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Between Church and Wellington on Queen St.

Between Church and Wellington on Queen St.

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Eyeglass Basics

Modern eyewear serves a dual purpose. In addition to being a vision-correcting medical device used to enhance your safety and quality of life, eyeglasses have become a major fashion accessory. Therefore, when it comes to selecting eyeglasses there are many important factors to consider.

The Frame

Frames are made from a large variety of materials ranging from acetates and hard plastics to metals and metal alloys. The quality of frame materials is very high nowadays with many cutting-edge manufacturers investing heavily in developing new innovations and materials to make stronger, more flexible, lighter and more beautiful frames.

In considering the optimal material for your eyeglass frame, your lifestyle plays a big role. Children and those with active lifestyles require durable and flexible frames that are resistant to breaks from hits and falls. Those who have skin allergies need to seek out frames made from hypoallergenic materials such as acetate, titanium or stainless steel. Other characteristics of frame materials to consider are the weight or flexibility of the material as well as the price. Many designers also use wood, bone or precious metals to adorn frames and add an extra .

Hinges and nosepads also play an important role in durability and comfort of your frames. Children in particular can benefit from spring hinges and nosepads which can keep the frames from slipping off. Rimless or semi-rimless glasses are also an option for those that durability is not a primary concern.

Frame size is a very important factor in frame selection. Frames should fit well and not slip off the nose or be too tight and press against the temples or the sides of the nose.

More and more top fashion design brands are coming out with designer eyewear collections to suit every taste and style. Frames come in all colors, sizes and shapes so the choices are endless in finding a frame that suits your personal style and looks good with your face shape and coloring.

Lenses

Even though people spend much more time focusing on frame selection, as a medical device, the lenses of your eyeglasses are the most important part. It is therefore very important that you obtain your lenses (and therefore your glasses) from a reputable source. It is always best to buy eyeglasses through an eye doctor who is able to check that the lenses are made and fitted properly to ensure your best possible vision.

There are a number of variables to consider in selecting lenses.

If you have a high prescription which may require thicker lenses, you may want to ask for aspheric lenses which are thinner than normal lenses.

There are lenses that are made from materials that are more durable and shatter-resistant such as polycarbonate or trivex, which can be useful for children or sports eyewear.

Photochromic lenses can serve as eyeglasses and sunglasses as the lenses darken when exposed to the sunlight to block out the sunlight and UV rays.

Polarized lenses create greater eye comfort by reducing glare specifically from the water or snow and are great for sunglasses for those that spend time outdoors.

There are also a number of coating options that you can add onto lenses to enhance certain characteristics such as anti-reflective coatings, anti-scratch coatings or UV coatings to reduce exposure from the sun. Adding a coating may require special cleaning or treatment so ask your eye doctor or optician about special instructions.

Eyeglasses Over 40

Once you approach age 40 you are likely to begin to experience presbyopia which is the loss of the ability to focus on close objects. This happens as the eye begins to age and can easily be corrected with reading glasses. However, if you already have an eyeglass prescription for distance vision, you will need a solution that enables you to see your best both near and far.

There are a number of options available for presbyopes including bifocals, multifocals and progressive lenses with new technology improving the options all the time. You should speak to your eye doctor about the best solution for your individual needs.

Whether they are for a child’s first pair, a second pair of designer frames or a senior with a complicated prescription, you should always consult with your eye doctor for a new pair of glasses. Ultimately, your eyeglasses have a job and that it to help you to see your best to get the most out of every day.

Presbyopia Diagnosis and Treatment

As we reach middle age, particularly after age 40, it is common to start to experience difficulty with reading and performing other tasks that require near vision. This is because with age, the lens of our eye becomes increasingly inflexible, making it harder to focus on close objects. This condition is called presbyopia and eventually it happens to everyone who reaches old age to some extent.

To avoid eyestrain, people with untreated presbyopia tend to hold books, magazines, newspapers, and menus at arm's length in order to focus properly. Trying to performing tasks at close range can sometimes cause headaches, eye strain or fatigue in individuals who have developed this condition.

Causes of Presbyopia

During our youth, the lens of our eye and the muscles that control it are flexible and soft, allowing us to focus on close objects and shift focus from close to distant objects without difficulty.  As the eye ages however, both the lens and the muscle fibers begin to harden, making near vision a greater challenge.

Presbyopia is a natural result of the aging process and not much can be done to prevent it.  Its onset has nothing to do with whether you already have another vision impairment such as nearsightedness, farsightedness or astigmatism.  Everyone will notice some degree of loss of near vision focusing power as they age, although for some it will be more significant than others.

