Multifocal VS Monovision Contacts // Contacts For Presbyopia

[@Boogeyman1435]

I'm 67 and started wearing contacts with monovision over a year ago. I've had really good luck with them. As time goes by, it seems to be better. I had bought a pair of cheap 'readers' to help me see price tags at stores, but now I can leave those at home. My left eye is my reader, so I've realized that I see tiny things better if I just close my right eye. I've never been able to become accustomed to my glasses with progressive vision (no-line bifocals). I can see WAY better driving with the monovision lenses. Still struggle to read really small print, but like I said...I either close my right eye or now just enlarge my computer screen a bit, or if I'm out and can't read something? I pull out my phone and use my camera screen to enlarge it (like when. you go to take a pic and manipulate the screen to enlarge the pic)

[@florencegreen3146]

I would like to have near vision with contact lens and for long distance and stigmatism😢 to use normal lens, i don't know if is possible...

[@Boogeyman1435]

@@florencegreen3146 I also have astigmatism. Just add a contact exam with your next appointment, and ask your eye doctor

[@jack91522]

I've tried multifocals and like you said far and near is a little blurry and not crisp. I don't have a strong prescription, so it's like not wearing anything. It seems like too much of a compromise. Waiting for technology to allow crisp images far and near for patients who have nearsightedness in one eye and farsightedness is the other.

[@waxy1962]

I tried multifocals but prefer monovision, AND, it's half the cost because I only need one lens.

[@DrEyeGuy]

Win win! Awesome!

[@M70.00]

Today was my first trial day for multifocal contacts. @ the optometrist, I switched from Precision 1 to Copper Vision My-Day. It seems ok, but my left eye was getting tired and straining a bit. It's nothing like wearing Progressive lenses, which I have...Varilux XFit. They are great! I'll try these contacts out for a couple of more days and if I still experience the same, I'll just stay with my progressive glasses and use single vision Precision 1 contacts with my readers like I was previously doing. The optometrist did warn me that it would be nothing like wearing my progressive lenses, as far as clarity. You stated the same! Thanks for the detailed video, great info..

[@rlav2000]

Fantastic explanation. I'm wavering between multifocal and monovision. This video really helps me out a lot! Thank you for posting this, Doctor!

[@DrEyeGuy]

Glad to help! Thank you for commenting!

[@jeffreyl5151]

Just my experience, I had a difficult time with monovision, my brain couldn't make the adjustment. 😊

[@amyw6758]

@@jeffreyl5151 I just got my first contact lenses (trials) on Sunday and I don't know if I am not giving it enough time but I am also having difficulty with monovision. It's making me slightly queasy and I normally have a stronger stomach than that.

[@robertpeyton5534]

I am 57 years old I need readers 2.50 I can see distance better than most young people I do not want to lose that vision if I get a contact lens for reading any options I'm also a hunter and have terrible trouble with open sites and also even with scopes now thank you

[@reneebodily6651]

Thank you. I'm LOVING my progressive glasses. I don't know when the last time I wore my Dollar store readers. 🥳

[@DrEyeGuy]

Glad you still like them!

[@paulah.8294]

I just started MonoVision today. Im praying it works well for me. ❤

[@jameschristiansson3137]

Did it work for you? I'll be looking at monovision in the near future.

[@JanWilliamx]

Any updates? I just started a week ago and having trouble with distance and seeing small text on my laptop.

[@ladkiusa]

I had PRK about 10 years ago that corrected a small distance issue 20/35 and also it slightly corrected my presbyopia of +1.00. The presbyopia has since become worse so now I wear a +1.00 in one eye. It does not really bother me too much since the + power is low and my normal vision is about 20/25. I think that it is easier to get used to when you have only a slight difference of the correction power between the two eyes.

[@bdp1966]

56yrs old with monovision L +150 R +350. So glad to not have to wear glasses full time

[@TheDupresdoDisney]

Tried multifocal. No thanks. Distance and near was good. Intermediate was awful and since I work on a computer in front of three screens all day it was a no go. Like watching a 3d movie without the glasses and letters floating around. Monovision gave me my life back. Haven’t seen like this in a few years.

[@jessel.8697]

How is your night driving with MonoVision?

[@TheDupresdoDisney]

@@jessel.8697 best it’s been in years. With the multifocal I was legit wearing cheaters on TOP of them because it always looked like cars were coming at me head on - they were not. No more of that happening thank goodness. I’m amazed how good it is

[@tinataylor4203]

I can’t wait to go back to monovision. I just got new contacts an figured I go the reading glasses an contacts an I hate it. I’m constantly picking up my glasses to read something or look at anything up close.

[@emmcee476]

​@@TheDupresdoDisneydid you lose some depth perception with monovision?

[@bettyboop1524]

I started wearing one contact when I was in my 40"s. As the years went on lots of different contacts, lots of new things. Now in my 70's I am waiting for my one hard contact so I can get better vision. I do not like soft contacts. My one doctor told me my brain works well with monovision.

[@jarnolehtinen9390]

I've tried contacts several times in the past 20 years - each time giving up due to immense struggle putting them on and taking them off. Came across some of your videos about how to do that, and lo and behold, I learnt it in three attempts now being able to do so without red eyes and crazy frustration. Currently trying multifocals, but having a bit of an issue due to my own oversight but also that of the optician I purchased the lenses from: my left eye has cyl -0.5 and ax 180, but I purchased lenses with no corrective values in those. My otherwise pretty decent near vision got so bad I couldn't read at all. Only then I realised my prescription had those values.. Good news is, my far vision is laser sharp, so much so that I can almost see through concrete walls in the distance :D

[@geraldl1401]

Been wearing Boston XO2 rgp's with Essentials I,ii,III multifocal lenses and love them......never needed reading glasses❤❤❤!

