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zBrown
Ice climber
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Jul 15, 2018 - 02:00pm PT
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I did not need them till age 71 when I had my second cataract surgery at which time I lost all close vision.
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nafod
Boulder climber
State college
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Jul 15, 2018 - 02:07pm PT
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Mid 40s. Was great before, sadly.
I wonder if this is an irreversible age thing, It is an evolutionary adaptation to keep your spouse looking hot, wrinkles be damned.
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Jim Clipper
Gym climber
from the ground up
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Jul 15, 2018 - 02:24pm PT
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shirts with pockets
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DanaB
climber
CO
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Jul 15, 2018 - 02:54pm PT
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The vision changes made climbing at the 'Gunks more challenging - lots of small irregular cracks and placing gear in them requires good close-up vision.
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wilbeer
Mountain climber
Terence Wilson greeneck alleghenys,ny,
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Jul 15, 2018 - 06:35pm PT
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54 and I am really glad I don’t see things as they are.
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zBrown
Ice climber
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Jul 15, 2018 - 08:49pm PT
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It can be quite complicated
Even fairly uneventful cataract surgery can have complications
To wit:
The pathogenesis of pseudophakic CME appears multifactorial based on experimental studies and clinical observations.5,10 Proposed etiologic factors include inflammation, vitreous traction and hypotony.11,12 Of these, the core mechanism is likely surgically induced anterior segment inflammation that results in the release of endogenous inflammatory mediators. Prostaglandins, cytokines and other vasopermeability factors disrupt the perifoveal retinal capillaries, resulting in fluid accumulation.
Prostaglandins are products of the arachidonic acid cascade and have been studied widely as contributors to edema in systemic tissues including the eye.13 Surgically induced trauma to the iris, ciliary body and lens epithelium disrupts the blood-aqueous barrier resulting in release of prostaglandins, vascular endothelial growth factor, insulin-like growth factor-1 and other inflammatory mediators.14 These chemical transmitters diffuse through the vitreous to the retina where they disrupt the blood-retinal barrier. A critical threshold of inflammatory mediators in the aqueous is likely required for detectable edema.
What's a mother to do? looks like the combo works best
In addition to NSAIDs, topical corticosteroids are commonly used in prophylaxis and treatment. Studies reporting the efficacy of corticosteroids in pseudophakic CME are often confounded by concomitant topical NSAID administration. It does appear that combination therapy with topical NSAID and corticosteroid may be superior to either individual therapy. A small, randomized control trial in 2000 compared topical ketorolac to topical prednisolone to combination therapy for the treatment of pseudophakic CME.31 Average improvement in Snellen visual acuity over three months was 1.6 lines in the ketorolac group, 1.1 lines in the prednisolone group and 3.8 lines in the combination group. Perhaps a synergistic effect is observed with combination therapy, although more studies are needed. Risk Factors |
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Jim Clipper
Gym climber
from the ground up
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Jul 15, 2018 - 09:27pm PT
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Cataracts = leading cause of blindness worlwide. I think I posted about them before: Geoff Tabin, M.D., Sanduk Ruit, M.D.
Be cool if someone put up something big and named it The Tabin Ruit.
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F
climber
away from the ground
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Jul 15, 2018 - 09:31pm PT
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This thread seems appropriate for the supertopo for so many reasons...
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nita
Social climber
chica de chico, I don't claim to be a daisy.
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Jul 15, 2018 - 09:34pm PT
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*
I had to get eyeglasses for distance in second grade , very poor eyesight....But..
I still do not need or wear readers.. (-;
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Ricky D
Trad climber
Sierra Westside
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Jul 15, 2018 - 09:53pm PT
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Had my first cataract surgery at age 57, followed by 3.50 readers at 59. Having the second eye done in January at age 61 and am all atwitter over what level of readers I'll be buying then.
Golden Years my azz.
Only thing gold is my pee!
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WyoRockMan
climber
Grizzlyville, WY
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Jul 15, 2018 - 10:49pm PT
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At least someone can see.
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Tobia
Social climber
Denial
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Jul 16, 2018 - 10:00am PT
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I thought I had 20/20 vision until I went to get Medical Examination Certificate for CDL in mid 40's.
I did the vision test on the standard machine for such and struggled. I thought it was dirty.
