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Old 05.08.2012, 13:26
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Re: The joys of presbyopia...

My mom swear the operation isn't squeamish. Your eyes are open but you can't see anything since it is so close with the laser. I had the test to see if I could be a potential candidate for the surgery but sadly no.... I have like you presbyopia, astigmatism and myopia. But none of them are enough high numbers to make me a candidate. So I am stuck with glasses that I don't wear and can't find lens that fit my eyes.

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Old 05.08.2012, 13:30
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Re: The joys of presbyopia...

what about using daily contact lenses in combination with reading glasses? you can then change the contacts without huge cost.
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Old 05.08.2012, 13:52
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Re: The joys of presbyopia...

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what about using daily contact lenses in combination with reading glasses? you can then change the contacts without huge cost.
or just take 1 of the contacts out in the evening when the eyes are tired, which is what I did for 8 years before lasik.
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Old 05.08.2012, 13:57
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Re: The joys of presbyopia...

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My mom swear the operation isn't squeamish. Your eyes are open but you can't see anything since it is so close with the laser. I had the test to see if I could be a potential candidate for the surgery but sadly no.... I have like you presbyopia, astigmatism and myopia. But none of them are enough high numbers to make me a candidate. So I am stuck with glasses that I don't wear and can't find lens that fit my eyes.

Without doubt the operation is one of the most alarming things that has ever happened to me in 50 years!
You see flashing lights, it goes black more flashing lights, the smell of burning flesh goes dark & is over. It does not hurt & takes under 3 minutes per eye, the laser is about 8 seconds per dioptre of correction on the best machines.
Many people faint before the operation, you have to be awake for it to be done. I felt sick for 10 minutes after!
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Old 05.08.2012, 14:04
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Re: The joys of presbyopia...

12 years ago, one of my colleagues and I had laser surgery on the same day, but different procedures. We had both eyes done at the same time and we both had stable prescriptions.

She had Lasik and was back at work the next day.

I had PRK, (I don't even know if it still exists) and had a bad reaction. Recovery took over 4 weeks, during which time I could hardly open my eyes, was in constant pain and months later was still getting star bursts looking at street lights.

The surgery was brief, not painful, but unpleasant, (think forceps holding your eyelids open for minutes and wanting to blink ) there was no general anaesthetic option.

I expect it has moved on a lot in the last decade, but bottom line is I would do it again because the results are worth it, but I would have chosen a different procedure.

For months after, my friends kept accidentally having Clockwork Orange or Minority Report playing on the DVD when I visited.
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  #26  
Old 05.08.2012, 16:16
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In my early 50's, my eyes became more nearsighted and I could no longer see up close with my distance correction, so I was always whipping my glasses on and off. The most annoying bit was that intermediate point 2 to 10 feet in front of me. I could see close up, and far away but the middle sucked. My ophthalmologist in the US said it was my eyes starting to shift, and was right around menopause. I just took my glasses off to see near, and I got used to intermediate blurry vision.

So five years later my distance vision has improved, but I notice that it's getting harder to read my iPhone. For now, I wear my glasses and look underneath them or take them off to read. For walking the dog, cooking, stuff around the house i don't wear glasses unless i need sunglasses. Once I actually need readers, I guess I'll figure it out. But this transition is a bitch and it's frustrating at times.

Hmmmm...this explains my poor housekeeping skills.


My husband had an emergency retinal repair 5 years ago. Poor guy - he's very nearsighted. The recovery is tough two weeks of drops and many more weeks of being very careful about position. He had a gas bubble inserted into his eye to hold the retina in place. But you must keep the bubble in place with position. After it dissipates, you're left with a cataract to repair. But it's ok now. Then, they found a small tear in the other eye, but at the edge..this was repaired with laser in the doctor's office. He has a fabulous group of specialists in Bern.
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Old 05.08.2012, 18:38
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PRK is still done today, recovery time is longer & more pain throughout .
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Old 05.08.2012, 21:56
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Re: The joys of presbyopia...

I have the same problem ;( It started in my forties and has gradually gotten worse.

I have worn contact lenses for the past 33 years, and my prescription was the same for years and years. Then, when my eyes started changing, the ophthalmologist tweaked my prescription a couple of times. He told me to just wear reading glasses over them, which is what I've been doing for the past nine years, and it works well. I have several pairs that I got in the States from places like Whole Foods and drugstores, but I've seen them here as well in the Migros and in drogeries. But I also dread becoming the old lady with the glasses on a chain around her neck

When I wear my regular glasses (which are just for distance) if I want to read fine print or up close, I have to take them off. I may get a pair of progressives and see what they're like.
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Old 05.08.2012, 22:35
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I tried the chain around the neck. My earrings got caught in it. Now I wear glasses on top of my head or tucked in the neckline of what I'm wearing.
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Old 05.08.2012, 22:41
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Re: The joys of presbyopia...

My cousin in AZ had laser surgery - but it truly freaks me out. She had one eye done for long vision, and one for reading/close work. Just thinking about this combination makes me feel dizzy
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  #31  
Old 05.08.2012, 22:44
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Re: The joys of presbyopia...