[@GilliánCristóbal]

Brilliant Neal 👏👍keep up the good work the videos are always great big hug from me in🏴󠁧󠁢󠁳󠁣󠁴󠁿 🇬🇧 Scotland

[@DrEyeGuy]

Thank you! Thanks for watching from Scotland, that's awesome!

[@angieguymon4764]

Your thumbnail was 👏 great info as always

[@DrEyeGuy]

Thank you! I went a little crazy with the thumbnail. 😄

[@yosemitesam9322]

I couldn’t adapt to mono vision contacts, L eye was at 5.50, R eye war at 3.75. My doc is having me try multi focal lenses, today will me my first day. I really loved my regular contacts but I needed to constantly wear reading glasses, for me that was pointless in wearing contacts altogether. However, I loved driving with my old ones, they were great until I had to look at a map or change a setting like, air conditioning. Anyhow, I’m nervous to put on my new ones today. I really want them to work. Thank you for your informative video. My doc is great but short on time. Wish me luck.

[@DrEyeGuy]

I wish you best of luck. Hopefully the multifocal lenses work better for you.

[@yosemitesam9322]

@@DrEyeGuy thank you so much!!

[@igloozoo3771]

I can't see far but I have no problems seeing near. I've been wearing contacts since I was in 6th grade and all of a sudden in the past two year, my near vision has gotten bad only while wearing my contacts. I take my contacts/glasses off and I am fine reading books or iphone. They fit me for multifocal lens and I couldn't get used to them,

[@DrEyeGuy]

That's a bummer. Do you need reading glasses while you are wearing you contacts now?

[@emmcee476]

That's the same problem I have. Been wearing contacts for distance since mid 20s (I'm late 40s). With contacts when I was younger, distance was corrected and I could still see close. Now with contacts, distance is corrected but close is blurry. When I take the off, distance is of course not corrected but I can see close clearly

[@Emiii2398]

Can you pls do a video about monovision and multifocal contact lens fitting parameters and trial lens selection

[@otiebrown9999]

No way !!

[@uf1978]

Monovision here.

[@mrwilliamhope]

Great video. I'm myopic with astigmatism and have been presbyopic for quite a while. I am now 52 and I had cataract fairly early and so had surgery in my 40s and opted to remain so and largely my astigmatism remained unchanged. There is certainly a compromise with Multifocals but are better than Monovision for me. My Spectacle add is +2.25 over my distance. I live in the Uk and the latest contacts I am trying are custom ones from Spain(not sure if they are available outside Europe). More compromises at night and the latest ones I see better close up than at at distance.

[@DrEyeGuy]

Thanks for the comment. Just out of curiosity, were you fit with Multifocal toric contacts (multifocals with an astigmatism correction)?

[@mrwilliamhope]

@@DrEyeGuy yes I was. The most successful has been the Coopervision Biofinity Multifocal Toric lenses.

[@mrwilliamhope]

@Dr. EyeGuy The lenses I am wearing today are by a company called Markennovy based in Spain. I am not sure if they are available in North America and are not widely available in the UK(where I am, except through Independent Optical Practices). The lenses are Blu:gen Multifocal Toric (badged MFT). They have a good blue/UV filter and are easier to handle than the Coopervision in my view. I'd recommend them.

[@DrEyeGuy]

@@mrwilliamhope I'm not familiar with them, sounds interesting.

[@mrwilliamhope]

@@DrEyeGuy hope you check markennovy out...

[@YaofuZhou]

I watched a Mini Air Crash Investigation video and I came to check out what mono vision contact lens is. Thank you for the explanation!

[@DrEyeGuy]

What was the mini air crash investigation? That sounds interesting.

[@MrRicardobotti]

Yes multifocals are bad if you need to read small letters on a monitor. I wear readers. Not contacts, for the rest , reading books and all the rest of the activities I use multifocal contacts. But don't expect your far vision to be the one you had when you were 30. I mean it's ok. But not perfect. Still good enough not to want to wear glasses. There are some contacts that have a dominant eye ...I wonder if those could be any better. I could try a separate pair of contacts when I have to work at home at the computer .

[@chrismamakos]

Great video. I smashed the thumbs up like I was playing whack a mole.

[@firstlylastly9155]

I can see great up close and can't see far with my left eye. That eye has an astigmatism. Is there a contact that has no prescription up close, and has the prescription for seeing far?

[@kimberelyhigginbotham9577]

I’m near sided in one eye and farsighted in the other and currently I’m trying MultiVision contacts. In front of a computer everything is blurry even with a plus one reader and in general overall looking is a little blurry. We are gonna try single vision to correct the distance vision and normal every day looking aroundand use a pair of computer glasses for every day work on the computer and reading.

[@angelwings7930]

Why isn’t there a way to just improve near vision only ? And forget the multi-f or Mono ? Single vision lenses,?

