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  1. Jordan Bajis

    I went to an optometrist and she could not fit me with multi-focal contacts saying that she neither had the equipment or the training. She said that fitting someone with multifocal contacts is very tricky and requires someone who has been trained in this speciality, and has the necessary equipment to prescribe such lenses. So my question(s)…

    Has anyone in your practice been so trained, and do you have the equipment necessary to prescribe mutlifocals (assumably, GP)? Also if I am not able to be fitted will I still need to pay for the lenses that did not work for me?

    Lastly, what are the price range for these lenses? (Note that I have just been examined, so I could forward my prescription.)

    Thanks so much for you help and time. I am grateful.

    Jordan Bajis

  2. Post
    Dr. Kisling

    Hi Jordan,

    I do fit multifocal contact lenses. The biggest thing with gas permeable lenses is having the time and patience for the fitting process. It can take a number of visits to get it dialed in just right. Fitting fees are non refundable with multifocal lenses. Lens fees are if it does not work out as long as you come back in in a timely manner for follow-up visits. Costs vary depending on what type of lens design we use and if you call our office we can give you a better idea.

    Best Wishes

  3. devorah

    in my 30’s…mother of young kids…i have strabismiss…..both my eyes tend to go out or up….at different times- mainly when i’m tired. i had an eye patch as a kid, did fine with regular glasses and contacts as a teenager, i recently went for vision therapy. it helps when i can concentrate on focusing. not a long term solution. i wear bifocal glasses now, but i have vision trouble. i was recommended prism glasses. however 2 questions: a) though my vision may improve with prisms, will my eyes still appear to be going different directions? (like someone will say to me – whom are you talking to? while this individual will look beyond them to see if i was talking to the “next” person…it’s very embarresing.
    and b) can one still do vision therapy while wearing prisms? or is that a contradiction?

    much appreciated…..

  4. Post
    Dr. Kisling

    Hi Devorah,

    If the prism works correctly it will allow your eyes to work together thus they will not appear turned. You can still do vision therapy with the prism, and in many cases it will help it work better.

    Best Wishes!

  5. Pam

    I am 60 YO female and have AMD. Had surgery to take off cataract and lost all sight in right eye. Now they won’t touch left eye and have very little vision in that eye. Everything is blurry and distorted. I was told marijuana can slow down me going completely blind. Never had it or around it so how would I use it? I am willing to try and do anything to keep what I have left. Thank you.

  6. Denise Galuppo

    I have a question for you. I suffered six retina detachments and it left me with and eye of about 20/300 vision that used to be like 20/25. Well, I see double now and I understand my vision should stablelize in about another six months. Right now my double vision moves so they can’t put a prism over my eye because moving double vision can get worse with a prism. I have been given contacts and I still see double but I am still in trials. I was told they think I will be okay if I can get used to the thickness of the contact lens. Well, right now I suspect they have not gotten the full prescription in there yet and are just letting me get used to lenses which is going fine. Do you know any other options I might toss at my drs as they claim if their guy can’t fix this, nobody can. It’s nice they think so highly of him but I care about my eye more than how good this guy is. SO, if you are aware of any alternative treatments for this so that we can try to get me seeing better again it would be great to hear back from you. With much appreciation. Denise

  7. Post
    Dr. Kisling

    Hi Pam,

    I am not sure whether your vision loss is due to the macular degeneration or cataract. In either case, marijuana will not help by any mechanism I am aware of. If it is due to wet macular degeneration injections might help stabilize the condition. If it is due to cataracts, depending on why you lost your sight in the right eye, you might still be able to have surgery, it is just a much higher risk if things do not go well. You might want to consider having an exam by a specialist in low vision to see if your remaining vision can be better utilized.

    Best Wishes!

  8. Post
    Dr. Kisling

    Hi Denise,

    I am not sure why you were told you could not use prism. It should not cause it to get worse but it might need to be changed a few times. Fresnel prism is often used due to the low expense. It does degrade vision somewhat but if you are seeing 20/300 that should not be a problems. I am not sure why they put you in a contact lens? Depending on how large the eye turn is vision therapy might be another option. Hopefully you will be back to normal within 3-6 months.

