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Hyperopia and Presbyopia Progression

For and about anyone having difficulty seeing near/reading.

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Cactus Jack 20 Feb 2017, 23:30


It takes a little explaining, but I think I can help you understand how the test works.

The first thing you have to remember is that corrective lenses are just that. They have the opposite sign of the actual refractive error. To keep the numbers straight, I call the reverse of the glasses your "Eye Power" or EP. For prescriptions below about +/- 4.00 your glasses power and your EP will be the same but with different signs.

Because you are Hyperopic, your EP is -1.75R/-1.50L A person who is Myopic will have a + EP corrected by - lenses.

The only purpose of the + reading glasses is to move the point where the text just gets fuzzy around the edges to an easily measured range of less than arms length.

However, you don't want it too close, because it actually gets harder to measure the distance accurately, which causes errors. The test is crude enough without encouraging errors. if I suspect or know that a person has a pretty low refractive error, I suggest +1.50 or +1.75. Because you are Hyperopic with a known prescription and Presbyopia. We have to modify the test slightly.

You should do the test with your glasses on, which should correct you to about 0.00 for distance.

Theoretically, you could do the test using your reading Add, but I think it would be easier and more accurate to wear readers over your glasses.

The math is not difficult to understand, but you have to remember what I talked about in the first paragraph and understand the fundamental formula in optics.

Lens power = 100 cm or 39.37 inches / focal distance.


Focal Distance = 100 cm / Lens power

Step 1 is to calculate the Focal Distance of the OTC readers you will be using.

lets say that you are using +1.75 readers. The Focal Distance is 100 cm / 1.75 = 57 cm.

If a person is significantly Hyperopic or Myopic you have to adjust the OTC reader power, which may be difficult or do the test with their glasses on and the OTC readers over them.

When you do the test, the difference in the measured focal distance and 57 cm is the refractive error or EP. If the measured focal distance is MORE than the calculated focal distance, their EP is (-) MINUS and they likely need more PLUS to correct it. If the measured focal distance is LESS than the calculated focal distance of the readers, their EP is (+) PLUS and they likely need more MINUS to correct it.

The amout is easily calculated by dividing the difference between the calculated and the measured distance into 100 cm.

Hope this helps. Review what I told Fubius and see if it makes sense. He got some funny results on the second test and I am still trying to figure out what is going on. I hope he responds soon with answers to my questions.

Let me know if you need more help.


spexfan 20 Feb 2017, 20:49

Cactus, could you explain the formula you've applied to calculate Faubius' hyperopia? ie. the plus power lens/legible distance/under-or-over correction?

I'm wearing +1.75R/+1.5L with a 2.25 add and am curious to know how I'd tolerate a little extra plus power. Would be interested in doing some experiments.


Cactus Jack 20 Feb 2017, 15:35


Sorry about repeatedly getting your name wrong. The spell checker is changing it and I didn't catch it. Spell checkers are great, sometimes, but other times they are a nuisance.


Cactus Jack 20 Feb 2017, 01:58


Post below is for you. Sorry about the typo.


Cactus Jack 19 Feb 2017, 16:14


I am a little confused by the results of your second test.

The first test with the +2.00 reading glasses indicated that you may be a bit hyperopic. The +2.00 glasses were OK, and the 58 cm results indicate that. If you had a 0.00 prescription the distance should have been 50 cm with the +2.00 glasses. 58 cm indicates that your refractive error, early in the morning is about +1.75 (100/58 = 1.72) with the +2.00 glasses. The difference is about -0.25. When dealing with eye prescriptions, you have to remember that the glasses or contact prescription is the reverse sign of the actual refractive error in the eyes. -0.25 in your eyes means that you need +0.25 to correct it. In other words, mild Hyperopia.

However, based on your 2nd test results, after a day of close work, I thing there is something going on that we have not identified. That is not to say that it is serious, we just need to figure out what is going on so you can describe it to the Optician.

Were you wearing the +2.00 glasses for the 2nd test?

I would have expected that after a day of close work, you might be temporarily a bit Myopic. If so, and you were wearing the +2.00 glasses, I would have expected the fuzziness to start at a closer distance than 50 cm, not 77 cm. If you were NOT wearing the +2.00 glasses and got 77 cm, it just means that you have some temporary "Pseudo" or false Myopia which is easy to address.


I may ask you to do some other tests.


Faubius 18 Feb 2017, 03:09

Cactus Jack

i've done the test procedures you described,unfortunately i had to use a +2 pair because i didn't find the one you asked for,i hope it's not a problem.

However with test procedure 1,the fuzziness was between 57cm and 59cm for an average distance of 58cm.This test was in the morning at inside home with a good sunlight not too bright as you suggested.

And test procedure 2,which was more hard to measure since the fuzziness started beyond my full arms lenght,so take in count that maybe ther's a slight margin of error,anyway in this case the fuzziness was between 75cm and 78cm for an average distance of 77cm.This test was done at with artificial light settled at medium level and after doing extensive close work.

i also casually noticed that my eyes are not the same since my left eye during the misurations had an average difference with my right eye of around 10cm.

I hope i've provided enough datas,what does all that mean?

P.S.I also tried to look around the web to test my eyesight for near with some eye charts and it happens that i could read around half of it in most cases,i don't know if it's important just wanted to add more informations

 17 Feb 2017, 15:56


An eye exam is not like an exam that you might take in school and there is really no way to study for it. However, you can prepare for it and learn about your role in the exam. The best eye exams are a team effort between you and the Examiner. Part of the preparation is to learn what to expect, particularly if this is your first eye exam.

One important thing you need to keep in mind is that the Examiner has no way to experience what you are seeing. He/she has to depend on your answers to questions.

There are two parts to an eye exam. The first part is the Objective part. This part consists of:

1. Taking a Visual History where you describe your vision and the kinds of problems you are having.

2. Checking the internal pressure in your eyes for symptoms of Glaucoma. This is one of the very few parts of an eye exam that is even mildly uncomfortable and the discomfort only lasts for a few seconds. There are two basic ways to do the pressure test.

A. Using a special instrument to lightly touch your Cornea. Not to worry here. Before doing this type of test a drop of mild anesthetic will make sure you don’t even feel it.

B. There is a new type instrument that uses a puff of air directed against your cornea. No anesthetic is required, but the puff will startle you. The puff of air is harmless and there are huge benefits. Detecting Glaucoma early, before it can do damage can save your eyesight.

3. The examiner will also get a preliminary estimate of your refractive error by using an Auto-Refractor or manually by using a small hand held instrument called an Ophthalmoscope or Retinoscope.

The Auto-Refractor is a relatively new instrument that was developed in conjunction with NASA to check Astronauts vision in space. You look into the machine with each eye individually where you will see a scene or a pattern. The machine will adjust its internal lenses to focus the image you see on your retina. The Auto-Refractor only takes a few seconds for each eye and it then prints out your estimated prescription.

Some Examiners prefer to use manual methods that have been used for many years. Using an Ophthalmoscope or Retinoscope and a Trial Lens set or a Phoropter (a fancy machine with a built in lens set), the Examiner will look into your eyes and select the lenses that allow him to see your retina, most clearly.

The object of this part of the exam is to get a starting place for the Subjective part of the exam where you have to describe what you see.

Typically the Subjective part of the exam starts with the Right Eye shutter open and the Left Eye shutter closed.

Step 1 is typically determining the cylinder and axis of any Astigmatism correction you need. This is actually the hardest part of the exam because you will be asked to judge relative blurriness of two images rather than the sharpness of an image.

You will be shown a line of text and a supplemental lens will be rotated into place. This lens is a cylinder lens that is mounted on a 45 degree pivot and can be flopped back an forth to bracket a trial axis or orientation of the long axis of the cylinder lens. The thing that is confusing about this test is that the straight lines (strokes) of the letters will alternate in clarity as the lens is flipped back and forth depending on their direction. I suggest concentrating on an “O” if possible. Depending on your answers, the examiner will adjust the axis knob unit the image you see is equally blurry with the supplemental lens 45 degrees each side of the selected axis.

At this point the Examiner will probably swing the supplemental lens out of the way and may change the cylinder power while asking you which lens in clearer.

For your first exam, you may be uncomfortable asking the Examiner to let you fine tune the Cylinder Axis, but I have found that most will appreciate your wanting to actively participate. The way that works is that he will place your hand on the Axis control knob. This time, you move it back and forth a few degrees looking for the sharpest image. It is a bit like “Fine Tuning” an old Analog TV set or moving the tuning knob on an analog AM radio for the best signal.

The next step is determining the Sphere correction. This is an easy part of the exam because all you have to do is pick the sharpest image, but there is a tricky part. Your auto-focus mechanism will try to help, if it gets a chance. The Examiner has a couple of ways to minimize the action of your ciliary muscles and crystalline lenses.

The Examiner can, in effect, sneak up on your Sphere prescription or he can use drops to Dilate your eyes. Lets talk about sneaking up on your prescription first. There are actually 4 lenses in your eye’s lens system. All of them are PLUS lenses and the total power is about +56 to +60 diopters. The only variable focus lens is the crystalline lens whose PLUS power is controlled by your ciliary muscles. For distance, your Crystalline lens is fully relaxed and has somewhere around +15 diopters. When you focus to read, your Ciliary Muscles squeeze the Crystalline lens to increase its PLUS power by the amount necessary to focus which depends on the distance to the object.

This will take a little thought to get your mind around, but if you are nearsighted, your lens system has too much PLUS for the distance from the lens system to your retina and you need MINUS lenses to neutralize some of that excess PLUS power. You ONLY have the ability to increase the PLUS power of your lens system. You have NO ability to reduce the PLUS power of your Crystalline lenses more that fully relaxed.

To try to keep your Ciliary Muscles and Crystalline lenses from getting in the act, the examiner will start with NOT ENOUGH MINUS or TOO MUCH PLUS (same thing) and gradually increase the MINUS one or two steps at a time, while reducing the size of the line you are asked to read. He will not tell you what power lens or what line you are looking at. Eventually, he will reach the 20/20 line and a lens power that lets you read it with no mistakes.

He will then follow the same procedure with your Left Eye.

When he has completed both eyes, he will open the shutters and you may see two images. This part of the test is to check your muscle balance using some prisms. He will probably ask you to tell him when the two images are aligned horizontally and then vertically. While the images are separated, you have an important check to make. Compare the sharpness of the two images. If they are not equally sharp, be sure and tell the Examiner which image is clearer. If there is a difference, he will likely reduce the sharpness of the clearest image until they match. The important thing at this point is that they match. That lack of sharpness will be corrected in the next phase with both eyes working together.

Next he will fuse the images so both eyes are working together and repeat the Sphere procedure by gradually increasing the MINUS or decreasing the PLUS until you see the smallest line of letters very clearly.

That pretty much completes the exam except for checking your near vision with a small chart about 14 to 16 inches from you.

Many people, who wear glasses, actually look forward to eye exams. Once you have become accustomed to having very good vision, you will probably find anything less, unacceptable. Many times, after the exam, it will be suggested that you get another exam some time in the future. Note that I used the word “suggested”. it is NOT a Command. If your detect a problem or if your vision seems uncomfortable, please don’t wait until the “suggested” date to seek an appointment to get your vision checked.

Let me know if you have more questions


Cactus Jack 17 Feb 2017, 15:54


I would like to suggest two things. There is a relatively easy test you can do at home to get an idea of your vision. The test is a practical application of the principles of optics codified by Sir Isaac Newton around 1700.

You will only need 3 things to do the test.

1. A pair of Over-the-Counter (OTC) Reading Glasses of +1.50 or + 1.75 power. These glasses will cause some artificial Myopia to make the test easier to do and more accurate and get the distance where the letters just become fuzzy around the edges into an easily measured range

2. A measuring tape that can measure about 100 cm.

3. A book or newspaper with average small print. (The target)

Test Procedure 1: Morning test when you are fresh.

In good, but not BRIGHT light, put on the Reading Glasses.

1.Hold the book or newspaper about 30 cm from your face and gradually move the Target away from your face until the text just starts to get fuzzy around the edges.

2. Note the distance from your face

3. Repeat steps 1 and 2, Three times and average the results.

4. Tell me the results.

Test Procedure 2:

1.Repeat Test Procedure 1 when you have been doing extensive close work.

2. Tell me the results.

Be sure and tell me th power of the glasses and when the test was performed.

Also, I suggest you read "How to Study for and Eye Exam", which follows in the next post.


Faubius 17 Feb 2017, 14:54

Hello i'm a 22 year old guy from Italy,i found this website while searching informations about glasses and vision.

In the last months i've noticed that my vision is not perfect anymore,at first i thought it was caused by allergies or tired eyes since i started to work in front of a computer screen for many hours at day.

But now i'm thinking that maybe i have hyperopia because the symptoms i'm actually having are:when i start to read a book/journal or at the screen of the computer/tablet/smartphone my vision is perfectly clear but after 1/2 minutes it gets really blurry to the point i can barely make out the letters even if they're quite big,and when i look far it's still blurry(only for some minutes and for small things),although blinking and squinting very much and putting things a bit far,help in reducing a bit the blurriness to a manageable level it still give me a lot of eye strain and headaches.

I wanted to hear your opinion about it before booking an eye test to the optician,my last eye test was 10 years ago and at that time i had perfect vision so maybe something changed,i don't even remember what happens during the eye test so if you could give me informations about it,it would be great

So what's your opinion?Do i have hyperopia?Am i going to get glasses?

P.S. Sorry for my bad English,i should've studied it more in high school

Catwoman 12 Feb 2017, 10:28

Cactus Jack:

Thank you for the wealth of information. I had no idea of "true and false" myopia or anything about the crystalline lenses and celery muscles. :)

The 2 pairs of cateyes that I wear on the weekend do have progressive lenses, while the 5 pairs I wear the rest of the week are regular bifocals. I use the computer all the time at work, and I have plenty of light in my office. I have not noticed any problem with reading the screen, home or away. At home I read more close-up, mainly newspapers and magazines, quite often during commercials of TV programs, so the multi-vision (as opposed to single-vision) lenses help.

For very small print I may take my glasses off and look at it a few inches away, as not even my +2.75 add can do the trick. The same applies for when I apply makeup or eye shadow (only for special occasions anymore).

Cactus Jack 11 Feb 2017, 11:19


You probably have a combination of True, Axial Myopia and False, Pseudo Myopia, they can add together. Pseudo Myopia can decrease, but Axial Myopia generally does not. Both Presbyopia and Pseudo Myopia are related to the Ciliary Muscles and the Crystalline Lenses. Your add has been increasing as your Crystalline Lenses get stiffer and your Ciliary Muscles get weaker.

Your distance prescription may decrease some, but probably not down to 0.00 and your add will probably not increase much more, unless you like to focus very close. At some point your add will be strictly related to the distance from your eyes to what you are wanting for focus on. You may need a different power add to be able to use a computer and read with the same pair of glasses. That is whey they make progressives and trifocals.


Catwoman 11 Feb 2017, 10:33

When I was 38, I got my first bifocals, at +1.50. A few years later, it was up to +2.00, then to +2.50, and last summer +2.75. With my myopia seemingly decreasing, maybe some year the numbers will balance out, except of course for the astigmatism that has been a family bane.

Cactus Jack 03 Feb 2017, 10:14


I suspect both your distance and add will need changing. Don't be surprised if this process takes several weeks or months to completely stabilize. You might check with your ECP about their policy on prescription changes. Some will remake glasses for prescription changes, free,

only within 90 days. Others offer more time or won't remake them free unless it is an error on their part.

Once your vision has stabilized, the changes will probably be small and infrequent. The primary change will be in Cylinder and Axis, but that can be minimized by using the technique for "Fine Tuning) the Axis, outlined in "How to Study for an Eye Exam"


Russ 02 Feb 2017, 15:52

Thanks for the info CJ. Latent hyperopia sounds like my distance problem. I have been wearing my glasses full-time in order for my eyes to adjust, accommodate, etc. to the vision correction. Will see how quickly my add needs an increase.

Cactus Jack 31 Jan 2017, 10:07


It would have been very rare for you to have noticed your farsightedness. Hyperopia or farsightedness is the ONLY refractive error that you can correct internally, using your Ciliary Muscles and Crystalline Lenses. Particularly, since you did not mention any Astigmatism correction (Cylinder and Axis).

Presbyopia, which is the gradual stiffening of the transparent protein that makes up your Crystalline Lens, is gradually catching up with you. That happens to almost everyone by the time they get to 40, though it can happen at any age. It depends on your genes.

There are two kinds of Hyperopia. One is caused by a mismatch between the length of your eyeball and the total PLUS power of your eye's lens system. Typically, it is caused by the failure of the eyeball to grow quite long enough by about 0.3 mm per diopter. It is considered permanent.

The other type of Hyperopia is called Latent Hyperopia. It is caused by the Ciliary Muscles and Crystalline lenses not fully relaxing for distance. Once you start wearing external PLUS lenses, to correct your Hyperopia and bifocals to correct your Presbyopia, your Ciliary Muscles will gradually relax and your will need more external PLUS for distance and your Add will increase. However, your Add will never be more than about +2.50 pr +3.00, unless you need to focus very close. Once your Hyperopia is corrected, you can calculate the amount of Add you need by measuring the distance from your eyes to the visual target and dividing that into 1 meter. The result is the Add power.


Russ 31 Jan 2017, 05:28

I am 43 years old and was having difficulty seeing the text on my phone. Went to the eye doctor and came out totally surprised. I did need assistance for close-up work, but the doctor told me that I needed glasses for distance and probably had needed them for years. My prescription is +1.50 add +1.25 and +1.75 add +1.25. I have gotten the glasses and am getting used to wearing them all the time. Question-----should I have noticed the "farsightedness" related to distance???

Anyway, wearing glasses is pretty cool.

Plus Tony 23 Jan 2017, 14:30

Cactus Jack

Thanks for your advice which I have passed on. My friend was slightly taken aback when I suggested that she should see a pediatric opthamologist but I explained the rationale as you explained it here and she understood the logic. It will be interesting to see whether she is able to arrange an appointment through the NHS or whether she will have to go private. I suspect the latter.

Incidentally she says that she doesn't feel any additional strain at near but of course that doesn't necessarily mean that presbyopia isn't starting to make an appearance.

Thanks again

John S 21 Jan 2017, 17:26

CJ, I completely agree. I think there might be a few more increases to come. Hopefully his eyes will stabilize soon. I don't think his add will go up again. I think the doctor probably increased it because he asked him to see closer. You know how teenagers are addicted to their phones.

A few months after he got his glasses he was doing better in school. But part of the improvement was due to a few threats from his parents. I'm sure his glasses played a part of it also.

He wore his old glasses most of the time, but his new ones stay on him. I will post a picture of his glasses on V & S. Before anyone asks, no pictures of him wearing them.

Cactus Jack 21 Jan 2017, 15:41

John S.,

Your friend's 12 YO son is a good example of Latent Hyperopia in action and the fact that it can occur at a very early age. He probably has had Hyperopia for a long time and his visual environment finally caught up with him. I have a hunch that he may not be through with increases in his Plus for distance. Once his Hyperopia has been fully resolved and corrected, he may have enough Accommodation range available to not need an Add of +2.00. One of the things that will work against him is the tiny text on Smart Phones.

The clue that he really needed glasses was the discomfort when reading. I have an 8 YO great nephew that had behavioral problems when he was around 4 or 5. Hated to do anything that involved focusing close. My brother, his grandfather, finally put the clues together and insisted that he get his eyes checked. Turned out he had Hyperopia and Astigmatism and close focusing was very uncomfortable. At first he rebelled at wearing glasses, but quickly discovered the difference. He is now in the 3rd grade and a very different child. Turns out he is rather smart and I alerted his grandfather and his father that the problem would be keeping him challenged as he plays catch up and experiences the joy of discovery.

Your friend may experience something similar as his son begins to take advantage of comfortable close vision. You might suggest a followup check in a few months and suggest looking into some low cost spares from Zenni.

Times surely have have changed when a 12 YO wearing bifocals and having prescription reading glasses is no big deal to his friends and class mates.


John S 21 Jan 2017, 11:21

My friend’s son that got his first glasses 6 months ago stepped on his glasses. His glasses didn’t feel as strong as they used to, so when he went in to get his glasses fixed he got a checkup. His new glasses are: R +1.50, L +1.75 -0.25 X 118, Add +2.00. Without his glasses his distance vision is 20/40, and his close vision is 20/200.

He got bifocals this time. He said the stronger lenses made a big difference. He really likes them.

A couple of his friends asked him about his new glasses. They said they were cool because they had a line. How things have changed.

Newspex 20 Jan 2017, 11:03

Hi John S,

Thanks for coming back to me - I got L+1.25 R+1.00 -0.25 about 10 years ago when I was 39.

I have been wearing L+0.5 ADD +1.5 R+0.25 -0.25 ADD +1.5

These work fine apart from when I remove then and look in the distance as I mentioned.

Newspex 20 Jan 2017, 11:03

Hi John S,

Thanks for coming back to me - I got L+1.25 R+1.00 -0.25 about 10 years ago when I was 39.

I have been wearing L+0.5 ADD +1.5 R+0.25 -0.25 ADD +1.5

These work fine apart from when I remove then and look in the distance as I mentioned.

John S 19 Jan 2017, 19:18


Since you not received your answer, I will jump in.

Your reading muscles are relaxing more since you have increased your correction. They have been compensating to keep your distance vision clear. When you give the muscles a break by using the correct reading power, they get used to it, and don't want to work to give you the extra power you need to correct your distance vision. Basically, you should also be wearing distance correction in addition to reading.

What power were your old glasses, and what are you wearing now?

Cactus Jack 19 Jan 2017, 13:21

Plus Tony,

There could be several things going on. The interactions between the focus control system and the eye position control system are complex. At 39 in addition to her other issues, I suspect Presbyopia is also getting into the act.

Prism might help some, but there is no way to offer suggestions other than to suggest that she should see a Pediatric Ophthalmologist. They specialize in children's eye misalignment problems and also see adults with eye misalignment problems.


Plus Tony 19 Jan 2017, 12:26

I got into a conversation the other day with a fellow hyperope with a prescription just a little stronger than my own (she is L +1.50, R + 2.50) and is 39 years old. She was first prescribed glasses as an adult about 3 years ago and now wears her glasses full time. She is in good general health and has excellent vision with glasses although she is very much reliant on her left eye.

She had previously worn glasses as a child and was patched for a lazy eye. She stopped wearing glasses at about the age of 9 or 10 when she was told her lazy eye could not be improved further. When she removes her glasses her right eye tends to turn in. She said that she had noticed recently that her right eye sometimes turns in while she is wearing her glasses although it seems to be intermittent. She wondered whether this could be corrected by prism. I said that I wasn't sure. She mentioned that at her last eye test the optometrist had said that her right eye was corrected as much as it could be so I assume that adding plus would not help to stop the turn.

I seem to remember reading (probably here) that while prism can correct certain eye position issues it doesn't help with amblyopia. Is that correct? I suggested that she should discuss it with her optometrist which she said she would.

John S 16 Jan 2017, 12:24


Please re-read what Newspex posted. I think you missed when he took he glasses off, his distance vision was blurry.

Soundmanpt 16 Jan 2017, 10:53


Your eyes are still adjusting to the change in your prescription which is very normal. The same thing likely happened with your previous glasses when you first got them but as your eyes adjusted you didn't have the blur anymore.

Newspex 16 Jan 2017, 10:47

I have recently upgraded my reading/ pc glasses, but I have noticed that

after wearing them for a prolonged spell they make distance vision blurry for about 10 minutes when I remove them.

The old pair didn't seem to do it.

Cactus Jack 15 Jan 2017, 18:46


Sometimes the ES server does not respond very quickly. If the background of the Submit button turns BLUE when you click on it, your post is acceptable. You don't need to click again. Multiple posts are usually caused by the server being slow to respond your first click. If the Submit button turns Blue, just be patient and the server will retrieve your post when it can. It rarely take more than 30 seconds.


Jackson 15 Jan 2017, 16:48


Yes, they are just reading glasses.

Jay 15 Jan 2017, 15:49

My apologies. I was having trouble posting.

Jay 15 Jan 2017, 15:45

Just getting reading glasses, Jackson?

Jay 15 Jan 2017, 15:45

Just getting reading glasses, Jackson?

Jay 15 Jan 2017, 15:45

Just getting reading glasses, Jackson?

Jay 15 Jan 2017, 15:45

Just getting reading glasses, Jackson?

Jay 15 Jan 2017, 15:45

Just getting reading glasses, Jackson?

Jay 15 Jan 2017, 15:45

Just getting reading glasses, Jackson?

Jay 15 Jan 2017, 15:44

Just getting reading glasses, Jackson?

Jackson 13 Jan 2017, 16:03

Seems my age has finally caught up to me. I was having a little trouble reading the paper, so I decided to get my eyes checked, and turns out my intuition was correct. I am getting my glasses later today.

Cactus Jack 11 Jan 2017, 18:26

There are two kinds of Hyperopia and two kinds of Myopia. True Hyperopia and Myopia are typically caused by a mismatch between the length of the eyeball and the total optical power of your eye's lens system. After your eyeballs stop growing, usually in your late teens or early 20s. The don't change size (length) very much. The critical thing here is the distance from the back of the Crystalline Lens to the Retina. The eyeballs like most other body parts don't shrink much after they have grown. They would have to shrink for for true Myopia, where the eyeball is too long, to turn into Hyperopia where the eyeball is too short.

I suspect you may have had False Myopia on top of True Hyperopia. They can occur together because False or Pseudo Myopia (ctually the same thing as Latent Hyperopia is caused by the Ciliary Muscles and Crystalline Lenses not fully relaxing back to their high PLUS power. The way it is supposed to work, if you don't need correction) is that the Ciliary Muscles and Crystalline Lenses are fully relaxed (at minimum PLUS power for distance. If you focus close your Ciliary Muscles squeeze the Crystalline Lenses and increase their Plus power by an amount determined by Sir Isaac Newton's most fundamental optical formula. Lens Power = 1 meter / Focal Distance. In practice that means to focus at a typical reading distance of 40 cm or 16 inches, you need +2.50 internally using your Ciliary Muscles and Crystalline Lenses or externally from glasses. If your Ciliary Muscles don't fully relax for any reason, you have False Myopia or if you are actually farsighted and need the extra Plus for distance, you have Latent Hyperopia.

If you have False Myopia, when you start wearing glasses with an Add, often your Ciliary Muscles gradually relax over time and you become less and less Myopic. If you are actually Hyperopic, you finally need Plus glasses for distance.

You did not mention your prescription for Myopia or present prescription for Hyperopia. That would help understand what has happened. It is really pretty common.


john 11 Jan 2017, 02:27

Bailey.- Yes it happened to me.I had myopia all my life like you and when I got bifocals I slowly went to hyperopia .There was a year where I needed no distance correction except for my astigmatism .I am older than you and now have trifocals which happens when your add goes to plus 2.00 or more.Eye Drs don't like to predict what is going to happen because everybody is different .It may not happen to you but it could. Hope this helps.

Soundmanpt 11 Nov 2016, 08:53


Thanks for the update of your fiancee's recent eye exam. You and others were expecting that in the 3 years since she got her last glasses and considering her own comments to you about her vision that she almost certainly would be needing an increase in her glasses. She even said that when she doesn't wear her glasses when she is on her computer that her eyes don't focus well and it had become much more difficult trying to read small print without her glasses and even with her glasses small print was blurry. It did seem like she was almost certain to be getting stronger glasses. But instead she no longer has any plus in her new prescription. Now she only has astigmatisms. A bit more in her right eye than her left eye which is actually nearly perfect now. So please provide us with further updates once she gets her new glasses as to how she gets along wearing them. The good news for you is that since she is so used to wearing glasses already she will most likely continue wearing them even though she only barely needs them.

Dan 11 Nov 2016, 06:19

Realized I never posted my fiancée's new prescription (see discussion in September on this thread). Some had speculated (including myself) that she would need more plus. In fact, she just needed more astigmasitn correction. New prescription

OD 0.00 -1.00x95

OS 0.00 -0.25 x 45

My prescription remained quite boring, -1.75 ( up from -1.50)

Michael 30 Oct 2016, 11:19

swap- I liked it when you said you wished your girl friend would wear her glasses 24/7. I know what you are saying but I don't think you really mean 24/7. I don't think it would be a good idea for her to wear them when either showering or sleeping.But it might not be a bad idea if she wore them most of the rest of the time.If she did she might stop having headaches.

Michael 30 Oct 2016, 08:59

swap- You are welcome. I am trying to advise you as best as I can and let us know if we can be of any more assistance.

swap 30 Oct 2016, 08:14

THANKS Michael

Michael 30 Oct 2016, 07:56

swap-The headaches are a clue I think that your girl friend needs to wear her glasses more than she is if not full time. The first thing I would suggest is have her get an eye exam ASAP. I have a feeling she may have some astigmatism and that is why she is getting headaches and eye pain which I guess is getting worse.I am almost certain she needs an updated script and it might be a good idea if that is the case for her to wear it full time.

Does she wear her glasses all the time when driving?She definitely needs to do that. I don't know what the laws are in the state you live in but in the majority of them you have to periodically pass an eye exam to renew your driver's license and I have serious doubts your girl friend would be able to without correction. If her uncorrected vision is less than 20/40 I don't think she could pass a DMV vision screening in any state without wearing her glasses

I am assuming she wears her glasses in class for lectures and to read the board.Am I right? And how about for studying? If she gets headaches when using the computer I am guessing she does when reading books and doing homework as well.

But it can be a pain to keep on putting your glasses on and taking them off. Does your girl friend do that? It makes me very nervous when I see somebody do that. If you are constantly putting them on and taking them off you are probably just better off leaving them on. Plus you are less apt to either lose or break them if you keep them on your face.

And if your girl friend does go for an eye exam have her ask either the doctor or optician for advice as to when she should wear her glasses. It is my experience that most of them don't give you advice unless you ask. That has always been a pet peeve of mine.They don't seem to offer advice even to first time wearers.The optician usually just hands you the glasses and sends you on your way.

But if you want your girl friend to wear her glasses more tell her how good she looks in them. And I am sure she looks great.Encourage her but don't push her or it will have the opposite effect. But she will come around because at some point being able to see well becomes more important than vanity. And I don't think she enjoys getting headaches. My guess is if she wears her glasses that will alleviate that problem. But she does need to go for an eye exam and get an updated script. My guess is she needs a stronger prescription and she may have some astigmatism as well even if she didn't before.

swap 30 Oct 2016, 07:19

Michael- thanks for your reply friend

She is still student.

She uses glasses to see distant objects only when necessary, also she wears them for computer because she said working on computer without glasses gives her headache. Now a days she is constantly complaining about headache and eyes pain, ,,,

But now a days she is wearing it frequently as compared to past. And I really would like to see her wearing glasses 24×7. I think if her prescription increased she will use it. When I forced her to wear glasses she wears for few minutes again remove it when I ask why don't you wear them all times she replied I use when I need to read number plates and sign boards and to drive

Michael 30 Oct 2016, 06:22

swap- Does your girl friend work or is she still in school? As Cactus Jack said if you can give us your girl friend's full script we would be able to help you more. Her myopia appears to be pretty mild but we don't know whether or not she has any astigmatism. Based on the info you gave us I would say it would benefit your girl friend to wear glasses for distance activities if she wants to see well. Like movies, concerts and sporting events and maybe for TV too. But especially for driving. I doubt she would be able to pass a DMV vision screening but not 100% sure.But she should wear her glasses whenever she drives especially at night or when the weather is inclement. Driving at night without glasses would have to be difficult for her.

Astigmatism can affect both your distance and near vision. Even a small amount. If your girl friend does have some astigmatism unless it is a very small amount she might find her vision more comfortable if she wears her glasses full time. Does she get any headaches? If she does that may be a clue that she should be wearing her glasses. I am a little surprised that she does wear her glasses at least occasionally when working on the computer if she is just myopic with a relatively mild script.

Yes it is definitely possible if not probable that your girl friend's vision has gotten worse. Is she planning to go for another eye exam? It seems that she is not going to be able to avoid wearing glasses at least some of the time. I guess your goal is to have your girl friend wear glasses full time. Am I right? But if her script got up to -3 or -4 for both eyes that should do it for sure unless she is very stubborn. At some point though being able to see will take priority over vanity.

But don't try to push your girl friend into wearing her glasses more because it will likely have the exact opposite effect. She will have to decide herself.

Michael 30 Oct 2016, 05:16

Why do people have duplicate posts? Bailey has his or her post here five times. Maybe when somebody posts for the first time the person is uncertain how to do it. But shouldn't the moderator remove duplicate posts? It does cause a lot of clutter in the thread.

swap 30 Oct 2016, 04:29

Cactus jack

Sorry for my 3 posts and thanks for your reply,

She is 21 years old now

Her mom wears glasses with minus prescription

And her prescription as I know -1.25 for both eyes, ,,,

Maybe this information would be helpful for you

Cactus Jack 30 Oct 2016, 01:31


ONE post on ONE thread is enough. As it happens, your GF has Myopia or nearsightesness, there may also be some Astigmatism, so all three of your posts are on the wrong threads. The Vision thread might have been a good one.

The biggest factor in Myopia is genetics. Do any of her close relatives also wear Minus glasses. The next most important thing is her age. Lastly, her visual environment is very important. What is her occupation?

Also, her complete prescription is very helpful in predicting future increases in Myopia.


swap 29 Oct 2016, 21:05

Since childhood I like girls wearing glasses, ,

My girlfriend had prescription of -0.75 for both eyes before 2 years. She never wear glasses, she didn't like it. One and half years passed her prescription increased up to -1.25 for both eyes. Still she doesn't want to wear glasses, ,, she just wears it occasionally for driving, or working on computer. She can't see long signs. Can't read distant words, nameplates. Now again she complaining about eyes. Does it mean her prescription increased? Are there any chances of increasing her prescription further upto -3, -4 (I wish so)?

Please guide if anyone has knowledge

Bailey 23 Oct 2016, 21:45

Hello Cactus Jack,

I see that you've helped a lot of people understand vision and vision problems. I was wondering if you could help me as well.

I'm wondering if I am gradually turning from being mildly nearsighted to going farsighted.

I'm a 38-year old real estate broker, but I first began wearing glasses when I was 23. These were for fairly mild myopia, and I was quite stable at -1.50 in both eyes. (Very slight astigmatism of -0.25 as well, but I won't dwell on this since it is fairly constant.)

When I was maybe 28 or 29, my left eye slightly increased to -1.75, but at my next eye exam it reverted back to -1.50.

Then, at 32, the slow decline began: My right eye dropped to -1.25. In 2013, when I was 35, my left eye dropped from -1.50 to -1.25, and my right eye dropped from -1.25 to -1.00.

One thing to note: Even when I first began wearing glasses, I always found it more comfortable to take them off when I read. For this reason contact lenses never really worked very well for me. For the last three years at least, I simply have not been able to read without taking them off.

I just had a new exam in August of this year, and here is my new prescription:

R -0.75 -0.25 135 add +1.50

L -1.00 -0.25 110 add +1.50

So you can see that my nearsightedness has decreased further, and I now have a reading addition. I'm actually relieved to get the extra reading help because I knew it was overdue. However I cannot believe how the myopia continues to drop. It's certainly nice, but I wonder where I'm going.

Is it possible that I drift toward hyperopia? Any idea on the rate at which this could happen, given my age? What kind of physiological mechanism could cause the eyeball to shrink?

I asked my eye doctor about becoming hyperopic, and she was not very clear. Instead she focused on my emerging presbyopia. She said, "It's certainly possible, but right now we should look out for increases in your reading."

Thanks for your help, and if anyone else has any personal experience, please share!

Bailey 23 Oct 2016, 21:44

Hello Cactus Jack,

I see that you've helped a lot of people understand vision and vision problems. I was wondering if you could help me as well.

I'm wondering if I am gradually turning from being mildly nearsighted to going farsighted.

I'm a 38-year old real estate broker, but I first began wearing glasses when I was 23. These were for fairly mild myopia, and I was quite stable at -1.50 in both eyes. (Very slight astigmatism of -0.25 as well, but I won't dwell on this since it is fairly constant.)

When I was maybe 28 or 29, my left eye slightly increased to -1.75, but at my next eye exam it reverted back to -1.50.

Then, at 32, the slow decline began: My right eye dropped to -1.25. In 2013, when I was 35, my left eye dropped from -1.50 to -1.25, and my right eye dropped from -1.25 to -1.00.

One thing to note: Even when I first began wearing glasses, I always found it more comfortable to take them off when I read. For this reason contact lenses never really worked very well for me. For the last three years at least, I simply have not been able to read without taking them off.

I just had a new exam in August of this year, and here is my new prescription:

R -0.75 -0.25 135 add +1.50

L -1.00 -0.25 110 add +1.50

So you can see that my nearsightedness has decreased further, and I now have a reading addition. I'm actually relieved to get the extra reading help because I knew it was overdue. However I cannot believe how the myopia continues to drop. It's certainly nice, but I wonder where I'm going.

Is it possible that I drift toward hyperopia? Any idea on the rate at which this could happen, given my age? What kind of physiological mechanism could cause the eyeball to shrink?

I asked my eye doctor about becoming hyperopic, and she was not very clear. Instead she focused on my emerging presbyopia. She said, "It's certainly possible, but right now we should look out for increases in your reading."

Thanks for your help, and if anyone else has any personal experience, please share!

Bailey 23 Oct 2016, 21:44

Hello Cactus Jack,

I see that you've helped a lot of people understand vision and vision problems. I was wondering if you could help me as well.

I'm wondering if I am gradually turning from being mildly nearsighted to going farsighted.

I'm a 38-year old real estate broker, but I first began wearing glasses when I was 23. These were for fairly mild myopia, and I was quite stable at -1.50 in both eyes. (Very slight astigmatism of -0.25 as well, but I won't dwell on this since it is fairly constant.)

When I was maybe 28 or 29, my left eye slightly increased to -1.75, but at my next eye exam it reverted back to -1.50.

Then, at 32, the slow decline began: My right eye dropped to -1.25. In 2013, when I was 35, my left eye dropped from -1.50 to -1.25, and my right eye dropped from -1.25 to -1.00.

One thing to note: Even when I first began wearing glasses, I always found it more comfortable to take them off when I read. For this reason contact lenses never really worked very well for me. For the last three years at least, I simply have not been able to read without taking them off.

I just had a new exam in August of this year, and here is my new prescription:

R -0.75 -0.25 135 add +1.50

L -1.00 -0.25 110 add +1.50

So you can see that my nearsightedness has decreased further, and I now have a reading addition. I'm actually relieved to get the extra reading help because I knew it was overdue. However I cannot believe how the myopia continues to drop. It's certainly nice, but I wonder where I'm going.

Is it possible that I drift toward hyperopia? Any idea on the rate at which this could happen, given my age? What kind of physiological mechanism could cause the eyeball to shrink?

I asked my eye doctor about becoming hyperopic, and she was not very clear. Instead she focused on my emerging presbyopia. She said, "It's certainly possible, but right now we should look out for increases in your reading."

Thanks for your help, and if anyone else has any personal experience, please share!

Bailey 23 Oct 2016, 21:43

Hello Cactus Jack,

I see that you've helped a lot of people understand vision and vision problems. I was wondering if you could help me as well.

I'm wondering if I am gradually turning from being mildly nearsighted to going farsighted.

I'm a 38-year old real estate broker, but I first began wearing glasses when I was 23. These were for fairly mild myopia, and I was quite stable at -1.50 in both eyes. (Very slight astigmatism of -0.25 as well, but I won't dwell on this since it is fairly constant.)

When I was maybe 28 or 29, my left eye slightly increased to -1.75, but at my next eye exam it reverted back to -1.50.

Then, at 32, the slow decline began: My right eye dropped to -1.25. In 2013, when I was 35, my left eye dropped from -1.50 to -1.25, and my right eye dropped from -1.25 to -1.00.

One thing to note: Even when I first began wearing glasses, I always found it more comfortable to take them off when I read. For this reason contact lenses never really worked very well for me. For the last three years at least, I simply have not been able to read without taking them off.

I just had a new exam in August of this year, and here is my new prescription:

R -0.75 -0.25 135 add +1.50

L -1.00 -0.25 110 add +1.50

So you can see that my nearsightedness has decreased further, and I now have a reading addition. I'm actually relieved to get the extra reading help because I knew it was overdue. However I cannot believe how the myopia continues to drop. It's certainly nice, but I wonder where I'm going.

Is it possible that I drift toward hyperopia? Any idea on the rate at which this could happen, given my age? What kind of physiological mechanism could cause the eyeball to shrink?

I asked my eye doctor about becoming hyperopic, and she was not very clear. Instead she focused on my emerging presbyopia. She said, "It's certainly possible, but right now we should look out for increases in your reading."

Thanks for your help, and if anyone else has any personal experience, please share!

Bailey 23 Oct 2016, 21:42

Hello Cactus Jack,

I see that you've helped a lot of people understand vision and vision problems. I was wondering if you could help me as well.

I'm wondering if I am gradually turning from being mildly nearsighted to going farsighted.

I'm a 38-year old real estate broker, but I first began wearing glasses when I was 23. These were for fairly mild myopia, and I was quite stable at -1.50 in both eyes. (Very slight astigmatism of -0.25 as well, but I won't dwell on this since it is fairly constant.)

When I was maybe 28 or 29, my left eye slightly increased to -1.75, but at my next eye exam it reverted back to -1.50.

Then, at 32, the slow decline began: My right eye dropped to -1.25. In 2013, when I was 35, my left eye dropped from -1.50 to -1.25, and my right eye dropped from -1.25 to -1.00.

One thing to note: Even when I first began wearing glasses, I always found it more comfortable to take them off when I read. For this reason contact lenses never really worked very well for me. For the last three years at least, I simply have not been able to read without taking them off.

I just had a new exam in August of this year, and here is my new prescription:

R -0.75 -0.25 135 add +1.50

L -1.00 -0.25 110 add +1.50

So you can see that my nearsightedness has decreased further, and I now have a reading addition. I'm actually relieved to get the extra reading help because I knew it was overdue. However I cannot believe how the myopia continues to drop. It's certainly nice, but I wonder where I'm going.

Is it possible that I drift toward hyperopia? Any idea on the rate at which this could happen, given my age? What kind of physiological mechanism could cause the eyeball to shrink?

I asked my eye doctor about becoming hyperopic, and she was not very clear. Instead she focused on my emerging presbyopia. She said, "It's certainly possible, but right now we should look out for increases in your reading."

Thanks for your help, and if anyone else has any personal experience, please share!

Cactus Jack 13 Oct 2016, 21:43


It is very unlikely. You haven't provided enough information to offer a good answers to your questions. Here are a few questions:

1. Do you presently wear glasses or contacts?

2. What is the complete prescription?

3. What is your occupation?

4. Where do you live>

I may have more questions after you answer those.


Guest 13 Oct 2016, 13:25

Hello all. I have a question I can't find an answer for anywhere in net. I'm in my 20s and I'm mildly farsighted. Is it true farsightedness can turn into nearsightedness? Or will my farsightedness just increase? was told by a friend that farsightedness doesn't increase while you're in your 20s but it can become myopia. Is that true? Seemed odd to me.

Kris 08 Oct 2016, 22:40

Like lenses,

The conversation with my ECP before I started using prism was about when I would need it, not if. I thought I could put it off for several years, but he basically informed me that he was waiting for me to admit I had a problem. He made sure I understood that I wouldn't be able to go back once I started. I was surprised that I went up on my prescription as quickly as I did and hope it doesn't mean I'll end up needing a large prism prescription in the future. I didn't think my symptoms were too bad before prism, but in looking back I now realize I had more issues with double vision than I was willing to admit. I also had a lot of eye strain that has improved. I'm glad to hear you've been able to avoid them.

I don't know what material my lenses are, but the prism isn't really noticeable in the frames I wear. The outer edge is definitely thicker than the inner, but you have be looking for it to notice. They aren't Heavy either.

Overall, I'm much more comfortable than I was before I started wearing prism. If I were to be totally honest, I still have some eye strain when I'm doing a lot of computer work and do feel like my eyes are working to maintain fusion. So far though, no real issues with double vision, so I won't be rushing back to my ECP.

Likelenses 08 Oct 2016, 20:53


Unlike you,I am very myopic at -10.5 for each eye,and can only see 20/30 due to the minified distance images.

Four years ago at my exam.,my optometrist discovered a small muscle imbalance,and asked if I ever experienced any double vision.I said that after extended close work,that I did.

He said that I could benefit from some prism,but that he thought it would be better if I did not get it at this time.

Even though I am totally dependent on my minus lenses,he felt that if he gave me a prism,that it would most certainly need to be increased,and that if I can tolerate the slight double vision,that I would be better off taking more frequent breaks from close work.

He said as other here have pointed out,that when you begin to use prism lenses,that they most certainly need to be increased several times,and he was not able to predict how strong they ultimately would become.

So far the more frequent breaks seem to minimize the double vision,

Kris 07 Oct 2016, 17:53

I did the prism test a couple of times. With my current prism lenses I had 72cm between images at 3 meters. With my old lenses, without prism and with my current cyl prescription (I think they are 0.25 diopter stronger in both eyes) the distance between images was 130-135 cm at 3 meters. I tried to wear the old glasses for awhile today as, when I first put them on, I didn't think things were too bad. I managed to only wear them for a few minutes before the double vision and headache became too much. I didn't doubt it but I am definitely dependent on prism now.

I understand the issue with adapting to prism. I found my current lenses a little jarring when I first got them. Things were a little distorted and almost too 3D (if that makes sense). I've alway had issues adapting to new prescriptions, including a couple of weeks of seasickness when I first went full time with glasses, and again when I got progressives (not long after the initial glasses were prescribed).

Between my esotropia, hyperopia and impending (and now full blown) presbyopia I think I've had uncomfortable vision for a very long time. It took me a long time to even discuss my issues with double vision with my ECP and, even now, I'm not always sure what I should ignore and what I should report. Hearing others experiences with prism helps me to gauge where I'm at in managing my own issues.

Cactus Jack 07 Oct 2016, 13:15


I think you need to do the test with full Sphere and Cylinder correction to keep the blurred images or compensation effort to focus from skewing the amount of displacement. If the glasses without prism have the approximate Sphere and Cylinder correct of your latest glasses, they should be OK. I think you can do the test with your latest 5/5/ BO (total 10) as long as you understand that the BO prism in your glasses will reduce the displacement by the appropriate amount for the distance to the target.

Most ECPs in the US will correct up to 50% of the measured prism. However, there is an adjustment process associated with prism correction that can cause some problems until your brain learns to deal with the displacement. Sometimes significant changes in prism correction can cause the symptoms of motion sickness or be difficult to tolerate both optically and psychologically. You mentioned the psychological aspects of prism in an earlier post about having to get your mind around the fact that you needed prism correction.

At some point, you will probably want to consult a Pediatric Ophthalmologist about muscle surgery to reduce the amount of prism you need to fuse images. Don't be put off by the name. Their primary practice is correcting Strabismus problems in children, but they also help adults.


Kris 07 Oct 2016, 11:11


I did the prism test with an old pair of glasses without prism correction. Should I be doing it bare eyed? Is there a percentage of total prism needed that ECPs tend to aim for when prescribing prism? For example, eyes deviate by 40 dioptres, and will prescribe for 20% of total deviation.

Cactus Jack 07 Oct 2016, 07:51


Typically, you should do the test without correction, but a person with Hyperopia probably needs to do the test with glasses. The reason for this is that there is a connection between the focus control system and the eye positioning system that causes the eyes to converge when they you try to focus. That can affect the results of the test. However, if you have prism correction, you need to make allowance for the prism in the glasses. Your total of 10 prism diopters Base Out, will compensate for 10 cm at 1 meter or 30 cm at 3 meters and your PLUS sphere will minimize the focus response, but there will probably still be some at 3 meters.

I suspect you have a very strong connection between your Focus Control System (FCS) and your Eye Positioning System (EPS). Almost any focusing effort will trigger the convergence response.

The Eye Positioning System has a number of external inputs in addition to the FCS inputs. In engineering terms, it is an Open Loop Servo System. Two very important inputs are the images delivered by your eyes. My personal observations are that the EPS tries to match sharp vertical edges using the Lateral (left and right) Muscles and sharp horizontal edges for the up and down muscles. If the images are not sharp and clear, it makes it more difficult to control the positioning muscles to keep the images fused. In most instances, if the image inputs are good, you really don't need full prism correction. All the the prisms have to do is get the images into a "capture range" and your EPS will do the rest, without conscious effort.

The exception to that occurs when the EPS simply cannot control the eye positioning muscles beyond a certain point as a result of crania nerve problems or damage or impairment to the brain functions that involve the EPS.


Kris 06 Oct 2016, 21:39


I've done the prism test before. Originally, before I started wearing prism I was measuring images 75-80 cm apart when I stood 3 meters away. Once I started wearing prism I discovered that the images were 100-105 cm apart. I haven't measured, but I'd say they are at least 110-120 cm apart now (definitely farther, based on landmarks on the wall). I may get a chance to measure this weekend.

I was very reluctant to get prism in the first place and am still reluctant to go up more than I am at now. I sometimes find myself closing one eye if I'm tired or getting eye fatigue if I do close work for a long period of time. I spent a long time ignoring my double vision, and normalizing it. I find it hard now to know what I should accept as normal and when I should report symptoms and consider accepting an increase in prism. I find the testing subjective, especially, as you said as ECPs tend to want to prescribe as little prism as possible. My ECP didn't seem surprised at all when I had to go up for a third time in the 9 months since I first started wearing prism. He won't say what his expectations are, but indicated that he was waiting for me to admit I needed it when he first prescribed prism last year.

I find that since wearing prism, it is almost like my right eye is getting weaker. It used to only drift in when tired and would stay centered with my glasses off unlesss I really tried to focus on something close. Now it drifts in as soon as my glasses are off, and it is hard to get it to not turn in, even if I relax my eyes and let everything go blurry. Is it possible that it will turn in even more, the longer I wear prism?

Cactus Jack 06 Oct 2016, 19:55


The color fringing goes with prism. Prisms bend light rays and the amount of bending is a function of the wavelength (color) of the light rays. You can also get color fringing with very strong lenses.

The reason for this gets a bit esoteric, but lenses are actually act like a very large number of infinitely thin prisms arranged in a circle. Plus lenses have the Apex of the prisms at the edge of the lens and the Base of the prism in the center. Minus lenses have their prisms arranged with the Apex in the center and the base at the edges.

You did not mention what lens material you got in your glasses, but you might try some CR-39, next time you order glasses. It has the best optical properties of all plastic lens materials.

It sounds like you have some Fatigue Esophoria. You could probably use more BO prism. Your eye positioning muscles are having to work to maintain fusion. Those muscles, like any other muscles get tired and you have trouble maintaining fusion when you are tired and let your concentration drift. When that happens, your eyes converge and you see double for distance. The reason you experience less tendency to converge for close work is that close work, itself, requires convergence, and that eases the positioning muscle work load.

Have you tried the Simple Prism Test that I posted on the Vision and Spex website?

You might find it interesting and perhaps a little scary. The test uses the optical principles codified by Sir Isaac Newton and it works very well if you follow the instructions. You my discover that you need more prism correction than you imagined. ECPs are typically very reluctant to prescribe full prism correction, for good reason. Fortunately, few people with Esophoria actually need full correction. That is one of the reasons ECPs prism increases are given, sparingly. There are a few others.


Kris 06 Oct 2016, 15:34

Thanks Cactus,

I found that when I first got my current lenses images were quite distorted with the outer lines of objects appearing to bend in and with the colour effect I described before. I'm back to squares and rectangles looking like squares and rectangles but 5 months after getting these lenses, I'm still getting the strange colour effect (although more diminished).

I have to admit that I was really surprised to need as much prism as I do as quickly as I did. It seemed like others who've posted here moved up in their prism needs quite gradually. When I first posted here, I actually thought that I was a bit of a hypochondriac when it came to my eyes and that I likely only needed a minute amount of prism compared to others.

My vision has been comfortable with the 5BO, but I do notice my eyes working to stay fused. I don't let my eyes relax, but today when I did, I still had significant double vision when looking into the distance. I've never really seen double at near, it's more of an issue of the level of eye strain I experience to maintain fusion at near distances. If I do a lot of near work, I get eye fatigue and dry eyes. For now though, it's tolerable.

I've read a bit about other's experiences with prism, but would like to know how their experience compares to mine. How long has is taken people to stabilize in their prism needs?

Cactus Jack 05 Oct 2016, 07:30


Probably not. More likely, the examiner is looking for Muscle Imbalance problems.


Slit 05 Oct 2016, 01:53

Hi, I have seen some doctors do a test by holding a pen in front of the eyes of the patient, asking the patient to focus on it and then covering one eye, after that another etc.

Is this a test to identify hyperopia?

Cactus Jack 04 Oct 2016, 23:49


Regarding the color fringing. One of the things prisms are used for is splitting the spectrum of white light into its component colors. Red is at one end of the spectrum and Blue is at the other.

If you cover one eye and look at a source of moderate White light, an outside window in a dim room, for example, you may notice that the blue fringe is on one side of the window and the red fringe is on the other side. Now, if you cover the other eye the Blue and Red fringes will be on opposite sides of the window. If you then look at the window with both eyes, the fringing will likely be substantially reduced.

Vision actually occurs in the brain and your brain will combine the images into a composite 3 D image an you may not notice any fringing at all.

I have worn much more than 5 BO in each eye for many years. I have noticed an extremely interesting phenomenon when I look at signs with Yellow LEDs. LEDs emit only one very pure (one wavelength) color of light. Yellow LEDs actually have two LEDs inside, very close to each other. One is Red and the other is Green. The result is Yellow for a person who does not wear prism. For me, I see a Red LED and a Green LED, That are far enough apart to appear as two. This is caused by the prism bending the Red light by a different amount than the Green light. When I look at a Yellow incandescent light, I only see one color, Yellow.

It is very likely that you will need more prism, but the important thing is to wear enough prism to not see double. The Eye Position Control System is amazing. It primarily uses the images from each eye to determine how to control the 3 muscle pairs on each eye to fuse the two images into one composite image. It does not have to have full prism correction to work. It only needs enough help to get the images close enough to be able to figure out what signals it needs to send to the muscles and fuse the images. It helps if the images are in comfortable focus. There is an interconnect between the Focus Control System and the Eye Position System that causes the eyes to converge with focusing effort. The strength of the interconnect can be very high in some people and focusing effort without their glasses can cause their eyes to converge or cross. That is probably what happens without your glasses.

Do not be too concerned about someone noticing that your eyes are slightly converged with your glasses. The amount of pupil displacement is really tiny, even with much more than 5 BO. Pupil displacement is about 0.1 mm per prism diopter. What people may notice is that the ouster edges of your glasses are a bit thicker than the inside edges, but they really have to be paying attention.

Let me know if I can be of more help.


John S 04 Oct 2016, 22:44

Maxim, I don't know what your definition of very young is, but just because someone is young doesn't mean they have don't have a problem with accommodation. You must have seen a teenager with bifocals before. Just tonight I saw a ~14 year old kid in Walmart wearing bifocals. I would say his distance rx was -1.00/-0.25. Maybe a +1.50 add.

This past July, my friend's 12 year old son asked me if he could try my glasses. He put them on and said, I told my parents I needed glasses. I asked him why he thought he needed glasses. He said that he could see faraway fine, he just needed glasses for reading. Sometimes when he was reading he got light headed, and he couldn't see small text. I guess he wasn't persistent enough for his parents to believe that he needed glasses.

I told him to look through the bottom of my glasses at some really small print. I could tell he was trying to figure out how the progressives worked. His expression said everything. I could tell they really made a difference.

A few days later I brought over a reading vision card. He said he could make out the 20/25 line. But with my glasses he could easily read the bottom line. He wore them the rest of the evening. When I was getting ready to leave, he gave me back my glasses. He was really surprised when he took them off. He said everything was really blurry without them. I gave him the reading card. He tried as hard as he could to focus, but he said it didn't make any difference. He could just make out the 20/100 line. I told his parents he wasn't making up his vision problems. You need to take him to get glasses.

The next day he started wearing his Dad's progressives until he got glasses. They weren't strong enough, but they were better then nothing.

His rx was +0.75/+1.25 -0.75, add +1.75. He was already used to wearing his Dad's progressives, so he got progressives. He put them on, and they stayed on. He really likes them. He also got a single vision pair just for reading.

He is kind of small for his age. We were at a party, he had just gotten his glasses the day before. He has blue Nike semi-rimless frames. A lady said I like your son's glasses, they look good on him. His parents told her they had distance and reading in them. She said she really needed to get progressives too. She has to take her glasses off to read.

He his addicted to his tablet. If he is using it for more than a few minutes, he takes his progressives off and puts on his reading glasses. He puts on his reading glasses so he doesn't have to look down to see the screen. And he can see the whole screen without moving his head. He learned pretty fast.

After he had his glasses for a few weeks, he really got used to them. He said when he takes his glasses off his distance vision is a little blurry, but there is no way he can read anything. Everything close was a total blur. Wearing glasses is part of his life now. It doesn't bother him at all that he has to wear them. He actually likes wearing them.

Kris 04 Oct 2016, 21:38

I posted last year, when I was trying to decide whether I should see my optometrist to see if I needed prism. He seemed to be waiting for when I would come to my senses and accept that I needed the prism and started me with 2 BO each eye. Vision was better for a few days, but I noticed that I was still seeing double at times and I went back about a month later and he had to go up to 4 BO each eye. Needless to say, I probably needed to do this sooner, as I had a real decrease in eye fatigue and found reading much more enjoyable. I went back this spring for a checkup and at that time he went to 5BO each eye. My current prescription is R +1.5, -0.5 Add 2.5 5BO and L +1.0, Add 2.5 5BO.

My vision seems pretty stable right now, and the only issue I have with the prism is that when I see red and blue images, they appear 3D even though they aren't supposed to be. The effect has faded, but is still there. Has anyone else had this experience? Will it go away?

Since starting to wear prism, I went from not necessarily putting my glasses on right away, to reaching for them as soon as I open my eyes. I have no ability to fuse images with glasses off and my right eye instantly turns in and seems less and less able to have it look straight ahead (even if I unfocused my eyes). Cosmetically I hate taking my glasses off in public because of this.

I hope that I don't need more prism over time, but it sounds like I may. Is it possible I've hit on the right amount of prism so early after wearing them and won't need to go up?

Cactus Jack 04 Oct 2016, 19:22

Hyperopia and Presbyopia are hard for most people to understand, unless they understand the laws of optics and how the eyes work. If a person needs +6.00 glasses, it means that the optical power of their eyes are about -6.50 because of Vertex Distance effects in the glasses.

The typical reason a person is Hyperopic is that their eyeballs did not grow enough from childhood to adulthood. Though it could also be caused by the total optical power of their eye's lens system is LESS than the required amount of PLUS needed to focus distant (or close images) on their Retinas. The typical adult eyeball is about 25 mm in diameter, but because of the way the eye is constructed, the lens system is inset so that the typical distance between the back of the Crystalline Lens and the Retina is about 17 mm. That means that the total optical power of the eye's lens system needs to be about +59 diopters. If the eyeball is smaller than 25 mm so that the Retina is close to the Crystalline Lens, more PLUS is needed to focus distant images. The extra PLUS can come from the Crystalline Lens, External Lenses, Contact Lenses, or ICLs. The distances involved in both Hyperopia and Myopia are small. Only about 0.3 mm per diopter.

The math for calculating the focal distance of a lens is pretty easy:

Focal Distance = 1 meter / Lens Power in Diopters.

It is pretty easy to deal with if the lens is a PLUS lens. For example

1 meter or 100 cm / + 6.00 = 16.66 cm.

It become much harder to deal with if the eye has a MINUS power, as in Hyperopia.

100 cm / -6.00 = -16.66 cm, which really isn't possible and is called a virtual or imaginary distance because the light rays diverge rather than converge as with a PLUS lens. The focal distance of a strong MINUS lens is a considerable distance beyond Alpha Centauri (4 light years away) and really beyond the edge of the universe. In this case some internal or external PLUS can work wonders to help a person focus at reasonable distances and also for close.

If you are interested in the structure of the eye and its optics, here is a link to a fairly easy to understand paper on "The Eye".


Maxim 04 Oct 2016, 16:42

Carrie writes: "I have a little difficulty with distances and much more difficulty with close up and reading."

I was at +4.00 approx. on both eyes, and I must say, I had a very difficult near vision (honestly, it's difficult to distinguish knife, fork and spoon on the table (!!)), but also distance vision without glasses is nearly impossible - you cannot recognise a person's face in the same room, on 3, 4 or 5 meters (10-15 feet) distance, you cannot see your teacher's face, you cannot read on the blackboard, you cannot read the license plate of a car - distance vision is very difficult indeed!

You can try a simulation of the +6.00 effect, when you borrow a pair of -6.00 glasses, and wear them for half an hour - that's your friend's experience without glasses!

Maxim 04 Oct 2016, 16:31

I agree with Carrie. When you are at +6.00, far things are for your eyes, if a person without correction need looks at reading distance.

When you're very young, you can accomodate, but in your 20s the eyes get tired through accomodation, and in a minute you can only accomodate for 5 or 10 seconds (just as an estimate), and the rest of every minute, your distance vision is blurry. So, when you start wearing the 'plussies', vision stabilizes, but there is no way back, you loose the capacity to accomodate for the near vision.

But in the 20s, and with the +6.00 lenses, you are able to accommodate for near vision - that means, you don't need bifocals.

When this person is in the fourties or fifties, he or she will need +6.00 as a basic correction plus a +2.00 or +2.50 for near vision, usually in bifocals or varifocals.

Carrie 04 Oct 2016, 15:35

DNBursky I am also in my 20s with a prescription that is about half the strength of your friend's. I have a little difficulty with distances and much more difficulty with close up and reading. I also have a tiny correction for astigmatism. I could get around without glasses but my eyes feel uncomfortable without them. I can't really explain the technical reasons why your friend can't see distances clearly without glasses, others here can do that if you are interested, but I would imagine that their eyes would feel very uncomfortable without glasses.

DNBursky 04 Oct 2016, 04:33

I have a friend in his 20's who's farsighted. He says he can't see distances or close things. He's +6. I would think close things would be difficult, not far things. Any thoughts?


Robert 30 Sep 2016, 07:27

Not sure what to do so I googled and found this site. My wife was going for her eye exam and asked me to drive her. When she finished she suggested I go in. I have no vision problems but went in anyways. After distance and close exam dr suggests I get glasses for close, +1.00. So I get them and have been trying them when I read. Without them I can read ok, but then when I take them off print goes blurry. So I am not sure why I was prescribed if I see ok without them before wearing them but not after.When I put them on they do make the print a bit bolder. My wife has worn her glasses for years (I think like-3.75) and I can't see much at all with hers.)

How can I tell if or when I should use them?

William 29 Sep 2016, 06:31


Why didn't you get progressives so you would only have to deal with one pair of glasses and have clear vision at all distances?

Andrew L. 28 Sep 2016, 10:51

One month ago I was diagnosed for the first time with very slight Hyperopia: R:+0.75, L:+0.50 and some Add: +1 for Presbyopia (at 51 y.o.).

Still I can function bare-eyed even for reading (except little print at dim light).

However, when I put my readers on, after taking them off, everything close up is blurry.

At distance I can only see minor difference in reading small letters (e.g. fine print on a projector shows slightly "more crispy" with my +0.75 glasses on) but other than that I really don't see any difference bare-eyed. Still, when I wear my distance glasses, everything is clear but putting them on and off is like nothing changed.

Is there any benefit you think at bothering with any distance correction or I should just use my readers?

Is it likely that my distance correction increases in the future? (Note that when I tried to wear my +1.50 readers at distance, faces at more than 5 meters from me started looking blurry).

 20 Sep 2016, 10:06

Nope. I have to go against the consensus. I think likelenses is simply a straight up asshole.

Obsessed 20 Sep 2016, 06:53

Amy Dory,

why don't you start by linking to your pics with glasses :-)

 20 Sep 2016, 04:30

Likelenses finally admits he's a racist.

well, I am not surprised.

Likelenses 19 Sep 2016, 20:34

19 Sep 2016, 19:03 Taco Boy

I will tell you that I am proud to be in the quickly growing Trump basket of deplorables.

 19 Sep 2016, 19:03

to the always rude LikeLenses: before you callously continue to attack others, i think you should answer first.

how about telling us whether you are a fucknut, dumbass, stupid shit, ass crack, asshole, fucking retard, or some old ass horny bathroom boy masturbator?

I'm guessing you're all of the above, taco boy.

Likelenses 19 Sep 2016, 18:38

Amy Dory

Opps ,meant Bambi.

Likelenses 19 Sep 2016, 18:36

Amy Dory

You appear to be new here.

Please tell us a bit about yourself. Are you a GWG,and if so are you a Myopic Chick,or a Hyperopic Bammbi,or even yourself a Bifocal Babe?

Cactus Jack 19 Sep 2016, 14:36


Thanks. I suspect that she may have a bit of Latent Hyperopia, which is common in people who are mildly Hyperopic or farsighted. She may need a slightly stronger Sphere prescription and a change in Cylinder and Axis. A low Add is possible, but it depends on her visual environment and how much really close work she does. People with Hyperopia sometimes need some close focusing help, sooner than the Mythical 40. Teens with Hyperopia and Smartphones are most vulnerable because of the very tiny text.

Do you think she might be interested in reading the piece I wrote "How to Study for an Eye Exam"?


Dan 19 Sep 2016, 13:43


She is 27.

Dan 19 Sep 2016, 13:43

I also realized I said "strong prescription". Meant to say "stronger"

Dan 19 Sep 2016, 13:42


She is 27.

Amy Dory 19 Sep 2016, 03:22

"bifocal babe?" oh i get it. you believe in the fetish objectivation of women. pretty rude and calloius comment. we aren't people anymore. shouldn't he see her as a woman first instead of a "bifocal babe?" as a woman, i put this overly fetishistic comment in the same category of "oh you got a black one!" and other stupid racist comments. grow up likelenses.

Likelenses 18 Sep 2016, 10:23


It sounds to me that you will be with a bifocal babe after next week,

Cactus Jack 18 Sep 2016, 07:58


May I ask your fiancé's age?


Dan 17 Sep 2016, 04:03

My fiancé has had glasses for 3 years or so with a minor plus prescription and astigmatism that she wears when on the computer. She has her annual exam this coming week and she is excited to get new frames for the first time in 3 years.

She also mentioned to me that she really notices when she doesn't wear her glasses on the computer that her eyes don't focus well. She also said that small print is getting hard to read without the glasses and is sometimes blurry with them on. Sounds like a strong prescription is in her future. I'll keep you posted.

Obsessed 16 Sep 2016, 00:22

Mark, you are one lucky man! Wow! You are what I want to be an never will be (without lasic) since I'm mildly nearsighted. Just wait for a couple of years and you will be totally dependent!

Something for you to look forward to:

I am currently vacationing in Crete. At our beach, there is this gorgeous German dad in his early fifties. He has what you will probably end up with: bifocals with about +3 for distance and a delightful add for reading. Yesterday, he fell and smashed his glasses so that one of the earpieces fell off. For 24 hours now, he has been walking around holding on to his glasses at all times. Hasn't removed them even for a minute. 1000% dependence.

Cactus Jack 08 Sep 2016, 13:46


Oops again. I guess I am loosing it. The last post was from me. I get to concentrating on what I need to write and get ahead of myself.

Good luck. Let me know what you decide to do and how it works for you.

May I as where you live?


Cactus Mark 08 Sep 2016, 13:42


It is nearly impossible to predict when your Ciliary Muscles will be fully relaxed, what your ultimate distance prescription will be, or when you will no longer be able to contribute any accommodation to focus close without your glasses. It depends on too many factors that are difficult or impossible to measure.

For most purposes you are NOW pretty much dependent on your glasses Your distance prescription may increase a little if your Ciliary Muscles and Crystalline Lenses are NOT fully relaxed for distance, but your actual Hyperopia is limited by the laws of optics. Hyperopia is caused by a mismatch between the Total PLUS power of your eye's lens system and the length of your eyeball. Typically, Hyperopia is caused by your eyeballs not growing quite enough as you grew from childhood to adulthood. The result is that distant images actually focus behind your Retinas and you need a bit of extra PLUS to move the focus up to the plane of the Retina. This extra PLUS can come from two sources. Your Ciliary Muscles and Crystalline Lenses can add the extra PLUS without your even being aware that you are doing it, or you can use external lenses. There is no known way to cause your eyeballs to grow to decrease your Hyperopia, once your genes have stopped the growth process, or to cause them to shrink to increase your Hyperopia.