[@wielandsmith]

I tried multifocal and monovision at the doctor's office... I don't know if it was just the multifocal prescription or brand of lenses, but I totally lost all my distance vision with the multifocals. I mean, 10x worse than if I had no contacts in at all. It was almost like it was just making me nearsighted. He put me on a monovision trial and I have no idea if it is going to work. I have a lazy left eye which was given a near prescription and a super dominant right eye which was given a distance prescription. The right eye has been doing "all the work" for the last 25 years, so I was basically a cyclops anyway. Immediately my medium and distance vision became as sharp as a tack but the weaker eye is struggling with the near and I feel like my dominant eye is trying to do that too even though it's not corrected for near.

[@wielandsmith]

Update, I'm still trying to get the monovision to work, but my right eye has been doing everything, so reading is difficult. I'm thinking I'm SOL for a contact presbyopia solution.

[@tobapuwcobakuh8086]

With monovision contacts, should your dominant eye be corrected for far or near vision, or does it matter which eye is corrected for far or near?

[@hebehall]

Yes it matters. Your dominant eye is for far. Your non dominant for near or intermediate, whichever prescription you choose. Multifocals are far better

[@darrenbrown9126]

I wear monovision contacts and for the most part, I like them. The only thing is that when I look far out of my left eye, my right eye relaxes or wanders to the right and I have to make a conscious effort to bring the eye back to focus in on what I am looking at. What causes that and what can I do to prevent it? Thanks and great video.

[@DrEyeGuy]

Great question. This can happen sometimes. With monovision, the brain will concentrate out of one eye depending on where it is looking. Sometimes that can lead to the other eye being suppressed (suppression) and not receiving the same stimuli from the brain as the other eye. This will allow that eye to "go on break". Usually people that have this may have an underlying misalignment issue. To avoid this from happening you would want to not do monovision anymore, and have both eyes focused on the same target.

[@raymondmeyers8983]

I wear a contact lense in one eye and the other completely unaided since my near vision is fine unaided.

[@jims355]

Just switched to monovison +1.0 in the non dominate eye. Multifocals were not good at all in my cast.

[@martinfilteau8668]

I have high myopia (-12.5) and astigmatism. I wore soft contact lenses for 30 years. I started to have presbyopia and opted for monovision scleral lenses. Comfort is much better all day long. The only issue is astigmatism could only be corrected on the near vision eye. Trying to correct astigmastim on both eyes affected negatively near vision (while giving me much better far vision). The brain couldn't handle too much blurry vision on the far seeing eye while looking at the computer screen. I'm wondering if I could get better results with multifocals.

[@wvu982000]

I’ve never worn contacts before. But with the pandemic and mask wearing, I’d like to give contacts a shot. I am far-sighted but at 46, everything is a bit blurry. I currently wear progressive lenses. Am I a candidate for either of these contacts?

[@DrEyeGuy]

Yes, it sounds like you would be an excellent candidate.

[@JG-ke7gj]

How do you typically set one eye for near vision? Reducing the spherical power on that eye?

[@DrEyeGuy]

Exactly!

[@leapred]

Great video. Am I able to use a contact for distance in my dominant eye and a multifocal in the other eye?

[@DrEyeGuy]

Yes, and there are many patients that do that.

[@Blap552]

​@DrEyeGuy Sir I was just about to send the signed docs in for monovision post cat-surgerey lenses but I'm pretty sure I'm going to spend the extra $3k for 1 multifocal lens now, unless you object?

[@armfar69]

I just tried the multifocal, I have astigmatism. But when trying them, after a while I would still see blurry, close and far. And don’t want to use monovision, I want them mostly for reading 😢😢😢

[@DeusRegum]

Most people I know that have tried MF lenses hate them. Most people I know use monovision. It's hard to believe what I see online because I hear/see the OPPOSITE results in real world experience. I hope to find out soon enough what will be best for me.

[@lizmcmahon7865]

Modified monovision is good for me which hasn't even been mentioned! Multifocal toric lens in my left non dominant eye and distance toric lens in right eye. Gives better distance power and acceptable near vision and my distance has always been balanced straight from the start as using a lesser distance power in right eye. 😊

[@markflatters9819]

​@@lizmcmahon7865I have just been offered this option & to be honest I'd never heard of it before,standard multi focals have never really felt right for me,so I'm hoping this option works for me!! 🤞

[@iwillstom]

Even in my 20s when ophthalmologists played around with different prescriptions in each eye it drove me nuts. My brain just couldn’t handle much disparity between eyes. I tried one set of multifocals and it didn’t work out so I thought that option was out. Didn’t realize there are tweaks that can be made within multifocals. Currently trying to get by with readers and it’s a huge pain. I’m finding I need the readers almost constantly as I switch from far to near so often. When I don’t have them at hand the mild disorientation from being fuzzy up close is really unsettling.

[@michelradford164]

Thank you. 😎😄👍🏾👍🏾👍🏾

[@DrEyeGuy]

Thank you for watching! I hope it helped!

[@kimcombs3906]

Thank you Dr. EyeGuy 💕 I appreciate all your info and feedback! I love my multifocals (I am nearsighted) and have not had a problem till now. 6 months ago i started a new job that is 98% computer work. The screen was slightly blurry. After weeks of headaches i went to the eye Dr. He put me on Monovision. I miss the crispness with my multifocals, BUT i can actually see the computer screen and headaches are gone. When i work on the pc i get tired of my dominant eye being fuzzy, Then when i'm running around my distance eye is great but my left eye is fuzzy. Is that how it will always be? I don't want to be not grateful but i just miss how sharp seeing use to be. Oh and one important thing to note using readers made me motion sick due to the magnification so that is another reason Dr. Recommended monovision. Love to hear any advice you may have. Thank you!!

