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Does it Get Worse Than 20/200?

This is a discussion on Does it Get Worse Than 20/200? within the General Contact Lens Care and Questions forums; Someone said that her vision was measured at 20/200 because "it doesn't go any higher." ...


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Old 06-19-2008, 01:29 PM
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Default Does it Get Worse Than 20/200?

Someone said that her vision was measured at 20/200 because "it doesn't go any higher." Does anyone have a vision measurement worse than 20/200?
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Old 06-19-2008, 02:23 PM
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Quote:
Originally Posted by AceofShades View Post
Someone said that her vision was measured at 20/200 because "it doesn't go any higher." Does anyone have a vision measurement worse than 20/200?
I just read about someone who claims to have 20/400 vision with a "7.00 power in each eye." I'm no eye doctor so I don't know how those numbers go together, but it seems to me that 20/400 would require a stronger prescription than a 7.00.
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Old 06-19-2008, 04:19 PM
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The amount of power and the acuity can vary a lot, some -3.00 powers might only read 20/200 and others will read 20/80 you cannot completely predict one from the other.
As far as acuity levels, the slides in the office I work at all go to 20/400 and you can determine higher acuity than that if need be.
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Old 06-19-2008, 04:34 PM
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Default Does it Get Worse Than 20/200?

Quote:
Originally Posted by Sir Robin View Post
The amount of power and the acuity can vary a lot, some -3.00 powers might only read 20/200 and others will read 20/80 you cannot completely predict one from the other.
As far as acuity levels, the slides in the office I work at all go to 20/400 and you can determine higher acuity than that if need be.
Welcome back again, Sir Robin. I trust your time was productive during your absence.

Thanks for the thoughtful answer to this question. Do these "slides" of which you speak go beyond 20/400? If not how do you, as you put it, "determine higher acuity" -- without getting too technical?
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Old 06-19-2008, 09:39 PM
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The slides are what go in the projectors that put the eye chart on the wall. I don't know if they go over 20/400 or not, 20/400 is the largest I have seen.
The technique for determining higher acuity isn't very technical. You simply walk halfway to the chart which will double the potential acuity.
i.e. Say you have an eye chart and to keep the math simple, you are not using any calibration tricks to use a smaller room, you have the chart 20 feet away. A low vision patient comes in and cannot quite make out the 20/400 letter, so you walk them up to 10 feet away from the chart, now the 20/400 letter is doubled to 20/800 because the testing distance has been cut in half but the size of letter stayed the same.
Usually when someone cannot read 20/400 we just have them count fingers at 10 feet or closer until they can or cannot see them.
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Old 06-24-2008, 06:09 PM
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Many years ago my eye doctor told me that my vision was 2/400. I'm pretty sure that it's worse now. I was always very near sighted and I can tell that my vision gets weaker and weaker as the years go by.
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Old 08-28-2009, 04:45 PM
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Default Worst. Prescription. Ever.

Quote:
Originally Posted by skatss View Post
Many years ago my eye doctor told me that my vision was 2/400. I'm pretty sure that it's worse now. I was always very near sighted and I can tell that my vision gets weaker and weaker as the years go by.
Really? 2/400? You mean 20/400, right? Do you need special glasses or contacts to see the computer you're typing on? It must not take a lot of accommodation for you to use the computer because I've seen your screen name here on Lens 101 plenty of times. I'm glad you've decided to contribute.
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Old 08-28-2009, 05:55 PM
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Quote:
Originally Posted by AceofShades View Post
Someone said that her vision was measured at 20/200 because "it doesn't go any higher." Does anyone have a vision measurement worse than 20/200?
My husband used to wear -8.00 contacts (his vision is really bad). He now wears bi-focal ones that are -5.00 +2.00. So, YES, it does go much HIGHER!
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Old 08-31-2009, 12:08 AM
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What do you mean 20/200, aceofshades? It seems that this is my first time to

encounter this. But I was thinking that it was only 20/20 vision.
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Old 11-09-2009, 12:51 PM
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Quote:
Originally Posted by gamblinglord View Post
What do you mean 20/200, aceofshades? It seems that this is my first time to encounter this. But I was thinking that it was only 20/20 vision.
If I may reply on behalf of AceofShades?