The biggest thing that occurs to change your vision, as you reach adulthood, is Presbyopia. Presbyopia is the gradual stiffening of the protein that makes up your Crystalline Lenses. It actually starts in childhood, but typically does not become a problem until you are older. When you are very young, your Crystalline Lenses have the consistency of fresh gelatin dessert. Your Ciliary Muscles can easily squeeze your Crystalline Lenses to increase their PLUS power enough to enable you to effortlessly focus very close. However as you get older, your Crystalline Lenses get stiffer until finally your Ciliary Muscles can no longer provide the extra PLUS you need to overcome Hyperopia or focus close. When that happens, you need external PLUS to help you focus.

There is a secondary factor in Presbyopia that is sometimes overlooked. The strength of your Ciliary Muscles. For their size, they are the strongest muscles in the body, but like all muscles, they can easily get out of condition and loose their strength. When you wear external PLUS, for any reason, you reduce the amount of exercise your Ciliary Muscles get and you need more external PLUS to help you focus. This de-conditioning process occurs much faster than stiffening of the Crystalline Lens, but the effect is the same. Your need for external PLUS, particularly for focusing close can happen much faster than most people expect.

In your situation, I suspect that you can still provide SOME of the extra PLUS you need to focus close. You already have the tools you need to speed the de-conditioning process.

1. Wear your glasses full time.

2. Get the +4.00 prescription reading glasses and use them when you need to do a lot of reading. (If you can, I suggest ordering inexpensive glasses from an online retailer)

3. Consider ordering some prescription reading glasses with Sphere +4.50 for really close reading.

4. Consider ordering some prescription glasses with Sphere +1.75 for distance and keep other elements unchanged. That will automatically give you a slightly higher absolute values in the reading segment.

5. Consciously decide to not try to focus and depend on your glasses to do the work for you.

6. Strongly consider getting trifocals with the intermediate segment set for your typical eye to display distance and wear them.

If you work at it, I suspect you can be extremely dependent on your glasses in just a few months to the point where the first thing you do when you wake up is put on your glasses so you read you clock or see your face clearly in your bathroom mirror.


Mark 08 Sep 2016, 08:07

Thanks Cactus Jack for the information. Given that currently my reading glass prescription is +4.0, how will the strength increase in the long run. I am 36 now.

Also roughly how long will it take me to get completely dependent on glasses.

Cactus Jack 07 Sep 2016, 12:42


Last post to Mark was from me.


 07 Sep 2016, 12:39


Your reading glasses prescription for a reading distance of about 40 cm or 16 inches:

Right eye :: Sph +4.00 Cyl -0.5 Axis 35

Left eye :: Sph +4.00 Cyl -0.5 Axis 150

The procedure is easy. The ADD is a Sphere correction that is in ADDition to your fundamental Sphere correction. You should always use your Cylinder and Axis correction exactly as written. Depending on your visual environment you may at some point need a bit more than +2.50 for close focusing. For example, I like to read in bed and my reading glasses are my basic sphere prescription +3.00 for a reading distance of 33 cm or 13 inches.

The formula for calculating lens power to focus at a particular distance is 100 cm or 39.37 inches / focal distance = lens power.

If you decide that you would like some computer glasses, measure the distance from your eyes to the display and let me know and I will help, if you need it.


Mark 07 Sep 2016, 07:33

Thanks Cactus Jack for your valuable feedback.My complete prescription is as mentioned below

Right eye :: Sph +1.5 Cyl -0.5 Axis 35

Left eye :: Sph +1.5 Cyl -0.5 Axis 150

Add +2.5 for both eyes.

My lenses are regular progressives with index 1.5.

Also if I get reading glasses what would me my reading glass strength.

Cactus Jack 06 Sep 2016, 10:24


What you have described is a classic case of Latent Hyperopia with onset of Presbyopia.

You are very close to achieving your wish. All you need to do is just wear your glasses from the time you wake up until you go to bed at night. If you use the computer a lot, you may find trifocals to be extremely helpful for focusing clearly at typical display distances.

The ideal situation for distance is that your glasses allow your Ciliary Muscles and Crystalline Lenses to fully relax. It is difficult to determine when that has occurred except by gradually increasing your distance PLUS until your distance vision DOES NOT clear up.

If you will provide your complete prescription and where you live, we may be able to offer some suggestions on relatively inexpensive ways to determine when you have gone as far as you can with your distance prescription. For now, I would not suggest increasing your Add.


Mark 06 Sep 2016, 08:30

Hi my name is Mark and I am 36 years old. I work on computers through out the day. Since last 1 year I noticed that my near vision is blurry especially if I hold things close to my eyes(approx 30cm) I can't read. If I move them further away from my eyes it gets clear. So that pretty much excited me as I always wanted to wear glasses but unfortunately I never needed one. So I got myself a pair of reading glasses +1.5 and my near vision was crisp and clear but distance was blurry. I continued with it for 2 months and then got myself a pair of progressives of strength Sphere R and L +1.0 with an Add of +1.5. Initially it was difficult to adjust as the distance was blurry but the near vision was clear. But it became okay after a few days of continuous wear.

Last month I began to notice that I am having trouble seeing at night without glasses. So I got a good deal and ordered another pair of glasses with the following prescription. Sphere R and L +1.5 with an Add of +2.5. I have now adjusted with the new pair of glasses and can see clearly with them both near and far. But if I don't wear my glasses my vision is still okay and I am not yet dependent on them. So my question is how can I make myself completely dependent on glasses?

 04 Sep 2016, 12:37


Thank you so much! I'm heading to the store now to pick up a few pairs to try.


Cactus Jack 04 Sep 2016, 12:00


Welcome to the mysterious world of Hyperopia and Presbyopia. Hyperopia is the ONLY refractive error you can correct internally using your Ciliary Muscles and Crystalline Lenses (your auto-focus system). That works until Presbyopia catches up with you.

Before you decide to order glasses in your actual prescription, I suggest that you do some inexpensive experiments with Over-the-Counter (OTC) reading glasses. To actually have the effect of a +1.25 Add, you would need to get +1.75 readers. The reason for this is the +0.50 Sphere correction you need to correct your Hyperopia.

I would suggest starting with some inexpensive +1.50 readers and see how they work for you in practice.

You didn't mention where you live, but here in the US there are many stores that offer items around US$1.00. Surprisingly, they offer reasonable quality reading glasses in various powers at very low cost.

One thing you need to be aware of is that your Sphere and Add are very likely to increase over the next few months. The reason for this is that you probably have some Latent (hidden) Hyperopia. Latent Hyperopia is fairly common in people who have Hyperopia. It is caused by the Ciliary Muscles having difficulty relaxing fully for distance, after years of internally correcting Hyperopia. As your Ciliary Muscles relax, you will need more external PLUS correction to compensate.

Dealing with Hyperopia and Presbyopia in your visual environment can be a little frustrating. There are solutions that you may not particularly care for, but they work.


MelisaS 04 Sep 2016, 09:32


I'm 37 and sit at a computer for 8+ hours a day and had never needed glasses. Also, I work at a nonprofit in finance so I'm often looking at finer print papers. I've noticed thing haven't been as clear as they used to be. I even thought it might be time for a new monitor. After suffering headaches and intermittent blurry vision I decided to get my eyes checked. The doctor's summary says I have "HYPEROPIA, BOTH EYES - Primary and PRESBYOPIA (AGE RELATED VISION DIFFICULTY)"

My prescription is -

Sphere Cylinder Add

Right +0.5 Sphere +1.25

Left +0.5 Sphere +1.25

I'm trying to figure out if I should just get some cheap reading glasses (at +1.25 I assume) or order my exact prescription from an online site. I'm concerned about being able to see clearly because I often look close up at paperwork, maybe 25in at monitor and up at people while explaining/going over reports while sitting at my desk. I could be overthinking all of this. Any guidance would be so appreciated.

Carlos, Jr. 02 Sep 2016, 11:20

Andrew L. Try the progressives. The reality is you are going to end up wearing glasses full-time. No more bare-eyes.

Andrew L. 31 Aug 2016, 09:55


Thanks for your idea. I am aware of monovision.

But monovision would be awful for me to "sacrifice" one eye if I can see almost perfectly at distance bare-eyed and just miss +1 for close vision with distance correction.

Still, I feel I can see perfectly at distance and only at 3-10m I think I see the finest details slightly more focussed with glasses. I cannot understand what +0.75 distance correction can serve me. On the other hand, wearing the +0.75 for distance does not create any blur at all for the left eye (and is very slightly messy for the right eye at night).

DS 29 Aug 2016, 19:52

Andrew L.,

Another option is monovision. I don't know which eye is dominant, but could do something like a +0.50 or +0.75 contact lens in the left eye for distance and a little help with the monitor and a +1.50 or +1.75 lens in the right eye for reading. I like to "just" over-plus the distance eye and "just" under-plus the reading eye to minimize the balance difference as a compromise.

Monovision takes some adaptation. Some love it. Some hate it. Worth discussing with your doctor.

This may get you through most days without needing glasses except for critical tasks. Glasses for critical distance and near could be useful with monovision.

Andrew L. 29 Aug 2016, 11:15

Few days after having being diagnosed (first prescription in my life at 51 y.o.) with L.+0.75, R.+0.50, Add +1 (No astigmatism) I still haven't decided on what type of glasses/contact lenses is better for me.

I have to examine various alternatives:

1) Progressives (I do not like lined bifocals): This might be ideal but they are very expensive and also I heard that once you get used to wearing them you find it hard to go bare-eyed at medium and long-distance tasks.

2) Progressive Contact Lenses: Do they cause you the same problems as progressive glasses? That is to say you cannot easily go bare-eyed after getting used to wearing them? With this alternative I will keep going bare-eyed as up to now.

3) Single vision contact lenses at +0.75 each and use +1 Readers only when necessary for fine print. This is similar to what I am doing now. I am using for computer (and occasionally for distance tasks such as watching TV) a pair of +0.75 each and when required to read fine print (or in dim light) another pair of readers which are +1.50).

4) Just the +1.50 readers and ignore any distance prescription. Still, the +0.75 provides me better vision for computer than the +1.50 or bare-eyed.

Any opinion is useful to hear. I prefer to be bare-eyed and non-dependent on correction as much as possible. Still take into account that I feel my distance vision to be prefect bare-eyed whether tasks such as watching TV provide me better vision with the +0.75 only to magnify things and make me see clearer just the finest details.

Cactus jack 26 Aug 2016, 23:21


It would have been helpful, if you had provided your complete prescription, but I think I can help you understand a bit about vision. What you are experiencing is not all that unusual. Because you posted on the Hyperopia and Presbyopia Progression thread, I assume that you have Hyperopia and need PLUS glasses for comfortable distance vision. Both Hyperopia and Myopia are caused by a mismatch between the total power of your eye's lens system and the length of your eyeball from back of your Crystalline Lenses to your Retina. Your eyeballs are a bit too short for the power of your eyes len's system.

First lets talk about your glasses. You mentioned that there is a difference between the prescription for you two eyes. The object of your distance prescription is to bring both your eyes to near 0.00 each. That means that the same amount of focusing effort will be required to focus closer than 6 meters or 20 feet, which is considered to be Distance for our purposes.

The eye is an amazing biological camera that must obey the laws of optical physics. It works very much like a modern digital camera. It has a lens system that has 3 fixed focus lenses and 1 variable focus lens. They are all very strong PLUS lenses with a total power of about +59 diopters for distance, which is necessary to focus rays of light from distant objects on the Retina. In an Emmetropic (no Hyperopia or Myopia) the distance from the back of the Crystalline Lens to the Retina is about 17 mm. A Hyperopic eye is less than that and a Myopic eye is more than that. It turns out that the distance error is about 0.3 mm per diopter of Refractive Error.

To focus closer than 6 meters or 20 feet, the Ciliary Muscles and Crystalline Lenses (your auto-focus system) have to add some additional PLUS for you to be able to focus close. The amount of additional PLUS you need to focus close depends on the focusing distance. The formula for how much additional PLUS you need was developed by Sir Isaac Newton (of gravity fame) about 300 years ago. It is:

100 cm / Focal Distance = Lens Power in Diopters

or in your case

100 / 45 = approximately +2.25 diopters

which isn't bad for a 30 year old with some Hyperopia.

Do you have some Presbyopia? Yes, almost everyone does, unless you are VERY young.

Presbyopia is the gradual stiffening of the protein that makes up your Crystalline Lenses. It actually starts in childhood, but typically does not become a problem until much later in life.

There are a couple of formulas that are used to estimate Accommodation Amplitude. They are not considered very accurate. The average is 18.5 - (0.30 * patient age in years), minimum is 15 - (0.25 * age in years), and the maximum is 25 - (0.40 * age in years). At 30, the minimum amplitude of accommodation is 15 - (0.25 * 30) or +7.50. That means that you should be able to focus, with effort at about 13 cm. The questions is, why only 45 to 47 cm?

There are 3 possibilities.

1. As you mentioned, early onset of Presbyopia.

2. Ciliary Muscles out of condition.

3. Latent (Hidden) Hyperopia. That you are correcting internally by using some of your Accommodation Amplitude (Ciliary Muscles and Crystalline Lenses)

or perhaps a combination of the above.

The important thing to understand that it really is nothing to get excited about, particularly if you have significant Hyperopia. You can extend your practical Accommodation Range with supplemental PLUS lenses a reading glasses, bifocals, trifocals, or progressives. It is a myth that a person does not need close focusing help until 40. It can happen at any age depending on your refractive error and your visual environment. These days, Smartphones and Tablets, with tiny text, are creating a visual environment that is revealing Hyperopia at an early age and causing teens to need bifocals to prevent headaches.

I hope this helps. Let me know if you have more questions or don't understand any of the above. I have a few,

1. What is your complete prescription?

2. How long have you worn glasses?

3. Where do you live? (country)


SocialWizYeahRight 26 Aug 2016, 17:31

I have a question. I'm 30, I wear glasses and my Rx is correct. I've known for some time though that I can't seem to be able to focus very close, with or without glasses. I measured recently the distance of my closest focusing point to be around 45-47cm. Seems to be roughly the same with both eyes, which each have a very different Rx. My corrected vision is good enough though that I can read very fine print at that distance. Again, I'm 30; is this premature presbyopia, or is this normal? Is there a chart for what is the usual progression of the closest focusing point distance as we age?

P.S. putting readers over my glasses gives me ability to focus very close, of course.

Soundmanpt 25 Aug 2016, 11:43

Andres L

So the actual prescription you got is very nearly exactly what I suggested to you. So what she is saying is that glasses are optional. If you want to wear glasses that you can wear and not be putting on and taking off then get bifocals with the prescription she prescribed for you. Otherwise just get single vision glasses that you may want to wear at times just to relax your eyes.

Andrew L. 25 Aug 2016, 09:12

I eventually found an available doctor appointment and have my eyes tested today.

So I got my first prescription in my life (at 51 y.o.)

Right:+0.50 0 x0

Left: +0.75 0 x0

Add: +1 for both eyes.

When the doctor tested m in the automatic refractor, she said she found a negligible astigmatism of +0.25 for each eye but in the subjective test the astigmatism was making my vision more blurry; hence she said is better to ignore it.

She said that my reading prescription may increase by +1 in the future but not much more than this and my distance prescription might either remain stable or increase till the +1.50 maximum (up to +0.75 from now).

She said that if I can see with the +0.75 glasses (both eyes) well even for most close tasks, to wear them and use the +1.50 for dim light and too small text reading. She said that I shouldn't bother for wearing my glasses at distance but if I find it crisper I can wear them (she mentioned driving at night but I explained to her that at night my vision now is slightly better bare-eyed).

She said that I will definitely need to wear glasses for distance if my prescription becomes +1.25 or higher.

She also said that wearing my +0.75 glasses more often for distance may relax my eyes.

P.S. By the way she told me she had latent hyperopia of +2.00 that was manifested when she was approaching 40 y.o. but she said that in her case almost the entire hyperopia was manifested at once.

Andrew L. 22 Aug 2016, 09:38

Just a quick update:

After wearing the +0.75 for about 5-6 hours per day I found out the following:

1) When driving at far distance I notice no strain or dizziness or worst acuity with glasses on except at night where one eye seems to be a click clearer without glasses at far distances. Still at long distance I feel I can see perfectly bare-eyed.

2) At medium-distances (e.g. watching TV at 3-10 meter distance) I see that with glasses on very small letters and details seem "more colorful" and "crystal clear" with glasses on (especially with the one eye). Still, I think I can see TV "almost perfectly" bare-eyed but when I put the +0.75 on I can see the "finest of the finest" detail I could not see clearly bare-eyed.

3) Close up things look rather blurred bare-eyed (esecially when I put glasses off). However, with the +0.75 I can see most of the things except the smallest or dimmest letters for which I need about +1.5 to see at the clearest detail.

I took a distance on-line test and found my eyes between 20/30 and 20/40 bare-eyed acuity (few months ago they used to be near 20/20) and about 20/20 with the +0.75 on. Still with the +1.5 on my acuity was between 20/40 and 20/50.

I am planning to go to an ophalmologist beginning of September (after the holidays).

Any feedback is useful.

P.S. After wearing the +0.75 for some time (for distance mainly) and then getting bare-eyed and refreshing my eyes, I found that my eyes are very relaxed and my bare-eyed vision (even close-up) is improved compared to the "before glasses" days where struggling to see close-up caused me tension.

Cactus Jack 19 Aug 2016, 17:09

Andrew L.,

I don't believe you understand Optics or how your eyes work. It has been over 20 years since you have had an eye exam and you really need to get one, even if you see well.

You are approaching the age where several silent diseases begin to appear. The eyes are windows into the body and often some of the silent diseases are spotted by a skilled examiner.

If you get a prescription, please do not order glasses until we have a chance to explain your prescription to you.

At 51, it is not surprising that the +1.50 glasses help with close focusing, but the +0.75 may not be needed for distance vision. The need for PLUS glasses for distance vision as we get older, IS NOT automatic.

There is a fairly simple eye test you can do at home, using the +1.50 glasses, if you are interested. All you need is the glasses, a ruler or tape measure and a book or newspaper.


Andrew L. 19 Aug 2016, 07:26


I have no problem ordering bi-focals or having to swich on/off with glasses or even to have 2 pairs one for close and one for distance.

I just enquire that based on your experience with this issue if I can see better at 6-10 meter distance with +0,75 than bare-eyed this means that I may need low plus for distance as well?

Still to repeat that with +0,75 I have no real blurriness (after 2 days) but I get eye-strain after wearing them for distances and get relief after removing them.

Soundmanpt 19 Aug 2016, 07:18

Andrew L

First of all your statement isn't accurate, not everyone past a certain age needs an add. You're not going to find bifocals in the over the counter rack. So that means if you prefer bifocals you can probably get them by going to your ECP (eye care professional) Or you can always go on line and order bifocals with the distance part being +.75 with a slightly stronger reading add. Otherwise if you intend on wearing glasses full time so your not doing the on and off thing constantly and you have already found out that the +.75 glasses are too weak to be enough help to you fro close work and +1.50 glasses work best then you just need to wear them full time and give your eyes a chance to adjust to them. It seems your being a bit too impatient.

Andrew L. 19 Aug 2016, 00:05

This morning I wore the +0,75 driving in the motorway and everything looked clear fine except the eyestrain (that has gone when I removed the glasses).

How is it possible to adjust with the +1,5 at all distances since everyone (due to presbyopia) after a certain age needs an ADD for reading only?

Soundmanpt 18 Aug 2016, 23:25

Andrew L

If your distance eyesight is fine without glasses then at least for the time being you might just want to wear your +1.50 over the counter readers when you need to see things close up. Now if you don't like the idea of doing the on and off thing and would prefer to just wear glasses full time then clearly the +.75 glasses are not the strength you need to be wearing since they don't seem to providing your eyes the same good vision as the +1.50 glasses for reading. If you just keep wearing your +1.50 glasses your eyes should slowly start to adjust to them for all distances. Just put those +.75 glasses in drawers and forget you even have them. They aren't what you need. Actually it really wouldn't be a bad idea for you to get your eyes examined because you may also have astigmatisms that need correction. That way you also will find out the exact prescription you need to be wearing.

Andrew L. 18 Aug 2016, 23:12


This is my first post to ES.

I am 51 and have never worn glasses before. When I was 30 I had an eye-test and was told that my vision (near and distance) was very good.

These last years I noticed ithat I needed to squint in order to see close up things clearly especially in dim light. I understood thiis is due to presbyopia and got recently OTC readers +1,5D.

With +1,5 my near vision was OK but further to the 3 meters things were blurrier than bare-eyed and got eyestrain.

I also got a pair of +0,75D to see if this could improve my mid-range or distance vision than bare-eyed (near vision was clearer with +1,5 than with +0,75). What I noticed was the following: Wearing the +0,75 for some hours, everything up to the 6m long was clearer with the glasses on and even up to the 10m long everything was clear in focus. However, ater the 10m long, while I could see everything with the +0,75 on fairly clearly, wearing the glasses for some hours. caused me some eyestrain. When I removed the +0,75 eyestrain was vanished but my sight for up to 6m distance was not as crisp as with +0,75 (long distance seemsed to be perfect bare-eyeed).

I am planning to keep wearing the +0,75 for some hours a day as this does not blur my vision at distance although it causes some eyestrain. Do you think that my eyes will adjust and feel better with the distance correction over time than bare-eyed?

Is it natural to be able to see clearer at mid-range (up to 6m and even up to 10m) with the +0,75 on but further far to experience this strain (although not too blurred vision)?

What should I expect for my prescription epsecially in the distance part over time (due to summer holidays I did not visit a doctor yet).

Soundmanpt 18 Aug 2016, 09:56


I also was diagnosised with type 2 diabetes about 7 years ago. I am now 68 and i only require reading glasses but I am still able to read small print without glasses as long as the lighting is pretty good. I only take a small ill twice a day that is only 4mgs. I had the readers well before I was found to have diabetes. Cactus Jack's advice as always is dead on .

i think it is very possible that once your blood sugar levels are good you may go back to be short sighted again.

Some one I knew about 12 years ago went through a rather crazy thing. She was an optican and her company had just started doing lasik. Being an employee and one that wore glasses she was given the opportunity to get lasik at no cost to her because they wanted her to tell patients how great it was. Anyway she got it doen and was thrilled with the results. She like many had better than perfect eyesight. Bujt after about 6 months or so I was in visiting with her and she was in a very nasty mood and and I quickly noticed she had glasses cases and contacts in front her and was putting them in her own bag to take home. I asked her about those things thinking maybe they were for a friend and she was just dropping them off. But she went into a tirade about how terrible the results of lasik was. She told me that she was now back to needing glasses full time. She was so mad that she even quit her job. A few months later I found her back working at her old job again and she told me what had happened. Not long after she quit her job she was driving somewhere and without any warning she suddenly was unable to see. She pulled off the road and called her bf for help. They got her to a doctor and they found that she had diabetes and her blood sugar level dropped suddenly and caused her to almost be blind. Once they got her on medication and her blood sugar was back to normal she found out that her eyesight was back being perfect again and she didn't need glasses or contacts and the lasik was not the problem. So don't be surprised if there might be some changes in your vision once everything is back under control.

Cactus Jack 18 Aug 2016, 08:41


It is very difficult to predict where your eyes will stabilize and the Type 2 diabetes makes it harder.

We typically think of two main lenses in the eye, the Cornea and the Crystalline Lens, but there are actually four. The other two are the Aqueous Humor and the Vitreous Humor. The power of the Humors is related to their Index of Refraction (IR) and Blood Glucose (BG) levels can affect their refractive power and your Sphere prescription.

The first step is to get your BG levels under control. A few questions:

1. Do you check your BG levels?

2. Typically, what do they run?

3. Do you know your A1c number?

4. Are you taking any medications to help control it.

BTW, I have had Type 2 diabetes since it was accidentally discovered when I was 30. I am 78 now and have been doing a pretty good job of managing it for nearly 50 years. So far, without retinal damage. The important thing is to manage it. It is deadly (literally) to ignore it or abuse it.


Colette  18 Aug 2016, 08:20

When I was a child, I was slightly near sighted. I wore my glasses most of the time. I lost them the first year in college and I never replaced them. I didn't have the best vision, but I always took the subway/bus so I didn't need to drive. I didn't go out much in college, I was pretty much a reclusive nerd playing video games and doing IT work.

Recently, I received a diagnosis of T2 diabetes. I'm very active and fit so the doctor was pretty surprised. As part of this diagnosis, she recommended that I have my eyes checked. It was a big surprise to me that the eye exam showed I was slightly longsighted. I questioned the eye doctor and he said that sometimes elevated blood sugar can really change your rx. Other than that, my eyes looked pretty healthy and he said I should receive more frequent eye exams due to my trouble with high blood sugar.

Here's the rx progression:

2004 - 14 years old

OD -0.75 -0.50 x095

OS -0.75 -0.75 x075

2008 - 18 years old

OD -1.25 -0.50 x095

OS -1.00 -0.75 x075

2016 - 26 years old

OD +0.75 -0.50 x098

OS +0.75 -0.75 x072

Does anyone know if my eyes will go back once my blood sugar stabilizes? Will I continue to get more longsighted as I get older?

Mr Jules 15 Aug 2016, 15:21

DS, my own shift has been about 0.5 D every 2 years. From previous experience, it has taken a few days to adjust to stronger lenses, but that visual distortion does pass.

Lately, I've struggled with smaller print, and so recently, I got some cheap +4.00 glasses from eBay. Compared with my existing prescription +3.25 lenses, print was now clear again. And so it was time for another eye test.

Now I've got my new prescription, I'm looking forward to wearing my frames re-glazed to my new +3.75 reading strength. I've opted for thin lenses since the lenses in the cheap +4.00 glasses are thick.

I prefer spending money on prescription reading glasses. Over the counter reading glasses are visually clumsy.

Over the years, I've wondered about my facial appearance with stronger reading glasses. With my first pair of glasses, you could hardly see the lens strength. But now, you can clearly see that I wear stronger reading glasses. But change has been gradual and trouble free.

DS 15 Aug 2016, 13:52

It is common to under-prescribe/not prescribe for hyperopia, but less likely to "miss." Remember that the prescription may not exactly represent what you "are." It's the correction you are going to get.

0.50D shift over a couple of years-- quite common. 1D shift over a couple of years, less common, but "not uncommon." A real and natural 1 D shift in 3 months? Uncommon.

Mr Jules 15 Aug 2016, 12:09

SC, that's a rapid move to progressives. Did you adjust to them ok ?

Needing glasses for reading was fine and understandable. But I did not expect my distance vision would then need correcting, too.

SC 15 Aug 2016, 11:16


I think it is very common to miss hyperopia at tests.

The most obvious symptom is early need for reading help but despite this it took me several years to be diagnosed and then more years for the prescription to develop.

2009 -0.25

2010 0.00

2011 +0.75

2013 +1.00

2015 +1.50

My progression has been very similar to Mr Jules readers to full-time progressives in 2 years.

My wife, however, has been consistently diagnosed with hyperopia during the same period with the same optometrist, again with progression (+0.25, +0.5, +1.0) although she doesn't have glasses for distance

So unless they do some kind of dilation it seems it can be difficult to detect and I've asked about dilation and they only do it if they want a good look rather than to test for hyperopia (in UK). Of course being cynical it could be just to sell you new progressives every 18 months

Mr Jules 15 Aug 2016, 10:24

Presbyopia has been rapid for me.

When I was 41, I had got my first pair of reading glasses. They were +1.00 lenses, which I wore now and again.

By 43, my prescription has increased to +2.25 for reading. And they were now essential for reading and computer.

By 44, I was now starting to have problems with my distance vision, too. Following an eye test, the optician suggested varifocals/progressives. Instead, I got a pair of +1.50 prescription single vision glasses which I wore most of the time. They corrected my distance vision and I could just about read with them, too. This worked for about a year.

A year later when I was 45, my eyesight had changed again. I finally decided to wear varifocals/progressives. I had no trouble adjusting to varifocals/progressives. And I was now happily wearing glasses full time.

In 4 years, I'd gone from occasionally wearing +1.00 reading glasses, to full time varifocals.

I'm 49, just had my latest eye test and the 'add' has increased to +2.25. Distance unchanged at +1.50. Getting my single vision reading glasses reglazed to +3.75 lenses. I'll get my varifocals reglazed at a later date.

DS 14 Aug 2016, 22:24


The only note I have is that Sparky's add did not reduce significantly with the sphere increase. He "should" have wanted/needed close to the higher total plus back in May.

I think there might be a combination of things going on with the first 3 being the keys--

1) First doc missed some hyperopia (possible, but less common once presbyopia is manifesting),

2) Sparky didn't have "clear enough" preferences in the first exam at near, additionally with some reticence by doc to prescribe an unnaturally high add with respect to the age, to get to a sufficient total near plus (albeit with a non-optimal prescription). [When a patient hesitates the lower add usually prevails.]

3) The second doc addressing the complaint with a hammer and prescribing more add than necessary.

4) Sparky having benefit of the add from the May exam was better prepared for the redo in terms of choosing and in reduced eyestrain.

Cactus Jack 14 Aug 2016, 19:10


I would like to suggest the possibility of Latent (or Hidden) Hyperopia. Hyperopia is the ONLY refractive error that you can correct internally. You do this by using your Ciliary Muscles and Crystalline Lenses to add the extra PLUS you need, to focus clearly. Often, people do this with out even being aware. If you have been correcting some Hyperopia internally, for a long time, it can take weeks or months for your Ciliary Muscles to fully relax. When they do, you need more external PLUS, particularly if Presbyopia is beginning to limit your accommodation.

If you have some Latent Hyperopia, an increase of +1.00 is not really very much, and your Left eye won't look bug eyed. It is pretty common for people with Latent Hyperopia to need a couple of prescription changes while the Ciliary Muscle relax. Once that has occurred, your distance prescription will be very stable in the future. However, you will have some increases in your Add as Presbyopia continues to progress, but there is a limit to how much Add you ultimately need. It is strictly a function of your focus distance and will probably never exceed +2.50 to +3.00 unless you need to focus very close for some reason.

What you are experiencing is pretty common, which explains the name of this thread. Did the examiner do a dilated exam, where get use drops to help relax you focusing muscles?

DS - Please feel free to correct or amplify.


DS 14 Aug 2016, 16:32


No, it is not common for that sudden of a change. But, more history is needed (previous prescription, from how long ago?) to really comment on what happened or is going on.

A key part of prescribing is discussion with the patient to try to match needs. Sounds like there was a "miss" for whatever reason.

I agree with Soundmanpt that you should refer back to your original doctor unless you have reason to have lost confidence. Besides potentially saving you money, it is valuable to the doctor to get the feedback.

Soundmanpt 14 Aug 2016, 11:37


Sorry I honestly missed seeing your question when you posted it. First of all I think it is a mistake when you have a problem like you seemed to have by not returning to the same doctor and letting him / her re-examine your eyes. Since it was only in May that you got your eye exam and glasses that is very close to being within the time limits when nearly every doctor will not charge for any change that mat need to be made to your glasses. Going off to another doctor has lead you the the question you now have. Did your eyes really change by that much in such a short time, did the other doctor under correct your eyes, is this doctor over correcting you? So is it possible that your eyes changed by that much? Yes it is possible, but now your looking to be paying double for everything and if you get new glases based on this new prescription maybe they will be fine and maybe not. If it were me I would be calling the doctor you saw in May and not mention anything about your recent exam and tell them the issues your having. They should or at might do a re exam at no charge and change your glasses at no cost which I think would be the better option. As for as the "bug eye" thing you may need to have a high index lens for your left eye so it is closer to being the same thickness as the right lens. Hope this helped in some way.

Sparky 14 Aug 2016, 11:05

It seems no 9ne wants to reply to my issues.!.I guess you guys only reply to who constantly Post!

Sparky 12 Aug 2016, 23:42

Hi all.I got multifocal may this year.left +2.25 right.+ 1.50.add +1.been having some difficulty again for a few weeks. I went to a new optician. New script left.+3.25.right it common for eyes to change so fast.I am 39 yo.will my left eye look bug eyed.

Sparky 12 Aug 2016, 23:42

Hi all.I got multifocal may this year.left +2.25 right.+ 1.50.add +1.been having some difficulty again for a few weeks. I went to a new optician. New script left.+3.25.right it common for eyes to change so fast.I am 39 yo.will my left eye look bug eyed.

Greg 12 Aug 2016, 04:32

Mr. Plus Tony, just checking to see how you are adjusting to the need for bifocals.

Mr Jules 11 Aug 2016, 15:56

Cactus Jack, thank you for your advice. Currently have a pair of single vision prescription reading glasses at the old +3.25 prescription. Intend to get them reglazed with +3.75 lenses.

Most of the time, I wear my varifocals. But I don't find the varifocals suitable when I'm using a computer monitor. Instead, I prefer my single vision reading glasses.

For info, my new prescription reads:

Right: sphere +1.50, cylinder -0.50, axis 155

Left: sphere +1.50, cylinder -0.50, axis 20

Reading addition +2.25

Cactus Jack 11 Aug 2016, 10:19

Mr. Jules,

Single vision reading glasses are great, if you need to do a lot of reading. It may be cheaper to just order some +3.75 ((+1.50) + (+2.25)) glasses from an online retailer, such as Zenni. You don't need a fancy or expensive frame.

Also, you might find the Clip-On Magnifiers from Rx-Safety Glasses, useful, particularly for computer use.


Mr Jules 11 Aug 2016, 07:55

Thank you for your advice. It all makes sense to me.

My +1.50 distance vision has remained stable for the last 4 years. The changes have been with the addition for reading.

New progressive lenses are expensive, so I'll stick with my current pair of glasses for the time being.

I also have another pair of single vision reading glasses, and I think I'll have these reglazed with new prescription strength. I can manage with my current varifocals glasses, but it would be good to have my single vision reading glasses reglazed.

 11 Aug 2016, 06:58

Mr Jules,

Your Sphere +1.50 distance vision prescription will likely be stable for many years, unless you develop cataracts or other eye problems. Your Add will likely increase some as you completely loose the ability to contribute internal PLUS for focusing. How much it will increase and where it will stop depends on your close focusing and reading distance preferences. The amount of PLUS Add you need is strictly governed by this formula:

Lens Power = 1 meter (100 cm, 1000 mm, or 39.39 inches) / Focus Distance

For example: To focus at a typical reading distance of 40 cm or 16 inches requires

100 cm / 40 cm = +2.50 or 39.37 / 16 inches = +2.50

That +2.50 has to come from somewhere. Right now, your Add provides +2.25 and you can still contribute the additional +0.25, internally, but that will ultimately go away and the necessary Add you need, will have to be in your glasses.


Mr Jules 11 Aug 2016, 06:05

Just had my 2 yearly eyesight test. Distance unchanged at +1.50 for each eye. But addition has increased from +1.75 t +2.25.

Perfect eyesight until I was 40. Then an eyesight text lead to +1.00 reading glasses. Things changed. By 45, I was wearing varifocals all the time. Adjusting to full time varifocals was absolutely fine. Can't imagine my face without glasses, now.

Now I'm 49, I wondering if I can expect further changes to my eyesight.

Michael 17 Jul 2016, 20:22

chinese soup-The distance script could be almost anything.It would be impossible for me or anybody else to guess. Whatever it is you take that number and to it add the reading add to get the total reading RX of 2.75. My guess is your friend has some kind of a distance script but I can't be 100% sure.

chinese soup 17 Jul 2016, 19:42

Hi guys, no the reading Rx alone is +2.75. For readers. What I'm trying to figure, out is what the breadown of the Rx would be likely to be for the new progressives. He started wearing glasses for reading at 43, but had been complaining prior to that.

chinese soup 17 Jul 2016, 19:42

Hi guys, no the reading Rx alone is +2.75. For readers. What I'm trying to figure, out is what the breadown of the Rx would be likely to be for the new progressives. He started wearing glasses for reading at 43, but had been complaining prior to that.

Michael 16 Jul 2016, 12:35

John S- Thank you for clarifying things. I reread his post and responded to him again. Yes he was probably referring to the complete reading RX and not just the add. And I think the add by age is just a guideline. If you are over 40 and are getting an eye exam for the first time the doctor may go by age to try to figure out the appropriate add. But as you said there are always exceptions. But if you went just by age I would guess a 1.75 add would be probably about right for somebody who is 47 years old.

Michael 16 Jul 2016, 12:25

chinese soup- Are you talking reading glasses that are +2.75? If a person got progressives the add of 2.75 would be added to whatever the distance script is. If the distance script for instance is +1.00 the 2.75 would be added to that. So if a person bought readers they would need 3.75. I am still confused about exactly what you are asking and may be confusing myself because I am afraid I may not be explaining this very well. But for somebody who has bifocals or progressive almost never will they have an add of more than 3.00 added to their distance script.A 47 year old I doubt would ever need a 2.75 add though I guess it is possible. Everybody's eyes are different. I am 63 years old and my reading add is 2.50 for my progressives.

John S 16 Jul 2016, 12:16


He did not say reading add, he said reading rx. If he is using a +2.75 for 18", he would most likely have a distance rx also. So it is an impossible question to answer since the distance rx is used as a baseline, and the reading rx is added to that.

If you used his age as the only determining factor, the add would be about a +1.75 for 16". Believe it if you want, but the age rule does not apply to several people I know, and myself.

Michael 16 Jul 2016, 11:52

A 2.75 reading add?That sounds very high to me especially for someone who is 47 years old. Usually people who need reading glasses start out with 1.00 or 1.25 and it gradually goes up until they are in their 50's and all the elasticity in their eyes is gone. But even then usually it is not more than 2.50 unless the person likes to hold their reading material very close. And even if that is the case most people will never need an add of more than 3.00.

chinese soup 16 Jul 2016, 10:23

Going to ask you experts an impossible question. If a man of 47 has a full reading prescription of +2.75, and starts to wear progessives, having not worn glasses for anything other than reading/computer before, what is the likely breakdon of the Rx?

I know that requires a bit of guessing, but I assume there is a pattern in there somewhere.

Do your best, I have faith in you!

John S 15 Jul 2016, 10:50

His eyes must have been screaming for glasses for a long time. The few weeks that he was wearing his Dad's, he had become completely dependent on them to see anything close.

Before he started wearing glasses, he could see close pretty well, but he said he would get light headed when he was reading. I don't think a kid could make that up.

He is basically wearing a +2.50 for reading. Without his glasses, he said anything close is a total blur. With his glasses, he can see the smallest of print.

 15 Jul 2016, 10:36

Cruising this board and see that a bunch of people wrote that at -1.00 some people go full time, and by -1.50 most are full time. At what prescription do most presbyopes lose their ability to read without glasses. I just got +1.25's and think I can still ok without them. Will I lose that ability? After how long?

Michael 15 Jul 2016, 10:05

John S- A lot of times parents don't listen to their kids even though they should. I guess his parents thought he wanted glasses because they were cool and a lot of his friends had them and not because he needed them. But it is amazing how quickly his eyes adapted to the progressives and he quickly figured out how to use them when many adults have a lot of problems getting used to them.Even though I got used to mine pretty quickly. But when he goes back to school he may have trouble finding another schoolmate who wears progressives. That may be a challenge.

Michael 15 Jul 2016, 09:54

Soundmanpt-Good point about the demand these days on young people's eyes. And progressives are appealing because nobody will know they are really bifocals unless you tell them. Some people still associate bifocals with old people. So progressives are much more appealing to wear. People who wear lined bifocals I can pick up on it right away even if the line isn't that visible. I got my first pair of glasses when I was 9 years old and for a long time got away without wearing them much. If they had computers and smartphones when I was growing up it would have been much harder for me to avoid wearing my glasses.

John S 15 Jul 2016, 09:33

I should give the rest of the story.

When I was over, he wanted to try on my glasses. When he put them on he said, I told my parents I needed glasses. So I asked him what the deal was. Then he told me about his reading problems. So his Dad said to try on his glasses, and he didn't want to give them back. I don't know why he didn't try wearing his Dad's before he asked me. His Dad also had reading glasses, so he let his son keep wearing his progressives.

His parents said that he had mentioned a few times about getting glasses over the past year or so, but he never said why he wanted them. I guess he wasn't persistent enough, so his parents just thought he was being a kid and wanted to be like his friends that had glasses. They don't think that anymore.

You are right about him adapting to progressives. The kid absolutely loves them. He thinks his glasses are really cool. He understands what he has to do to see, and doesn't complain about needing to wear them at all. It ended up being about 3 weeks before he got his glasses, so wearing his Dad's for all that time probably helped a lot.

I told him he would probably be the only kid in his school that had progressives. Now that he knows what progressives are, he is pretty sure that he had tried on a another kid's glasses that were progressives when they were swapping glasses around at school.

I'm sure he'll be asking about progressives when he starts school again to see if anyone else has them.

Soundmanpt 15 Jul 2016, 08:14


Yes years ago when you were talking about bifocals, progressives weren't even being made yet, you knew you were talking about someone that was likely over 60 years old. But in recent years bifocals, and even more so progressives are not nearly as uncommon as you might think for young people anymore. The increase of young people, the 20ish age group, getting progressives has been increasing quite a bit. I have several good friends that are opticians and they have all seen a fair share of young people needing progressives. The doctors seem to believe that it's due to how much young people's eyes are being exposed to everyday. As if computers didn't already have an impact on the eye industry years ago now look at how many more things the eyes are looking at such as I-Phones and all the texting has to be effecting the eyes at some point. The eyes are seeing more small print than they can handle anymore. I have come across several young people that were barely 20 and wearing progressives. One was a very attractive young lady working at a toy store at the mall.

Michael 15 Jul 2016, 07:48

John S- Yes he might have gotten a deal with the second pair of glasses. I know places sometimes offer a second pair of glasses at a discounted price or maybe even for free. And you may be right as to the reason he decided to get a pair of reading glasses to go along with the progressives instead of two pair of progressives or maybe a pair of progressives and a pair of sunglasses. But it is unbelievable how quickly he adapted to wearing glasses.People often have trouble adapting to single vision glasses if they never wore glasses before never mind progressives or bifocals. Probably the key is to put them on and keep them on instead of doing the on and off thing. If you keep on putting them on and taking them off it will be more difficult to get adjusted to them. Several people here have offered a suggestion in the past when you get glasses for the first time to wear them full time for two weeks and then decide after that how much you want to wear them.

John S 15 Jul 2016, 07:15


I wouldn't say it is rare, it is just less common. When I was his age, I had the same prescription that he has without any astigmatism.

I guess he got them as an extra pair in case something happened to his main glasses, or maybe a discount deal. By the time he got his eyes checked, he had been wearing his Dad's glasses long enough to know that he wasn't going to be able, or didn't want to try to read without glasses.

I didn't ask him why he switched glasses. I bet it was to widen his field of vision to see the pages, or just so he didn't have keep looking down through the reading area.

I have never seen someone take to progressives as fast as he did. I don't think it took him more than 15 minutes to get used to his Dad's progressives, and they weren't even strong enough for him.

Michael 15 Jul 2016, 02:11

John S- How unusual is it for somebody that young to need either bifocals or progressives?I would guess it is pretty rare. And I am curious about one thing. What was the purpose of him getting both progressives and reading glasses?Not sure I have heard of anybody doing that before although I have heard of people getting two pair of glasses one for distance and one for reading. And he seems to have gotten used to the progressives very easily when some adults have trouble getting used to either bifocals or progressives.

John S 15 Jul 2016, 01:04

A friend of mine's 12 year old son had been complaining for a while that reading bothered him. He vision didn't seem very bad. He could see some pretty small print. It didn't seem like he really needed glasses, but he didn't like to read.

A few weeks ago he started wearing his Dad's progressives. They were pretty weak. He wore them on and off for a few days, and then they were glued to his face. It turns out his son did need glasses. His son's rx was: R +0.75, L +1.25, -0.75, X 115, Add +1.75.

The kid was really happy when he got his glasses today. They were noticeably stronger than his Dad's glasses were. He liked his Dad's progressives, so he got progressives, and a pair just for reading.

He put on his progressives, and said his distance vision was kind of blurry. Being farsighted, that made sense with new glasses. But he still liked his glasses better.

He had worn his new progressives most of the day. I asked him how his vision was. He said his distance vision was better with his glasses on. Then he tried reading a business card without his glasses. He said he couldn't see it. It was really blurry, so he put his glasses back on.

He started reading a gaming magazine, and took his progressives off, and put on his reading glasses. He is a pretty smart kid to have figured that out in just a few hours.

He doesn't care about vanity. He just wants to be able to see, so he has no problem with wearing his glasses. A few of us could probably learn something from him.

newglasses 15 Jun 2016, 01:29

Bifocal Sandy: are you still around? Would you be so kind and update us on your current rx?

Thanks and best,


Soundmanpt 14 Jun 2016, 08:55


Nice that the 4 of you were able to get together. I thought that your cousin probably had at some point met Danielle and Vicky. I'm sure the difference Vicky is noticing now between Danielle's glasses and her own glasses is the astigmatism correction she has in her glasses now. A -.25 CYL isn't much but it is enough to sharpen things up for her. I'm sure she has to be thrilled now that shes wearing her very own glasses. Nice that Danielle even put on her glasses so she wasn't the only one not wearing glasses at the table. Do you think that she might be starting to not mind wearing her glasses? I know you have said that she is okay with wearing her glasses but she just doesn't want to become dependent on needing them. But she seems to be starting to wear them more and more often as of late. Even more strange since her partner loves wearing glasses and wears her glasses constantly. You would think that seeing how good Vicky looks wearing her glasses she would be encouraged to wear hers all the time as well. Gemma has a bit of sense of humor since she offered to take her glasses off so Daniele wouldn't be the only one not wearing glasses. But she cautioned that no one change seats. I'm sure your right that Gemma even without her glasses would still be able to tell if anyone were to move. But she is nearsighted enough that you would all look blurry to her without her glasses.

Carrie 14 Jun 2016, 05:24

Soundmanpt - my cousin has met Vicky and Danielle a few times and really likes them both. She did notice Vicky had different glasses and thought they looked nice on her. Vicky said she can see in HD now.

Danielle did put her own glasses on for a few minutes so she wasn't the only person in the room not wearing glasses she said. Gemma offered to take her glasses off in sympathy for Danielle and joked that nobody was to change places because she wouldn't be able to tell. (We weren't sitting that far apart that Gemma wouldn't be able to see bare eyed)

Soundmanpt 13 Jun 2016, 11:12


Something else about wearing your cousin's glasses. I'm pretty sure that when you wear her glasses you most likely put them on first thing when you chose which glasses you plan to wear that day. And once you choose her glasses you wear the the full day and right up until your going to bed. Getting up the next day if you choose to wear a pair of your own glasses i really doubt your eyes notice any difference at all from having wore her glasses the day before. But if you were wear her glasses most of the day and then decide to switch to your own glasses later in the day then I think you would notice the difference right away because your eyes would still be adjusted to her glasses so your glasses would almost certainly feel a bit weaker. Given some time your eyes will of course readjust to your own glasses. But none of this is doing any harm to your eyes so if you like wearing her glasses then go ahead and wear them as your everyday glasses if you want.

Soundmanpt 11 Jun 2016, 08:12


Actually your eyes are now slightly more comfortable wearing your cousin's previous glasses then you own glasses. Your not doing any harm by wearing hers because your eyes most likely have changed by at least that much since you got your current glasses. Part of that extra +.50 your eyes are probably using to makeup for the lack of having your -.25 astigmatism correction in them. If either you or Vicky were to decide you wanted to wear contacts which we know that isn't going to happen, the contacts you would be given wouldn't even have any astigmatism correction in them. They would simply ignore it. But since you both wear glasses and have a small need for astigmatism correction they will include it in your glasses. It makes sense that when you first started wearing your cousin's glasses that when you first put them on your eyes noticed the slight increase, but as you know your eyes were able to easily make the small adjustment to them and within just a few minutes they felt perfect to your eyes. But the more your wearing her glasses i'm sure your going to notice you own glasses being just a tiny bit weaker, but maybe not enough to bother you. So when you were with your cousin, Danielle and Vicky and you asked to try her current glasses again this time her glasses didn't feel nearly as strong as they did when you last tried them. That's because now your eyes are only needing to adjust to another extra +.50 over your cousin's previous glasses. In other words it's a smaller step for your eyes. In fact it is pretty much the same as what Vicky needed to do when she started wearing glasses. Her eye weren't at all able to handle or adjust to Danielle's first glasses when she tried wearing them. But by going down to +.50 glasses her eyes were able to adjust to them and before long her glasses were completely comfortable for seeing at all distances. Then going back to Daniele's glasses with her eyes already adjusted to her +.50 it was much easier this time for her eyes to adjust to +1.00. That is much like what your doing now. You now could probably wear your cousin's current glasses without any problem if you wanted to. As long as your eyes aren't bothering you which thye don't seem to be and you have your cousin's glasses to wear if they do become more comfortable to your eyes then I don't see any reason to get an eye exam when you have pretty well corrected your own eyes. Of course you might consider getting another pair of glasses in the same prescription as your cousin's glasses only be sure to add in your astigmatism correction. With you switching glasses with your cousin in front of Danielle and Vicky did they make any comments about their glasses? Did your cousin notice that Vicky was wearing new glasses or did they not know each other? Did Vicky say anything about her glasses since she has her own now?

Carrie 11 Jun 2016, 02:58

I've been wearing my cousin's previous glasses quite a lot recently and I seem to have got completely used to them (they are +0.5 stronger in both eyes than my current prescription). I don't actually notice the difference between the two prescriptions any more. It used to take a short while to adjust to my cousin's glasses and once I had them on it took a moment to see clearly going from reading to distance. Now I adjust immediately and there's no delay focusing from reading to distance, just like my own glasses. I don't know if I can see any better with them but there's no feeling of eyestrain. I'm not sure how much effect my small astigmatism correction in my glasses has but it is hard to tell if I would see better if I had it combined with the slightly stronger + prescription.

My cousin came over yesterday evening (Danielle and Vicky also came over) and I mentioned that I had got used to her old glasses. She said maybe I actually need that prescription. I then asked if I could try the glasses she has now (+1.00 stronger than mine). So she passed me the glasses she was wearing and put her old ones on. When I put her stronger glasses on it wasn't as bad as the first time I tried them on a few months ago when she first got them and after a couple of minutes I could see pretty well. Of course it could be that I have good accommodation rather than me needing +.50 or even +1.00 stronger glasses. I might get my eyes tested this year even though I'm not due until next year. I'm in no hurry as I can see just fine with my current glasses.

Soundmanpt 08 Jun 2016, 09:38


In looking at your prescription from last year compared to your new prescription there really hasn't been much change at all. Your right eye only had a +.25 change in CYl (astigmatism) which is the smallest you could possibly get. Your left eye only needed the smallest increase of +.25 for SPH (distance) that is possible and that is the same case for your CYL. And even your reading segment only went up by +.25. Very minor increases across the board. The main thing that has changed is that you now need prisms in your glasses. That 2 BO (base out) is very little as well. But what that means is your eyes aren't converging as they should. This change is something that you now need to do as you have been instructed and start wearing your glasses full time now. Your glasses now aren't going to just be to correct your eyesight but now they are going to be pulling your eye in the correct position so they are aligned as they should be. The reason your getting headaches is because your eyes aren't able to converge. Your glasses are going to solve that for you but only if you keep them on all the time now.

Louise 08 Jun 2016, 09:12

Hi, I posted on here about a year ago. I got a prescription for varifocals after wearing +1.25 off the shelf readers for a while. I got the glasses but haven't quite gone full time except at work and when driving but admit i can see better with them. The prescription was

R +1 -0.5 140

L +0.75 -0.25 65

ADD +1.5

i found I've been getting headaches and struggling to focus at work etc even with my glasses on. I assumed I might need a change in prescription and booked a test and the prescription is

R +1 -0.75 130

L +1 -0.5 60

ADD +1.75

but the biggest surprise is they did another test with some dot and lights to line up and said I need some prism in my glasses too which should stop the headaches. It says 2 BO and i have to get checked in 6 months.

I'm getting new frames and waiting for the glasses to be made up. They seemed to think i was full time in the glasses i've got and said i'll get used to the new ones fairly quickly.

Will i have to wear them all the time? all this seems a big jump from no glasses a few years ago.I'm 43.

Cactus Jack 07 Jun 2016, 23:14


Cycloplegic Refraction is the correct name. Sorry about that. Senior moment, I guess. I seem to be having more of those lately.

If the ECP does not believe that your Ciliary Muscles / Crystalline Lenses can interfere with the accuracy of the refraction, there is no need to do it for that purpose. As you reach the age where people begin to develop health issues that can damage the Retina, a dilated exam is worth considering if only to establish a base line. If you have any known medical conditions that can affect the Retina, a dilated exam and perhaps a visual fields test is definitely worth considering.


Landon 07 Jun 2016, 19:54

Cactus Jack,

Thanks for that. I've had my eyes dilated before, but it was always AFTER the refraction. I was poking around the internet, and I think the term is "cycloplegic refraction." (???)

I once casually asked about this to my optometrist, and he replied that it wasn't necessary for me. I am a little hyperopic having had LASIK like Jens' wife.

I wonder when a dilated exam is recommended, aside from young children.

Cactus Jack 06 Jun 2016, 20:52

Jens & Landon,

The technical name IS Dilated Exam. It is sometimes called a "Wet" exam. The Dilating Agent does two things:

1. It causes the Iris (pupil) to open wide which gives a better view of the Retina to check its condition. I get a Dilated Exam periodically to check my Retinas for damage from Diabetes. So far, so good. While your pupils are dilated, you have no defense against bright light so you will need dark glasses in bright light until the Agent wears off in about 4 to 6 hours depending on the Agent that is used,

2. The Dilating Agent also paralyzes your ciliary muscles which prevents them from helping with the refraction process by supplying compensating PLUS, internally. A third benefit is that with the pupils wide open, your depth of field is at a minimum. Your pupils act like the iris in a high end camera lens where the depth of field (range of useful focus increases as the Iris adjustment (f stop) is closed down in bright light. You experience the same thing in bright light, you pupils close down and you can often see better. It is the same effect as the "pin hole" effect the you look through a tiny hole. Depth of field effects are also the reason that people who need correction have more difficulty seeing clearly in low light conditions.

Because the Dilating Agent paralyzes the Ciliary Muscles. Many examiners will do a preliminary refraction before dilation to check your Accommodation and ability to focus close. Then, they will administer a mild anesthetic to keep the Dilating Agent from stinging a little. The may also do a pressure check for Glaucoma after administering the anesthetic. Then they will administer a drop of the Dilating Agent in each eye and give you a tissue to blot the excess and ask you to go to a waiting area for about 20 minutes.

At first nothing will happen, but you may notice that the room lights seem to be getting brighter and you are loosing your ability to focus if you normally have plenty of accommodation. If you wear bifocals or trifocals, you may not notice much of this effect because you can't focus much anyway. You may also notice a slight haze that seems to go along with dilation. Not to worry, everything will go back to normal when the agent wears off.

After about 20 minutes, you will be called back in the examining room for a distance refraction. With your Ciliary Muscles paralyzed, they cannot use your Crystalline Lenses to affect the results of the exam. However, if you have long term Pseudo Myopia or Latent Hyperopia, the dilating agent MAY NOT be able to fully relax your Ciliary Muscles and Crystalline Lenses, fully. If you have been compensating for Hyperopia or Myopic Over Correction for years, the dilating agent won't be able to undo that condition in just a few minutes, but it might be able to do enough to give you and the examiner a clue that you have Latent Hyperopia or Pseudo Myopia and get the process started to fully relax your Ciliary Muscles and Crystalline Lenses.

The most important benefit of a Dilated Exam is the better view of the Retina. Many diseases are first recognized during an eye exam. Ideally, they are discovered at a very early stage when management is relatively easy, long before they affect vision.

I would like to invite DS and ECPs to comment on the above. As I have stated repeatedly, I am not an ECP. I am an Amateur in the original French sense of one who studies a subject out of love. I seem to be pretty good explainer for non professional people. If I make a mistakes, I would appreciate comments. My primary goal is helping members understand how this stuff works.

BTW, people with Axial Myopia typically do not need dilation to relax their Ciliary Muscles and Crystalline Lenses because the nature of the "beast" is such that they are typically fully relaxed unless they are reading with their glasses or have some Pseudo Myopia.


Landon 06 Jun 2016, 19:50

I had the same question as Jens about the technical name for a dilated eye exam and whether it would be a good idea. (My story is very similar to Jens wife's.)

Ricky 06 Jun 2016, 09:19

Hi this is Ricky..i am 36 years of age. Of late i have begun to notice that if i hold things close to my eyes its difficult to read. Since i like glasses i got my self a pair of progressive glasses with strength of L and R eye +1.0 with a add of +1.5. I have been wearing these glasses for 4-5 hours in a day and i can see very clearly with them. My question is how soon will i be completely dependent on the glasses?

Jens 30 May 2016, 14:56


Thanks indeed for the drugstore reader trial suggestion for distance vision. We may have to resort to that method if all else fails. Your caution on add power is also helpful.

She will try to see an O.D. later this week.


Cactus Jack,

In addition to my question about how to request a dilated exam, and whether it could result in a too-strong Rx, here is another:

You use the term *latent hyperopia*, but does this really apply in this situation?

(a post-LASIK case with an internally myopic eye)

DS 30 May 2016, 14:05


Your wife's astigmatism is practically negligible, and she is in the range where she can experiment to find what powers she prefers by trying on drug store readers. They tend to start at +1.00 and will go high enough to cover her distance + add since she is still early into presbyopia.

She should choose the highest power that allows her to see distance clearly and comfortably. Then, she can choose the total power she prefers for reading and the ADD computed as the difference between the two powers.

The astigmatism and quarter-diopter (between eyes) adjustments can be included if wanting to order some multifocals.

I would be careful to not increase the add more than necessary. +1.50 is a high add for age 41. With a prescription such as the following, note that the total reading power would still be more than her current +1.5/+1.75 glasses:

OD +1.00 -0.25 x 90 ADD +1.00

OS +1.25 -0.25 x 110 ADD +1.00

A lower ADD will maintain the widest transition zone (and lower off-corridor distortions) between distance and near in progressive lenses, too, which will make adaptation easier.

Jens 29 May 2016, 16:15

Cactus Jack,

Thanks for reading, and for your response. We live in Southern California, southeast of Los Angeles.

She does not have any of the diseases you mention, nor did her single pregnancy eight years ago seem to affect her vision at the time.

You suggest a dilated exam and thanks for that. I agree that this is a better approach than the Zenni trial option.

From my experience as a patient, an O.D. will perform a dilation for an extra fee, and does this *after* performing the refraction.

How do we request a dilated exam the way you describe it? Is there a specific term or phrase to use?

Is there a risk that a dilated exam will yield a distance Rx too strong for her autofocus-prone eyes to handle on a daily basis?

Thanks again, and my apologies for such a lengthy post earlier!

Cactus Jack 29 May 2016, 14:35


May I ask where you live? It could affect my answer.

It appears that your wife's vision is pretty much stabilized and has very little, if any Latent Hyperopia. If that is the case her distance Sphere correction will probably not change much, but it is likely that her Presbyopia has not reached its end point where accommodation is no longer possible.

My first thought is to suggest a dilated exam to make sure her Ciliary Muscles and Crystalline Lenses are as relaxed as possible for the distance Sphere part of the exam.

The amount of Add she needs is strictly a function of the laws of optics that relate focal distance to lens power and how much extra PLUS she is able to contribute. Once you have those numbers you can go from there. It is very likely that her Distance Sphere, Cylinder and Axis correction will be stable, but the Add may increase depending on her accommodation and how close she needs to focus. If there is much change in the distance Sphere, it needs to be investigated. There are several conditions that can affect refraction. The most common is diabetes, followed by Blood Pressure and Glaucoma. They are often first discovered on an Eye Exam, while they can still be managed with little inconvenience or effort.

It is tempting to try to chase a prescription with low cost glasses from Zenni or other online retailer, but I think a dilated exam would be better to establishing a starting point.


Jens 29 May 2016, 11:58


Cactus Jack, I have seen your helpful explanatory posts and advice to others, and I was wondering if you could do the same for me--my wife actually.

Quick summary:

She is having trouble getting a comfortable, clear prescription for mild hyperopia + presbyopia following LASIK to correct myopia some years ago. The difficulty in Rx determination could be primarily due to optometrist incapability, but even in this case, a prompt to any eye examiner could help lead things in the right direction.

We had a discussion together to see how we should proceed. I told her that I would try to find some information online.


My wife is a financial advisor who travels around a fair bit to meet clients and make presentations. She requires comfortable, clear vision moving from distance to near and vice versa. She now wants to be able to wear glasses continuously throughout the workday by default, for a consistent professional appearance. She doesn't like the hassle of on-off glasses wear (which makes her feel old), nor does she want the hassle of contacts. The latter factor was why she had LASIK in the first place.

More detail (trying to be reasonable concise though):

My wife became myopic around 15 which increased eventually to roughly -3.75 or so. She wore glasses, then contact lenses, regularly until she had the LASIK procedure in 2005 (age 30). At her follow-up she was told that there was a slight overcorrection, but she had no symptoms or complaints, and decided with her ophthalmologist to leave her eyes alone. In fact her eyes probably enjoyed the extra sharpness. Her O.D. actually suggested very weak OTC reading glasses to relax her eyes, but she didn't feel the need and never bothered.

In her late 30s, almost 39, she really began to have headaches while on her laptop or otherwise reading. She had an eye exam and was prescribed a new Rx:

R +1.50 -0.25 090

L +1.75 -0.25 110

The O.D. told her that these were primarily for reading, and for distance when her eyes were tired. She could wear them for distance as well, but didn't need to. This was fine with her, though she could not quite adjust to this Rx for distance. She could still walk around wearing them at home or her office, but for example, I remember her saying that she would have to lower her glasses at a coffee shop so that the board menu was a little clearer.

I suspect that this Rx was the result of maximal use of the technique I think you describe--where the examiner makes the eyes very tired by forcing the eye muscles to work very hard to focus, then applying plus lenses and working down the power. The problem in her case, it seems, was that her eyes' "natural state" could not quite accept the prescribed strength, because her eyes would auto-focus more than anticipated.

Two years later, she is now 41, and needs the glasses more urgently for close work. In fact, she has been having headaches even with the glasses on. For several months she has been wearing her glasses fairly continuously throughout the workday, she says. At distance, she can tolerate the strength better than earlier, but it is probably still slightly strong. She travels a fair bit for work, so after driving a while things look fairly clear.

Last week she decided on her own that it was time for an eye exam, this time with a different O.D. Her new Rx:

+0.50 R -0.25 090

+0.75 L -0.25 110

add +1.00 both eyes

She knew intuitively that this didn't seem right, because the eye examiner spent very little time in Rx determination. An assembly-line experience, she says. She had to wait a while with the pre-exam information in front of her, and the distance Rx written was the same as that measured by autorefractor. (She knows what that is!)

One obvious red flag: the total reading Rx was exactly the same as before, which would not address her worsening symptoms at near. The other problem, she says, is that she thinks the distance Rx is a little less than what she could use. That is because sometimes when her eyes are very tired the lenses that are +1.00 stronger work pretty well.

It seems like the two eye examiners took opposite approaches: the earlier one too aggressive, but the more recent one too lax.

My sub-amateur guess is that a "midpoint" Rx for distance with a slightly stronger near add would serve her better. Something like:

R +1.00 -0.25 090

L +1.25 -0.25 110

add +1.50 for both eyes

I was wondering what you think, Cactus Jack, on how to proceed, as you are a far more accomplished amateur. In particular, how could she "prompt" a new optometrist to help her get a more comfortable and accurate presciption? I was actually thinking of trying out an online order with the "midpoint" Rx to see if it works for her.

Thanks for your help!

RR 13 May 2016, 17:16

Nice videos

 10 May 2016, 19:26

I believe that he is from Transylvania.

All 10 May 2016, 12:40

Hi Igor! it looks strange, but I like the crosseyed. What country are you from?

Carlos, Jr 10 May 2016, 12:26

Plus Tony, I think you'll appreciate wearing bifocals. Let us know how it goes.

Brian 10 May 2016, 11:44

Cactus, The thickness doesn't bother me that much to worry about wearing glasses over contacts. Especially if I need them all the time. It would be one thing if I could get away with only needing the prism glasses to read, but with amount of prism I need, I'm pretty sure I'd have double vision all the time without the prism being there.

Cactus Jack 10 May 2016, 07:14


May I ask the following questions?

1. What is your complete prescription?

2. Your age?

3. Your occupation?

4. Where do you live?


Cactus Jack 10 May 2016, 07:09


There are two factors that are affecting the inside thickness of the lenses in your glasses. One is the inside edge thickness caused by correcting your Myopia and the other is the BI prism in your glasses.

Here is an idea you may not have considered, GOC. You could correct most of your myopia with Contact Lenses and correct your Exophoria and possibly any Astigmatism with prism and cylinder in your glasses.


Igor 10 May 2016, 01:38

Hi guys,

I have a similar experience. I have been wearing prism correction on top off my usual correction for 3 years now, and am at 3BO per eye which is not much.

I have to wear my glasses FT because of high astigmatism, so I didn't notice the change at first, but some time ago I tried using my old sunnies without prism correction (but regular prescription) for driving, but could not keep my eyes straight anymore. My weak eye constantly drifted off towards the nose. Anyway, since then I had more an more situations where I could not bring my eyes into alignment and have stopped trying since because of headaches. It's easier to just close one eye or let it drift to the nose. (I find it easier to handle when the double images are further apart.)

I have slowly come to terms that I am now permanently crosseyed (but not visible to others), which means that my old glasses are useless, and that I should buy a spare pair. I did the CJ's prism test posted multiple times and probably require at least an additional 10dpt, but I neither have the funds nor the willingness to go for an eye exam that will probably lead to glasses that make me appear crosseyed.

Anyway, I am wondering if I should buy glasses with an additional 1 or two dpt per eye (to increase the comfort a bit, since I can easily make them drift off with glasses but can also maintain fusion), since I am ordering it anyway. Will I be able to switch between my old and new glasses, or will my eyes not allow that and require the stronger ones permanently? Any insight is welcome.

Brian 08 May 2016, 19:00

Kris...I've had similar issues with prism..I'm 37..mine is based in not base out...I started at 2BI in each eye back in 2010..saw yearly increases to 5BI in 2013...I thought it had stabilized because I did not need increases in 2014 or 2015 but when I went for my yearly exam in March I saw another increase to 6BI in each eye...My optometrist said it might be possible that I could need surgery in the future but I was OK for you I am dependant on them all the time or I see double...My distance script is -6.00 in one eye and -5.00 in the other eye...before I needed prism I was able to wear contacts but since getting the prism I can not wear them anymore...The insides of my lenses are pretty thick now with the large amount of prism I need but my vision is comfortable with them.

Kris 08 May 2016, 16:46

I'm now 45 and have been wearing progressives for 6 years. I had childhood strabismus and I posted last summer about my issues with double vision and my debate about whether or not I could manage without prism. I initially started with prism in computer glasses, but eventually went full time. I had been stable with 4BO in each eye.

I went back to my ECP recently because I wanted to get a new pair of glasses in case my current ones break. Because I hadn't had an eye exam in almost a year, I booked an exam, expecting that things were stable. However, the ECP indicated that I needed more prism and that the strength of my distance vision lenses could be decreased. I now have a prescription of L +0.75 add 2.75 5BO, R 1.5, cyl -0.5, add 2.75, 5BO.

I'm surprised that within a year of starting to wear prism I am needing 5BO both eyes. Does it prism need usually stabilize quickly or should I expect that it will go up again in the future?

Before wearing prism I used to sometimes putter around in the morning without glasses, but now I reach for them as soon as I wake up. As well, I can't even read the large print on shampoo bottles anymore, so struggle more to sort out if I've grabbed shampoo or conditioner in the shower. I noticed on my eye exam that when the ECP used his machine to see how the new prescription worked when I used both eyes the images were really far apart. Last year I saw double with this, but could fuse the images. The ECP had to make some adjustments to the machine so that I could fuse the images. My vision is more comfortable since starting to wear prism, but I'm surprised at how much I need.

Plus Tony 05 May 2016, 12:11

Cactus Jack

Thank you for your guidance. I am going to carry out the test you suggested at the weekend and will report back on the results.

John S 05 May 2016, 10:22

Until I was in my late 30s my rx was around +1.25, add +2.00. Before I totally lost my accommodation, it was uncomfortable to read without my glasses, but I could usually do it. But the second I put my glasses on and used the reading seg, I lost all my accommodation for about 60 seconds. It was just like someone turned a switch off. Even my distance vision was blurry.