[@leojames2950]

Hi i have watched a lot of your Oculus Quest 2 videos and couldnt find what i was looking for so could you please make a video about Oculus Quest 2 and how it affects childrens eyes or how long they should spend on it

[@DrEyeGuy]

Thanks for watching my videos! Yes, I will be making that video soon.

[@leojames2950]

@@DrEyeGuy yes thanks

[@ErinZwigart]

I just switched to this mono lens concept…right eye is for distance while left is for reading. My question is since my left eye has the astigmatism, if I wanted to just decide to go with readers, is that an option?

[@Deena78]

I have started wearing multifocal contact lense but I cannot see close up. Distance is good. How long does it take for your eyes/brain to get use to them? Thanks!

[@emmcee476]

I started multifocals recently. First pair was fuzzy dar and perfect up close. After a week, distance did not improve Second pair is the opposite. Distance improved but a little fuzzy up close I am not sure if it's even possible to obtain perfect close and distance vision

[@M70.00]

@@emmcee476 Today, my optometrist told me that it would not be as clear as wearing my Varilux XFit progressive glasses.I may have to give up one vision for the other. I think you've experienced this by reading your comment. At times, I also experienced a bit of fuzzy or haze. The other problem that I was having today was that my left eye was getting tired and straining a bit. Then again, it's the first trial day.

[@FLHunter3006]

Hello Dr. Thank you very much for your videos, very informative and easy to understand. I've been wearing mono vision contacts for years and was never happy with multifocal lenses, just heard of new Acuvue multifocal Max, any thoughts on them?

[@DrEyeGuy]

So far they have been really good for a lot of my patients. I just did a video about some of the best mutifocal contacts and I included them in that video. Still somewhat same challenges like the other multifocals, but better results it seems

[@louatiothello6363]

I'm 38 years old My eyes weak in far sight right dominant is -4 and left is - 2.25 and I want to do LASIK or prk just for right and keep the other untreated eye to avoid reading glasses after 40 is it work ?

[@jessel.8697]

I tried multifocal contacts and my night vision suffered extremely. It was so bad that it made night driving dangerous. Now I am in monovision I had the depth perception issue for a short period maybe for the first 10 minutes I felt as though the ground was coming up at me. Now my only issue is that the distance that I need the contacts for 90% of my use near to mid vision (computer distance) happens to be the focal length where the overlap in the prescription for each eye is and does not seem to work well thus my eyes are fighting for which one will focus at that distance. How long does it take to overcome this issue?

[@DrEyeGuy]

you may just need a near power adjustment. It's possible to adjust that near power to the distance you would most use them.

[@GigLifewithLexi]

Thank you Dr. EyeGuy. I was waiting for this video but didn't get the notification for some reason. I like my monovision contacts for being out and about. They are great for that. But for computer work or reading, it can be a bit challenging so I need to take them out and wear reading glasses. If I don't do that, I end up putting the glasses on over my contacts which kind of defeats the purpose. :)

[@DrEyeGuy]

I was curious how you were doing with them. They really can be tricky to get them just right. Thanks for watching my videos, you are awesome!

[@GigLifewithLexi]

@@DrEyeGuy Aww thanks. I enjoy learning and you've helped me so much with your videos. I'm so glad you have this channel. I appreciate you so much!!

[@elsadecora7429]

I’m near (right)/far (left) sighted already & it drives me crazy, especially when trying to decipher screen doors, lights at night are kind of disorienting & add a hint of astigmatism & I’ll think that a pile of wood is a pack of dogs that are looking at me🤣🤣🤣 I can barely look through a pair of binoculars with contacts, impossible without them..

[@DrEyeGuy]

Gotta watch out for that pack of dogs.🤣 Thanks for commenting!

[@jazzkatt1919]

I just got a prescription for multi-focal contacts, and I've noticed that my distance vision is not as sharp as it was with my single-vision glasses, but am not sure if this is due to a change in prescription (the glasses were stronger), or a function of the lenses themselves. Either way, it's not a huge issue. The thing that is really bothering me is the fact that I have to hold reading material at arm's length when I wear them. I contacted the wonderful (/sarcasm) eyeglass chain where I got them, and they seemed quite unconcerned and told me to get readers. The reason I wanted multi-focals in the first place was to avoid the whole "put 'em on, take 'em off" game. Same complaint as a lot of people, I guess, except in my case, it was a matter of taking my glasses off to read, not putting them on. Is it true that there is no way for them to adjust my prescription so this is unnecessary? If it is, I may as well get the undoubtedly cheaper monovision contacts or just keep wearing my old (free!) eyeglasses. If they truly can't make progressives that work for me at close range, I also wondered if it might be possible to keep single vision contacts for distance and get bifocals with the add prescription on the bottom and a plano prescription for the upper part to wear with them. I was thinking that way I'd have what amounts to readers that I don't have to take off. If that would work, I would really like the idea, because I could get them as Transitions and have them serve as sunglasses, as well. Is that crazy plan? I'm really disappointed that the outfit I went to for these didn't bother to discuss any of the potential problems when I was there for my exam, and sort of blew me off when I tried to follow up with them. My presbyopia, which didn't put in an appearance until a few years into my 50s, doesn't interfere with my ability to see my computer screen very clearly without corrective lenses, and only rarely bothers me when I read unless the print is tiny. My distance prescription is -1.50 (the new one.), with an add of +2.00. I do also have astigatism, which these folks didn't address at all. I have no objections to either glasses or readers, but I do have objections to the inconvenience of glasses I can't just put on my face and leave there, and huge objections to the fact that my new prescription, rather than improving my near vision, has actually made it worse. I tried progressive lens glasses a few years ago, and didn't like them at all. I'm not interested in contorting my neck into a pretzel just to read a stinking menu. Thanks for any light you can shed on this dilemma. I should ask the people at the lovely chain, which, much like Voldemort, shall remain unnamed, for a refund and send the money to you.

