[Mezzie]

I have to choose each year between paying for (main) glasses or contacts, so I usually opt for contacts and that means my glasses are a few years old. When I wear them at night, I definitely see double. Hate it.

I'm a -20, so small differences really magnify.

[jaggederest]

Wow, that's a wild prescription, presumably ICL would be a huge quality of life difference for you! You could get within a diopter or two. I've been contemplating it at only -6, my commiseration on the multiple focal lengths.

[Mezzie]

Yeah, I've wanted ICL for years, but I could never afford it out of pocket, and all insurance considers vision correction aesthetic. Which is freaking stupid: There's a huge difference between me and someone who's a -2.

I might be able to stretch it now, but I'm coming up on my presbyopia years, so I'm not sure it's worth the money if I'm only going to get a few years of stability.

At this point, I'm hoping I take after my mother and get some really early cataracts because then I can just pay for the lens and the insertion/replacement will be covered.

If you can afford it, I would go for it, though. Personally, even for people who are candidates for PRK, LASIK, etc. I think ICL is still worth considering because it has some benefits. Less risk of dry eye and the ability to change the lens if your prescription changes. Longer recovery period, though.

[jaggederest]

I know I'm not a candidate for PRK/LASIK/LASEK due to dry eye (curse you programming!), so ICL was always my fallback, but like you I'm approaching the point where presbyopia is going to be a concern.

[devilbunny]

Holy fucking shit. I am -11 contacts, -13 glasses, and you are the first person I have ever heard of that is more than one diopter stronger than me.

Ophthalmologists will bring their newer assistants in to look at my eyes to see what a severe myope looks like. I got contacts at age eight, so they also use me to show off what a scrupulous contact user’s eyes look like after >40 years. I’m a physician myself, so I’m happy to oblige - some things you can’t understand until you see them.

[Mezzie]

Yeah, the only people I've heard of with worse vision than me are those with some sort of associated eye condition (e.g. kerataconus).

For the most part, it's...fine. Insurance has no idea what to do with me and that's frustrating, though. Somehow, I have eyes this bad without any associated pathology, and companies don't understand that the needs that such severe myopia presents on its own. I wear custom made RGPs; they can custom make softs but they're horrific (or at least they were 13 years ago when I gave up on them).

Isn't it hilarious every time you go to a new eye doctor? It's actually really cute: I like watching them get all giddy. They get so excited when they can't use the machines (a lot of them will only go up to a -15) and have to measure my RX manually. You can just see how they're like 'oh my God, I learned about this in school!'

[devilbunny]

They learn about me. You are a class on your own.

[Mezzie]

I did have to do a lot of advocating/educating back when I was younger and too poor for insurance. It was good practice for when I was diagnosed with MS, though.

Now I usually look for practices that work with keratoconus patients. They usually have practice with strange prescriptions and unusual contact fittings.