20/20 vision is what's commonly called "perfect" vision. It means that you can read an eye chart twenty feet away as well as someone with "normal" vision can read it from the same distance.

Now, in the case of someone with 20/200 vision, when they look at an eye chart twenty feet away, they read it about as well as someone with "normal" vision does when they're two hundred feet away; in other words, not very well.

Was that a good explanation, Lens 101 community? Did I say that right?
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Old 11-20-2009, 10:01 AM
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Quote:
Originally Posted by Sir Robin View Post
The amount of power and the acuity can vary a lot, some -3.00 powers might only read 20/200 and others will read 20/80 you cannot completely predict one from the other.
As far as acuity levels, the slides in the office I work at all go to 20/400 and you can determine higher acuity than that if need be.
Yes, thank you for answering my question so well. You always have good posts, Sir Robin.
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Old 11-24-2009, 02:29 PM
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Default Nice Assist

Quote:
Originally Posted by Sox05 View Post
If I may reply on behalf of AceofShades?

20/20 vision is what's commonly called "perfect" vision. It means that you can read an eye chart twenty feet away as well as someone with "normal" vision can read it from the same distance.

Now, in the case of someone with 20/200 vision, when they look at an eye chart twenty feet away, they read it about as well as someone with "normal" vision does when they're two hundred feet away; in other words, not very well.

Was that a good explanation, Lens 101 community? Did I say that right?
Thanks for your assistance, Sox05. I would have said the same thing.
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Old 12-09-2009, 01:12 PM
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Quote:
Originally Posted by Sir Robin View Post
The slides are what go in the projectors that put the eye chart on the wall. I don't know if they go over 20/400 or not, 20/400 is the largest I have seen.
The technique for determining higher acuity isn't very technical. You simply walk halfway to the chart which will double the potential acuity.
i.e. Say you have an eye chart and to keep the math simple, you are not using any calibration tricks to use a smaller room, you have the chart 20 feet away. A low vision patient comes in and cannot quite make out the 20/400 letter, so you walk them up to 10 feet away from the chart, now the 20/400 letter is doubled to 20/800 because the testing distance has been cut in half but the size of letter stayed the same.
Usually when someone cannot read 20/400 we just have them count fingers at 10 feet or closer until they can or cannot see them.
Thank you, Sir Robin. That's good to know.
I bet it's pretty rare to have someone coming in with vision so bad that you have to have them get up and move closer to the eye chart.
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Old 01-08-2010, 07:29 PM
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You are considered legally blind when your vision cannot be corrected beyond 20/400.
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Old 02-22-2010, 11:46 PM
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Last few times my mom went tothe eye Doc whe was asked to read the top line and she asked if the sign was was showing yet!!! Can no longer wear contacts. YIKES!!!

Just plane bad!!! It used to be that she knew that more often than not the top letter was E but could not read it. Now she just plain can't tell you it is even there without glasses on.
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Old 02-23-2010, 09:54 AM
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Quote:
Originally Posted by ewetho View Post
Last few times my mom went to the eye Doc she was asked to read the top line and she asked if the sign was was showing yet!!! Can no longer wear contacts. YIKES!!!

Just plane bad!!! It used to be that she knew that more often than not the top letter was E but could not read it. Now she just plain can't tell you it is even there without glasses on.
Wow. So what does your mom do? Can she see normally with glasses? Does she drive? What about things like preparing meals and pursuing hobbies?
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Old 02-23-2010, 05:06 PM
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Quote:
Originally Posted by AceofShades View Post
Thanks for your assistance, Sox05. I would have said the same thing.
Thanks for clarifying the eye vision rating. I don't think they use that terminology so much on this side of the pond. Seems to be more 70%, 80%, 100%, etc. Trouble is that my optician then qualifies that by adding - 'in this room' as the contrast is lower than in another room, which perhaps doesn't use a mirror to double the distance from client to eye chart.