The doc said I was "in good health but couldn't see sh**". Having known him
most of my life I asked what was wrong with his machine. He laughed and said that I was the problem and explained it this way.
I was born farsighted but when I was younger my eye muscles could compensate and make up for the farsightedness (enabling me to get the 20/20 score). Since I was past my prime these muscles could no longer do the job.
I will never forget putting on my glasses on for the first time and being amazed at how well I could see. 3 years later I had to start using bifocals.
Since I prefer contacts, I use one eye for distance +2.75 (Left) and the other for reading +5.50 (Right). It makes for a screwy day if you put them in opposite eyes as my brain has been programmed to focus on distance with the Left eye. I still use cheaters to read a book.
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SC seagoat
Trad climber
Santa Cruz, Moab, A sailboat, or some time zone
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Jul 16, 2018 - 10:58am PT
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Not sure. Maybe early 50s.
I have a pair in every room. I’ve trained myself (took several years to get it right) to take my glasses off when I leave one place to go to another. I’ve gotten pretty good at not piling up glasses in one spot.
I had my SCUBA and snorkeling mask lens made to my prescription with bifocal so I can see much better underwater now. What I used to blame on poor vis, was that, but not because of grainy water.
Susan
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Jaybro
Social climber
Wolf City, Wyoming
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Jul 16, 2018 - 12:15pm PT
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43 for me
Nearsighted glasses since eighth grade
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ontheedgeandscaredtodeath
Social climber
Wilds of New Mexico
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Jul 16, 2018 - 12:31pm PT
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A timely thread for me! I'm late 40s, always had better than 20/20 vision. Lately I've noticed seeing blurriness on some small print, having to hold books farther away, etc. I think the end of the not needing glasses part of my life is nigh!
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zBrown
Ice climber
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Jul 16, 2018 - 02:08pm PT
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Anyway, assuming the drugs work and the inflammation subsides.
20:20 far vision
1.50 readers for computer work
3.25 readers for print
Don't get me started on epiretinal membrane surgery (which while kinda scary does work well)
My advice on multi-focal replacement lenses at cataract surgery time. Don't do it.
I have starbursts which make night driving very uncomfortable and no noticeable benefit in vision.
YAG LASER SURGERY works well, you'll quite likely need it at some pint
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Lorenzo
Trad climber
Portland Oregon
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Jul 16, 2018 - 05:15pm PT
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Age 8.
To be accurate, I needed glasses before that, and to see anything. I just wasn’t diagnosed until then. Eyesight required around 11 diopter correction. Dropping my glasses on a climb was epic. Glasses weighed a ton even for polycarbonate
But needing glasss JUST for reading was last year ( age 70), after retina and cataract surgery.
I had to pick what distance I needed glasses for so they could do the right implants.
Now I’m 20:20 for distance And around 3 diopter for reading. Each eye is different, so dollar store cheaters aren’t ideal. I now use frameless glasses that weight 9 grams.
I have zoom lens jewelers glasses for really close work.
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Wade Icey
Trad climber
www.alohashirtrescue.com
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Jul 16, 2018 - 09:52pm PT
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old enough to need reading glasses.
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deuce4
climber
Hobart, Australia
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Jul 17, 2018 - 03:06am PT
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I was able to hold off until late 40’s, early 50’s. The way I understand it, it happens because your lens becomes less flexible. When I was outdoors more, climbing and river guiding and living in a tent half the year, I loved reading at night. When that became more difficult with dim headlamps, I would try to exercise my lens during the day, and I think it really helped for quite a few years. Simply by focusing on something distant, then alternating focus on something close, feeling the strain after several rounds of this, I think it kept my lenses supple for many extra years. Now being inside most of the time it is more difficult to do as frequently, and I just reach for the +2’s...
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justthemaid
climber
Jim Henson's Basement
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Jul 17, 2018 - 08:48am PT
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I had solid better than 20/20 until 40/41. All of a sudden I needed some light readers... it went down hill really fast. 3 years later I need 1.75-2's and I can't read under dim lighting. Reading my phone without magnification- impossible. The finishing-work on my glasswork has gone to hell. Trying to focus on shiny solder is a nightmare. I have to keep glasses everywhere. (car/pack/every room in the house) .
It totally blows.
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