[@thomasreedy4751]

The eye doctor says you got 2020 vision and despite changing you $200 extra for a special fitting - they send you on your way. I had an eye doctor who got excited with a tough fitting - but those are hard to find in a chain store setup. Unfortunately I lost track of her - not being wise to what having a good eye doctor means.

[@johnmatthes8608]

Where is your office sir?

[@Wilson.katie815]

Trying multiracial and near is great. Distance is not. I’m not sure if this will work for me

[@ncbluegrassevents1984]

I am 3 weeks into monovision and it seems like my vision has gotten worse. I am blind to drive and can see much better with nothing. I only need 1.25 for distance. I am so disappointed because I thought contacts was the stuff. Guess I am one of the 40% that the brain wants to use both eyes.

[@DrEyeGuy]

How long have you been trying them?

[@bugby72]

Is it common for multifocal contacts to cause migraines when you go through the initial adjustment period? I wore them for the first time yesterday and got a horrible migraine after about 5 hrs. of wear and had to switch to my glasses. I'm afraid to wear them again today for fear of making the migraine worse. The doc's office said to continue to wear them in order to adjust. Is this a good idea? Oh, and I should mention that I wore monovision contacts for nearly 3 years prior. Also, my doc recommended only wearing them for a few hours a day for the first 3 days to give my eyes/brain time to adjust without massive strain, but I've read elsewhere that doing that will make the adjustment harder and take longer. What is your opinion on this?

[@DrEyeGuy]

MF contacts could trigger a headache for sure, especially at first. Not sure about migraines specifically. If you are having headaches, then it's probably best to slow, with a short wear time and work up to it. This depends on the person though.

[@bugby72]

@@DrEyeGuy Thank you for the insight! I'll plug on and hope that it goes better... slow and easy. 😉

[@mihailovelickovic2747]

What about multifocals if I do not have a distance prescription?

[@rickyricardo9917]

Hi Doc, would u recommend multi focal contacts for a pilot ? Maybe adding just a small amount of correction to enable me to see the close up cockpit instruments a little better. Thank you

[@nubek]

Hi, great videos! I just started to try contact lens for presbyopia, my optician gave me the Dailies Total 1 brand. My question is the following: can i try other brands just ordering on the internet with the same diopter and addition, or is there anything i should discuss with the optician before? Dailies Total 1 is a great lens, however is a little bit pricey. Would be great to see the difference with cheaper options.

[@sarahbarker9801]

Hi, I've been fitted for multifocal contacts for the first time, I can only see well at intermediate, distance and near still are blurry after a week of wearing. The prescription has 2 different adds for R & L eyes. I'm a bit confused, I thought they'd be the same?

[@DrEyeGuy]

Usually they are the same. Sometimes to improve vision for either distance or near in one of they eyes, the add power can be different. Every doctor probably has a certain method that has worked for them. I would ask your doctor about it. I usually start with the same add, and then adjust from there, but your doctor may have an idea depending on what your prescription is.

[@sarahbarker9801]

@@DrEyeGuy Thank you. I have spoken to a different optometrist there and they have changed prescription.

[@sarahbarker9801]

Hi there, I've got a new prescription now and have the same prescription in both eyes, wow such a difference already, I'm pleased I've kept at it. I had a feeling my other optometrist was trying to put me off multifocal lens & told me there was only a 35% success rate with them. Your video has been a great help, thanks!!

[@DrEyeGuy]

@@sarahbarker9801 That's good to hear! Glad you kept with it as well! Thanks for reporting back, I was curious.

[@dafyddr8678]

Hey Doc, I tried Multifocal here in the UK. For around 5 minutes I could see brilliantly then my eyes dried so quickly, when this happened the vocus was not there. Is there any way around this ?

[@DrEyeGuy]

The majority of people that can't wear contacts are from comfort issues, either dryness or irritation. You could try a different brand of contacts to see if your eyes like them better. You might also need to treat your dry eyes in order to wear contacts.

[@LarryYork]

I see some confusion about multifocal lenses online, with some people saying you have to physically move your eye with respect to the contact lens to look through the correct focus area. However, this seems to actually only be present in some 'segmented' contacts and in most cases multifocal contacts stay centered in your eye as you look around. The concept of multifocal lenses seems related to the concept of simultaneous image where it's actually that multiple focused images are being projected onto the retina and the user's brain has to learn to interpret the correctly focused image? Is this correct? Are all areas of the field of view available in focus, or do you still need to change your gaze direction to bring particular parts of the scene more in focus? Are there any good videos that explain this actually rather complex process, both in terms of the optics and also the neurobiology?

