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Canadian Association of Optometrists Dr Carol Doman Dr Henry Smit Dr Joan Hansen Dr Langis Michaud Dr. Sally Aldayeh Dr. Sonja Gascoyne Dr. Virginia Donati

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  • Dr Langis Michaud

    Luthier Needs Aid with Near Vision

    Posted on November 25, 2011, 11:32 am by Dr Langis Michaud

    Mario wrote:

    Hi, I'm 45, and like most others, my arms are becoming too short! I have worn glasses since my late teens. I can still read normal text with regular glasses, but some smaller text is becoming near impossible. Also, my work (I'm a luthier, meaning I build and repair stringed musical instruments) requires me to work to very fine tolerances, often to within 0.001". For this, I have had a second pair of glasses for the past 5 years, which at first gave me a focal length (not sure if that is the proper term) of 6" to approx. 36", which was perfect for work, but even with these glasses today, I can't focus nearer than 12-14", and at times, this is too far to really see what I need to see. My optometrist recently made me some bifocal glasses, but after a month of trying them, on and off, I now know for sure I can't wear bifocals, nor could I use progressives. I have a very limited range of movement in my neck, due to long-term disc problems, and the bifocals require me to move me neck way too much, causing me extreme pain and discomfort, literally immobilizing me for a day or more after only a few minutes' wearing the bifocals. What are my options? Small town, one optometrist, and he just shrugs and says it's bifocals, or keep swapping between different pairs of glasses. I don't really mind swapping glasses at work, but it's impractical when shopping, cooking, etc... I asked about wearing contact lenses to correct my near sight, and wearing regular glasses over these for my regular (far?) sight; with this, I could just look under or over my glasses, or remove or raise them temporarily to see up close. He’s never heard of anyone doing this, and didn't want to "go there". Help!!

    Dr Langis Michaud's response:

    You are right when you suggest contact lenses as a good option to correct your problem. This is the only practical way to address your vision’s problems, at far and to wear appropriate glasses at near. I hardly see why your optometrist is not interested doing so. If you can travel a bit, consult someone who fits contact lenses on a regular basis and look for his opinion.
    Another option could be laser surgery to correct your far vision. I would not recommend in your case to be corrected with monovision (one eye at far and one at near) as they do for presbyopic patients with laser, because you will lose your 3D vision, which is essential as a luthier. But to be corrected each eye by far makes sense and again you will rely on reading glasses to work at near.

    Good luck
    Dr Langis Michaud, O.D. M.Sc. FAAO (Dipl)
    Professeur Agrégé

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    Dr Langis Michaud

    Re: Reading Glasses

    Posted on February 25, 2010, 4:20 pm by Dr Langis Michaud
    Posted in Reading Glasses

    Ian wrote:

    I am 74 years old and need glasses for reading. My present glasses as prescribed by the optician are a magnification of 4. These are not very effective unless the print is a very bold black on white. What is the limit of magnification available for reading glasses?

    Dr Langis Michaud's response:

    Dear Ian, It is very difficult to answer to your question without knowing your ocular and visual condition. Near vision should be addressed after a proper evaluation of your distance vision and of your ocular health, to make sure that there is no pathology involved, such as cataracts, glaucoma or macular degeneration. These diseases can limit the level of visual acuity and no glasses can help to restore it. My best advice would be to consult an optometrist, not an optician, and to have a thorough ocular and visual examination. Your optometrist will determine the cause of your visual deficiency and will prescribe, if possible, the best power to you. You have only 2 eyes, working together as a team. It is unwise to play with them by juggling with the powers without knowing the underlying ocular conditions. Good luck Dr. Langis Michaud, Optométriste, MSc, FAAO (Dipl) Associate Professor – Université de MOntréal

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    Dr Joan Hansen

    Re: Blurriness After Wearing Reading Glasses

    Posted on January 27, 2009, 5:23 pm by Dr Joan Hansen

    jamie csire wrote:

    Dear Doctor, When I wear my reading glasses things are clear but when I take them off everything is blurry and my eyes stay like that for hours after I have taken them off. Can you please tell me why this is happening? Thank you very much,

    Dr Joan Hansen's response:

    Glasses for reading become necessary for most people as their own focusing ability decreases. While they are worn, they allow the focusing mechanism of the eye to relax somewhat, and it takes time to bring it back up to full focusing ability again once the glasses are removed. In children and young adults, the focusing mechanism works almost instantly, but it becomes slower and slower as we age. This is a normal change for all adults. You may need to talk to your Optometrist about glasses that can be worn more regularly so that you do not have these blurry episodes.

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