Ophthalmology & Optometry/Contact lenses

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Question
Hi there,

I have had myopia(c. -2.5 in each eye) since the age of 9. I am now 42 and have decided to pay for orthokeratology contact-lenses. The idea being to wear them at night so that they reshape the cornea and allow me to see perfectly during the day. I had read about the negligible  side-effects involved and was looking forward to the whole business. The trouble is that I went for my first "fitting" session and thought it would be easy. It wasn't! It took me 5 or 10 minutes to fit the first contact-lens into my right eye, and I was unable, after a full hour, to put the 2nd contact-lens into my left eye. The ophthalmologist simply told me to practise for 10 minutes a day until my next session next week. I have to prise my upper eyelid at the outer end with the thumb of my left hand, while using the middle finger of my right hand to move the lower eyelid down and then insert the contact-lens over the pupil. I kept on failing to insert it into the eye or, worse, inserting it in the area of the eye nearest the nose. I had no idea contact-lenses were so difficult to put on. I had expected the lens to be much bigger with me just having to slip the top bit into the upper eyelid and then slipping the bottom bit into the lower eyelid. Any suggestions/help would be appreciated! I have considered other methods such as LASIK/PRK but there are so many reported side-effects for those and I absolutely hate wearing glasses(I can still read and watch TV  without them, thank god). Thanks!

Answer
I understand your dilemma.  I am not a proponent of orthokeratology: 1. Uncomfortable 2 . difficult to
Insert and remove 3 . Results are temporary and cannot be predicted accurately. 4. Patients seem to
Lose a lot of lenses.    Both
My daughters have undergone LASIK
And are very happy   .  Can see without glasses. At your age however , you can ask the refractive surgeon ( who has good results with
Hundreds of patients) about under correcting your non dominant eye so you can read ;
Otherwise you will probably need reading glasses for paperwork, computer, reading .  This is money well spend if you do not want to wear eyeglasses or soft hydrogel contact lenses.  Good luck.  Dr Berger

Further. Didn't your Dr show you the size of the corneal contact lens, presumably rigid gas permeable (RGP) , PRIOR to your fitting and financial commitment , and give you a trial run of insertion and removal techniques, to see if you even handle the contact lens before going further?   Dr Berger

Ophthalmology & Optometry

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DR. KENNETH BERGER

Expertise

Any and all questions with regard to ocular ailments, eye diseases as cataracts, glaucoma, macular degeneration, diabetic retinopathy, etc , eye and visual sympomatology, eyeglasses, contact lenses, low or subnormal vision, pediatric vision conditions,and special and unique ailments will be discussed.

Experience

36 years of clinical experience in opticianry and therapeutic optometry. Still in private practice with special interests in vision conditions, diagnosing and treating ocular ailments, prescibing treatment plans which include medicine, eyeglasses, and contact lenses primarily. Although surgery is not within the realm of my area of expertise, I co-manage many pre and post -op surgical cases which include Lasik and PRK procedures.

Organizations
New Jersey Society of Optometric Physicians American Optometric Association

Education/Credentials
B.A.,1968, Hunter College of the City University of New York B.S.,1970, Pennsylvania College of Optometry O.D.,1973, Pennsylvania College of Optometry Therapeutic Pharmaceutical Administration Certification, New Jersey 1992

Awards and Honors
Clinical Efficiency Award, 1973, Pennsylvaania College of Optometry

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