knotlob
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Old 02-23-2010, 05:23 PM
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Quote:
Originally Posted by Knotlob View Post
Thanks for clarifying the eye vision rating. I don't think they use that terminology so much on this side of the pond. Seems to be more 70%, 80%, 100%, etc. Trouble is that my optician then qualifies that by adding - 'in this room' as the contrast is lower than in another room, which perhaps doesn't use a mirror to double the distance from client to eye chart.

knotlob
So if someone has "50%" according to your "across the pond" terminology, that would be equivalent to 20/40 vision here in the States? Someone with 50% vision sees as well as another person with normal vision twice as far away? Have I got that correct?
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Old 02-23-2010, 05:57 PM
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Quote:
Originally Posted by Spookytooth View Post
So if someone has "50%" according to your "across the pond" terminology, that would be equivalent to 20/40 vision here in the States? Someone with 50% vision sees as well as another person with normal vision twice as far away? Have I got that correct?
Actually I am not sure on that - but it sounds logical. I know I was having an eye check because I want to do a Motorcycle driving licence and my eye sight was 70% (which was just good enough for Germany). I am now up to at least 100% with a new prescription.

I tend to check it by reading car number plates in good light and pacing the distance to the plate. It gets quite difficult to increase the distance by very much with improved correction, so your suggestion makes perfect sense.

knotlob
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Old 02-24-2010, 09:56 AM
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Quote:
Originally Posted by Knotlob View Post
Actually I am not sure on that - but it sounds logical. I know I was having an eye check because I want to do a Motorcycle driving licence and my eye sight was 70% (which was just good enough for Germany). I am now up to at least 100% with a new prescription.

I tend to check it by reading car number plates in good light and pacing the distance to the plate. It gets quite difficult to increase the distance by very much with improved correction, so your suggestion makes perfect sense.

knotlob
Spookytooth's logic sounds good to me also, but we've all seen examples of things having nothing to do with logic. Advertising and politics come to mind . . .
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Old 03-11-2010, 03:30 PM
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Default Can't See The Eye Chart

Quote:
Originally Posted by ewetho View Post
Last few times my mom went tothe eye Doc whe was asked to read the top line and she asked if the sign was was showing yet!!! Can no longer wear contacts. YIKES!!!

Just plane bad!!! It used to be that she knew that more often than not the top letter was E but could not read it. Now she just plain can't tell you it is even there without glasses on.
So she was asked to read the chart on the wall and she didn't think it was there? Sometimes when I go for an eye exam the eye doctor asks me to read the chart and I say "What chart?" as a joke, but in the case of your Mom, it's not funny, is it? How is she getting along these days?
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Old 03-29-2010, 11:37 AM
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Quote:
Originally Posted by Knotlob View Post
Actually I am not sure on that - but it sounds logical. I know I was having an eye check because I want to do a Motorcycle driving license and my eye sight was 70% (which was just good enough for Germany). I am now up to at least 100% with a new prescription.

knotlob
So are you a biker now Knotlob?
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Old 03-29-2010, 03:14 PM
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Originally Posted by AceofShades View Post
So are you a biker now Knotlob?
Not quite, I am going to do the motor cycle test in Germany but it is quite expensive overall (as is obtaining a car driving licence) compared to say the UK. Unfortunately you have to do the licence in the country where your are normally resident.

Waiting for the local authorities to patch up the roads and sweep up all the gravel they put down over the winter. The roads are in a deplorable condition after the winter - brings back memories of Quebec's roads!!

knotlob
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Old 03-30-2010, 11:04 AM
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Default Beyond 20/400

Quote:
Originally Posted by Sir Robin View Post
The amount of power and the acuity can vary a lot, some -3.00 powers might only read 20/200 and others will read 20/80 you cannot completely predict one from the other.
As far as acuity levels, the slides in the office I work at all go to 20/400 and you can determine higher acuity than that if need be.
How often do you come across a patient whose eyesight requires that you calculate beyond the 20/400 zone?
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Old 04-14-2010, 11:35 AM
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You said "usually when someone cannot read 20/400 we just have them count fingers at 10 feet or closer until they can or cannot see them."