    Bets Wishes!

  9. Post
    Dr. Kisling

    Hi Winnifred,

    Some of the newer research indicates that you may still be able to fix a lazy eye later in life. It is a whole lot more difficult and no guarantees, but potentially possible.

    Best Wishes!

  10. Shilpa Gauba

    Love the blog. Thank you for sharing your eye-health tips. As professionals in your field, we think it’s a great opportunity to highlight the growing concern of high-energy blue light you’re your readers and provide ways to protect eyes, naturally, for a lifetime of healthy vision.
    As you know, high-energy blue light is an emerging risk factor for visual health. While most of us know the importance of protecting our eyes from ultraviolet light (primarily from sunlight), many people are unaware of the growing risk factor for visual health that impacts almost every age group – high-energy blue light emitted from computers, smartphones and the myriad digital devices that we stare into for up to 10 hours every day. Our exposure to high-energy blue light from digital devices is compounded by fluorescent and LED lighting – high emitters of blue light and the standard replacement for incandescent bulbs. Because it penetrates deeper into the eye than any other light wave, even ultraviolet light, high-energy blue light has the potential to damage the macula – the region of the eye responsible for sharpness of vision. Short-term exposure can lead to eye fatigue, eyestrain, blurry vision and headaches. If left unprotected, long-term exposure can lead to a progressive loss of visual function.
    Our eyes are more susceptible to damage from high-energy blue than ever before. But there’s a natural way to protect your eyes…from the inside.
    Lutemax 2020 is an ingredient found in many dietary supplements that provides the key nutrients that specifically filter high-energy blue light – lutein and two zeaxanthin isomers – also known as the macular carotenoids. These are the only three nutrients preferentially deposited in the macula that act as a shield against high-energy blue light and as an antioxidant to protect the eyes and support visual function. Taking a daily supplement containing Lutemax 2020, along with implementing new eye-health habits, can ensure healthy vision for years to come, even with continued exposure to high-energy blue light from digital devices and energy-efficient lighting.
    Your influence is important and can help educate your viewers about the importance high-energy blue light and how it can impact healthy vision for anyone using digital devices – from children to adults. We will send you a 1-month supply of Lutemax 2020 for your review and to educate your viewers on the importance of these nutrients. We would also like you to participate in four simple activities to further build awareness about high-energy blue light, the macular carotenoids and how your viewers can support their visual health:
    1. Take our “What’s your Blue” quiz (sent to you from us) to find your blue light exposure level and incorporate the complementary supplement with Lutemax 2020 each day into your diet.
    2. Provide information to your viewers about foods rich in the macular carotenoids (lutein and the zeaxanthin isomers). These include: eggs, leafy greens (spinach, kale, turnip greens, collard greens), broccoli, brussel sprouts and certain fish like salmon and trout.
    3. Practice the Lutemax 2020 eye strengthening exercises (sent to you from us) twice daily.
    4. Visit to learn more about the health benefits of lutein and zeaxanthin isomers for all age groups.
    I will be following up within the next several days to see if you’re interested in participating in the What’s Your B.L.U.E. campaign. Thanks!
    Shilpa Gauba
    Lutemax 2020 Representative

  11. Aslam

    I am glad that you respond to my email.Sir,It’s been almost 6 years that my brother (patient) is unable to see anything (blind) because he drank methanol which damaged his optic nerve.We went through best neurosurgeon of pakistan but all in vain.Below is my contact number if you can help us through anyway possible.Let me know.I will be very thankful to you.Contact Name and Number (Aslam +923341682295) Second Contact Name and Number (Nazir +923003321833)

  12. Post
    Dr. Kisling

    Hi Aslam,

    He would be best served by seeing a low vision specialist if he has any remaining sight. Low vision involves working with magnification devices either optically or electronically and often can restore a large amount of visual function to the patient. There should be a low vision clinic in some of the larger cities in Pakistan though you may have to look for it. Here is a link to a low vision clinic I found:

    Best Wishes!

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