SC 05 May 2016, 06:48


Thanks for the insight into your 'crappy' vision. I didn't start with a distance Rx until my mid 40s and so always assumed that plus lenses for young people were more about comfort and headache relief rather than being unable to see!

If my Rx is stable (getting there at age 51) then at age 40 I could still see small print without glasses so could accommodate +1.75 (distance) & +3.00 (small print) so +4.75.

Interesting at about half that age, you can't see your phone with +2.50 (distance from memory) & +2.50 (phone @40cm) so +5.00.

Maybe you have some way to go on your distance Rx because I'd expect your accommodation to be twice as good as mine was at 40. Do your eyes 'recover' after a while - ie if you didn't wear glasses for 15 mins then would your close vision be better? I went through a period where I could see distance in the morning before putting glasses on but not in the evening after wearing them

Soundmanpt 01 May 2016, 10:57


In part you could be somewhat correct about the first place you went to get your eyes examined. He very well might have just thought you were just another teenage girl just wanting glasses for fashion. But i'm pretty sure he did give your eyes a complete and thoural examination. If he did anything like you suggest I think he probably did want to fit you with glasses to make you happy since you came in expecting to get glasses. Doctors would rather write you a weak prescription than tell you that there is nothing wrong with your eyes. But if you had really needed anything stronger than what you got I don't think he would have had any problem prescribing you as such. You have to remember until you tried on some of those OTC readers you thought your eyesight was completely perfect. Chances are the OTC glasses you tried on that make small print nice and clear was only +1.00. Your glasses worked just fine for you for seeing close but if they had been stronger it would have been that much harder for your eyes to have adjusted to them for distance. By the time you went for your 2nd eye exam your eyes were completely adjusted to seeing everything with your glasses. When you first got your eyes tested i'm sure you didn't have any problem with seeing the eye chart. Now this time your going in almost certainly wearing your glasses so that already told them that you were likely wearing your glasses full time and then when they took your glasses away from you and you had to try making out the letters on the eye chart it wasn't nearly as clear as it was the first time you got your eyes tested. That would also explain why you were told that you only needed your glasses fro reading after your first eye exam. Carrie I am in no way lecturing you because I totally get it that you were very happy to be wearing glasses full time and didn't have any problem at all with being told that you now needed to wear your glasses full time because you now needed them in order to see distances as well as close up. Your at least nearing the age where your eyes should soon start becoming stable. You have all of your prescriptions so all you need to do is keep a list of when you got your eyes exams and how much change each time. If the increases are getting smaller and remember to take into account how long it is between each eye exam as well.

Cactus Jack 01 May 2016, 08:34

Plus Tony,

A couple of comments and suggestions.

The fact that one eye needs a +1.00 lens and the other a +2.00 lens does not mean that one eye is "weaker" than the other, There is just a difference in the Refractive Error. Typically, Hyperopia is caused by insufficient eyeball growth when you were young. The controlling factor is your genes. The amount of insufficient growth is very small, about 0.3 mm per diopter. The eyes are independent entities. They tend to track pretty closely, but it is rare to have exactly the same prescription in each eye. Sometimes the difference is large and there can be situation where one eye is Hyperopic and the other is Myopic. That can cause all kinds of Fusion problems because of the difference in image sizes on the Retinas.

When you will need some close focusing help is primarily a function of your Accommodation Range and the condition of your Ciliary Muscles. You can get an idea of your Accommodation Range by doing a slightly modified "Book Test" that I suggest for estimating distance prescription.

1. With your glasses on, hold a book or newspaper at your typical reading distance of 14 to 16 inches (36 to 40 cm) and gradually move it toward your eyes until the text just begins to get a little fuzzy. Try not to strain to focus close.

2. Measure the distance.

3. Do steps 1 and 2 three times and average the distance

4. Tell me the average distance and I will estimate your Accommodation Range.

If you do a lot of reading and it seems like your eyes are getting tired of focusing close, you may want to try some Over the Counter +1.00 or +1.25 reading glasses over your glasses. If that makes reading easier and more comfortable, you might want to consider asking your ECP for an Add or order some bifocals or progressives from an online retailer.


Carrie 01 May 2016, 03:33

I seem to remember that the first optician I went to didn't seem that interested in my eyesight. He probabably thought I was just another teenager wanting to get some weak glasses to wear mainly for fashion. He probably should have given me a stronger prescription. My second eye test was with a different optician and I think it was that eye test or my third one it was suggested I wore my glasses for distances and not just reading. I was wearing my glasses full time anyway. I think that's when it was noticed that I had latent hyperopia and so my prescription has been steadily increased. I must be close to my full + prescription now.

Plus Tony 01 May 2016, 02:55

On Thursday it was 7 months since I got my first glasses at age 43 with a prescription of +1.00, +2.00. I started wearing them full time immediately as the optician emphasised that it was a distance prescription even though I was not told to wear them all the time. A bit like Carrie when she woke up with her glasses still on and found she coild see the TV ok I decided to put mine on first thing in the morning and took them off only after switching off the bedside light. Distances were clear and sharp almost immediately and I still only remove them when I absolutely have to. Although my right eye is weaker than my left I have good binocular vision and my depth perception is so much better than it used to be. My only regret is not getting glasses sooner. My vision is still pretty good at all distances and I can't decide whether to wait for another test or go for a check now (like June did after about 6 months). I remember she said that she didn't notice that she needed extra distance power when she got her bifocals so I am tempted to go and find out. I'd be interested to know what my fellow members of the eyescene 'plus wearers' branch would do. About a month ago I was convinced it was time for bifocals but now I'm not 100% sure.

Soundmanpt 30 Apr 2016, 19:19


The way you seem to be wearing them should be fine and not cause you any problem with your eyes getting too adjusted to the stronger script in your cousin's glasses. You just don't want to wear them as your everyday glasses until your ready to go full time with a stronger prescription. Sounds like when you get around to ordering a pair on line might be the perfect time to start wearing her glasses full time along with whatever you get online. You still might be able to wear your current glasses but I am sure once your used to the stronger prescription you will notice the difference between your current glasses and your cousins, and the on line glasses. Things just won't seem as sharp and clear to you with your weaker glasses. Your right, it really doesn't seem like it has already been nearly 6 years since you got your first pair of glasses. In fact I had some time on this rainy, stormy day so I was curious as to when you first came in here. So I wasn't sure which thread you might have first used but I took a wild guess and went to "New Glasses" and went back to January 2010. Sure enough it seems like your first post was on September 17th 2010. Apparently you had only very recently gotten your glasses and you of course went on to tell how you were just trying on OTC readers just for fun to see how you looked in them and you noticed that the print was darker and more crisp with some of them. Somethings I had forgotten from back then. You didn't buy the readers but you did go for an eye exam and was prescribed glasses fro reading. Once you got your glasses you were determined to wear them all the time but your distance vision with your glasses wasn't very good even though you tried your best to wear them. But I forgot that you fell asleep with your glasses on while you were in bed reading. When you woke up the next morning and turned your TV on you still had your glasses only now you were able to see your TV perfectly with your glasses on. You found out that by putting your glasses on first thing in the morning for some reason your eyes didn't seem to have any problem seeing distances perfectly with your glasses on. I had forgotten about that. It seemed odd reading about what you said about your bf liking how you looked wearing glasses and he even helped you pick them out. Actually considering that you have been wearing glasses for 6 years now your prescription isn't bad at all. Your eyes have gotten worse of course but your increases have been very reasonable. Your cousin got got her first glasses a good while after you got yours and she needs a full diopter more than you wear and your college friend has stronger glasses as well. So I agree your far from being blind without your glasses. You mostly can't see to read any small print and your distance is blurry but still not so terrible that you can't see well enough to use the loo in the middle of the night without your glasses. Am I right?

The idea of starting a glasses wardrobe I am sure you would be the perfect person for that because I think you would even enjoy wearing glasses even more if you had a nice big collection to pick from everyday and maybe even like Melissa change several times a day even. But really until your eyes get stable it might not be worth getting too many yet. Now if you really start looking ta glasses on line as you plan to do, you can still buy about 5 pairs for under $100.00 without much effort from places like Zenni and Eye Buy Direct. They both have a nice large selection for under $20.00 a pair. That should be considerably less than what one you pay for one pair at a brick and mortor store. I don't expect that your astigmatism will change much in the coming years. In fact don't be surprised if it even goes away completely at your next eye exam. That happens more than you think. Look at it this way your cousin's glasses doesn't have any astigmatism correction and even if she did it wouldn't match yours anyway and you not having any problem wearing her glasses without the astigmatism. But if you do decide to order glasses on line I would include your astigmatism as well as the axis anyway. I really liked how you described your eyesight. You said your vision isn't terrible, it's just not very good. A bit on the crappy side. But somehow I think if you had the choice of still having perfect vision or keeping needing the glasses your wearing, you would say you want to keep your glasses. Just for when you have some time you might enjoy reading your posts back when you first got your glasses. As it turned out I was the first one to respond to you back then and we had some long posts from then on. I guess that includes this one. haha!

Maxim 30 Apr 2016, 06:37

Glasses from 6.99 Euros, postage limited to 5.99 Euros, a total of approx. 13,00 Euros, that looks good!

Try this - more or less for weak prescriptions: for Europe, or for the US, for French-speaking people,

I'll try it soon, only have to wait for a new refraction (eye test).

Carrie 30 Apr 2016, 01:37

Soundmanpt - I do occasionally wear my cousin's glasses. I don't really notice much difference until I take them off after wearing them for a few hours/all day then everything is a bit fuzzier than it usually is when I take my glasses off for a minute or 2 then it gradually goes back to how I normally see without my glasses. I have said before that I am not blind without glasses but there is no doubt I need them full time. Just 6 years ago I didn't even know I needed glasses!

I haven't ordered any new glasses online yet because I simply haven't got round to it but I will and I will order them with the same prescription as the glasses my cousin loaned/gave me. I think I might start building up a glasses wardrobe, like Melyssa, so I can change frames more frequently! I won't get lots straight away as I want to wait until my prescription has stabilised. I have a feel I might be given more + in my next prescription if I can see with my cousin's glasses. But as they are only +0.50 stronger than my own prescription it could just be accomodation. Then there's the astigmatism correction that I got for the first time with my current prescription. It's very small at the moment and I'm not sure how much difference it makes but there's a chance that could increase too. I will include the astigmatism part of my prescription when I order new glasses with the slightly higher +. I have read on Eyescene that it's best to leave the astigmatism correction as it is when ordering stronger glasses, which is exactly what I will do.

I might have a browse through some sites later.

I deliberately tried to read my phone without my glasses on just now. Absolutely no chance! Couldn't read a thing! If I strained I could make out the word "SAMSUNG" (the phone make) printed just above the top of the screen. I can read the numbers on the tv remote control in our bedroom without glasses but that's only because the numbers are larger than on a phone screen. There'd be no point trying to watch the tv without my glasses on because that would be annoyingly slightly out of focus and I certainly wouldn't be able to read any captions or the end of show credits.

I still wouldn't say my vision is terrible it's just not very good. A bit on the crappy side! ;-)

Soundmanpt 29 Apr 2016, 10:07


A couple of months ago you had found that your eyesight was slightly better with your cousins previous glasses when you and her were trying on each others glasses. They were not as strong as her new glasses but they were a little stronger than your glasses and you were able to see perfect with them. She let you borrow them, and really they were useless to her anymore anyway. I warned you that by wearing her glasses as your day to day glasses that your eyes would easily adjust to them and then your own glasses would seem too weak for your eyes. At the time you were thinking about going on line and ordering a pair of glasses a little stronger than your current glasses. Are you still considering doing that? Do wear your cousin's glasses every so often just for a change and different look? You should be able to wear her glasses a couple days a week to work or for fun if want and they shouldn't have any permanent effect on your eyes. Actually by doing that it should help you decide if you see better with her glasses or not. Then you could order a pair on line in the same prescription as your cousin's glasses. and have 2 pairs to wear.

LT Lurker 20 Apr 2016, 20:56

I don't know if anyone has seen this research paper on accommodation, but it does appear to throw current thinking off the usual course with how much accommodative amplitude is required in reserve.

Soundmanpt 24 Mar 2016, 13:45


So I was really not far off when I said that I though Danielle's glasses were somewhere around -1.50 or -1.75, but what I didn't remember was that her prescription was slightly different from one eye to the other. So if Vickie is maybe planning on wearing Danielle's current glasses when she gets new ones that might be a small problem for her. Really it would be so much easier if her glasses were just +1.50 for both eyes. Now your right that this is considerably much based on Vickie's last eye exam when she was prescribed +.50 glasses. But several things enter into this. First of all before Vickie started wearing +.50 glasses her eyesight had always been perfect. So clearly her wearing +.50 glasses full time effected her eyes. Now for the past few months she has been wearing Danielle's previous glasses and seeing perfectly with them. So I seriously doubt that if she were to get her eyes examined today she would still be at +.50 anymore. She is much more likely to be at +.75 or even +1.00 already. You might recall that when Vickie decided to start wearing Danielle's glasses again she had her own +.50 glasses close by when she needed them so she could change. But as soon as she was able to wear Danielle's glasses full time without any problem you have not seen Vickie wear her own pair of +.50 since. I'm sure she now feels alike they are too weak and she can't see as well with them anymore. She has even commented that now when she takes off her glasses (Danielle's) she can really see a difference, meaning things are more blurry I would assume. I could be wrong but since she has been wearing Danielle's glasses and switching between them she probably hasn't wore her own glasses even once anymore. I don't thing Danielle is due or planning on going anytime soon to get her eyes examined she is going to have even more time wearing +1.00 glasses. So she would only be talking about going up again another +0.50 / +.75. So that isn't nearly as bad as going from +.50 to +1.50 / +1.75 which is a sizable difference which I agree her eyes probably couldn't do. But by going up in steps that really makes the change much easier on her eyes. Of course we don't even know that she even has any thoughts about going any stronger. But you have to wonder if she sees Danielle's previous glasses just sitting there gathering dust if she maybe tempted to want to wear them even if she isn't thinking about it now. I don't recall if Danielle got 2 pairs of glasses the last time or just the one. If she only got one pair maybe Vickie likes having 2 pairs to switch between rather than only having one pair to wear.

I didn't mean to scare you with my warning about your wearing your cousin's glasses as your own full time glasses. Like I said before i am very sure your cousin won't have any sue for those glasses anymore since they are too weak to be of much benefit to her. She really should consider starting to get 2 pairs of glasses now since she really can't get by very well without glasses anymore. Like you she needs to go on line and at least buy a cheap pair just as a backup in case something were to happen to her current glasses. You already do seem to get 2 pairs when you get glasses which is the same for you because you can't really do much without your glasses anymore either. I mean you already know that doing your job at work would be nearly impossible for you and you can't see to drive so you couldn't even drive to work. Anyway wearing your cousin's glasses every 4 th day or so is fine but daily would probably cause you to need her stronger glasses and your glasses would not feel strong enough. So as soon as you indicated that you were planning on wearing your own glasses I knew I needed to warn you that might not be a good idea. Now of course if you get a pair on line with the same prescription as your cousin's glasses then if you want you can start wearing the on line glasses and your cousin's and not worry about your current glasses anymore. Have you checked out ( or ( they are both one that I have used and highly recommend. The prices are very good and the quality good as well.

Carrie 24 Mar 2016, 11:26

Soundmanpt - I have just checked back to some of my posts from last year to see what Danielle's current prescription is. She is +1.50 in one eye and +1.75 in the other. Maybe Vicky could handle that prescription but it is +1.00 & +1.25 stronger than her real prescription and I found my cousin's current glasses a bit too strong for me at +1.00 stronger than my current prescription.

I have been wearing my cousin's previous glasses all week but after reading what you have suggested I have now changed to my own glasses and won't wear my cousin's for a few days. I would like to find some frames online that are similar to my "Carrie" frames that I could get +3.00 and +3.50 put in.

Even before I started wearing my cousin's previous glasses I noticed that my vision without glasses was worse than when I got my current prescription. I could still get around without glasses but I wouldn't dream of driving without them.

Have to stop now as Gemma has nearly finished cooking our tea and I'm really hungry after spending all day at work surrounded by Hot Cross Buns and Easter Eggs and not being able to eat any!

Soundmanpt 24 Mar 2016, 08:46


I agree with you i'm sure that Vickie loves wearing her glasses and wants that to be her look now. She is probably a lot like you and loves hearing someone describe her as as the girl with glasses when they describe her. I'm sure she smiles at that now. We probably won't find out if Vickie is interested in wearing stronger glasses until Danielle gets her eyes checked again. If Danielle gets an increase, which she likely will, she will be getting new glasses again and that will mean her current glasses will be available to Vickie if she chooses to try and wear them. I don't remember what you said Danielle's current prescription is but it seems like it was either +1.50 or +1.75 for both eyes. Now we all know that Vickie's eyes couldn't handle Danielle's +1.00 when she first tried wearing them because they were too strong for her, but after wearing her +.50 for a while when she again tried wearing Danielle's glasses they hardly bothered her at all and she is doing dine wearing them now. So now that her eyes seem completely adjusted to her +1.00 glasses going up another +.50 or +.75 may not be so hard for her if she wants to be wearing stronger glasses. My guess is that she will at least try to wear them. I am sure she has probably tried on Danielle's current glasses quite a bit already. So she may already know that her eyes can handle her stronger glasses when Danielle gets new ones. If you feel real daring you might even want to ask her if she has tried Danielle's glasses? Which of course you know she has and how well she could see with them?

If you still like your own glasses and want to be able to wear them for another year or more you better be careful not to wear your cousin's glasses too often. The more you wear her glasses the more your eyes are going to adjust to them and your own glasses will start to feel on the weak side. Are you currently wearing her glasses on a daily basis now? You probably shouldn't wear them more than once every 4 days or so. I'm pretty sure whatever glasses you put on when you start your day is the glasses you wear all day. So wearing her glasses every 4th day your eyes shouldn't get too adjusted to them. You just don't your own glasses to start to feel too weak. If her glasses are already that comfortable to you now you may find that in about 6 months or so you might need to actually start wearing hers full time anyway if you intend to not get your eyes checked this year. Of course like you already commented you could always go on line and order a pair of glasses in the same rx as your cousin's glasses if you wanted to.

Sajil 24 Mar 2016, 01:52

Thanks CJ

Cactus Jack 23 Mar 2016, 21:33


1. There is no way to predict, at this point, if your wife has any Hyperopia or Latent Hyperopia. A prescription increase or decrease (in to the - range) is not a given.

2. Any increase in her Add will depend on the amount of Presbyopia progression, the amount of Ciliary Muscle de-conditioning she experiences, and her preferred reading distance. Generally, a person's Add will never exceed +2.50 or +3.00, unless they like to read close in bed or have hobbies that involve very close work. The amount of +Add you need is governed by the laws of optics and is strictly related to focus distance. For example, to focus at 40 cm or 16 inches requires +2.50, period. The total amount can be divided between glasses and your Crystalline Lens, If you have enough Accommodation Range available to supply it.

3. I can almost be certain that it will change, either in power or axis. Determining the amount of Cylinder and the Axis is the most subjective part of an eye exam and the accuracy of the numbers depends very much on the skill of the patient. I urge you to Go to the Vision thread and look for my 2 posts on 27 December 2015 on "How to Study for an Eye Exam". I explained a procedure I use during an eye exam to fine tune my Cylinder and Axis correction. It might be helpful if your wife would review the procedure before her next exam.


Sajil 23 Mar 2016, 19:42

Thanks CJ for your valuable information.

I am not going to order glasses on line.

Base on your experience, could you tell me

1. at next check up, will my wife get sphere correction (+0.50, +0.75 or +1.00)?. Currently sphere correction is 0.00

2. How much power will add to reading. Will it reach ADD +2.0 since it is now ADD +1.25

3. Will Astigmatism increase or decrease? About 5 years back, she has only Astigmatism -0.75 Cyl Axis 90 on both eyes.

Carrie 23 Mar 2016, 14:15

Soundmanpt - I will try to ask Vicky how well she sees first thing in the morning. She wants to wear glasses and likes wearing them. I wouldn't be surprised if she wanted to wear a stronger prescription but I think she is probably wearing as strong as she can manage.

My cousin's glasses do fit me. I just had to bend the ear pieces down a bit as my cousin's head must be a bit bigger than mine. Probably to fit in her bigger brain - she's cleverer than me. :-D I wasn't planning on getting my eyes tested this year. I don't know how long I will keep wearing my cousin's glasses as I really love my own pairs and I haven't had them that long.

Soundmanpt 22 Mar 2016, 09:50


So if Vickie is wearing both of Danielle's old glasses that means that it wasn't the frame of one of Danielle's glasses that Vickie liked and wanted to wear. But she just wanted to wear glasses it would seem. To bad that they were too strong for her eyes and she couldn't wear them right away like she wanted. But it worked out well anyway because Danielle was wanting her own glasses back to wear and ordering Vickie a pair with +.50 lenses was perfect for her eyes to adjust to. They clearly weakened her eyes enough that when Danielle had to get an increase she was ready to try again wearing her old +1.00 glasses. Now her eyes were much more able to adjust to them and she had to extremely happy. I think when she says that her glasses are now much more obvious I assume that she means to her because everything is much more blurry now when she takes them off. She can't mean obvious to others because no one could tell by looking at her glasses that they are any stronger than her +.50's were. Hard to say how much these glasses are effecting her real vision. Clearly after wearing her glasses for long hours everyday i'm sure that when she takes her glasses off she can't see very well anymore but I wonder if she leaves her glasses off for a while if her eyesight slowly tries to return to normal? She seems pretty open about talking about her glasses you might want to ask her how well she can see when she first wakes up in the morning before she puts her glasses on?

Sajil 22 Mar 2016, 09:43

Thanks CJ for your valuable information.

I am not going to order glasses on line.

Base on your experience, could you tell me

1. at next check up, will my wife get sphere correction (+0.50, +0.75 or +1.00)?. Currently sphere correction is 0.00

2. How much power will add to reading. Will it reach ADD +2.0 since it is now ADD +1.25

3. Will Astigmatism increase or decrease? About 5 years back, she has only Astigmatism -0.75 Cyl Axis 90 on both eyes.

Soundmanpt 22 Mar 2016, 09:16


I know you only asked to borrow your cousin's previous glasses but i'm sure she isn't going to be wanting them back. Now that she her new glasses and her eyes are now fully adjusted to them her previous glasses are pretty useless to her now. Even though they are only a little weaker than her current glasses they would feel much weaker to her now. You know that from your own glasses. Once you have gotten new glasses and your eyes adjust your previous glasses just seem far too weak to wear anymore. You didn't say if your wearing your cousin's glasses on a daily basis or just every so often, but if your wearing them all the time it won't be long before your own glasses are going to feel too weak for your eyes. I'm sure it didn't take much for your eyes to adjust to her glasses. Like you say they are only +.50 stronger than your own glasses. The only thing your eyes really needed to adjust to was distance which as you know you have to when you get new glasses that were prescribed to you. Does her glasses fit you pretty well? Now that you have her glasses to wear you should be able to hold off with getting your eyes examined a while longer now don't you think?

Cactus Jack 22 Mar 2016, 07:34


Sphere only glasses will not work for your wife. Even though her prescription seems low, her Astigmatism is enough to cause problems with reading text, without correction. You cannot appreciate the problems Astigmatism can cause, unless you have some yourself.

If you order glasses online, DO NOT try to help her by ordering different Sphere, Cylinder or Axis than what is specified by her official prescription. She may find it useful to have a small increase in the Add over time or to get some Single Vision glasses with +1.25 or + 1.50 Sphere and her Cylinder and Axis, but no Add for the computer. You can determine the actual Sphere by measuring the distance from her eyes to the Display and dividing that into 100 cm or 39.37 inches, depending on the units of measure you prefer.

Please feel free to ask for help if you are not clear on how to order glasses online.


Carrie 22 Mar 2016, 06:37

Soundmanpt - to answer one of your questions from a few days ago, Vicky wears either of Danielle's old glasses. She seems quite comfortable with the +1.00 prescription and shows no sign of any difficulty seeing distances clearly despite her own prescription being +0.50. I suppose if I can see clearly with glasses that are +0.50 stronger than my prescription then so can she. I don't know if she wants stronger glasses but she is happy that the +1.00 prescription is more obvious than +0.50. She says she feels she actually needs them much more now and can see everything clearer if she wears them all the time. She feels a bit dizzy for a moment when she takes them off. Obviously I don't know if she can see better with the glasses but she has been wearing them long enough to get fully used to them.

Carrie 22 Mar 2016, 06:09

My cousin has lent me her previous glasses. I said I wanted to try a different style but still wanted to be able to see and I should be fine with them as they are only slightly stronger than my current prescription and I wouldn't be surprised if I got a stronger prescription at my next eye test.

It took me less than an hour to get used to them, although looking up from reading distance to far distance takes a couple of seconds to get fully focused. There is no delay with my glasses. At +3.00 and +3.50 my cousin's glasses are exactly +0.50 stronger than mine (her new glasses are +3.50 and +4.00, a whole +1.00 stronger than mine).

Off to work soon. Doing an afternoon and evening shift. :-(

Sajil 21 Mar 2016, 18:21

Thanks CJ,

Most of the time, she uses glasses for Computer and a little for the paper work at the office. That is why I think, still she can manage to see the news papers without glasses at Home.

Before getting her eyes checked, I have ordered +1.0 reading glasses online. But it was not comfortable for her. But when I check the magnification efect, +1.0 glasses has more magnification effect than her current prescription glasses. Is my observation correct?



Cactus Jack 21 Mar 2016, 16:17


Your wife is at the age were Presbyopia becomes a problem. The will probably have increasing difficulty reading without some help.

There are two elements in your wife's prescription. Astigmatism, as indicated by the Cylinder and Axis correction and the +1.25 Add. She has no Sphere correction for distance as indicated by the PLANO. The +1.25 Add is actually a Sphere correction to help her focus close. It is likely that the Add will increase to around +2.50 to +3.00, depending on how close she likes to read, over the next year of so.

She might be able to get by with some over-the-counter reading glasses, but they do not correct her astigmatism.

Her prescription is one that you can order from an on line retailer such as Zenni at considerable savings. If you want to do that, we can help you.


Sajil 21 Mar 2016, 08:51

CJ and all,

Correct prescription of my wife is as follows

Left Eye PLANO,-1.0 Cyl Axis 90, Add +1.25

Right Eye PLANO,-0.75 Cyl Axis 90, Add + 1.25

She wears glasses at the office full time and still she can manage to see the small prints on papers without glasses at home. How long she can manage to see the news papers without the glasses? She is now 41 years of age and got the glasses last month.

One more thing, as per the prescription above, can she use reading glasses of +1.25 for reading and close works? What is the difference between reading glasses and above prescription? Will that reading glasses have more magnifying effect?

Soundmanpt 21 Mar 2016, 08:27


It is impossible to predict how long before she won't be able to read without them because a lot depends on how much close work she does. The more close work she does, the more she is going to be wearing her glasses which will effect how long before he can't read without them. But based on what you say she already seems to finding it harder and harder to do without them. Remember it wasn't that long ago that she thought her eyes were fine and she wasn't wearing glasses. Trust me if they weren't helping her I really doubt she would be wearing so much. She is even making sure to have them close by when she isn't doing any close work such as driving and watching TV. She has them up in her hair so they are at hand to put on. I think if she were trying with very small print she would find it nearly impossible now without her glasses. As far as her wearing her glasses full time that may take awhile. Her glasses are weak enough that if she were to start trying to keep them on even when she isn't reading her eyes would soon start to adjust to them and she would be able to drive and watch TV wearing her glasses. She might only want to do that because it would be much more convient if she were wearing them all the time. If your wanting her to start wearing her glasses all the time I suggest that you complement your wife on how nice she looks wearing glasses.

Sajil 21 Mar 2016, 08:25

Thanks. CJ. My wife has only cylindrical correction. So, spherical correction is Plano as you said.

doug 21 Mar 2016, 07:55

Thanks for your response CJ. Your wrote "it won't be long before she won't be able to read without them". Is that a matter of weeks? Months? Is everyone different? She does wear them often (reading, eating, cooking) but puts them in her hair to drive or watch TV.

Cactus Jack 21 Mar 2016, 07:43


The prescription you provided is not clear. Prescriptions in the standard format are:

Sphere, Cylinder and Axis (they always go together), and ADD

It appears that the 1st number is Sphere, but it could be Cylinder because of the apparent axis number of 90 degrees. Cylinder and Axis are important because they correct Astigmatism which affects vision at all distances. It is possible to need Astigmatism correction without needing Sphere correction. However, if no Sphere correction is needed, Sphere is usually listed as Plano, 0.00 or NA.

We cannot answer your questions very accurately without a complete prescription.


Sajil 21 Mar 2016, 03:44


My wife recently got her eyes checked and doctor prescribed progressive lenses. Her prescription is shown below

Left Eye -1.0 Cyl Axis 90 Add +1.25

Right Eye -0.75 Cyl Axis 90 Add + 1.25

She wears glasses at the office full time and still she can manage to see the small prints on papers without glasses at home. How long she can manage to see the news papers without the glasses? She is now 41 years of age and got the glasses last month.

One more thing, as per the prescription above, can she use reading glasses of +1.25 for reading and close works? What is the difference between reading glasses and above prescription? Will that reading glasses have more magnifying effect?

Soundmanpt 18 Mar 2016, 15:23


Sorry I just now noticed your comment back on March 11th. Anyway let me try and answer your questions as best as I can. In answer to questions #1 #2 and #3 She has already found that her glasses are indeed a benefit to her since she is seeing the letters bigger and bolder and reading is now more comfortable with her glasses on. Now as too if she should wear them full time or not is really going to be up to her for now. Here is what you can expect to happen. Since she likes that her glasses really do help her she is going to want to wear them anytime she is reading or doing anything close. It won't take long at all before she won't be able to read any small print without her glasses and then it becomes the hunting game of where did she last leave her glasses? So she may decide that wearing them is the better answer the she knows where they are at all times. Her prescription is weak so her eyes won't have to work very hard to adjust to them for everything else. And no she of course she wasn't "hustled" she clearly needs her glasses. If she didn't need them I doubt she would bother with wearing them. Right now she is still able to read without them but that won't last very long now.

There is no way way to predict if you would be prescribed glasses or not. I guess you could use a magic ball or something. If you don't trust them then don't go. Your not doing any harm to your eys even if you do need glasses by holding off until you yourself know that you need them.

spexfan 18 Mar 2016, 14:48


Yes, I wear progressives. I prefer the extra plus to be set up a bit higher in the frame than normal so I can access it more readily. So I guess I do inadvertently use some of the intermediate zone sometimes for distance, definitely for watching TV. I tried tilting up to use some extra power with driving and it looks quite good, especially in my weaker right eye.

What is your current age and rx?

And does anyone ever use multifocal contacts. I've had quite a bit of success with Dailies multifocal contacts.

Soundmanpt 13 Mar 2016, 08:58


I think you now know enough about wearing glasses and how things tend to go that you must know that Danielle is fighting a losing battle. She is about the same as your cousin was with her glasses and your cousin wasn't seeming to be putting nearly as much of a strain on her eyes as Danielle is with her type of work. Your a keen observer to notice the red marks on her nose and your right that means she had only taken her glasses off recently and she had been wearing them a good while for the marks to still be showing. I know she is trying hard not to become dependent on her glasses, but she must be very close to it anyway since it seems when she isn't wearing her glasses they seem to be perched on top of her head now quite a bit. Her prescription will almost certainly increase at her next eye exam and if she isn't wearing her glasses full time by then she probably will after that increase. With her finding out that her co worker has the exact same prescription as she does except just in opposite eyes and she wears her glasses full time it has to make Danielle at least consider thinking that she maybe should be wearing hers full time now as well. With this little chat about glasses in front of Vicky, did Vicky say anything about her own wearing of glasses? You have now seen Vicky quite a few times since she started wearing Danielle's previous glasses and I know Danielle had 2 pairs. So does Vicky only choose to wear one of the pairs or does she seem to switch between the 2 pairs? So I wonder if when the time comes and Danielle gets an increase if Vicky will start wearing Danielle's current glasses or if she is happy enough with the glasses she has and doesn't want to make her eyes any worse?

Carrie 12 Mar 2016, 20:21

We met up with our friends Danielle and her girlfriend (who I will now on refer to as Vicky. It's not her real name as that is unusual and distinctive). Danielle had her glasses on top of her head but had obviously been wearing them quite recently and for some time as I could see the tell-tale red marks on her nose. A bit later we were chatting away and Danielle mentioned that a woman at work had said to her she was surprised that she didn't wear her glasses all the time as their glasses looked very similar in prescription. Danielle said the woman at work, who is a couple of years older than her, wears glasses all the time. Danielle said "I asked her what her prescription was and when she told me I thought it sounded familiar. It was familiar because it's the same as mine just in opposite eyes!". Danielle said that the woman said that she presumed that when Danielle got contacts it was because she needed them or glasses all the time. Danielle said she told the woman that she just chooses not to wear her glasses all the time even though she could.

Soundmanpt 11 Mar 2016, 17:15


It's funny as much as you enjoy wearing your glasses your cousin is completely different about wearing her glasses and even worse since she had to start wearing them full time which she really didn't want to happen. But even though she doesn't like it she really can't function very well anymore without her glasses. I'm sure you have tried to convince her that she looks very attractive wearing glasses and that wearing glasses isn't the worst thing that could ever happen to her. Sounds like you were having fun trying on not only her new glasses but even some of her previous ones as well? It's always interesting how she first got glasses a good while after you had your glasses and now her glasses are +1.00 stronger than your glasses. Even stranger since you you went straight to full time wear as soon as you got your first weak glasses and have been full time ever since and your cousin avoided wearing her glasses as much as she possibly could and now she has the stronger glasses as a result. Anyway when you were trying on some her glasses you mentioned that her previous glasses are L +3.00 and R +3.50 and that is exactly what your considering ordering on line for yourself. Why don't you first just borrow your cousin's glasses long enough to be sure that the prescription works well for you, but I am sure your eyes shouldn't have any problem with adjusting to them since they would only be +.50 stronger than your current glasses. Trust me in a few weeks those glasses will be close to useless to your cousin anyway, but she might still want them as a backup just in case something were to happen to her glasses so you probably would still want to go online and order a pair for yourself once you know you like that prescription.

Plus Tony 11 Mar 2016, 13:00


I suspect that your wife has latent hyperopia (long sightedness) rather than early presbyopia. Everyone is different but I would suggest that she wears her glasses all the time for a week or two. If at the end of that time her distance vision with glasses is nice and sharp she should continue with full time wear. If not she should probably use her glasses only for close work.

Doug 11 Mar 2016, 04:52

My wife was has an optical benefit that was expiring so went for an exam for kicks. He gave her a prescription of +1.25 and told her it will help with her close vision but she can wear them all the time if she wants. She got a very hot pair of glasses, which she doesn't really think she needs, but says they do make print bolder and easier to read. She says although she was told she can wear them all the time, distance is blurry. I tried them on, and can verify what she says...close is a bit more vivid but distance blurry. Four questions...

1. Should she wear them at all?

2. Should she try to wear them all the time despite the distance blurriness?

3. What's the chance that if I go for an exam I will be prescribed despite the fact I can see problems or strain, last exam about 2 years ago.

4. Any chance she was "hustled"?

We are both 37.


Likelenses 11 Mar 2016, 01:30


After reading your post regarding wearing your cousins glasses,I am now convinced that you will soon be in bifocals.

Cactus Jack 10 Mar 2016, 19:40


I need some more information to offer suggestions.

1. Your age?

2. Your complete prescription?

3. How long have your worn vision correction.

It sounds like you are in sales or client relations of some sort.

I am working on a response for spexfan that you might find useful. I have been extremely busy this week and have not had time or energy to finish my response. I have a couple of ideas that might help, but I need the answers above.

You probably should get a dilated exam. The ECP probably used the technique, but you were not aware that he/she was doing it. The technique is to start with a trial lens that has much more PLUS than was indicated in the Objective part of the exam. The excess PLUS actually causes you to be Optically Myopic so the chart is very blurry. Then the excess PLUS is gradually reduced until you can read either the 20/20 line or the 20/15 line. This technique will not normally trigger an accommodation response (where you add some PLUS internally, unless you do it intentionally or inadvertently.

I strongly suspect that you may be trying to help which leads to an incorrect prescription. I also have several other things I would like to suggest after I receive your answers.

I am going to be pretty busy over the weekend, but I think I can give you a little homework.


J.D. 10 Mar 2016, 18:52

Hi, I am copying and pasting from a recent post by Cactus Jack.

"If that is not available, your ECP knows how to overcome most of your accommodation response, but try NOT to "help" the ECP by trying to focus."

I am honestly having trouble finding an ECP that is skilled in this procedure. It is quite frustrating, as I would like to get a new pair of glasses. I have tried a couple of ECPs recently and they keep undercorrecting me, even messing up with the astigmatism part. Headaches are the result. Because my work involves frequent transitions between near and distance vision, with travel to meet clients, I need a solid, comfortable, and stylish full-time pair to wear.

Part of it is me, because after these experiences I have become so wired and excited and nervous that I can't sleep properly the night before an eye exam, and I am almost too "hyperactive" during it--which makes the accommodative response even stronger than usual.

I am this close to "adjusting" scanned copy of my previous prescription to what I think it now should be. I have a specific frame style that I want from a cute local optical shop--online vendors just won't work for me.

Where I am, every ECP seems to have graduated from the same SoCal optometry school. I don't know if their training is poor, or if I am just getting a series of young and inexperienced ODs.

Your suggestions are welcome.

Weirdeyes 10 Mar 2016, 18:22


It probably is your real prescription. That prescription would make sense for you. Especially because you have so much trouble reading without your glasses at your age. My right eye pretty much has no problems reading without glasses. It's around +1.00-+1.50. My left eye does struggle quite a bit to read stuff without glasses. It's around +4.00-+4.50.

Carrie 10 Mar 2016, 15:53

I popped in to see my cousin earlier. It's the first time I've seen her since she got her new glasses. She has got used to the slightly stronger prescription. She had a copy of her prescription which says L +3.50 and R +4.00. She said her optician said this was +0.50 higher than her previous prescription. She said she didn't notice much difference between her old and new prescriptions and put her previous glasses on to compare. She said her new glasses just sharpened things up a bit more than the previous ones. She is still fed up that she has to wear glasses full time. She let me try her new glasses on. As they are exactly +1.00 stronger than mine everything was a bit fuzzy except for reading distance which was fine. If I concentrated hard I could force my eyes to focus. I tried on her previous glasses and there was much less blur. I kept them on for a few minutes and by then I could almost see perfectly through them. My cousin dug out her previous glasses to them which were +2.75 in both lenses. She put them on and said they seemed quite weak now but seemed quite strong when she first got them. I tried them on and unsurprisingly I could see perfectly with them as one lens is only +0.25 stronger and the other is only +0.25 weaker than in my glasses.

After trying my cousin's previous glasses I am tempted to order glasses online with +3.00 and +3.50 as the prescription as I am sure I could see perfectly through them after half an hour. I don't know if this is a sign of a future prescription for me or just good accomodation as I am still relatively young.

SC 09 Mar 2016, 11:58


I've seen hyperopia develop since my 40s. I assume with your 'Add' that you are wearing progressives?

The progressive lens design has lots of interesting bits - the distance part of my lens (my Rx is almost identical to yours) has intermediate adds of +0.25 & +0.5 right next to it.

My experience has been that I've always been able to tell that I will need a stronger distance Rx when I catch myself using these intermediate sections - typically I find myself tilting my head and looking through another bit of the lens. For me this isn't all the time, just when I'm tired, and is often not repeated at the eye test: for example I knew from 2011 that I would need +1.5 because I found myself looking through the intermediate segment but it would take another 4 years for this to be recognised at the eyetest.

At the moment I really don't have any hard evidence that I need stronger - I suspect +0.25 but it looks like I'm beginning to stabilise.

So before you ask for anything stronger then make sure you need it - just see whether you can focus using other parts of the progressive lens

spexfan 08 Mar 2016, 22:29

Cactus Jack, thanks, and ust to make sure I understand you correctly,....So if I got a little extra for distance, would my eyes continue to de-condition and adjust, or does adjustment stop at a certain point ie. would further deconditioning or relaxing the ciliary muscles ever allow me to wear more plus for distance than my current refractive error indicates?

Anyone else have any experience with distance plus rx increases in middle age?

Cactus Jack 08 Mar 2016, 21:46


Please don't try to get more PLUS than you actually need. It will have the effect of making you effectively slightly Myopic.


Cactus Jack 08 Mar 2016, 21:44


What you are experiencing is pretty common with hyperopes. The +1.25/+1.50 prescription you have been wearing for distance was, up until recently, pretty easily corrected by your Ciliary Muscles and Crystalline Lenses. The Add of +1.50 indicated that you still had about +1.00 to +1.50 of accommodation left to make up the +2.50 to +3.00 required for focusing close.

Now, you are up to an Add of +2.25. That means that Presbyopia and Ciliary Muscle de-conditioning has reduced your Accommodation Range to maybe +0.50 and you can no longer use your Crystalline Lenses to clear up your Distance Vision. That is pretty much the way it works.

I urge you to request a dilated or wet exam to get the most accurate prescription. If that is not available, your ECP knows how to overcome most of your accommodation response, but try NOT to "help" the ECP by trying to focus. Try to keep your eyes relaxed and let the lenses do the work. With luck, this prescription will last for a very long time.


spexfan 08 Mar 2016, 16:58

Currently wearing +1.25/+1.5 with a tiny bit of cyl and a +2.25 ADD. Fulltime. Have had a mild plus rx all my adult life but was able to function without until a few years ago, hence an ADD of +1.5 which was prescribed in my early forties, gradually increasing to +2.25. I'm currently aged 46.

I've noticed that my *distance* vision in particular has really deteriorated this past year. I definitely get a noticeable blur watching tv or driving without glasses, this was never the case before.

So I'm curious to hear people's experiences with plus distance rx increases in middle age. I think I'm going to ask my OD for a +0.5 increase at my annual exam mid-year. Would be great to eventually have +3.0 or something similar (this would be a dream come true as I've always had a fetish for some real glasses dependence...I've had to play around with GOC until now!!)

Thoughts anyone?

Lurker 29 Feb 2016, 13:52


I was told I could use some help for close work, and was able to get +1.25 contacts which I often use. I found over time that while my close vision with my contact-less eye is ok-fair, I cannot read with my "contact" eye alone. My left eye close vision is all a blur. So I have effect mono-vision. I wonder if I never wore the contact if I would still be able to read without glasses!

Carrie 29 Feb 2016, 12:07

Soundmanpt - She's a bit funny like that. She's got really nice frames that weren't cheap which she looks rather hot in. Her prescription makes distances "HD" as well enabling her to see close up (She can't read her phone without glasses and said she would be "totally screwed", as she put it, at work now without glasses). She doesn't need to wear glasses full time yet but she could but chooses not to. I think she's holding off until she needs to wear glasses or contacts full time and probably hoping she will never need to. I think I've said before that she doesn't mind wearing glasses she just doesn't want to be dependant on them all the time. She's already concerned how much she needs them now. She will occasionally wear her glasses all day if her eyes feel tired or if she just wants a different look.

Soundmanpt 29 Feb 2016, 10:00


That's right I forgot about your friend from college. She pretty much did the very same thing as Danielle didn't she? In her case as I recall she would often have her glasses up in her hair when they weren't needed. Funny how people don't seem to understand that by wearing contacts full time it is really the same thing as wearing glasses full time. So it would seem that you pretty much expected the same thing would happen to Danielle when she got her contacts that happened with your college friend? I totally agree with you that Danielle is far more likely to be wearing bifocals before you. In fact based on the fact that she now appears to need at least a weak prescription for her distance she could already be at that point. Her main need is still going to be for close up work which being a graphic designer is very detailed so she is working her eyes quite a bit all the time doing that. But I don't think she has completely ruined her distance vision by wearing contacts but her distance isn't perfect anymore and she will likely need a weak prescription for that now. So depending on how much change she has in her close vision at her next exam will determine if they just recommend her new glasses with a small increase and suggest that she wear them all the time or if they might feel she needs much weaker for distance then they may recommend bifocals to her. That should totally freak her out don't you think?

Carrie 28 Feb 2016, 10:46

I haven't told Danielle about my friend at college who got contacts for the sort of reason and eventually found she couldn't go without contacts or glasses full time. Danielle may be close to needing full time correction but while she can get away choosing to wear correction or not she will. Being 30 she is that much closer to the sort of age when age related vision problems start. I wouldn't be surprised if she goes full time in the next 10 years and gets bifocals before I do.

Soundmanpt 28 Feb 2016, 09:48


She may think that she has caught it just in time not cause her any problems but she is probably wrong in her thinking. I don't think she really understood that when she decided to get contacts that in her case they weren't what her eyes really needed. At least if she was really trying to not let her eyes get any worse. Her plan at the time sounded easy enough, but she didn't realize that contacts take much more care and time than glasses do. I really do get what she was thinking. She just figured that by wearing contacts at work all day would be better than constantly putting on and taking off her glasses all day. But she is young and enjoys going out with co workers and meeting others after work for drinks and chatting, but as she has found out not so easy to care for her contacts properly if she removed them before leaving work. So she would usually just leave her lenses on and go out. Also she probably even forgot to take them off because by now her eyes were completely adjusted to them and she was seeing perfectly wearing them. I'm sure she does need her glasses now much more than she did before she got her contacts. Something she probably doesn't want to hear is that she really should be wearing her glasses now for driving. The damage is done, she now needs her glasses for seeing things at a distance as well as for seeing up close. Her eyes are feeling like they they have been working really hard after driving because is unable to see as well now without correction. Her eyes feel tired because she is straining trying to see and that is very tiring. Whenever it's time for her to get her eyes examined again she should expect not to be able to see the eye chart nearly as well as he has in her past exams. She is most likely going to be told that she needs to start wearing her glasses more often including driving and maybe even full time. The only bad thing about happening is that if she is told that she needs to wear her glasses full time she might just decide to wear contacts all the time to avoid wearing glasses.

How's her partner the coffee shop girl doing with her glasses these days? Since her eyes were able to adjust to Danielle's previous glasses this time around much easier than when she first was trying to wear them and she said that her distance with the now was fine I wonder how her distance vision is without her glasses now?

Carrie 28 Feb 2016, 05:11

My friend Danielle said to me that she thinks she stopped wearing contacts instead of her reading glasses just in time as she thinks she would have to wear them or glasses all the time if she continued wearing the contacts for another couple of months. Now she is back wearing her reading glasses she wears them for shorter periods than the contacts. Because it was a bit awkward and fiddly to take the contacts out she often wore them well into the evening after work. She has forgotten that she was wearing her glasses a couple of times and has still been wearing them when she got home. She has noticed that she feels she needs her glasses even more than before she started using contacts. She hasn't been wearing them for driving (apart from when she hadn't taken them off after work) but thinks she probably should as her eyes feel like they have been working really hard after driving.

Cactus Jack 26 Feb 2016, 23:50


Happens to a lot of people. Hyperopia is the ONLY eye condition that you can correct yourself by using part of the accommodation power of your Ciliary Muscles and Crystalline Lenses to correct. Often, you do the correction without even being aware that you are doing it.

That works until Presbyopia gradually eliminates your ability to do that by making your Crystalline Lenses so stiff that your Ciliary Muscles have trouble increasing their PLUS power. Once that starts happening and you need an ADD to help you focus close, your Ciliary Muscles will no longer have to work as hard to make your eyes focus and they will become weaker - like any muscle you are not using as much as you did before. When that happens you will probably need a bit more PLUS in your glasses for distance and most certainly, you will need more PLUS in your ADD.

Don't get excited when that happens. It WILL NOT continue to increase, but will soon stop. There is no way to tell what your ultimate prescription will be for distance, but your reading ADD will not exceed +2.50 to +3.50 depending on how close you like to hold things when you read.


Eric 26 Feb 2016, 13:50

I have been having trouble reading the print on my phone. Am 42 years old, so thought the time had come for my first pair of glasses. Went to the eye doc and got somewhat of a shock. Instead of receiving a prescription for reading glasses, I am now wearing glasses full-time. Apparently, I am farsighted, along with begin presbyopic, and need glasses FT. First time I had heard anything about being farsighted.

OD: +1.00 add +1.25

OS: +1.25 add +1.25

Just getting used to this glasses wearing gig----guess they will be on my face from here on.

Cactus Jack 19 Feb 2016, 13:00


If your wife likes to read a lot or do other close things, a pair of single vision reading glasses are a good idea, You can order an inexpensive pair online with excellent optical quality. We can help you if decide you want to do that.


Lance 19 Feb 2016, 09:01

So yesterday my wife had her exam. Her distance part of her prescription didn't change but she did get her near add bumped up to +1.75.

The interesting thing is the doctor also told her that she should get a single vision pair of reading glasses as well.

-.75 -2.25 70

-1.25 -1.25 100

add 1.75

Not even 10 years ago she had -2.00 sphere in each eye. Its interesting that as she gets older she is shifting towards being less myopic (she's 44) and more astigmatism.

Soundmanpt 18 Feb 2016, 10:30


Hang in there. It's very normal that things are going to be blurry at first for distance with your glasses, but you should slowly start to see improvement as your eyes continue to adjust to your prescription. How is your close vision with your glasses? I would think that your eyes are adjusting pretty well for reading by now with your glasses.

Cactus Jack 18 Feb 2016, 09:58


If you ordered glasses with only prism (no Sphere or Cylinder), you would need to specify a PD to keep from confusing the people making the glasses.

Sphere or Cylinder does NOT affect the adjustment for Prism, but the higher the prescription, the greater the optical effect of the PD not being right.


PlusWearer 18 Feb 2016, 03:07

Hi Cactus Jack,

If prisms don't have an optical centre per se, theoretically the PD wouldn't matter if I ordered glasses without spherical or cylindrical correction?

Are spherical/cyl. values something to take into account when calculating the PD displacement based on prism dioptres? So far I have only concerned with the prism values (i.e. reduction by 0.3mm per prism dptr.) and was satisfied with the result.

In my experience with brick and mortar opticians has been moderate in terms of accuracy, since they usually used the total PD. I suspect that this is not accurate in my case, so I will refine it a bit.

Thank you for your insightful advice!

Cactus Jack 17 Feb 2016, 18:17


That seems right. Ideally you want the central axis of vision to impinge on the back of the lens at the optical center.

A couple of points. Pure Prism has no optical center, but the lens incorporation the prism does if it has any Sphere or Cylinder. You may need to try to list the PD separately for each eye rather than a total. I've had lots of problems with that.


PlusWearer 17 Feb 2016, 17:44

Hi Cactus Jack,

thank you very much. That should be easy then. Yes, I have a minimal amount of prism (4BO per side), but I will probably increase it to 5BO to make it more comfortable without becoming visible (and will adjust the PD accordingly).

One minor question: If I look through the left lens and see sharper when looking slightly to the left (as opposed to the center), this implies that the left PD is too large, correct?

Thank you!


Cactus Jack 17 Feb 2016, 09:32


PD adjustment for Prism is an overall effect on the glasses. The only exception to that is what are called Slab Off glasses where there are different amounts of prism in the distance and near segments.

You did not mention Prism in your original request, what do you have in mind?


PlusWearer 17 Feb 2016, 04:57

Hi Cactus Jack and specs4ever,

Thank you very much for your help. Thank you for your detailed elaboration, Cactus Jack. I will use 3mm reduction.

Can I assume that the PD correction for prism glasses (Prentice's rule) is the same for distance and near?



Jane 16 Feb 2016, 15:23


I hooe you're right because so far my fistnce vision is really blurry with my glasses on.

Soundmanpt 16 Feb 2016, 08:27


I would expect that by the end of that week wearing your glasses full time your eyes will have adjusted quite bit if not completely and you should be able to see at all distances pretty well. By then your glasses should even feel much more comfortable on and you might even almost forget that you're wearing glasses. Remember to start your days by putting your glasses on as soon as you get out of bed. You want your eyes to start seeing with correction as soon as your eyes are open.

specs4ever 16 Feb 2016, 07:50

Hi plus wearer. For the pd of the bifocal segment - which in progressives is generally the entire area, they usually decrease the distance pd by 3mm. Hope this helps.

Cactus Jack 16 Feb 2016, 07:49


The idea that a person does not need reading help until 40 or more, is a Myth. Everyone is different. It seems fairly common for people who are Hyperopic to need close focusing help sooner than people who are Myopic. A big factor these days is how much close focusing we do compared to say 20 years ago. The culprit is Presbyopia combined with the use of Computers and more particularly the small text on SmartPhones and Tablets. Even teenagers sometimes need bifocals or progressives to relieve the strain.

Typically, PD for near is 3 mm less than PD for distance. When you read or focus close your eyes converge. The amount of convergence is a function of focus distance and is unrelated to the amount of ADD or the power of the reading glasses. The reduced PD helps keep the Optical Center of the lens or segment close to the Central Axis of Vision for each eye when focusing close.


PlusWearer 16 Feb 2016, 01:32

Hi everyone,

I had ordered glasses from Zenni with additional plus (+0.75) to reduce my strain when reading or doing close work, which works great. I wear those as an alternative to my regular correction (around sph +2) for a year now. The issue is that I got used to them and have trouble reading close without them. I would like to order a pair that has the additional extra plus built in, so I can have this support on any everyday basis, not only for specific tasks. However, my ECP thinks I am too young (35) to warrant combined distance/near glasses.

I nevertheless would like to try my luck with progressive glasses (since they are not noticeable to the untrained eye).

My question:

Since my ECP doesn't want to help me, is there any technique to determine (or at least estimate) the PD for near vision (e.g. a simple test), so I can give this a try?


Likelenses 15 Feb 2016, 16:59


Advanced education really takes a toll on ones vision.

Jane 15 Feb 2016, 15:31


Thank you so much for you excellent description. I am working on my MBA, I got my BBA last year. I have taken what you and soundmapt have said, and will start wearing my glasses all the time for a week and see how I feel about them afterwards.

Cactus Jack 15 Feb 2016, 13:01


I did not ask what you are studying. The detailed explanation of why I said what I said, involves Math, Optical Physics, and the Physiology of the Eye. I have explained all this, many times, on this and other threads. Please feel free to do some research on your own.

I will try to be brief, but the explanation is not simple.

Hyperopia and Latent Hyperopia - Two different causes with one effect and one solution. Also both can be present in one eye and their effects are additive.

Hyperopia is caused by the eyeball not having grown enough for the Total PLUS power of the eye’s lens system. This causes images to focus behind the Retina. PLUS lenses are required to move the focus up to the Retina. This can be done using external lenses or the internal Crystalline Lens. Hyperopia is considered Permanent after the eyeball stops naturally growing in the late teens or early 20s.

Latent Hyperopia is caused by the Crystalline Lens (and the Ciliary Muscles) internally correcting Hyperopia for a long time. The Ciliary Muscles can become so used to squeezing the Crystalline Lenses to provide the extra PLUS to correct Hyperopia that they cannot relax very rapidly. When you start wearing external PLUS correction, your Ciliary Muscles can gradually relax. Initially, you have too much PLUS which makes distant images blurry, but as the Ciliary Muscles relax, your Crystalline Lenses supply less and less PLUS and your distance vision clears up. How long? No way to predict, but IF you have Latent Hyperopia, the more you wear your external PLUS glasses, the quicker it will occur. Expect weeks if you are lucky, but months are not unheard of. Without your glasses you use your Ciliary Muscles and Crystalline Lenses to correct Hyperopia and nothing is accomplished.

Exophoria is a subset of Strabismus. Strabismus is a general medical name for problems with the Eye Positioning System, sometimes called muscle imbalance. The name Exophoria is a compound term. The first part describes which direction of the deviation. Exo = Outward, Eso = Inward, Hyper = Upward, and Hypo = Downward. The last part describes the permanence. Tropia = All the time and Phoria = Some of the time.

There are 6 muscles in 3 opposing pairs for each eye. The muscle pairs control movement up-down, left-right, and oblique. Ideally, your eyes should point in the same direction for distance vision and converge when you look at something close. There is NEVER a requirement for your eyes to diverge. However, during your eye exam the examiner discovered that your eyes would like to diverge even when looking straight ahead. You can overcome this tendency to diverge with effort, but that takes energy to keep from seeing double. Base IN prism can correct for this divergence, optically.

To complicate things, there is an interconnection in your brain between the Focus Control System and your Eye Positioning System. The act of focusing close, causes your eyes to converge to avoid double vision. When you use your Ciliary Muscles and Crystalline Lenses to correct Hyperopia your eyes sometimes try to converge. When you correct your Hyperopia with external lenses, sometimes, a tendency of your eyes to diverge is revealed, thus the Base IN prism to keep you from seeing double.

The only know way to ultimately diagnose and correct Latent Hyperopia is to start wearing external PLUS lenses and see what happens to your distance vision with glasses. If it starts clearing up, you have some Latent Hyperopia, if it does not, you didn’t, but it is likely that you had and have some true Hyperopia that needs correction, full time.


Soundmanpt 15 Feb 2016, 11:51


It looks as if you recently joined the glasses wearing club. Always nice to see new members. I have a feeling the fact that you now have glasses to wear is still somewhat surprising to you if not shocking. I will try and not step on any toes with Cactus jack who is without a doubt our expert in here. You have had your glasses for about a month now and you're still not sure if you should be wearing them full time or just for reading. It really helps when you get glasses and you're trying to adjust to them to make a point of putting your glasses on as soon as you wake up to start your day. This is when your eyes are their freshest and well rested. Then try not to be taking them off. The fact that your distance vision is blurry is very normal with a prescription like yours, but the more and longer you're able to keep your glasses on the faster your eyes will adjust to them. Of course if you need to drive someplace and distance is blurry then take your glasses off for driving until your eyes start to adjust to your glasses for distance and then wear your glasses to drive. I assume that your glasses are already helpful with things like reading and seeing other close things. It is difficult to predict how long before your distance becomes clear with your glasses. Maybe a week or two or maybe even slightly longer. Everyone is different in that. But you should start to see intermediate distance getting better and further away which is telling you that your eyes are adjusting slowly as they should be.

So you apparently weren't having any noticeable vision problems before your friend went and got her eyes examined and gave you that small hand held eye chart which you were just sort of playing with until you noticed that you couldn't see it so well. otherwise if not for that you didn't have any plans on getting your eyes checked. So you were at least thinking that you might be getting glasses when you went for your appointment? Was your friend surprised that you got glasses too. She seems okay with wearing her glasses full time are you going to be okay with wearing your glasses full time as well?

I have told this before but I will try and make it as short as possible this time. The young lady that used to cut my hair was about your age and she told me that sh had gone for an eye exam and she was surprised to be told that she needed glasses because she wasn't having any kind of vision problem. The doctor told her that it was very common at her age that she didn't notice any problem but he told her she could hold off getting glasses but she should expect that she will at some point need glasses. She decided to hold off. The place she was working closed up and I had to find a new place to get my haircuts at. About a month ago I was out shopping and this young lady comes over and says hi to me. At first I didn't even recognize her. You get used to seeing people in certain places and away form there you may not recognize them, but she also looked a bit different because she was wearing glasses and her hair was a different color. She pointed out the fact that she was now wearing glasses. She said she got them about 6 months ago because she was starting to have problems reading or seeing anything small. She siad at first she planned on just wearing them for close things but it wasn't very long until she was never taking them off anymore and now she needs them for pretty much everything.

Jane 15 Feb 2016, 09:47


Thank you so much for your input. Right off the bat you said I should be wearing my glasses all the time, could you please elaborate on the reasons why. Also, in explaining my prescription you said that I have exophoria, could you please go a little bit more into detail on what exactly that is? My next question is about latent hyperopia, how is that different from regular hyperopia? Also on this you said that if i have some my distance vision with my glasses on should be blurry, which it is so I guess I do have latent hyperopia. Later on you said that it should clear up, so I'm wondering how long does it usually take to clear up?

Now to answer your question the reason I just want to get my eyes checked was because friend of mine had recently gotten her stripes and had this little handheld chart to test her vision chart and while just messing around I decided to check test my eyes, and I was surprised at the fact that I could not read all of it even when holding it as far away from my face as I could with my arms.

Cactus Jack 14 Feb 2016, 22:01


Let me format your prescription for you. The first row is for the Right Eye, sometimes designated OD, for Oculus Dexter (latin). The second row is for the Left Eye, sometimes OS for Oculus Sinister.

OD Sphere +1.75, Cylinder -0.25, Axis 130, Prism 2, Base IN

OS Sphere +2,25, Cylinder None, Axis None, Prism 2, Base IN

At your age, that is a prescription for Hyperopia or Farsightedness with a very small bit of Prism correction of Exophoria (eyes wanting to diverge)

A quick answer is that you should probably wear your glasses full time.

However, you should be aware that it is likely that you also have some Latent or Hidden Hyperopia that may take a while to resolve.

Of all the refractive errors, Hyperopia and the things that go along with it are the hardest to understand. One of the reasons that people with Hyperopia have trouble understanding that they really need glasses is that Hyperopia is the ONLY refractive error that they can correct internally, using part of their Auto-Focus System's Accommodation Range. You didn't mention and I did not ask about what symptoms prompted you to get an eye exam. These days, the most often manifest symptom is having to strain to read the tiny text on SmartPhones or headaches when doing close work.

You may be experiencing a decided improvement in comfort when you read, along with blurry distance vision when you wear your glasses. If you have some Latent Hyperopia, your distance vision should slowly clear up with your glasses. It is possible that you will need a Sphere increase in a few months. All these things are common and you are not any different than millions of other young people who discover that they need PLUS glasses and sometimes even Bifocals because of difficulty reading their SmartPhones and Tablets.

The important thing to remember is that you vision should be comfortable at all distances. Glasses are simply tools and they are really no different than wearing shoes to protect your feet or a coat to keep warm.

If your distance vision is blurry, you probably shouldn't wear your glasses while driving until your distance vision clears up.


Likelenses 14 Feb 2016, 21:53


That is a strong prescription for a first one.

I believe that it is a prescription for bifocals,which of course would be for full time wear.

Jane 14 Feb 2016, 20:38


I am sorry I missed the second part of number four, typically I spend about 8-9 hours reading non screen material everyday.

Jane 14 Feb 2016, 20:36


Thank you for responding. As far as I know, my prescriptuon is what is in the sheet my docotor gave.

1. The first row reads +1.75, -0.25, 130, 2 and in. The second row does not have anything in two of the columns. It reads +2.25, nothing, nothing, 2 and in.

2. I am 21 years old

3. I am a full time student and I work front desk at a hotel.

4. I spend a lot of time at a computer. I use it for school, and I am almost constantly on a computer at work.

Cactus Jack 14 Feb 2016, 20:03

Sorry, the last post for Jane was from me.


 14 Feb 2016, 20:02


- for distance and + for close is not necessarily true. It depends on your underlying refractive error and if you have Myopia or Hyperopia which are sometimes mixed in with Presbyopia.

Could you provide a bit of information.

1. Your complete Prescription

2. Your age (we won't tell).

3. Your occupation

4. How much work you do with a computer and how much reading you do.

Wearing glasses is a lot like wearing shoes. One size and style DOES NOT fit all.

I will probably have a few more questions after you answer those.


Jane 14 Feb 2016, 18:33

Just got my first pair of glasses about a month ago. I am confused on when and how much I should be wearing them, could someone help me out with this. I do not know much about glasses but I do know - glasses are far away and + glasses are for close or reading. My glasses are + glasses. My question comes from the fact that I have a friend who also has + glasses, but she wears hers all the time. So should I be wearing mine all the time?

Soundmanpt 07 Feb 2016, 10:12


I'm sure that when Danielle was telling you that she is not going to wear her contacts anymore because she feels like she is becoming more dependent on needing correction full time. Of course you couldn't say a word but you and I both chatted about how wearing contacts is nearly the same as wearing glasses full time because like her, you tend to put them on before you leave home for work in the morning and they remain on until at least when she got back home that evening. But if she was not going home from work and was maybe meeting up with people or even going shopping she was still wearing her lenses. So her eyes were now not only using her lenses for seeing things close up at her job but she was seeing distances with her prescription as well. So it would make sense that her eyes are getting more and more adjusted to seeing distance with her lenses on. She's how noticing that her distance vision isn't as good anymore without her contacts or glasses as it used to be. And completely unlike her gf who would like nothing better than to be completely dependent on her glasses Danielle doesn't feel the same way at all. It could be that its too late because now her eyes are always going to see a bit better at a distance if she is wearing her glasses. Actually even though I know she really doesn't want to wear glasses full time, even though she has admitted that she is okay wearing glasses, she is probably going to find that she is wearing her glasses nearly full time anyway and might soon just stop taking them off altogether. My guess is that she will very soon get tired of putting on and taking off her glasses so much. Also her job working in graphic arts she needs to be able to see detail so her glasses will likely be on 95% of while she is at work and now that she sees distances not just as good but even better it makes little sense other than vanity for her to be taking her glasses off very much. It will be interesting now to see when you all 4 get together if she is wearing glasses or not. If distance is even slightly better now with glasses she really should now be wearing her glasses when she is driving.

Carrie 07 Feb 2016, 04:52

My friend Danielle happened to mention last night that she was going to stop using contacts as she felt she was becoming more dependant on them. She has been wearing them at work instead of her reading glasses but quite often doesn't take them out until a few hours after finishing work. She can see distances very slightly better with her glasses or contacts but not enough, according to her, to justify wearing them full time. But she has found that wearing the contacts so much that she sometimes has to put her glasses on when she takes her contacts out so she can see properly. I suggested that maybe she does actually need her glasses or contacts full time and that she could just wear her contacts when she didn't want to wear her glasses. She said maybe she did need her glasses or contacts more but she was going to try just using her glasses when she needs them for now.

Carrie 07 Feb 2016, 03:59

Soundmanpt My cousin went for the eye test only because it had been a year since her last one. She hadn't noticed any changes in her vision. I wouldn't tell her that she is highly likely to need full time correction for the rest of her life. She accepts she needs her glasses for now but is hopeful that one day her prescription will go down and she'll only need them for reading or even not at all. Since she's been full time she has had nice frames and does look good in them. I have shown her various makeup for glasses YouTube videos and she has taken advice from them.

She is still shocked that in just a few years she has gone from finding she needed reading glasses to needing stronger glasses full time. Like me, she can get around without glasses for a short time. She has given up trying to go without them for longer periods as it strains her eyes.

Likelenses Interesting you think we will both have bifocals by 30. I think my cousin is borderline needing them as she was close to getting them last year but maybe her optician is going to wait a bit longer to see if she does need them. I have never been offered bifocals but if I did get them I would get the no-line type. I'm not against having them but I admit I am a little bit vain, which is the reason I would go for no-line ones.

Likelenses 07 Feb 2016, 01:03


The last paragraph at this site states," 3. Bifocal Glasses – Many people are surprised to see a young person wearing bifocal glasses, but this is a really effective treatment for moderate levels of hyperopia in young patients. The bifocal takes the stress out of focusing up close and strongly enhances a young persons ability to see up close and far away. During the general eye examination, a prescription is always given to the patient, and bifocal glasses are an excellent option for treating a hyperopic patient."

Likelenses 07 Feb 2016, 00:06


Since you and your cousin began wearing plus glasses at a relatively young age,it is probable that both of you will be in bifocals early,most likely before you are 30.

Soundmanpt 06 Feb 2016, 08:21


So I assume your cousin only went to get her eyes examined because it was time for her annual eye exam and not because she was having any problems with her eyesight? It's good that she only needs a small increase and it must mean that her eyes are pretty stable now. Between you and me I always question if you're not having any issues with your eyesight and only going in because it has been a year since your last eye exam when they tell you that you need slight or small increase if you really do need an increase or if they just see a golden chance to sell a pair of glasses that may not be needed? If you were to go on line today and order a pair of glasses from Zenni or one of the other fine on line shops and increase your glasses by +.50 more than your current glasses are you wouldn't have one problem with them and be seeing slightly better as well. I'm sure you very well know that there is no chance that your cousin's eyesight is ever going to somehow start to improve. But I assume you just don't want to burst her balloon by telling her that she is going to be wearing glasses form now on. She has at least accepted that she has to wear her glasses full time if she wants to see but she still clearly isn't happy about it. Too bad i'm sure she probably really cute wearing her glasses. She still must like how she looks wearing glasses which is odd after this long. Maybe she needs to go and get a professional makeover done. I good makeup artists can really show her ways to enhance her eyes with her glasses on.

