absorbed is relatively small and does not diminish the quantity of tears to an insufficient level. Question from Maine Cataracts from high blood glucose or diabetes are relatively common. They can occur either in the early phase when blood sugar is dramatically elevated, or over a longer period of time, due to chronic but milder elevations of blood sugar. The first step in addressing this issue is always controlling blood glucose by whatever means the patient's physician recommends. This may help to retard the development of cataracts, but cataract surgery can be very effective, even in a patient with diabetes, should the cataract become sufficiently bothersome. Question from Indiana I believe the term to which you refer is amblyopia. This means that the nerve connections from the eye to the brain did not develop properly. There are a number of causes, but this always has its roots in childhood. If you wish to get more information a comprehensive eye examination by an ophthalmologist should be helpful. Question from the United Kingdom Asteroid hyalosis is a condition in which distinctive spots or floaters appear in the vitreous of the eye. Unfortunately, there is no medical cure for this condition. Should it not bother vision greatly, no treatment is generally recommended. However, if it were to become exceedingly severe, surgical correction could be considered. However, removal of the tissue involved is a major and sometimes risky operation. A retinal specialist can give you additional information on your particular case. Question from North Carolina Your question is a challenging and complex one. Unfortunately, in a situation such as yours, there is no surgery which is entirely predictable or without risk. If you are developing cataracts, which are currently interfering with your vision, it is likely that cataract surgery would be necessary and/or beneficial at some point. If your retinal specialist does not feel that cataract surgery poses an additional threat to the health of the retina, it may be the most definitive procedure. However, cataract surgery does involve an incision into the eye whereas Lasik does not. Generally Lasik is not thought to have any negative effects on the retina, although some surgeons have suggested that a previous scleral buckle can make the procedure more difficult and slightly more risky. However, even with successful Lasik treatment, you may eventually need cataract surgery if the cataract continues to develop. Based on what you have described, I do not think there is a single right answer, but perhaps this information will allow you to consult your ophthalmologists and help you to make a decision in conjunction with their advice. Question from North Carolina Although many people cannot see the phenomenon you describe, if it is apparent it can be quite bothersome. Unfortunately, I am not aware of any way to teach your brain to ignore this phenomenon. If you have not already had a comprehensive eye examination, that would be worthwhile to ensure that there is no other cause for the visual symptoms you report. Question from Maine Let me briefly address the questions you offered. 1. Your myopia appears to be in the median range, based on the description you offered. 2. Because Lasik involves making a corneal flap, a thin cornea is often a contraindication to that procedure. 3. Fluorometholone drops are an anti-inflammatory, which help to enhance the healing process after laser surgery. 4. A re-treatment with PRK generally works well although it is always wise to wait for the full healing process to take place, at which time it may no longer be necessary. 5. The vision difficulty your sister is having could be associated with the healing of her cornea, or with dryness. It is not likely to be fatigue alone. Please let us know if you have additional questions. Question from the United States Although the structure of the eye is exceedingly complex, a brief description is as follows. The outer layer of the eye is the strong collagen layer which protects the internal structure and allows light to enter the eye through the cornea. The middle layer is the uvea, which has a number of functions including nourishing the inner parts of the eye. The inner layer is primarily composed of the retina, which is nerve cells that detect light and send electrical impulses to the brain. Question from India Because the brain of a person who is not familiar with the visual sensation of color does not have an identifiable response, the description of a dream would not include color as we know it. However, this does not mean that the images might not have some variants in appearance, which would be analogous to the color that is familiar to those with normal eyesight. Question from the United Kingdom Because there has not been a consistently effective technique for preventing increasing myopia, I do not generally utilize such treatments in my practice, thus I am not familiar with many of these recommended therapies. However, if you are interested in looking into the possibility, I would recommend contacting your local or national ophthalmology society for recommendations on practitioners who have an interest in this area. Question from Singapore The symptoms you describe do not indicate clearly a definite source. Given that this problem occurs as a result of several different activities, I would recommend a comprehensive eye examination by an ophthalmologist to assess what the likely cause and best treatment for your problem is. Question from California A very brief pain in the eye is often caused by surface dryness and usually can be eliminated or prevented by the use of lubricating eye drops. Floaters are a different problem, which usually result from clumps of vitreous in the back of the eye casting shadows on the retina. Both of these conditions can be evaluated by your eye doctor in order to determine if any other cause is present or any treatment may be beneficial. Question from Washington If the throbbing in your eye has persisted for some time, it would be wise to have it checked by your eye doctor. Usually this is not a serious problem, but there are a number of things that could cause this symptom and it would be difficult to discern which is the likely source without the tests involved in a complete eye examination. Question from Pennsylvania The most likely source of the problem you describe is conjunctival concretions. These are calcium deposits and can occur in any individual, but certainly would be more common in someone prone to kidney stones. These are generally not dangerous but can be quite irritating. Those that are covered by the mucous membrane do not need to be removed because they do not generally cause discomfort. Please contact us if you have any further questions. Question from Georgia EKC is the abbreviation for epidemic keratoconjunctivitis. This is a very severe form of viral eye infection, which causes inflammation in the cornea as well as the conjunctiva. While it can resolve spontaneously, most people with EKC do need anti-inflammatory eye drops and many need them for extended periods of time. While long term use of eye drops should always be done carefully, if your daughter is being monitored routinely, it is unlikely that any long term side-effects will occur. Unfortunately, there is no other more immediate cure known at the present time for EKC. Question from Massachusetts A cornea transplant has a success rate greater than 90% and this should not be affected by your mother's age. Recovery from a cornea transplant is longer than from some other eye surgeries, including cataract surgery, but the immediate postoperative recovery may encompass four to eight weeks while the eye may need to be monitored closely for up to a year. Most patients use anti-inflammatory drops for an extended period of time, often six-12 months, but they may not have to be taken indefinitely depending on the individual's response. Fortunately, corneal transplant surgery has now become the most successful transplant surgery available and depending on the individual, it is very rare that a condition requiring corneal transplantation cannot be successfully treated.
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