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Eyes: Glasses & Contacts

What are some of my choices for contacts?

   Although the standard "hard lens" introduced in the 1950's are still around, technology and materials developed have made these lenses virtually obsolete. Fewer than 0.5 percent of lens wearers own them. Two types of contacts are fitted today ---- soft and rigid gas permeable, also known as RGP's. Soft contact lenses, first introduced over 20 years ago, are made from flexibility, water-absorbent plastics -- in fact, these contacts are anywhere from 30 to 80 percent water. Some soft lenses are designed to be thrown away daily, weekly, or every other week depending on your eye care professional's instructions. Others can be used for up to a year. Many people enjoy the comfort of soft contact lenses. They're easy to insert, in fit comfortably and securely. RGP lenses are made of special, firmer plastics that are suited for the passage of oxygen and other gases. These lenses are very durable and typically last longer than soft lenses. RGP lenses offer crisp vision and are often preferred by people with high degrees of astigmatism. While they make take a little longer to get used to, regular wearers find them to be comfortable and the visual acuity outstanding.

What's the difference between daily wear, and extended wear lenses?

    Daily wear contact lenses are designated to be removed each day for cleaning, and should be taken out before you sleep or nap. Extended wear lenses can be worn continuously for up to seven days before they are removed for cleaning. Extended wear lenses can also be prescribed to be removed each day for cleaning and slept in occasionally when special circumstances arise. Eye care professionals consider many variables in deciding between daily wear and extended wear lenses for each person's needs.

What are Disposable Lenses, Frequent and Planned Replacement Lenses?

   A growing number of people now wear disposable soft lenses, which can be worn for either a single day, or up to seven, depending on the wear schedule prescribed by your eye care professional. Disposable lenses are usually prescribed in multi-packs, providing several weeks supply at a time. Frequent and planned replacement lenses are lenses that are replaced on a planned schedule, most often every two weeks, monthly or quarterly.

Technology Advances in Eye Care Examinations

   The autorefractor provides the doctor with a starting point on the eyeglass prescription and a detailed analysis on the shape of the front of the eye. The glaucoma test is a machine that blows a puff of air in your eye to determine your eye's internal pressure. The test is helpful in detecting glaucoma. Dilation of the eye is a procedure that allows the doctor to temporarily open the pupil in order to view the back of the eye. This procedure is helpful in evaluating for glaucoma, macular degeneration, diabetes, retinal detachment and many other diseases. Visual Field testing is a sophisticated computerized instrument which allows the doctor to test the sensitivity of the retina and optic nerve. This is valuable in assisting the early detection of many eye diseases including glaucoma, optic neuritis, macular degeneration and some neurologic lesions.

How to prepare for an Eye Exam

   You need to do more than just make an appointment for an eye exam. You also need to gather information that will help your optometrist assess your eye health and vision, and provide you with good vision for your varied lifestyle. Write down your answers to these questions and give the information to your optometrist when you go for your exam.

What chronic health conditions, such as high blood pressure, diabetes or allergies do you or any close family members have? Your eyes can be affected by your general health. What eye health problems, like glaucoma, run in your family? What prescription and non-prescription medications are you taking? Drugs sometimes can affect your eyes and vision. How do you use your eyes are work? Make note of the tasks that you do, how long and how often you do them, the distance between your eyes and each task, and details about your work environment. Such information helps the optometrist determine the exact prescription and any special lens design needed to give you sharp, comfortable vision on the job. What are your hobbies and sports? Your optometrist can help you decide whether or not you need a special pair of glasses or eye safety equipment for your hobby or sport. What problems are you having with your eyes? Some symptoms are blurred vision, difficulty changing focus from far to near and visa versa, squinting, double vision, seeing floaters or flashes of light, headaches, difficult seeing at night or in dim light, burning or itching or tired eyes.

Baby Boomers Battling Bi-Focals

   If you are on the far side of 40, you are probably finding that reading the phone book or newspaper is suddenly a chore. Welcome to middle age, and presbyopia. Presbyopia, the farsightedness that is inevitable with aging, is caused by the gradual hardening of the lens of the eye. It becomes less able to change shape, preventing us from focusing on close objects. Most people become aware of deteriorating lose vision in their mid-40s. Many people turn to inexpensive reading glasses, but it's important to have regular eye exams. Prescription lenses and bifocals allow a close-up correction giving the best possible vision for both close and far. If you are bothered by the telltale line that marks the bifocal, you may opt for contact lenses. An increasingly popular option is called monovision. You wear a contact with a close-up correction in one eye and if necessary, a contact for distance correction in the other. Your brain gradually learns to adapt, and you see reasonably well thought out your range of vision. The close-up contact generally goes in the non-dominant eye. Most people adapt to this type of len correction in a week or 10 days even if they have never worn contacts before. Even people with astigmatism can be successful with monovision, often using rigid gas-permesble contacts instead of soft contacts for more reliable correction. While true bifocal contacts are available, most people adapt to them less successfully than to monovision Bifocal contacts are difficult to fit, and they don't work for everyone. They are very expensive and work in less that 50 percent of the people who try them.