Carrie 06 Feb 2016, 05:47

Just been to see my cousin. She had her eyes tested this morning and only needs a small increase in her prescription and much to her relief she doesn't need bifocals or separate reading glasses - yet. Like last time, she hoped her prescription would go down and she'd get closer to not needing glasses full time. I don't think she will ever not need glasses full time. She is going to get her new glasses in a few days.

Cactus Jack 03 Feb 2016, 19:00


I am interpreting what you listed as your prescription as:

OD (Right Eye) Sphere 0.00, Cylinder -0.50 Axis 160 Add +1.25

OS (Left Eye) Sphere 0.00, Cylinder -0.25 Axis 005 Add +1.25

If that is correct, it appears to be a prescription for bifocals or progressives. It also could have been made as prescription single vision reading glasses asL

OD (Right Eye) Sphere +1.25, Cylinder -0.50 Axis 160

OS (Left Eye) Sphere +1.25, Cylinder -0.25 Axis 005

If it was made in a bifocal the distance segment would only have very mild Astigmatism correction (Cylinder and Axis) and a comfortable reading segment.

If it was made as single vision reading glasses it would have the reading prescription over the entire lens.

Based on what you said, they are pure single vision glasses and what your coworker said, may not be applicable. The problem with Latent Hyperopia is that it is Hidden and it is very difficult to diagnose except by observing your Sphere prescription changes over time. If you do have some Latent Hyperopia, it will be manifest by very slow clearing of your distance vision through the glasses. However if you do not have any form of Hyperopia (which is very likely) your blurry distance vision through your glasses WILL NOT clear up.

It is very likely that the Add or Reading prescription will increase over time to the +2.50 to +3.00 range as Presbyopia continues to develop and reach an end point. That will make distance vision through the reading part of the glasses even blurrier. At some point, depending on your visual environment, it may become inconvenient to remove your glasses to see distance, clearly and you may find bifocals, trifocals or progressive lenses to be useful.

If you don't have any Hyperopia, you cannot induce it or affect it by wearing more PLUS than you need.


Willem 03 Feb 2016, 08:04

Thanks CJ for your repsonse to my Jan 28 post...

prescription says - -.50 160 +1.25 and - -.25 5 +1.25.

Reading is very comfortable with them, until I take them off. Distance is blurry so I don't use them for distance. If you remember...I told you my co-worker told me to wear them all the time assuring me that the distance blur will go away. Will I then NEED them for driving etc, whereas I don't now? Thanks!

Prismatic 03 Feb 2016, 07:05

SC and Mike,

I thank you for your replies. Mike - I wear near correction anytime I need to do an up-close task that isn't mundane (eating, dishes etc.). I too can keep my eyes from changing if I limit the near vision tasks, but unless I am on a road trip and driving all day, that is more or less impossible. As a health-care provider and university educator, my life and job are very near task demanding (which is probably part of my problem). Mid-range near (computer at arms length) doesn't seem to affect it as much as very near tasks (reading, knitting). It seems that my progressives make the problem worse than if I am using single vision reading glasses or computer distance (+1 add). Anyway, I have worn said new glasses FT for 3 days now. After being at work all day yesterday my left eye was fuzzy for distance and had to switch to old glasses to drive home. I am going to give it a few more days and go back to the Dr. I am sure he thinks I am crazy. I think the frustrating part is I don't need glasses for distance (See below), but I hate the on/off game of reading glasses. Plus, the prism keeps my eyes happy when doing distance tasks that require focus (lectures, driving, TV, movies). Therefore, if I need to have it, I want to be able to see well.

SC - I don't think I have that much latent hyperopia (I suppose it's possible, but I doubt it). I have had multiple dilated thorough exams over the years. I had lasik 14 years ago to remove an astigmatism (cylinder) of about -2.5 with pretty much no sphere (+/- 0.25). More recently I had an issue with my retina that required a thorough workup (luckily ended up being nothing more than inflammation that went away). I could tell I was a bit more hyperopic while dilated but not much. Right now the +2 add gets me to about 11-18 inches, which is exactly where I like it. It is a hefty add for a person my age, have had it for about 5 years now. But whatever it takes to get the job done.

I will keep you posted.

SC 02 Feb 2016, 15:00


I agree with Mike. Pseudo myopia induced because your eyes are straining too much on close up. Big add for a 39yo so I guess you have a lot of latent hyperopia to come out yet.

I've had these symptoms before I got glasses and after when I needed more help reading. Increasing the add will help but in your case it looks like it is distance that really needs to go up - maybe you should be +2,75 add +1,00

Mike 02 Feb 2016, 07:38


I have had very similar issues with my vision getting worse as the day goes on. I am 40 years old and this has been challenging for the last 3 years or more. Funny thing is I always thought I was myopic and had a perscription for that up until 2 weeks ago. I posted details of my latest exam here on 1/27. Basically I have found by limiting the amount of accommodation I have to do I can stop my vision from changing as the day goes on. However, the only way to do this is use + power lenses for near work or don't look at anything close. I would think with your +2 add on your current glasses you should have good results if you use them for your close works. Unfortunately I don't think there is anyway to prevent your vision from fluctuating if you only use glasses part time, because anytime you take them off you will have to use accommodation to correct your distance vision, and this will induce some myopia until you get to the age that your ciliary muscles can no longer help.

Prismatic 01 Feb 2016, 08:01

Had my yearly exam the other day.

Old Rx: R -0.25 , -0.25, 87, 3.5 BI prism, Add 2.0

L +0.5, -0.5, 90, 3.5 BI prism, Add 2.0

New Rx: R Plano, -0.5, 83, 3.5 BI, Add 2.0

L +0.75, -0.5, 84, 3.5 BI, Add 2.0

As I have gotten older (age 39) and more presbyopic, I suspect I have some latent hyperopia, as my Left eye has gradually gone from a sphere of plano to + 0.75 over the course of several years. Even with my last prescription though I noticed I could see well with my left eye in the distance in the morning, but by the afternoon my vision without glasses was better than with them. I have been a mostly part-time distance glasses wearer (at work, or driving - need the prism) and stick to using my computer/near glasses at home. When I picked up my new glasses the left eye was considerably blurrier, but I wore them all afternoon. This morning, as suspected, the left eye is sharp with the new prescription. From all of you out there in this similar boat, how can I just get my left eye to stop this afternoon/evening pseudo myopia of probably -0.5 diopters (estimated). I get it, my eye wants to be perfect without glasses, and does a good job by the end of the day, but this doesn't help with the overall near vision or distance vision with my glasses since I need the prism. Does anyone have any good advice (other than wearing my new glasses 24/7 for the next several weeks) to get this to happen?

Buzz 30 Jan 2016, 08:55

Hi all, i have been wearing my glasses full time for a few wks now and i can say that i am fully adjusted to it. My distance vision with and without glasses are pretty much the same now. I just notices that even with the glasses on i can "relax my eyes" again and near stuff becomes blurry again. What does that mean? Do you guys think i need more plus power in my glasses or that i have latent hyperopia?

Thanks again

Cactus Jack 28 Jan 2016, 21:15


You really have not provided enough information to be able to offer any response.

You mentioned your age, but you did not mention anything about your complete actual prescription or your visual history such as what prompted you to get an exam.

At 36, you are probably beginning to experience the effects of Presbyopia and need a little close focusing help with PLUS lenses. The idea that you don't need close focusing help until you are 40 is a myth. Some people experience close focusing problems even in their teens. There are other eye conditions conditions that require PLUS lenses for correction. That may have been what prompted your co-worker's comments and those comments may not be applicable to your situation.

Many people who begin to experience problems with Presbyopia also have Hyperopia and what is called Latent or Hidden Hyperopia. If you have True Hyperopia you will ultimately always need PLUS corrective lenses for both Distance and Close. If you also have some Latent Hyperopia, Your initial distance vision will be blurry, but that will gradually improve as your Ciliary Muscles and Crystalline Lenses relax.

Presbyopia, Hyperopia, and Latent Hyperopia are extremely confusing unless you understand basic optics and how your eye's work. The hardest thing to understand is how 3 different eye conditions all have the same solution. The amount of PLUS can vary with the conditions and sometimes if all three conditions are present there will be several prescription changes until everything is resolved. Ultimately, you may need bifocals or trifocals.

We can help you understand what is happening, but we will need to ask a lot of questions and ask for you to do some simple tests.

Please let us know your complete prescription and more about why you decided to get an eye exam.


Willem 28 Jan 2016, 16:52

I picked up my new glasses yesterday and have some questions about when to wear them. The dr told me to wear them for help reading, and I understand that, as distance is all blurry. When I told that to a co-worker she said that if I wear them all the time I will adjust to them and be able to wear them all day and see close and far clearly. I tried that for the rest of the day, but was really put off by the distance blur..anything past like 3 feet. She assured me that this will clear up by itself given time. If I try that and my eyes adjust, will I be able to see distance clearly without glasses, as I can now, or will I NEED to wear them all the time. I don't even NEED to use them now for reading. I am 36 and use the computer a lot. Is there a "typical" progression once you start wearing glasses?

Cactus Jack 28 Jan 2016, 01:57

Thank you Mike,

I really appreciate the feedback and the report of good results. Please give us an update after you have worn them for a few days in different visual situations. I am particularly glad that you felt comfortable discussing your visual experiences with your ECP.

Glasses are just tools to help you see comfortably and function with less effort. I fully understand that there are limits on what insurance plans will spend on exams. You were very smart to read the fine print (with your glasses?) and discover that it would pay for one exam during a Calendar Year rather than a year between exams. I don't know what an exam costs where you live, but if you are not seeing well and your eyes are bothering you, the out of pocket cost of an exam is pretty small. The cost of new glasses can be pretty significant, but often you can get some amazingly high quality glasses at online retailers, as you did, unless your prescription is very complex.

I think you did good all the way around and I am glad I could be of some help.


Mike 27 Jan 2016, 21:54

Cactus Jack

I wanted to follow up with you on our post from a few weeks ago. So I took your advice of "if your having vision problems why wait" I checked my vision insurance and after the 1st of the year I could go for the exam anytime I didn't need to wait a full year since my last exam as I thought. So it was a week after using the +1.25 readers anytime I was on the computer or any close work, I felt a substantial improvement, my eyes felt relaxed. I actually quit using my glasses full time because I felt they made things worse, but still used them under the readers for the close work because the astigmatism correction made everything much sharper. At this point I decided it was best to go in right away, I made an appointment, explained my situation and what I had been doing and the improvements so far. The auto refactor gave a R +.50 -1.25 L +.25 -.50 I didn't ask the axis, the subjective test yielded R +.25 -1.25 120 L +.25 -.75 105. Then he did something that they have never done before and put drops in my eyes and did the part with the light and the scope thing (I'm to lazy and tired to google the spelling and nomenclature right now so I hope calling it a scope thing is ok) anyway after that he suggested R +.75 -1.25 120 L +.50 -.75 105 and that is what he wrote the prescription for. We talked about an add for bi focal's but considering with my job I pretty much sit at the computer most of the day, and don't need to take the readers on and off, and he estimated I would need about +1 to +1.5 sphere within the next year or less ( as he said my sphere power will double) anyway at that point we could revisit bi focals or if I had issues he was very open to making it right at anytime. I ordered a pair of glasses online (took some time to get) and finally got them this afternoon. My distance vision was slightly blurred at first, after only a few hours it is now the same or slightly better than without my glasses ( my visual acuity without correction for distance with both eyes open was 20-25 ish). Now with my new glasses my overall vision is excellent and especial from 0 - 15 feet is HD quality. Excited to start tomorrow with fresh eyes in the morning. Big Thanks to Cactus Jack for all the information and Help!

Soundmanpt 27 Jan 2016, 12:51


I understand your frustration with all the comments and suggestions etc. which I was a part of as well. I'm truly hoping that with the change in lenses your going to get the vision your wanting and no more headaches. Clearly all you want to be able to do is get up, put your glasses on, wear them all day and see perfect for distance as well as close up and at the end of the day take your glasses of and go to bed without ever even a sign of a headache. I do hope you come back in a few weeks after you have had some time with your glasses and let us know how thing are going with your eyes and glasses. Good luck!

Mike 26 Jan 2016, 11:00

Marie, I followed your post from the beginning. It was nice that you shared your experience. It really helps others that first discover they have hyperopia or have had it for most of their life and how difficult it is to get the right correction the first time. My wife went back to the ECP 4 times 2 different places before she had lenses that were comfortable. The good thing with my wifes issues were that the ECP's were very willing to help and replaced her lenses every time at no cost.

I am having a similar experience, I posted here a few weeks ago, with the onset of Presbyopia, and some hidden hyperopia, but that is another story that I plan to post a follow up to once its all figured out.

Marie 26 Jan 2016, 02:10

Well this is getting quite detailed. I think I'll bow out here. Thanks for the discussion, guys, it's been fun. :)

Jordan: Sorry about the confusion. An optician in my country is a certified, highly educated ECP comparable to a specialist nurse. They are responsible for referrals to specialists and doctors. Their screenings are not just subjective refractions. I'm not particularly worried, but I agree it was a good idea to get things checked out! :) Thanks for all your feedback, it certainly has given me food for thought.

Cactus jack: Hello, and thanks for your words. I'm NOT a helicopter pilot, but I did try to become one. These days I'm a high school teacher/student of history and linguistics! Not quite the same, I'm afraid. Sorry about the confusion. I might just e-mail you, though I hope it wouldn't be an imposition.

Jordan 25 Jan 2016, 22:42

Correction acknowledged regarding the nationality error. Apologies to Marie.

Likelenses 25 Jan 2016, 20:21


It appears to me that in your quest to convince Marie that she does not really need glasses,that you have overlooked the fact of the subjective part of an eye exam.

Marie has had two of them now,with only a small difference in prescription.Therefore the need for correction has been established not only by the two different doctors objective methods,but most importantly Marie's own subjective results.

Also in your rather lengthy posts,you erred in two areas.1. you thought she is Canadian,when she herself twice said she is Scandinavian.2. You also missed her meaning in her reply to me regarding the word optician.She was referring to the optician,as one who dispenses glasses,as she said something about their return policy.

Jordan 25 Jan 2016, 18:16

Hi Marie,

My apologies for any mischaracterization or misunderstanding of your visual state or general well-being. This is a very strong risk of double-blind communication over the internet. I may not have read your posts carefully enough, and/or you are now describing your symptoms in greater detail. I also did not know how many years this has been going on.

If you read my earlier post again, you will notice that I was not explicitly advocating a LASIK re-do, but rather a consultation, to get a more fine-tuned assessment. Now that I am reading that your symptoms are serious, all the more reason to address the issue more seriously. I will now modify my suggestion accordingly:

Go to an eye center or clinic associated with a medical school (i.e., department of ophthalmology), where you can find a specialist who is willing to take you seriously and work with you to address all outstanding issues in a systematic fashion. This is clearly not a job for the average street-corner or shopping-plaza ECP.

(I am not quite sure in which country you live, as you use the term "optician," yet you sound fairly North American in your style. My understanding is that in both Canada and the USA, an optometrist is what an optician would be in the United Kingdom. I thought I saw metric use in your posts, which would lead me to believe you are Canadian.)

As LASIK has now been around for a few decades, there are likely to be academically inclined clinicians who have studied its effects in patients, and who can take on complex cases. On the other hand, there could be things going on with your eyes that are completely unrelated to the effects your LASIK procedure.

If your case requires someone of greater stature than your average ECP, it is certainly beyond the scope of the individuals who participate here. Please tell what course you decide to take, but then I think it's probably best for you to allow the most highly qualified professionals handle the matter. That means not taking advice here. There is enough confusion already!

There are some similarities between your experience and mine, but that does not mean I truly know how you see, or what symptoms you experience. My sincerest apologies once again. The others here are far too motivated by the desire to encourage people, young women in particular, to wear glasses full-time to make any objective recommendations. You may need corrective lenses after all, but it's not our call. Nor should it be.

All the best,


Cactus Jack 25 Jan 2016, 17:45


I have avoided this fray so far. This will probably be the only time I offer my thoughts. I believe you mentioned that you are a Helicopter Pilot. I never flew Helicopters, but I flew fixed wing General Aviation airplanes from the time I was 17 until I could no longer pass the medical, when I was in my 60s.

Part of the problem is that you are behind the power curve as it relates to your vision. In some way it is like the student pilot who, after an accident, wrote in his report that he had run out of airspeed, altitude and ideas, all at the same time.

You need to land, rethink the situation, analyze what went wrong, make a plan, test your theories, and complete the mission. I think you can do that without bending anything.

I think I understand what is happening to your vision and I would be willing to offer suggestions, but not in an open forum. If you are interested, please contact me privately at


Marie 25 Jan 2016, 16:50

Hey guys, I feel like I've kidnapped this entire thing. That wasn't my intention, I was just feeling a bit frustrated. Sorry about that, and thanks for your replies!

KL: Well, to be fair, I've no clue what's going on, either. :P Differing opinions all round at this point! Yay for Scandinavians. ;)

Jordan: I appreciate your reply, but I'm not certain I agree with you (but then I've been a bit all over the place trying to figure this out, so I can understand what you mean about me moving too fast. Sorry about that.) You present some logical options and considerations, but you conclude I've gone "far beyond being "positive" about glasses," and that chances are I wont notice headaches if I'm occupied? That's a little unfair. I've been trying that for the last three years. Last week I had to go lie down because I went grocery shopping and it gave me a headache from shifting focus and reading labels. I'm having double vision up close, but _ I thought everyone did_, and the astigmatism once I tried on the new lenses was noticeable. I'm sure you know how these things sneak up on you.

Surgery is problematic; For one thing my pupils are too large and the chances of more severe after effects than the ones I've got are massive. I'm not risking it, wouldn't have done it again if I could go back, either. For another it'd be like using a sledgehammer to crack a nut.

How can I be sure the optician is right this time? I'm not, but I don't have a lot to lose by being positive (I accommodate just fine, you're right about that). :)

Sorry, that was all about me again. =/ Please post your own experiences when or if you feel like it, but don't exhaust yourself on my behalf. I appreciate the effort and the intentions, but it's not worth it if it's just getting you riled up. Thanks for your reply and the food for thought.

Soundmanpt: She didn't recommend them, but then I did explain to her a week ago that I didn't want them (she was present the last time, but didn't do the test). We agreed then that if these glasses didn't work out I'd come back and we'd figure out a way to make them work with single strength lenses - and she did. It was like she dropped the salesperson-act this time... You're right, the floor felt slanted like the first time I got glasses for astigmatism, so I'm expecting a bit of a ride from that the first couple of days. Things looked pretty awesome with them on (and I thought they were perfect before), so I'm optimistic. :)

KL 25 Jan 2016, 15:00


I can't believe how many opinions you have been getting, the fascinating part being that not only are they contradicting each other (which, really - everyone has an opinion, so that part isn't surprising), some are also contradicting what you've already explained about your issues.

Is the below about right?

You had Lasik about 6 years ago, and were fine for 3 years after that.

Currently, you're getting eyestrain and headaches frequently without glasses, at all distances.

You don't want to do the off and on (reading glasses) thing 50 billion times a day.

Your current glasses were intended for reading, yet your distance vision with them is good enough to be driving for hours - and no headache.

Your most recent prescription has more astigmatism and less sphere than what's currently in your glasses.

Throwing some logic at this, I come up with the following:

No glasses is not a viable option

Reading glasses is not a viable option

Which leaves:

Go with the glasses full time.

Hopefully the latest prescription will be more accurate. Best of luck, no matter what you decide. (And greetings from a fellow Scandinavian!)

Jordan 25 Jan 2016, 14:15

Hi Marie,

I had a really detailed post planned for you yesterday evening, but now you're making it difficult to keep up. I think you've gone far beyond being "positive" about glasses.

Let's go back to the basics. You are demanding a degree of perfection from your visual clarity and visual comfort that is probably impossible to achieve. You already know that the LASIK-induced changes to your cornea and your untouched internal eye are effectively opposing each other. Given your young age and ability to accommodate, your eyes' desire for visual clarity will win out. Remember that vision should be effortlessly clear. You can easily achieve this without vision correction. If you have slight headaches, they will probably disappear over time, or remain as background noise that you will learn to tolerate. For reading and close work, vision correction can mitigate headaches and eyestrain, which makes glasses particularly useful for a student like you while undertaking those activities.

Now it seems also that you are demanding a nearly impossible degree of perfection, a perfectly fixed number, with your prescription. I would claim that what you can actually get is a range--a range that you can find comfortable and clear. Can you be really sure that your second opinion is correct, versus the first? Can you be really sure that you have a higher level of astigmatism than you thought earlier?

The reading that an optometrist will get will certainly depend on his or her skill, but it may also vary on changes in your vision, which occur not just day to day, but intraday as well. If your eyes are tired, or you haven't slept too well, you may get a higher reading than otherwise. Low hyperopia is difficult to measure, particularly so in "our" cases.

Mild astigmatism is difficult to gauge as well, more so for the angles. (In my case, the angles effectively cancel each other out.) In these mild cases, the optometrist may, appropriately, not fully correct the astigmatism but dial it back a step, because the complete correction may be too difficult for the patient to adjust. This is particularly true in cases like yours, where the patient does not need full-time wear.

You can get your eyes checked and rechecked, without the aid of your current prescription, and you can get different readings each time. If your eyes get used to a particular Rx, then an eye exam will eventually reflect that. As mentioned, a very thorough eye exam in which your eyes are given a workout will yield a stronger prescription than otherwise. Obviously a less thorough, quick exam will do the opposite, particularly given your age and eye condition. Eventually, though, a prescription has to work for you.

I think you can easily adjust to wearing glasses for long periods of reading and studying, then taking them off otherwise. Millions of natural hyperopes do the same. Yes, there is a jarring effect when you take them off, but you will recover fast. Take a walk, go on a run, go to a yoga class or coffee, chat with a friend, run some errands. Chances are, you will not notice the headaches if you are mind is occupied with other things. Much of this phenomenon is probably in your mind, and eventually you will get used to the changes and move seamlessly between the two worlds (glasses vs. no glasses).

Did you notice that the prescription in your right eye, the dominant one, is the same with both eye exams? I think that's what I read: +0.75 both times. If this is correct, then how does it change your distance vision? (You shouldn't be too bothered with your left eye in isolation; what matters is your binocular vision.) If it was fuzzy before, it likely still will be so. Now, I understand there is an astigmatism component that could be greater than thought, but are you really sure? Does it really make a difference in your vision? Is it just an artifact?

Your LASIK result probably falls under an acceptable range for the vast majority of people, both in terms of the hyperopia as well as the astigmatism. Most patients in your case can tolerate small degree of both and see clearly and comfortably. I have actually read that small levels of astigmatism can actually help sharpen vision in some patients. You need to consult ECPs on this matter, particularly those experienced with post-LASIK patients, rather than the characters who post here.

In fact, the best course of action for you might be to return to the ophthalmologist who did your procedure. This office will have all your records, and they will do as thorough an examination as possible, far beyond what a typical optometrist would do. Just tell them that you are considering an enhancement of your LASIK, and let them go from there. (In fact, this course of action might be the best option for you, if you really want to eliminate all your symptoms. You just have to keep in mind the unintended consequences. In fact, being slightly nearsighted has enormous advantages, particularly as you get older. I see that with my husband.) As a second choice, you can go to another LASIK place instead.

In either case, you can back out if you decide that another round of surgery is not right for you. But you will get a definitive gauge of your vision, in a narrower, more defined range, and you will get a prescription that is honed to your desire for clear and comfortable vision. I would suspect that they will still recommend glasses primarily for near work, and no glasses for distance, except in special circumstances (examples: seeing an IMAX movie, maybe a long drive at night). That's because your eyes will naturally gravitate to the clearest option.

If you really want to fight your eyes as they function now, and you are not interested in more surgery, then contact lenses are an option as well. This will force your eyes to adjust to the prescribed correction for distance, since you cannot easily take them off at will. (I looked into contacts once, but luckily my optometrist talked me out of it, because she knew that I could see fine bare-eyed. It was a vanity issue.) The other issue is that sometimes contacts can be difficult to fit because of LASIK-induced changes to the cornea.

The other issue you were grappling with was multifocal lenses. In case you are lured into that direction once again, let me offer some caution. Because your eyes can see well without correction in the first place, and you could presumably read well with a hypothetical weaker distance Rx, it would be difficult for you to force yourself to use the correct portion of the lens.

If you are a student, then this problem is even more pronounced, since are you are doing near work for long periods, and you would naturally prefer having a full frame of vision. Unless you use the add properly, you wouldn't get the benefit, and your distance vision afterward with glasses would be blurry. (Trust me, when you eventually really need bifocals, you will know it, and you will automatically adjust your head accordingly.)

Well, I'm a little exhausted now. I have not delved too much into my own experiences, because I wanted to keep the focus on you. Maybe another time. Meanwhile, let me know what you think. I hope there is food for thought here.

Take care,


Soundmanpt 25 Jan 2016, 10:22


I am really glad that you were able to get in and be that did the right thing by really starting over with you as if you were walking into there store for the first time. Even better that you examined by a different doctor as well. Now of course the real test will be when you get your glasses. I assume you don't have them yet since they are remaking the lenses? Interesting that this doctor seems to think the SPH previously was a bit too strong but that you have more astigmatism than the other doctor found. Even though you won't know much until you get your glasses back I already agree with this doctor's diagnosis. The reason I think she is right is because of the headache problem you have been having both with and without your glasses being on. In most cases astigmatisms are far more likely to cause headaches than being near or farsighted. But not if it really was only -.25 in each eye. Now with it being -.75 that is certainly more than enough to cause headache pain. This time when you get your glasses you may still need to do a little bit of adjusting to them due mostly to the astigmatisms but after only a short time your glasses should begin to feel very comfortable for distance as well as close up. So I assume that this doctor didn't recommend progressives to you like the first doctor did? For the record Jordan is correct I am not a doctor and never claimed to be one, but it was in fact a doctor that had first recommended you get progressives, not me. Because of his recommendation it seemed he clearly felt that you needed glasses with a different distance prescription than what you needed for seeing close up. Because of that it really isn't possible to make single vision glasses do both properly. Anyway it seems like the store you went to is doing their best to work with you and that is exactly what they should do. They know if your not pleased with your glasses or their service your not going to say many nice things about them to others. And of course they had reason to charge you since you now have a completely different prescription for your glasses. I'm sure your going to continue to let us know how you get along when you get your glasses back. remember you have enough astigmatism that you may feel like the floor is slated and even a little bit dizzy at first.

Marie 25 Jan 2016, 04:41

Long post again, sorry about that.

I went back and got things sorted. :)

Another optician re-tested me, and then ordered new lenses.

R: +0.75 (-0.75 astigmatism) and L: +0.5 (-0.75 astigmatism)

The old one was R: +1.25 (-0.25) and L: +0.75 (-0.25), which might explain why the glasses haven't been optimal.

Still not a high prescription or anything, but I'm hopeful it'll make a difference.

The optician this time was very professional and thorough. She explained that the likelihood of my eyes feeling "perfect" with or without glasses is small "on top of the lasik." I've got some visual disturbances ("visual snow") that make it hard to see the minor differences between images, so I struggle a bit with some aspects of the tests.

She referred me to an orthoptist, and she seemed pretty confident it'd work out. They didn't charge for anything, either.


Please feel free to share your thoughts when you've got the time, I'm still interested in reading them. :)

I just want to make it clear I'm not expecting a diagnosis from anyone, that's not why I came here. This has been a great place to vent frustrations and get advice - even if you don't agree with some of it. I think you'll probably agree that our situation is pretty complicated, and getting glasses fitted can be fiddly. Still, pushing on without glasses when you need them doesn't fix anything, either.

At this point I've made the choice to be positive about the glasses, because I honestly can't be bothered feeling bitter about the whole lasik experience. ;)


It's not a significant squint, but it accounts for why I feel motion sickness from close-up work - which is great, because I thought it was in my head. Thought I was going loopy.

Exercises combined with glasses that fix whatever refraction error I have should clear it up, or at least get it to a point I can live with. :)

It's a relief to know I'm not struggling with close-up work because I'm going significantly presbyopic at 28, and she agreed I don't need progressives. Good stuff.


Thankfully it can be sorted without them - something my wallet certainly appreciates. :)

Jordan 24 Jan 2016, 19:24

Hi Marie,

I was about to at least begin a response, then perhaps continue tomorrow. It however looks like you are interacting with multiple people whose aims may not be aligned with your best interests. (I have followed this site for a long time, and I am not at all surprised that we are seeing advocacy for full-time wear, multifocals, and now prism.) The participants here are, moreover, not eyecare professionals who can make a diagnosis properly, nor are they patients who have experienced what you have. All this can lead to great confusion and conflicts of interest.

I am not an ECP either, but least I have experience as a patient undergoing the same procedure and resultant effects over many, many years, and I have had nearly the same symptoms as you have, but now obviously affected by getting older.

It isn't easy to get "our" type of prescriptions exactly right, but there probably isn't a rigid exact correction to be made in the first place, thanks to the ability to accommodate. There really is no perfect solution to your problem, and I don't know how big of a problem it is in the first place. Human beings have a remarkable ability to adjust to new situations. Maybe you just need a little extra time, but I think you'll get there.

I was about to outline a few scenarios for you, but I really need to go now. Please let me know if you want to hear me out, and I will get back to you probably tomorrow. Please also note that I must ignore other people's posts on this matter.



Soundmanpt 24 Jan 2016, 18:15


Your test with the pen is interesting. When you did that test was that with or without glasses or both? Since they made your glasses based on being for reading they should have measured your PD for close up and if they didn't that could be a part of your problem. It does almost sound like they need to check your eyes to see if you may indeed need some prism added if your left eye seems to turn out a bit. Of course that would be on the doctor for not catching that. I think you need to call as soon as tomorrow and see about getting things checked out. It could be that your left eye turns out when your tired or in this case over working your eyes by trying to adjust to your glasses. Unless you feel like your making progress with your glasses as they are I don't see any point in going another week or even longer depending on when you can in to be seen. At this point I think they need to treat things as if your a new patient by starting with doing a complete and comprehensive eye exam and going from there by checking your glasses to be sure that a mistake wasn't made at the lab. If they are professional about this their main interest should be in fitting you with glasses that work perfectly for you. Your not dealing with anything close to a strong prescription from the numbers you have provided. Your glasses are not all that much stronger than what they feel you need for distance and for reading they should be dead on. So if things were right your eyes should have been able to adjust to them easily within a weeks time.

Likelenses 24 Jan 2016, 16:49


Sounds now like some hefty prism is in your near future.

Marie 24 Jan 2016, 12:16

Hey guys, so. Thanks for that, Soundmanpt, both you and Jordan have some good points. :) There's no point in forcing myself to wear glasses that don't work, no matter the reason!

I do have a distance prescription. It's +0.5 and +0.75 in addition to the astigmatism (I think). Not a lot, and with that my eyes relax just fine. I'm not myopic - I managed 1.2 (left) and 1(right) uncorrected visus. :)

I still suspect the optician didn't do his job properly and check for convergence issues.

Holding a pen away from my nose, for instance, I can't focus properly on it until it's pretty far away. If I look at the top of my laptop screen I know logically it's a straight, smooth edge, and I can see that if I close one eye, but with both it's somehow hard to focus.

I feel carsick when knitting or reading (have done for years), and the left eye seems to turn a tiny bit out? It would explain why the glasses aren't doing the trick, I guess, and why reading or sewing makes it feel like something's tugging on my eyes and giving me headaches.

Pretty sure it's not all in my head (had to take a picture to prove it to myself, but having shown it to a couple friends they agree something's up), but seeing as the optician didn't pick up on it I'm feeling uncertain. Never had any issues as a kid, either.

Sorry for nattering on about this, and thanks for your patience. ^^

Soundmanpt 24 Jan 2016, 09:57


I pretty much agree with you 100% and you should know since you yourself had lasik. The only difference is that apparently when Marie was examined they must have found that she had at least a small distance prescription. I would hate to think they would be recommending her progressives if she only has -.25 for her astigmatisms since that would seem unnecessary for sure. But too be honest if Marie would prefer to just be able to wear her glasses full time so she isn't doing the on and off thing all day long even if she didn't have any need at all for a prescription in the upper segment of her glasses and only had the reading add she would benefit from having progressives anyway. It seems clear she is really struggling with wearing her glasses full time, or trying to, which are clearly stronger than she needs for her distance and adjusting to them for that but then not being able to read small print with them. in her case it seems her eyes maybe at least more sensitive than others might be. Something she can't help. But she seems to even not be able to wear them just for reading because she gets headaches without them. For this reason it is hard to believe that her only need for glasses for distance is just the -.25 she has for astigmatisms. It almost sounds like she maybe slightly nearsighted again. I think she really need to get some clarification about exactly what she really needs her glasses for.

Marie 24 Jan 2016, 02:47


Oh, and sorry, I forgot to reply to the last part of your post. Please do post your own experiences, I'd be interested to read them! :)

To answer your question, though, I'm right eye dominant.

Marie 24 Jan 2016, 02:43

Hey Jordan

Great to hear from someone with sort of the same experience! :)

You're absolutely right in the things you write, this could all be caused by my eyes being able to adjust to - but not needing - the glasses. That's definitely true for distance - I really don't need them. My eyes didn't change shape, they didn't shrink, there is a limit to how much the surgeon overcorrected me, etc. :) Agreed!

On the other hand, I'm definitely not imagining the headaches. Most likely I was overcorrected to +.50 and +.75 (not unheard of, I've got friends with the same problem), and I'm just one of those people who are sensitive enough that such a tiny prescription gives me headaches even if I'm young enough to accommodate it easily. The fact that I spent half my day doing very detailed close-up work, and the rest of it studying probably doesn't help.

I don't really mind wearing or not wearing glasses, but putting them on and taking them off is setting off the same headaches as not wearing them, and keeping them on doesn't. I've always been like that. If I put them on to begin with, I might as well stick the day out. I know this site is all for wearing glasses, which is fine, I'm just mostly interested in not getting headaches. No one is making me wear my glasses apart from me!

As for the bifocals - I didn't actually buy them for pretty much exactly the reasons you wrote, and I'm not going to any time soon (I just got frustrated last night). I don't need bifocals, I just need to get these glasses adjusted for my right eye (which is causing the majority of the problems), and I'm pretty sure things will settle down just fine.

Ever the optimist!

Thanks for your thoughts on this! :)

Jordan 23 Jan 2016, 16:47

Hi Marie,

I've been following your story the past few days, and I think it's time for me to chime in, because I've gone through a similar phenomenon. Yes, myopia, followed by LASIK with a slight overcorrection resulting in hyperopia. I'm also presbyopic now and wear multifocal lenses now, so you can that I'm older, well into my 40s. As a result, I have a fair amount of experience with this flavor of hyperopia, as well as with optometrists trying to correct it accordingly. (It hasn't always been easy.)

I'll start with the basics: Keep in mind that LASIK altered only your cornea. Internally, your eye remains myopic, with gradual changes over time as a result of physiological processes. Your LASIK-induced overcorrection is like wearing contact lenses that are a bit too strong. Now, many myopes like having a little extra correction than they need, because their vision is even sharper.

Clearly, you can easily accommodate for the overcorrection: nearsighted eyes are very good at doing this, as long as the extra power is to high. As such, I'm not at all surprised that you don't adjust easily to your hyperopic prescription with regard to your distance vision. But don't forget that many hyperopes, often younger ones, have the same difficulty. They may wear their glasses for extended reading, studying, etc., but they can't adjust for distance, or they don't feel the need to. This is very common and normal, and is the the essence of being a true hyperope: distance vision is clear, near vision benefits from correction. (Note the opposite case with myopia. It's why many myopes take off their glasses to read, right? You might remember that, pre-LASIK, you could see super-well up close without correction, if the object was close enough.)

Please keep in mind that vast majority of people on this site are motivated by the desire to encourage women, particularly young women, to wear eyeglasses full time, so they will advise accordingly, no matter the extenuating circumstances. I am trying to help you find clear, comfortable vision. Normally, people who wear glasses full time find a benefit in doing so, in terms of their visual clarity and visual comfort. You don't seem to fall in this category.

Based on your own experiences you share, I am guessing that you really don't need glasses for distance. Someday you might. As you say yourself, your astigmatism is minimal. Your hyperopia is mild and you can easily accommodate for it. I would urge you to self-examine whether any feelings of discomfort you have going about your day without glasses are psychological, or are motivated by your intrigue with them. When you take them off, you might feel discomfort for a few minutes, but your eyes should adjust very easily, based on your own reporting. Just as innumerable native hyperopic eyes do.

So, how did you get the prescription? Your eyecare professional gave your eyes a workout to make them very tired and relaxed to uncover the hyperopia. The prescription you got was in essence an idealized set of numbers, one that does not reflect your everyday visual experiences. It's essentially a near and perhaps middle distance prescription. In other words, you could benefit from near vision correction to reduce eyestrain and headache symptoms, but you probably can go without them as well, at least for short periods. Just as those same native hyperopic eyes do.

Unless you have a specific occupational need, I seriously doubt you need multifocals. Don't worry, you will eventually. Unfortunately, many optometry practices are motivated in part by the extra profits they can make in selling progressive lenses. They can claim that they simply addressing your symptoms. People on this site will suggest progressive glasses for other reasons: it is a natural progession of the interest described above. You are lucky nobody here suggested you wear lined bifocals.

I'd be happy to describe my own experiences over the years, if you want to hear them, but I'll ask you one thing for now: do you know which of your eyes is the dominant one? There are many simple tests you can find online that can help you find the answer.

Marie 23 Jan 2016, 10:31


Yeah, sorry, I usually operate in cm (in which case I'm at least 60/70 cm away from the screen. :P)!

It's pretty dumb. When I focus on the distance with the glasses, everything close goes very blurry. I _can_ bring things back into focus (and make the distance go blurry, obviously), but it's straining my eyes. If I take them off distance is relatively clear, but anything within 5-6 meters is increasingly blurry the closer it gets (and worse if I relax my eyes the way they seem to want to).

No, I used a Scandinavian chain. :) I appreciate the suggestion to order from zenni, but there's a similar online shop in my country that has a full refund policy within 3 months (and free shipping). I'm going to talk to the place I bought the glasses first and see what they suggest, and whether they have any options within a reasonable price range. At this point I don't even care if they suggest bifocals, so long as they work, and I can afford them.

Worst case scenario I'll get the prescription on these glasses (which were expensive, and so I'm going to wear them until they fall apart) adjusted for distance and such (which was straining my eyes before I got the glasses, too), and buy a pair for reading and then switch between them.

Still, it's only been a week. I'll give it another week before I decide what to do, I might still have some adjusting left in me.

Thanks for your help. :)

Soundmanpt 22 Jan 2016, 18:31


Your sure having a tough time of it aren't you? It seems like if you get one thing working pretty good something else isn't as good anymore. If you were able to drive with your glasses on for a couple of hours without any problem that means that your eyes were able to focus like you want them to with your glasses on. Taking your glasses off after wearing them that long for distance it makes sense that you wouldn't be able to see very well up close because your eyes were adjusted for seeing distances. But you should have been able to see up close with your glasses on. You commented that you were having trouble seeing your laptop from only a foot away. Actually that is a little too close anyway. Your eyes should be more like 18" to 20" away from your laptop and maybe even a little further if necessary.

By any chance did you get your glasses from Lenscrafter's? I know that they tend to be quite expensive for glasses. So what your saying even though they have a remake policy they don't have a refund policy. So your probably right that exchanging your lenses for progressives would still cost you way too much. Your glasses are stronger than they need to be for distance, so what is happening is that once your eyes adjust to them for distance like today when you were able to drive with them for a couple hours, then when you want to see something close up they are a little bit too weak. To be honest I don't know what they can do to fix your problem aside from telling you that you simply may need to only wear them for reading and that means taking them off and on 50,000 times a day which I don't blame you for not wanting to do. But I urge you to be sure to not leave that store without getting a copy of your full prescription for progressives. If you get that I am positive that you can a really nice pair of progressives on line for less than $60.00. Then if they will remake your lenses just for reading let them do that and you can have them for times when you might be doing a lot of close work or maybe if you like to read in bed having just readers in your full prescription would be nice. Then during the day you can wear your progressives so you have your distance correction for things like driving. Just so you know Zenni does have a partial refund policy. So if for any reason you got glasses from them and didn't like them, which isn't likely to happen, you can return them and get 50% of what you paid for them. So if you paid $60.00 for progressives and for any reason didn't like them you would get back $30.00. So not really a bad risk and I don't think you would be wanting to return them anyway.

Marie 22 Jan 2016, 14:02


Oh, and from what I understand, the prescription I posted earlier is what he wanted to give me as an add (because I opted for single lenses)...

Marie 22 Jan 2016, 13:29


I remember my first glasses very well! it was a neat experience, for sure. Wish it was that easy now - and that I'd never fiddled with my eyes to begin with. ^^

The shop has a policy where I can switch the lenses/glasses within 180 days, but I can't get my money back and go somewhere with reasonable prices. I didn't actually know their prices before I went in, or I wouldn't have committed to them.

I don't know how strong lenses I actually need for distance, because I suspect I've been accommodating a lot. I went for a long drive today, and now when I take off my glasses I can't see _anything_ up close. If I put them on things are still blurry up to about 3 feet away, and then they're crystal clear up until about 10 feet away. They're not bad in the distance now, either, considering I drove for about two hours with them on without a hitch.

Right now I'm having trouble reading the font on my laptop screen, which is about a foot away from my face - while wearing my glasses!

In the span of a day I've gone from taking off my glasses and things up close looking crystal clear to having to strain like hell to get them into focus at all. Tried on a pair of readers, and at about +1.5 (on top of my regular glasses) things up close start to come into focus.

I'm clearly going to have to go back and get it checked out, but I'm feeling a little freaked out. Starting to understand why people think their vision got worse from wearing glasses!

Soundmanpt 22 Jan 2016, 08:09


With your having been down the road both ways with your eyes I don't know how well you remember when you first got your glasses when you were nearsighted but i'm sure it was so much easier for your eyes to adjust to your glasses. Back then your glasses should have almost felt natural to your eyes. Now your like you know your working very hard forcing your eyes to adjust and function at a distance with your glasses. You are clearly frustrated that your eyes are still blurry for distance with your glasses but your eyes have adjusted some since you started wearing them so with constant full time wear your eyes will slowly give to your glasses. It makes sense that your left eye seems to have pretty well adjusted to your glasses. Your right eye has a little bit stronger prescription so that is why it is taking longer for the blur to go away in that eye. Would I be correct to assume that now when you take your glasses off after having them on for awhile your distance vision is more blurry than it was before you got your glasses. The fact that you find yourself squinting without your glasses indicates that your eyes are being changed. It's too bad that you weren't able to get progressives because with a slightly weaker prescription for your distance by now your eyes would have likely already adjusted. To be honest I am not happy with the shop that you got your glasses from. I don't know what part of the world you live in but here in the US many if not most of the optical shops offer a 90 day trial period with your glasses and during that time if for any reason even if you decide you don't like the color of the frame you can return them for a different pair. So they should have at least been willing to exchange your lenses for progressive lenses with you only paying the upgrade to progressives and deducted the price of your single vision lenses. But $800.00 seems way out of line for a pair of progressive glasses unless you wanted the best designer frame. I still wish I could convince you to check out go on line for your progressives because I am sure they would be so much easier on your eyes to adjust to. My fear is that after a few months your likely to find that your glasses are too weak for seeing small print and your going to need new glasses or new lenses as a result. So staying with single vision glasses you will be forcing your eyes to adjust again to even stronger glasses for distance. Remember your eyes don't really need your glasses to be very strong for distance, you mostly need glasses for seeing close. By any chance did they also provide you with a copy of what your prescription would be for progressives?

Marie 22 Jan 2016, 06:34


Yeah, you're probably right, but I went to an optician who wont give me my money back so I can go somewhere they charge a reasonable price for them, and they want me to shell out about 800$ for progressive lenses.

I'm a history/linguistics student, so that's not going to happen. Next time I'll be sure to go somewhere else!

In other words - I'll just have to make this work. Haha!

Weirdeyes 22 Jan 2016, 01:37

When I was eleven I got my first glasses. I was considered amblyopic because they couldn't fully correct my left eye. At that time I had no cylinder in my glasses. I don't know how good the best corrected vision in my left eye was back then. Eventually I got glasses that had a -0.50 cylinder in both eyes. They corrected my left eye to 20/30.

When I was sixteen I got my first glasses that could fully correct my left eye. The cylinder was -1.25. I never really patched. Is it possible that I never had amblyopia to begin with and just lacked cylinder? 1.25-0.50=0.75. 0.75 astigmatism is about 20/30 vision.

Likelenses 21 Jan 2016, 19:24


It sounds as though you could benefit from bifocals.

Marie 21 Jan 2016, 13:28

Finally managed to scrounge up the prescription.

Right eye: SPH +1.25, CYL -0.25, AXE 90

Left eye: SPH +0.75, CYL -0.25, AXE 90

I've been wearing my glasses pretty much full time since Saturday, and while distance things have gotten clearer, they're still a little blurry, particularly in my right eye. If I read and look up, things in the distance look more blurry until my eyes adjust after a couple of seconds. I've also noticed there's some distortion around lights whether or not I wear the glasses, like they're smudged upwards (like a ghost image from lasik, maybe, but I don't know).

At the same time, if I take my glasses off I notice I'm squinting within a minute. I've also noticed that I can "relax" my eyes when I'm not wearing them, and everything up close (if I relax them enough everything in the distance as well) blurs, and putting on the glasses helps the blur up close, but not in the distance.

Conclusion: Eyes are _weird_.

Getting a little doubtful that the distance will clear up, in which case I'll be stuck taking off and putting the glasses on about 50 000 times a day.

Any thoughts? I'm pretty grateful for any help or feedback you guys have got. ^^


Marie 19 Jan 2016, 12:52


As a helicopter pilot.. Yeah. :) I wanted to go the military route, in which case it was required. Didn't end up doing that.

And yep, I usually keep a copy of the Rx around, I just forgot to get it printed this time around. Going back tomorrow to pick it up, and then I'll probably have a billion questions about it after, haha!

My vision had been stable since I was 14 at the time I got lasik. I got them checked regularly, and there had been no change in prescription. The regular checkups after lasik only went on for a year, and at that point I had no problems at all. No scar tissue, no dry eyes or starbursts to speak of. I do recall the surgeon saying that if my prescription had been any higher, they wouldn't have gone through with the surgery, because my pupils were (are) huge. They asked me if I was a drug addict, and whether my night vision was good (it's pretty crap).

Not needing glasses for driving, wearing cheap sunglasses, going to the cinema or in the rain without them - brilliant! Loved it. Didn't miss the winter fogged lenses, either. Fortunately, my new glasses look pretty great, and the headaches were pretty bad, so that helps! :P

I think they gave me the stronger glasses meant for reading. He wanted to sell me progressive glasses, and when I opted for single strength I got the ones meant for reading. I assume that's why I'm struggling to adapt to them for distance until my eyes relax properly - which I'm hoping it will, considering the test was only for manifested hyperopia.

Thank you for your advice, I'm feeling slightly more hopeful the glasses will work out now (which I really wasn't before).

Soundmanpt 19 Jan 2016, 10:31


This is just a suggestion but now that your back wearing glasses it would be with your best interest to always ask for a copy of your prescription. It's just good to have in case you ever wanted to order rx sunglasses on line or maybe even a spare pair in case you were break or somehow lose your current glasses. It also helps us to better answer your vision questions for you. You understand that the reason they don't often just give it to you without asking is because they realize that as long as they have your prescription they are pretty sure you will be forced to come back to them for your glasses.

That's interesting that to be an EMT on a helicopter you can't wear glasses. I am going to make a point to check and see if that same rule applies here. I'm not sure why wearing glasses would be an issue. I can only assume the idea that your glasses could come off in turbulence maybe? At any rate i'm sorry that you didn't end up getting that job. You clearly must have wanted it pretty badly otherwise I get the idea you were fine with wearing glasses and would not have gotten lasik. It was not unreasonable that your eyes were stable at 23 but I maybe misunderstood you to say that they were stable at 14. I now think you must have meant that you first got glasses when you were 14 which would make sense. Like I said after lasik I would not be surprised that your vision was slightly better than perfect which is pretty common. How nice was it to wake up and be able to see perfectly across the room without your glasses? Being able to wear regular sunglasses. Not having to try and keep rain off your glasses and so many other things. But at the same time did you kind of miss not wearing glasses as well? I know several people that got lasik and loved it but also admitted they actually missed wearing their glasses. Were you required to get your eyes checked every year in order to keep up the warranty in case you ever needed or wanted a "touch-up" done. So it was 3 years later when your eyes changed a bit for the first time since lasik. Not enough for you to even get glasses for (+.50 -.25 / +.25 -.25) Now at +1.25 / +.75 with the same -.25 astigmatism in bot eyes you were getting headaches. Your prescription is not very strong so if they felt like you needed something a little bit weaker for distance than you need for reading I assume they were only going to give you +.50 or for distance. But since you opted for single vision glasses I wonder if they maybe gave you glasses a little bit weaker than you really need for reading so your glasses wouldn't feel too strong for distance. Nearly everyone usually finds that after having their glasses for a few months that they need something a little stronger for reading small print. Your eyes seem to be adjusting very well to your glasses and that slight blur your seeing should be less and less each day now until it is completely gone and your able to see perfect with your glasses. The best thing to do is pretty much what you have been doing. Wear your glasses full time. Put them on when you get up and don't take them off until you go to bed. Besides you already said you hate taking them off and putting them on and taking them off again thing anyway. So just keep them on. You seem comfortable wearing glasses again anyway. I think your distance is going to be great with your glasses but you may need an increase in your close vision in a few months. it will be up to you at that time if you want to stay with single vision glasses which will cause your eyes to wear stronger glasses than you need for your distance so you can get your glasses strong enough for close work or give in to getting bifocals which would allow your distance to be unchanged and just increase your reading area.

Marie 18 Jan 2016, 23:39

Likelenses: I'll have to check the prescription I didn't get printed out, because I don't even know what I have now!

Soundmanpt: Thanks for your reply. :)

The point of the lasik was to not need glasses. However weak the prescription was, -2.25 and -1.75 was enough to need glasses, even if I wasn't blind as a bat! Not fighter pilot - I wanted to work as an EMT helicopter... Thing. Can't remember the term in English, but perfect vision was required. You'd have to ask the surgeon (major university hospital, not a quack) why I was stable at 23. I'm not sure if my eyesight has gotten worse these past couple of years, or if I've just been accommodating a little.

My eyes don't feel like they're working very hard to see distance. They don't ache, nothing looks warped or weird. It's just a little bit blurry, but not enough to need glasses had this been my regular vision. What's killing me is taking the glasses off, putting them on, taking them off etc. Switching is giving me a headache and eyestrain, while keeping them on makes things slightly blurry, but comfortable. The optician wanted me to have + strength for distance anyway, but not as much as I do now.

I don't mind the glasses. I didn't get rid of them because of a deep seated hatred of them, but because I needed perfect vision, and couldn't tolerate contacts (which wouldn't have worked anyway).

Besides - no point crying over spilt milk.

Likelenses 18 Jan 2016, 17:00


It sounds to me like you need some prism in those glasses.

Soundmanpt 18 Jan 2016, 16:09


Interesting that your eyes were already stable at 14 years old. Most often the eyes don't become stable until your early to mid twenties and I was a little curious why you would have even wanted to bother with getting lasik with what is considered a pretty weak prescription. May I ask what type of job you were interested in which required you to have perfect or very good vision? Was contacts also out of the question as well? In the US abut the only type of think that requires perfect eyesight is being a fighter pilot. It seems as if they wanted you to get either bifocals or progressives for your glasses? But you seemed to feel like you only needed glasses for reading up close. Did they feel like you had a need for glasses for seeing distances as well or was it just because of your astigmatisms? You opted for single vision glasses because of the expense that bifocals are. You have had your glasses for 3 days now and seem to be adjusting to them rather well if you already able to drive with them without any problem. But it sounds like you only able to do that by working your eyes quite hard which makes sense if you didn't really need glasses for distance and your forcing your eyes to adjust to a prescription for distance now. Your eyes must be cooperating if your now able to see better at a distance with your glasses than without them in only 3 days.

For what its worth if you are interested in giving bifocals or progressives a try, you can get very nice ones on line from Zenni Optical ( for around $55.00. I think I know what they meant when they said your "pupils were too close together" and yes I think by getting single vision glasses could be why when you take off your glasses now you can't seem to get your eyes to focus on up close anymore. Your eyes are in fact adjusting to your glasses which is good but is also the reason your eyes don't want to focus anymore. When you got your glasses and you sat down the optician used a device that looked like a view finder that he looked through at your eyes. He was measuring your pupil distance or the PD (the distance between your pupils) Since you decide on getting single vision glasses they measured your eyes for distance but if you had gotten rhe bifocals or progressives they would have also measure your eyes for close up as well meaning when you read your eyes go closer together than when your looking at distance. So now when your reading your eyes are being spread apart more than before you got your glasses.

The good news is that your eyes seem to be adjusting well to your glasses and your getting more and more comfortable with your glasses you should be able to wear them full time for all distances. But you had 6 years of not needing to wear glasses and you really seem okay with wearing glasses again.

Marie 18 Jan 2016, 13:39

Wow, that was quick!

My eyesight wasn't terrible, although the astigmatism was pretty significant. I'd been stable since I was 14, which was over the limit the surgeon operated with in my country. I had my reasons for getting the surgery - although I probably wouldn't have done it again. I wanted to go into a line of work that required good vision. Didn't end up in that line of work, but that's all water under the bridge. I could go back and get them to fix it, but I don't want to risk the extra side effects and infections, etc. :)

The glasses I got were prescribed as reading glasses (probably because I told them that's when I was having trouble, I got flustered). I was recommended bifocals or progressive lenses, but as they're so goddamned expensive, I opted for single strength. At this point I can see pretty much everything just fine for distance (can drive fine, went to the movies yesterday, and this morning the left eye actually felt better WITH the glasses than without, etc), but I'm lacking the crystal clear feeling I get without them for the most part.

I was having headaches when I was at just +0.25 and +0.50. The jump seems significant, you know? My eyes are definitely working hard to adjust to the glasses, although the headaches are already easing up. I'm really just wondering how long it'll take at this point.

Uhm, and before I get too self-conscious to post this, I'm just going to ask... When I take the glasses off I get the feeling I can't get my eyes to join together to focus up close. Am I adjusting to the glasses, or is that what the optician meant by "pupils too close together"? x)

Many thanks, sorry for the rambling...

Soundmanpt 18 Jan 2016, 12:59


I can only answer some of your questions. So you had lasik when you were about 22 years old and I assume that your eyes had been stable for between 12 and 18 prior to getting the surgery? Your eyesight wasn't all that bad and your left eye was almost not enough to even do lasik on. But you didn't provide what your astigmatism numbers were which might have played a part as well. It is very common for them to over correct your eyes to the point where most everyone comes out seeing considerably better than 20/20. In most cases at least 20/15 or even 20/10 is common. They do this because after a couple years your eyes will slowly reverse a slight bit getting you closer to 20/20. But also with lasik which they should have told you normally means that you may need to start needing reading glasses much sooner than normal. Now I don't think that means by 25 or even 28 but it would seem like that is the case for you. So you have reached the point where as you say you bit the bullet and got glasses, but you at least like your glasses and don't seem to mind wearing them. It seems you have been wearing trying to get your eyes to adjust to them. Its' jut a lot different from the days when you were nearsighted and you eyes easily adjusted to your glasses for distance. ow your glasses are fine for close up but your distance is blurry with them. But at the same time you say that without them your getting headaches so by keeping the on for distance as well as for reading your eyes should slowly adjust to them for all distance which it seems is what you really want anyway.

Marie 18 Jan 2016, 11:43

Hey. :)

Lots of people here who know more about hyperopia than I do, so I thought I'd see if any of you had any clever ideas on what the heck is going on with my eyes!

About 6 years ago I has lasik surgery on my eyes. I was myopic, and had some astigmatism (-1.25 (L), and -2.25 (R), but I can't find the papers describing the astigmatism -.-). After the surgery my eyes were fine for a few years. About 3 years ago I started getting strained when reading - much the same way I used to feel while reading with my glasses on before surgery - and got my eyes checked. Not bad, just +0.5 (R) and +0.25 (L), and a touch of astigmatism (basically nothing, -.25 both sides).

Went back now because I've been getting pretty bad headaches for a few months, even while outside or shopping or such, and not actually reading or doing up-close work. My new prescription (I forgot to get it printed, will do that tomorrow -.-) is something like +1.25 (R) and +0.75 (L) with the same astigmatism (-0.25 both sides), so I bit the bullet and got glasses. Love them, they look great, very comfortable for up-close work. Don't mind having to wear glasses again, either, just.. Curious about what's up.

I've been wearing them for 3 days, and things have been getting gradually clearer. My distance vision is perfect (120%, the optician said), and on my left eye I'm getting closer to that with the glasses on (in fact, earlier today I noticed things were clearer with the glasses on on my left side, which I suppose means I'm getting used to them). My RIGHT side, however, still looks like I've wrapped the glasses in saran wrap if I close my left eye.

If it helps, I can see _perfectly_ without the glasses, although the slight astigmatism tends to make lights a bit funky at night. I can thread a needle just fine, I can read fine print, I just get _really bad_ headaches. Lately without reading, too. So far, wearing the glasses, they're gone (unless I take them off, in which case the world tilts sideways and looks flat).

Here's what I'm wondering:

- Is this presbyopia or hyperopia? I have a feeling it's hyperopia after having been overcorrected in surgery. I'm only 28, and the glasses are getting gradually clearer for distance.

- The optician said my, "pupils get very close together when I do up-close work," what does that mean? I'm confused.

- Should I ( or CAN I) wear the glasses full time? Taking them off constantly is giving me a headache. What'll happen if I wear them all the time?

Thanks for any help! Please let me know if I'm in the wrong place...

Cactus Jack 13 Jan 2016, 19:21


If you order glasses with a +3.50 add, your vision through the reading segment will be quite good as long as the object / text you are viewing is closer than about 28 cm or 11 inches. Beyond that distance, things will get very blurry, very quickly.

The stronger ADD will not directly make your vision worse for distance, but it may reduce the need for accommodation. That, in turn, will reduce the exercise your Ciliary Muscles get when you focus to read and that will help your Ciliary Muscles get weaker.

All this depends on how you use the +3.50 segment. You may find that instead of bifocals, you really need trifocals with the intermediate segment power chosen for the distance to your computer display. If you want the glasses for reading, you might find that single vision reading glasses are more suitable.

When you get into higher ADD glasses, you need to think of the functionality of the glasses and decide on the power based on what you plan to do with them and the distance from your eyes to the target. You apparently still have some Accommodation left if you can read at typical reading distances with a +1.50 ADD. Reading at 40 cm or 16 inches requires +2.50. Your glasses supply +1.50 and your Ciliary Muscles and Crystalline Lenses supply the other +1.00. At 43, you cannot expect to be able to do that much longer. BTW, having an ADD in your glasses generally does not affect your distance prescription in any bad way and in some situations where there is still some Latent Hyperopia. an ADD can encourage more rapid relaxation of your Ciliary Muscles and Crystalline Lenses.


Weirdeyes 13 Jan 2016, 13:57

Apparently progressives don't work with my prescription because of the large different between my eyes. I really don't want to wear bifocals.

Weirdeyes 13 Jan 2016, 13:53


I actually do wear glasses fulltime. The right eye actually descreased by .25 and the left eye increased by .25 and the cylinder in the left eye also had an increase by .25. Not enough of a change to update glasses. My sister actually only wears her add for close up and a bit of distance sometimes. Her distance rx is too weak to be worth it.

Soundmanpt 13 Jan 2016, 10:15


So based on your comment below you already must have glasses for distance since you said you didn't update your glasses. So when they tested your eyes did they say if you needed an increase for distance? I assume you only wear your glasses when you feel you need them and not full time.

It seems like the optometrists are checking near vision closer now than they used to with younger patients. It is getting more and more common for younger eyes, like you and your sister, now needing bifocals even before you turn 20. Your sister is only 16 and she already has a an add. The eyes are subject to so much more strain due to all of the devices everyone now uses. All that texting and constantly being on some type of computer is taking a toll on the eyes.

You could go out and buy a weak pair of weak over the counter readers to use around the house but chances are a while your eyes would find it even harder you see small print at other times because your eyes have gotten used to the added help. At some point I think you and your sister will benefit by going ahead and getting bifocals are since your both so young progressives which doesn't have a line on the lenses and no one will know your wearing bifocals. I know of several the same age as you that wear progressives on a daily basis and love them.

Adam 13 Jan 2016, 06:19

Cactus Jack,

I'm 43 years old hyperope with a little bit ambloypia in my left eye.

My current RX:

R: +2,0/-0,5 add 1,50

L: +3,50 add 1,50

I love to wear my glasses.I like to see the effect of magnification, looking in the mirror. Maybe its a kind of fetisch? ...but it doesn't matter.

I'd like to order glasses for very close works with an add +3,50.

Could you tell me please if I have to do that. They will +2.00 stronger, than in my current readers! How I will see in them?

Could so strong readers make my eyesight worse?...ever i wish to have stronger rx.

I have allergic problems with my eyes, and I can't wear contacts, so GOC is not for me.

Thanks in advance for Your help.

Best regards


Weirdeyes 13 Jan 2016, 00:56


I think actual bifocals are overkill.

Likelenses 12 Jan 2016, 23:23


You really need to get the bifocals.

By your next exam you will need them for certain,so it will be easier to adjust to them now.

Weirdeyes 12 Jan 2016, 21:58

If I get reading glasses will I become dependent on them? I only want to wear them at home when I'm on my phone a lot or studying.

Sarah 12 Jan 2016, 15:01

My boyfriend and I just picked up our new glasses together. He has not worn them yet. He is set on only wearing them as needed. I told him to start when reading at home.

Mike 12 Jan 2016, 08:10

CJ mentioned , I was checking out their site and seen stick on bi focals, they look pretty cool.

Has anyone ever used these?

Cactus Jack 12 Jan 2016, 07:54


Sorry about that. Apple spell checker got me and I didn't catch it. It is way too smart for my own good.


Cactus Jack 12 Jan 2016, 07:50


Yes, I think you would find an Add or prescription reading glasses very useful.

Presbyopia actually starts in childhood, but used to not become much of a nuisance until mid 30s or early 40s. SmartPhones and Computers have changed all that and it is fairly common for teens, particularly those with Hyperopia, to need some focusing help long before the reach their mid 30s.

There are several ways to get a little more PLUS to help focus close.

1. A bifocal or progressive Add. (most expensive and probably most convenient)

2. PLUS Over the Counter (OTC) reading glasses over your regular glasses.

3. PLUS Clip on "Magnifiers" (reading glasses) that clip on to your regular glasses like Clip on Sunglasses.

2 and 3 are not very expensive and not as convenient as 1. 2 is easy to find in many retail stores. 3 it available online in several different powers from Rx Safety Glasses ( in New Jersey, USA. Look under Reading and Magnifying for Clip On Magnifiers.


Weirdeyes 12 Jan 2016, 01:47

During my most recent eye exam I had an optional +1.00 add. They actually tested my distance and close up vision. They've never tested my close up vision before. I'm only 19, so I feel weird about having an add at my age. I felt better when I found out my 16 year old sister has an optional add as well.

I also spend a lot of time on my phone and computer. I didn't update my glasses because there wasn't any meaningful change in my prescription.

I've been thinking of getting a seperate pair of reading glasses to use at home. I get a lot of eyestrain headaches and my distance vision is occasionally more blurry than normal. Do you think they'd be worth it? I'm farsighted and I wear glasses fulltime.

Cactus Jack 11 Jan 2016, 10:19

James 2,

This is the wrong thread because your girl friend has Myopia, dominated by Astigmatism in her Right eye.

It is impossible to suggest how much Base IN prism correction she may need to correct her misalignment or even if Base IN prism would be appropriate for her. It may be desirable to consult with a specialist, such as a Pediatric Ophthalmologist, to determine if muscle surgery might be more appropriate.


james 2 11 Jan 2016, 08:39


My girl friend prescription is R -1.25 -2.50 180 L -1.00 Only. Her right eye still turns OUT even with this new prescription. Would a prism in the right eye help and if so how much do you think?

many thanks

Cactus Jack 10 Jan 2016, 14:19


IF you had developed Presbyopia or some other condition that affected your ability to focus close, then your assumptions would be correct. However, at 19, you should have plenty of Accommodation Range or Amplitude to be able to focus close AFTER your distance vision has been corrected. In fact, you should have MORE ability to focus close AFTER your Hyperopia is fully corrected and your Ciliary Muscles are fully relaxed for Distance.


Cactus Jack 10 Jan 2016, 14:19


IF you had developed Presbyopia or some other condition that affected your ability to focus close, then your assumptions would be correct. However, at 19, you should have plenty of Accommodation Range or Amplitude to be able to focus close AFTER your distance vision has been corrected. In fact, you should have MORE ability to focus close AFTER your Hyperopia is fully corrected and your Ciliary Muscles are fully relaxed for Distance.


Buzz 10 Jan 2016, 09:45

Cactus jack and Val

Thanks for aswering my questions. What is the effect of full relaxation of my ciliary muscles? I read that relaxed muscles=distance vision clearer, does it mean that because i have farsightedness more relaxed muscles=more blurry near vision?

Cactus Jack 10 Jan 2016, 08:53


What Val said is exactly right. You have Hyperopia and you are using some of your Accommodation to correct it, internally, making your Ciliary Muscles and Crystalline Lenses work extra hard to produce the additional PLUS you need to focus distant objects, clearly. The way your eyes are supposed to work Is that the Ciliary Muscles and Crystalline Lenses are fully relaxed for distance and the only time they need to work is to focus close.

Ideally, your glasses should have enough PLUS so that your eyes are relaxed for distance and you have your full Accommodative Range available for focusing close.

You should wear your glasses full time to help your Ciliary Muscles and Crystalline Lenses relax. However, full relaxation may take a few weeks or a month or more. Don't be surprised if you need a bit more PLUS in your glasses. The fact that you can consciously "relax" your eyes probably means that you don't have very much Latent or Hidden Hyperopia to work through., but you ned to do it. If you do not, you will probably experience the first effects of Presbyopia than you ordinarily would.

May I ask if you text on a SmartPhone or use a Tablet very much. Close focusing to read the tiny text, often reveals Hyperopia and the onset of Presbyopia even in teens. Presbyopia, which is the gradual stiffening of the Crystalline Lenses, happens to almost everyone, It actually starts in childhood, but typically does not become a nuisance until the mid 30s to early 40s. It is happening sooner because of the amount of close focusing made necessary by modern hand held technology.


Cactus Jack 10 Jan 2016, 08:28


When you were wearing the +1.25 glasses over your regular glasses, three things were happening. Your regular glasses corrected the difference between your two eyes and ideally corrected their refractive error to 0.00 in each eye. Then the +1.25 helped you a bit to focus close and reduce the focusing effort.

I suspect that you don't have very much knowledge about Optics and how lenses work. I would suggest that if you can find the time. you might want to do a little reading on the subject. When you wore the +1.25 glasses over your regular glasses, Your distance vision should have been a bit blurry, but your close vision should have been clear and a bit more comfortable. If your distance vision had been clear when you wore the +1.25 glasses, it would have meant that you had some uncorrected Hyperopia.

All that is good news, but the fact that you see better with one eye than the other means that you may have some residual uncorrected hyperopia or myopia. It is really too soon to tell. You need to wear your glasses full time for several more weeks and then I may be able to suggest some simple tests to identify any remaining refractive error.

If you experience discomfort when reading with your regular glasses, I suggest that you consider getting your own +1.25 or +1.50 reading glasses or clip-on magnifiers to wear when you are doing a lot of reading or work on the computer.

You may think you have perfect vision with your glasses, but you don't really. If there is a difference in the shapes of the two images, your brain will select the best image as the primary source and pretty much ignore the other eye. What you really want is for both eyes to be equally clear so the brain can easily and effectively combine them into a 3D image so you have good depth perception.


Joey 10 Jan 2016, 07:38

Hi cactus jack, i tried your suggestion of wearing additional plus lenses. I just borrowed a pair or +1.25 and my near vision is comfartable with it but i cannot see far away with,though i havent had the chance of wearing it for a long time. What does this experiment mean? Im wearing my true glasses for a few days now and i think i adjusted already although my right eye still see a little blurrier than the left for distance (i test it often by closing my r eye), but with both eyes open i think i do have perfect vision already.

val 10 Jan 2016, 05:27

Actually is "decreases" not "increases".

