Toric lenses not enough for right-eye astigmatism?!


Question: I have been a contact lenses user for 15 years now and I have been using toric lenses for the past couple of years. In the past few months my right-eye astigmatism has gotten worse and the toric lenses correction is not really enough. I work on the computer all day and it makes some difference in terms of vision comfort. I can't focus very well and by the end of the day my head feels heavy (sometimes headache included), specially above my eyes. I'm not sure what to do. Keep on using lenses and hope the astigmatism will recede (and deal with the discomfort), get lenses for myopia and glasses for astigmatism, do LASIK and use glasses for astigmatism?... I'd appreciate your input on this situation. Thanks.


Answers: I have been a contact lenses user for 15 years now and I have been using toric lenses for the past couple of years. In the past few months my right-eye astigmatism has gotten worse and the toric lenses correction is not really enough. I work on the computer all day and it makes some difference in terms of vision comfort. I can't focus very well and by the end of the day my head feels heavy (sometimes headache included), specially above my eyes. I'm not sure what to do. Keep on using lenses and hope the astigmatism will recede (and deal with the discomfort), get lenses for myopia and glasses for astigmatism, do LASIK and use glasses for astigmatism?... I'd appreciate your input on this situation. Thanks.

That's got to be a lot of astigmatism.

I've fitted soft contact lenses with up to 5.00DC
Yes, the monthly disposables don't go up to that sort of degree, but they're not the *only* option for soft contact lenses. But even so...
More than one monthly toric goes to -2.25 DC,
Focus monthlies go to -2.50DC
Soflens 66 monthly torics go to -2.75 DC
Frequency 55 Xcel Toric XR goes to -3.75 DC

They may not be suitable for other reasons, but they may represent untried options.

After that, there's possibly the synergeyes lens option before considering surgery just due to running out of other choices.

It sounds as though your astigmatism has changed. All you need to do is go back to the opticians, explain your problem and they should be able to get youa new pair of lenses with the correct prescription. At this stage I don't think laser surgery is an option as your prescription has obviousy changed. Please don't suffer, go and see a contact lens optician.

What strength is your astigmatism? There are several specialist lens manufacturers for contact lenses that offer high levels of astigmatic correction but you'll be looking at some very expensive prices. If your correction is 4 or below you should be able to get into a run of the mill contact lens anything higher upto about an 8 is available but when you start looking at +/- 10 corrections you'll luck out. The only option then is specs. If your astimatism is that high laser treatment isn't really an option unless all you're looking to do is improve on your current situation, unfortunately laser surgery is not advanced enough to promise normal sight from such a bad pair of eyes but you never know!

same thing happened to me. I use acuvue advanced for astigmatism now. i like them much more than toric. they took a little while to get used to but i see much clearer.

Yes even i have high astigmatism and my lenses dont help me too.But i think its not good to go in for laser tretment or surgery because its not successful with all patients.You need to keep finding and searching for better lenses.thats all





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