Who's "we"? Are you an eye care professional, Sir Robin?
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Old 05-14-2010, 04:38 PM
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Quote:
Originally Posted by Knotlob View Post
Not quite, I am going to do the motor cycle test in Germany but it is quite expensive overall (as is obtaining a car driving licence) compared to say the UK. Unfortunately you have to do the licence in the country where your are normally resident.

Waiting for the local authorities to patch up the roads and sweep up all the gravel they put down over the winter. The roads are in a deplorable condition after the winter - brings back memories of Quebec's roads!!

knotlob
So in Europe they use gravel rather than salt to make the icy roads less so?

I'm not sure which motorcycle you'd imagine yourself on in this scene, Herr Knotlob. Would you like to be the hero, the hero's son, or one of those "goose stepping morons" in pursuit?

I hope you don't take offense at my little "joke." I just saw an excuse to show off my winzig knowledge of the German language and use the phrase "goose stepping morons" and couldn't pass it up.
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Old 05-14-2010, 05:46 PM
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Originally Posted by OV-102 View Post
So in Europe they use gravel rather than salt to make the icy roads less so?

I'm not sure which motorcycle you'd imagine yourself on in this scene, Herr Knotlob. Would you like to be the hero, the hero's son, or one of those "goose stepping morons" in pursuit?

I hope you don't take offense at my little "joke." I just saw an excuse to show off my winzig knowledge of the German language and use the phrase "goose stepping morons" and couldn't pass it up.
Hello OV-102

No, I don't take offence at your little joke - but then again, I am not German, though I live here!

They must have used some salt this winter as it was so cold, but they always use gravel (I thought everywhere) for better action on the ice. Probably Germans try not to use salt if possible, due to it's adverse environmental impact. Once it thaws, the salt is gone, but it takes a while to clear up all the gravel, which is why the motor cycling fraternity here were late to start biking again. Well that and because it is still quite cold, even some days at present, for burning up the autobahns.

knotlob
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Old 05-19-2010, 11:33 AM
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Default Lenses on a Bike

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Originally Posted by Knotlob View Post
Hello OV-102

No, I don't take offence at your little joke - but then again, I am not German, though I live here!

They must have used some salt this winter as it was so cold, but they always use gravel (I thought everywhere) for better action on the ice. Probably Germans try not to use salt if possible, due to it's adverse environmental impact. Once it thaws, the salt is gone, but it takes a while to clear up all the gravel, which is why the motor cycling fraternity here were late to start biking again. Well that and because it is still quite cold, even some days at present, for burning up the autobahns.

knotlob
So do contact lenses present any unique difficulties when on a motorcycle? Do they dry out faster or anything?
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Old 05-19-2010, 04:04 PM
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Originally Posted by NYGiants View Post
So do contact lenses present any unique difficulties when on a motorcycle? Do they dry out faster or anything?
I don't know yet. I don't believe so, as if you are going faster than say 30 km/h the visor will be down over your eyes (unless your a Harley Davidson type), but you would be wearing sun glasses or goggles of some description. You certainly need to wear some form of eye cover, not just for drying, but in case you get hit in the eyes by a large insect when you are tearing it up on the motorway.

Even mountain biking, I wear glasses because something the size of a bee hurts when it hits you - even if it doesn't sting you.

knotlob
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Old 08-17-2010, 01:36 PM
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Originally Posted by Sir Robin View Post
Usually when someone cannot read 20/400 we just have them count fingers at 10 feet or closer until they can or cannot see them.
If someone's vision is that poor, are there contact lenses that can still help them?
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Old 08-17-2010, 03:32 PM
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Originally Posted by AceofShades View Post
If someone's vision is that poor, are there contact lenses that can still help them?
That's going to depend on what is wrong with their eyes.