Val 10 Jan 2016, 05:24

Buzz, what you experience is a privilege that only us hyperopes can have. You can see without glasses because you have good accommodation in your eyes. When you are not wearing your glasses, your eyes can adapt the focus to see clearly. Actually the brain is forcing the inner lens to focus. You are young so the effort is not so big.

By "relaxing" your eyes you are reversing the effect of the accommodation. The eye increases optical power like when wearing your glasses. But without the glasses, the image will be blurry.

So, what you say, that "relaxing" your eyes would not make near things blurry anymore, it means that you are now fully corrected when wearing your glasses.

If your prescription is new, maybe you have to wait a few weeks for you eyes to adapt and maybe after that you will also have some power left to "relax".

Buzz 10 Jan 2016, 04:29

Cactus Jack,

Hello im 19 y/o. I can "relax" my eyes since i was 10 or 11 i think. Relaxing my eyes would make near things blurry. When im wearing my glasses, "relaxing" my eyes would not make near things blurry anymore. I can still see without my glasses but i like wearing them because i can tolerate reading longer with it.

What can i do to make my eyes stay in a relax state? because i think my distance vision with the glasses on would be better if it stays in a relaxed state (Or my assumption is wrong?)

The optician also said to wear it full time, but as what i said i can see without them on? Do you think i should wear it full time?

Can anyone else experience what im talking about? I read this forum searching for someone who experiences the same thing i am but i havent found a post about it.

I havent been wearing my glasses full time because im afraid people will think my prescription is too low and prob too young for someone who needs reading glasses.

Buzz 10 Jan 2016, 04:28

Cactus Jack,

Hello im 19 y/o. I can "relax" my eyes since i was 10 or 11 i think. Relaxing my eyes would make near things blurry. When im wearing my glasses, "relaxing" my eyes would not make near things blurry anymore. I can still see without my glasses but i like wearing them because i can tolerate reading longer with it.

What can i do to make my eyes stay in a relax state? because i think my distance vision with the glasses on would be better if it stays in a relaxed state (Or my assumption is wrong?)

The optician also said to wear it full time, but as what i said i can see without them on? Do you think i should wear it full time?

Can anyone else experience what im talking about? I read this forum searching for someone who experiences the same thing i am but i havent found a post about it.

I havent been wearing my glasses full time because im afraid people will think my prescription is too low and prob too young for someone who needs reading glasses.

Cactus Jack 09 Jan 2016, 23:37


You are welcome. I have been amazed at the number of people with Hyperopia and the beginnings of Presbyopia who have been posting questions lately. I am happy to have been of help.

Let me know if there is anything else I can help you with.


Mike 09 Jan 2016, 20:52

Cactus Jack,

Thanks again for all the information.

The only reason i'm waiting for my exam is because my insurance pays for it (once a year), a really good thing is i have learned a lot about how the eye works so i can work with them to troubleshoot my issues much better.

I am in the US.

Funny thing is after using the readers for just a couple days my eyes feel so much more relaxed, and it is hard to look at a computer screen or smart phone without them now.

Maurice 09 Jan 2016, 13:58

My mistake Plus Tony. I started waering glasses at age 48 and that is when I found out that I not only had presbyopia, but hyperopia. I should have been wearing glasses much, much earlier. Went from no glasses to FT wear. Am 51 now and the doctor recently told me I had a cataract on my right eye. No surgery yet, but will happen over the next few years. Middle-age plays havoc with vision and eyes. But at least there are solutions.

Cactus Jack 09 Jan 2016, 12:40


You didn't mention your age. It is important, but not the only factor. It is very likely that you are experiencing the effects of Hyperopia and the gradual onset of Presbyopia.

Hyperopia is the ONLY eye condition that you can correct, internally, using your Ciliary Muscles and Crystalline Lenses to Add the necessary PLUS you need to be able to focus. Often without your even being aware that you are doing it. There are several factors that make internal correction possible.

1. The Hyperopia needs to be pretty low.

2. You can't have much Astigmatism.

3. You need to have plenty of Accommodation Range still available. In other words, Presbyopia cannot have progressed too far.

Almost everyone has Presbyopia, which is the gradual stiffening of the transparent protein that makes up the Crystalline Lens. It actually starts in childhood, but typically does not become a nuisance until the mid 30s or early 40s, UNLESS there are other factors that make Presbyopia manifest itself at an earlier age. Uncorrected Hyperopia and the need to focus very close (e.g. tiny text on Smartphones) can even cause Teenagers to need focusing help.

You might want to consider a dilated eye exam to help reveal the magnitude of your Hyperopia. The typically used dilating agents will help your Ciliary Muscles (focusing muscles) relax, but they are very short acting and often they are not able to fully relax your Ciliary Muscles. That is particularly true if you have some Latent or Hidden Hyperopia.


Buzz 09 Jan 2016, 08:45

Hello, im a long time reader of this blog. I was just prescribed with +0.75 glasses, only for the r eye and plano on the left. Few yrs ago i discovered that near vision is blurred when i relax my eyes although it comes back to clear after i focus again. Is that a symptom of farsightedness? And im still having a hard time with my new glasses, although near vision is clear i think it affects my distance vision a bit. I can still drive and see far things although i little bit blurry than usual. Is that normal or my thing of "relaxing my eyes" affected the refraction process and my optician prob gave me a wrong prescription?

Plus Tony 09 Jan 2016, 06:45


I think you must be confusing me with someone else. Thankfully I have not had to have cataract surgery. I just have ordinary hyperopia. I have been wearing specs full time since getting my first prescription at the end of September last year.

Still enjoying the way I see and the way I look with glasses and feeling much happier and more confident as a result. I surprised myself with how quickly I got over any concerns about the reactions of people seeing me in specs. Another thing that I have noticed is how many more people in the 30-45 age range seem to be wearing plus prescriptions full time now. Maybe it was always like that but it certainly adds to my feeling of confidence.

My distance vision without correction is still acceptable but i just can't see the point of taking glasses on and off all the time when I can see perfectly at all distances with them on. Another thing I have noticed is that I don't fiddle with my specs anymore and they stay much cleaner as a result. I guess that is just part of the process of getting used to full time wear.

Maurice 09 Jan 2016, 05:50

Plus Tony, any updates on your recent cataract surgery?

Cactus Jack 08 Jan 2016, 09:31


That is great news, you are on the way to to solving your vision problems and being able to describe the symptoms on your next eye exam. If you are having problems, why do you need to wait to get an exam?

It would be very helpful to know where you live (country) as it will affect my suggestions.

You will soon be needing either bifocals or trifocals. You may be tempted to consider progressives. Progressives are fine for some people and social occasions, but they may not offer the wide, constant power visual field that bifocals and trifocals provide and most practicing engineers prefer. Another possibility is clip on magnifiers (reading glasses). They are available from Rx Safety Glasses in New Jersey, USA in a wide range of powers. They are not very expensive and more convenient than wearing readers over your glasses. They clip onto your regular glasses like "flip-up" sunglasses. Let me know if you are interested and I will offer a detailed suggestions about what to order.

Yes you need to get over the phobia about putting anything in your eyes. Artificial Tears chemically match your natural tears and they don't sting. I don't what may be available in your area. I really like the brand "Refresh Plus Lubricant Eye Drops" it is available in the US in small bottles with about 1 ounce or 30 ml of solution. It is also available in individual small single use containers with about 8 to 10 drops of solution.


Mike 08 Jan 2016, 06:33

Thanks Cactus Jack and SC for the replies.

Yesterday I picked up some +1.25 readers and used them all day on the computer. My eyes felt great all day, and at the end of the day I could even see as good if not better than when I get up in the morning. I didn't get eye drops, only because I have a very hard time putting anything in my eyes. I would be nice to get over that phobia. I have my annual exam coming up within a few months it will be interesting to see what they find. Thanks Again!


Mike 08 Jan 2016, 06:33

Thanks Cactus Jack and SC for the replies.

Yesterday I picked up some +1.25 readers and used them all day on the computer. My eyes felt great all day, and at the end of the day I could even see as good if not better than when I get up in the morning. I didn't get eye drops, only because I have a very hard time putting anything in my eyes. I would be nice to get over that phobia. I have my annual exam coming up within a few months it will be interesting to see what they find. Thanks Again!


SC 08 Jan 2016, 05:11


I used to have these symptoms and the cause seems to be exactly as CJ describes. I was using so much accommodation to read close up that I was becoming temporarily short sighted for distance. Eventually close-up started to go, but at my first eye test I was prescribed low minus (-0.25) for distance and a reading add.

I spotted the pattern that straining with close-up affected my distance vision and always wore glasses for reading. Then when I would get towards the end of life for the prescription the symptoms would recur even when wearing glasses (I could still read fine, but after reading my distance would be off) and that was the trigger for me to go get an increase.

Eventually, the reason for the strain became clear when my distance started adapting to the middle part of the progressive and it became obvious I was hyperopic. Since then I've still had the symptoms and used that to identify the need for a new eye test but now I don't have much accommodation left anyway.

I was prescribed -0.25 @44yo and I'm now +1.5. I would guess that you will be going in a similar direction

Cactus Jack 07 Jan 2016, 20:56


I did not answer your last question, but Julian explained it very well. He really needs to wear his glasses full time at least for the first 2 weeks and then he can decide for himself when to wear them. The reason for the 2 weeks is to give his brain time to reprogram itself and learn how to process much higher quality images from his eyes.

As Julian suggests he probably won't do that initially, but you should not try to force him or make a big deal out of his wearing the glasses or not wearing them. One thing that will likely occur is that at some point, he will decide that the glasses have made his vision worse. That really is not true. All that has happened is that his brain has stopped trying to improve the crappy images his eyes were delivering before he got the glasses. His glasses are now doing the hard work and with his glasses his eyes are delivering high quality images to his brain and very little image processing is required.


Cactus Jack 06 Jan 2016, 22:40


Yes it is possible to have both Pseudo Myopia and Latent Hyperopia because they are two names for the same exact phenomenon. Both involve the Ciliary Muscles and Crystalline Lenses and the name that gets attached depends on the underlying Myopia or Hyperopia. In both instances the Ciliary Muscles and Crystalline lenses are having trouble relaxing back to their minimal PLUS power for distance. Curiously, Presbyopia, the generally age related stiffening of the Crystalline Lens AND the Ciliary Muscles becoming weak or having trouble relaxing, can play a role in both.

The symptoms of Pseudo Myopia can occur in a person about your age, who has some corrected Myopia for distance, but uses their Ciliary Muscles and Crystalline Lenses to focus close for long periods. Because the Crystalline Lenses are becoming stiff, the Ciliary Muscles have to work extra hard to squeeze the Crystalline Lenses to produce the extra PLUS you need to focus close. When you stop reading, your stiff Crystalline lenses are very slow to relax and the extra PLUS persists, sometimes for hours, and the extra PLUS does make you more Myopic.

The symptoms of Latent or Hidden Hyperopia can occur at almost any age if a person is Hyperopic. Hyperopia is the ONLY refractive error that you can correct internally, using your Ciliary Muscles and Crystalline lenses to provide the extra PLUS a person with Hyperopia needs to focus clearly for distance and even supply more PLUS to be able to focus close. This means that the Ciliary Muscles are under constant strain and like any muscles, the Ciliary Muscles can take a “set” and sometimes even cramp to the point where they cannot easily relax. If they have been Hyperopic for many years, it can take weeks or months of wearing PLUS glasses for their Ciliary Muscles to relax.

I think you have the classic symptoms of a person with low Myopia who is developing Presbyopia. Presbyopia actually starts in childhood, but typically does not become a nuisance until the late 30s or early 40s. I have two suggestions. One is related to Presbyopia and the other is related to another condition that can develop called Dry Eye.

As an experiment, I would suggest getting a pair of Over-the-Counter (OTC) in the +1.25 or +1.50 power readers and try wearing them OVER your regular glasses when you read or use the computer. See if that helps relieve the soreness and also reduce the apparent increase in your Myopia after a long period of close work.

The other suggestion is to get some Artificial Tears with lubricant and instill one or two drops in each eye every few hours. Also try to consciously blink more often. Blink rates often go down when you work with a computer display or read. Blinking will help you produce more natural tears and spread them your Corneas. You Corneas have no blood supply and they must get oxygen from the air and moisture, lubricant and nutrients from tears.

Please let me know if you try either or both of these suggestions and the results. Please don’t let vanity get in the way of finding a solution. If the OTC glasses help, that opens a pathway to several possible solutions.

As an engineer, you are a problem solver. My background is also Electronic and Computer Engineering. However, I had/have more complex vision problems than you do, but in some ways they were similar. I won't go into the reasons why, but I had to start wearing bifocals at 20 and trifocals at 30 to provide comfortable vision at all distances. Never regretted using glasses to solve the problems for even a nanosecond.


Mike 06 Jan 2016, 21:20

Just read that post and that sounds a lot like my symptoms, what I can't figure out is how my vision is pretty much perfect in the morning accept the astigmatism part. I have even tried my wifes glasses that are +0.75 and in the morning I can see clearly. At night not so much. My guess is that I loose about a dopter throughout the day. If don't do any close work, I don't seem to have any problems...

Likelenses 06 Jan 2016, 20:52


The time of that post was 1800

Likelenses 06 Jan 2016, 20:50


Your situation sounds like one that I posted about on 08 Dec 2015 in the New Glasses thread.

Sounds like you have much more myopia that they gave you glasses for.

Mike 06 Jan 2016, 11:27

This is a great blog of information. The recent post on Pseudo Myopia and Latent Hyperopia really got me thinking. For the last 3 years I have been experiencing sore eyes after close work and my distance vision degrades as the day goes on. Im 40 years old, and have been doing close work for my entire career, I started out doing electronic board repair, and am currently an engineer. 2 years ago I went for my first eye exam (ever), I explained my issues, after the exam they explained I had astigmatism and said it was not a lot but would cause the issues I had.

OD Sphere Plano, Cylinder -1.00, Axis 108

OS Sphere -0.25, Cylinder -0.50, Axis 120

I got the glasses and they did help sharpen things up a lot but I still got sore eyes and worse distance vision by the end of the day.

A year later, at my next exam, I explained the same concerns, they said your astigmatism is slightly worse and you are a little more nearsighted.

OD Sphere -0.25, Cylinder -1.25, Axis 105

OS Sphere -0.50, Cylinder -0.50, Axis 120

When i put the glasses on the first time they felt too strong, and made my eyes sore even faster while on the computer. Long story short I found it more comfortable to use my old glasses for driving and nothing at work. My questions here are is it possible that I have some Pseudo Myopia and Latent Hyperopia, and is there any way to know without a dilated exam? At first I just thought it was Presbyopia, however I can still read really close, like 6 inches? Any thoughts are appreciated. Thanks!

Julian 06 Jan 2016, 02:44

Sarah: I suggest you don't urge your boyfriend to wear his glasses any more than he wants to. When he discovers how comfortable his vision is, far and near, when he's wearing them, it will be easy for him to forget to take them off and you'll see him wearing them more until he becomes the full-time wearer he needs to be.

Hoerbie 06 Jan 2016, 01:20


didn't your ECP say something to his prescription and wearing glasses to him?

I don't think that it is only a prescription for reading, but that your boyfriend will have to wear his glasses fulltime, if he wants relaxed vision and relaxed eyes.

For a first prescription his prism values are not low, so I think he has big need for vision help, and should give his glasses a full try.

Greets from Hoerbie, another farsighted prism wearer, who started with nearly the same prescription

Sarah 05 Jan 2016, 21:32

Cactus Jack,

He does not seem to want to want to wear glasses any longer than he needs to, seems like he will wait it out. Do you have any idea when and or how much he should be wearing his glasses when they come?


Brucieboy 05 Jan 2016, 13:28

Cactus Jack

Thanks for the explanation. That makes a lot of sense regarding her first pair of multifocals. She'll definitely have a much needed increase in her reading add. She'll no doubt have to go fulltime once the eyes relax into the higher script too.

Cactus Jack 05 Jan 2016, 10:51


Your boyfriend might find some Over-the-Counter Reading glasses very useful, even for distance vision and even more useful for doing close work, until his prescription glasses are ready. Also, the plus glasses would help him get a head start on the relaxation of his Ciliary Muscles.

If you can get him to do it, I would suggest first trying some +1.00 or +1.25, but +1.50 or +1.75 would be closer to his actual prescription and might ease his headaches when reading.


Cactus Jack 05 Jan 2016, 09:47


The short answer is YES, it could decrease. It depends on the cause of the myopia in that eye.

There are two different types of myopia with two different causes.

Axial or True Myopia is caused by the eyeball having grown too much for the total power of your eye's lens system. Typically, Axial Myopia is permanent because the eyeball can't "ungrow" once it has grown to a particular size and length. Axial Myopia can increase if the eyeball grows some more, but a 24, the odds are that your genes won't let that happen.

Pseudo or False Myopia and Latent or Hidden Hyperopia have the same cause, the temporary inability of the Ciliary Muscles and Crystalline Lenses to fully relax back to their minimal PLUS power for distance. The Ciliary Muscles and Crystalline Lenses are part of your Auto-Focus System. Hyperopia is the ONLY type of refractive error that you can correct internally using your Auto-Focus system to add the needed extra PLUS. As I mentioned before, while your eyes are actually independent entities, the Auto-Focus system tends to apply the same correction to both eyes. If one eye has grown a bit more than the other, the extra PLUS will make the longer eye more Myopic. If the extra PLUS is required for a long time, the Ciliary Muscles get used to holding that position and have difficulty relaxing. Like any muscles, if they have to hold a position for a long time, the muscles under tension will have trouble relaxing. BTW, you may notice this more with many other muscles, as you get older.

As your Ciliary Muscles relax, your Crystalline Lenses will also relax and your Myopic eye will get less Myopic and need LESS MINUS for correction and your Hyperopic eye will need MORE external PLUS for correction.

One thing that may be causing some confusion is that you are used to dealing with + and - numbers that represent value changes for Profit and Loss. Lens powers are specified using + numbers for Convergent lenses and - numbers for Divergent lenses. The + and - have nothing to do with the absolute power of the lens, that is specified by the number itself, which specifies the amount of Convergence (+) or the amount of Divergence (-) the lenses have.

I hope this helps. It takes a bit of thinking to get your mind around these concepts.


Sarah 05 Jan 2016, 09:10

Cactus Jack,

We will find out how he feels towards his glasses in about 2 weeks. I'll keep you up to dat! Thanks for all your help.


Cactus Jack 05 Jan 2016, 09:02


I was just curious if he had ordered the glasses. Mostly, because of his initial denial and reluctance to get an exam.

I want to congratulate you. You did a good job of overcoming his objections. You obviously care for him and realized that he was having vision problems and that they were close to affecting his academic performance. Both of you are engaged in studying and preparing yourselves for professional careers where comfortable, effortless, high quality vision is very important.

It will be interesting to hear what he thinks about wearing glasses and his reactions to wearing them. It is typically more difficult for people with his prescription to adapt to having their vision corrected, mostly because they do not understand how the optical system in their eyes work.

From an engineering point of view, vision is amazing and the more you learn about the cleverness of the systems involved and how they work together to make vision possible, the more you wonder about how it happened.

Please keep us informed.


Sarah 05 Jan 2016, 00:15

Cactus Jack,

Sorry for the typo it is + in both. Thank you for your explanation, they are the best! Yes, he has ordered his glasses already, why do you ask?


Joey 04 Jan 2016, 23:38

Cactus Jack

Thanks for explaining farsightedness and my prescription. But i dont understand what is pseudomyopia? Does it mean that the prescription in my right eye could decrease?

Cactus Jack 04 Jan 2016, 22:45


They often under prescribe, but not for commercial reasons. Vision actually occurs in the brain, the eyes are merely biological cameras. It a person reaches their mid 40s having never worn glasses, getting full correction can be a bit traumatic because the brain has to reprogram itself and learn that it does not have to work as hard to provide good images. Think of it as a bit like weightlifting at the gym. You do not start building your muscles by lifting the heaviest weights.

Once Presbyopia starts and you start requiring reading help, the amount of help you need will increase fairly rapidly as the Ciliary Muscles get out of condition and the Crystalline Lenses get stiffer and harder to focus. However, the amount of reading help you ultimately need depends on how close you need to be able to focus. Typical reading distance of 40 cm or 16 inches requires +2.50, If you like to read closer, it could go up to +3.00 or even +3.50 if you like to read in bed (as I do).

You can assure your wife that she is not alone. Several Billion other people have experienced the same problem and wondered the same thing.


Cactus Jack 04 Jan 2016, 22:29


I believe there may be a typo in the Cylinder correction specified in the prescription you posted for your boyfriend. I have written it in a standard arrangement.

OD Sphere +1.50, Cylinder ?0.25, Axis 140 Prism 3 BO

OS Sphere +1.25, Cylinder ?0.50, Axis 105 Prism 3 BO 2 BU

I put a question mark infant of the Cylinder correction because one of the signs is wrong. Typically, Ophthalmologists use + Cylinder and Optometrists and Opticians use - Cylinder, but that is not a hard and fast rule. However, you never see mixed Cylinder in one prescription. You need to check the prescription and make sure about the sign on the Cylinder.

Now about Prism. It appears that your boyfriend eyes are turned inward slightly and has a bit of vertical mis-alignment also. Prism is same as the prisms you saw in Middle school, except the amount required to correct the slight inward turning of his eyes is MUCH smaller. The prisms you saw in middle school would probably be in the 50 to 60 diopter range and in this instance he has been prescribed 3 Prism Diopters, Base Out in each eye and 2 Prism Diopters Base Up in his left eye. The Base of the prism is the side opposite the Apex or point. A ray of light passing through the prism is bent toward the Base.

What that means from a practical point of view is that the outer edges of his lenses will be a little bit thicker and the inner edges will be a little bit thinner than if there was no prism. Also the upper edge of his Left lens will be a little thicker than the bottom edge. The edges of PLUS lenses are pretty thin anyway so it will not be very noticeable unless you know exactly what to look for.

Will he need more PLUS in his glasses? Probably, but not by very much. Hyperopia is very different from Myopia. It is possible that he has had Hyperopia for a very long time and may have some Latent or Hidden Hyperopia. It sometimes takes a while for that to resolve itself after getting PLUS glasses. It is caused by the Ciliary Muscles becoming so used to correction Hyperopia that they have trouble relaxing. As they relax, his plus prescription will probably increase by +1 or +2 diopters,

It is also possible that he may need a bit more Base Out prism, but again, not very much. It depends on the cause of the tendency for his eyes to turn inward. Sometimes the tendency of the eyes to turn inward or cross is caused by the correction effort for Hyperopia. If the glasses correct his Hyperopia, it is possible that the inward turning will resolve and additional prism will not be required. Everyone is different and there is no way to predict future prescriptions with any accuracy.

BTW, Prism correction of 10 diopters or less is very hard to spot except by Eye Care Professionals (ECPs) Often, ECPs will not fully correct prism in first glasses.

Did he order glasses?


Brucieboy 04 Jan 2016, 20:39

My wife had been complaining about the font on the TV screen for a couple of years. In addition since she was about 44 reading DVD covers was becoming difficult under low light. So at 46 she went for her first eye test.She has a small degree of astigmatism and is slightly shortsighted.The optician noted a degree of presbyopia also.She was given multifocals with a +.75 add. She also picked up a 2nd pair of single vision glasses for driving. She uses these a lot for night driving. With these on she was unable to read normal print.The thing she now finds after just 12 months and now 47 is that even with the multifocals she's struggling to read fine print.She's a bit annoyed that maybe that is a normal occurence? My first reading glasses at a similar age,were +1.00.At 49 I've jumped to +2.50. They are a bit strong for her but she says she can read fine print easily and any print in low light. As a result she keeps my 2nd pair always handy.Do Optometrists have a habit of underprescribing? Particularly first glasses,just for commercial reasons. Anyone experienced that before?

Sarah 04 Jan 2016, 19:10

Cactus Jack,

What exactly are prism and base? What and how do they correct what they are supposed to correct? Will the prism numbers go up like my sephere numbers do? Also, does hyperopia get worse with time like myopia? Are the prism going to be like a triangular prism from middle school sciense classes added to his lenses?


Sarah 04 Jan 2016, 19:05

Cactus Jack,

Thank you for the response. His prescription is:

O.D. +1.5/-0.25/140 and then he has a prism column it is 3 next is a base column it says out

O.S. +1.25/+0.5/105 and then this eye has two prism columns and two base columns the first prsim one says 3 the first base one says out the second prism says 2 and the base column after it says up.


Cactus Jack 04 Jan 2016, 18:31


Farsightedness or Hyperopia actually requires correction for both Far and Near. However, Hyperopia is the ONLY condition that you can correct internally, using your Ciliary Muscles and Crystalline Lenses. The correction strategy depends on several factors, but the most important factor is how much Hyperopia your boyfriend has.

Generally, misalignment causes double vision, but it also depends on how much misalignment and the nature of the misalignment. It is not uncommon for uncorrected Hyperopia to cause the eyes to converge or turn inward, but not always. If the misalignment is small, the eye positioning system can correct the problem, but it takes effort. If the misalignment is large, prism is often required.

In both cases, uncorrected Hyperopia and Strabismus (general term for misalignment) can cause headaches or other symptoms of strain.

If possible, it would be very helpful if you could post his complete prescription.


 04 Jan 2016, 17:29

it's not his eyes that are misaligned. its his head. he should just keep tilting his head sideways and the eyes will eventually line up.

Sarah 04 Jan 2016, 17:01

Cactus Jack,

I went to get my new glassss today and took my boyfriend with me. Turned out my glasses were too weak, so they had to reexamine my eyes. My boyfriend sat in during the exam, and somehow I managed to make him get his eyes examined too. We were correct, he is farsighted and needs glasses. Since he is farsighted he really inly needs to wear them to read, right? The doctor also said his eyes are missaligned? What exactly does that cause vision wise? I never noticed it before, but now I see it.


Cactus Jack 04 Jan 2016, 16:00


Thank you for the update. I was a bit concerned. It is hard to believe that you have had your glasses for only 5 or 6 days and seem to be over most of the psychological "humps" about wearing glasses. You are experiencing what most new glasses wearers do when they discover what they have been missing.

People who are Myopic have a slightly different experience because there isn't much of a "getting used to seeing well" period wth MINUS glasses. You put them on and things that were out of focus are suddenly in focus.

People with Hyperopia and Presbyopia experience the sudden ability to focus close with their glasses, but often distance vision is blurry with their glasses. Fortunately, that will clear up over days and sometimes weeks.

I think you are doing amazingly well. Keep up the good work. I think you will feel much more secure having a spare pair of glasses. The big problem will be where to keep them.

Hope you have a wonderful, clear eyed, 2016.


KennethWest 04 Jan 2016, 11:54

Cactus Jack,

Sorry for the wait I was really busy. I did get my glasses back as soon as I realized I left them at my grandparent's (about 30 mins into my drive). I bought a spare pair a few minutes ago. They should be ready in about 2 hours. Thank you for the idea. I have had my glasses for all of a minute out my life and they seem as necessary as a shirt now. My vision without them (both far, and especialy near) seem so bad without them now that I have a prespective on how I should be seeing.


Cactus Jack 03 Jan 2016, 14:13


I will try to answer your questions in the order you posted them.

1. Your prescription is very mild, but the difference makes it significant and you should wear your glasses full time.

2. It is very likely that your prescription will change some, The fact that one eye is mildly nearsighted and the other is a bit farsighted, complicates things. Your nearsighted eye may get a little more nearsighted, but probably not much. However, I suspect ate your +1.00 eye may have some Latent or Hidden Hyperopia.

Hyperopia is the ONLY eye condition that you have the ability to correct, internally using your Ciliary Muscles and Crystalline Lenses, often without your even being aware that you are doing it. After possibly years of correcting your Hyperopia, it can take weeks or sometimes months for your Ciliary Muscles to relax. As they relax, you will need more PLUS in your distance prescription. At this point, there is no way to tell just how much they need to relax.

Next Post

3. Yes, in fact what you are experiencing is a pretty strong clue that you may have some Latent or Hidden additional Hyperopia. Without your glasses, it is very likely that you are using your Ciliary Muscles and Crystalline Lenses to correct your Hyperopia in your Left eye. Initially, when you wear your glasses your Hyperopia is being corrected TWICE. Once by your internal lenses and again by your glasses. It takes a while for you to stop the internal correction and let your glasses do the work. When you get full correction, you will probably experience this again.

A few thoughts, from a long way away, Houston, Texas.

While your eyes are two separate entities, Your focus control system in your brain typically tries to apply the same close focus correction to both eyes simultaneously. The amount of focus correction your Right eye needs is very different from the focus correction your Left eye needs. That is probably the source of your headaches..

I would like to suggest another experiment. Get some +1.50 Over-the-Counter OTC reading glasses. Try wearing them OVER your glasses when you read or perhaps use the computer. Your eyes are not used to working together as a team and you possibly need some focusing help. I experienced something similar when I got my first glasses at 14. My prescription was -1.50 in one eye and 0.00 (plano) in the other. I was reading with the -1.50 and using the 0.00 eye for distance. When I got in University, I started having headaches when I did a lot of studying. The solution was bifocals.

Because of my age when I go my first glasses, my Myopia increased in both eyes, to about -4.50 and -2.75, but the difference remained almost constant. Everyone is different, but I suspect that at 24, once your Latent Hyperopia is resolved, your prescription will be very stable. It is possible that you have some Pseudo Myopia in your Right eye. It is actually the same thing as Latent Hyperopia, but on the other side of 0.00.

I don't know what glasses cost in Manilla, but you may be able to order glasses from an online retailer. We can teach you how, if you are interested.


Joey 03 Jan 2016, 12:24

Cactus Jack

I noticed that when i have the glasses on it takes time for me to adjust seeing things that are far is that normal for people who wears plus lenses?

Joey 03 Jan 2016, 12:13

Cactus Jack

Hi, im 24, student, studying business. I live in manila. Is my prescription significant that i Should wear my glasses full time? I have been wearing my glasses since i got them, im still having headaches though. And last question, is there a chance will my prescription increase after a few months/yrs?

Joey 03 Jan 2016, 12:12

Cactus Jack

Hi, im 24, student, studying business. I live in manila. Is my prescription significant that i Should wear my glasses full time? I have been wearing my glasses since i got them, im still having headaches though. And last question, is there a chance will my prescription increase after a few months/yrs?

Cactus Jack 03 Jan 2016, 11:04


A difference of 1.50 is nothing to be concerned about, Nearsightedness (Myopia) and Farsightedness (Hyperopia) are both caused by a mismatch between the Total PLUS power of your eye's lens system (usually about +55 to + 60 diopters) and the distance from the back of the Crystalline Lens and your Retina (usually about 17 mm in adults). The key factor here is how much your eyeballs grew from birth to now, rather than the total PLUS power of your eye's lens system. The eyes do not necessarily grow at the same rate and your nearsighted eye grew a tiny bit too much and your farsighted eye didn't grow quite enough. BTW the distance error is only about 0.3 mm per diopter so your -0.50 eye is about 0.15 mm too long and your +1.00 eye is about 0.3 mm too short.

Vision occurs in the brain. Your eyes are merely biological cameras. You did not mention your age, which is important, but I suspect your brain has many years of experience dealing with the difference and you probably used your Left Eye (OS) for distance and your Right Eye (OD) for focusing close, without your even being aware that you were doing it. Your eyes are not used to working as a team and the corrective lenses forced them to do that and the result, in your case, was dizziness. The dizziness was probably caused by a slight difference in the apparent rate of motion each corrected eye detected when you moved your head. You just seem to be hypersensitive to the small difference. It is actually a very mild form of motion sickness. Motion sickness us typically caused by a mismatch between the motion you SEE and the motion you FEEL wth your semicircular canals in your ears.

How long does it take to adjust to your glasses? Probably just a few more days. Your brain has to re-program itself to the higher quality images and the differences it is sensing. As an experiment, you might try some over-the-counter motion sickness pills for a few days. I suspect it is tempting to NOT wear your glasses, but you need to wear them as much as possible to help with the adaptation process. It would be good if you had some glasses with your full correction that you could start wearing as soon as you get adapt to these glasses.

May I ask a few questions? The answers will help with our suggestions.

1. Your age?

2. Your occupation?

3. Your visual environment? Do you do a lot of close focusing?

4. Where do you live? (country)

5. Do you have your complete prescription?


Joey 03 Jan 2016, 09:54

Hi, i went for an eye exam yesterday and the results were

OD: -0.5 and Os+1.0. But the optometrist just gave me OD: -0.25 and OS+0.5 because i got dizzy with the first prescription and said that i should come back after a few months to repeat the eye exam.

Is this really possible to have both nearsightedness and farsightedness? My actual complain before going to the eye doctor was headache and having difficulty driving at night. Starting to wear the glasses full time and im still having a bit of an adjustment issue. How many days will it take me to adjust to the glasses? Sorry i got so many questions its my first time to wear glasses

Cactus Jack 02 Jan 2016, 09:54


You are very fortunate to only need some close focusing help at 36. Many people in professions that require long hours of reading and study have at least some kind of vision problems that require correction.

Not to worry, all you have is the early symptoms of Presbyopia. Presbyopia gradually creeps up on probably 99.9999% of the population as they get older.

Presbyopia actually starts in childhood. It is the gradual thickening of the transparent protein that make up your Crystalline Lenses. Your Crystalline Lenses along with their associated Ciliary Muscles comprise your "Auto-Focus" system. When you are young, your Crystalline Lenses have the consistency of Gelatin Dessert and your Ciliary Muscles can easily squeeze your Crystalline Lenses to increase their PLUS power from a relaxed (distance) power of approximately +15 to as much as +30 for focusing close. That is why you see young children reading or coloring with the book just 6 or 8 inches from their face. This focusing ability is called your Accommodation Range. As you get older your Accommodation Range is gradually reduced by Presbyopia and at some point it will become a problem when your Ciliary Muscles and Crystalline Lenses can no longer provide all the PLUS necessary to focus close.

In the past, focusing problems did not usually become apparent until around the mid 30s to early 40s., But, these days the tiny text on SmartPhones and Tablets have revealed the onset of Presbyopia at much earlier ages, even teens are needing focusing help, particularly is some of their Accommodation Range is being used up by internal correction of Hyperopia.

The amount of PLUS power to focus at any distance is determined by the laws of Optics, which were codified by Sir Isaac Newton around 1700. If you have NO refractive error (0.00) for distance,which you apparently do , the amount of additional PLUS you need to focus at any distance less than Infinity (20 feet or 6 meters for practical purposes) is easily calculated by this formula:

Lens Power = 1 meter or 100 cm or 1000 mm or 39.37 inches, divided by the desired focus distance (same units of measure)

To focus at a typical reading distance of 40 cm or 16 inches, the numbers are:

100 cm / 40 cm = +2.50.

To focus closer will require more +, farther away, less +, but the PLUS has to come from somewhere. If Presbyopia has not reared it head, your Ciliary Muscles and Crystalline Lenses can easily provide ALL of the extra PLUS. However, If Presbyopia or weakness of the Ciliary Muscles are present, you may only be able supply part of the extra PLUS internally and the rest must be supplied externally by Reading Glasses or in some instances bifocals, trifocals, or progressive lenses. The amount of external PLUS you will ultimately need is strictly controlled by how much you can supply internally and your focusing distance. If at some point, you can no longer supply ANY of the extra PLUS you need to focus close, it MUST be supplied externally. It is very rare for the external amount to exceed +3.50, which will allow you to focus at about 29 cm or 11 inches (eg reading in bed, perhaps).

Even though you do not presently need any distance correction, you may find that "functional" bifocals or progressive glasses with 0.00 lens power for distance with a reading segment of +1.00 to be very useful to allow you to quickly switch from distance to close if the +1.00 readers become a nuisance.

You probably have a question about how soon you will need more than +1.00. The answer, regrettably is, sooner than you think. Presbyopia itself progresses pretty slowly, but unfortunately, your Ciliary Muscles will become de-conditioned pretty quickly. For their size, your Ciliary Muscles are the strongest muscles in the body and normally they get plenty of exercise. However, glasses to help you focus close do some of their work for them and that reduces the amount of exercise they get.

The result is that you will likely need gradual increases in the PLUS help, until it reaches +2.50, +2.75, or +3.00.

Sorry for the long winded explanation, but I thought it would be useful for you to understand how this stuff works so you know what to expect. Just remember that you are not alone. Billions of people have experienced this and more will experience this in the future until a way is found to keep the Crystalline Lenses a flexible as fresh Gelatin Dessert or the laws of Optical Physics get changed. So far we have been unable to discuss the later with anyone of importance.


Soundmanpt 02 Jan 2016, 09:26


Considering how much close work you must do and all the close work it took to become a lawyer I think your eyes have held up very well. If anything now that you have glasses you should even have more of that "I want to be taken even more seriously now" look. As you know your glasses are on the weak side but just as you are finding out they are relaxing your eyes and helping to reduce eye strain. It is hard to predict how much your eyes will change in the coming years, but chances are you will likely need an increase within a year. So far do you try and only wear your glasses when your doing close work and take them off for seeing at a distance or are you trying to just adjust to them so you can wear them full time? If your only trying to wear them when doing close work I would think that your doing a lot of on an off with your glasses? In your case you might be wise to have a pair of progressives (bifocals) made with just your reading prescription in the bottom segment and clear in the top for your distance. That way you can wear you can keep your glasses on all the time and not be taking them on and off.

Emma 02 Jan 2016, 04:36

I am 36 year old lawyer and having been suffering for eyestrain when reading and blurriness when looking at my phone. I went for an eyetest a few days ago and was prescribed +1 reading glasses. I have got a couple of pairs , some tortoiseshell half frames and some rimless ovals. My eyes feel much more relaxed when wearing glasses, but I am worried how bad my eyes might get.

Cactus Jack 01 Jan 2016, 21:30


If you have not done so, you seriously need to go get your glasses. Also, you need to order some spare prescription glasses as soon as possible. I think we tried to alert you to at least some of the things to expect, but I have to admit that it is happening faster than expected. Did you pay any attention at all to what we wrote about Hyperopia and Presbyopia?

Until you can get some spare prescription glasses, I urge you to get some Over the Counter Reading Glasses either +2.25 or +2.50 for distance (try different powers) and +3.50 for close (try several for that also).

I don't recall where you live, but you may be able to order some low cost spare glasses from an online retailer like Zenni Optical. You probably have everything you need to order except your Pupillary Distance (PD). It is not hard to measure, but because of your prescription, you may need some help. We can help you if you want us to.


KennethWest 01 Jan 2016, 19:41

It's unbelievable how bad my eyesight seems without my glasses now. I left then at my grandparent's. I had to squint so much and reading (my phone) was imposible without zooming in.


KennethWest 31 Dec 2015, 17:05

Cacatus Jack,

Will do. Thank you for all your help. Just got my daughter and myself ready. We are about head over to the great grandparent's house.

Happy new years all.


Cactus Jack 31 Dec 2015, 11:40


You might also tell them that you have learned a lot more about vision and optics than you really wanted to know. That should get a laugh.


Cactus Jack 31 Dec 2015, 11:37


Yes. Just do it. There will be some comments, but that will be all over in a few minutes. If there is any comment about the power and/or the bifocals, just tell them that everyone is amazed that you were able to get by without glasses for all these years, as farsighted as you are.

There will be some requests to try your glasses. Let them, but alert them that they will probably find them very blurry for distance, but very close things should be a lot clearer. That will help defuse any comments. If they find that they can see pretty well with them, they need an eye exam.

Try to make a joke of it and try to laugh at yourself if you can, about being in denial for so long. That also defuses a lot of remarks.

Best wishes,


KennethWest 31 Dec 2015, 09:38

Planing on wearing my glasses all day again today. It is going to be a little difficult. I see my daughter today. Tonight as per West family tradition we go to my grandparent's house to kick in the new year. I am nervous about wearing my glasses infront of all my family. Any tips?


Likelenses 30 Dec 2015, 23:35


Wow! have been following your posts,and agree that your first prescription is massive.

Full time wear is a given.

John S 30 Dec 2015, 22:30


Your RX in a minus cylinder:

R: +2.25

L: +3.50, -0.50 X 50

Add +1.50

You have a small amount of astigmatism (cylinder correction) in your left eye only. Your left eye needs more plus correction than the right eye.

John S 30 Dec 2015, 22:19

I thought you were talking about the distance chart. The reading lens would help seeing close, but it is too strong to see distance, hence the reason for two different lenses.

In time it will become a natural habit to be able to judge when use the different lenses.

The movie projector is a great analogy. Each time the projector is moved a different distance from the screen, it must be refocused. That's you. The top lens sees 10-20 feet, the reading lens focuses at 16-20 inches. Outside of those distances using bifocal lenses, you are in no man's land.

CJ and I agree on most things. We come from similar backgrounds. But we have always had differing opinions on the lenses we prefer. I prefer progressive lenses, he prefers lined lenses. Both have their good and bad points. I believe a person that wears lined lenses for a long time, will have more of a problem changing to progressive lenses, than a first time wearer would. As usual, I am the exception to the rule. I wore lined lenses for 15 years, and went to progressives and never looked back. If you want to get into that discussion, let me know. If you think I am on the soap box now, I can really let loose.

Most people 35-40 start with a +1.00 of +1.25 lens only for reading. Their distance correction is so small, they don't worry about it. In your case, you are starting with about a +3.00 just for distance, and then a +1.50 reading add on top of that. It is called a reading add, because it adds to the positive strength of the lens. +3.00 and +1.50 = +4.50 for reading. That is a decent amount of power. I wasn't kidding when I said it will take a while to get used to that power. But it's not like you really have a choice. Go with the flow.

Like CJ says, glasses are just a tool that will make your life easier. Let the lenses do their thing, and don't fight it. Yes, you are stuck with them. It would have been so much easier if your vision problems were caught while you were a kid. Kids adapt much easier to a big change.

In NY state, part of the vision screening at schools was to use glasses with +2.00 lenses. The child is encouraged to read the distance chart. If they can, the parents are notified they needed to have their eyes checked. A person with normal vision would not be able to read the eye chart with +2.00 lenses. Kenneth probably would have said the chart looked better with the plus lenses. The usual vision screening is great for nearsighted people. It is about useless for younger farsighted people without using a method like that.

Normally a nearsighted person's RX increases somewhat because the eye grows longer in length. A farsighted person's eye is too short. It is really hard for a body part to grow shorter, so you have had this vision problem since childhood. But your accommodation muscles were so strong, they were able to compensate for it. They have run out of steam, so now you need external lenses to take over and do the work.

Please let me know if any of this makes sense.

KennethWest 30 Dec 2015, 20:59

John S,

It appears my last post did not go through correctly. What I had said was thag I could not read all of the card with my distance lens, so I understand why I have an add. It really helps. It enlargens things more than the top. The top does too, though. This whole knowing when and how to transition seems confusing.


 30 Dec 2015, 18:55

John S 30 Dec 2015, 17:31

Ok, that all makes sense. It is important you wear your glasses all the time. That will accomplish two things...

Getting used to the distance rx. Your distance vision will keep getting clearer the more you wear them. If you are part time, it is going to take a lot longer.

You need to get used to the bifocal segment. Stairs are one of the hardest things to get used to. You naturally look down to see close, so you need to try to look around the bifocal until you get used to using stairs. You do not have a strong add, so that will not be that hard.

Since you started out with strong lenses, things look a lot larger than before. After a while, that sensation will feel very natural. You will actually dislike taking your glasses off, because things will be blurry, and much smaller.

Your prescription will get worse, at least your reading add will. Your distance will probably go up some also.

Did you say that you could not read the 20/20 line with lenses?

I will post your RX in a minus cylinder tonight. Then you can compare your RX with the other postings. Most RXs are written in a minus cylinder. Your RX was written in a plus cylinder.

In a few weeks, you should be pretty well used to them.

Jamie37 30 Dec 2015, 17:08

Oh most certainly I do. I am quite nearsighted around -6 with another -3 in astig so a totally different set of vision issues then you except for the fact neither of us can see well without correction.

Tend to currently rotate between big black wayfarer frames and semi-rimless

KennethWest 30 Dec 2015, 17:05


I see. Do you already have glasses?


Jamie37 30 Dec 2015, 17:01

Actually I am 38 now and am a proverbial long-time user/follower here. And, so of course interested in how things have progressed for you etc. And, can only imagine how stunning you must look in the new bifocals.

KennetyWest 30 Dec 2015, 16:55

Oh, okay. Thank you. Hopefully my experience can help you and/or anyone else. Is 37 your age?


Jamie37 30 Dec 2015, 16:50

Not yet Kenneth, although me and the doc did discuss bifocals at my last exam. I am thinking a likely scenario at next exam in late spring that I will be given a rx for bifocals then.

Enjoy reading your journey through thi

KennethWest 30 Dec 2015, 16:48


Thry are the normal lined ones. Do you wear bifocals too?


Jamie37 30 Dec 2015, 16:39

So Kenneth, did you get progressives or regular lined bifocals

KennethWest 30 Dec 2015, 15:32

John s,

Yes, the put drops in. I am not sure what he was.

Cactus Jack,

Further away was blurry, it is super clear (through the top) for upto about 10-15 feet (just a guesstimate). Through the bottom it is only super clear until about 1.5 to 2 feet. Past those numbers it is blurry in the respective sections of the lens.

Thank you for all the tips. I almost tripped going down stairs in the mall and at a curb getting when I walked out.

The doctor mentioned during the exam that if I get to +2 he would strobgly reccomend me getting trifocals


Cactus Jack 30 Dec 2015, 14:22


I am not the least surprised. In fact, If you look back through the conversations, it is pretty much what we expected. You are going to pay a little price for waiting so long. Typically, we suggest wearing First Glasses full time for 10 days to 2 weeks, but it may take a little longer for you to get used to your glasses, but the best way is to just wear them as much as possible.

The bifocals will take a little getting used to. The actual prescription in the bifocal segment is:

R +3.75

L +4.50, +0.50, 140 (The last two numbers are Cylinder and Axis to correct mild Astigmatism)

The additional PLUS helps you focus to read small text. You will soon get used to using the bifocal segment to help you focus. When you get to the point where you need +2.00 or more to focus close, you might find Trifocals with an intermediate power useful for the computer between the distance power and reading power.

Be careful going down stairs or stepping off curbs (kerbs?) because they ARE NOT where you think they are. If you are descending stairs, hold on to the handrail until you get used to wearing bifocals.

Will your prescription change? YES, probably sooner than 1 year. It is very likely that your Distance prescription will increase and the Reading ADD will Increase. You need to ask what their policy is if you need a prescription change. Some will remake glasses for a period of time at no charge, some will not.

Is your prescription high for first glasses? YES. It is amazing that you could function for this long, without correction.

Question: Is your distance vision a little fuzzy?

If so, it should start clearing up in a few days of wearing your glasses.


John S 30 Dec 2015, 14:05


Did the doctor put drops in when he determined your prescription? Was the doctor an optometrist or an ophthalmologist?

KennethWest 30 Dec 2015, 13:48

Just picked up my glasses. The whole bifocal thing seems confusing. When I had to read the hand held card that tests the glasses I had to switch to looking out the bottom to see the bottom. My prescription is R: +2.25 add +1.5 L:+3.00, +0.50, 140, add 1.50. Also, I forgot to mention this earlier the docor told me I should come back in in about a year or when/if I experience new vision problems. In the appointment we shortly discussed trifocals. How long does it typically take to get used to glasses? How long for bifocals? Do you think my eyes will change within one year? Is my prescription really high for first glasses. The lady that gave me my glasses was pretty surprised that thry were my first. Saying I have a third time maybe second time prescription.


Cactus Jack 30 Dec 2015, 13:46


I am not clear when, in the exam, you had trouble reading the last two lines of the Snellen Chart.

The Snellen Chart is simply a way to conveniently measure Visual Acuity. If it was a full sized printed chart the last 3 lines are 20/20, 20/15, and 20/10. If it was a projected or video generated chart it is hard to tell which line you are seeing though some charts have the line clearly identified.

The 20/20 line is considered "normal" vision based on a large percentage of the population who function without vision correction. A few people have 20/15 vision and a very few people have 20/10 vision, but they are rare.

There are many factors that can affect a persons Best Corrected Visual Acuity (BCVA). The most obvious one is inaccuracy of the glasses prescription, but sometimes there are problems with the beginning of Cataracts forming in the Crystalline Lense or Retinal problems, just to mention two more.

Sometimes, it is just best to NOT give a person full correction in their first glasses, if the correction is significant. Your brain has years of experience dealing with your refractive errors and it can take a while for your brain to learn to deal with better quality images. If the total correction needed is to great, it makes it harder to function while the brain is in the leaning process.

In some ways it is like lifting weights at the gym. You don't build muscles by starting with the heaviest weights available.

We really need your full prescription to be able to offer suggestions.


KL 30 Dec 2015, 09:25


Messing up on the Snellen chart might have been due to hyperopia, but it could also be astigmatism - or a combination of both. Knowing your full prescription might make one or the other more likely. Was there a big difference between your eyes when you looked at the chart? If it was significantly worse in the eye with astigmatism, that’s probably the main problem.

A higher than 'usual' first prescription does mean that you would have benefited from glasses earlier, but your prescription is what it is. You didn't make it worse by not getting glasses earlier. Your vision without glasses will not get better, and your prescription will not decrease.

As for when you'll need to wear your glasses, no one can really know how you see or give you hard and fast rules (with the notable exception of driving and other safety issues). But from the sounds of it, you might well find you'll want to wear them all the time. Time will tell.

KennethWest 30 Dec 2015, 08:55

Cactus Jack,

I had trouble eeading the last two lines. Managed to say stuf for the last one, but had yo admit defeat on the 20/20.


Cactus Jack 30 Dec 2015, 08:33


How did you mess up?


KennethWest 30 Dec 2015, 08:26

I have not gotten them yet. What ajout me messing up on the snellen chart? I asked that in my previous post too.


Cactus Jack 30 Dec 2015, 08:18


Have you picked up your glasses. yet? You need to ask for a copy of your prescription. You are entitled to it and one of the first things you need to learn is to put a copy in your wallet and keep it with you.

I am not surprised, if you look back through the conversations, I think we were pretty close in analyzing your vision even with the limited information we had.

The most important thing to get through your head is that what you are discovering is essentially what MILLIONS of other people who reach your age and have undiagnosed and uncorrected Hyperopia along with the beginnings of Presbyopia. We need to have some more conversations after you get your glasses and we know your complete prescription. Every element of the prescription is important.

Here are the answers to your questions:

Also, I remember my number were much higher than what I have seen most people here state their first prescription are, is that bad?

NO! It is just what is. Your prescription is like your Shoe size or Clothing size. The key is a comfortable fit.

Does it have to do with me being long overdue for glasses?

Not really. However, being "overdue" with Hyperopia makes it much more likely that you have some Latent Hyperopia that will take some time to fully resolve and likely some prescription changes.

Did I worsen my eyes by not noticing earlier?

Not really. I think it will take a few days, but you will realize what you have been missing and wish you had done this sooner.

Will my vision be able to get better?

Without your glasses, NO! In fact, you will initially think your glasses have made your vision worse. Also, it is common for Hyperopes with New Glasses to have slightly blurry distance vision which will improve over a few days or a week. This is a sure sign that you have/had some Latent or Hidden Hyperopia in addition to the Hyperopia revealed during the eye exam.

Or is it sort of like a no rewind zone?

NO! It doesn't work that way.

When will I need to wear my glasses?

It depends on your prescription, but you should probably wear your glasses ever waking hour for at least two weeks and then decide when you want to wear them. Vision actually occurs in the brain and the eyes are merely biological cameras. Your brain has been doing as much image correction as it can for a long time. It has to learn that it no longer needs to apply any correction to the high quality images it is now receiving.

How often?

See above. However, depending on your prescription, you may not want to drive with your glasses until your distance vision begins to clear up. You are the only one who can make that judgement.

We need to talk about his more, after you get your glasses and have your complete prescription.


John S 29 Dec 2015, 23:26


Welcome to the club. Sounds like you had the same problems I had, around the same age. You just didn't realize you had vision problems until later. Early on my vision problems bothered me more, so I got glasses.

Don't forget to post your prescription.

KennetgWest 29 Dec 2015, 23:16

Sorry for the long post. I tend to ramble when I am nervous. It's like my brain cannot stop my mouth (or in this case my hands).



KennethWest 29 Dec 2015, 23:11

Cactus Jack,

I do not remember the exact prescrition, but I remember the greater details. My doctor was sort of confusing, but it might have just been all this vison stuff coming at me all of a sudden.Turns out my eyes are plenty messed up (especialy my right eye). I have hyperopia, the doctor thinks I have probably had it for a very long time, grade school days, but was able to mask it and accomedate. So apparently I have had problems with my vision for longer than I thought. He also said it is likely I had gotten comfertable in my own blur. Untill it got really bad and/or until presbyopia made it's early entery. Turns out I also have astigmatisim in my right eye. I messed up on the snellen chart, but I have hyperopia, not myopia, is this like what KL said it was "too close," closer than my near point? The precription he put in to help me focus the parts I missed did not however make much of a difference up close on the card, so I will be needing extra plus to see close. Basically, I need bifocals. Also, I remembr my number were much higher than what I have seen most people here state their first prescription are, is that bad? Does it have to do with me being long overdue for glasses? Did I worsen my eyes by not noticing earlier? Will my vision be able to get better? Or is it sort of like a no rewind zone? When will I need to wear my glasses? How often?

Sorry for all the questions. Thank you in advance.

Excuse my big thumbs for typos,


Cactus Jack 29 Dec 2015, 21:34


After all our conversations, I am really looking forward to finding out the results of your Eye Exam. I am sure you are going to have more questions after you get your glasses and knowing the prescription will help us offer appropriate suggestions. Up until now any suggestions we could offer were speculative. Now we can be more specific.

Being apprehensive about wearing glasses is common and normal. Hopefully, the benefits will outweigh any initial apprehension and you will soon be past all that.


KennethWest 29 Dec 2015, 18:32

Looks like I'm going to have to pick up my first pair of glasses in the morning. By the time my appointment was over the glasses place was about an hour away from closing, so they said my glasses should be ready tomorrow morning. I have to admit I am a bit nervous about getting/ wearing them.


KennethWest 29 Dec 2015, 13:32


Okay, that makes sense. I think I will have problem with the latter. Will gind out for sure in about an hour.


KL 29 Dec 2015, 09:51


If you're nearsighted, distance is blurred because it's too far away - past your 'far point', which is the farthest thing you can see clearly. Minus lenses move the far point to infinity so you can see distance clearly.

If you're farsighted, distance is blurred because it's *too close* - closer than your near point (closest thing you can focus on), which is already past infinity. Plus lenses bring the near point closer.

Cactus Jack 28 Dec 2015, 23:50


This is a lousy way to try to teach Optical Physics, there is nothing like a Physics lab with an optical bench to allow you to see how lenses bend light rays to focus them and how they converge to a focus and diverge beyond focus. This will be very a very brief summary, but here goes.

Have you ever had occasion to focus a microscope, telescope, slide or movie projector? If you have, you may recall that there is only ONE place where the image is perfectly focused, but it is blurry on either side of that perfect place. Something similar happens in the optics of the eye.

If you have Myopia, distant objects are blurry and external - lenses can bring them into focus. Close objects may be in focus without correction, but it depends on how much Myopia and the distance to the object.

If you have Hyperopia. distant objects may be blurry and there are two ways to bring them into focus. Where Myopia required (-) lenses for correction, Hyperopia requires (+) lenses for correction. I mentioned that there are two ways to correct Hyperopia and which you use depends on several factors. Option 1 is to supply the extra (+) needed to focus by using your internal Crystalline Lenses, which are part of your Auto-Focus system, provided your Hyperopia is not too great and Presbyopia has not reduced your ability to focus by very much. Option 2, If you have a lot of Hyperopia or Presbyopia has made using your internal Crystalline Lenses for the extra (+) impossible, the only solution is external (+) lenses. One of the downsides of Hyperopia is that it will tend to affect your ability to focus close before it affects your ability to focus for distance.

The neat thing about Option 1 is that there is no cost involved and often you are not even aware that you are correcting your Hyperopia internally. However that good thing will not go on forever and at some point Presbyopia will gradually take away your Accommodation and you will need some external (+) lenses to focus for both near and far and ultimately bifocals.

Incidentally, people with Myopia also loose their focusing ability to Presbyopia and will need bifocals. It just does not seem to happen as as soon as it does with Hyperopes.


John S 28 Dec 2015, 21:26


My initial prescription at 13 was:

R +1.00 (hyperopia)

L +1.00

Add +1.75 (accommodation)

At 60 it is now:

R +1.00 -0.75 X 95 (hyperopia & astigmatism)

L +1.25 -0.50 X 75

Add +2.50 (my accommodation problem is now moot, taken over by presbyopia)

Both prescriptions (adds) were set for the average 16" reading distance. Around 30, I developed some astigmatism. My add started to creep up in my mid 30s.

I wear a +3.50 or +4.00 add in progressive lenses. That is a 11"-12" reading distance. I wear a stronger add so that I can focus closer for working with electronics. Since I was 20, I have worn a stronger add. A stronger add also feels more comfortable to me. I can say with some certainty, your arms will never be too short with a strong add. A few doctors will use a tape measure to determine the distance you like to read at. That works out very well.

If you use a computer a lot, glasses dedicated for that use are a good idea. You need to specify the distance from your screen so you get the correct lenses. They do not replace glasses for reading.

Some people normally wear bifocals or progressives, and wear single vision lenses when they are using their computer. That is a pretty good combination.

KennethWest 28 Dec 2015, 20:04

Cactus Jack,

Okay, thanks it makes a little bit more sense, but I think you missed one point of my question, why/ how would + glasses help someone see far I thought that is what the - did?

Sorry for all the confusion,


Cactus Jack 28 Dec 2015, 18:49


Young farsighted people can get away with NOT wearing the PLUS glasses they actually need, provided their Hyperopia is not very high or complicated by Astigmatism. Often without their being aware of it, the use their "Auto Focus" system to let them see distance clearly, but it requires constant effort and energy.

At some point it catches up with them and they discover that they need some focusing help. The tiny text on SmartPhones and Tablets are famous for revealing Hyperopia even in young people. The solution is some PLUS glasses for both distance and close work. Extra PLUS is not needed for reading or most close work because they can use their Auto Focus system to take care of the extra plus.

If a person needs some additional PLUS to focus close, you have to get bifocals, trifocals, progressives or a separate pair of reading glasses.

Lets say that a person needs +2.00 correction for comfortable distance vision and likes to read at 16 inches or 40 cm, but can no longer use his Auto Focus System because Presbyopia makes that impossible. It turns out that Sir Isaac Newton's optics formula says it takes an extra +2.50 to focus at that distance.

If the person decides to get bifocals the most of his glasses would be +2.00 for distance, but there would be an area (called a segment) near the bottom of the lens for reading. It would have what is called an ADD of +2.50. The ADD means that its PLUS is in addition to the distance PLUS. Therefore, the optical power of the reading segment would be +4.50 and the person could use the reading segment by just lowering his eyes as typically occurs when they read. In some instances a person may need a very large field of vision for viewing close objects (e.g. reading X-Rays), In those instances a pair of single vision glasses with the whole lens with +4.50 may be desirable.

I am 78 and I wear Trifocals so I can see clearly at all distances, but have pair of single vision glasses with the power of the reading segment in my Trifocals. I use them for reading in bed. They are great for that, but because of the significant PLUS ADD for focusing close, everything beyond their focus distance is very blurry and almost useless for anything else.


Cactus Jack 28 Dec 2015, 18:49


Young farsighted people can get away with NOT wearing the PLUS glasses they actually need, provided their Hyperopia is not very high or complicated by Astigmatism. Often without their being aware of it, the use their "Auto Focus" system to let them see distance clearly, but it requires constant effort and energy.

At some point it catches up with them and they discover that they need some focusing help. The tiny text on SmartPhones and Tablets are famous for revealing Hyperopia even in young people. The solution is some PLUS glasses for both distance and close work. Extra PLUS is not needed for reading or most close work because they can use their Auto Focus system to take care of the extra plus.

If a person needs some additional PLUS to focus close, you have to get bifocals, trifocals, progressives or a separate pair of reading glasses.

Lets say that a person needs +2.00 correction for comfortable distance vision and likes to read at 16 inches or 40 cm, but can no longer use his Auto Focus System because Presbyopia makes that impossible. It turns out that Sir Isaac Newton's optics formula says it takes an extra +2.50 to focus at that distance.

If the person decides to get bifocals the most of his glasses would be +2.00 for distance, but there would be an area (called a segment) near the bottom of the lens for reading. It would have what is called an ADD of +2.50. The ADD means that its PLUS is in addition to the distance PLUS. Therefore, the optical power of the reading segment would be +4.50 and the person could use the reading segment by just lowering his eyes as typically occurs when they read. In some instances a person may need a very large field of vision for viewing close objects (e.g. reading X-Rays), In those instances a pair of single vision glasses with the whole lens with +4.50 may be desirable.

I am 78 and I wear Trifocals so I can see clearly at all distances, but have pair of single vision glasses with the power of the reading segment in my Trifocals. I use them for reading in bed. They are great for that, but because of the significant PLUS ADD for focusing close, everything beyond their focus distance is very blurry and almost useless for anything else.


KennethWest 28 Dec 2015, 17:56

Cactus Jack,

Thabk you so much for all the help. One last question, I have been reading som posts on here. Howcome people farsighted people (+) wear there glasses all the time arent +lenses for close work like reading only? How could someone have an add when they already have plus lenses? Why not just add it into the lens as a whole? I understand - bifocals, but not + ones.

Thank you,


Cactus Jack 28 Dec 2015, 17:04


I don't think you are being rude, I think you want to understand how this stuff works and I want to help. You may actually be overthinking this. The optics of vision are really pretty easy to understand. Hyperopia and Presbyopia are two different things with two different causes, but only ONE solution, though sometimes there are two solutions built into ONE lens.

Hyperopia - almost every baby is born with Hyperopia because of optical physics and the physical size of their heads and eyeballs. Fortunately, we have the ability to grow out of it in many instances, but your genes are in charge of how that happens.

Johns Hopkins University did some research on Nanothalmia several years ago. Nanothalmia occurs when the eyeballs do not grow and develop normally. The result is extreme Hyperopia. There was some evidence and a theory was developed that there is an eyeball specific growth hormone that is produced by the Retina when processing out-of-focus images and possibly by the stress of focusing. The ultimate control of this hormone production is your genes. Typically, your genes cut off the production of this hormone in your late teens or early 20s.

However, if hormone production is cut off early, before the eyeball has grown enough, the result is Hyperopia. If the cut off is late and the eyeball grows too much the result is Myopia or nearsightedness. As of the last news bulletin I saw several years ago, the hormone has not been isolated or identified, however there is empirical evidence that it exists. It is fairly common that women, who are significantly Myopic have a tendency to become more Myopic if they become pregnant, even after their vision had been stable for years.

It is certainly possible that you have some residual Hyperopia, but it has been masked by your Accommodation without your being aware of it. Hyperopia is the ONLY type of Refractive Error that you can correct internally using your Ciliary Muscles and Crystalline Lenses. However, while you can definitely correct Hyperopia, you cannot correct it indefinitely because Presbyopia rears its ugly head.

As I have mentioned before, Presbyopia is the gradual stiffening of the protein in your Crystalline Lenses and it actually starts in early childhood. The Accommodation Range (AR) of most children is huge. Most have the ability to Accommodate as much as +18 diopters of the relaxed distance state. That is why young children can effortlessly focus at 6 to 8 inches while reading or coloring on the floor even with a lot of Hyperopia remaining. However, as Presbyopia progresses, Accommodation Range is reduced (there is even a formula for that) and at some point it will limit your focusing ability. Typically, in the Emmetropic eye that needs NO correction for distance, Presbyopia does not become a nuisance until around 40. In the Myopic eye, Presbyopia usually becomes a nuisance a bit later, but in the Hyperopic eye, it happens earlier. In fact, one of the clues that a person has some Latent or Hidden Hyperopia is that they start having focusing problem at an earlier age than is typical.

The reason for this is that the Latent Hyperope has used up some of his Accommodation Range correcting his Hyperopia which leaves less for focusing to read.

Often, if the Latent Hyperopia is corrected with some PLUS glasses, it will free up your Accommodation for focusing close, at least for a few more years. After correction, when you will need some additional close focusing help depends on your visual environment and how much focusing ability you have left.

Hyperopia, Latent Hyperopia, and Presbyopia are strange beasts, but the strangest of all is Latent Hyperopia is the strangest of all. Latent Hyperopia occurs when the Ciliary Muscles and Crystalline Lenses have become so used to correcting Hyperopia that they can no longer easily relax. If you have had uncorrected Hyperopia for many years, it can take weeks or months for them to fully relax and restore your full available Accommodation Range. If you have Latent Hyperopia, you will probably get a prescription for PLUS glasses to correct your apparent Hyperopia. When you start wearing them, your distance vision may be a bit blurry, but after a few days or weeks that will clear up as your Ciliary Muscles and Crystalline lenses gradually relax. At that point, you should get another exam and possible get some glasses with a bit more PLUS and go through the same process. Depending on how much Latent Hyperopia you have, the total process can take some time.

Unfortunately, there is not way to estimate how much Latent Hyperopia or actual Hyperopia you have, until everything is fully relaxed. There is also no way to predict if you will need bifocals. You may need bifocals or progressives or reading glasses to help the process along. The keys are comfort and functionality.

If you get an exam and a prescription, remember that you don't have to get the prescription filled immediately. If you want to talk about it before taking action, please feel free to ask for an explanation of what it means.


DS 28 Dec 2015, 16:11


Babies are born hyperopic and grow, ideally, into emmetropia (focus at infinity in the fully relaxed state).

The aging process starts just as early, and the focusing ability available to overcome being farsighted is also constantly reducing. This is what causes eventually becomes presbyopia, when you no longer can make the transition from far to near with natural accommodation.

While young, there is a lot of extra focusing power available to overcome some hyperopia, as long as it doesn't require so much to cause the eyes to turn in so much to cause double vision. At age 34, you have likely hit the point along the ever-worsening presbyopia line where you need more accommodation than you have comfortably available to focus near.

You probably aren't technically "prebyopic" yet as, with only single-vision lenses, you'll likely be able to see both far and at normal reading distances. That label will come when you need additional help for close that would cause distance vision to blur, requiring bifocals.

KennethWest 28 Dec 2015, 13:37

Iforgot to add this at thr end of my last post, but I had to cancel my plans of getting my eyes checked today. Hopefully I can get them checked tomorrow after work.

KennethWest 28 Dec 2015, 13:31

Cactus Jack,

Okay, that really clarifies things. Earlier you had said you think I have both, why? In this last post you said hyperopia is developed during childhood (I'm 34), if that is true howcome I just started having problems? Let's say your initial post is correct if I have both will they add the corrections needed for both problems together into one number or will I need bifocals?

Not trying to sound rude. Sorry if it has come off like that,I just want to understand.

My best,


Cactus Jack 28 Dec 2015, 13:01

KennethWest & John S,

A small correction. Accommodation involves the Ciliary Muscles and Crystalline Lenses. Until Presbyopia or weak Ciliary Muscles make it difficult or impossible, the Ciliary Muscles squeeze the Crystalline Lenses to increase their PLUS power. The increased PLUS will move the focus point up to the retina.


Hyperopia is generally caused by the eyeball not growing enough during childhood and adolescence. Most babies are born with substantial Hyperopia because their head must be small enough to pass through the birth canal and their eyeballs have to fit in their small eye sockets. Fortunately, most babies are born with very flexible Crystalline Lenses (made of a transparent protein with the consistent of gelatin dessert). It typically takes about a month for a newborn to learn how to use their Ciliary Muscles to make use of their excellent Accommodation potential. As the child grows their head and eyeballs grow. The growth is believed to be triggered by an eyeball growth hormone produced by the retina, but genetics are in charge of the production of the growth hormone. If there is not enough production, Hyperopia results and supplemental PLUS lenses are required. If there is too much production, Myopia results and supplemental MINUS lenses are required..

Presbyopia is something completely different. It is the gradual stiffening of the protein in the Crystalline Lenses. It finally gets so stiff that the Ciliary Muscles can no longer squeeze the Crystalline Lenses to increase their PLUS power and external PLUS lenses are required to enable close focusing.

Both Hyperopia and Presbyopia require PLUS lenses, but for different reasons. If both Hyperopia and Presbyopia are present, their effects are additive.

