monocular dilopia / trilopia, bilaterally, questions

Hi All

I am trying to find someone who might help properly interpret the aberremetric findings/information.

So far I have received only eye drops from the VA for my monocular diplopia/trilopia bilaterally which I am sorry to say did not help the problem. All test results were obtained independently as the VA has limited resources.

I have read on this blog where a person receiving new IOL's did solve monocular trilopia bilaterally, I was very glad to hear that ~  Any one having information what might possibly be causing this problem please let me/us know
as my lively hood depends on near perfect vision which has now been compromised.  Educated opinions welcome.

[John C Hagan III, MD, FACS, FAAO]

The causes of monocular diplopia/triplopia are not extensive:

1. Need for glasses
2. Cornea disease
3. Irregular astigmatism that may require rigid contact lens to correct
4. Cataract
5. IOL induced problems including midplaced IOL, edge problems, dysphotopsia
6. Posterior capsular opacification (secondary cataract)
7. Vitreous opacities including blood or large vitreous floater
8. Macular pathology notabily macular pucker
9. Optic nerve disease
10. Optic tract, optic radiation, visual cortex (brain) problems.

You will need one or more ophthalmologists to walk you through the testing for these problems.  Find a consultant at www.aao.org

JCH MD

[Rick_101]

Hi John Thanks for you answers I have been to Seven different Doctors, If you have a minute please look at these image maps and photos.

Sincerely Rick_101

https://picasaweb.google.com/111138941280243332230/Eye?authkey=Gv1sRgCJXFtMiHwYDXlQE&feat=email#

[Rick_101]

Hi Dr Hagan III

I forgot to mention I am a volunteer control subject at the NYEE in NYC in the Macular Degeneration Program. Eye health including the Macula is great, some small floaters and some very slight Vitreous clouding. Stage 1 Cataracts are noted including some dry eye now being addressed. Slight Astigmatism. + 2.75 trifocals.

The Double imaging goes away when a playing card is put over either of my eye in a half way down position. Actually when I look at the edge of the card which is ghosted it is within that portion that everything becomes clear like magic, works the same in both eyes. Some say Cataracts, some say Muscles, some say Presbyopia, some say dry eyes.  QUESTION: is there a way to definitively say what percentage of aberrations are coming from the Cornea and what percentage is coming from the lens based on the test results given at.

https://picasaweb.google.com/111138941280243332230/Eye?authkey=Gv1sRgCJXFtMiHwYDXlQE&feat=email#

Sincerely Rick_101

[John C Hagan III, MD, FACS, FAAO]

The cataract is the most likely cause. the corneal topographs don't look very bad.  

JCH MD

[Rick_101]

Thank you, Dr JCH

If possible I am still looking for the answer to part the original question

QUESTION: is there a way technology/machine/software that can definitively demonstrate fwhat exact percentage of aberrations are coming from the Cornea and what percentage is coming from the lens. Someone has recently suggested:

To get an a reading that would measure total aberrations like a ZView aberrometer and subtract the results from the readings from an Orbscan.??

you time and  input is greatly appreciated and much respected

Sincerely, Rick_101



Sincerely Rick_101

[John C Hagan III, MD, FACS, FAAO]

No there isn't

JCH MD

[Rick_101]

Thanks for your expertise ~

Rick_101

[Rick_101]

Hi JH

I know you said there is not machine that could give an exact percentage of lenticular distortions but this Marco seems to eliminate the cornea for the most part.

Please look a the link below ref : Marco OPD III.

http://198.170.83.45/compare%20profiler-opd.htm

I found this information on another post about the Marco OPD III wave scan
We know no machine is perfect but for  lenticular aberrations would you consider this the best in its class?

your valued opinion is always welcome
thanks, Rick