Symptoms and Signs of Presbyopia

Presbyopia is characterized by:

  • Difficulty focusing on small print
  • Blurred near vision
  • Experiencing eyestrain, fatigue or headaches when doing close work or reading
  • Needing to hold reading material or small objects at a distance to focus properly
  • Requiring brighter lighting when focusing on near objects

Presbyopia can be diagnosed in a comprehensive eye exam.

Treatment for Presbyopia

There are a number of options available for treating presbyopia including corrective eyewear, contact lenses or surgery.

Eyeglasses

Reading glasses or “readers” are basically magnifying glasses that are worn when reading or doing close work that allow you focus on close objects.

Eyeglasses with bifocal or multifocal lenses such as progressive addition lenses or PALs are a common solution for those with presbyopia that also have refractive error (nearsightedness, farsightedness or astigmatism). Bifocals have lenses with two lens prescriptions; one area (usually the upper portion) for distance vision and the second area for near vision. Progressive addition lenses or PALs similarly provide lens power for both near and distance vision but rather than being divided into two hemispheres, they are made with a gradual transition of lens powers for viewing at different distances.  Many individuals prefer PALs because unlike bifocals, they do not have a visible division line on the lens.

Bifocal and Multifocal Contact Lenses

For individuals that prefer contact lenses to glasses, bifocal and multifocal lenses are also available in contact lenses in both soft and Rigid Gas Permeable (RGP) varieties.

Multifocal contact lenses give you added freedom over glasses and they allow you to be able to view any direction - up, down and to the sides - with similar vision. People wearing progressive lenses in glasses on the other hand have to look over their glasses if they want to view upwards or into the distance.

Another option for those that prefer contact lenses is monovision. Monovision splits your distance and near vision between your eyes, using your dominant eye for distance vision and your non-dominant  eye for near vision. Typically you will use single vision lenses in each eye however sometimes the dominant eye will use a single vision lens while a multifocal lens will be used in the other eye for intermediate and near vision. This is called modified monovision.  Your St. Marys eye doctor will perform a test to determine which type of lens is best suited for each eye and optimal vision.

Surgery

There are surgical procedures also available for treatment of presbyhopia including monovision LASIK eye surgery, conductive keratoplasty (CK), corneal inlays or onlays or a refractive lens exchange (RLE) which replaces the hardened lens in the eye with an intraocular lens (IOL) similar to cataract surgery.

Since it affects so much of the older population, much researc and development is going into   creating more and better options for presbyopes.  Speak to your eye doctor about the options that will work best for you.

Specialty Eyewear Overview

Just as "one-size-fits-all" doesn't always fit, neither does one pair of eyeglasses for all situations.

Whether you want optimum vision and comfort for a specific activity, such as computer use, work, hobbies or driving, or you need glasses that provide an extra margin of safety for work or recreation, special-purpose eyeglasses will usually meet these needs better than your “everyday” glasses.

Computer glasses

Reading and hobbies

If you wear bifocals, you may find you have to tip your head back slightly to use the reading portion of the lens. That’s fine for most things, but if you want to sit and read a novel, this head-back posture can cause neck discomfort and fatigue. Often, a pair of single vision reading glasses are a much better solution for prolonged reading and other detailed near vision tasks, such as sewing or needlepoint work.

Working in the yard or with power tools

Sports eyewear

Did you know that wearing specially-tinted eyeglass lenses can improve your visual acuity on the tennis court, golf course or on the slopes? Sport-specific eyewear can enhance performance by improving visual clarity while protecting your eyes from injury.

Driving glasses

Driving glasses come in two different categories: sunglasses designed specifically for driving and clear prescription driving glasses. Many sunglasses made for driving feature polarized lenses to reduce glare and special tints to enhance contrast for safer, more comfortable vision on the road on sunny days. Eyeglasses for night driving should include your distance prescription and anti-reflective (AR) coating to reduce the glare from streetlights and oncoming headlights and allow more light to reach your eyes for better vision on dark roadways.

We can help

Nearly everyone can benefit from specialty eyewear. Let us know about all the different things you like to do, and we can tell you about the best special-purpose eyewear to fit your needs.