The amounts of PLUS correction required for Hyperopia is usually less than +6.00, but can be very high, if the Crystalline Lenses have been removed, as in Cataract Surgery before the development of Intra Ocular Lenses. The correction for Presbyopia correction, on the other hand, depends on how much extra PLUS the Ciliary Muscles and Crystalline Lenses can provide and the focus distance involved. Even if Presbyopia prevents any accommodation, the reading Add will probably be less than +3.50 diopters for someone who needs help focusing at a distance of 28 cm or 11 inches.

Here is a link to a paper discussing The Eye, that you might find interesting.


KennethWest 28 Dec 2015, 04:37

John S,

Thank you for the explanation. You said you have both, what is your prescription? Would it be the same as person with just one of the problems?



John S 28 Dec 2015, 00:56


I hope you don't mind my 2 cents.

The lens can be the same to correct both vision errors, but the causes are completely different.

Hyperopia is basically caused by the eye being too short. That causes the image to focus behind the retina. For a sharply focused image, the image needs to strike directly on the retina.

Presbyopia symptoms can be caused by several things:

The lens in the eye is getting stiff or hard. This starts occurring after childhood, but it is not usually noticed until the mid 30s to mid 40s. There is supposed to be an automatic action called accommodation, that occurs between the brain and the eye muscles to lengthen the eye, to temporarily cause the focus point to move closer. It occurs very fast, and usually not noticed. When the lens become stiff, the muscles can no longer squeeze the lens to cause it to lengthen. Then the minimum focus distance moves closer to 20 feet, unless myopia or hyperopia is also present.

A breakdown in that automatic action, due to a chemical imbalance (blood sugar, or some types of medications).

It can also be caused by weak cilary eye muscles, or a communication problem between the brain and eye. Those are usually classified as an accommodation problem.

I have had both hyperopia and accommodative insufficiency since I was kid. (Google is your friend)

Hyperopia and presbyopia can have the same end effect. They usually show first as blurry close vision (intermittently, or constant), headaches, tiredness, or red/sore eyes. It can be a combination of any of those.

To find out which you have, or both, your distance vision needs to be corrected first (if needed). Hyperopia can be masked by your cilary muscles, and sometimes be hard to detect without a dilated exam. Because of your age, dilation will probably not be necessary, but still could be helpful.

If you can focus at 20 feet looking through a plus lens, you are hyperoptic. If you want to do this test yourself, find a set of readers that are a +1.00. Wear them for at least 15 minutes to relax your muscles. Then compare your distance vision (20 feet) with and without them. If your distance vision looks the same, or is better with the lenses, you are hyperoptic. If your distance vision is worse with lenses, you are probably not hyperoptic. Then the cause of your problem would probably be presbyopia or accommodation.

If you have presbyopia or an accommodation problem in your case, both of them would require a plus lens to correct. You can use the same readers to see if you get any comfort or vision improvement by wearing them only for seeing close. Your distance vision will be blurred while your are wearing them.

It is always a good idea to get an eye exam, even if you find the root cause yourself. You want to prescription to be correct, and there are eye diseases that can only be determined by an exam. Lenses are only part of an eye exam.

The eye has been said to be a window to see into the body. There are many diseases not related to the eye that can be determined by looking into the eye.

Many younger people do not even realize that they are hyperoptic, or that they have an accommodation problem until later in life.

Be aware that astigmatism can cause varied effects also. You can have that in to addition to any other vision error. That is for another discussion.


KennethWest 27 Dec 2015, 22:21

Cactus Jack,

Aren't both hperopia and presbyopia just different terms for farsightedness?

Your study guide was really helpful. Thanks for it. I promise to keep you guys posted. Wish me luck on my exam.



Cactus Jack 27 Dec 2015, 20:58


I am working on some suggestions along that line, but I think if you try to force glasses on him, it will backfire. I really think he needs some vision help, but it needs to be his idea. I think it would be best if he got an eye exam, mostly to find out if he has any astigmatism, but it is doubtful he would go along with that idea, at this stage.

You might do a little scouting to find what is available in Over-the-Counter (OTC) reading glasses. Don't buy anything yet, but what you are looking for is +1.00 in a nice looking frame. +1.00 is typically hard to find, but failing that, +1.25 or +1.50 would be OK.


Cactus Jack 27 Dec 2015, 20:44


I was tempted to suggest a dilated exam, but that will temporarily affect your ability to focus close and if you are in fact Hyperopic, it will also affect your distance vision. The dilating agents typically take 5 to 8 hours to wear off, so you should schedule a dilated exam late in the day, when you go home after the exam.


Cactus Jack 27 Dec 2015, 20:37


I suspect you may be a bit hyperopic and presbyopia is creeping up on you. It typically happens a bit earlier in hyperopes, You might find the piece I wrote useful if you have not had an eye exam in a long time. It is on the Vision thread and called "HOW TO STUDY FOR AN EYE EXAM".

Please be let us know the results of the exam.


KennethWest 27 Dec 2015, 14:18

Just to clarify I am still in my residency (thought it might be important).

KennethTWest 27 Dec 2015, 13:49


My name is Kenneth I am a 34 year old medical oncologist (from reading previous post I figured you guys would want to know my age and occupation). Until recently I have never had any vision problems. When I was in high school I would wear my then girlfriend's glasses sometimes just for fun, but other than that I have never worn glasses. Now for about two months I have realized it is getting sort of harder to focus when reading, like my arms are no longer long enough to be able to read (even with my arms fully stretched in front of me the word are blurry). I plan on stopping in at our local mall's walk in optometrist's office tomorrow before work. Any thoughts, suggestions, tips, or words of advise for tomorrow or just my overall situation? Is there anything I should do to get ready for the exam?

Take care,


Sarah 27 Dec 2015, 08:40

I saw how low this has gotten in the recent post section, and thought I would bring it up because this is really important to me. I want to help my boyfriend, and it sounded like Cacutus Jack had something insightful coming up. I was thinking I should just buy a pair of readers and put them on him when he is reading so he can see he needs them, Does that soubd good? If I do that, what prescription should I get?


Sarah 26 Dec 2015, 12:24

Cactus Jack,

Just noticed your question what year of college he is in, sorry I read overr it last time. He is on his second year, and if you were wondering I am on my first.


Sarah 25 Dec 2015, 15:57

Cactus Jack,

I found them, and was reading it earlier. I am an 18 year old chemical engineering and business administration student. Cost is not the issue, I think he is just ignoring the problem cause I think he is sort of afraid of needing glasses.


Cactus Jack 25 Dec 2015, 14:47


If he is 19, farsighted, majoring in a subject as visually intense as Mechanical Engineering (first year?), and having headaches when he reads, he really should not put off finding the solution to his problem. He can buy headache medicine by the case, but that is not the answer.

People who want to study Engineering are fundamentally Problem Solvers. I know. I am one.

My background is Electronic Engineering and Computer, and my curiosity about a personal "unsolvable" vision problem is what caused me to learn about vision and optics. I found the solution to my problem and my ECP said that I ought to be teaching at Optometry school. I don't think your boyfriend's problem is very complex or hard to solve.

Most engineering types are naturally curious. Maybe a different approach would cause his "curiosity bump" to itch a little. I am toying with an idea that might help get him past a glasses "hang up". May I ask a few questions about you?

1. Your age?

2. Are you also in school?

3. If so, what are you studying?

4. Where do you live (country)?

5. Is cost of an exam or glasses an issue?

If you are uncomfortable discussing any of this online, please feel free to contact me privately at

If you have time, please read the Macrae saga I mentioned. it is well written and funny. I think Macrae and your boyfriend are kindred spirits and reading his glasses adventure will help you understand the problem. Let me know if you have trouble finding it on the True and Fantasy Stories thread on the Vision and Spex website.


Sarah 25 Dec 2015, 11:41

Cactus Jack,

Yes, I do wear glasses, I just had my last check up and am now waiting for my first double digit lensed glasses to come in (for myopia and astigmatism). As far as my boyfriend, yes he is definitely a keeper! Yes. He is in school he is studying to be a mechanical engineer with a minor in business administration.


Cactus Jack 25 Dec 2015, 09:08


It is very likely that he is farsighted and what is happening is much more common these days that it was even 20 years ago. The medical term for farsightedness is Hyperopia. It is the ONLY refractive error that a person can correct by using their internal resources, without their even being aware that they are doing it. That makes it hard for a person with low to moderate Hyperopia, unless it is complicated by Astigmatism, to understand that they may need some help. In some cases, being a little Hyperopic is like a being a slightly over corrected Myope. Their vision seems to be exceptional and they often brag about how well they see things in the distance.

The idea that a person does not need focusing help until their 40s is a myth. You need help when you need it and if you have some uncorrected Hyperopia you may need it a lot sooner than 40. The reason is really simple if you understand a bit about optics and how the eyes work. The culprit is Presbyopia, which is the gradual stiffening of the Crystalline Lens (the focusing lens in the eye) as you get older. Presbyopia actually starts in childhood, but it typically does not become a problem until around 40. Most babies are born with very significant Hyperopia. That is because their eyeballs have to be small to fit in their small eye sockets. Of course, their heads are small so it can pass through the birth canal. Fortunately, most babies have extremely flexible Crystalline Lenses to compensate for the Hyperopia, but it takes about a month after birth for them to learn how to use their Ciliary Muscles to focus their eyes. As the child and their eyes grow, they become gradually less Hyperopic, but if the eyeball growth stops too soon, they wind up with Hyperopia.

Hidden or Latent Hyperopia is more common that previously believed because it is often revealed by trouble reading the tiny text on SmartPhones and Tablets.

Your boyfriend seriously needs an Eye Exam, but there is probably a vanity issue involved. Yes, males have vanity also and it can often be worse than female vanity. There is likely no way to force him to get an eye exam, but you are right with your recognizing the symptoms. If you try to force him to get an exam, he will likely just dig his heals in. He needs to decide for himself, but that probably won't happen unless his discomfort exceeds his vanity.

A couple of questions:

1. Do you wear vision correction?

2. Is he presently in school of any sort?

4. If so, what is he studying?

3. Is he a 'keeper'?

You might find it useful and entertaining to read Macrae's Story on the Vision and Spex website.


Sarah 25 Dec 2015, 00:43

Cactus Jack,

Thank you for replying. My boyfriend is 19 years old. You said he needs vision help, do you agree with me in the sense that he is most likely farsighted and needs reading glasses?


Cactus Jack 24 Dec 2015, 21:10


Your bf probably needs some help with his vision. How old is he..


Sarah 24 Dec 2015, 17:46

Hey, I have a question, my boyfriend has been complaining of headaches and I have noticed that they mainly originate when he reads. By now he noticeably struggles with reading especialy small print, and I see him holding his menues, books and phine further away to focus. I think he is farsighted and needs glasses. I brought it up a few times, but he blows me off and blames my observations on just being tiered, sick or on bad lighting. I hate to see him struggling, but he is not my child so I cannot just force him to go to the eyedoctors. What do you guys think, does he need glasses, or am I just paranoid like he says? If you think he does need to get his eyes checked how do yoh suppose I get him to go?

Knowing him with all his pride I think he is just having trouble coming to terms with what he is obviously noticing cause he thinks only older people are farsighted.


Joey 14 Dec 2015, 19:09

My right eye is -4.75 and my left eye is -1.5. Me left eye has a bunch of astigmatism. Add 1.75.

Cactus Jack 13 Dec 2015, 17:10


Once Presbyopia gets to the point where you need some close focusing help, it can appear to progress pretty rapidly. However, there is a limit to how far it can go.

Presbyopia, which is the gradual stiffening of your Crystalline Lens (your focusing lens), actually starts in childhood, It usually does not become a nuisance until around 40, but these days with tiny text on Smartphones and Tablets, even some teens are needing close focusing help.

The stiffening of the Crystalline Lens happens very slowly, but the Ciliary Muscles which, for their size, are the strongest muscles in the body, get out of condition very quickly. Unfortunately, when you get to the point where the Ciliary Muscles can't squeeze the Crystalline Lenses to increase their PLUS power for focusing close, you need some external help (glasses). The external help relieves the Ciliary Muscles of some of their work load and the focusing system goes into a downward spiral where the Ciliary Muscles get weaker as the Crystalline Lenses get harder to squeeze and you need a stronger reading prescription. The good news is that your reading prescription will never go over +3.00 unless you like or need to focus closer than 33 cm or 13 inches.

May I ask your complete prescription?


Joey 13 Dec 2015, 14:14

I have worn glasses as long as I can remember. I had a lazy eye and did the patch for several years. Not sure how that worked, got contacts in high school. Got married,and had two boys, both needed glasses before they went to school. Just turned 42 and went to the eye dr...of course my 6 yr old grandson needs glasses, but I need bifocals. Two days, eyesight is amazing . When I put contacss in I can't see anything closer than 12". Weird how my eyesight has gotten so much worse in a short period of time

Joey 13 Dec 2015, 14:14

I have worn glasses as long as I can remember. I had a lazy eye and did the patch for several years. Not sure how that worked, got contacts in high school. Got married,and had two boys, both needed glasses before they went to school. Just turned 42 and went to the eye dr...of course my 6 yr old grandson needs glasses, but I need bifocals. Two days, eyesight is amazing . When I put contacss in I can't see anything closer than 12". Weird how my eyesight has gotten so much worse in a short period of time

Soundmanpt 12 Dec 2015, 20:36


It's really great to hear from you and that your eyes seem to have pretty much adjusted to your glasses for nearly everything. Even your distance seems to be getting better and better with your glasses for driving at night. It makes perfect sense that your more comfortable wearing your glasses than they are without them. That's because your eyes are now using the +.50 prescription in your glasses which is why it's easier now to focus with your glasses on. That's exactly what your glasses should be doing, making it just slightly better with your glasses. Sp that little bit of difference you notice is the +.50 in your glasses doing what it should be doing. So you should still be more than able to see everything just like you you did before you got your glasses only now your glasses are making it easier on your eyes.

Carrie's friend the "server" is different than you because when she started wearing glasses her vision was perfect. She wasn't prescribed glasses at least not at first. Her gf Danielle, had been prescribed glasses, +1.00's, and when she got her glasses she took advantage of a 2 for one deal so she got 2 pairs of glasses for the price of one. The "server girl" it seems just wanted to wear glasses so she borrowed one of Danielle's glasses to start wearing as her own. But as it turned out they were just a little bit tot strong for her eyes and she was never able to adjust to them. Danielle i'm pretty sure by then was also wanting her other pair of glasses back to wear herself. They decided to go on line and order a pair of glasses for "server girl" in a weaker strength. They picked out a pair and had them made with +.50 lenses. These glasses was much easier for her to adjust to and she never had any problem wearing them and seeing fine. At some point Danielle needed an increase in her own glasses so she made an appointment to get her eyes examined for new glasses. Her gf (server girl) decided to get her eyes examined at the same time and she was prescribed +.50 glasses which of course she already had been wearing. So her vision most likely changed as a result of her wearing glasses that were not prescribed to her. Your case is completely different because you were prescribed glasses by an optometrist, Now he may have called them "booster" glasses or whatever but the truth is you were prescribed glasses because he felt like your eyes were a little weak and needed a little help, or "boost" if you will. So all you have been doing is getting your eyes to adjust to the glasses the doctor prescribed to you. You not ruining your eyes by wearing your glasses. So yes she had to of weakened her eyes a little bit if she went from having perfect vision to being prescribed +.50 glasses. Now that she is wearing Danielle's +1.00 glasses chances are she will find that if she gets her eyes examined in the next few months she will be prescribed +1.00 glasses as a result of her own doing. Now it's hard to predict what your next eye exam will determine. It is possible your eyes won't change at all or you may need a slight increase, but if you do it won't be because your wearing glasses. It will be because of the amount of close work you do and eye strain. But your glasses are doing a good job of reducing eye strain now because your wearing glasses.

Carrie 12 Dec 2015, 16:43

Kristen - good to hear you have got used to your glasses

I don't know if my friend has weakened her eyes. She has a prescription, like you, for +0.50 which she can see perfectly with. She can see fine with her girlfriend's old +1.00 glasses. She says although she can't see any better it's certainly no worse than with the weaker glasses. She can see well without glasses but likes how she looks in them and likes that her "new" glasses look more real than the +0.50s because the prescription is stronger. She can read/see close up without glasses but with glasses everything is really clear and her eyes don't get tired from being on her phone for long periods.

In my opinion, I don't think you will do any harm to your eyes. If you like wearing glasses and want to wear them all the time then it's good you can see all distances as good or better than without glasses.

Kristen 12 Dec 2015, 12:32

Plus Tony, Soundmanpt, Carrie

I have cntinued to wear my glasses all of the time as you recommended. I am seeing fantastically with them on now. It is no longer comfortable to not be wearing them. I can see everything without them but it is easier to focus with them on. I think that my vision is clearer up close and at mid-distance while wearing them now. Distance waffles between clearer with them on or clearer without my glasses. It is pretty close either way.

I am concerned with something that Soundmanpt wrote to Carrie about her "server" friend. You stated that wearing my. "booster" prescription was tolerable the adaption of her vision and that she was therefore using the "power of the lenses" which "weakened her eyes". Am I weakening my eyesight by wearing my booster glasses? On 11/11, you indicated that wearing my glasses would not ruin my vision. It sounds wearing her glasses over time with the same prescription as mine has weakened her vision.

I love wearing glasses finally but do not want to do harm to my eyesight.

Plus Tony 12 Dec 2015, 07:03


How are you getting on with your glasses? I tried some of the online tests but I found it difficult to make any useful judgements from them. I think when you get down to the smallest lines the distance between eyes and screen becomes more critical and it is tricky to ensure that screen size and distance from the screen are spot on.

The best test for me is whether I can see better with glasses than without. In my case there is no question that everything is better with than without but I appreciate that in your case the benefits may be more marginal.

Soundmanpt 08 Dec 2015, 17:08


I completely understand privacy so of course I would never expect for you or anyone else to ever use anyone's last name but not sure how using a first name could be of any problem. It just seems funny all the time to keep referring to her as "the server girl at the coffee shop"

I only asked about which glasses she was wearing because before she was wearing Danielle's spare pair and it made me wonder if it she started wearing Danielle's previous glasses because she really liked the ones she started off wearing? But based on what you say she is now wearing the glasses that Danielle was using as her primary glasses. Lastly I wonder if she asked Danielle for her previous glasses when Danielle got her new ones or if Danielle just gave her previous glasses to her thinking she might want to wear them. Which she did of course. I know of course these are things you can never ask but only hope things come out in conversations. So you don't get to see Danielle wearing her glasses as much as you would like since she got contacts but at least now you are seeing her gf wearing glasses full time. Which one looks better wearing glasses, Danielle or her gf?

Carrie 08 Dec 2015, 14:33


I don't use her name for privacy reasons. I might give her name at some point in the future as I don't like referring to her as "the server" - she's more than that, but I need to think about it. I don't want my exact area to be identified. Maybe it's just me being paranoid.

I've only seen her wearing what used to be Danielle's main pair but I presume she could use either pair. They look better than the +0.5s and those looked nice on her anyway.

Soundmanpt 08 Dec 2015, 12:38


You mentioned being with Gemma as well as Danielle and her gf the server from the coffee shop over the weekend. First of all is there any reason why you can't use the servers first name instead of calling her the "server from the coffee shop"? Anyway now that the server has started wearing Danielle's previous glasses and has 2 pairs to choose from, is she switching between them match the outfit she is wearing that day or is she sticking with just one of them? Have you seen her in both pairs? Does she look better in one than the other or are they both nice looking on her? She didn't seem to have hardly any problem with her eyes adjusting to them this time. Poor girl worked so hard before trying to get her eyes to adjust to the prescription so she could see with them but they were just too strong for her eyes. Danielle's idea of ordering her a pair of glasses with a weaker prescription was the perfect solution. Danielle got her spare pair of glasses back to wear herself and her gf got glasses that her eyes were much more able to adjust to. With the weaker lenses her eyes were not rejecting the prescription anymore and instead was using the power of the lenses. This of course weakened her eyes and her glasses now were providing her with good vision for close up as well as distances. With her eyes now a bit weaker than they were when she tried wearing Daniele's glasses the first time her eyes are much more receptive to the slightly stronger prescription this time. You of course should know very well just how well she is able to see without glasses since her glasses are nearly exactly the same as your first glasses. You already said that she commented that things are more blurry now when she takes her glasses off.

Cactus Jack 03 Dec 2015, 08:07


Very busy for the next few days. Reply may delayed, slightly.


Robert 03 Dec 2015, 03:27


I have a few questions regarding prisms, would it be possible to email you to ask advice?


Cactus Jack 02 Dec 2015, 22:16


That is good. Many older former Myopes discover that they don't need as much Minus as they did when they were younger.

Since your ECP has not noticed the beginnings of Cataract formation, I suspect your vision will be very stable for distance, but you may need increasing Add until it reaches about +2.50 or +3.00, depending on how close you like to read.

Regular Eye Exams are a must because your eyes are a window into your body. Often health problems that develop as we get older are first discovered during an eye exam. The earlier developing health problems are discovered, the easier they are to manage, so you can live life to the fullest.


Jay 02 Dec 2015, 21:40

Hi Cactus Jack. I get regular eye exams and there is no sign of cataracts. First glasses for distance were at 30 and they were a low minus. Add came at 40. Morphing from minus lenses for distance to low plus came in late 40s/early 50s. Late 50s now.

Jay 02 Dec 2015, 21:40

Hi Cactus Jack. I get regular eye exams and there is no sign of cataracts. First glasses for distance were at 30 and they were a low minus. Add came at 40. Morphing from minus lenses for distance to low plus came in late 40s/early 50s. Late 50s now.

Cactus Jack 02 Dec 2015, 21:35


May I ask your age?

A couple of things some to mind. It is possible that your Myopia was actually Pseudo Myopia, which is the same thing as Latent Hyperopia, but it is just on the other side of 0.00. As Presbyopia began to rear its head, your Ciliary Muscles and Crystalline Lenses my not have been able to maintain the excess PLUS, which is the cause of Pseudo Myopia and Latent Hyperopia.

Another possibility is that you are developing Cataracts. Has your ECP mentioned anything like that?


Jay 02 Dec 2015, 21:05

I had something even odder happen, Willie. I was wearing glasses for distance that were about a -3 or -4. As near vision faded, I morphed into low plus for distance with axis and cyl correction...and of course the add for up close.

Cactus Jack 02 Dec 2015, 19:00


Common! Happens all the time. Don't be concerned.

Many people in your situation have some Latent or Hidden Hyperopia that can take some time to resolve, maybe months. Don't be surprised if your distance PLUS prescription in creases some and your Add also increases some. Your distance prescription will probably not increase more than +1 or +1.50 diopters and your Add will probably not go beyond +2.50 or +3.00 depending your your preferred reading distance.

If you would like, we can teach you how to order inexpensive glasses on line. It is really easy.

Welcome to the Hyperopia/Presbyopia club. It has millions of members, all over the world.

May I ask your occupation?


Willie 02 Dec 2015, 18:04

OK, at age 48, I finally gave in and had my eyes examined. My close-up vision was on fast-fade. During the examination, I also found out that I was farsighted and probably could have used glasses much, much earlier. The prescription is OS +1.00 add +1.50 and OD +1.25 add +1.50. Wow, from no glasses to wearing glasses full-time. Not what I expected, but after 2 weeks in the glasses, all is sharp and clear. Any others had this experience?

Soundmanpt 30 Nov 2015, 10:22


You have only been wearing your glasses for less than a month and your eyes are only first now getting completely adjusted to them. So testing your eyes now is really much too soon. Maybe after wearing your glasses for a few more months you may want to see want effect your glasses has made to your near vision as well as your distance vision. You know it makes a difference the time of day you test your eyes. This even includes going to an optometrist for an eye exam. You are more likely to be given a stronger prescription if you go for an eye exam on a Friday after work then if you go before work on a Monday morning. So if you tried this test in the morning your results since your eyes are still adjusting to glasses would be slightly different than if you did it later in the day after you had your glasses on all day. I am not at all surprised that you were able to read your I-Pad both with and without your glasses. But even so you still said that doing the near test was slightly more comfortable wearing your glasses. That makes sense because your glasses are mostly to reduce eye strain so without your glasses your eyes were actually straining a bit to focus. You seemed surprised and disappointed that it wasn't blurry without your glasses. Maybe if your eyes were more tired later in the the day the words might have been a bit more fuzzy? Back on 16 Nov 2015 17:25 you commented "I took my glasses off after work to remove makeup and shower and my eyes did not like it" I assume that you meant that things were somewhat blurry? At any rate your glasses do make a difference in your vision. Your glasses aren't strong enough to ever make things very blurry but they do make a difference. Remember a month ago you weren't even able to wear them hardly at all. Now your wearing wearing them full time and I am sure they are relaxing your eyes quite a bit at work now and your last report seemed like your now able to wear them comfortably driving at night.

Kristen 29 Nov 2015, 19:36

Ben, Plus Tony, and Soundmanpt

I have only done the near test in normal light so far. I was able to read the N.4 line and all of the above lines with both of my eyes, left eye, and right eye with my glasses on and without wearing my glasses. I held my IPad at normal reading distance for that test. I hope that is how I was supposed to take the near test. The near test was easy either way but it was slightly more comfortable while wearing my glasses. I was surprised that I could read all of those lines clearly without my glasses on. I thought the lines would be blurry when I tried to read them based on being prescribed glasses for reading and using the computer. My glasses really don't "boost" my vision and I am wondering if I really need them. I have been wearing them all of the time.

Is that the Snellan test you wanted the results for? I don't know which test is for astigmatism or how to take it. I also do not see anything listed for distance vision.

Soundmanpt 26 Nov 2015, 16:47


Most all of the apps that I have come across for testing your vision really aren't very accurate and considering that your prescription is only +.50 those tests may not even be able to determine any difference between your vision with and without your glasses. Also remember you have only been wearing glasses for just a couple days more than 2 weeks and your eyes are just now getting to where they are completely adjusted to your glasses for all distances. So it is really too soon to be trying to test your eyes anyway. Go back and read what you posted on "09 Nov 2015 19:23" and compare that with what you just posted on "24 Nov 2015 21:05" Your last line you say "I have felt really comfortable wearing my glasses at all times the past two days" And even before that you were pretty happy that driving at night had improved so much that you had no problem seeing with your glasses on even on an unfamiliar road. I'm sure when you put your glasses on in the morning now it doesn't take your eyes hardly anytime to adjust to your glasses? Even though i'm sure your able to see small print without your glasses it's now easier with your glasses and it should since this is what you were told your glasses were for in the first place. Your eyes are simply enjoying the benefit of the added help that your glasses now provide to relax your eyes. And there is very little doubt just how much you like wearing glasses now. As much as you enjoy wearing glasses is there anything that you have learned about glasses that you didn't know or anything that glasses seem to get in the way of? Of course you mentioned the rain on your windshield of your car when you were driving at night causing you to lose focus a bit but of course that same rain gets on your glasses and you either have to wipe your glasses or try and see through the raindrops. Something you have never had to worry about before you started wearing glasses. The first few days i'm sure you spent cleaning your glasses quite a bit due to finger prints and smears some by you and more by your friends and co workers that insisted on trying them. But now that your more sued to your glasses and most everyone has seen you wearing glasses that should be much better now.

Plus Tony 25 Nov 2015, 11:45


I'm afraid I'm not an expert on the various eye test apps and I'm travelling today so I'm not in the best environment to try them out but I'll have a go and let you know how I get on.

I'm absolutely delighted that you're doing so well with your glasses. I knew you'd get there. It is such a good feeling when your glasses start to work as you want them to so congratulations for persevering and I hope you're enjoying being a full time wearer. Obviously I'm biased but I think there is something a little bit special about being a full time plus wearer. Take care.

Ben 25 Nov 2015, 10:35


You should take the snellen test with both your glasses on and off. You should also take an astigmatism test.

Ben 25 Nov 2015, 10:35


You should take the snellen test with both your glasses on and off. You should also take an astigmatism test.

Kristen 24 Nov 2015, 21:17

Also, please let me know on each of the tests that I should be taking if I should only take it with my glasses on, or only without my glasses, or should I try taking the tests doing them wearing and then not wearing my glasses. I am excited about this app but I am clueless about using it to generate information.

Kristen 24 Nov 2015, 21:05

Ben, Likelenses, Soundmanpt, Cactus Jack, Plus Tony, and Carrie,

Thank you for letting me know about this app. I am excited to find out more about my eyesight and share it. I downloaded the app but I can't seem to find the directions on how to use it. I also noticed there a lot of different options for various tests. Can someone please explain this app and let me know about the tests I should be getting information about.

What did you mean by "I corrected acuity"? I would also love to hear your results if you test yourselves with this app. I would really also like to hear how Carrie's friend with the same prescription as me tests.

I have felt really comfortable wearing my glasses at all times the past two days.

Ben 23 Nov 2015, 05:40


If you are wondering how well you see with and without your glasses you can find many online eye tests that test for visual acuity. You can also download the app eyesnellen as well and test your vision. I'm curious what your corrected and I corrected acuity is in both good light and low light conditions. Let us know! Thanks!


Kristen 22 Nov 2015, 20:25

Likelenses, Cactus Jack, and Soundmanpt

I think that I am still making progress while wearing my glasses. I have been increasingly comfortable when driving at night wearing them. I had no problems at all tonight on unfamiliar roads. My vision still goes in and out on occasion if I have to remove my glasses. It happened the other night when I was tired too. Today, there was no problem though.

I did experience some difficulty when I was driving in the rain the other day. I kept focusing on the raindrops that were falling on my windshield instead of the road. I had to fight that repeatedly. This never happened to me when when I have driven without glasses.

I am curious on how well I can see with my glasses on for distance now. I know that I have incredible distance vision without my glasses. I am not sure what it is but the eye doctor said that I tested as well as any patient that he has ever seen in all of his years. People at work,my family, and friends know that about me and I think that is why I get so much flack for wearing my glasses all of the time. I really love having and wearing my glasses though.

Carlos, Jr 21 Nov 2015, 13:33

Mel, I would go ahead with the +1.75 strength.

I'm 6 months, the ''contributors' on this site will

Be telling you that it is time for bifocals

Cactus Jack 20 Nov 2015, 08:38


What you experienced is exactly what is expected, given the symptoms you stated. We need a bit more information. The most important bit is your age. Were there any other parts to your prescription, other than you needed some close focusing help, as indicated by the +1.25 or +1.75?


Mel 20 Nov 2015, 06:35

I got tired when reading a lot so decided for an eye exam. Near the end she put a card on a stick in front of me but I couldn't really read the smallest lines. She clicked a bunch until I could read them. Then she clicked 2 more times. I could see better with each click. When she removed the stick everything was a blur. Then the judgement came. I need glasses for close! She said I can get +1.25's that will help me focus close, and guesses that 6+ months out will become dependent on them and possibly want stronger glasses, or I could go for stronger now, I think +1.75 that could make me dependent even within a month, but will let me hold that prescription longer. Also with the +1.75 distance will be even more blurry if I look out. What should I get?

Soundmanpt 19 Nov 2015, 11:52


The more comfortable and relaxed that your eyes feel it makes sense that your vision is really good with your glasses now. By putting your glasses on at the start of each day and keeping them on the rest of the day your eyes have adjusted quite a bit since you started wearing them. So it is understandable that by having them on all day that by the time your driving home after work your eyes are actually being helped by the prescription in your glasses. You were right in not taking them off to compare because your eyes would have lost focus and went back to your normal vision. Then been blurry when you put your glasses back on. This way your eyes stayed in focus with your glasses and you had your best drive home yet wearing your glasses. But this still shows that your that your eyes are clearly adjusting to your glasses more all the time. Only you and your eyes know how long before your able to see perfectly driving with your glasses after dark. But your probably not far off with it being less than a week now.

At one point early on I also thought you might do better with glasses with -.50 lenses since it is, for most people, much easier if you have perfect or near perfect vision to see with a weak prescription for distance, but the fact that your optometrist even pointed out the fact that you have "acute distance vision" tells me that when you were asked to read the 20/20 line but you must have also been able to read the letters on the 20/15 line as well which is slightly better than perfect vision. That is really good but it also can cause you to be slightly farsighted which I can only assume is what he saw in your eyes. This is why he prescribed you with +.50 glasses. So in your case I think you would have more of a problem trying to adjust to -.50 and even more of a problem with -1.00 glasses. But if your ever really curious to try a pair of -.50 let me know and I will be happy to send to a nice pair. I have about 10 pairs or so which Zenni no longer stocks so they are useless as samples for me. I would be happy to mail you one to try. This was why I was asking you about some of your friends glasses that you borrowed to wear. Of course the ones with astigmatism correct were of no use to you. But the ones that were for distance was what I was interested in how well you were able to see with any of those glasses. But not surprising form what you said they were too strong for your eyes. But if your friends hardly ever wore them and they must not have been very strong, but I can see where they might seem that way for you. Were you ever able to wear any of their glasses very long? As badly as you wanted to wear glasses i'm surprised you never asked any of your friends for a pair of their old glasses that they longer wore or that they never offered you a pair. Yeah the fake glasses are fine but not good when your forced to admit they are fake to people you know. But I am sure you enjoyed being far enough away so you could wear them where no one would know you. It seems that you have wanted to wear glasses for quite a long while? So have to be over joyed finally having a pair of real glasses and now being able to wear them full time. Your glasses sound really nice, Oakley glasses are not cheap so I can see why your happy that your now wearing them.

Cactus Jack 18 Nov 2015, 22:47

Likeliness, Kristen, Soundmanpt,

I have not been following this thread closely, but I was wondering if Kristen might not benefit from doing the "home" refraction test using some OTC readers of known PLUS power, say +1.50 or +1.75, and measuring the distance where small text just begins to get fuzzy. That might give you an idea of her actual refractive error.


Likelenses 18 Nov 2015, 22:28


Minus power glasses are for nearsightedness,and plus are for farsightedness.

If a normal sighted of slightly farsighted person puts on weak minus glasses of -1.00 or less, they have incredibly sharp distant vision,especially in the dark.

The fact that you have had difficulty using plus glasses after dark leads me to believe that you either have perfect vision without glasses,or that you are slightly nearsighted.

If you want to, you could return to the eye doctor that prescribed your glasses,and tell them that you do not see real well in the dark for night driving,and that the glasses that they prescribed seem to make it worse.

With that,I am willing to bet that they would prescribe you a weak minus prescription.

You are still young enough that you could wear that prescription all the time.

There should be no charge for a reexamination,and the new lenses.

The other thing that you could do is go to an online optical site such as Zenni,and order a pair of glasses with a weak minus,and see how you like them.

Kristen 18 Nov 2015, 19:27

That was my post below. I forgot to put my name on it.

 18 Nov 2015, 19:25

Like lenses, Soundmanpt

My vision with my glasses is really good at the minute. It was better than it has been while driving in the dark on the way home tonight. I didn't take them off while I was driving to compare because I was afraid that my eyes would adjust to normal and it would be blurrier when I put my glasses back on. I think I will be fine by the end of this second week like the woman that Carrie wrote me about.

What is the difference between my +0.50 glasses and wearing a -1.00 pair of glasses for distance and driving at night? I know the numbers and the signs are different but how would it be different? This was the prescription (+0.50) that my doctor issued.

I pretended that my fake glasses were real. I never lied about them though. It was embarrassing when I had to come clean. I loved wearing them when I was pretty sure that no one would know me.

Most of the glasses that I borrowed were for people who wore them to see faraway or said they had astigmatism. Some were way too strong. I had trouble seeing with them on. It was fun to wear glasses that were not very strong but my friends that had those often did not wear or have them with them.

My glasses are all plastic, black, and are made by Oakley. I would call them semi-hipster. I wanted hipster frames but I want to be taken seriously at work. They were a compromise. I love them and enjoy wearing them. I have real glasses.

Soundmanpt 17 Nov 2015, 10:02


Well today makes a full week that you have been wearing glasses full time and I think you doing terrific. Your experience on Saturday when you went driving and you were seeing very clearly until you happened to remember that you had your glasses on and then your eyes didn't want to see as well, but still not all that bad either. Why did this happen? Well not only are your eyes getting more adjusted to seeing distances, which they are, but your now so used to having you glasses on that you never gave it a thought as you drove off. Your eyes were totally relaxed and so they were using the prescription of they glasses. Problem is as soon as you remembered that you were wearing your glasses that relaxed feeling went away but not completely. I'm sure your much more comfortable wearing glasses now then you were last Wednesday. It helps that your now seeing clearly at work and now that all your co-workers have seen you wearing glasses your not getting near as many comments about your glasses. So it makes sense that you sometimes forget that your even wearing glasses now.

You may recall commenting that you had your glasses for 3 weeks and they didn't really seem to do much of anything? Now you have been wearing glasses for just one week but now when you take your glasses off your eyes feel uncomfortable. Like on Friday when you came home from work after wearing your glasses all day. So your eyes were adjusted to your glasses when you got home. You took your glasses off to remove your makeup and shower and your eyes didn't like it. That was because your eyes were used to that added "boost" from your glasses. But while you were showering your eyes had the chance to re adjust to your normal vision. When you were done showering and you put your glasses back on at first your vision wasn't very good. But rather quickly your eyes adjusted and you were seeing clearly with your glasses again.

Your right that your not quite there yet but look how far you have come in just one week. Your now able to see everything you need to see at work with your glasses on and your eyes should even feel more relaxed than if you weren't wearing glasses. Your intermediate distance is now quite good and based on your driving experience on Saturday even driving is starting to get better with your glasses, at least during the daytime. So you only need your night vision vision to improve with your glasses which will happen. If you want to push it along some you should wait until the evening rush is over and then go out driving after dark. This is the best way to get your eyes to adjust.

When you were wearing your "fake glasses" what did you say when someone asked you about your glasses? Did you admit that they were fake or did you try and convince them that you had some sort of need for them? When you borrowed your friends glasses did she say what she needed her glasses for? How well could you see with them? Did you ever consider asking her for an old pair of her glasses, or were they too strong for you? I guess that explains why you love wearing your glasses so much now. By the way what do your glasses look like? Are they a full plastic frame, semi-rimless, cat eye, or hipster (like the bigger Ray-Ban style)

Likelenses 17 Nov 2015, 00:16


Since you are still unable to see clearly at night with plus glasses,indicates to me that your you are not farsighted at all,but either have perfect vision,or are slightly nearsighted.

In either case you would benefit greatly by ordering a pair of online minus glasses,for full time wear.

I am sure that your eyes could handle -1.00 for each eye,but if you wanted to start out with less that would be Ok also.

In either case you will have incredible clarity for distance,especially at night.

You most likely will have little to no period of getting used to minus lenses.

Worth a try at online prices.

Kristen 16 Nov 2015, 17:25

Plus Tony, Soundmanpt, SC, and Carrie

OMG, what fantastic support. Thank you all. I have continued to wear my glasses all of the time. I was driving on Saturday and was seeing very clearly until I noticed that I was seeing really clearly. I still saw fairly well but I am not sure why my eyesight changed after I noticed how well I was seeing. There have been times that I forgot that I was wearing my glasses and my vision has been outstanding.

Also, Saturday, yesterday, and today when I did remove my glasses, my eyes felt uncomfortable. I took my glasses off after work to remove my make-up and shower and my eyes did not like it. They did adjust and get color table while I was in the shower. Since my shower, I am not seeing as well with my glasses on as I was prior to the shower. I think that they are adjusting again though. I just looked up at the television and they have definitely adjusted.

I am not there yet. I still feel uncomfortable while driving in the dark with my glasses on. My distance vision is incredible without glasses and I can see way better at night than anyone that I know. There have been several occasions recently before I got glasses that I was a passenger with a friend who could not see well on a dark night or a rainy night and I ended up taking the wheel of their car upon their request. I hope that eventually my night vision with glasses does improve.

It is really helpful to hear that Carrie and Plus Tony have gone through this. It was incredibly interesting that one of your friends has the same prescription that I do. It would so love to share experiences with her. It sounds like we have a lot in common and similar struggles. I hope that she might post on here or contact me. Thank you for sharing that Carrie. She was the first person that I have known that has also been prescribed booster glasses and has tried to wear them all of the time.

I am hoping that I am in the one-third that SC has referenced and will be successful. I love wearing my real glasses. It beats wearing the my old fakes and being allowed to wear my friends' glasses from time to time.

Thank you for being my support group.

Carrie 16 Nov 2015, 08:47

Kristen - keep going with wearing your glasses full time as you will soon be able to see distances clearly. My first glasses were slightly stronger than yours but I got used to them quite quickly once I realised I could see distances if I put them on as soon as I woke up in the morning and kept them on. As it turned out my eyesight was much worse than I had realised - my prescription is now +2.50 and +3.00 with a tiny correction for astigmatism in both eyes. It seems I was gradually given stronger prescriptions so it was less of a shock to the system. I started out wearing glasses full time because I wanted to and I could. I now feel I actually need to wear them full time because my eyes feel uncomfortable without them and they give me clear vision at all distances. My need for stronger prescriptions had nothing to do with wearing my glasses full time but did help me get used to the stronger prescription each time. Especially useful when I was told my prescription was for distances and not just for reading and when my eyes felt tired.

A friend of mine wanted to wear glasses like a lot of the students do that come in to the coffee shop where she works. She didn't want fake ones so she used her girlfriend's spare reading glasses at first but found they were a little too strong for her to see across the room clearly. She then bought glasses from an online store with +0.50 for both eyes. She wore them full time and was able to see everything clearly in less than two weeks, if I remember correctly. Earlier this year she got her eyes tested and was given a prescription the same as the glasses she bought online. She asked the optician if she would harm her eyes by wearing her glasses full time. They said she didn't need to wear glasses full time but wouldn't do any harm if she did. She continues to wear the +0.50s full time, all day, every day even out of work. She wants to go back to wearing her girlfriend's glasses as she feels the +0.50 prescription is barely noticeable. Her girlfriend has let her have both pairs of her first glasses as she got new ones with a stronger prescription earlier this year. She says she can now see further than she could before with her girlfriend's old glasses, which are +1.00 in both eyes, but still not perfectly. She is going to wear the +1.00 glasses as much as possible at home until her eyes start to feel a bit strained and then put the +0.50s back on. She will do that until she can see as good as she can with the +0.5s and then wear the +1.00s full time.

She could easily go without glasses at all, although the +0.50 prescription would help with long periods of reading. She only wears glasses because she wants to and is happy that they look real because of the very slight prescription in the lenses. She will be happier if she can get used to the slightly stronger prescription in her girlfriend's old glasses.

SC 16 Nov 2015, 02:13


You may never adjust to seeing distance. Unlike minus lenses where your eyes can work harder to see through them, you can only focus clearly through plus lenses if you are long sighted.

Given that you are not short sighted then you have about a 1/3 chance of being long sighted. This is very difficult to detect and most people do not realise until their 40s.

With a +0.5 lens you should be able to focus up to 2 metres (6ft6in). If you can focus beyond 2 metres then you MUST be long sighted.

If you are long sighted then you will eventually need to wear glasses for distance - probably at first for headaches and eye strain but ultimately to focus clearly - ie you won't be able to see without them but that will not happen for many years and will depend on how long sighted you are

Soundmanpt 15 Nov 2015, 08:50


Your eyes are adjusting just about the way I expected they would. it was only last Tuesday that you were hardly ever even wearing your glasses. You had gotten them 3 weeks before but having never worn glasses before you weren't used to wearing glasses and it didn't help that when you did try and wear them you didn't notice any difference in your close vision with them on and your computer across the desk was slightly blurry with them on and of course your distance vision was also blurry with them. All this made sense because of the type of prescription you were given. But on Wednesday you decided to make an effort to wear your glasses because you actually like your glasses and wanted to be able to wear them and you had even been told how nice they look on you. You have wore them full time since then. But in just those few days your close vision is good, your now able to see your computer clearly and your intermediate distance vision is now good as well. With your intermediate vision now being clear that actually means that you over all distance vision has to be improved as well. So your eyes are adjusting and I have to think now when your driving those road signs that were quite blurry to you on Wednesday are not quite as blurry now? Without a doubt your night vision will be the last to clear up. It is really hard to predict exactly when everything will become clear at all distances with your glasses but I think it is safe to say that it should only be days and not weeks based on the progress you have already made. Over the weekend I hope you able to do things that had you outside where your eyes were being forced to see distances. The more of that you do the faster the distance blur will be gone. Keep the updates coming.

Plus Tony 14 Nov 2015, 16:58


It sounds like you are getting there. It is difficult to predict how long it will take but you are making progress. A few days ago I think you were worried that you wouldn't be able to adapt at all and now you could say you are two thirds of the way towards your target!

The reason it is difficult to predict is of course because we are all different. When I was about your age I knew a girl who had -0.5 in each eye and never took her glasses off. I have a colleague at work who is -3.00 and she refuses to wear glasses at all even though she wouldn't recognise me if she walked past me on the street but she gets through the day somehow. With plus prescriptions it is even more difficult to predict when people will wear their glasses and what they see when they do or don't wear them. What I've noticed during my brief career as a full time wearer is that a lot of younger people with mild plus prescriptions are wearing their glasses all day than I had previously realised. I suspect there are at least two reasons for this. First, wearing glasses is now cool in a way that it wasn't maybe 10 years ago. Second I suspect that a lot of people take the same view as me that if it is possible to get used to seeing at all distances with the glasses on it is just easier to put them on in the morning and leave them on rather than whipping them on and off all the time.

Another good thing in a world where strangers don't really talk is that sometimes people with glasses do. It was raining heavily yesterday and after I dashed into a cafe for lunch the bespectacled girl who served me said she was giving me an extra napkin so I could wipe the spots of rain off my lenses. She laughed and said "we have the same issue". This led to a minute or two of chat and reciprocal frame admiration. I don't think anyone would ever have given me an extra napkin to wipe the spots of rain off my there is a bit of solidarity among those of us who see the world through lenses.

If I had to guess I'd say that by this time next week you'll be seeing everything more or less perfectly but it may happen quicker or it may take a bit longer.

One thing that I did to get used to wearing mine was to put them on before switching on the light in the morning and taking them off straight after switching off the light at night. That way the only time I don't wear them is when I'm in the shower or cleaning them so my eyes got used to the fact that having glasses on was the normal state. I tried as hard as I could to resist the temptation to take them off to compare my vision with and without (although admittedly it was very tempting). I really wish that I'd got glasses before now because I feel so much more confident and happy that I feel like a new person. I don't know if you want to feel like a new person or not but anyway keep going because you're doing really well!

Kristen 14 Nov 2015, 14:21


I have continued to wear my booster glasses all of the time. I love wearing them but I still do not see as well in the distance with them on. You are right about that. However, I do see fine in the intermediate distance with them on now and also up close still. Do you have any idea how long it will be before I see as well in the distance with my glasses on?

Soundmanpt 14 Nov 2015, 10:30


So I assuming that Friday probably went a little bit better than either Thursday or Wednesday? With it being the weekend and I assume your not working but I hope that your continuing to wear your glasses. Now the more things that your doing where your needing to see more things in the distance the more that will help with adjusting to your glasses for distance which it seems is the only thing that still was a little bit blurry with your glasses.

Soundmanpt 12 Nov 2015, 21:06


So it sounds like wearing your glasses today was somewhat better than it was on Wednesday? I'm sure you felt better about wearing glasses as you were driving to work today compared to yesterday? It makes sense that driving home after dark is still a bit more difficult, but if you think about it even without glasses it is common that driving after dark is always going to be a bit more difficult than during the daytime. That will improve as your eyes continue to adjust. Were you surprised that tonight you while you were watching television you were able to read the print at the bottom of the screen without any problem with your glasses on and last night you couldn't? Your not imagining that your eyes are starting to adjust because they clearly are. You should expect more improvement again tomorrow as well. It's nice that your still getting complements on your glasses but it's too bad that some are still suggesting that your going to get dependent or even ruin your eyesight by wearing them. All you can do is continue to tell them that your glasses really help to relax your eyes and helps to eliminate eyestrain and that you can see just fine without them. After a bit they will let up with their concerns and stop questioning you. And don't be afraid to tell them that you really don't mind wearing glasses and kind of like wearing them. That should also help.

Kristen 12 Nov 2015, 18:07

Plus Tony, Soundmanpt,

I have worn my glasses all day again. I wore them to drive this morning and I was fine with them on. I wore them at work all day. People were surprised that I was wearing them again today. More compliments and warnings. It was dark when I drove home tonight with them on. That is not as easy as it is to drive with them on during the day. I am glad that I know the roads. I wore them into the grocery store on the way home. That was fine. I have worn them since I got home and am watching television now. I can see the television fine and could read the moving print at the bottom of the screen during the news without a problem.

Can I see better in the distance without them still? Yes, I can. I can see pretty well with them on though today. I will definitely be weary no them all day tomorrow.

However, if I take them off for a minute or two, it is blurry when I put them on again for a while. It takes a while for my eyes to readjust to them. It also takes a while to adjust to seeing different distances clearly with my glasses on. I think I was adjusting a little better than yesterday but I might be just imagining it because I want it to be better.

Soundmanpt 12 Nov 2015, 10:49


I think your going to find that wearing your glasses today is going to be even easier than it was yesterday as your getting used to having your glasses on and your eyes are adjusting as well. My guess is that it will be easier for you to see with your glasses today than it was yesterday. Your eyes are going to adjust to the close work that you do first and your distance won't be far behind. Short distances like watching TV should soon start to clear up and then longer distances will follow.

Kristen 11 Nov 2015, 19:05

Plus Tony, Soundmanpt

I appreciate your advice. It is good to hear that wearing my glasses all day will not ruin my eyesight or make me dependent on them. I have worn them while exercising and watching television tonight. I can see the screen fine but I can see it better without my glasses. I have kept them on though. I will wear them all day long tomorrow too.

Soundmanpt 11 Nov 2015, 18:46


Well all in all it seems like you had a pretty good "first day" wearing glasses. Just like I said your +.50 glasses is not anywhere near being strong enough to blur your vision to the point where you wouldn't be able to see to drive safely. By wearing your glasses all day today your not going to feel nearly as self conscious tomorrow when you wear them. It's understandable that your co-workers would question your wearing your glasses all day today since this is the first time you have really wore them since you got them. If anyone asks you tomorrow simply tell them that your eyes were bothering you so you thought it would be a good idea to wear your glasses since that was what you really got them for. Actually you really wouldn't be stretching the truth very much because the real purpose of your glasses is to relax your eyes from eyestrain. That is what the doctor meant by "booster" glasses. Your +.50 prescription glasses is far too weak to ever make you dependent on them even if you were to decide to wear them full time. And they aren't going to ruin your eyesight either.

Tell the truth as your work day was nearing be done weren't you feeling much more comfortable actually wearing your glasses for the first time since you got them? Trust me tomorrow will even be better than today was as your eyes adjust a bit more. Enjoy wearing your glasses!

Plus Tony 11 Nov 2015, 17:14


Congratulations. I think today you took the first step towards being able to enjoy wearing your glasses whenever you want to. Like most of the people who post here I'm not an eyecare professional. I'm just an enthusiastic amateur who now loves wearing glasses. I definitely need glasses but as I said earlier I don't technically need them all the time but it feels good so I wear them all the time. It took a little while before I could see perfectly at all distances but now that I've got used to it I can't imagine not wearing them. I like the way I look and the way I see and as a relatively shy person I feel much more confident especially now that nearly everyone has seen me wearing them. Only today I saw a woman who works at my favourite coffee place for the first time since getting them as she has been away and she told me she thought I really suited them and that I should definitely wear them. She isn't a glasses wearer herself but as she is around my age you never know...

However like you I was concerned that I could be damaging my eyes by wearing them full time. So over the last few weeks I've asked 3 different optometrists at different opticians (while asking about different lenses and coatings etc) whether I could be damaging my sight. All have said no and that I should wear them as much as I feel comfortable with and that whether I wear them or not it won't affect my vision. Obviously at my "advanced age" I know that my eyes are going to get a bit worse naturally but that will happen whether I wear glasses or not.

I think you can be sure that you won't damage your eyes if you wear them most of the time. You may start to notice a little blur at near distances when you take them off buy that is just because your eye muscles are telling you that they appreciate a little help. At your age though any blur probably won't last more than a few seconds.

The most important thing is that you have a real prescription and you clearly want to wear them so go for it! I'm sure you look great, you'll get lots of compliments and as you have a plus prescription people will be able to see your eyes a little more clearly too which is a bonus. Let us know how the rest of the week goes.

Kristen 11 Nov 2015, 16:22

Soundmanpt, Likelenses, and Plus Tony

I have worn my glasses all day today. I wore them to drive to work and I could not see as well but I still felt safe enough to keep them on. I kept them on at work all day and felt a little self conscious. My co-workers complimented me while at the same time questioned why I was wearing my glasses all day and warnied me that I will become dependent and ruin my eyesight. They are well aware that I have great vision and that these are just booster glasses. We had that conversation a few weeks ago when I first got my glasses. I also wore them the drive home a little while ago. It was more difficult for me to drive in the dark with them on. I wanted to take them off several times but I did keep them on. I am still wearing them now.

I enjoy wearing my glasses. Will I ruin my eyesight by wearing them too much? Will I become dependent on them? I am not sure how I feel about that. If my glasses don't ruin my eyesight and they will not make me dependent, I will wear them for the remainder of the week all of the time to try and adjust to them.

Plus Tony, I will be 25 in Februrary.

Plus Tony 11 Nov 2015, 12:12


How did you get on? I'm sorry that I only saw your post now. My advice would've been to wear your glasses all day but to take care when driving and take them off if you were in any way concerned about your safety. Forgive me if you've already posted this and I've missed it but how old are you (if you don't mind me asking!)? That will have an effect on how quickly you adapt to the prescription. I'm 43 so I think my eyes were definitely ready for some plus. If you are younger I suspect it may take a little longer.

For me I knew that the only way I would become a full time wearer was if I got on with it straight away and didn't put it off. You may still be in two minds about how much you want to wear your glasses but even if you wear them full time for a week you aren't going to change your eyes. My distance vision is more or less still perfect without specs and my close vision is far from useless but the key difference I've found for the last six weeks is that I haven't had a single headache or felt any eyestrain. That issue may not apply to you. Anyway I hope you are having a successful day!

Soundmanpt 11 Nov 2015, 00:11


That's what you need to do so your eyes can adjust to them. If you do that I think you will find that even by the end of the day your eyes will be more adjusted to them and the blur will not be as noticeable. Do that for a few days straight and I think the blur will soon be completely gone.

You should be able to see well enough to drive safely with your glasses on because I doubt that the blur is so bad that you can't see well enough to drive. But of course if you really don't feel safe keeping them on then by all means take them off. By afternoon or evening if you have had your glasses on all day your eyes should be adjusted enough that driving should not be any problem. If you do get a headache during the day take your glasses off for a few minutes to rest your eyes, but put them back on after a small break.

Actually what Likelenses is suggesting isn't really a bad idea if you find it too hard to adjust to your glasses. It is much easier to adjust to minus glasses if you don't really need them than plus glasses. But since you have "acute distance vision" you probably should only get -.50 or maybe -.75 but -1.00 might be a bit too strong for your eyes. But since you have already bought your glasses that you know doubt must like the way they look I think with a bit of determination you should be able to adjust to them.

Just so you know if you had gone in and was complaining that you were having trouble seeing when you are driving at night you would have gotten a prescription for glasses with -.50 lenses and and been told to get the AR coating (anti-reflective) even if you have acute distant vision. Doctors call this "night blindness" and they have no way to test your eyes for this but they know that -.50 won't cause you any harm and it has been found to work for people with this condition. My best friend's wife has this very thing. During the day she is fine and can see perfectly, but once it gets dark she needs her glasses to drive. She has had them for several years. So if need be you can always go on line and order a pair of glasses with the -.50 and the AR coating. Zenni has very nice looking glasses and well over 800 to choose from for under $20.00.

Likelenses 10 Nov 2015, 22:04


Since your prescription is so small,and you probably do not need it at all,I would suggest that you order a pair of -1.00 glasses online.

You would enjoy wearing those much better.

Your distance vision will be incredible with them on.

Kristen 10 Nov 2015, 16:32


I will try to wear them all day tomorrow. Should I even wear them when I drive?

Soundmanpt 10 Nov 2015, 12:19


I looked back in "New Glasses" and found your first post where you stopped in while at the mall and got your eyes examined because for one reason you said it had been years since you last had an eye exam and I think you went in hoping that you might need glasses. I say that because you were even trying frames on before while you were waiting. Also you mentioned that you like trying on other peoples glasses and even fake ones. so you were clearly hoping that you might need glasses. Now to be honest with you, which I think you even knew, you really didn't need glasses even if you eyes suggested a +.50 prescription. In most cases the doctor would only recommend glasses to you if you were complaining about having some problems with your eyes such as burning or feeling some eyestrain. Like you say the weakest plus glasses you can buy over the counter is, well you only found +1.25's, but some places do carry +1.00's. The reason they only go that low is because anything less than that they know isn't really necessary because they would be so weak. So the fact that you don't seem to notice any difference in your near vision is very understandable because the difference is so slight. And as for the blur you get when you try wearing them for distance well that is because just as you were told you have "acute distance vision" meaning your eyesight is perfect for distance. and even such a small amount of prescription your sure to notice. But you just need to make up your mind if you want to wear glasses or not. Remember he wouldn't have given you a prescription if he felt like the were going to damage your vision. If you like the idea of wearing glasses then you need to just start keeping them on even if you don't notice any difference in your vision. And if you start keeping them on your eyes eyes will rather quickly adjust to them for distance as well. A +.50 prescription can't possibly make things that blurry for your distance because they are really that weak,but their real and not fake glasses.

Kristen 09 Nov 2015, 19:23

Hi Plus Tony, Soundmanpt, and Jill,

I am coming up on three weeks since I was prescribed my +0.50 booster glasses. I am proud that I finally have real glasses but do not get to wear them much. My glasses blur my distance vision. I am supposed to wear them for computer work and reading but they really do not make any difference there. I like to wear them but I can't find a reason to yet.

Melyssa 28 Oct 2015, 04:47


I am unable to wear contacts, and I did not enjoy wearing glasses until 20 years after starting, when I bought my first pair of drop-temples. I have 15 pairs of drop-temples and 16 pairs of cat's-eyes, my other favorite style, in my current collection. And it helps to have had the same prescription for the past 23 years.

Of course, if I had perfect vision I would not wear glasses at all, not even planos like some people do.

And I can blame heredity for my referee-like vision, as my parents and grandparents wore glasses.

Leanna 27 Oct 2015, 12:38


Wow, 50 pairs of glasses? I got only 4 pairs and a prescription sunglasses. But I also wear contacts, sometimes they are just more convenient than the glasses.

My boyfriend is not that into this glasses-thing, though. All of his family members had bad eyesight, so the glasses for him is just an object, which helps to see. In my family I was the only one with glasses (later my mother got reading glasses, but that's all), so maybe that's the reason of my whole enquiry.

Likelenses 26 Oct 2015, 20:18

Leanna and Melyssa

Nearsighted women are my cup of tea.

I thicker,and larger the lenses,the better.

Melyssa 26 Oct 2015, 04:48


I feel the same way about men. I never dated one with a plus prescription though. My husband is at -8.25, and he likes seeing me in my nearly 50 pairs of big, bold, and beautiful glasses.

Both of us knew early on that we preferred glasses wearers of the opposite sex, and we certainly achieved our goal. :)

And for the record, had any guy I dated told me to ditch my glasses and get contacts, I would have ditched him.

Leanna 25 Oct 2015, 08:32


Yes, I have to admit, I have a thing for guys in glasses. I thought I prefer minus lenses, but plus lenses can be very nice, too. (And I'm sorry to say that, but it's kinda arousing, if someone can see distance well with them.)

I only had one shortsighted boyfriend though, who had been wearing contact most of the time. I broke up with him before this trendy hipster-glasses era, now he's probably wearing black rimmed frames all the time, and he's probably looking very handsome in them.

But I really like my current boyfriend's glasses as well (right: +1.0 left: +0.75 with some astigmatism). The interesting thing is, that he was mildly shortsighted, when I first met him about 12 years ago. He was only one of friend's friend, so I didn't really pay attention, but I got some photos from those parties, and I can say that his prescription was -1.0 or weaker, but it was definitely minus. 5 years ago we met again (and falling in love). At that time he's got a very mild plus prescription, I think it was actually weaker than his current glasses. Unfortunately he's not really talks about his glasses or his eyesight, so I don't want to push it, he only says that his eyes are messed up. But at least he can still see without glasses, unlike me. I'm shortsighted (right: -3.0, left: -2.5), cannot really see without my glasses or contacts.

Likelenses 17 Oct 2015, 13:53


Very nice glasses you have there Hannah.

I love the chunky inner portion in the rimless frame.

Hannah 17 Oct 2015, 11:48

I got glasses about 7 years ago, I'm slightly farsighted but also have a prism in my glasses. I'm 37 now, when I first got glasses, I just wore them for reading, but with the prism increasing, now at 4.5BI in each eye I have to wear them all the time. Here is what my glasses look like.

new bifocals 15 Oct 2015, 19:30

I posted back here in july and got first pair of glasses (non readers) and three months later i am full time completely........and love wearing glasses....I was fearful of wearing as a kid because thought it was nerdy ( and i was nerdy enough).......feel great wearing them

Ricky 13 Oct 2015, 08:48

I will like to go for Multifocal contact lenses. My current glasses prescription is OD, OS +1 with an add of +1.25.

What will be my contact lens prescription? Any suggestions or feedback on the multifocal lenses most welcome.



Plus Tony 06 Oct 2015, 15:30

Ricky. I was recently prescribed L +1.00, R + 2.00. I do not yet have an add but I expect to be getting one in a couple of years at most. I am actually a bit older than you so the fact that I didn't need extra close power was a surprise but it just shows that we are all different. However I quickly realised that after wearing full time for a week I can see great at all distances and I don't have any strain with close work anymore.

I decided to wear full time as someone made a good point on here that taking glasses on and off all the time can make you look older. It is also very inconvenient and a good way to scratch the lenses. You don't need to worry about ruining your eyes by wearing your glasses. If I take mine off my distance vision is still fine. It is just a lot more comfortable at all distances with glasses now. The other thing is that with progressives nobody will notice that you have an add anyway.

You will also find that you get a lot of nice compliments from people if you wear them. My confidence has been greatly boosted by positive comments including one from a young lady young enough to be my daughter who told me I looked 5 years younger! When you've hit 40 comments like that are worth their weight in gold!

You need to make your own choice of course but wearing as much as possible for a week or two will give you the chance to make an objective judgement about whether they work for you both in terms of vision and lifestyle.

Likelenses 06 Oct 2015, 14:02


It sounds like you like guys in glasses.

Do you like to see them in minus lenses,or plus?

Do you wear glasses,and if so what is the prescription?

Leanna 06 Oct 2015, 11:15


Don't be depressed :)

And wear your glasses full time if you feel like you need them. My boyfriend (he is 36 years old) also needs plus glasses (almost the same strength as you have, but without the add), and I find it very sexy, if he wears them for distance. Unfortunately he wears them only 50-60% of the time, mostly at work, not at home...

Cactus Jack 06 Oct 2015, 09:52


No need to be depressed. The idea that a person does not need closer focusing help until they are at least 40 is a myth. Presbyopia often begins to be a nuisance earlier in people who are Hyperopic or Long Sighted or Far Sighted (all the same thing) than people who are Myopic or Short Sighted or Near Sighted)

Presbyopia actually begins in childhood, but typically does not become a problem until some time in the 30s when you begin to notice that your arms are too short.

There is also a very interesting phenomenon occurring, where teen agers are needing bifocals or progressives far earlier than expected. It often turns out that they are a bit Hyperopic and the tiny text on Smartphones or Tablets revealed that they were having close focusing problems.

I also suspect that you may have some Latent or Hidden Hyperopia. Hyperopia is the only refractive error that you can correct internally, using some of the Accommodation (auto-focus) resources of your Ciliary Muscles and Crystalline Lenses. It is likely that you have been internally correcting your Hyperopia and your Ciliary Muscles may have difficulty relaxing. It is very common and often hard to detect on an eye exam. The best way to determine if you have Latent Hyperopia is to wear your glasses full time for at least two weeks and then make a decision on how often you want to wear them. You may begin to feel like your glasses have made your vision worse, but that is not really true. Vision actually occurs in the brain. Your eyes are merely biological cameras and your brain has been used to correcting your vision. That takes a lot of energy and effort. If your glasses are correcting the images that your eyes send to your brain, Its workload is reduced and you may find that your brain (and you) prefer wearing your glasses. Think of glasses is simply labor saving, comfort producing, tools.

If you have some Latent Hyperopia, don't be surprised if you need a new prescription in a few months. That is also very common. That may happen as your Ciliary Muscles learn to relax, Ideally, If you have Latent Hyperopia, you want that to be resolved as soon as possible. The reason is that you have likely been using some of your remaining accommodation for correcting your Hyperopia, which takes away some of your close focusing ability. If you can fully correct your Hyperopia with some additional Plus Sphere in your glasses for distance, you may be able to avoid increases in the reading portion of your glasses for several more years.


Ricky 06 Oct 2015, 08:54

Hi all,

I was prescribed my first pair of glasses recently and they turn out to be progressives. I am 35 years of age.I am already depressed since I have to wear progressives so early. The prescription I have is OD, OS +1 with an add of +1.25. So can anyone please let me know how often should I wear them? Will i get dependent on the glasses?As of now I can still manage without my glasses but I have to hold things at a distance to read.



LT Lurker 28 Sep 2015, 22:29

SC - My wife was doing the same anything upto 1.25m, although not in the supermarket.

She since, due to the blurring, has backed off using them and uses them for computer only when doing figures, reading and needlework etc.

She can see without at PC just not very comfortably- at 47 she is beginning the presbyope slide which I believe by 50 will be full blown.

It seems maybe your wife has done something very similar!



SC 28 Sep 2015, 10:43

LT Lurker,

I think she can see OK - uses for PC 60-70cm and reading 40cm and supermarket shopping (80-100cm).

The problem with the new glasses is the blur after wearing - I assume this is because +2.5 is +1 distance + 1.5 close up - ie her eyes have to relax completely to see computer @66cm and they then don't recover immediately.

LT Lurker 25 Sep 2015, 12:52

SC When you say anything within 80cm, is that a recent occurrence from wearing the +2.50s or has your wife gradually reached that as a comfortable near point in the last few years.

Can she not see at all within that distance?

LT Lurker 25 Sep 2015, 12:52

SC When you say anything within 80cm, is that a recent occurrence from wearing the +2.50s or has your wife gradually reached that as a comfortable near point in the last few years.

Can she not see at all within that distance?

LTLurker 23 Sep 2015, 12:22

SC-That is what you read about time after time, the transition to progressives and the reliability that comes with it.

Looking back at previous posts and those who get progressives are full time in a few days!

SC 23 Sep 2015, 11:20

LT Lurker,

Yes she wears for PC & reading. I would say everything up to 80cm.

She wore glasses occasionally for long-sight from age 14 to about 21 (about the time I first met her) but stopped soon afterwards. I can't remember what the lenses were like but they were not strong so I guess less than +1.

She thinks that by the next test in 2 yrs she will have progressives - I think it may be sooner than that. I don't think that she will mind wearing for distance, eg driving, and reading - she says she has them on almost all the time at work - but I guess she'll be shocked at what happens to her vision without glasses and will not be happy with needing them full-time

LTLurker 22 Sep 2015, 21:21

SC- Sorry I meant to ask does your wife wear her specs for reading or PC as well ?

LT Lurker 22 Sep 2015, 04:03

SC, I would say my wife is right there behind yours, she has a 1.5 ADD but only + 0.25 for distance although 8 years ago age 39 she had +1.25 and +1 as a distance prescription to use for reading.

She, like your wife has said that she does not like the effect of wearing her new +1.75 readers even though she can see at some distance with them.

It's when she takes them off she does not like "everything blurry".

I tried to say this is normal, but she was not listening.

She said she didn't need them for the computer so she stopped wearing them about a month or two ago. They have been making an appearance again recently at the PC and not just for books.

I guess clear and comfortable vision is preferable, but to my wife this is at the expense of her "excellent" distance vision, which as a latent hyperope is probably true.

I think she was explained all this by first Optom who did a full and careful refraction, the second Optom just used the auto refractor which missed all her latent H and so she left "not needing glasses" despite headaches, excessive blinking, photophobia watering eyes, small pupils in fact almost all symptoms of latent H.

Finally Optom 3, stuck her on the autorefractor and gave her her latest rx.

