Quote:
Originally Posted by footfootfoot
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I'm guessing that if my problem is mainly astigmatism, then as my eyes change focus points, the shape of the cornea is changing and therefore the correction at each focus point will be unique. Since it would be impossible to have infinitely variable focus lenses (not bi and tri focals) you have to hit upon an average correction. Is that why some distances appear sharper than others? Or why can't I be corrected at any and all distances?
Just a guess. Despite decades of being a photographer, I never really learned a whole lot about the physics of lens design.
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I don't know what your distance power is, but my guess is that you are slightly nearsighted, with astigmatism. Uncorrected, you probably don't see crisply in the distance. Assuming that your distance Rx corrects you to 20/20, your near vision is probably worse while looking through the distance only Rx. Now you need to offset your distance Rx AND add some more power to see near. This is not caused by astigmatism (your cornea cannot change power, and it's rare to have astigmatism other that corneal astigmatism), it's caused by the inablity of the lens in your eye to
accomodate (change power to see at near). This is called presbyopia, and is caused by age (shhhhh: presby - old). Your maximum accomodative power is when you are ten years old - it's all down hill from there. Usually, at about 40, you have lost enough accomodative power that you can't see within 20" - in essence, you have lost your near vision.
A PAL will correct for distance (20' and beyond) directly in front of your eye to the top of the lens. As you move your eyes down the lens, the power progresses through the intermediate (arms length) to the near (about 17"), about 20 mm below the center of your pupil, in today's better PALs. I'm guessing that your doctor has prescribed a power that allows you to see 15' in to 22", maybe, to avoid multifocals. That's why you are not satisfied with either your far distance or close near vision. Only a PAL will allow you to see clearly at every distance.
You said that you don't need close up vision correction. When wearing a correction that allows you to see clearly at optical infinity, you should be able to read the bottom line of the reading card at 16". If you cannot, you need to do something that will allow you to see at near. Some people can take off their distance Rx glasses and can see near with their naked eye. Some have two pairs of glasses - one for distance and one for near. Some have bifocals, trifocals, or PALs. It depends how
visually demanding you are. Let's face it - if you're not doing brain surgery or posted as a Hizb'allah rocket spotter in northern Israel, do you need to see 20/20 at distance and near? Probably not. Do you want to? That depends on how visually demanding you are.
Wearing multifocals successfully is all about understanding and accepting the limitations of the lens. If you accept that no matter what you do, when you look through the bottom of the lens, only objects 16" to 20" away from your eyes will be in focus, you'll be successful. If you fight that limitation, you will not be satisfied. Or if your occupation or hobby requires that the bottom of the lens must have a focal length other than 16" to 20", a task-specific pair of glasses can be designed to do that.
It sounds to me like you weren't successful because mental issues, not visual ones. When wearing your PALs, could you see in the distance clearly when looking straight ahead? When looking through the bottom of the lens, was your vision clear up-close? If the answer was yes to both questions, it wasn't that your vision was poor while wearing the glasses, it was that you were not mentally prepared to work within the limitations of a multifocal. And that's OK. Eventually, the "hedge Rx" that you're wearing now won't be work for you anymore, then you'll need to make the choice: a second pair of glasses for near vision, or (God forbid), multifocals.
Going on vacation, I'll check in when I get back.