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My cousin in AZ had laser surgery - but it truly freaks me out. She had one eye done for long vision, and one for reading/close work. Just thinking about this combination makes me feel dizzy
I only use one eye at a time, so that would work well for me!
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Old 03.11.2012, 18:56
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Re: The joys of presbyopia...

So I'm reviving this old thread...

I've just thrown yet another small fortune out the window on yet another new prescription that doesn't work. Getting very frustrated. Yes, as the Optiker said, determining one's prescription is an art, not a science - but at these prices...

Far distance is more or less OK, but reading distance is jumpy and not quite sharp, and the middle distance is a blur. (Good thing I can touch type, because I can't see the keyboard. )

The new specs also have a blurry spot on both sides at all distances - about the outer 1/4 of the lens, meaning I have no peripheral vision. According to the Optiker, this is unavoidable - have any of you had this problem?

Is there any way to 'try out' a prescription before having specs made up, in order to determine if the prescription is workable?

Or, can anyone recommend a good Optiker, one who has a track record of coming up with a workable prescription for near-sighted and presbyopic eyes, anywhere along either side of the Zürichsee or in the city?

All suggestions gratefully received.
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Old 03.11.2012, 19:38
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Re: The joys of presbyopia...

Hi. I'm surprised to hear that if your new glasses prescription isn't right, you've lost your money. I recently moved here, and previously lived in Germany - I've worn multifocals for several years. In Germany whenever I bought new glasses, I had six months to make sure they were correct! If they weren't I could go back and have them redone. I only had to take advantage of this once, and there was no problem. So I take it that's not the case here? I'm having eye surgery later this year (cornea problems) and will very likely need new glasses after that.

Carolyn
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  #34  
Old 05.11.2012, 12:21
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Re: The joys of presbyopia...

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So I'm reviving this old thread...

I've just thrown yet another small fortune out the window on yet another new prescription that doesn't work. Getting very frustrated. Yes, as the Optiker said, determining one's prescription is an art, not a science - but at these prices...

Far distance is more or less OK, but reading distance is jumpy and not quite sharp, and the middle distance is a blur. (Good thing I can touch type, because I can't see the keyboard. )

The new specs also have a blurry spot on both sides at all distances - about the outer 1/4 of the lens, meaning I have no peripheral vision. According to the Optiker, this is unavoidable - have any of you had this problem?

Is there any way to 'try out' a prescription before having specs made up, in order to determine if the prescription is workable?

Or, can anyone recommend a good Optiker, one who has a track record of coming up with a workable prescription for near-sighted and presbyopic eyes, anywhere along either side of the Zürichsee or in the city?

All suggestions gratefully received.
Mc, this sounds very unusual to me. I cannot believe that the Optiker has done his job properly. I would return and discuss it with him if I were you (I had a similar experience earlier this year), and if necessary ask for a new pair of lenses, for which you do not pay of course! Good luck, such situations can be so frustrating!
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  #35  
Old 05.11.2012, 20:30
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Re: The joys of presbyopia...

While I was a bit skeptical about this at first, I spent some time studying this guy's approach, and used this chart on a regular (daily) basis for several weeks. The result was noticeable improvement, such that I was able to pass the drivers license eye exam without glasses for the first time in over a decade.

In short, the idea is using eye exercised to train the eye muscles to do something more than the rigid routine they're accustomed to, and to learn to relax them. My vision never became perfect (nor did I expect it to), but I was able to stop wearing glasses on a regular basis, and still passed the Swiss 'Sehtest' this year without them.

It takes some time to get used to the chart and the exercises, but in my experience, with daily practice, it can definitely help.
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  #36  
Old 05.11.2012, 22:03
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Re: The joys of presbyopia...

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So I'm reviving this old thread...

I've just thrown yet another small fortune out the window on yet another new prescription that doesn't work. Getting very frustrated. Yes, as the Optiker said, determining one's prescription is an art, not a science - but at these prices...

Far distance is more or less OK, but reading distance is jumpy and not quite sharp, and the middle distance is a blur. (Good thing I can touch type, because I can't see the keyboard. )

The new specs also have a blurry spot on both sides at all distances - about the outer 1/4 of the lens, meaning I have no peripheral vision. According to the Optiker, this is unavoidable - have any of you had this problem?

Is there any way to 'try out' a prescription before having specs made up, in order to determine if the prescription is workable?

Or, can anyone recommend a good Optiker, one who has a track record of coming up with a workable prescription for near-sighted and presbyopic eyes, anywhere along either side of the Zürichsee or in the city?

All suggestions gratefully received.
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Mc, this sounds very unusual to me. I cannot believe that the Optiker has done his job properly. I would return and discuss it with him if I were you (I had a similar experience earlier this year), and if necessary ask for a new pair of lenses, for which you do not pay of course! Good luck, such situations can be so frustrating!
Yep, I agree with Merrylegs, this doesn't sound right at all. Yes, sometimes it's tricky with new prescriptions and it may take a bit to settle in, but within a few days (maybe a week), you should know if it's going to work -

Unfortunately though, if you have been wearing a "bad" prescription, it will take some effort and willingness to work together from both you and your optician, because as your eyes adjust to the new (hopefully "good") prescription, your vision may change a bit as well. This also means that if it isn't working for you, DO NOT let it slide, make sure you go back and make sure they make adjustments.