She has never been dilated. So she is at least 1.25 which will mean full time sometime down the road. I think a gradual transition is the best way phasing in various activities until it's easier to wear or impossible to be without. 50 is 2 1/2 years away for my wife so I suspect more frequent wear by then.

LT Lurker 22 Sep 2015, 04:03

SC, I would say my wife is right there behind yours, she has a 1.5 ADD but only + 0.25 for distance although 8 years ago age 39 she had +1.25 and +1 as a distance prescription to use for reading.

She, like your wife has said that she does not like the effect of wearing her new +1.75 readers even though she can see at some distance with them.

It's when she takes them off she does not like "everything blurry".

I tried to say this is normal, but she was not listening.

She said she didn't need them for the computer so she stopped wearing them about a month or two ago. They have been making an appearance again recently at the PC and not just for books.

I guess clear and comfortable vision is preferable, but to my wife this is at the expense of her "excellent" distance vision, which as a latent hyperope is probably true.

I think she was explained all this by first Optom who did a full and careful refraction, the second Optom just used the auto refractor which missed all her latent H and so she left "not needing glasses" despite headaches, excessive blinking, photophobia watering eyes, small pupils in fact almost all symptoms of latent H.

Finally Optom 3, stuck her on the autorefractor and gave her her latest rx.

She has never been dilated. So she is at least 1.25 which will mean full time sometime down the road. I think a gradual transition is the best way phasing in various activities until it's easier to wear or impossible to be without. 50 is 2 1/2 years away for my wife so I suspect more frequent wear by then.

SC 21 Sep 2015, 03:07


Wearing glasses full-time makes you feel younger than wearing reading glasses. Reading glasses are age-related as everyone knows - full-time glasses are just for people who need glasses and are not age-related.

Very few people would know that the glasses are varifocals/progressives - I certainly never noticed them in other people before I got them

SC 21 Sep 2015, 03:04

LT Lurker,

I'm not sure my wife always has a problem with TV credits, maybe just when tired, and I don't think there are any issues with driving. I think she is just holding off until she is over 50 as a target.

I've already heard that the new glasses (+2.5 reading Rx) are 'ruining her eyes' and she can't see distance afterwards. I've explained that this is because her eyes are being forced to relax and take some time to recover/squeeze the plus again when she takes them off.

I'm not bothered whether she wears glasses or not - I know that she will end up full time because +1.0 distance Rx is simply not optional long term.

I can see the advantage of not wearing - her closeup is much better than mine: +1.5 add @49, I'm +2.25 @50 so my eyes are 2-3 years 'older' than hers. The distance is no comparison - her Rx is the same as my previous Rx(+1, I'm now +1.5) and I can't focus without glasses whereas she can see fine. So not wearing plus lenses certainly preserves your vision for longer by keeping the cilliary muscles working but won't change the end game. The convenience of wearing glasses all the time rather than handing things to your husband (me) because putting reading glasses on takes too long and too much effort is not lost on her!

Val 20 Sep 2015, 05:32

Vanessa, if you don't like wearing glasses with magnifying lenses, you can talk with your eye doctor and make a glasses and contacts combination, also called GOC (Glasses over conctacts).

Your prescription:

Sphere Cylinder

L +1.75 -1.25 x 110 add +0.75

R +1.25 -1.25 x 80 add +0.75

But with a GOC combination, you can wear contacts with a prescription = sphere+add, like this:

L +2.5 (=1.75+0.75)

R +2 (=1.25+0.75)

Wearing contacts with this prescription will make your eyes virtually myopic.

Glasses prescription

L -0.75 -1.25 x 110 add +0.75

R -0.75 -1.25 x 80 add +0.75

The cylinder part remains unchanged, and you will still need an add, but will actually be 0.0 power (= -0.75+0.75)

Likelenses 19 Sep 2015, 21:46


From the prescription that you stated,you definitely should have been wearing a distance prescription.

And now you need help for near also.

Welcome to the life of the bespectacled.

George1968 19 Sep 2015, 10:13


You can't be forced to wear your glasses. On the other hand, not wearing them won't get away from the fact you need progressives. You also know that you can't avoid reading glasses. So, you could just get reading glasses at a drugstore and try to manage,

But, you are just punting on the real issue -- that your eyes have a number of things going on. Your eyes are straining, and need to be relaxed already. Once relaxed, you are likely to need a slightly stronger prescription near, particularly the add. Finally, you have astigmatism that affects things near and far.

Bottomline is that you can go another year or so with just reading glasses, but likely with more eyestrain and headaches as a cost. Eventually, your vision will have you surrender.

Wearing glasses is not going to make you look older. Get a stylish frame, and you will likely look more like 31. Nothing screams older than demonstrating that your arms are no longer long enough for you to see.

cutter 19 Sep 2015, 09:20

Thank you Cactus Jack!

Telling me of “build-in plus glasses” that shortsighted people are likely to have when they remove their glasses, you gave me a novel perspective to explain what my wife does, and which risk she would face if she take them off more often than the strict necessary. According to you, when she’ll squint, while wearing glasses, to focus a very close object she cannot keep farer (e.g. her hair’s ends), I’ll not suggest to take glasses on, in order to no deconditioning her crystalline and ciliary muscles faster. If I well understood, this could prevent (better: delay) the moment she will forced to adds in any circumstances.

In the meanwhile, I guess it is a “myth” what she told me, namely that even in her early twenties to focus small objects while wearing glasses (at that time glasses were less strong than her current ones), she needed to keep them at a distance that was more than the standard, say 20-25cm instead of 10-15, and that in any case she were more comfortable in removing glasses especially for prolonged very close work.

Is there any formula to calculate how the minimum focus distance of a person (with and without glasses) varies based on her sphere RX (no astigmatism)?

Thank you also for the advice to be careful in talking about varifocals with her, unless she brings up the topic on her own, to not be counter-productive. Nonetheless, after your explanation I am worrying she could become to take off her glasses even more often (especially with her new RX) , so damaging her accommodation ability sooner. Is there any symptoms I should look at to become stubborn in asking her wearing varifocals?

Finally, what should I expect if she started wearing contact lenses? Problems in close work would increase or rather diminish for her?

Soundmanpt 19 Sep 2015, 08:01


First of all everything "Carrie" has already told you is dead on. There is nothing wrong with looking and feeling like your 31, but you have to remember that your eyes are still 41 and they need help. And at 41 it is not at all unusual to start to not just need glasses but bifocals. However you might be surprised at how many young people in their late teens and early twenties now wear bifocals or progressives. There is little doubt the amount of time everyone is spending on so many devices with very small type as well as images has taken its toll on eyesight. But that's the world we live in now. You said the glasses you have had are about the same prescription as your new ones except for the add and you only wear them while at home. The truth is based on what you say you should have been wearing them far more often than that. If you have been driving without glasses you were putting yourself at risk as well as others because your vision without glasses is well past the limits for safe driving. The +1.75 / +1.25 isn't so bad but when you add in your astigmatisms of -1.25 for both eyes it is considerably worse. Astigmatisms blurs your vision for all distances. (the 110 and 80 means nothing to you as they are not power values) The add they prescribed you is the weakest they could go with and I am quite sure they just first want you to get used to using bifocals (progressives) so they are making the from from your distance to your near as small as possible. There is no doubt since you far from happy about needing to wear glasses full time now that you don't want a lined bifocal. If you get progressives no one will ever know unless you tell them. Your glasses will look nearly the same as your current glasses aside from a different frame. So your eyes shouldn't look any different either as only the very lower segment of your lenses will have the add. Your prescription isn't that strong to cause your eyes to look much larger than they look without glasses. Besides if you have nice eyes your glasses may even enhance your eyes and make them look even nicer. People of all ages wear plus glasses which is what your glasses are so you shouldn't look at plus glasses as something only "granny's wear. I really don't think Carrie is by any means close to being considered a granny. She is instead a very confident young woman that has no problem wearing glasses. So just pick out the perfect glasses that really suits your youngish looks and start making it a habit that when you get up in the morning the first thing you do is put your glasses on and keep them on until you to bed that night. You will be amazed at how much better your eyes are going to feel when you start doing that.

One thing when you get your progressives and start wearing them be very careful when you are going up and down steps as well as even curbs because even with the weakest add it can still cause you to see the curb or step as being closer to your face than it really is. And wearing heels only makes it worse. The best thing you can do is look straight ahead of you and don't look down. The first day or so as your eyes are adjusting to them you may even want to take them off when your on steps. But put them right back on so your eyes can continue to adjust to them.

Curt 19 Sep 2015, 07:25

Vanessa: Dont get too worked up over this. Lots of folks wear glasses, and they do not scream granny! Very, very few people can notice no-line bifocals; that's why they are so popular. You have a fair amount of astigmatism and a small distance correction...I bet you will see much better at all distances if you get this prescription made into glasses. Pick out a frame that compliments your face and give them a try for a week or two. If you don't like them, there are no glasses police that will force you to wear them. For what it's worth, I got bifocals at 27!

Carrie 19 Sep 2015, 05:28

Vanessa - I suggest you get your prescription made, go for the no line bifocals if you are worried about the line, and wear them full time. I don't think the lenses will magnify that much and anyway your eyes will be more noticeable than any small wrinkles you might have. You could get separate reading and distance glasses but putting on and taking off glasses would be more noticeable than just wearing them all the time.

You might look 31 but your eyes aren't and they can't take the strain anymore. You will very quickly notice the benefit of the distance part of the prescription especially with the astigmatism correction (did you have that in your previous prescription? If you did I'm surprised you're not already wearing glasses full time.). Your vision will be very clear and your eyes won't feel tired at the end of the day.

If you choose a stylish frame you can still look 10 years younger.

I'm about 20 years younger than you but my prescription is stronger than yours L+2.50 -0.25 and R+3.00 -0.25 and I need them all the time. I need them because I am long sighted (hyperopic) rather than age related (presbyopic). I think your need for new glasses is a bit of both. If people ask about your glasses you can say you've had glasses for ages but your eyes have got a little worse which is why you need them all the time. This is perfectly true and you don't have to even mention they are bifocals/varifocals. You never know some of your glasses wearing friends and colleagues that are around your age might also be wearing varifocals and you didn't realise. Actually it's not uncommon for younger people to need bifocals - it's not just an age thing. My cousin is a bit younger than me and her prescription is a bit stronger than mine and at her last eyetest she was told she was on the virge of needing bifocals. If you look on YouTube you will find videos of girls much younger than you that have had to get bifocals.

If, or more likely when, I need bifocals I will get varifocals so there is a gradual change from the distance part to the reading part.

Vanessa 19 Sep 2015, 03:03

Today is not a good day. I went for a eye test because they don't make phones any bigger that a iPhone 6 plus. I have held off wearing glass as long as I could but I think it is becoming noticeable to people that I need glasses. I am 41 years old and take a lot of pride in maintaining my youthful appearance. I would like to think I look 31. I got the shock of all shocks today....Bifocals!!! I have always had glasses but would only use them at home. I managed at work where I use a computer for 3-4 hours a day. My eyes have been taking a little bit of strain but my vanity has always won. I do not know what my old rx was but my new is L +1.75.-1.25 x 110 add +0.75 R+1.25 -1.25 x 80 add +0.75. I immediately asked about contact lenses options but was told that it would be best to get used to the new bifocal glasses as this can take a while and come back in a few months time as there are a lot of things happening in my prescription. I do not consider myself having that bad eyes. I can see a lot better than my husband who wears contacts of -1.25 and -0.75 although he is a bit dramatic over his bad vision. I have always avoided glasses as they magnify my eyes and any fine wrinkles I have around them. The glasses are the basically the same strength as my previous pair except that there is the extra reading strength. Will this noticeably magnify my wrinkles. I have not committed to buying the glasses yet. It is obviously not a option to go with the bifocals with the line, but will the no line type be visible to anybody. I guess this is all kind of pointless because line or no line wearing glasses that look like reading glasses all the time just screams granny all over it. Is it really going to be necessary for me to wear these glasses most of the time or is am still going to be able to manage without them. Bifocals seems like the end of the line for me.....and I'm only 41!!!!

Kris 18 Sep 2015, 18:48

Thanks Cactus,

I find the prism works well for me and have been reading a lot more since using them, as it turns out eyestrain was a side effect of the my esotropia I hadn't appreciated. I don't know why, but I find that I have more issues with near vision with my progressive lenses (hard to make out fine print) but not with my readers (even though my prescription for the near portion of my progressives is 0.75 dioptres higher than my readers).

I have been attending a conference for the last few days (lots of listening and staring at powerpoint presentations in medium to large rooms) and, for the first time since going full-time with prisms, I slipped into double vision and could not regain fusion until I left the presentation. Presentations have always been the most problematic for my double vision and are the test for how well the prisms are working. I hope it's just fatigue and not a sign I'm going to need more prism. I'm not going to worry too much and hope it goes away.

Your analogy about vision and the open loop servo system is an interesting one and I certainly notice that both relaxing too much and focusing too hard can lead to double vision. It's like I have a visual sweet spot that I have to stay in to avoid diplopia. With the prism, it's like that sweet spot is bigger than without prism, but it still has it's limits. My insurerer will pay for new glasses and lenses next year and my plan it to get my eyes retested then so that I can get a second pair of glasses. My hope is that things remain stable in the interim.

Cactus Jack 17 Sep 2015, 18:49


I apologize for taking so long to get back to you. I missed your question about prism on my first reading.

What you are experiencing seems to be typical and similar to what I have experienced. Often, the amount of prism you need is affected by three things. Fatigue, focusing effort, and the amount of separation of the two images.

The eye positioning system, which controls the 3 muscle pairs on each eye, is very similar to what an engineer would call an Open Loop Servo System. Unlike a Closed Loop Servo System, such as you find on a Computer Controlled Milling Machine where the control computer knows EXACTLY where the tool is with extreme precision and even the size of the tool. The Eye Positioning System (EPS) only knows generally where the eyes are pointing (eyes closed) and it must depend on the relative displacement of the two images, delivered to the Visual Cortex, to have any idea where the eyes are pointing and direct the eye positioning muscles to bring the images together and fuse them. If there is too much separation and I try to fuse the images, the EPS will often make the wrong decision and move the images farther apart.

To complicate matters, there is a connection between the Focus Control System and the EPS so that focusing effort causes the eyes to converge. This is particularly problematic for people with uncorrected Hyperopia because the effort to focus distant images will trigger the convergence response and cause their eyes to turn inward. The strength of this connection varies with individuals and the convergence response can often be overcome by concentration and training.

Fatigue is often the big variable because it often requires continuous effort to overcome the convergence and you get tired of doing that and tired after a long day.

Sometimes, when I am well rested, I can fuse images without prism help. But most of the time, I wake up seeing double and can solve the problem with 7/7 BO for most of the day. On rare occasions, when it is very late and I am very tired, I can't keep the images fused at all, with my highest prism glasses, a combination which is an effective 32/32 BO. That is a serious clue to turn off the light and go to sleep. It will be better tomorrow.

Everyone is different and your hyperopia is a factor. The idea is to have comfortable vision under all conditions. My suggestion is to wear the lowest amount of prism you can that helps you keep the images fused with the least conscious effort on your part and don't worry about it.

I am very happy to hear that 4/4 BO is working for you. It may need to increase a bit later, but remember all you have to do is get the images in range where the EPS can do its job, you probably don't need full prism correction, all the time.

BTW, one of the things that drives me nuts is to look at a pattern that repeats, horizontally. I have some wall paper that has a repeating pattern of symbols about 4 inches (10 cm) apart that I try to avoid looking at. I can be doing fine with my 7/7 BO, but if I look at the wall paper when I am tired, my eyes will break fusion and start converging with out stopping until it would require the 32/32 BO to fuse the image. It is very disconcerting. Replacing that wallpaper is very high on my to do list. I am tired of it anyway.


LT Lurker 17 Sep 2015, 17:50

SC,Your post was very interesting, concerning your wife and her slower need for dependency than yourself.

Has your wife had difficulty for a while with the TV credits?

Also how I wonder how is your wife's vision for say driving at night?

From what I have read recently it seems that there can be a considerable amount of accommodative tone still in play quite late into the 40s and even early 50s masking some quite significant latent hyperopia.

This is evidenced by the work of Finnish ophthalmologist Kaisu Viikari, who has through her long career documented many cases to support this.

Cactus Jack 17 Sep 2015, 14:25


Your wife is already wearing Reading Glasses. They are very strong and they are built in. All people who are myopic have built in reading glasses. In your wife's case, the reading glasses are for reading at about 14-15 cm. When she reads at that distance without her regular glasses, the text will appear to be very large and clear.

When she is wearing her glasses, they corrects her vision so that ideally her focus distance is 'infinity' or, as a more practical number, about 6 meters or 20 feet. An ADD would be like wearing glasses with less MINUS.

When she reads or focuses close without her glasses, it is very likely that her Ciliary Muscles and Crystalline Lenses are fully relaxed. The effect of doing that is the same as wearing strong reading glasses, which tend to de-condition the Ciliary Muscles and make it more likely that she will loose her ability to focus without external help, sooner.

You need to be very careful about discussing this with your wife. It is counter-productive and will get you in trouble. It is very likely that her mind is made up and you should not try to confuse her with the facts. She is probably not interested.


cutter 16 Sep 2015, 10:25

@Cactus Jack

Thus, according to your experience, my shortsighted wife should move to adds, or bi-/multi-focals, or any other stuffs that help her for close work, isn't it?

This is exactly what I told her, but she believes I am exaggerating: "For very close vision, I have ever seen better without glasses, even when I was 20!" she said: "And now in 99% of cases I am still comfortable with my glasses on, with no true need to take them off".

What can I do in the next months to delicately monitor her acuity over time, without explicitly hint at presbyopia? Do you have any triks to suggest me?

Probably, she is also worried that, moving to bifocals, her eyes would relax faster so making her more and more dependent from adds, until the point in few years she would not able to see well even bareeyed (when she stays at bed she usually check the smartphone without glasses for minutes).

Is this a possibility for a myope (LE -6.50 RE -7.00), as she is?

Cactus Jack 15 Sep 2015, 20:21


Presbyopia is gradually creeping up on her. The idea that a person does not need focusing help until 40 is a myth. It varies with the individual. As with almost anything else related to the body, your genes and your visual environment have a lot to do with when you need focusing help.

Presbyopia actually starts in childhood, but typically does not become noticeable until the mid to late 30s. There is an interesting phenomenon, people who need + glasses often need focusing help at an earlier age than people who need - glasses, but that is NOT a hard and fast rule.

Unfortunately, many Eye Care Professionals believe the myth and won't suggest bifocals, particularly for women, until well after 40, because of vanity issues.

Suggest that she try some Over-the-Counter reading glasses over her regular glasses and see if that makes any difference.


cutter 15 Sep 2015, 15:17

My 36 y.o. wife wears minus glasses since childhood. She is in the range of -6.50 with no astigmatism, still needing small increases (an additional -0.25 or -0.50) every 2-3 years.

Recently, I have noticed some symptoms of her troubles in close view:

- when she tries to focus on a very close object (e.g. her humerous) she looks under the glasses and often winks eyes and wrinkles her nose

- her best reading distance for smallest fonts (e.g. the power of a phone charger as written on it) is not less than 25 centimeters

- when we hugs and I ask her to look in my eyes, she must move her head 10 centimeters behind to focus me

Are these starting symptoms of a need for by-/multi-focals?

She is not worried about them as they have (supposedly) characterized her whole glasses wearer's life. Actually in her last eye check, the doctor told her there is no need for byfocals without checking her close acuity.

But I am not so sure, especially now that she is going to use more powerful minus glasses (around -7). What is it happening? At which age, for Mediterranean persons with her RX, byfocals are typically required?

Kris 01 Sep 2015, 18:36

It's been a couple of months since I started wearing prism lenses (4 bo each eye) and I can say that my vision is much more comfortable in them than without. As I've said before, I was really reluctant to do this, but part of me now wishes I'd stopped denying my problems with double vision earlier. Initially, I had issues with things looking rhomboid rather than square when using the near part of my prescription, but that is no longer noticeable. Although, if I try, I can see double it no longer automatically happens if I relax my eyes. It is very rare that I see double now.

The downside of wearing prism is the fact that I had to give up contacts (definitely not a surprise to me or anyone on this site). As well, I noticed that my eye pulled inwards with the glasses off and I could even feel it turning in with my eyes closed. My right eye used to turn in only when I was trying to focus on something near when I took my glasses off but now almost always turns in as soon as my glasses come off.

I repeated Cactus Jack's prism test recently and using an old pair of glasses without prism the deviation between images was 110-115 cm at a distance of 3m. Under the same conditions before I started wearing prism the deviation was around 70-75 cm. I was surprised (and a little alarmed) at the difference. Deviation with the prism is about 65-70 cm. I don't like this. This is almost the same deviation I had before I started wearing prism although I was much more symptomatic at that time. Is this normal to see more deviation once prisms are prescribed? So far I'm nor showing any signs that I need more and this may be all I need right?

Cactus Jack 01 Sep 2015, 17:15


Your wife has a prescription for Bifocals or Progressives. The +1.00 is for distance and the +1.50 Add is to help focus closer for reading or using the computer. She has a bit of Hyperopia and also some Presbyopia.

If she does not want to get Bifocals or Progressives right now, she may be able to get by with some +1.00 Over the Counter (OTC) "readers" for distance and some +2.50 OTC "readers" for closer focusing. The +1.00 for distance is probably pretty stable, but may increase slightly to say +1.25 or +1.50. It is likely that the close-up readers will need to increase up to +3.50 or maybe a little higher, depend on how close she needs to focus. It is all normal as we get older, but don't be too surprised if Vanity and Denial rear their heads. That is normal too.


SC 01 Sep 2015, 11:31

My wife pickup up her new glasses last week. She now has +2.5 readers.

I was surprised when I saw her prescription card saying she was now +1 add 1.5 in both eyes. I asked whether they had mentioned wearing glasses for distance and she said no but she is expecting to next time (2 years). I know she seems to struggle with the credits at the end of TV programmes (fuzzy) but other than that I assume distance is OK.

She's 49 and has worn readers for the last 4 years - has always had a distance prescription of +0.5 but never filled it.

Interesting that when my distance Rx was +1 I was already completely dependent

delighted 27 Aug 2015, 04:39

Today I was informed to bring in my glasses in order to replace the old +1.75dpt lenses with the new progressive ones. Of course I did and for the last two hours since I picked them up again I'm in awe.

They're fantastic. I didn't even notice the add until I sat down and consciously read a newspaper. There I can notice that if I don't look straight enough through the lenses there is some slight distortion. But if I look at the computer screen the corridor or whatever you want to call this is just about as wide as a A4 format, I can read an open doc on the computer and have no distortion if I look straight.

Looking at distance with the +2.25dpt segment is still a bit foggy. I need a few seconds until things at far clear up. But up close everything is crystal clear. I think that the additional +0.75dpt for up-close were absolutely necessary. If I make the math I'm also a bit surprised (not really, but I don't find any other word for it). Up close basically I'm a +3.00dpt now. That is rather strong for my age, I'd say (36). But since I'm a natural hyperope no real surprise there.

I do feel though that something is happening in/behind/around my eyes - it feels like my muscles already started to let go, they are relaxing (they might not want to, but what choice do they have, hehehehe).

What I notice most is that if I take my glasses of everything is out of focus. That was not the case before, at least not to that extent.

Also, if I look at my reflection in the mirror I notice my eyes now being a lot more magnified. There is a noticable cut-out which is wider at the bottom of the glasses. I don't mind it at all. I actually think it makes me more handsome :-) but also more vulnerable/soft.

I haven't worn my glasses full time before, I wore them most of the time. I think this has changed now. I don't think that I will be able to see without my glasses once my eyes have settled in and have grown accustomed to the stronger prescription. I'll give an update in a week's time if you're interested.

Best regards,


delighted 21 Aug 2015, 07:26

Funny how life goes. I had always wanted to wear glasses, eventually got a pair prescribed years ago for mild hyperopia. Over the years I had a few small increases and got stuck at +1.75dpt with some astigmatism appr. half a year ago. Back then the ecp told me that he would prescribe me +0.25dpt extra (+0.25 stronger than my actual prescription) because I had told him that my eyes felt tired during work and while reading.

Apparently the extra +0.25 set something in motion. Today I went back because my eyes felt tired and guess what: I was prescribed an increase of +0.5dpt. So now I'll be at +2.25dpt, lucky me, love it. But not enough, I thought that I would also mention that I happended to fall asleep while reading recently so the ecp suggested an extra +0.75 dpt for reading - thus my first varifocals! I could not be happier. I had not even thought about needing an add. He told me that he'll order the new lenses and will give me a call to replace my existing +1.75dpt with the new lenses next week. I'm so excited. It already felt great to have the +2.25dpt in the trial frame and the +0.75dpt for close up. I wonder how it will be when I can collect the glasses and put them on for the first time. I'm 36 years old by the way. I certainly hope that my rx will increase a bit more over time. But I just had to share the news with people who can probably appreciate and imagine how happy I feel right now. I can hardly wait until the ecp calls me to bring in my current glasses. He told me that it'll take about an hour to grind the new lenses into the frame once the lenses have arrived. Happy weekend

miku 08 Aug 2015, 04:56

I am 23, svensont. And I live in the UK

svensont 08 Aug 2015, 03:46

Miku, what is your age and where are you from?

miku 08 Aug 2015, 01:33

Hi all,

I've been wearing my glasses mostly full-time for about a month now. It is fascinating how I have adapted to them and how clear they make things now. The only annoying thing is that I cannot go around without having them, anymore. Quite frustrating at times, knowing that a month ago I was able to read and drive without them.


Owlish 20 Jul 2015, 03:45

Cactus Jack, I just need to send some appreciation your way for the wonderfully clear explanation you just gave to Jonathan and for all the teaching you have given to so many people here over the years. I think we all learn from your posts as I certainly have so, keep up the great work CJ! and thanks.

Jonathan 19 Jul 2015, 18:33

Thanks Cactus for the explanation. I have been wearing readers since I was 43. Had my eyes checked about 3 months ago and was increased from +1.25 to +1.50 readers. Thought it was interesting, and a little baffling, that my son and I now wear the same prescription. I do understand that presbyopia will continue to march forward and that stronger glasses are on the way. Much appreciate the good explanation.

Cactus Jack 19 Jul 2015, 06:08


Welcome to the mysterious world of Vision. Your son has hyperopia and you have Presbyopia. Two different problems with two different causes, but the same solution.

Hyperopia or farsightedness or long sightedness is typically caused by a mismatch between the length of the eyeball and the total PLUS power of the eye's lens system. Your son's eyeballs are about 0.5 mm too short for distant objects to focus properly on the retina. Of all the refractive errors, hyperopia is the ONLY one that can be corrected internally by use of a persons ciliary muscles (focus muscles) and crystalline lenses. However, that means that the eye's focus muscles have to do extra work to see clearly in the distance, work even harder to focus close to read, and word still harder to read the tiny text on a smartphone or tablet. That extra work often means headaches and extra fatigue.

It is also possible that he may have a bit of Latent or Hidden Hyperopia where the eye muscles have become so used to having to focus to see clearly in the distance that it take weeks or months to relax fully. That means that in a few months he may need glasses with a bit more PLUS in them to see comfortably at all distances. Be aware that this can happen and don't be reluctant to have him return to his Eye Care Professional (ECP)before the suggested time for a re-check. Many ECPs offer to remake glasses if a prescription changes within a certain time period at reduced cost.

You have Presbyopia, literally "Old Eyes" where your crystalline lenses have gradually become so stiff that your ciliary muscles can no longer make them focus at close distances. Your distance vision is apparently pretty close to what is called "normal" or 20/20 or 6/6 depending on where you live. That means that the length of your eyeballs are pretty close to "just right" for distance vision.

The amount of extra plus you need to focus at any distance closer than about 6 meters or 20 feet is easily calculated by using a formula developed by Sir Isaac Newto, of gravity fame, around 1700. The formula states that

Focal Distance = 1 meter or 100 cm or 39.37 inches divided by lens power in diopters

In other words to focus at a reading distance of 40 cm or 16 inches, you need an extra +2.50. The fact that you can read at 40 cm with +1.50 reading glasses means that your ciliary muscles and crystalline lenses can still provide +1.00 to read, but I can almost assure you that that will change. Before long you will probably need +2.00, +2.50, or even a bit stronger, depending on how close you like to read. Rest assured that it will probably never exceed +3.50 unless you need to do extremely close work like watch repair.

I hope this helps. It may seem a bit complex, but it is all normal and not in the least surprising. You may be able to get along OK with Over-the-Counter reading glasses, but you should strongly consider an eye exam to make sure that all is well otherwise. Many apparently unrelated health problems are discovered during eye exams. Many are "silent killers" that if caught early are easily managed.

If you have more questions, please ask.


Jonathan 19 Jul 2015, 04:51

A question about farsightedness. My 17-year old son was complaining about his eyes and vision, so we took him for an eye appointment. It turns put that he is farsighted and needs to wear glasses full-time. Each eye is +1.50. He is slowly getting used to wearing the glasses. Interestingly enough, his prescription is the same as the prescription of my reading glasses. He is 17---I am 45--but he is able to see clearly at a distance with the glasses----I can only see close-up with the +1.50.

Kris 11 Jul 2015, 21:22

I have been wearing my new prism prescription for a couple of days and it is definitely an improvement. It is much easier to maintain single vision. I occasionally see double, but it quickly corrects back to single vision without effort. I needed a couple of days to adapt to the prescription and still find that I get a little thrown if I move my head too quickly. One thing I noticed is that when I looked at square objects through the near vision part of my lenses, they could look rhomboid, but that is starting to settle. I am struggling a bit with finding the sweet spot in the near vision portion of the lenses, but expect that that will improve too.

The outer ends of the lenses are thicker than I expected. I wear plastic frames and the lenses are thicker than the frames. They are by no means huge but I don't like the idea of the prism being really noticeable, especially if I have to go up any more in the prescription. I hope it won't limit the types of frames I can wear.

I tried for a long time to avoid using prisms, and am still getting used to the idea that I am now in them (probably for life, but we'll see what the ophthalmologist has to say). I am still getting used to the idea that I can no longer consider using contacts (although with the deterioration in my near vision in the last year, they weren't as convenient as they used to be). I am going to try to wear contacts again, more out of curiosity of what I will experience than any other reason. I have noticed an improvement in eyestrain and I am reading more since using prism. I still get eyestrain but not nearly as bad.

Since going full time with prism my right eye (the weaker one) waters a lot, especially at night . I can feel it pulling in when my glasses are off, even with my eyes closed. It feels a little like the eye muscles are resetting themselves with the prism. I find it automatically turns in as soon as I take my glasses off, whereas before it would stay straight as long as I didn't try to focus my eyes. I don't like that my eye turning in is almost automatic now when I don't have glasses on, and it turns in enough to be noticeable to others. With glasses though it's not noticeable. I am hopeful that with my current prescription I will be good for awhile and I will now have some time to get used to the whole prism thing. I'm realizing I had more issues with double vision than I was willing to acknowledge and it was definitely impacting my daily life. I don't love having to wear prism and was very reluctant to acknowledge to my ECP that I was having issues (chose not to mention it at the last couple of eye exams I had) but appreciate that they are helpful to me. For whatever reason I've struggled more with this than having to wear progressives.

Carlos, Jr 08 Jul 2015, 10:20

New Bifocals, how are you doing with your new glasses? Wearing them full-time? Join the crowd---I also went to the eye doctor for reading glasses and was told that I had farsightedness, in addition to the presbyopia. Went from no glasses to full-time wear. It happens.

Soundmanpt 04 Jul 2015, 14:36


Good to hear back from you and tanks for the update. I know you said that it could be a couple weeks before your new lenses come in so there not late. And as long as they didn't need to take your glasses form you and you at least have them to wear they are still better than not having any glasses with prisms in them. But you can tell that the prisms need to be more when your talking with someone and start to lose focus or your straining to hold single vision. Needless to say forcing your eyes like that is a big part why you and your eyes feel tired. I'm not sure why your bothering with your old glasses that don't have prisms anymore? One thing I know you found out is that your eyes need the prisms and they can't really function very well without it anymore. This is the same thing with your contacts. I know you hate to give them up but if thing are blurry now when you try and wear them your eyes aren't going to be very comfortable anyway. But you played tennis wearing your glasses. I'm guessing that was a first time for you to wear glasses playing tennis considering that was a concern for you if you couldn't wear contacts anymore. Well now you know you can indeed play tennis ant wear glasses and I am guessing you did rather well playing? It really helps that your much more sued to having your glasses on now which means it is easier to do things now wearing glasses than it used to be. Tennis is a visual sport that requires very good hand/eye coordination and even with wearing glasses for the first time and playing tennis you must have very good hand/eye coordination? But now that your not likely to be buying anymore contacts as soon as you see that everything is good when your new lenses come in you probably would find getting a pair of glasses, I suggest on line, in single vision for tennis and other things where you don't need close vision. There was probably several times while you were playing tennis that your eyes happened to focus through the add segment of your glasses and of course that would be cause for you to misjudge exactly where the ball is. Zenni odes offer glasses with prisms up to I believe 5 for an added $9.00. So you good get nice sturdy glasses, for sports, for under $30.00.

There is no way anyone can tell if this change in your glasses will be the last one for a long time or not. But you know the prisms in your glasses now isn't enough and wasn't from day one. But for sure with the new lenses it should be enough that you won't be forcing your eyes to hold focus. And that alone should make your glasses even more comfortable than thye already are.

Kris 04 Jul 2015, 13:22

I'm still waiting for my new prism lenses to come in, but they should be here any day now. I've questioned whether or not I needed to go up on the prism so soon after starting to wear them as, for the most part, I've been pretty comfortable in my current lenses with 2 BO each eye. However, I've noticed that when I'm talking to someone for a long period of time I start to have issues staying focused on them and start to have troubles with blurring. I also noticed that when my eyes were tired, I struggled to maintain single vision. I've tried wearing my old glasses without prism to keep my eye muscles working, but find it uncomfortable and am not sure I understand the point if I'm going to be a full-time prism wearer. Does not using prism really keep the eye muscles strengthened or does it just lead to more eyestrain?

I think I've given up on contacts. I find that I can't wait to change back into my glasses and was taking out my lenses as soon as my game was over, whereas before I would be comfortable in them post-game (as long as I didn't have to read). I don't get instant double vision like others have described, but find my vision blurrier than before I started with prism. I wore my glasses to my game this week and didn't find it as awkward as I expected to play wearing glasses vs contacts. I am looking forward to getting my new lenses and hope that I will have comfortable vision for a long time with the new prism.

miku 03 Jul 2015, 11:51

Hi Cactus Jack,

This particular pair that I've been wearing is around +1.00/+1.25 (RIGHT) and +1.75 (LEFT).

I've kept comparing images with/without glasses and I can tell the difference. But as I woke up this morning, my vision was nice and crisp again with no correction!

Cactus Jack 03 Jul 2015, 11:33

Hi Julian,

I thought it had been posted, but I was not sure exactly where and was too lazy to look very hard. I wanted to be sure and give you credit for the original work in compiling the posts. All I did was a little editing.

It was fun to read it again. History continues to repeat itself when Presbyopia creeps up on Latent Hyperopes and they discover how their vision really works. Hopefully, they can face the trials and tribulations of correcting Latent Hyperopia with the same good humor Macrae did.


Julian 03 Jul 2015, 11:05

Cactus: Macrae's story was already on Vision & Spex where I posted it in 2013. As it's quite a big file and your editing makes it easier to read I'm going to delete the old one.

Cactus Jack 03 Jul 2015, 11:04


What is your prescription?


miku 03 Jul 2015, 09:53

Hi all,

I finally started to wear my glasses every day after work. That makes for some good 5-7 hours of more or less full-time correction.

It's an awesome feeling! I'm curious to follow the de-conditioning of my ciliary muscles.

Cactus Cack 02 Jul 2015, 12:51

New Bifocal,

It is on the Fantasy and True Stories thread.


Cactus Jack 02 Jul 2015, 12:48

New Bifocal,

Vanity is often an issue with new glasses wearers or glasses wearers who have a significant change in their correction needs.

Some years ago, one of our members, Macrae, wrote a series of about 50 very well written and often humorous posts about his experiences with having to get glasses and then progressives at 40. Julian compiled the posts into "Macrae's Story". The series of posts is too long for posting here. I have edited the story slightly and posted it on the Vision and Spex site.

I hope you find it enjoyable and helpful.


Veteran progressive wearer 02 Jul 2015, 10:18

Actually, the best advice I was given for adjusting to progressive lenses is to point your nose where you want to see. It really works!

Soundmanpt 02 Jul 2015, 09:52

New Bifocals

So I am guessing that your quite shocked when you went for your eye exam that you needed bifocals? Since you felt that you still had good vision what prompted you to get your eyes examined since you had only been wearing OTC readers for a while without any problem? Am I right in thinking that you only wore your OTC readers for close things such as reading and not for distance? The next surprise must have been when it was suggested to you that you needed to wear your new bifocals full time because you have a rather strong prescription? Then even making a point that you shouldn't be driving without glasses now. Based on your prescription I have to agree with what they told you. You have quite a good bit of astigmatisms in both eyes. Astigmatisms effects your vision for all distances so I am sure once your eyes adjust to your glasses your going to be surprised at how much better your distance is going to be as well as your close vision. I am in total agreement with Cactus Jack that at first your distance with your new glasses is going to take some getting used to and you will probably find your distance to be somewhat blurry at first. This very normal considering your prescription. Besides the blur you likely may feel like the floor is moving and the room is spinning and a headache could also be in the offering at first. Probably not what you wanted to hear but at least if you know ahead of time it may help you. But just as Cactus Jack said you just have to make a point of as soon as you open your eyes each morning you put you glasses on and don't take them off until your going to bed for the night. Trying to adjust to them by only wearing them a short time each day is not the answer and will take much too long. You will be surprised at how fast your eyes will become more and more comfortable wearing your glasses and the blur will soon be gone and your vision will be perfect with your glasses at all distances. You didn't say if your getting lined bifocals or progressives but either one is about the same idea. The first thing your going to have to learn is that when you want to read something you will need to look through the bottom segment of your glasses. So you need to learn to move your eyes down and not your head. And of course when your looking at something in the distance you should be able to look straight ahead and see perfect that way. You don't need or want to tilt your back to look at something through the lower segment of your glasses. The first few days after getting your glasses and your needing to drive somewhere you may need to decide if your eyes have adjusted well enough to leave them on to drive or if you feel your able to see better without your glasses still. That all depends on how fast your eyes adjust to them. Of course it would be best if your able to keep them on for driving as long as the blur is gone or nearly gone. Lastly you need to be extremely careful on curbs and steps. Many people new to bifocals have taken some nasty falls because they misjudged where the steps were. Going up or down steps you don't ant ever look down jsut straight ahead of you and you'll be fine. Of course high heels makes it even more of a danger.

Come back after you get your bifocals and let us know how it is going.

New Bifocal 02 Jul 2015, 03:02

Cactus, I guess I really do not have a choice.......I ll need glasses to drive as well as to read. Remember being so fearful that i would need them as a school student.........and it has finally come to fruition!

New Bifocal 02 Jul 2015, 03:02

Cactus, I guess I really do not have a choice.......I ll need glasses to drive as well as to read. Remember being so fearful that i would need them as a school student.........and it has finally come to fruition!

Cactus Jack 30 Jun 2015, 15:18

New Bifocals,

Welcome to to the "club". The best thing to do is just "bite the bullet" get the glasses and wear them. Almost every person on the planet goes through this process, eventually. In a few weeks, you will wonder why you waited so long to do something that is essentially no different than getting a new pair of more comfortable shoes or a tool to make your work easier and more productive.


new bifocals 30 Jun 2015, 15:08

i am 55. was always fearful of needing glasses, so might be difficult to get used to. There is definitely difference in vision, but seemed to be going along quite fine with the otc readers

Cactus Jack 30 Jun 2015, 14:23

New Bifocals,

Your experience is typical of a person with low Hyperopia. It is possible that you also have some hidden or what is called Latent Hyperopia. If so you may need a small prescription increase in a few months.

You may experience some initial burring of your distance vision that should clear up very quickly. The best way to get used to the new prescription is to wear your glasses full time from the time you wake until you go to bed. In about two weeks you will not notice them, until you take them off. Expect some comments from friends and family for a few days, but by then everyone will be used to your wearing glasses all the time. From then on, people will only notice frame changes.

May I ask your age?


new bifocals 30 Jun 2015, 14:10

have only worn OTC readers.........always thought i had good vision and went for an exam and dr. gave me

+1.50 -1.00 axis 97 add +2.00

+1.50 - 1.25 axis 85 add +2.00

She said i should wear full time and that this was a fairly strong prescription. Also that I should probably not drive without them. I was usiong +2.00 readers and thought all was fine. Any comments on this and how long it will take me to get used to new glasses?

new bifocals 30 Jun 2015, 14:09

have only worn OTC readers.........always thought i had good vision and went for an exam and dr. gave me

+1.50 -1.00 axis 97 add +2.00

+1.50 - 1.25 axis 85 add +2.00

She said i should wear full time and that this was a fairly strong prescription. Also that I should probably not drive without them. I was usiong +2.00 readers and thought all was fine. Any comments on this and how long it will take me to get used to new glasses?

Weirdeyes 28 Jun 2015, 22:22

I've been experiencing some eyestrain headaches and fluctuating vision. My glasses used to be +1.75, but they were too strong and they were changed to +1.25. Recently they were changed again to +1.00 with 1.5 base in prism, but he added a separate reading prescription that is +2.00 with prism(don't know the number).

At the moment I manage my eyestrain by wearing my +1.25 glasses when I'm going out and want good distance vision and my +1.75 glasses at home. I also get headaches from the +1.25 glasses once in a while. That is usually fixed by wearing my stronger glasses.

Should I bother filling out my add? I'm only nineteen and I still live with parents. It would be kind of nice to have reading glasses for when I have a headache, but they'll probably be very thick.

sarag 28 Jun 2015, 14:51

June 2012 prescription:

OD Plano

OS +.25 -.75 55

March 2013 prescription:

OD -.25 -.25 120

OS +.25 -1.00 55

ADD 1.00 (first add)

Distance has stayed about the same, but the add has gone up to 1.50 in 2014 and 1.75 this spring.

This week, after a minor cold all week, but plenty of sleep, I find myself searching for the very bottom of the add in my progressives. I'm sure I'd be happy with a 2.00 add or maybe even a bit more. Things are blurred but readable without correction still, but I'm not sure how readable they will be by next year. My near vision is always worse when sick, but usually a precursor of things to come. Hopefully I can be back to full health and my usual add needs soon.

I just ordered a slightly higher pair of reading glasses to enjoy next time I'm sick, or in a few months when my need for add is higher.

I appreciate all those who share here and though I'd give a quick update myself.

Kris  23 Jun 2015, 17:37

Prismatic and Soundmanpt,

My ECP is not charging me with the replacement. I am replacing my progressives. I will still have my readers with 2 prism (which I think will be fine for the time being). My ECP had suggested I try a distance only lens, but I didn't see the point as I am constantly switching between distance and close work and it didn't seem practical or necessary to have another pair of glasses. I should get them end of next week or the week after.

I am looking forward to having more comfortable vision, but am worried I set my expectations too high. I never expected to not have double vision, but did expect it would be easier to maintain single vision. I tried hard to avoid this, but based on what my apparent prism need is guess that there was no way I was not going to end up having prism. I'm optimistic that the new lenses will hold me for awhile as it sounds like things do stabilize once you hit on the right amount of prism.

Prismatic 23 Jun 2015, 11:43

Hi Kris,

What you are describing seems like normal progression into the world of prism. I think ECP's are reluctant to go down the prism road and they want you to know that there is no return so you don't come back to them complaining that they didn't warn you. With that said, if your eyes need prism, they need it. Clearly having additional prism in your lenses showed increased comfort. A normal eye would reject that much prism, instead you accepted it. As far as needing more down the road, the answer is probably. I started at 1.5 per eye, went back after 1 month because I didn't feel it was enough and was bumped to 2.5 per eye. I am now at 3.5 per eye and seem stable. I can still separate images with prism but it is definitely easier to maintain with than without. I was told I could handle as much as 6-7 per eye (12-14 total). I think the answer for how much they tend to give you is the least amount to keep the symptoms away, but they also want you happy and able to function. You were right to go back and have a re-evaluation. You might as well not have to pay for new lenses again if you feel that you need a change and they will remake them within a certain amount of time. Did you get progressives with prism or did you stick with just a separate distance and reading pair?

Soundmanpt 23 Jun 2015, 09:33


It seems to me that your ECP is doing a very good job of working with you and taking good care of your eyes. And your input is certainly a help as well. Increasing the prisms to 4 BO is exactly what I thought would happen. It is always best to too little than too much. If you had continued to wear the 2 BO I think you would have found that it would get harder and harder for your eyes to stay focused with one image and not drift into double vision if you relaxed your eyes at all. I doubt that very many ever find the first try with prisms so good that it lasts for several years.

You didn't say but should I assume that there was no charge for making the change in your glasses? When will you get the new lenses put into your glasses? You should be excited to see if your going to be able to relax your eyes without them seeing double. Of course do let us know when you get them.

Kris  22 Jun 2015, 14:22

I called my ECP this morning and was able to get in to see him today. I explained that I still have eyestrain and that I feel like I am working to not see double. He was reluctant to change my prescription, but did some testing to see if I needed a change. He had me stare at the letter chart and tried a lens in front of one eye to see if I felt any improvement. As I stared at the letters I did find that they would start to move apart and I had to work to not see double. The lens he tried seemed to help, but not by a lot.

My ECP tried to say that he thought I may be just getting used to using my right eye again, but I really didn't think that was what I was experiencing. I know I've been using my right eye more since wearing glasses and the symptoms I had before getting prism improved with the prism but weren't resolved. He tried two different lenses in front of my eyes to see which one was better. One seemed much more comfortable (turned out to be the higher of the two prisms he was trying) and I seemed to be able to maintain single vision without a lot of extra effort. Based on this my ECP is ordering new lenses with 4 BO each eye.

Based on what people have written about their experiences, I thought the 2 BO would help for a few years before needing an increase, so am surprised that I've needed a change right away. I'm hoping the current script will remain stable for awhile. If all goes well, I plan on ordering some single vision lenses for sports. I was able to wear contacts last week, but if I'm honest, I couldn't wait to take them out and start wearing glasses again which doesn't bode well for being able to continue wear them.

Part of me wonders if I should have tried with the 2 BO for longer before seeing my ECP, but I really didn't think the discomfort I was having was going to improve and want to feel comfortable. Should I have waited? I understand that I need to still engage my eye muscles, and know there is a balance between relying on prism and working the muscles. One of the strange things I've noticed about these eye exams is that, event with only using prism for a few minutes during the exam, I seem to be more uncomfortable for the rest of the day.

Soundmanpt 21 Jun 2015, 03:32


Well clearly the idea of going full time with your prism glasses is the best for your eyes. I'm sure he probably went with just a small amount to see how your eyes would react and to allow your eyes to adjust to them. The prisms is working but needs to be increased because you don't want your eyes to be slipping into double vision and you shouldn't have to force your eyes to work to keep a single image. By upping the prisms a bit should stop your eyes from seeing double as long as your wearing your glasses. But without your glasses your eyes will rather quickly see double. For this reason your contacts will become useless to you because they won't keep the double vision away.

Kris  20 Jun 2015, 19:05

When I went back to my ECP after using prism for near vision, he noted that I could go up to 4 prism bo from 2 in my computer glasses based on testing then. However, because I was having issues with motion sickness, we both thought going full-time would be my best option. I'm guessing he stayed at 2 bo each eye because he was concerned about how I'd adapt to them. I suspect he will suggest a similar change to my prism this time as he did with the computer lenses.

He keeps warning me that I can't change my mind on this, once I start wearing them but I don't really understand how there can be a choice on this. I'm guessing that even if there is an increase, I may still see double occasionally. Right now I find it easy to slip into double vision, but the difference is that I can re-fuse images without too much effort. Is re-fusing images something that will get harder to do as I adapt to using prism? The prism doesn't seem to stop my eyes from seeing double, just makes it easier to correct it when it happens. I can tell my eyes are working to maintain a single image. Yesterday, after the presentation I attended, I had dry, watery eyes.

I usually don't have problems seeing my ECP so will post once I've had an appointment.

Soundmanpt 20 Jun 2015, 14:32


That was about what I thought you you might need for as an increase. Actually for being nearly 2 years since your last increase I think your eyes held up very well. But this is going to be your first time needing astigmatism correction in your glasses. It's the smallest amount you could possibly get, but even being small the effect may surprise you. So if you quickly feel like the room is spinning and your even slightly dizzy you can blame it on newly developed astigmatisms. But the good news IF you have those issues it won't last very long and as soon as your eyes adjust to your glasses it will not happen again. Its just really strange that it only happens when you first get astigmatisms and from then on you never notice it. And again you may or may not get that effect but now if you do you will know why and that your glasses were not made wrong. With hour glasses on were you able to see and read the 20/20 line of the eye chart or was it a little bit too blurry? I'm just curious if you needed any increase for distance or if you just needed an increase for your near vision? I think the part you enjoy most is trying on new frames even if getting new glasses is expensive. But even though your trying on frames at the mortar shops you really should consider ordering glasses on line. The savings is incredible and the quality every bit as good. If you need any help in about making sure they fit there are several of us in here that can guide you. Oh and something else that is kind of cool that Zenni and several others offer is where you can post your picture and try on the frames that way. Because the prices are so low you can afford to get 5 or 6 pairs for less than what one will cost at a local hop.

Carrie 20 Jun 2015, 11:24

As I suspected I did get a new prescription after my eye test today. A small increase of +0.50 in both eyes. No mention of bifocals or separate reading glasses (I didn't expect there to be). One small surprise was that they have now given me a small astigmatism correction of -0.25 in both eyes.

I still haven't chosen my new frames but I did see a few possibilities today. I love glasses shopping with Gemma as not only does she help me pick out frames and give an honest opinion of what she thinks of them on me, she can't resist trying on some frames herself. Because she's shortsighted she doesn't bother trying to get close enough to a mirror to see herself in the frames she just takes a selfie and looks at that instead. I can see myself in the mirror but I also take a selfie if I want a close-up view. I just can't force myself to focus that close for very long without my glasses on. Anyway, a photo is more accurate as that is how you look to everyone whereas a mirror shows everything back to front.

Cactus Jack 20 Jun 2015, 09:24


The 3 meter distance is pretty handy because all you have to do is divide the separation distance in cm. by 3 to get the equivalent prism diopters.

The numbers you got are reasonable when you consider the fatigue factors.

Your first post of 19 Jun 2015, 18:42


Without prism at 3 meters- between 95-102 cm = approx 32 to 34 total prism diopters.

With 2 bo prism each eye, 3 meters -about 70 cm = approx. 23 total prism diopters, uncorrected. The actual turn in was 27 diopters, but the glasses took care of 4 diopters leaving 23 uncorrected. As you have discovered, the amount of prism is usually somewhat variable as the Eye Positioning System tries to fuse the images. A little help can go a long way.

Your 2nd post of 20 Jun 2015, 06:16

When you were rested.

With prism and distance correction- 56-58cm = approx 19 diopters uncorrected out of approx 23 total.

Without prism but with distance correction 72-75 cm = approx 24 to 25 diopters.

The difference fatigue makes is pretty significant also, the beneficial effects of some BO help in the glasses, Less fatigue.

I am very tempted to suggest trying 5 to 7 BO in each eye and compare results. As I have mentioned, I have significantly more fatigue convergence than you do, but get by most of the day with 7 BO in each eye. It works until very late. One other suggestion, if you do a lot of close reading (I do a lot in bed) consider some reading glasses w/o prism to keep your ciliary muscles relaxed. Reading close forces your eyes to converge, but you don't want want to force them to over converge with BO prism unless you have double vision when reading. To test this idea, you can wear some OTC readers over your no prism glasses. You might need to try several different powers to compare results.


Kris  20 Jun 2015, 06:16

Prism test this morning (rested).

With prism and distance correction- 56-58cm

Without prism but with distance correction 72-75 cm.

Both from 3 meters aways.

Kris 19 Jun 2015, 18:43

Forgot to mention that both tests were with distance correction.

Kris 19 Jun 2015, 18:42


Fatigued assessment of double vision is as follows.

Without prism at 3 meters- between 95-102 cm (It drifts farther apart than this, but usually settles around here)

With 2 bo prism each eye, 3 meters -about 70 cm.

When I last checked distance without prism (before I got prism) was usually about 75 cm (up to 90 if really tired).

Will report on rested results tomorrow.

Cactus Jack 19 Jun 2015, 16:43


You really need to see a Pediatric Ophthalmologist who specializes in Strabismus Correction before making a decision about muscle surgery. I have heard of muscle surgery in people as old as their 70s.

Your OCP is pretty much parroting the "party line" and repeating his training. Depending or your situation, there may only be TWO possible solutions. Wearing as much prism as you need to not see double - that may not be full correction.

Or, surgical correction.

In both instances what corrects the problem today, may not correct it in a few years. I have been down this road and I can tell you that denial will not solve the problem. I have been measured as needing over 70 total diopters of BO prism when I am very tired. However, most of the time, I can do quite well with much less.

Even if only one eye is turing inward, it may be possible to split the total correction between your two eyes so it is not particularly noticeable.

I believe you have done the simple prism test I posted on Vision and Spex. What sort of numbers have you been getting. That is a clue to your full correction. As a practical matter, you may not need that much correction. All you want to do is get the images close enough for your Eye Positioning System to take over and fuse the images. If in general you eyes want to turn inward. your Eye Positioning System needs a scene with a few prominent vertical edges or lines. If the images are pretty close to being fused, your brain will analyze the positioning error and match up the two images using the vertical lines as a reference and target. You won't even be aware that it is happening. The only thing that gives me a fit is looking at something like wallpaper with a very repetitive pattern of objects or vertical lines, even with my prism glasses. To use an engineering term, my Eye Positioning System may "lock on" incorrectly to the pattern and act like it has the two images fused when it does not. I know to just look at something close without a pattern and work my way to the wallpaper. I can do it very quickly and maintain fusion without thinking about it.

May I suggest that you do the prism test again when you are fresh and when you are fatigued. Let me know the results and then we can strategize.


Kris 19 Jun 2015, 15:49

Thanks Soundmanpt and Brian,

I tried calling to make an appointment with my OCP but they were closed today. My OCP keeps warning me that going with prism means that I am committed for life and I guess that has me cautious about pursuing it. I really thought it wasn't too much of a problem, but have been reading so much more since getting prism. I attended a meeting today that had a long presentation and found that I had dry eyes afterwards. I also relaxed a little to much at one point and started seeing double again. It is different than before as I was able to fuse images again, but I find I'm confused as to what is acceptable prism correction, no double vision or being able to refuse images when I do see double. Although I am more comfortable, I honestly expected more relief than I am experiencing.

My eye definitely turns in without glasses (probably about a 1/4 inch between edge of the pupil and the corner of my eye). With glasses it can still turn in, but it's much less noticeable (I think it probably turns in about a 1/4 of an inch). I don't want to have a noticeable eye turn, but feel like I may just have to accept this as part of having comfortable vision. Since using prisms, I've notice a pulling feeling in my right eye when I wake in the morning (sometimes even before I open my eyes). It only settles once I put my glasses on. I noticed this same sensation when i first started wearing glasses. Then I think it was because I was starting to use my eye more and the muscles were being used more.

My OCP has really left it up to me to decide how much prism I want (although he wanted to start low so that I adapted to the prism). Other than a little motion sickness at the end of the day (which is improving), I think I've adapted fairly well. I don't have a good sense of whether I should just go with full correction or if there is some advantage to making my eyes work a little to maintain fusion. I do feel that it should be easier to maintain fusion than I am currently experiencing. I find it strange that this is being left up to me to decide when I have no say in what the other parts of my lens prescription are.

Soundmanpt, why do you think I won't be a candidate for eye surgery? I did have eye surgery as a kid, I don't know if this changes my options now.

Brian 19 Jun 2015, 08:21

Kris, I was kind of the same way as you, I never had regular eye exams when I was younger.. I remember at my regular doctor check ups, the doctor saying something about depth perception issues when I looked into a machine and took these tests to to determine if something was in or out of the sandbox.. I should have had glasses sooner than I got them and the 2nd time I went to the eye doctor after getting my initial pair of glasses, they asked me about my right eye being lazy and if I had problem keeping my place with reading etc.. issues I always had when I was younger. They held out giving me prisms for a while and like you started with 2 prisms in each eye, but my issue is the opposite of yours, mine is base in since my eye wanders out.. I was slowly increased to 5 BI in each eye have been steady in the prism department over the last few years.

Soundmanpt 19 Jun 2015, 07:41


Now that your getting much more comfortable wearing your glasses all the time your eyes are more adjusted now as well. Prism correction takes longer for the eyes to fully adjust to because there actually pulling on your eyes so they are aligned properly. After a while that process will be much quicker. If your still needing to work to keep your eyes focused with your glasses on you probably need a bit more prism added to your glasses. Your doctor did the right thing by starting you off with lowest amount possible with the intention of increasing it after your eye have had a chance to get used to the prisms. I suspect that he will increase it to around 5 bo when you go back. That should be enough for a good long while then. You said that you tend to have been holding back with your eyes way more than you should have been. You don't want to hold off very long with calling your optometrist to let him know that you have to work to keep from seeing double with your glasses on. Like I said nearly every optical location remakes your glasses free of charge if the doctor writes a new prescription. I doubt that you will need anything else changed in your glasses.

Just so you know it your certainly not the only one that pushes things off when it comes to their eyes. In fact I think most people do that. I'm sure when you were having trouble with being able to only read for a short time you kept thinking that it would somehow go away and you would be fine in a day or two. You would be surprised at how poor some people's eyes get before they decide to get an eye exam.

Honestly I think your going to find that eye surgery isn't an option anymore. Your probably going to be told that your best, and only, option is glasses.

hoffide 18 Jun 2015, 20:04

so see 12 prisms base out of, but I need a total of 40 prisms, therefore the prism sheet:

Kris 18 Jun 2015, 19:30

Thanks Soundmanpt,

I'm definitely more comfortable with the prism, but still find it easy to see double if I relax my eyes. It is much easier to bring the images back together, but I do wonder how much prism I'm going to end up needing as time goes on. I think part of my issue is that I don't really know what comfortable vision should feel like as I seem to have a history of acknowledging very late in the game that I'm having problems. I only had my eyes examined when I first needed to wear glasses after I realized I could no longer tolerate more than 20-30 minutes reading/using a computer at a time and was increasing font size on my computer to read.

I only realized that I should be asking about my double vision when I started to read other eyesceners writing about their experiences with prism. Lots of people seemed to need prism without having double vision. I realized I had been ignoring my double vision issues and was compensating by covering my eye or closing my eyes when they were bothering me and it never occurred to me that I really needed prism correction. I think I am really good at denying my eye issues. I am more comfortable now, but it's hard to see if I am completely comfortable or just not as uncomfortable with my current lens correction.

I have asked my OCP about eye surgery and he was very discouraging. He didn't think it would help, but I am not sure if I trust his opinion or not. I have asked to see an ophthalmologist but they are quite busy in my area, so am not sure when I might get an appointment. I'm not a big fan of surgery, but would like to know what my options are. Anyone know how useful eye surgery is?

2 base out in each lens seems like a really low prism prescription, so I feel like it shouldn't be too much of an issue wearing contacts, but I don't have a good feel about what the range is for prism lenses.

SC 18 Jun 2015, 11:53


You made the right decision.

I have to manage your expectations - you needed reading glasses and now a distance prescription @42 - I was just 46 when I got a distance prescription and I needed that first pair of reader around 42.

I'm now +1.50 for distance so I'd expect you end up slightly higher than me. You will need them full-time - for your own convenience, for your own comfort and, I'm afraid to say, for necessity. You don't have to rush in and wear full-time now but don't be in denial as you will end up needing to, particularly as presbyopia really kicks in.

On a more positive note, don't feel old. When I got varifocals I felt younger - I was no longer someone who needed reading glasses because I was getting old and having to fumble about in my pocket before I could read something (just like my grandparents did). Now I was just someone who wore glasses, like many others, and I was always able to see - only someone with an interest would know that you have varifocals and that they are age-related. For example my sister in law was moaning that she now needed glasses all the time and she had never noticed that I had varifocals too.

My wife wears glasses for reading and even she is beginning to realise that having them in front of your eyes all the time is the most convenient solution to the eyesight problem!

Good luck

Soundmanpt 18 Jun 2015, 06:41


Your decision to get varifocals is the best decision you could have made and once you get them I am sure you will agree. Unlike when you first got your readers and you would look up to see something with them on and things in the distance was blurry, now when you look up from reading everything is going to be crystal clear.

At first as your getting used to them you may have to remember that if your reading something you only need to move your eyes down and not your head. You will be surprised at how fast you learn to do that and then you will be doing it without even thinking about it anymore. It will just be a natural reaction.

I do want to remind you that while your getting used to your new glasses be very careful stepping up and down on curbs and even more careful on steps. You may have learned already with your reading glasses that anything on the floor appears much closer than they actually are.

Now like I said before just because your getting varifocals doesn't mean that you need to wear them full time. So if you want to wear them much the same way as you have been wearing your readers that is totally okay to do. But you really do need to start wearing your glasses when your driving. Your distance without your glasses isn't all that bad but your going to find that they will make a difference in how well you see things at a distance now. But it is very possible that you may quickly find that your glasses are very comfortable and that you enjoy seeing everything perfect so you could end up wearing them full time as a result. I imagine they told you that your glasses would be ready in about a week? So just be sure that they fit them so they are very comfortable on your nose and behind your ears.

Your new glasses should be good for a year, but you might need an increase in the reading area at that point. Your distance probably won't change much if at all.

Soundmanpt 18 Jun 2015, 06:14


Nice to hear from you. I know you have been very reluctant about wearing glasses with prisms but your eyes clearly need the prisms. So your decision to go full time with the prism glasses is best if you don't want double vision. Your already seeing the results in your meeting and you didn't have any double vision issues to deal with and that is only after wearing them a few days. If you continue to feel like even with your glasses on that your eyes are still wanting to see double images you may need to see your optometrists because it could be that you need a little more prism in your glasses. But first see if its just your eyes adjusting to them. You have only had your glasses a short time so if they do need changing most places will make the change at no cost to you within a certain time frame of a few months.

I think you better enjoy your days being able to wear contacts because they may be coming to an end soon. Right now your eyes aren't fully adjusted to your glasses but once they are you probably won't be able to use contacts anymore. I know that was a big concern to you with going full time with your prism glasses because of the sports your active in. But wearing glasses shouldn't stop you from being able to do your sports. You need to get a sports strap that attaches to the ear pieces of your glasses and goes under your hair so it isn't even seen but it keeps your glasses in place and not be falling off. Also if you happen to sweat a bit when playing sports getting sweat in your eyes with glasses on isn't very comfortable. So they sell many really nice looking sweat bands that work very well with keeping sweat from running into your eyes.

Louise 18 Jun 2015, 02:48

Thanks to Soundmanpt and SC for your replies. I went back to the optical place yesterday lunch time and a took a friend from work to help me choose frames. I found some nice ones in a red-brown plastic and I've ordered them with varifocal lenses, a mid range option cos I was advised not to get the cheap ones but also that it would be unwise to spend a lot cos i should get my vision checked again in a year. After the way its changed in the last year or two I hope there's not much more though. I've gone from no glasses to needing varifocals. Now i feel old. I'm looking forward to getting them now the decision on frames and lenses is done but i don't know yet how much i'll wear them or if my husband will like me in them. I can post on here how they are when i get them if anyone interested.

Kris 17 Jun 2015, 19:17

I started using prism for my reading glasses a couple of months ago. I struggled with motion sickness if I used the prism lenses a lot and then went back to my progressives without prism. I went back to my OCP and have now gone full time with prism. I tried to manage my issues with double vision for a long time without going to prisms, but I could no longer manage the eye strain. My biggest issue was when I attended presentations and would often see double. I never noticed it at near, but the prism definitely has made a difference in my comfort when doing near work.

I've now been wearing prism full time for a few days. My current prescription is L eye +1.00 2 bo, R eye +1.75,-0.5 2 bo with a 2.5 add. I did have eye surgery as a kid for strabismus too. It is so much easier just going full time and I am appreciating an improvement in my eye strain symptoms. Today I attended a couple of presentations and for the first time in ages didn't see double. However, I could feel the images trying to pull away from each other (don't know how else to describe the feeling) although I was able to maintain single vision. Is this something I should worry about, or should it settle as I adjust to the prism?

I definitely feel more comfortable, and would like to not have to use too much prism. I tried wearing contacts for a few hours today and it went okay (wouldn't be comfortable all day, but fine for what I need contacts for). I would like to have the option of contacts for sports, which is part of the reason why I've been reluctant to pursue prism. Is it to be expected that double vision may still occur at times, even with prism?

SC 17 Jun 2015, 10:20


I wore +0.75 add +1.75 in varifocals for almost 3 years. I didn't expect to wear full-time but it only took 2 weeks for me to decide to do so

As Soundmanpt says, the bulk of the lens is thinner than a reading prescription and you won't notice the lens getting stronger at the bottom - certainly better than equivalent single vision reading prescription.

I would suggest that varifocals area big step towards full-time wear just because of the convenience - not only can you see to drive, you can also see the dashboard and the sat nav!

SC 17 Jun 2015, 10:20


I wore +0.75 add +1.75 in varifocals for almost 3 years. I didn't expect to wear full-time but it only took 2 weeks for me to decide to do so

As Soundmanpt says, the bulk of the lens is thinner than a reading prescription and you won't notice the lens getting stronger at the bottom - certainly better than equivalent single vision reading prescription.

I would suggest that varifocals area big step towards full-time wear just because of the convenience - not only can you see to drive, you can also see the dashboard and the sat nav!

Soundmanpt 17 Jun 2015, 07:26


What you described to "Miku" about being able to get up and make coffee without your glasses i'm sure isn't a problem for you. Like you say in part because you could probably do it with your eyes closed and maybe some days they are closed. lol Even though you wear your glasses full time your still quite able function very well without them.

But once you put your glasses on they are going to remain on the rest of the day. your not so much dependent on your glasses, but more just used to having them on all the time so without them you have to feel your not yourself.

 17 Jun 2015, 04:24

hypervisi, one possibility is to try plus GOC. stronger glasses (in sphere) over minus contacts.

hypervisi 17 Jun 2015, 02:03

I have a feeling that I have read an answer to my question a few weeks back but don't remember where, might have been on eyescene, might not have been here.

Anyway: my question: I'm a hyperope and wear glasses full time. My current prescription is the one I posted a few days ago on "post your prescription":

OD: +1.75, -0.75, 102

OS: +1.75, -0.50, 89

Although I know that I won't tolerate a stronger prescription (for instance +2.25 dpt) I still feel that I would be more comfortable if the images where bigger. Is there a way to make the images or generally what I see bigger somehow? Could a change in sphere (up) be compensated with a change in cylinder? Any other way of making what I see bigger?

I'm not sure if I could describe what I want but I hope that some of you experts know what I mean.

Thank you.

Carrie 16 Jun 2015, 23:12


I haven't gone more than a few hours without my glasses on. Often a Sunday morning I don't bother putting my glasses on to get out of bed go and make some coffee as I take the coffee back to bed for my girlfriend and me to drink in bed and have a lie in. I don't need my glasses for that as I could probably do it with my eyes closed. It feels a bit strange if I try to concentrate on something and I can feel my eyes working hard trying to focus properly. Once back in bed we chat, snuggle and well do what most couples do.... Don't need glasses for that! Sometimes I don't put my glasses on until we've got up properly and had breakfast. It just depends on how my eyes feel or if I'm going to read something or watch tv. But once my glasses are on they stay on for the rest of the day. I couldn't go for several days just wearing them for reading, any way they are like a piece of clothing and I feel undressed if I don't have them on.

Soundmanpt 16 Jun 2015, 18:12


By getting varifocals doesn't in anyway mean that you have to wear them full time. But they are a much better option than just getting the one pair of readers which would be a little too strong for your distance if wanted to keep them on and be taking them on and off. The option of getting 2 pairs besides being more expensive would be pain to be switching form one to the other since one would be for reading and the other would be for distance. If you couldn't see the smaller letters on the eye chart until they put lenses in the refractor then you probably aren't seeing nearly as good as you think you are when your driving and glasses would be a help to you. Actually you probably wouldn't pass the vision test for driving if you had to take one today.