[@Kevin-lp7cq]

Hi Dr, I play a fast paced sport , Squash. Would multifocale or a single distance be better. I wear multi at the moment. Thanks in advance for a reply.

[@DrEyeGuy]

I think it would be worth a try to wear the single vision lenses and see how you do.

[@patsharpmk2]

I have a prescription for mono vision lenses and I'd like to try multifocals, how do i work out my multifocal prescription?

[@DrEyeGuy]

It would need to be prescribed by your eye doctor. I'm sure your eye doctor could help you get some multifocal contacts based off of your prescription.

[@matma01]

I just got started on monovision contacts today and I don't think it's going to work for me. Not sure either will work though because I have Sjogren's!

[@DrEyeGuy]

Yeah Sjogren's adds another challenge to the whole mix.

[@julybug9795]

I’m wearing multi focal right now, and everything is blurry. Had them on a couple of hours now. Why can’t I see up close any better than no correction at all???

[@srshenoy]

Just got presbyopic, deciding between progressive glasses vs contacts. May I ask, does the contacts not suffer from the problem of distorted vision to the sides of the 'corridoor' as for glasses ? Do we have the same vision even if we move the eyes vertically and sideways ? Thanks for the video by the way !

[@DrEyeGuy]

The multifocal and monovision contacts will not have distorted vision to the sides. You can look in any direction and the vision should be the same. Thanks for the good question!

[@jessesanchez2915]

I started wearing mono contact lens. I have a bit of a double vision or blurry when reading still. My Dr said it can take up to a month for your brain to adjust. How much of that is true or am I a lost cause. I’ve only been wearing for about a week. It has improved but not by much.

[@DrEyeGuy]

It's true people can adjust to them after that long. It depends on the patient though.

[@crisptitanium]

Great video. One question regarding monovision contact lenses: Is it possible that your weaker eye (the one with the stronger magnification lens) will eventually lose it’s muscular elasticity because it is blurred most of the time during daily activity? I am new to these lenses and it does concern me that since my brain is adapting to differential vision, that eventually my weaker eye will become useless without these contacts (use-it-or-lose-it Darwinian concept). Thanks!

[@DrEyeGuy]

Good question. I have never seen that happen in practice. If you are doing a lot of near work, then your near eye would actually be the clearer eye doing the work.

[@crisptitanium]

@@DrEyeGuy Got it. Just wrestling with the possibility that I could be doing some long-term damage by using monovision lenses. Thanks for the help and clarity as I struggle to get into contacts. I much appreciate your video and explanations.

[@dougattridge4877]

on my third trial set of contacts I am Far sighted the lenses i am currently wearing give me good midrange but dull down my far sight and I am also on the edge of my near sight (looking at my phone is ledgeable but blurry) my far sight mostly is clear but t night if I am driving I have a hard time seeing past the headlights i sometimes cant tell if the road bends or dips when I try to use my far sight as there is a level of blurry there too. at night I would say my vision is better without the contact lenses for far sight

[@shannon6326]

Hi. I have astigmatism and dry eyes. I normally wear gas perm lenses. This year, I can’t get them to stop fogging and feel comfortable. My doctor gave me BL mutlifocal soft contacts with astigmatism. The cloudiness happened in these as well. My dr states there is only one brand of soft multifocal contacts. Is that true? Now, I’m in monovision soft dailies. My eyes are ok with the msterials(no fogging), but my brain hasn’t adjusted. I’d rather be in multifocal, but selection seems like it’s gas perm or just that one pair of Bausch and Lomb because of my astigmatism. What do you suggest?

[@DrEyeGuy]

The B&L is Ultra Multifocal for astigmatism. There is a Coopervision option as well: Biotfinity multifocal (toric - astigmatism). Do you know if your fogging is more from a dry eye issue that has gotten worse? It might be worth looking into the core cause.

[@spbolts]

Hello, this video was very informative, thank you. I am 54 years old and started wearing glasses about 9 years ago. My issues began just needing assistance with near vision but now I need both near and far. I have opted to go with contacts as of my last appointment last week. I went with the Monovision option. I was wondering how long you think it should take for my eyes and brain to adapt. It been about 5 days now and I still have to really concentrate or close one eye depending if I am focusing far or near. Is there a certain time frame you give your patients to see if this option is right for them?

[@bj10jgo]

I'm on the same boat and currently on a week and half and still not used to it. It feels like Im only wearing 1 contacts since the my right eye is the dominant contact that can see far and left eye, non dominant is what is used to see close for reading. I might just go back to wearing the normal contacts and just wear reading glasses as needed.

[@musicastro9743]

Does multifocal lances sometimes gives blurry vision for not to implant right power

[@kennypinsky5309]

So I was just fitted with MFCLs. I’ve tried mono and never could get used to them. My eye doctor set me up with the cooper vision lenses however, my left eye sees dbl vision when reading close up. I asked about that and she told me it’s because one lens is set for my dominant eye. My question is: I thought that both my lenses would be the same powers? I thought I would not have to deal with the mono vision configuration with multi focal for presbyopia

[@lovesue]

I am a nearsighted. If i get a contacts for the first time to see far, will i be able to see near (clearly) with a contact to see far on? TYIA

[@GrumpyGarry121]

Great vid, how about sports? I ride a motorcycle and ski, I was thinking of trying the multi focal but I presume the single lense would be best for clarity and depth of perception. The monos would be no good for me. I am currently wearing distance glasses and carrying readers. Thanks for any answer

[@gopalakrishnanjeyam5081]

Doctor I am from india. Already my left eye fixed monofocul lens, can fix right eye multi focul lence. I am 62 year's old gentleman.