Alas, the problem with peripheral vision is a necessary evil with line-less multifocal lenses, this is because of the way they are made. There are some brands of lenses where it is less noticeable than others, and not every brand works well for every person. This is something else which hopefully your optician will work with you on, helping you to find a progressive / varifocal lens that works right for you.

I'll link this video, but mainly for the picture used, but also the concept is important too. The images of glasses used, show a dark blue "funnel" type shape at the top, a narrow middle corridor, and a light blue inverted "funnel" at the bottom. The top is distance viewing, the middle is intermediate, and the bottom is for near. The peripheral edges of the lenses are not colored in the image at all... this is because they're generally "unusable", and why progressive lenses aren't for everyone, or not for every situation anyhow.



So, with that image in mind, the easiest way to explain is with the idea of "injection molding" (although I think not all lenses are necessarily made this way).
The front curve of the lens, again, is the base for the prescription. The top portion of a progressive lens remains the same, but more lens material is injected into the lens from the bottom, pushing it out some, and changing the curve. The flow and push of the added material causes displacement in the preexisting material, and this is what causes the side peripheral distortions. It is like this on both sides of the corridor, but of course, the bit on the "inside" side (nearer your nose) gets mostly cut off.

The amount of distortion also varies depending upon how strong the "add" is, as you can imagine, introducing more lens material (for stronger reading power, or "add") creates more dramatic distortion than adding only a little bit. This is a key piece, and a bit of a problem for folks who are nearsighted. Within the scope of developing presbyopia, we're the "lucky" ones as we can take off our glasses to see near, and we usually do, which means that by the time we give in and get our progressives, the adaptation is more extreme.

However: different lens manufacturers use different techniques to clear up the "usable" portions of the lens, make them wider and such, and as a result, the peripheral distortion also varies from manufacturer to manufacturer. So, that's why I say this is something about which your optician should work with you, in addition to helping you settle your prescription issues themselves.
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Old 11.11.2012, 14:52
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Re: The joys of presbyopia...

I'm sorry to be replying so late. (Can't read the computer screen very well with these specs, lost the thread. )

The reason that I'm looking for a new Optiker is that this one isn't being very helpful. He's adamant that the prescription is correct, but as I can't read, can't safely walk down stairs, with the middle distance a blur, I'm not willing to accept that. We are at something of an impasse, so I think my best bet is to find another Optiker to try to find a solution.

Thanks for the explanation of the peripheral vision problem, Peg. I hadn't noticed it with my other variable lenses, but this time it's significant. I'm starting to see how much I rely on peripheral vision in my everyday routine.

I'm probably going to have to go back to single vision lenses for distance, and supplement with reading glasses.

Either that, or start training Hooligan to guide me.

Thanks for the advise, one and all.
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Old 11.11.2012, 15:50
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Re: The joys of presbyopia...

Peg, do you know which herbs & or nutrients are helpful for vision? I have terrible eyesight (-9 & -9.5) and would love to avoid running into problems that could have been prevented.

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Some fans of herbalism favor certain nutrients to help with vision - so, if you've had recent significant dietary changes, this could be a contributing factor as well.
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Old 11.11.2012, 19:09
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Re: The joys of presbyopia...

Meloncollie, yes, I think that finding a new Optiker is the way to go. It is very unfortunate (and maddening!) that your current one is so adamant on sticking with things as they are.

Many of the lens manufacturers give some credits to the labs for "non adaptation" problems with progressive lenses, so I'd think that changing them if you're having problems wouldn't be so tough. Of course, it is possible that the relationship, even from the same manufacturers, is different due to customer relations being different here than it was there also (I wish I knew), perhaps they're not as good to their customers (the Optiker and labs) so the Optiker can't be as good to their customers in turn.

If you are not having any trouble in the distance, but experiencing trouble with intermediate and near, it sounds to me like it could be a lens choice issue as much as anything. Unfortunately, it could also mean (as it sounds like you're contemplating) that "all purpose" progressive lenses simply don't suit your needs, and using a couple separate pair dedicated to specific uses may be the right way to go.


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Peg, do you know which herbs & or nutrients are helpful for vision? I have terrible eyesight (-9 & -9.5) and would love to avoid running into problems that could have been prevented.
I'm sorry, Lou, I don't have access to good official word anymore, and am relegated to searching the net "just like" everyone else, so can't say much.

The main one I remember actually seeing information on when in an Opthalmologist office was bilberry. The rest of the herbs on this page (Five Essential Herbs that will Help Improve Eye Health) are herbs that I heard and saw recommended frequently anyhow, when I lived in Florida, as some of their beneficial capacities are not only good for vision, but for many things that may need more attention as we age, such as our circulatory system.
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Old 11.11.2012, 20:17
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Re: The joys of presbyopia...

I personally found going to Specsavers improved the financial side of things, even after taking the fight into account, just a suggestion.
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