Dr. John your insight again is much appreciated. You were very helpful for me and I do thank you.
There are major drawbacks to monovision contacts especially if fit for the first time after age 40. These include high incidence of dry eyes (especially in women), more sensitive corneas, rapidly chaning eyes, reduced depth perception, reduced visual acuity (you see better with two eyes just like you lift weights better with two hands rather than one), and decreasing motivation.
The best "older than 40" candidate has worn contacts successfully for quite a long time, hates glasses with a passion and is willing to put up with the expense, bother, and reduced vision that goes with monovision.
BIfocal contacts are also reduced success rate.
That doesn't mean you can't wear them or you won't like them but the "odds" of being gleeful are relatively low.
JCH MD
Dr. John thank you so much for taking a moment to resond to my question. It was very helpful. I knew eyes changed after 40 but did not realize how rapidly. I notice my current eyeglass rx seems to slightly blur up on occasion so that does make sense the eye changes.
May I ask you your thoughts on Monovision contact method? and also perhaps progressive contacts? Are these an option for someone like myself what is your personal opinion?
Your best bet would be a consultation with an optometrist who specializes in contact lenses for the hard-to-fit patient. You could be a candidate for mini-monovision which gradually becomes full monovision. If you've already consulted an eye care professional with this special interest, then make peace with your no line bifocals, as Dr. Hagan suggests above.
I also wanted to add that I am +1.25 left eye +1.75 right, age 42 no health problems that I am aware.
Some people can't wear contacts no matter who or how many times they try to be fit. Moreover like everything else your eyes change rapidly after 40 and most people that were wearing contacts at age 40 have stopped by age 50. You might want to make your peace with attractive no line bifocals.
JCH MD