Suggestions on lenses for difficult prescription and extreme myopia

[MyHeadache]

Good afternoon!

I have a customer who has been receiving conflicting information on what type of lenses would be best for his prescription. Hes not the best-off financially, and trying to make the most of what he can afford, but his prescription is strong which doesn't allow for certain options.

SPH OD: -17.50 OS: -16.00CYL OD: + 4.00 OS: + 2.50
Axis: OD: 100 OS: 85
ADD: +1.50

If you have any suggestions I'd love to hear them because I'm torn between extremely thick to keep costs down, or thinner, but risking quality due to price restrictions.

Thanks!

[CME4SPECS]

ask your eyecare professional

[Java99]

This is honestly not a simple situation that has an internet answer. There are so many variables you really need to discuss this with an in person eye care pro.

[chip anderson]

Very well fitted custom fitted rigid contact lenses.

Chip

[Jacqui]

I was going to say 1.90 glass, but maybe I should just be quiet.

[Java99]

I was going to say 1.90 glass, but maybe I should just be quiet.

Can you even get that in the US anymore?

[Jacqui]

Can you even get that in the US anymore?

Yes, it's from China

[edKENdance]

Yes, it's from China

I just got a 1.9 Zeiss back from the lab for a -20.00. They break and I replace them. No problem for me :) I'll take a pic tomorrow. This job is about as perfect as you can get.

[finefocus]

I was going to say 1.90 glass, but maybe I should just be quiet.

Yeah, we should be quiet about this; some consumer will read it, not be aware that these things shatter easily, are inherently unsafe, order some from some onliner who couldn't care less, and suffer for it. I wouldn't care to say anything here that I wouldn't say face to face to one of my own patients.

[Craig]

I just got a 1.9 Zeiss back from the lab for a -20.00. They break and I replace them. No problem for me :) I'll take a pic tomorrow. This job is about as perfect as you can get.

I thought no hi-index glass in US? How do you get it?
Craig

[edKENdance]

I thought no hi-index glass in US? How do you get it?
Craig

It comes from Germany and of course I live in Canada.

[edKENdance]

Here's the -19.50 in a 1.9. No decentration.

[Jacqui]

Here's the -19.50 in a 1.9. No decentration.

Not bad at all What is the centre thickness??

[Jacqui]

I thought no hi-index glass in US? How do you get it?
Craig

I get most of mine directly from China. I don't know why you thought it was illegal, it's made by X-cel and Vision-ese.

[edKENdance]

Not bad at all What is the centre thickness??

1mm ct.

[Robert Martellaro]

I thought no hi-index glass in US? How do you get it?
Craig

Up to 1.80 I believe.

Here's the -19.50 in a 1.9. No decentration.

Nice. I used to get Zeiss 1.90 from a lab in Virginia as recently as about ten years ago. The CTs were, depending on the power, .9mm to 1.1mm, total power in any merdian was max -20.00 D, no tempering, and the client and OMD had to sign waivers.

[edKENdance]

As horrible as it is, one of the lens replacements I had to do was after she and her husband were in a car accident. Her husband passed away as a result. She had to undergo months of physical therapy. Frame was ok with a couple nicks and the lens cracked.

[Craig]

I get most of mine directly from China. I don't know why you thought it was illegal, it's made by X-cel and Vision-ese.

I was only able to get from Zeiss and they stopped many years ago in the US; How high an index can you get?
I may have a few in high RX's.

[braheem24]

Not bad at all What is the centre thickness??

Quit cozying up to them foreigners, it's "center" dang it!

[Jacqui]

Been spelling it that way all my life. I grew up in Cananada, maybe that's the reason.