Progressive lens dive mask?

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Not quite. Until recently, replacement lenses had no ability to change focus, but there are new types that actually accommodate just like the human eye, they are placed within the original sac that the natural lens was located and the zonules that pull on the sac can focus the replacement lens just like the original lens.
Hooray! I've finally found someone else who knows about the Zonules of Zinn! I use that as a trivia question and I've never, ever found anyone outside the optical profession who knows what the heck I'm talking about.

I'm cheered to learn that replacement lenses have better compliance now. My understanding was that they had some, but it was marginal, forcing even more external correction to have any sort of focal range.

Vitreal floaters increase with age, there's no way around it but you don't need a complete vitrectomy to remove them. Air isn't left in the eye, the vitreous is replaced by a gel. Anyway, there are new, much less invasive procedures to remove floaters but they are usually only done when the floaters cause major vision problems. You can probably find an Ophthalmologist who will find a medical need to have the procedure covered by insurance.
That's part of why I have the upcoming appointment - to see what the options are. I'm conservative when it comes to my eyes... I only get two of them and I'd rather accommodate poorer vision than have "something go wrong". For example, I never used "leave-in" contacts nor disposables... I used long-term lenses and religiously cleaned them every single night.

Man, I loved contacts. Like perfect vision. No parallax as with glasses, razor sharpness, etc.

Are all of these optometrists that tell you that you can't wear contacts doing their exams in a storefront location as compared to private practice? Working a theory here.
No, I don't use "storefront doctors" of any kind. These have all been private practicioners, including one who is a family friend (our wives worked together back in the day). He's actually the last one to prescribe contacts for me, taking me from the hard (non-gas permeable) lenses I had grown up with to gas-perms. Not quite as razor sharp as hard plastics but apparently healthier for the corneas, allowing them more oxygen uptake.
 
Hooray! I've finally found someone else who knows about the Zonules of Zinn! ..I've never, ever found anyone outside the optical profession who knows what the heck I'm talking about.

You still haven't..lol.

No, I don't use "storefront doctors" of any kind. These have all been private practicioners, including one who is a family friend

At your next appoint ask why they haven't suggested multifocal torics such as the Biofinity toric multifocal. If they don't have a really good reason why they won't even order a trial pair then my original point stands. Those lenses correct most Rx's out there including extremely high astigmatism, and again, you don't know unless you try and even if you're a bit out of range, it might be "good enough" especially for diving. Another option would be a distance only astigmatism lens on your dominant eye and try the multifocal toric on the non dominant eye for reading your gauges and for macro if you're into that.
 
You appear to be confusing two different things here. Depth of focus is more a function of pupil size than anything else... Accommodation is the change in refractive power of the intraocular lens due to its shape
I understand the difference. In this discussion I'm speaking of the dynamic range of focus - the range of nearest to farthest objects your viewing system (eyes plus appliances) can bring into focus.

You can think of that range in two ways. First, you can simply think of the "nearest" and "farthest" possible focus distances. Alternatively, you can think of (farthest minus nearest) as the dynamic range, and the median of those two distances as the "center" of the focus range.

As our lenses harden at 40YO+, one effect is that center moves more distant. This is why most people start requiring "readers" for near vision. For those of us with myopia, our required correction actually reduces. I used to be nearly -5.00 diopters and lately I'm in the low -4.00's. Gets lower every couple of years.

The sad part is the second effect: The lens hardening also makes it more difficult for your eye muscles to reshape the lens, resulting in an overall narrowing of that dynamic range. Said differently, the "nearest" and "farthest" get closer together. This is why most people end up with bi/trifocals or progressives.

Think of them as a transmission for your lenses... they normalize the narrowing (focus or RPM) range of one system (eyes or engine) to the wider range required by the outside world (vision or wheels). Bi/tri's are like a manual transmission, with discrete ratios. Progressives are like a CVT! :)

It is this second part that means I'll never be without corrective lenses of some type. My prescription is "getting more normal" but I'm losing range, just like everyone else does at 40YO+.
 
