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Thread: Vestibular dysfunction and presbyopia

  1. #1
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    Vestibular dysfunction and presbyopia

    I was wondering if you've observed a particular patient population that could just never end up adapting to progressive lenses? I've seen some publications suggesting that those struggling with vestibular dysfunctions, like Meniere's disease, have a particularly difficult time and ultimately rely on single-vision lenses. Perhaps this isn't all that surprising given the peripheral distortions. Have you observed patients with a history of vertigo, dizziness, or motion sickness that similarly struggle to adapt?

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    As someone who has had vestibular issues, I ALWAYS warn someone of the issues they may have. I myself did ok, but started in progressives with a low add. The lower the better and then gradually increase. Use widest, best digital design. That makes a big difference. Some people will never adapt. Their issues are just too great, so they will be a FT or SV person. Not much you can do about that. I can say that after 26 years, I don't have a lot of patients that have those issues, so it rarely happens. I will say, I see more and more people who have back and neck issues and can't move the way they need to for progressives. That is much more common.
    PS: on a side note... vestibular rehabilitation is the best thing ever if anyone needs it! It definitely helps and I highly recommend.

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    Compulsive Truthteller OptiBoard Gold Supporter Uncle Fester's Avatar
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    Welcome to Optiboard rkkonrad!

    Some help for those of us who had to look it up:

    https://my.clevelandclinic.org/healt...bular-neuritis

    https://www.google.com/search?client...re%27s+disease

  4. #4
    What's up? drk's Avatar
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    Glasses are swimmy for a variety of reasons, not the least of which are progressive power changes.

    I'm sure there are people who, for whatever reason, cannot get adapted to swim.

    But as mervinek says, try to get as low of swim as possible and build up adapation slowly.

    And don't forget contact lenses et al.

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