[@AwesomeFuture777]

Hey thanks for the video... I am an astigmatism patient that has worn glasses most of my life. I'm 62yo and am currently on trial with mono vision contacts without astigmatism correction. I first used mono vision contacts 9 years ago and was good with them with my left eye dominant. This time my brain didn't adjust to them and my eye doc said I could try switching the contacts from either side. I did that and now my right eye is dominant for distance. I'm scheduled for mono vision lasik June 17th and was wondering if I should ask about trying multi focal lenses first or see if they can do the lasik for mono vision with astigmatism. I would think they could and may be more comfortable than the current mono vision. He said I am only at 1 diopter.

[@DrEyeGuy]

Yes, they should be able to correct your astigmatism with Lasik.

[@adeanacooper6338]

Do you wear either of these contacts everyday? I will be trying monovision for two weeks before having reflected lens replacement.

[@ajs11201]

I can't speak for anyone else, but I can tell you that I wear monovision contacts every single day for about 16 hours a day, and I've been doing this for a good 15-20 years. Although I've never tried multifocal contacts, I've had great success with monovision contacts and get better clarity from them than I do progressive eyeglasses. As for depth perception, it's rare that I notice any loss...sure, it can happen, but for me, it's only if i'm doing some extraordinary close-up work with very small detail.

[@authenticationstation2041]

I’m trying B&L ultra multifocal for astigmatism in my left eye and every time I blink my lower eyelid moves the contact causing it to go out of focus. As I get focused again I blink again and start all over. It’s very distracting and I feel the contact almost lifting. Initially I tried coopervision multifocal with no astigmatism correction and could see clear on reading and midrange but my distance was not what I would consider usable in either eye. I tried mono-vision years ago at a chain store and they had me try a hard contact in my left eye and sent me out the door without instructions on how to remove it. With the help of KZbin I got the contact out at about midnight. The place I’m doing the trial at is acting like they tried all options. I’m pretty sure the B&L contact is fitted wrong causing the movement.

[@cathychin1521]

Is it possible using the mono for both eyes using a reduce prescription. That way there is no depth perception lag? So doesn't see clearly for both far and near. But better than none

[@carlitasandoval1]

I wonder if this is good for someone that works on the computer cuz I’m fed up with my progressive glasses

[@rickimichelle2742]

I wore multifocals for more than a year and did not like them. I am now trying monovision and the first day was fantastic. Second day seems to be blurrier..is that normal ?

[@joe8072]

Wit a Rx of RE: +0.50- 0.50 x180 and LE +0.50-0.50x30, Add: 2.00. Pls wat would the Monovision CLs Rx be lyk ? I really would want my Aunt to be compliant in her CLs wear.

[@jamiegladwin]

Can I use miltifolcal if my prescription is o - +1.25

[@DrEyeGuy]

You can...however, I have found the success rate is lower when people don't require a distance prescription l.

[@jefferyfarmer8454]

Great video! I have had an astigmatism my entire life. Eye surgery as a kid for a ‘lazy’ eye. I am now in my 40s and have developed presbyopia. I received progressive glasses and after the adjustment period, I love them. My doc kept me in my same daily contacts but tweaked them to become monovision. (Former lazy eye is for near vision) How long will the adjustment period be? I only received 5 contacts for the trial (5 days). Should I call to get a longer trial? I also have a message out to my doctor in regards of multifocal toric as it sounds like they are similar to progressive glasses, is this the case? I am hoping the office will order me a trial of multifocal toric as I am not overly convinced monovision will work for me.

[@DrEyeGuy]

Sorry for the late reply. How is everything going? Did you figure out the contacts?

[@jefferyfarmer8454]

@@DrEyeGuy not yet, I have a trial multifocal toric (biofinity) ordered. Should get it in about a month. Fingers crossed.

[@patrickvandenberghe9529]

Dear doctor, maybe you answered this question before, but I didn't find a clear answer by reading the comments. I don't need spectacles for far away view, only for reading and computer. I use now spectacles with +2.25. What is the best solution in that case, i am 63 years old? Monovision or multifocal? I see on websites that they sell lenses with +2,25 correction, is this what I need, is it logic to wear lenses for reading only as the view far away will be blurred I guess, or can you use a lens like this in the non-dominant eye only? Thanks for the information. Greetings from Belgium.

[@JLer_OT5]

One thing I don't like about MF contact lenses is that is doesn't work well in dimly lit rooms.

[@stevemarkarian7562]

Hi Dr, I have contacts for monovision -5.25 in my dominant eye and -4.5 in my non dominant eye. I told my Dr I wanted to see a little better up close, such as Resturant menus. He changed my contacts to -5.50 in my dominant and kept my other eye -4.50. Would this help? Or should he have lowered my non dominant to -4.25 and kept -5.25 in dominant?

[@alexandrerighi]

Great video, awesome channel. I know it's a bit old was wondering if any1 could answer me this: my prescription for multifocal glasses can be used for acquiring the lenses? I can do this online where I live, no need to show it. It's -6.50 (miopia) and -4.50 (presbiopia). Thanks!

[@DrEyeGuy]

It would be difficult. Most multifocal lenses come in low, medium, high add powers with different optics.