In this discussion I'm speaking of the dynamic range of focus - the range of nearest to farthest objects your viewing system (eyes plus appliances) can bring into focus.

AKA "accommodation" which is not the same as depth of focus, and you have to some degree interchanged those terms in one or more of your previous posts.

You can think of that range in two ways. First, you can simply think of the "nearest" and "farthest" possible focus distances. Alternatively, you can think of (farthest minus nearest) as the dynamic range, and the median of those two distances as the "center" of the focus range.

You could but what's the point?

As our lenses harden at 40YO+, one effect is that center moves more distant. This is why most people start requiring "readers" for near vision. For those of us with myopia, our required correction actually reduces. I used to be nearly -5.00 diopters and lately I'm in the low -4.00's. Gets lower every couple of years.

No clue what you mean about "the center moving more distant". Distant to WHAT? And yes, the tendency is to get less myopic or more hyperopic as we age due to increased density of the crystalline lens from buildup of metabolic byproducts over a person's lifetime, which also contribute to its decreased flexibility.

I think you're complicating the issue with all that stuff about the center moving this way or that way. Point is the lens becomes less flexible as it becomes more rigid due to the buildup of metabolic byproducts, it can no longer become more convex and focus parallel (distant) or divergent (near) light rays to a point.

The lens hardening also makes it more difficult for your eye muscles to reshape the lens, resulting in an overall narrowing of that dynamic range. Said differently, the "nearest" and "farthest" get closer together. This is why most people end up with bi/trifocals or progressives.

Again, that whole "nearest and farthest getting closer together" bit is a confusing bit of jargon that means nothing to me. As the lens ages, it's more rigid, it cannot become more convex through focusing of the ciliary muscles pulling on the lens zonules and so near objects become out of focus, so to clearly view these objects we need convex lenses either in the form of eyeglasses, contacts, or corneal reshaping, or replacement lenses, the exception being myopes who can see near objects fairly well without any correction or who may need a concave lens correction to decrease the myopic effect of their eyeballs.

Think of them as a transmission for your lenses... they normalize the narrowing (focus or RPM) range of one system (eyes or engine) to the wider range required by the outside world (vision or wheels). Bi/tri's are like a manual transmission, with discrete ratios. Progressives are like a CVT! :)

No offense but I prefer not to think of it that way, it's way too confusing and not really all that relevant.

It is this second part that means I'll never be without corrective lenses of some type. My prescription is "getting more normal" but I'm losing range, just like everyone else does at 40YO+.

If you get cataract surgery with accommodative, multifocal or bifocal IOLs you may not require additional refractive correction. Based on your stated Rx, you will never get to plano (zero correction) for distance due to natural aging. My best guesstimate is you'll level off at about a -2.50 which is perfect for viewing 16" objects.
 
Think of them as a transmission for your lenses... they normalize the narrowing (focus or RPM) range of one system (eyes or engine) to the wider range required by the outside world (vision or wheels). Bi/tri's are like a manual transmission, with discrete ratios. Progressives are like a CVT!
No offense but I prefer not to think of it that way, it's way too confusing and not really all that relevant.
Analogies are often helpful when discussing technical topics. Virtually everyone has experience with transmissions, which are a tool for normalizing one dynamic range to another. That's precisely what is happening here with our eyes and bi/tri/progs. I now know that you are in the profession and so have a deeper understanding, but perhaps the analogy will help others as they scan this thread.
 
Analogies are often helpful when discussing technical topics... but perhaps the analogy will help others as they scan this thread.

To me reading some of your more obscure technologically oriented posts is sort of like walking into a dark tunnel and seeing all sorts of swirling lights but no exit. See what I did there?
 
Yes, but I still have different prescriptions for each eye. The one in my left eye is geared towards reading and the right one is towards distance

Can you have both for the same eye, reading & distance, or is it one or the other?
 
Can you have both for the same eye, reading & distance, or is it one or the other?
The multi-focal contacts are kind of like wearing bi-focal glasses, so yes you have both for the same eye, But I have a different strength "bi-focal" for each eye, if that makes any sense.
 

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