Cataract, Corneal scarring, Age Related Macular Degeneration, Brain Tumours interfering with the Optic Nerve, etc. will not be helped by contact lenses.

Eyes which have regular Myopia or Astigmatism should be helped by contact lenses or spectacles.

knotlob
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Old 08-18-2010, 04:30 PM
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Quote:
Originally Posted by Knotlob View Post
I don't know yet. I don't believe so, as if you are going faster than say 30 km/h the visor will be down over your eyes (unless your a Harley Davidson type), but you would be wearing sun glasses or goggles of some description. You certainly need to wear some form of eye cover, not just for drying, but in case you get hit in the eyes by a large insect when you are tearing it up on the motorway.

Even mountain biking, I wear glasses because something the size of a bee hurts when it hits you - even if it doesn't sting you.

knotlob
Have you been out on your motorbike yet, Knotlob?
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Old 08-18-2010, 04:36 PM
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Originally Posted by Spookytooth View Post
Have you been out on your motorbike yet, Knotlob?
I am learning to drive a Motor Bike at present, so yes I have been out several times, but don't have my own one yet.

knotlob
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Old 08-19-2010, 11:27 AM
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Quote:
Originally Posted by Knotlob View Post
I am learning to drive a Motor Bike at present, so yes I have been out several times, but don't have my own one yet.

knotlob
Ah, the freedom of the open road. Do you plan to wear goggles to protect your contact lenses?
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Old 08-19-2010, 03:52 PM
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Originally Posted by Railfan View Post
Ah, the freedom of the open road. Do you plan to wear goggles to protect your contact lenses?
No, I have an expensive full face helmet, which is supposed to offer very good hearing protection at high speed, so that has an integrated visor and also a sun shield built in

The bike will probably be a semi off road/big trailie touring bike rather than a chopper/cruiser style, so not really an open face style helmet bike, I guess.

knotlob
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Old 08-19-2010, 04:14 PM
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Originally Posted by Knotlob View Post
No, I have an expensive full face helmet, which is supposed to offer very good hearing protection at high speed, so that has an integrated visor and also a sun shield built in

The bike will probably be a semi off road/big trailie touring bike rather than a chopper/cruiser style, so not really an open face style helmet bike, I guess.

knotlob
I found a website that explains what a "touring bike" is, for others besides me who are curious. This particular description is of a "sport" touring bike.

" . . . a weekend's worth of two-up traveling requires hauling more stuff than you can carry in your pockets. So to do this right, you've got to have a motorcycle that offers comfortable seating for two, enough luggage space for clean unmentionables, rain gear and assorted other necessities.

What you're going to need is a stylish bike with a big, powerful motor, excellent handling, sure brakes, detachable luggage carriers, a seating position that's somewhere between a sportbike's and a comfy, lazy tourer's, and a windscreen to keep your teeth free of dead bugs."

All right, knotlob. Make sure you protect those eyes and stay safe out there.
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Old 08-19-2010, 04:40 PM
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Originally Posted by PeriBrown View Post
I found a website that explains what a "touring bike" is, for others besides me who are curious. This particular description is of a "sport" touring bike.

" . . . a weekend's worth of two-up traveling requires hauling more stuff than you can carry in your pockets. So to do this right, you've got to have a motorcycle that offers comfortable seating for two, enough luggage space for clean unmentionables, rain gear and assorted other necessities.

What you're going to need is a stylish bike with a big, powerful motor, excellent handling, sure brakes, detachable luggage carriers, a seating position that's somewhere between a sportbike's and a comfy, lazy tourer's, and a windscreen to keep your teeth free of dead bugs."

All right, knotlob. Make sure you protect those eyes and stay safe out there.
That's about the size of it. Not sure that I would call the bike I want stylish, definitely function over style. A lot of bikers, especially in the UK, like to take camping stuff with them and go on a group outing for a weekend camping, etc. Probably not much room for the other half though with all the gear .

But I always found it difficult camping and using contact lenses, as it is difficult to keep your hands clean when camping, even at formal camp sites with all the facilities.

knotlob
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