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As a contrast to @mikeash's experience, I'd love to use contacts, but can't really wear them. My astigmatism is ... epic. Astigmatism with soft contacts means toric lenses, which have a few annoying "quirks". First, they never quite fully correct most astigmatism because the corrections are quantized in a way that makes it difficult to get a bang-on correction. Second, they lose acuity if the wearer's head is tilted. Both of these flaws relate to how toric lenses work: they're weighted to maintain their orientation. They're only in correct position when your head is straight up-and-down. Tilt your head a bit and they start to float off line. The worse your astigmatism, the more annoying these deviations become. As such, when I'm in for an eye exam no one recommends soft lenses for me anymore.

That leaves modern rigid gas permeable (RGP) lenses. I don't mind the feel of wearing these, and the vision is excellent. They don't need weighting for correct orientation, which eliminates the aforementioned limitations of soft lenses. The visual acuity for my correction is in all ways superior to soft lenses I've tried. The central vision nearly rivals good glasses, and the sharp peripheral vision blows glasses out of the water. But even with the newest, most permeable lens materials my eyes can't really ramp up to tolerating them for a full day's wear. And there's the rub, since RGPs require a ramp up to acclimate to wearing them, they aren't really amenable to just popping them in "weekend warrior" style.

I haven't taken the LASIK plunge yet, but the above might illuminate why it's an appealing option for some people.



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