I am an Optometrist, Ask me anything (Part 2)

[Knut]

Originally Posted by Manhattanboy

Hi there, realizing that each case is unique, wondering what the general recommendation would be for glasses for golfing for people who normally wear progressives. Assuming lenses that correct for distance only? Thank you!

Typically people will do single vision distance. But that can make reading difficult. Maui Jim has sunglasses with a hidden bifocal in it (for people with no real distance RX). You can also customize progressives to have a very low reading area in the lens.

Multifocal contacts can work too. They have astigmatism and multifocal correcting dailies and monthlies now.

Or keep the progressives and blame them for the drive you shank into the wrong fairway or the 3ft putt you miss.

[Manhattanboy]

Originally Posted by Knut

Typically people will do single vision distance. But that can make reading difficult. Maui Jim has sunglasses with a hidden bifocal in it (for people with no real distance RX). You can also customize progressives to have a very low reading area in the lens.

Multifocal contacts can work too. They have astigmatism and multifocal correcting dailies and monthlies now.

Or keep the progressives and blame them for the drive you shank into the wrong fairway or the 3ft putt you miss.

Haha thanks Doc. Agreed re distance. I have an extreme prescription at -12 and an astigmatism. Am mostly concerned with being able to see the ball properly in focus when trying to hit it.

[Wormius]

Originally Posted by Knut

Don’t go with the cheapest surgeon. I’ll dm you another option to talk to you

So what is the deal with halos and glare after any kind of vision correction? Do you actually get used to it at night when driving or does it become debilitating in that respect? I’d like to get it done, but I think the issue people always mention about lights is very concerning.

[Knut]

Originally Posted by Wormius

So what is the deal with halos and glare after any kind of vision correction? Do you actually get used to it at night when driving or does it become debilitating in that respect? I’d like to get it done, but I think the issue people always mention about lights is very concerning.

In LASIK/PRK you are taking a cornea that is curved like a dome and flattening the top of it. Which creates a zone with a big change in the curvature where the light with refract different. Depending on pupil size (bigger at night) more of the light will hit that zone.

For multi-focal Refractive Lens Exchange the implanted lens has zones of different prescriptions/focal points. The need to put both near and far vision areas into the lens. Those transition points cause the light to bend and can create a halo. Just like with LASIK/PRK a bigger pupil is a bigger problem. If you correct only the distance then you don’t get halos, but you need glasses for near work.

Now for both the technology is improving all the time and the halos are now less frequent. Also, your brain will learn to adjust over time, but it doesn’t for everyone.

The decision to do refractive surgery often becomes one of clarity vs convenience. Freedom from glasses vs good night vision.

[GomerPile]

Im 15 years post LASIK and haven't gone back to the Optometrist since. I feel like my eyes are still very good, and plan to head for a check up soon. I have a hard time(just takes some time) focusing in the distance after I am staring at my computer for say, an hour of work.

Was debating seeing if some cheap reading glasses with a small small prescription would help?

Thoughts?

[Knut]

Originally Posted by GomerPile

Im 15 years post LASIK and haven't gone back to the Optometrist since. I feel like my eyes are still very good, and plan to head for a check up soon. I have a hard time(just takes some time) focusing in the distance after I am staring at my computer for say, an hour of work.

Was debating seeing if some cheap reading glasses with a small small prescription would help?

Thoughts?

You are likely starting the slide into needing reading glasses. It’s doubtful you can find a power small enough off the shelf that with help (outside of when you need extra magnification).

Get your eyes checked as it is not just about needing glasses or not. Need to make sure your eyes are healthy.

[fotze2]

I did lasik, total convienecething, cool for a good tenner. Its starting to rear its head. I just basically dont drive at night.its dangerous. Not sure i recomend it.

[Titan2]

Originally Posted by GomerPile

Im 15 years post LASIK and haven't gone back to the Optometrist since. I feel like my eyes are still very good, and plan to head for a check up soon. I have a hard time(just takes some time) focusing in the distance after I am staring at my computer for say, an hour of work.

Was debating seeing if some cheap reading glasses with a small small prescription would help?

Thoughts?

Go see Knut. Good guy, good clinic. Easy location, free parking. No espresso or massages but oh well. Google Hesla.