Ophthalmology & Optometry/Putting on contact-lenses

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Question
Hi,

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
If you could resubmit your question as private I will give you a way to contact me directly and we'll see if I can talk you through insertion and removal of those lenses. The idea behind ortho k is great and one I endorse. You've got a doctor who thinks about options and is open minded enough to give you choices.  

Ophthalmology & Optometry

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Robert Sobotor LDO

Expertise

Eye Glasses: fit, adjustment, and function Frames and Lenses: materials, benefits, limitations,progressive vs. bi-focal and adaptation Contact Lenses: tips on wearing, insertion and removal, comfort and proper cleaning and care Visual Complaints: Whether you have a history of unresolved visual complaints, never had a pair of glasses “feel right” or “I saw better out of my old pair” I can help troubleshoot visual complaints resulting from new glasses by determining, based on your observations and feelings, what the likely causes are and explaining them to you in a way that gives you a clear understanding and a shorter adaptation period. Contact lens Care: Tips and suggestions that I have used to teach first time contact lens wearers, even pre-teen and adolescent children, to quickly give them the skills and confidence to put in and remove their contact lenses. Tips on getting them in fast in the morning and out quickly at night without having that itchy feeling when you remove them. I can explain to you the makeup of the tear layer and how it can directly affect the comfort of your contacts based on little thing like computer use, heating and air in the car and office, that cloudy afternoon vision or dry feeling later in the day. Lens Recommendation: Based on your prescription I can advise what lens materials and designs are best suited to your needs and which ones to avoid as well as direction on frames designs that would complement the selection. Proper Frame Adjustment: I can help identify the problems associated with painful glasses that pinch, or squeeze. I can help you avoid getting a pair of glasses that constantly slide down your nose no matter how many times you get them adjusted. I can teach you what to look for in a frame that is right for you. I can explain how to look for a good quality frame that is not the most expensive in the room. I cannot diagnosis disease, prescribe or offer price specific advice or information.

Experience

My background is as a Licensed Optician with over twenty years experience. I have had industry-specific work published and held management positions with the largest optical retailing companies. I have had operational oversight of the dispensaries of both Ophthalmologists and Optometrists I have also held management positions in optical manufacturing to include specialty design RGP's and surface manufacturing, lens coating, and edging of spectacle lenses. My bench work, adjustment and repair, is in the tradition of the Guild opticians - focused on quality. I am proficient in all facets of eyewear, spectacle and Rigid Gas Permeable contact lens manufacture and modification. I provide an extension of the doctor’s standard of care throughout the entire dispensing process as I work with the patient to understand their diagnosis and develop the best solution toward remediation.

Publications
Eye Care Professional Magazine The Price Bluff- Relationship based business http://www.ecpmag.com/1webmagazine/2008/01jan/content/independent-ECP-pricing.asp Size Matters- The application of ANSI standards http://www.ecpmag.com/1webmagazine/2007/10oct/content/size-matters.asp

Education/Credentials
Licensed Dispensing Optician 1991 The American Board of Opticianry (ABO) certified 1990 National Contact Lens Examiners (NCLE) certificated 1991 Georgia State University 87-88 Oglethorpe University 03-04

Awards and Honors
Lens Crafters Presidents Pin for outstanding customer service

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