[@brownster1979]

Hi Dr. I just received a trial of my acuvue multifocal contact lenses. Do I need to look for an area on the lens to insert it to point towards the top or bottom of my eye ? To be able to read or do I just insert them as a normal lens? Please help. Have a blessed day.

[@tangoadvance8393]

Is it possible to get a lens that only adjusts near vision and leaves middle and far unaffected? I fly and struggle to see the flight instruments up close (use +1 reading glasses) I tried mono contacts but for flight they were no good as I need to see equal with both eyes for observation of other pilots etc.

[@mercedess.8167]

I’ve been wearing Multifocal for about a year but still need to wear readers to see crisp due to the compromise. I tried wearing a multifocal in one eye and nothing in the other and works well. Then I tried wearing a regular near sided lens and also works well. Is it okay to just wear one lens like that? I’ve never tried monovision with one contact for near and the other eye for far.

[@esmeraldarivera2562]

My contact prescription was awful, I was seeing triple lol 😂 driving in the express way scared myself when I seen 3 cars in the same lane , and I couldn’t see far away. Then I found out that prescription was too strong for me , then they rechecked it and they I need multi focal or bifocals I can’t remember how they said it , I just know I couldn’t see far away I had a panic attack on the express way almost hit an eighteen wheeler shoot I took them out . By this time I of course went back to the eye doctor and they told me to keep my contacts on and they rechecked my eyes with the second prescription and then they said I had manovision and this prescription it’s way better I just have to get used to them I guess but I do suffer from dry eyes any recommendations I use Bausch + Lomb ultra for astigmatism, and I don’t like this brand they dry my eyes bad I have to use refresh for contacts.

[@DrEyeGuy]

If you are not wearing multifocal contacts anymore, then there are many other brands you eye doc may suggest if you are dealing with dryness issues.

[@esmeraldarivera2562]

@@DrEyeGuy I hope so , but yes Multifocal was not my correct prescription now I have Monovision , I’ll ask whenever I get my yearly contacts right now I’m wearing the trail to make sure these fit ok thank you for responding

[@ajs11201]

Dr. EyeGuy--you've never answered the question of which contacts you personally wear. What works well for your own eyes?

[@DrEyeGuy]

I am constantly trying different contacts for comfort. My eyes were always partial to biofinity lenses for some reason.

[@ajs11201]

@@DrEyeGuy I always find it interesting to know what the eye doctors wear when they have easy access to any lens on the market. Your comment proves my earlier comments and beliefs that everyone's eyes are different. Some people can wear any lens, while others seem to gravitate to one preferred lens. For my eyes, I've tried Biofinity and other "new generation" lenses with abject failure (base curve is too steep and they won't stay centered). I keep coming back to Acuvue Oasys for comfort and acuity.

[@DrEyeGuy]

@@ajs11201 I agree... I would say I am more in the minority, and I actually didn't do well with the oasys lenses.. but most people love them.

[@718rexryderihavenothingbut4]

Im all over the place the doctor haven't found a prescription to put me back on the road since my cataract surgery. Im like -3.50 in one eye and -7.00 in the other at least thats what it say on the contact packet my depth perception is bad i cant even go back to being a bus operator and no one can find a solution to get me back to normal im heartbroken

[@DrEyeGuy]

sorry to hear this! These are your powers after getting cataract surgery?

[@718rexryderihavenothingbut4]

@@DrEyeGuy yes im so frustrated my job is on the line and this happened in September im off nothing is comfortable. My vision is complicated i believe he made my vision too close. Are you in the tri state area? Can you send me your email i will give you my number to explain everything

[@jl1399]

I got mono vision and it ruined my reading vision. I wish I had never gotten the procedure

[@DrEyeGuy]

Did you get lasik?

[@jl1399]

@@DrEyeGuy mono vision lasik

[@DrEyeGuy]

Sorry to hear that. Did your reading eye not turn out that well?

[@jl1399]

@@DrEyeGuy hi yes it’s been over a month. I still read significantly worse than before. The reading eye doesn’t read well nor can it see far away. Previously I didn’t need reading glasses now I do

[@Chunkhead]

Neil "Guyman". There are several things awesome about that name. It CAN'T be real.

[@DrEyeGuy]

Haha.. its real.

[@yvainefey]

I wonder about the logic about these “Doctors” Giving advice of just using reading glasses over you distance contact lenses, as if majority of the people just stay at home and don’t need to go to work where you need to read for atleast a minimum of 8 hrs daily. And how this advice will impact the health of your eyes.

[@paulrickards4921]

Tried multifocal all different brands couldn't see a thing

[@DrEyeGuy]

Bummer... did you ever try monovision?

[@paulrickards4921]

@@DrEyeGuy I'm going to give it a go

[@Mr2ndkings]

Hello Doctor! Have viewed several of your videos and multiple times. Good communication! Question: I'm 79 years old and had cataract surgery about three years ago with the basic lens replacement. I still wear progressive lens glasses, however, my distance vision is quite good. In other words, I drive, walk, and see across the room without glasses, no problem. My wife recently had cataracts removed and opted for the premium lens and no longer needs glasses at all. I am envious. Without going to the expense of doing that again myself, would you suggest I try an exam for mono contacts? I have made an appointment and the doctor is flexible with whatever I decide on that day. In fact, she has instructed me to continue watching youtube videos to learn how to insert and remove contacts. What's your opinion?