 

Bifocal Lenses

Sometimes our vision fails us at two or even three distinct distances, especially as we age. Bifocal lenses—lenses with two distinct viewing areas—have traditionally been a reliable solution to such a dilemma. (A lens with three distinct viewing areas is called a trifocal.)
By distinct, we mean there are noticeable lines separating the two different fields of vision within a bifocal lens surface. A slight adjustment to the angle of the head allows wearers to choose which lens area to look through based on the distance of the object they’re trying to see.
A farsighted person who also has trouble reading may be prescribed a pair of bifocal reading glasses, for example. The upper section of the lens would correct difficulties seeing objects at distance, and the lower section would assist in reading. (Bifocal glasses date back to the days of Benjamin Franklin!)
While wearers quickly adjust to the line separating the multiple vision fields, it is a noticeable distraction within the lens itself. This line can be eliminated using a newer lens technology called progressive lenses. Learn more about high index and aspheric lenses.
Progressive lenses incorporate two, three, or more fields of vision within a single lens without noticeable lens lines. Bifocal, trifocal and progressive lenses are all considered “multi-focal” lenses—lenses that provide correction to multiple vision problems.
Special thanks to the EyeGlass Guide, for informational material that aided in the creation of this website. Visit the EyeGlass Guide today! 

Bifocal and Multifocal Contact Lenses

If you are over 40 and have difficulty seeing close up, you probably have a common age-related condition called presbyopia which is when the eye’s natural lens loses the ability to focus on close objects. Presbyopia is a natural process as the eye ages and affects the majority of people from age 40 and upward. Individuals with presbyopia are often familiar with the need to hold reading materials such as newspapers an arm’s length away from their eyes in order to see clearly, yet reading glasses with bifocal or multifocal (progressive) lenses can help.

Fortunately for those who don’t like the look, feel or inconvenience of reading glasses, there is another option. Bifocal and multifocal lenses are also available in contact lenses in both soft and Rigid Gas Permeable (RGP) varieties.

Multifocal contact lenses give you added freedom over glasses and they allow you to be able to view any direction – up, down and to the sides – with similar vision. People wearing progressive lenses in glasses on the other hand have to look over their glasses if they want to view upwards or into the distance.

The Difference Between Bifocal and Multifocal Lenses

Just as the name indicates, bifocal lenses are divided into two distinct segments for different vision powers, the first for distance vision and the second for near vision. This enables you to clearly switch your focus from near to far as needed, but your vision will not necessarily be clear in between. The term multifocal lenses can refer to any lenses with multiple powers including bifocals, trifocals or progressive lenses. Non-bifocal multifocal lenses have a range of powers that enable you to constantly adjust your focus to see clearly from up close to far and in between.

Multifocal contact lenses are generally designed in one of two ways, as either simultaneous vision lenses or alternating vision lenses.

Simultaneous vision lenses

The most popular version of multifocal contact lenses, simultaneous vision lenses present the distance and near vision zones of the lens at the same time. Typically after a short adjustment period your eyes learn to utilize the segment of the lens that they need to focus on the desired object and essentially ignore the other.

They come in two designs:

  • Concentric ring design: In the most basic form these are bifocal lenses that are comprised of a central circular area of one power with a ring around of the alternate power, similar to a bulls-eye. In this design the power of the rings (either near or distance vision is interchangeable). For intermediate viewing (18-24 inches away) extra rings can be added to create a trifocal or multifocal lens. The width of each ring is variable depending on the power that is needed most and the edges of the rings can be blended for a smooth transition of focus, similar to progressive eyeglass lenses.
  • Aspheric design: These multifocal lenses attempt to provide a natural vision experience by blending many lens powers across the surface and center of the lens. In this design both distance and near vision power are located in the central visual area and your eyes will adapt to focus on the area needed to view what you are looking at.

Translating or Alternating Vision lenses

Similar to bifocal eyeglass lenses, these contacts are divided into distinct areas or zones and your pupil will move to the desired zone depending on your vision needs. Typically the top of the lens, which is what you look through when looking straight ahead is for distance vision and the bottom area (what you look through when you look down) is for near vision. However, this can be reversed according to unique vision needs.

Since contact lenses sometimes move within your eye, translating lenses are held in place by a ballast which is an area that is thicker than the rest of the lens or by truncating or flattening the bottom to stay in line by the lower lid. These lenses are only available in rigid gas permeable lens material.

An Alternative Option to Multifocal Contact Lenses: Monovision

Monovision is another contact lens alternative for presbyopia particularly if you are having

difficulty adapting to multifocal lenses. Monovision splits your distance and near vision between your eyes, using your dominant eye for distance vision and your non-dominant eye for near vision.

Typically you will use single vision lenses in each eye however sometimes the dominant eye will use a single vision lens while a multifocal lens will be used in the other eye for intermediate and near vision. This is called modified monovision. Our eye doctor in St. Marys, ON will perform a test to determine which type of lens is best suited for each eye and optimal vision.

Are Contact Lenses Right for You?

If you have presbyopia, contact lenses may be a great option for you. Many people prefer the look and convenience of contact lenses over traditional reading glasses. Speak to our St. Marys, ON eye doctor about the options available to you.

Click HERE to learn more.

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