Your husband i'm sure is a very nice man and has your best interest in mind, but in this case he is wrong. First of all I can without a doubt in mind assure you that you would be able to see better with glasses when your driving and that alone is worth getting varifocals for. Also your lenses wouldn't look any different than your current readers look now. In fact the main part, distance, would actually be slightly thinner. But your glasses aren't going to be thick at all and your prescription isn't a strong one so of course if you don't want to wear your glasses you should be able to see pretty well without them. But I bet you would soon find that you would enjoy watching TV even more and even read at the same time with varifocals. In most optical stores the optometrists (doctors doing the exam) are all independent of the store they work out of so they have nothing to gain from the sale of glasses or contacts.

Louise 16 Jun 2015, 14:57

I posted last week about a prescription I've been given after wearing +1.25 readers for a year or so. I've been advised to get varifocals for this prescription

R +1 -0.5 140

L +0.75 -0.25 65

ADD +1.5

Thanks for the explanations given on here. I'd been leaving the readers on mostly at work and sometimes watching tv but haven't worn for driving or out and about much. My husband doesn't seem keen for me to get varifocals if it means wearing them full time. I could see the chart well enough for driving but as someone here said I couldn't read the smaller letters clearly until they changed the lenses.I liked seeing so clearly but he thinks the reading prescription would do and they're trying to sell me expensive glasses. He also said the lenses would look thick at the bottom if I got varifocals as they add the +1.5 on top of the other prescription. Is this right or is it 1.5 at the bottom and the lower amount at the top as thats not much different to what I have now?

Does anyone else have a similar prescription and wear full time or not?

Cactus Jack 16 Jun 2015, 08:09

Carlos, Jr.

I don't believe there are any age norms for hyperopia, either. However, I think the manifestation of "age related hyperopia" is actually Latent Hyperopia that is revealed by the onset of Presbyopia.

There is another thing that is revealing hyperopia in teens, smartphones. As you probably know, hyperopia is the ONLY refractive error that can be self corrected using your ciliary muscles and crystalline lenses, often without your even being aware that you are doing it.

Presbyopia actually begins in childhood, but does not become a nuisance until it begins to limit your accommodation range. In a "normal" visual environment, that usually does not happen until the mid 30s to early 40s when your arms get a bit to short to be able to hold normal sized text far enough away to see clearly. The tiny text on smartphones needs to be held much closer and the combined effects of Latent Hyperopia and Presbyopia cause headaches, visual discomfort, and blurry text.

That is easily fixed with PLUS glasses which take care of the Hyperopia and free up your remaining accommodation range for close focusing.


Carlos, Jr 16 Jun 2015, 03:56

I did not know that there were age "norms" for farsightedness. Age norms may be for Presbyopia, but farsightedness?

Likelenses 16 Jun 2015, 01:18


Actually you are more farsighted than the norm for your age,which usually results in the need for bifocals much earlier.

I predict that in the next few years that your prescription will get much higher,and at that point you will need bifocals. Probably when you are about twenty seven.

Weirdeyes 15 Jun 2015, 22:24

It's also possible Carrie might get a low and optional add. I have an optional +1.00 add and I'm only 19. I'm only correcting my distance vision, but I can see why the add might be helpful. I think my accommodation is still pretty good, but I do get a lot of eyestrain.

Soundmanpt 15 Jun 2015, 17:19


Just because your only 21 don't be so sure that bifocals are still 20 years away. As your eyes continue to change even at a slow pace it's very possible that your eyes just won't be able to accommodate as much correction for your distance as you may need for your close vision. If and when that happens you will need to get bifocals so your distance isn't as strong. It's no longer uncommon for 20 something year olds to be wearing bifocals anymore because they are so much easier on the eyes and no one has to even know your wearing them.

Now i'm not suggesting that you should go in asking for them.

miku 15 Jun 2015, 14:15

Carrie's stories are always extremely insightful into the world of hyperopia (which I am part of).

However, I rarely wear my glasses. Although I am really interested in going full-time, I am intrigued by the weakening of my eye muscles. Let's assume that after a year, I want to go back to not being reliant on my current +2 (roughly) corrective lenses. Would I be able to recondition my ciliary muscles, given that I am only 23?

I don't suppose you've tried going around for a few days without your eyewear recently, Carrie?


Carrie 15 Jun 2015, 10:19


I'm only 21 so presbyopia should be a long way off. I'm just long/far sighted (hyperopic?) at +2.00 and +2.50 (may be slightly higher after next Saturday). I wouldn't be surprised if I get bifocals in 20 years time but at the moment I can see fine near and far with my glasses.


I surprised myself how quickly I got the hang of putting contacts in despite not liking anything to go near my eyes. The contacts my friend gave me went past their expiry date (there wasn't many left anyway) so I threw them away. I'll happily eat food that's out of date but I'm not risking putting in out of date contacts. It would probably be ok for a month or 2 as they were dailies still sealed in the little packet each one comes in. I thought about buying some more but I'm sure I'd still have some left after the expiry date because I'd hardly wear them as I'd only use them for the gym. When I exercise now I have an elasticated strap to hold my glasses on or I just take my glasses off if I'm not going anywhere. Anyway, I'm not me without my glasses on. I love wearing my glasses and most of the friends I've made since leaving school and college have only ever known me with glasses on.

If Danielle's girlfriend does like seeing her wearing glasses I doubt if she minds about the contacts if Danielle does take them out when she gets home.

SC 15 Jun 2015, 05:16


I know you've used the 'high definition' and 'comfort' analogies for your vision with/without glasses.

Just to let you know what you are in for with presbyopia... I was prescribed +0.75 for diatnce at the end of 2010 - at the eye test I could still read 2 letters on the 20/15 line without glasses but was struggling when tired so I knew I needed them. At my most recent test I could only read the 3rd line on the chart so have lost 5 lines in 4.5 years even though Rx only increased by +0.75!

On Saturday, out with a friend who has worn glasses since his early 20s (-2.5) he said it was 'funny' that I needed glasses more than him because he mostly doesn't wear his as he is better without for close-up - so for sitting at a table, drinking, eating and much of work he doesn't wear whereas I always wear mine.

At my sister-in-law's (coincidentally the one who first passed her readers to me when I was 43 and asked if they made a difference [yes!]) yesterday she asked me what the reading prescription was - I said +2.25 and she said that was the same as hers but mine looked stronger - I explained that with the distance Rx the net was +3.75 and she asked me whether I was worried that my eyesight had got so bad!

Brett 14 Jun 2015, 18:26

My wife and her sisters now all have multifocals, and are 30 or younger. I also don't think any of them have ever had or even tried contacts. Wife (30)and youngest sister (25) both have astigmatism and are farsighted. Wife's worn bi's, progressives and now trifocals since she was 17. The youngest sister is on her second pair of glasses and both have been progressives, which she immediately went to full-time wear. The middle sister (28) definitely has the strongest farsighted correction of all 3, but only wears her glasses for a couple minutes here and there, reminds me of that makeup vlogger posted here.

Middle sister visited us for the weekend and first time she pulled out glasses (for a minute), wife commented that she didn't know she had bifocals now. She said she just got them a couple months ago and we complimented that they were nice, wife tried to get her to wear them for a while, and asked why now that she has bifocals she still doesn't wear them more frequently. Kind of ended up going in a circle saying she doesn't wear them more because doesn't want people to see the bifocal, and didn't want to pay for progressives since she doesn't hardly wear them anyhow. The strange thing was the couple times I saw her put them on, to read stuff close up, she didn't seem to use the bifocal. She still seems to be able to see adequate in the distance without her glasses.

Soundmanpt 14 Jun 2015, 14:38


Oh and looking at on line places in the UK is fine but Zenni is international and they ship to the UK without any problem. Even if you find a place that is based in the UK the glasses will still be made in Hong Kong. Zenni is home based in California but the glasses are made in Hong Kong. Have you ever looked at the glasses that Zenni offers? (

Soundmanpt 14 Jun 2015, 14:34


There is no way of ever knowing what the difference would have been if you had only wore your first glasses for reading instead of wearing them full time. I can even take it one step back from that. Have you ever wondered how long it would have been before you even got your eyes examined when you just happened to try on some of the over the counter readers just for looks and decided that you could see pretty well with some of them? Because up until then you always wanted to wear glasses but your vision was never a problem for you. I'm sure when you were asked the reason you were getting your eyes examined you told them about how you were able to see reading material better with the readers at the store. Now I can't say if you really needed them or not but I can tell you that optometrist are always going to try and make patients happy so if you felt like you could see better with them and you even commented about seeing well with them you at least encouraged them to write you a weak prescription for reading. Readers are really just magnifiers that enlarge small print. In other words nearly everyone should be able to read small print with a weak pair. By now you understand optics much better so you probably know that the over the counter glasses you tried on were about the very same prescription as you were given at your exam. The over the counter glasses likely were +1.00's and your prescribed ones were +.75 / +1.00, hardly any difference. But the bottom line is that there is no way to determine if and when you may have ever really needed to get glasses. It actually could have been 2 or 3 years or more. When you started wearing your glasses you weren't having any type of vision problem with reading and certainly none with distance. At first your glasses didn't really have any effect on your eyes and you were still able to read and see distances perfect without your glasses. But by wearing your glasses full time your eye muscles slowly weakened and after awhile your vision was better with your glasses on for reading and before long even your distance vision was starting to get better with glasses. And of course your next eye exam you were told that you needed to wear your glasses full time, of course you had already been wearing them full time for over a year. I don't think your having any regrets but just curious how much difference it made by wearing your glasses full time when you didn't really need to?

I'm glad Danielle is doing okay with her contacts as long as that was what she wanted. I'm sure the more she puts them on and takes them off she will get better and faster each time. You wore contacts that your friend from college gave you a few times, did you have much trouble learning how to put them on and take them off? You never said anything about having any problem and you wore them a few times so you must not have had any problem getting the hang of it? You know if you still have any of those contacts left you could probably wear them along with your first glasses and that should be just about the correct prescription you need and it might be fun to wear your first glasses again.

Anyway so far it looks as if Danielle is doing like she said she was going to do. She must wear her contacts to work each day and then after work she takes them off and wears her glasses when she needs them as well as on the weekends. So now that we know her mate is fully into wearing glasses I wonder if she enjoys seeing Danielle wearing her glasses and maybe hates it that she got contacts?

Carrie 13 Jun 2015, 15:48


Before I got glasses and before I found this website I didn't know much about glasses or how different lenses help in different ways but now I do. I would be interested to see what it would be like for me if I had only ever used my glasses for reading. As I've said before, I can see to get around without glasses on but it soon becomes uncomfortable and, if I'm tired, more difficult to focus.

I will look at UK companies similar to Zenni as well as in opticians shops.

Saw my friend Danielle in town when we were shopping/browsing. I asked her how she was getting with wearing contacts for work. She said it was a bit fiddly putting the contacts in at first but she had got the hang of it now. She said it was strange wearing them with everything being really clear when she looked at her screen without putting her glasses on. "It's good to take them out at the end of the day, though and not bother with them at all at the weekend!". She said she always has her glasses in her bag at work, not just out of work, just in case the contacts get uncomfortable and she has to take them out. She had her glasses on top of her head today but didn't wear them at all.

Soundmanpt 13 Jun 2015, 13:40


When you were trying on your cousin's old glasses you probably should have not only tested yourself using both eyes but also you should have covered up one eye at a time and tested that way as well. Really the right lens of your glasses is very close to your cousin's glasses. But your left lens of your glasses is much weaker than her glasses. So that would be the eye that if her glasses are off would likely be the reason. I'm sure if you were to borrow her old glasses you wouldn't have any problem at all seeing perfect with them. In fact I am a little surprised you didn't ask to borrow them for the week just to see how they work for you.

but if it has been over 21 months since your last eye exam your over due anyway. Optometrists generally want you get your eyes checked every 12 months. But to be honest as long as your vision is still good why do that? Glasses are not cheap as you very well know.

I remember how excited you were when you first found out that you actually needed glasses. And your first glasses hardly made a difference in your vision but you were thrilled to wear them full time anyway. But looking back are you surprised by what your able to see without your glasses now?

Any thoughts about maybe giving Zenni a shot for your next glasses? It would save you a lot of money. You can find well over 800 pairs of women's glasses for under $22.00 and that includes the AR coating.

Soundmanpt 13 Jun 2015, 13:19


What I meant was that when you got got your over the counter readers they did exactly what you wanted them to do. They made reading and seeing other close things much more comfortable for your eyes and stopped headaches. Because they were so comfortable and you were probably wearing them for long periods at your job they soon became comfortable enough to forget you were even wearing them. Your eyes simply adjusted to them which is very normal. Nearly everyone needs an increase after about a year of wearing their first glasses. I wasn't singling you out by that comment that including you in that group. Your recent eye exam is proof that this indeed is true in your case as well. Your prescription indicates that you need the reading portion of your glasses to be slightly stronger than the readers you currently have. But your reading glasses are a little bit too strong for your eyes when you are looking at distances with them. You said that your distance vision is okay, but your eye exam says otherwise. You clearly must not have been able to see some of the lower lines on the eye chart because that is what the R +1.00 -.50 140 / L +.75 -.25 65 is for your distance. You also even have some astigmatisms that is the -.50 / -.25 you see on your prescription slip. And of course the +1.50 is your reading prescription but your astigmatisms are also included for that as well. This is why your doctor said you either need to get 2 pairs of glasses or varifocals. If you were going to get 2 pairs, which I think would be a very bad idea, one pair would be for distance such as driving and the other pair would be readers only. So getting varifocals is a much better idea because you will have everything in one pair of glasses.

Like I said before I really doubt that your distance vision will be changing much in the future, but your close up vision could have some change.

Carrie 13 Jun 2015, 06:10


I don't mind if I get stronger glasses, just so long as it's not very strong (although to some people who have tried my glasses on my glasses are strong). If my prescription does change I don't think it'll be by much. I am aware that some people have a stronger prescription than mine and they only wear their glasses for reading. One reason I wear mine full time is that everything near and far looks clearer with them on. If you have an HD tv you wouldn't mostly watch non-HD channels. When I don't have my glasses on everything is less clear and, obviously, reading distance is worse. My last eye test was September 2013 so I am due for an eye test this year anyway. Whatever the results of the eye test I shall continue to wear glasses full time. I feel I need to anyway as my eyes get uncomfortable without them.

My girlfriend is going to help me look for some frames this afternoon (it's just after 2pm here) and we will be leaving shortly. Pity I couldn't get an eye test today. Another week isn't too long to wait.

Dan 12 Jun 2015, 19:34


Do you mind if you get stronger glasses? How long was it since your last eye exam? It's good you keep up with your eyes changing. I know that I try to do the same, going for an appointment when things become blurry.

Carrie 12 Jun 2015, 19:17

I was at my cousin's house last weekend and she had been re-arranging her room and put some things to one side to go in a different part of her room. One of the items were her previous glasses to the ones she wears now. She's kept them as a spare pair as they are only a bit weaker than her current glasses. I remember the last time I tried them on I could see ok but not perfectly. This time I noticed I could see perfectly through both lenses. Near vision seemed slightly better than with my glasses. Difficult to tell if my distance vision was better with my cousin's old glasses or mine. My current prescription is L+2.00 R+2.50 and her old glasses are +2.75 in both lenses. She also let me try on her current glasses which she say are "+3 something" (she can't remember the exact prescription and can't find the printed copy of her prescription). I could see with her current glasses but not perfectly. I'm now fairly certain I could do with a slightly stronger prescription so I've booked an eye test for next Saturday.

 11 Jun 2015, 15:55

"sorry I put YOUR name in the Nickname box. :(

 11 Jun 2015, 15:55

"sorry I put YOUR name in the Nickname box. :(

Soundmanpt 11 Jun 2015, 15:54

You wrote:


Your prescription is about what I would expect it to be after wearing your readers for a year."

Why did you write that? Do most people need full time wear after getting to readers? I have just started using readers but for now my distance is ok. Thanks!

Soundmanpt 11 Jun 2015, 10:03


Your prescription is about what I would expect it to be after wearing your readers for a year. It's a lot of numbers because because your eyes need a little less help in seeing distances and more help with seeing close up. Your over the counter readers when you got them were probably about right for your close vision, but stronger than you needed for distance. By continuing to wear them even when you weren't doing close work your eyes adjusted to them and you were able to wear them full time. Over all your vision isn't bad at all, but you do need them now for distance just not as strong as the readers you were wearing. You may notice that the +1.00 and the +.75 are both less than +1.25 which is what your eyes were looking through to see distance until now. You also have a bit of astigmatisms in both eyes. that is the -.50 and -.25 numbers you see. Astigmatisms effects your vision at all distances so the astigmatism correction will, be in both your distance part of your glasses as well as the reading part. The 100 and 65 means nothing to you and has no power values. The last number in your prescription is what caused you get some readers in the first place. Your new glasses will have an add of +1.50 and is slightly stronger than your readers. So the bottom line is that even though your readers did a pretty good job for you your new glasses are going to be even more comfortable to your eyes and your vision should be perfect at all distances as well.

Since you have been wearing your glasses quite a bit at least at work your already used to wearing glasses which is a good start for wearing varifocals. But there is a difference between your single vision readers and varifocals. With your current glasses you only have to look through any part of your glasses to see something. With varifocals you have several areas to use depending on what your wanting to see. If your driving you want to look straight ahead through the upper portion of your glasses. By the way I don't know if you have been wearing your readers or not for driving but you need to wear your glasses now when your driving. So when your just looking out at things at a distance you use the upper portion. Now here is something that may take a little learning how to do it but should come in handy if you do much computer work. Your varifocals have a mid section that is great for things that are not really at a distance and not close up either. And lastly the reading add at the bottom. With your current glasses when your reading something you just move your head down a bit and read. Now when you want to read you don't adjust your head but only move your eyes downward so your looking through the add. So basically you just need to learn to move your eyes. Straight out to see anything in the distance and down to read. It sounds very hard but honestly most everyone gets the hang of it very quickly. Then you just do it without thinking about it. It becomes pretty much automatic.

The only thing I do want to warn you about is that when you get your varifocals you need to be very careful at first while your adjusting to them because many people have fallen down steps because they weren't used to their varifocals and misjudged where a step was. So be very careful going up or down steps and even curbs.

In the future I doubt your eyes will have much change for distance, but you may need an increase in the add after about a year.

Louise 11 Jun 2015, 03:19

thanks for the detailed reply. I was given a prescription and it reads

R +1 -0.5 140

L +0.75 -0.25 65

ADD +1.5

The glasses i've been using had +1.25 on them so this seems like a lot more numbers but I've never seen as clearly as i did in the test yesterday so suppose its right. how long do people usually take to get used to varifocals if i order those?

Soundmanpt 10 Jun 2015, 07:56


Everything you said makes perfect sense. At 42 you started to find that doing close work was becoming a bit more difficult for you. So you went out and bought a pair of "over the counter readers" At first you used them only a little and then you decided to wear them at work as well which I am sure they did serve to relax your eyes. Your glasses got so comfortable that you hardly knew you were wearing them and you started just keeping them on for everything and you soon found that your vision was better with them for distance as well as close up. Your eyes were just getting more and more adjusted to them. When you first got them they probably were great for seeing close but when you looked up at a distance things were a little bit blurry with them. But with constant wear the blur soon went away.

So glad to hear that they dilated your eyes when you got them examined. That is a far better eye exam. I wish you had posted what your prescriptions were for glasses, but you clearly must not have been able to see the eye chart very well which is the reason for one pair of glasses. Now the readers you bought may have either been slightly too strong for your distance or the power for reading wasn't enough with the readers you bought. So your eyes need a weaker prescription for distance than you need for reading. So since you have already gotten used to wearing your over the counter readers pretty much full time anyway I don't see any reason why you would even consider getting 2 different pairs of glasses when one will work perfect for you. You don't want to be switching glasses all day long when you can simply just wear the one pair and see both distance and close up fine with that pair. So by all means get the bifocals (varifocals)

When you go to order your glasses or pick them up you should be sure to ask for a copy of your prescription. If nothing else jsut for your records. If you post it in here we can tell you even more about what the numbers all mean.

Galileo 10 Jun 2015, 07:55

Hi Louise, sounds like latent hyperopia - I leave the detailed explanation in the hands of the experts!

Louise 10 Jun 2015, 07:23

Until a year ago I'd only ever worn glasses for a short time when very young. I'm 43 and last year noticed problems reading especially in bad light. I got glasses for close work and wore them for the computer at work too. Then i started to leave them on without thinking much about it and realized nothing seemed so clear without them any more. I've got tested again, they put drops in my eyes and told me I need to have either 2 pairs of glasses or varifocals. I never had much of a problem before I got the glasses last year. Is it strange that i need them now and do i get two pairs or the varifocal ones. i don't really know why i need different ones.

redeye 04 Jun 2015, 19:49

Cactus Jack, thank you again for your help. I am keeping an eye on this issue (no pun intended). If my symptoms occur repeatedly, I will be sure to make an early visit to my optometrist.

PS I just read your post on astigmatism and eye exam procedure which was helpful as well.

Cactus Jack 04 Jun 2015, 19:14


Should have said "optimizing astigmatism correction"


Cactus Jack 04 Jun 2015, 19:13


I have posted this procedure for optimizing astigmatism several times on different threads. You might find this helpful.

The most subjective part of an eye exam is determining the cylinder axis. The reason for this is that the accuracy of the test depends on YOUR ability to judge relative blurriness between two images. Remember, the examiner had no way to see what you see, but can only respond to what you say. It is particularly difficult if the cylinder is less than 0.75.

Over the 63 years I have worn glasses, I have probably had 75 to 100 eye exams. The most important thing I learned to do is make a deal with the examiner, even before the exam starts, that I would like to fine tune the cylinder axis at the appropriate time by adjusting the axis. slightly. Most ECPs (Eye Care Professionals) are glad for your participation and will place your hand on the axis knob. You can move it back and forth a few degrees to find the spot where all the letters look sharp and not distorted.

Determining the cylinder and axis occurs very early in the exam for each eye individually. The problem is that the axis is determined by using a supplemental lens that is mounted at a 45 degree angle to the actual target axis. When this lens is in place, it is flipped back and forth, 45 degrees each side of the target axis while you are asked to judge relative blurriness. The idea is that when you say that lens 1 or 2 is equally blurry, the actual angle is bracketed. It is a tough judgement call, even for someone who is very experienced. There are a couple of things you can do to improve the accuracy.

First, try to concentrate on a O if possible rather than a letter with straight lines (strokes). As the supplemental lens is flipped back and forth the strokes will appear blurry or clear depending on which direction they run in relation to the axis angle. Concentrating on a letter without strokes or tiny strokes, such as O, C, G, etc makes it easier to judge when the blurriness is equal.

Second, when the examiner places my hand on the axis knob, I “fine tune” the cylinder axis as described at the beginning of this post. I sometimes ask the examiner to check the cylinder power 1 step either side of the cylinder power previously selected just to be sure it is the best.

There is one other thing you can do at the very first time you are shown images from both eyes to get the best prescription. Usually, the images are separated either vertically or horizontally to check for muscle problems. What you want to do at this point is compare the image clarity of each of the images, they should be equally sharp and clear. If they are NOT, say something to the examiner and tell him/her which image is the clearest. The examiner will typically change the sphere prescription in the clearest eye until they the images are equal. Do not worry about the absolute sharpness of the images at this point, just that they are equal in clarity.

After the muscle imbalance check, the examiner will fuse the two images and proceed with the final determination of the sphere power for the best vision, by changing the sphere correction by the same amount in both eyes simultaneously. In general, the examiner will start with too much PLUS or too little MINUS. depending on if a person in Hyperopic or Myopic, and gradually decrease the PLUS or increase the MINUS until the 20/20 line is sharp and clear or possibly the 20/15 line if a person has exceptional acuity.


astigmaphile 04 Jun 2015, 18:03


If I were you, I would get another exam somewhere else. I don't think .75D cylinder in your left eye just dissapeared.

While I am on hear, we do not need grammar and spelling police in eyescene.

astigmaphile 04 Jun 2015, 18:03


If I were you, I would get another exam somewhere else. I don't think .75D cylinder in your left eye just dissapeared.

While I am on hear, we do not need grammar and spelling police in eyescene.

bcs 04 Jun 2015, 13:08

Thanks Soundmanpt.

What puzzles me is the fact that if I had indeed been overcorrected(correct me if I'm wrong), I would have been having issues with my existing pair of glasses from the beginning.

I wasn't pleased with the way the eye test was carried out-it seemed to me like they were trying to make a sale. I am considering having my eyes re-tested elsewhere before getting new glasses.

When you say constant wear, do you mean full time? I'm guessing it's the astigmatism correction that may bring on the dizziness?

 04 Jun 2015, 12:03

"Your"an idiot.

Soundmanpt 04 Jun 2015, 10:59


I know "Cactus Jack" has often said that getting astigmatism correction perfect is really very tricky and can easily be off. So I think it is very possible for some change as well as the other prescription being somewhat off.

The real test is how well your able to see with your new glasses when you get them. Also remember to give your eyes a few days of constant wear so they can fully adjust to the new prescription and and feeling as if the floor is moving or being slightly dizzy is not unusual at all.

bcs 04 Jun 2015, 08:53

I went to have my eyes tested today as I'm having trouble seeing well of late with my existing glasses.

My current pair is:

R: +1.00

L: +1.50 -0.75 x 180

The optician mentioned the reason behind this is because my left eye had been overcorrected. The new rx he gave was:

R: +1.25 -0.50 x60

L: +1.25

Is it possible for astigmatism to change so significantly in the space of a few years?

Carrie 03 Jun 2015, 16:21

Soundmanpt I don't know why Danielle went for monthly contacts. I had a look at a couple of websites and it seems that monthly ones work out cheaper per day than daily ones. Danielle isn't hard up but she is careful with her money so my guess is that if she decides to carry on after the trial she will be getting better value for her money. Going by what she said she won't be wearing the contacts for very long each day, just during working hours. I don't think she intends to wear her glasses when she takes her contacts out except to read. In her mind the contacts will be like wearing her reading glasses all day and the only time she needs to wear her glasses for long periods is at work. I'm not an expert on contacts and Danielle knows that, so she would think it strange if I suddenly tell her that monthly contacts are a bad idea when she probably would have already discussed the options with her optician.

Yes, her girlfriend is very nice to look at (with or without glasses) and she does seem to want to continue wearing her glasses all the time but my girlfriend is even nicer to look at with or without glasses. I hope I haven't given the impression that I'd gone off Gemma! Far from it - we're still very much in love and very happy together. As I've said before, she doesn't mind me checking out other women so long as I don't over do it. If I do over do it I will get elbowed in the ribs. Of course I don't mind her checking out other women and she never over does it.

Cactus Jack 03 Jun 2015, 06:09


There is no restriction or penalty for seeing any ECP before the suggested interval. Your vision should be comfortable and effortless all the time and any change, particularly one that results in discomfort, should be investigated, ASAP. I suspect the dry climate has something to do with the problem. Frequent uses of lubricating artificial tears won't hurt anything. You did not mention anything about Contact Lenses, redness or pain with contacts should be investigated NOW, not tomorrow.

Usually, refractive changes occur slowly as you get older. The exception is Presbyopia. Presbyopia really comes on slowly, but it can seem lightning fast. The reason is that Presbyopia actually starts in childhood and progresses slowly throughout your life. When you are very young, your Crystalline Lenses are a clear protein that has the consistency of gelatin dessert. You have HUGE accommodation range. That is why you see young children, with their eyes inches from a coloring book, effortlessly coloring away. As you get older, your accommodation range gradually gets shorter, but does not become noticeable until you notice that your arms are not long enough to be able to see text clearly or that you have to expend more effort to focus close.

Once any refractive error has been corrected for distance so your refractive error is 0.00, the amount of PLUS you need to focus at typical reading or computer distances is really not very much. About +1.50 for a computer or +2.50 to +3.00 to read. However, when your Crystalline Lenses get stiff, you Ciliary Muscles have to work extra hard to focus, which causes stress and discomfort, or the Lenses finally get so stiff that the Ciliary Muscles just can't focus close at all. Once that starts happening and you get bifocals or progressives, your Ciliary Muscles will get rapidly de-conditioned and you will need more PLUS, help, but the amount will NEVER exceed that needed for your preferred focus distance.

Anyway, never be reluctant to fully investigate any vision problems. Often, vision problems are a sign that something else is going on and one of the most important things about an eye exam is that it gives an ECP an opportunity to effective look inside the body, which is not a bad thing. Many health problems are discovered first on an eye exam and they can be stopped or managed when it is easiest to do and most effective.

I don't think you have any significant health issues, but KNOWING that a problem is really significant or insignificant is better than not knowing.

Please let me know what you decide to do and the results of a visit to your ECP.


redeye 02 Jun 2015, 20:35

Cactus Jack, wow, thank you for all the suggestions.

I already use lubricating drops in my eyes, since I live in a dry climate (Southern California). Perhaps I should apply the drops more often? I typically use just once daily.

I last saw my OD in October. I wonder if it would be considered strange to return so soon? At my last appointment she did remind me that presbyopia was on the horizon, though at the time she thought I was fine for now.

I don't think this is conjunctivitis, as the red eye and dull pain coincide, and occur together when i stress out my eyes by not wearing my glasses. Although, the pain has sometimes occurred even when wearing my glasses, if i haven't slept well the night before.

If this redness occurs more often in the coming weeks, I could return to my OD before my exam due date. Can vision/prescriptions change in less than a year?

I just checked, my Rx is good until Oct 2016!

Soundmanpt 02 Jun 2015, 15:35


It would seem that Danielle has already found that her distance vision is that much now with glasses that now it bothers her to not have them on for most everything. Sadly I think your going to be seeing less and less of her wearing glasses. She probably doesn't hate the idea of wearing glasses but she clearly doesn't want to wear them full time which she may feel her eyes are headed in the direction of. She will soon find that it is a real bother to be switching to glasses after work. The one thing you may want to make her aware of is how important it is for her to give her eyes rest from her lenses. Interesting that she went for monthlies and not dailies. The way she said she was intending on wearing her lenses dailies would be a much better because she could put a new pair in each day and then at the end of the day simply take them off and throw them away and put her glasses on. No cleaning or mess to deal with. You may want to ask her why she is getting monthlies and explain to her why that is such a bad idea.

Hey the good news at least you will still have her server gf to stare at and she seems determined to wear glasses from now on.

Cactus Jack 01 Jun 2015, 22:34


I thought of something else. You could be having problems with "Dry Eye". That is where you don't produce enough teas to keep you eyes moist. What makes it worse is when you read or do close work, you typically don't blink enough to keep your eyes lubricated. You might try some artificial tears with lubricant and try to consciously blink more.

You need to play detective here to figure out what is happening. We can make suggestions, but we have to work with what you tell us.


Cactus Jack 01 Jun 2015, 22:15


I think there are a few possibilities. Presbyopia could be creeping up on you and it is making it more difficult to focus close. Typically, presbyopia tends to cause head and eye aches rather than red eyes.

Another possibility is Conjunctivitis. That is an infection of the tissue around the eyes. A doctor can prescribe drops that will help with that.

A third possibility is allergens such as pollen. May not be much you can do about that other than tough it out until pollen season is over. Anti-histamines might help.

You did not mention where you live, Pollen season is pretty much over in most of the Northern Hemisphere, but not everywhere.

A simple test for presbyopia would be to get some +1.50 or +1.75 Over-the-Counter (OTC) readers and wear them OVER your regular glasses when you read and see if that helps. If it does, you may have to tinker with the power. If you want to order some prescription readers based on your prescription, let us know and we will tell you how to do it on the cheap.

At some point, you probably need to see an Eye Care Professional. Please let us know what you decide to do and the results.


redeye 01 Jun 2015, 20:08

I have been getting red eye with eye pain when trying to put too much stress on my eyes (reading, movies), if not wearing my glasses. (Sometimes I just forget or don't bother, especially on weekends.)

Could red eye be correlated with hyperopia?

Or is this my imagination?

This happened a few years ago a few times as well, but my OD at the time did not see a link.

By the way, my Rx is IIRC +1.25 R, +1.50 L (age 36).

Kris 01 Jun 2015, 16:22

I've been reading about vision therapy to reduce dependency on prism. Is this a gimmick or does it work? Has anyone tried it? It comes up often when discussing strabismus management, but I can't tell who's the best candidate for it.

Kris 30 May 2015, 16:44

Thanks Cactus,

First thing in the morning the distance between images was about 50 cm from 3meters away. I checked again after breakfast and was between 65-72cm at that time. It's obvious how eye fatigue plays into this. As the day goes on it gets harder to fuse images. I find computer work without prism harder and harder as the day goes on (put the prism lenses on for if I'm going to spend time on the computer, but if I'm only quickly checking something I usually can't be bothered changing lenses). The eye fatigue symptoms are reduced with the prism, but I seem to tolerate reading books more than being on the computer, even with the prisms.

Carrie 30 May 2015, 12:14

Met my friend Danielle in town today. She was looking very cool (and sexy!) in sunglasses. I complimented her on the look. She said thanks and that she had picked them up earlier. They should have been ready with her regular glasses but there was something wrong with them and the opticians sent them back to be remade. I said "So they're prescription sunglasses?" She said "Yeah. I thought I'd get some for reading when I'm sunbathing. I can also use them use them as regular sunglasses because I can see in the distance ok with them. I needed new sunglasses anyway!" I asked if she was still thinking about contacts. She said as she was going to the opticians to collect her sunglasses she thought she might as well ask if she could try contacts. They had time to give her an assessment this morning and she was suitable. She said she soon got the hang of putting lenses in after a few practices. She went for monthly lenses trial but decided not to wear them for the rest of today as she wanted to wear her prescription sunglasses. She's going to start wearing them on Monday for work.

Cactus Jack 28 May 2015, 23:35


90 cm at 3 meters is 30 prism diopters according to the definition of a prism diopter. 72 cm at 3 meters would be 24 prism diopters. Prism does not work like myopia or hyperopia correction and a 6 diopter difference is only an increase of only a bit less than 2 angular degrees inward for each eye. If you think about the range of motion for the eyes, it si not very much.

Most ECPs are trained to under correct prism in the belief that it will slow the need for more prism. My own experience has been that under correction does not make a whole lot of difference in how much prism you will intimately need. I think a better clue about how much prism you will ultimately need, is to do the prisms test immediately on waking in the morning when you are very rested, perhaps on a weekend morning after a day of NOT focusing close.

When you are asleep, your eye positioning muscles tend to relax because there is no visual reference and immediately after waking, your eyes will tend to point where they want to unless you concentrate of a particular distant object and cause the images to fuse.


Kris 28 May 2015, 21:41

I've been using my near vision glasses with 2BO in each eye for almost 2 months now. I tried Cactus Jack's test to see if my double vision had changed at all. With my regular glasses with no prism, I measured 90 cm between images standing 3 meters from the image. Before the images were never more than 72 cm apart.

Is it to be expected that this has happened? Given that my ECP wants to prescribe only the minimum prism needed to maintain comfortable vision, is there anyway to tell how much prism I may ultimately need? I haven't ordered new lenses with prism yet as I am not sure if I want to commit to fulltime wear and am hoping to see an ophthalmologist first.

Maurice 28 May 2015, 20:40

Glassesforeveryone, have you been screened for cataracts?

glassesforeveryone 27 May 2015, 13:05

ho ho! Why are you on this site? I didn't damage my eyesight, I would have been hyperopic if I'd done nothing. All I did was bend some light. Hammering nails I wouldn't recommend.

 27 May 2015, 12:35

Why not put nails in your eye? Go ahead, Skippy, hammer them in. Your vision will deteriorate, in no time.

glassesforeveryone 27 May 2015, 11:48

Hi Dave,

Wow. You've got an amazing memory. Yep, I tried to induce myopia for years. I got up to almost -2 and then when I hit mid thirties my eyes told me their real requirements with constant headaches.

I went to the opticians and didn't try to squint to do as bad as I could. The optician was perplexed and said thy thought I may be diabetic. I got referred to my GP.

No diabetes, just self-induced pseudo myopia!

Dave 27 May 2015, 04:30

Hi glasses for everyone:

Aren't you the guy who used to post quite awhile back about getting more nearsighted? Something around -2. If so, it seems that your vision has reversed.


Weirdeyes 26 May 2015, 16:29


He said that my current prescription is okay. He didn't tell me to get bifocals. He still measured my close-up vision. Don't know why he would do that.

Clint 26 May 2015, 15:59


Why don't you just do what your eye doctor says you need to do? Of course, you have personal choice as to whether you want to see well, but you need to trust the judgement of the professionals.

glassesforeveryone 26 May 2015, 12:01

Hi weirdeyes,

My glasses don't look weird. They are only +2 so not as strong as yours, but still, I'd think they'll look fine. I think the base out works against the plus lenses so that the magnification to the outside of your face is reduced by the cut-in of the prism.

I can get by without glasses, or at least I think I can as I am a fulltime wearer, so don't try to go without.

I wouldn't worry.

Soundmanpt 26 May 2015, 10:37


It sounds like Daniele is really considering the idea of contacts. I'm sure you would much rather see her just decide to wear her glasses full time and skip getting contacts. Since her prescription changed she must be realizing that she can't really function very well without her glasses anymore. Hard to say how much she was wearing her previous glasses at her job. When she first got glasses I doubt that she wore them very much at all and probably only bothered to put them on after her eyes got tired. But as time went on she was probably starting to wear them more often and probably close to all day at work. Now with a stronger prescription she simply can't read small print now without her glasses. And her job is is very demanding on her eyes as well. So I guess it's a "catch 22" if she decides to get contacts and even does like she said she plans on doing she is sure to get still more dependent on full time correction and she will really soon decide that it is pain to be stopping sometime after work to remove her contacts. And after wearing contacts all day her vision would be quite blurry as well without them because her eyes would be fully adjusted to them by evening. So sadly you probably wouldn't ever see her wearing glasses. If she stays with wearing glasses even though it isn't her plan, she will be wearing her glasses full time shortly as well. Her eye are bound to adjust to her glasses for distance just like your eyes adjusted to your glasses With her previous glasses because they were only +1.00 and she was only wearing them part time they didn't effect her distance vision much at all. But now with her glasses being stronger her distance vision is being effected much more.

Isn't life funny? Her gf would be happy to trade eyes with Danielle because she wants to wear glasses so bad. Danielle has to think her gf is crazy for trying so hard to ruin her once perfect eyes just so she can wear glasses full time. I'm somewhat surprised that the little server girl, who clearly has a glasses fetish, doesn't try and convince Danielle to just wear glasses.

Weirdeyes 26 May 2015, 01:20


Do your glasses look weird and can you wear contact lenses? I usually don't wear contacts, but I like to wear them during the summer. I'm also not sure if I should even have prism. One person diagnosed me with convergence insufficiency. Apparently people with CI should avoid prism.

glassesforeveryone 26 May 2015, 00:46

I have 2BO in each lens Weirdeyes and I can go without for a time and it's fine. Like you I was measured at 8BO so it should be similar for you. I don't go without however just cause I like to see clearly!

Weirdeyes 23 May 2015, 11:59


What do you think my glasses would look like? I didn't see how much prism I have. In one test I had a long time ago they said I needed eight prism diopters, but my vision apparently improved. I also have base up/down prism. My optometrist never mentioned bifocals. He just gave me two separate prescriptions for close-up and distance.

Likelenses 23 May 2015, 10:52


I think that you would benefit from bifocals.

You have a boatload of plus in one eye,a fair amount of cylinder,and now prism, why not just bite the bullet,and get the plus one add.

If nothing else they would be an interesting looking pair of glasses.

Carrie 23 May 2015, 10:24

Saw my friend Danielle today. She was reading something on her phone and was wearing her glasses. I said to her "You haven't started trying contacts then?" She said something like "No, but I'm still think about it. If I got them I wouldn't wear them at the weekend, only at work. It was really warm at work on Friday and my glasses kept on slipping down my nose and I thought how useful contacts would be instead of glasses. If I got contacts I would only wear them on work days, putting them in before leaving home and then taking them out when I got home after work. I don't need glasses all the time so I don't need contacts all the time but they would be handy for work. I'd still use my glasses for reading out of work as it's a bit difficult to read without them. I don't mind wearing glasses but they're annoying sometimes."

Weirdeyes  21 May 2015, 21:43

My distance prescription is only R +1.00 -0.75 L +4.25 -1.25. I'm still wondering if I would need bifocals. I already wear glasses fulltime.

ll 21 May 2015, 21:36


With the correction required in your left eye, and the difference between each eyes correction,you need to wear glasses full time,prism, or not.

Your left sphere is huge,and a lot of cylinder to boot.

Likelenses 21 May 2015, 21:30


If you need the prism to end your fluctuating vision then you can forget about contacts,and wear the prism glasses full time.

Weirdeyes 21 May 2015, 21:22

I'm 19 years old. Is it weird to have a reading prescription? Does it mean I need bifocals?

Weirdeyes 21 May 2015, 21:21

I just returned from an eye exam. I told my new optometrist about my fluctuating vision. He prescribed prisms, but he said that I didn't need to change my prescription right away. He didn't give me my prescription, so I don't know exactly what it is. I know the prism is base in. He also gave me a prescription for reading. When I glanced at the reading prescription, it said something like R +2.00 cyl -0.75 L+5.25 cyl -1.25. He has really messy writing, so I couldn't really read it. I'm just assuming the cylinder is the same as before. Will getting prisms in my glasses improve my fluctuating vision? Will I get dependent on prisms? I want to be able to wear contact lenses in the summer.

Kris 21 May 2015, 18:44

Thanks Prismatic and Cactus Jack,

I wrote a message last week, but it never posted. I'm still managing with the near vision prism glasses, but went in to see my OCP this week and he thinks I need to get prism in my distance script as well. He's warned me about what has also been mentioned here, that I will become dependent on the prism. I'm not quite ready to make the switch, but suspect I will be soon (part of the issue is the cost of lenses). I want to wear contacts for sports, but know that I will have to give up on that at some time. He tested my near vision and said that I could go up on my prism at near (I think to 4 base out), but he wants to add a small amount of prism to my distance script first. He was quick to warn me that I will demand more and more prism over time and that my eye muscles will become weaker as I get more prism. My OCP is really reluctant to go up on the prism prescription and wants to give me the minimum to keep me comfortable, not the full script. I do have a referral to an ophthalmologist, but haven't heard back from them yet. Part of me doesn't want to invest in new lenses until I speak to an ophthalmologist, but it can take some time to get in to see a strabismus specialist in my area and I'm not sure how long I will have to wait.

Prismatic I don't see double when I look into the distance with my prism glasses. I'm more likely to see double with my progressives.

I still have issues with motion sickness when I wear the prism, worse with computers than with print materials (weird). Cactus, I sometimes get motion sick in cars, but not often. I had issues with motion sickness when I first started wearing glasses and again when I started to wear progressives. I guess I'm just sensitive to changes in my lenses.

Has anyone been able to still use contacts with a low prism prescription like mine (2 bo each eye)?

Soundmanpt 16 May 2015, 09:26


That's funny, I didn't even notice that the glasses are called "Melissa". Your right maybe if she sees this she may find that they suit her since she likes cat-eyes. My thought was that everyone now seems to have the "hipster" style glasses and I would think there are some that would like something on the bigger side but different than the same "round" style. I guess I will find out once they arrive how they are received by others.

It seems like only yesterday when you first met Danielle and she asked to try your glasses on. If your glasses were for distance I doubt that she would have found them helpful to her at all if she were looking at her phone. Her distance would have been okay but not enough to make her want glasses for. But because your glasses were mainly for reading she liked how the words on her phone jumped out at her and was so much easier to see. When she went for her eye exam and they asked her the reason she was in she probably told them how she tried a friend's glasses on and they made everything nice and big and clear and easy to see. Hard to say exactly how her eyes tested out but she was sure to get a prescription for glasses. They found that her eyes worked best with a +1.00 prescription. Once she got her glasses i'm sure they did relax her eyes and her eyes didn't feel so tired by the end of a work day. Her first glasses were almost exactly the same prescription as your first glasses were. Yours were only +.25 weaker in one eye than her glasses. So you should be able to relate quite well to how her eyes must have felt after doing long hours of close work each day. Your right that normally doing so much close work tends to make you more shortsighted. In fact nearly all the graphic designers we hired were short sighted. Where I worked we had a head designer and she had a friend at a graphic design school that she would contact when we needed to hire someone. She almost always had a staff of 2 others working for her. These were mostly young females and happy to gain experience in a real job. We got the benefit of not needing to pay them very much. I remember very well a couple of then coming into work wearing glasses for the first time.

Maybe when you do get your eyes examined, if you go back to the same place, you can ask them why they wanted you to come in for a follow-up after 6 months? If they requested that it should be on your chart why. It would be interesting what the answer would be. As I recall your prescription didn't increase very much which if is often the reason. I'm sure they gave you your full prescription at the time so not like they needed to break it up.

You mentioned that your vision without your glasses seems to be increasingly more blurry. But how well your able or not able to see without your glasses shouldn't really matter that much, it's how well your able to see with your glasses that is the important thing. You happily wear your glasses full time so it's not like your planning on going without your glasses anyway.

Melyssa 16 May 2015, 07:57

Carrie, Soundmanpt,

I just checked those "misspelled" frames. :)

As I type this note, I am wearing black cat's-eyes that look just like the Zenni frames. So there is no point in my purchasing them, not that it would matter because every Zenni cat's-eye frame that I have seen is too narrow for my pretty face. The lengths are okay and the heights are not a problem, but the width of a frame is most important.

Carrie 15 May 2015, 16:29

Sorry forgot to answer a question!

I don't know why my optician wanted a checkup after 6 months. Maybe they wanted to see if my vision got worse in that period of time. The increase in prescription they gave me wasn't what I'd call big and the new prescription itself wasn't very strong, only in the +2s. I should go for an eye test anyway purely because it's coming up to 2 years since my last one. I don't think my vision has got a lot worse over 2 years never mind 6 months. If it was really important I went they would have contacted me.

Carrie 15 May 2015, 16:09


Those 2 frames are pretty but a bit too pointy for me. Thank you for showing them to me. Did you notice they are called "Melissa"? Perhaps Eyescene regular Melyssa might like them as I believe she likes cat eye frames and the names sound the same, just spelt slightly differently.

I was just thinking about Danielle. In my mind all that close work she does all day would make her less long sighted, even make her a bit short sighted. I suppose if she was doing a job that didn't require needing to see in detail close up for long periods she might not have got glasses at all. It was only when she tried my glasses on when I first met her that she noticed text close up was clearer (when she was chatting me up). I think she realised then that getting glasses would probably make her more comfortable at work. I don't know for sure but maybe the optician didn't do a thorough job when he tested her eyes that first time and so she got a lighter prescription than she really needed. Her first glasses obviously did help her close up vision a fair bit but I wonder, now that she's older, that her eyes can't compensate as well as they did any more and therefore she needs a stronger prescription that she might have needed all along. Just my theory that's all.

Soundmanpt 15 May 2015, 09:48


Has it really been nearly 20 months since you got your current glasses? I well remember when you got them hard to believe it has been that long ago. But your eyes seem to be holding up quite well for being that long ago. Based on what you say about small print going in and out of focus your at the point where you need your glasses a bit stronger so your not straining. Interesting how once someone starts wearing glasses they can pretty well tell when they need their prescription changed. I wonder why they wanted you to return for a follow up after 6 months time? Seems a bit odd with a prescription not any stronger than yours is. Did they give you any reason why they wanted to do the follow up?

I totally agree with you about making sure you get the nicest looking glasses you can find. You wear your glasses full time and they sit right smack in the very front of your face. So because your wearing them everyday you want glasses that look the very best no matter the cost. The cat-eye style sounds cool. I just ordered 2 pairs from Zenni in that shape. Actually the same glasses but in different colors. These are for my sample case. See what you think of them. "" #283621 and #283625.

They are only $12.95 complete and an extra $5.00 for the AR coating so a total of $18.00 for each pair.

Soundmanpt 15 May 2015, 09:21


Your so right in being very difficult to give her the right answer about contacts vs. glasses. When you said she was asking you what you thought I thought the very same way as you. If you suggest that she give contacts a try she would soon find that she can't see without them anymore. But then you would probably never see her wearing glasses. If you suggest that she passes on the contacts for now you may not see her wearing glasses very often. But here is what I think will happen. I think she is already finding that she really needs her glasses much more than she needed her old ones. Being a graphic designer does indeed require very good vision and a lot of very close work. If she commented when she git her first glasses that her eyes seemed not as tired at the end of the day that would suggest that she was wearing them most of the time at work. Now with an even strong prescription when she leaves work her eyes probably don't want to focus very well for distance anymore. By the way I worked in the printing field for about 30 years before getting into the optical field. We had graphic designers some came in wearing glasses and others got glasses after working there for a while.

It's true her glasses are mainly for reading and seeing close up, that;s because she is farsighted like you are. Your glasses are mainly for reading and seeing close up as well, but you also need them for distance as well. Her glasses are not that much different than yours. She only had her new glasses a short time and already she admitted that things in the distance was lightly better with her glasses on. The more she is wearing her glasses the more she is going to find that her distance is going to get worse without her glasses.

She wouldn't even be talking about contacts if she didn't already think that she is soon going to need her glasses full time.

Cactus Jack 14 May 2015, 17:39


The nausea you are experiencing may not be caused by the prism in your computer/reading glasses. You may be experiencing a bit of mild motion sickness. Let me explain.

Often, motion sickness is caused by differences in rates of motion you see and the motion you feel with your semi-circular canals in the ears. When you wear PLUS glasses for close work and look through them at distant objects, while moving your head, the rate of apparent motion perceived by your eyes is greater than what the semi-circular canals in your ears feel. This difference can cause the symptoms of motion sickness.

There is likely +1 or +2 diopters difference in the computer/reading glasses prescription than there is in the distance portion of your progressives and you may be a bit more sensitive to the difference.

Sometimes, BIG changes in prism can cause nausea problems, but I doubt the small amount of BO prism is much of a factor.

Have you noticed the symptoms of motion sickness when traveling in a car, boat, or airplane?


Prismatic 14 May 2015, 10:39


It is good to hear from you again. The prism is taking away the headaches and making the text clearer because it is allowing your eyes to stay in the naturally over-crossed position that it wants to be in. I am sure cactus can elaborate more on this one. The sea sickness is your brain still getting used to it. It should get better over time. You could try some dramamine or bonine (over the counter travel sickness medication here in the US) and see if that helps relieve the symptoms. You may be fine to wear prism for distance. When you look in the distance with your prism glasses - everything will be blurry - but do you see double with them or is the image fused? If so, then you should be fine with prism in your progressives/distance pair. I think that probably where you will end up being the happiest is with prism in your distance progressive pair and then another pair for reading/computer with possibly more prism (or the same amount). I have a pair that is progressives with computer distance on top and reading add on bottom. I am no eye dr. but as you have read before, have travelled down the same path not so long ago.

Good luck.

Kris 13 May 2015, 19:44

I'd posted a month and a half ago about my issues with double vision and eye strain, and discussion here made me decide I should speak to my optometrist about the issue. He prescribed computer/reading glasses with 2 bo prism in each eye which I've been using for a about a month now. I've definitely noticed an improvement, but am not sure if things are completely sorted. I still wear progressives for work (with a 2.5 add) and use the prism lenses if I'm using the computer or read at home or for extended periods at work. I do find that if I use the prism lenses a lot I start to feel sea sick especially if I move back to wearing the progressives. It ends up being a trade off between having headaches from not using prism or feeling sea sick if I wear the prism for too long.

I notice that it is hard some days to read comfortably with my progressives, even for short periods and I can sometimes have a hard time making out words. Even though my prism lenses have a lower script than the progressives, vision is clearer. I suspect that I'm going to see more change in my prism script and more difficulty doing close work without them. I almost hope that I will end up needing prism for distance so that I can just get it added into my progressive script so that I don't have to keep switching lenses. I still see occasionally see double at mid-distance, but can manage that.

I may pop in to my optometrist some time to see if my script needs tweaked, but am worried that if he goes up on the prism, I may be less functional with my progressive lenses. So the journey goes, I guess.

Carrie 13 May 2015, 15:59


I suppose it has been a while - September 2013. I feel quite comfortable with the prescription but I don't know if my eyes are compensating and straining slightly to keep things in focus. I think they might be straining a bit as sometimes if I am looking at very small print my eyes go in and out of focus like an autofocus lens on a video camera. I was supposed to go for a follow up appointment 6 months after my last eye exam but I never did. I still like my current frames but I would love to get some new ones that are slightly cat-eye shape as I think they are so pretty. I shall have to spend some of my savings and treat myself to new glasses after I get my eyes tested. There's no rush to get my eyes tested and get new glasses as I can still see ok with my glasses, although gradually more and more difficult to see without glasses. Anyway, I need to save some pennies! I'm not going to restrict the maximum I want to pay for new frames too much. If I see some frames I really like that suit my face and the price is what I would class as a bit expensive I will get them if I can't find some of the same quality for less money.

Carrie 13 May 2015, 15:04


I was in 2 minds whether to suggest she does go for contacts or not. If I suggested she did then I would rarely if ever see her in glasses but then there was the possibility of her wearing her glasses full time if she got sick of contacts or wanted a break from them. If I put her off contacts then I would have a better chance of seeing her in glasses occasionally but very unlikely to see her wear them full time. She's a graphic designer so good near vision is required. I remember after she got her first glasses her saying that her eyes didn't feel as tired after work so I expect she has noticed an improvement again with this new prescription. She's never said how much she wears her glasses at work. I would guess she wears them a lot as she has a job that requires looking at fine detail close up. She does a lot of her work on computer but some is done by hand. I told her how nice she looked in her new glasses when I saw her at the weekend but I don't think that will convince her to wear them full time even if I say it again as she is quite adamant that she doesn't need them full time. I think the free contact lens trial offer and being told she could wear her glasses all the time if she wanted to got her concerned about her eyesight but also confused as she had also been told her glasses were mainly for reading/close up. I'm not going to keep asking or commenting about her glasses as she might think it's strange or get annoyed.

Soundmanpt 13 May 2015, 11:43


Even using the word "unlikely" about her needing an increase until she nears her 40's seems like a stretch to me. I also gave some thought to the idea that maybe they only gave her a partial of her full prescription when she got her first glasses, but I wouldn't think so because she is still young so her eyes wouldn't have had much trouble adjusting to +1.50 / +1.75 right away as her first prescription. I think it is more likely that her vision just changed that much since she got her glasses. No doubt she can really see the difference between her new glasses and her old ones. The more she wears her glasses now she is going to feel that she needs them more even for distance. Her own admission that she can see slightly better with her glasses at a distance really means she can't see distances very well without them anymore. Clearly she knows that is asking you about contacts. I think she already feels like she needs to be wearing her glasses all the time. Of course even though she doesn't hate wearing glasses she also isn't ready to become a full time wearer either. You may need to do an intervention. You need to convince her that wearing glasses full time is really okay. Maybe point out that contacts are really a pain to deal with and that you really prefer wearing glasses now. She sees your Gemmi and her own mate wearing glasses full time. That should be some encouragement to her. From what you said she doesn't really mind wearing her glasses and even was wearing them as a part of fashion. But she seems to be more opposed to the idea of actually needing her glasses all the time to see. She needs to understand that wearing contacts everyday will have the same effect on her eyes as wearing glasses full time. It would probably really help if her glasses wearing mate would tell her how good she looks wearing glasses.

That was an interesting text and you gave her some good answers and to be honest she really shouldn't consider contacts until she really shes how much she will be wearing her glasses. Getting contacts now would certainly ruin her eyes and she would very soon need full time correction.

I don't think you ever said what type of work Danielle does. If she works in an office doing paperwork that means she must wear her glasses all day at work?

miku 13 May 2015, 08:38


You've had your current prescription for a while now. May I ask how it feels after all this time? Has your vision with it changed in any way, especially when dealing with really small print?


Carrie 12 May 2015, 15:32

I notice Danielle's optician said "unlikely" not "will not" need a new prescription until her 40s. Sounds like it's not being ruled out unless they took her up to her full prescription this time.

They sound like they almost expect her to be wearing correction most of the time by her 40s as I had an interesting text conversation with her today (she was at her work and I was at mine, both trying not to get caught texting and not working so this conversation took a while!). It went like this: HER- You've had glasses for a few years. Have you tried contacts before? ME- Yes, briefly. Why? HER- I was wondering what it's like to wear them as the opticians gave me a voucher for a free contact lens trial and they asked me if I wanted a free trial when I had my eyes tested. I said I'd think about it. ME- I thought they said your new glasses were mainly for reading on only distances when looking at something for a long while? HER- Yes. As I can see better at all distances with the new prescription (long distance is only very slightly better) and my sight isn't going to get any better they mentioned I could wear glasses or contacts all the time if I wanted to, if I got fed up putting them on and taking them off. ME- Do you get fed up putting them on and taking them off? HER- Only sometimes. ME- Do you want to wear your glasses all the time? HER- Not really. ME- Do you want contacts? HER- Not really, but I can see how they might be useful. Do you think they are just trying to make an extra sale in the future by them selling me contacts after the trial (they hope)? ME- Maybe they are. I don't know for sure but if you did want to continue with contacts after the trial I don't think you'd have to buy them from your optician. You could shop around. HER- Should I go for the trial now? ME- You could do but you could wait months or years as I'm pretty sure you could get a free trial anytime. HER- Right. Thanks. I'm going to think about it for now.

Soundmanpt 11 May 2015, 17:49


Even though Danielle is only planning on wearing her glasses as she needs them getting a really nice pair is a very good idea because even though she won't be wearing them full time she is almost surely going to be wearing them more now than she ever wore her first glasses. Her previous glasses she only needed for reading small print, so if she ever wore them while driving or at the movies it was only because she was wearing them for fashion, now she is supposed to wear them if she is driving more than an hour or she was at the theater.

I'm not sure why she was told that her eyes shouldn't change anymore now until she reaches her 40's? Considering how much change she had in her new glasses I would be surprised if she doesn't need stronger glasses in another 12 months or so. Now if her prescription had only gone up by +.25 then I might agree that her eyes are indeed stable.

As for as her mate goes she maybe perfectly happy just to know that her glasses are actually helping her and not be interested in making her eyes any worse. But it was just a thought since Danielle's old glasses now are of no use to Danielle anymore. When she was trying to wear them before her eyes were still very strong and the stronger prescription was more than her eyes could handle. But since she has been wearing her weaker glasses she has managed to weaken her eye muscles to the point that now Danielle's glasses probably wouldn't feel as strong as they did before and probably very little blur, if any, for distance which her eyes would soon be able to adjust to. One can only hope that she might think about it if she sees them laying around one day and decides to try them.

Carrie 10 May 2015, 14:25


You're right about Danielle. She clearly isn't interested in glasses in the slightest but she does ensure she has stylish frames even for glasses she doesn't wear full time. I did think that the increase in prescription was more than just "slightly stronger" but it must make a noticeable difference to her. I forgot to say that Danielle said she was told she was unlikely to need a new prescription for several years probably when she hits her 40s (She's 30 later this year.) but she should still get her eyes tested every couple of years.

It would be interesting if Danielle's girlfriend did try her old glasses but I'm perfectly happy seeing her wearing her own +0.5s.

Soundmanpt 10 May 2015, 08:43


No, there would be no reason to ask her if she got a written prescription or not. But she now knows that this time,unlike other times, she was told that she does in fact need glasses. At least a little bit anyway.

I'm sure you enjoyed seeing Danielle wearing her glasses while you were with her. Nice that her eyes adjusted to the stronger prescription so easily in such a short time. Actually she got a decent increase from her first glasses. Now she really will need to put them on when she needs to see her phone or read a menu. It maybe enough to cause her to wear them a more often even though she was told that her distance vision is still okay except when she is driving for several hours or at the movies. But clearly unlike her mate she is not nearly as excited about wearing glasses as she is. lol Now that Danielle has her new glasses and her old ones are useless to her anymore I wonder if at some point the server may decide to try wearing them again? Now that she has weakened her eyes somewhat with her own glasses, Danielle's glasses now probably wouldn't feel as strong as they did when she was wearing them. I'm sure her close vision would be fine with them and distance not nearly as blurry as before. Let's hope she thinks about it decides to try them again.

Carrie 09 May 2015, 18:01


I actually expected to see her wearing her glasses. I would have been surprised if she wasn't wearing them. I'm not sure if she got a prescription written/printed out or not and I didn't want to ask to see it in case she got offended thinking I didn't believe her. I don't care if she has or hasn't got a written prescription I'm just happy that she likes wearing glasses!

Saw both her and Danielle in town today at the coffee shop. She was wearing her glasses, unsurprisingly, but so was Danielle. Danielle had picked up her new glasses just a couple of hours before we got there. I told her how nice she looked with them on (actually she looked bloody hot, but I'm hardly going to say that in front of my own, but hotter, girlfriend am I?). She said even though when she had her eyes tested the optician said that other than reading/computer she should wear her new prescription when looking at a distance for long periods such as at the cinema or driving for a while, the assistant who fitted her glasses said she should wear them all day for a couple of days to get used to them as they were a bit stronger than her old ones. Danielle said she felt used to her glasses now despite it only a couple of hours since she got them but would wear them for the rest of the weekend anyway. Without trying to sound overly interested in glasses I inquired if she new how much stronger they were. She said her old ones were +1 in both eyes and the new ones are +1.75 in one eye and +1.50 in the other but couldn't remember for which eye. I could see they were stronger than her old ones. Our server friend finished her shift at the coffee shop and she and Danielle came with us as we went shopping. I kept sneaking looks at Danielle. I've never seen her in glasses for such a long period before and was enjoying it while I could as I know that she won't be wearing them all the time after Sunday.

I do feel bad about checking Danielle out so much. Yes I do fancy her a lot but I fancy my gorgeous Gemma far more and love her so much plus she looks better in glasses than any other woman I have seen.

Soundmanpt 08 May 2015, 15:33


Being in the good company of friends you like can really be very enjoyable. So I am sure you all had a great time and would imagine you talked about doing it again very soon.

I wasn't at all surprised, and I think you weren't either to see your server friend show up wearing her glasses. She clearly wants to wear glasses now and she must feel more comfortable wearing glasses than she does without them anymore. So even though she wasn't given an actual written prescription she must have been at least happy to be told that the only reason he didn't write out one was because it would have been for the exact same prescription as she is already wearing. I think you know from getting your eyes examined that the machine he had her looking through when she was able to see things better contained lenses that were +.50 the same as her glasses. And of course she doesn't have to wear her glasses all the time if doesn't want to because she can still see quite well without them but just not perfect anymore. But she seems to be quite determined that she wants to wear glasses full time now. But just as you said, her eye muscles have been weakened by wearing her glasses to the point here she can't see small as well anymore and if she were to try reading a book without her glasses she would very soon lose focus and start to get a headache.

Carrie 08 May 2015, 14:07

Hi Soundmanpt

We had a lovely time, thank you. I hope we didn't disturb the other customers as we were a bit loud. I feel so lucky that I live in a country where women are free to socialise in public, drink alcohol, wear what they like and same sex couples are (usually, most of the time) treated the same as male-female couples.

Yes she did wear her glasses. I did manage to ask bout the eye test. She said the smaller letters were just slightly out of focus on the reading test but she could still see them ok. She said the optician did something on the machine she was looking through and suddenly all the letters were really dark and perfectly clear. The optician told her that the prescription he was going to give her was quite weak and the same as her existing glasses and would help stop her eyes feeling tired if reading for long periods. She asked if she would harm her eyes if she wore the glasses all the time. She was told that she wouldn't do any harm as she can see all distances without straining but she doesn't need to wear them all the time, she barely needs them at all. I had hoped Danielle would have her new glasses but they weren't ready so I presume she will have got them during this week.

Soundmanpt 07 May 2015, 13:49


So how did your weekend meetup with your friends go? Would I be correct that your server friend from the coffee shop was there wearing her glasses. She must have left her eye appointment at lest somewhat happy to find that her glasses really do help her with seeing small print now. Were you able to ask her anything about the results of her eye exam?

Cactus Jack 05 May 2015, 08:48


Good news, you are very close. I am going to talk a little technical here. Please bear with me.

It is very likely that Presbyopia is creeping up on you and it has revealed some Latent or Hidden Hyperopia or Far sightedness. You may have also noticed that you are holding books or newspapers farther away than you used to. It happens to a lot of people.

It is very likely that in a few months, you will need a new prescription with more PLUS than this one has. this is because your focusing muscles (ciliary) have begun to relax and let your auto-focus lenses (crystalline)in your eyes, also relax. Hyperopia is the only focusing error that you can correct internally. The other significant focusing errors, Myopia (near sightedness), and Astigmatism have to be corrected with glasses, contact lenses or surgery.

While your new glasses will help your focusing system relax, they will also help you focus close. However, that won't last. As you get older, Presbyopia is still at work your your internal focusing lenses It won't be very long until you will need some additional focusing help with bifocals or progressive lenses in your glasses.

You need to wear your glasses full time, morning 'til night, to help the relaxation process. You may not have noticed much difference between your vision with and without glasses, but that will change in about 2 weeks. You may think that your glasses have made your vision worse, but you are wrong. Vision actually occurs in the brain and your brain has the amazing ability to correct poor quality images from your eyes, it just takes a lot of extra work. Your glasses do that work, optically, and it does not take long for your brain to realize that your glasses are a great labor saving device and will learn that it doesn't need to do the extra work with your glasses in place. Then you will notice how much difference your glasses make.

You might want to check into your Eye Care Professional's (ECP) regarding prescription changes. Many offer to make new glasses, if your prescription changes within 3, 6 or even 12 months at no charge. A lot of people think they need to wait a year or more between eye exams. If you notice that your vision has changed with your glasses, there is no need to wait.

Welcome to ES.


sparky 04 May 2015, 23:49

Hi all .i have finally got a real script for glasses.went to optician and was prescribed.righteye plus 0.75 -0.25 axis5 .left eye plus1.50/i

Am 38 yo .how soon can I expect an increase .i would like to be relyant on my glasses

sparky 04 May 2015, 23:49

Hi all .i have finally got a real script for glasses.went to optician and was prescribed.righteye plus 0.75 -0.25 axis5 .left eye plus1.50/i

Am 38 yo .how soon can I expect an increase .i would like to be relyant on my glasses

Soundmanpt 02 May 2015, 08:04


Danielle is right, her vision now without glasses is much worse than when she got her glasses. I'm sure she could still read pretty well without glasses and now she can't do that anymore. So of course she has to feel as if her eyes have gotten much worse. Her eyes had to adjust to the glasses and the more she started wearing them the more she feels like she needs them now. You may recall my friend that was given a prescription for reading glasses. She was shocked because she wasn't having any real issues with reading, only if she tried reading for long periods of time her eyes would tire out. The doctor told her she didn't need to get glasses yet but at some point down the road she will be getting glasses. If she had an office job she probably would be wearing now but she cuts hair so not much close work in that. Anyway i'm sure Danielle was relieved that her vision hadn't really changed much at all. She probably only got a script of +.50 or +.75 to sharpen things a bit. The reason they advised her to wear her glasses for distances is that her eyes are prone to tiring out if she looking at something for a prolonged time in the distance. Her glasses will relax her eyes for that.

Hard to say if they did or didn't write your server friend a prescription or not. But if she did in fact wear her glasses to her appointment the first thing they would do is check her glasses to see what the prescription is. So they must have assumed that they were prescribed by another doctor. They know you can't buy +.50 glasses anywhere off the rack. I doubt they would think she would order glasses on line with such a weak prescription if she didn't need them. So even if her eyes were perfect without glasses they would not tell her that she shouldn't wear them. But she has almost certainly weakened her eyes by wearing her glasses full time. So she should be happy that she was having difficulty reading the small print. It justifies her wearing glasses now for sure if they actually help her see small print. I totally get her not wanting to wear glasses with no prescription. I know many just like her that I have gotten glasses for.

Funny that Danielle doesn't understand why her gf wants to wear glasses so badly. She clearly doesn't know you then does she. You aren't that different then her gf about wearing glasses.

Maybe if you get the chance this weekend you can ask the gf how her eye exam went, if she got an actual prescription?

Carrie 02 May 2015, 05:15

Soundmapt - Danielle said went for an eye test because she felt her sight without glasses was a lot worse than it was when she first got them. I think she's relieved that she won't need to wear her new glasses all the time as she's said in the past that she doesn't mind wearing glasses but is glad she can choose how much to wear them. Since having glasses she occasionally wore them when not reading to changer her look - as a fashion accessory. She's always been able to see all distances with her glasses. She didn't mention her new prescription other than it's slightly stronger than her current one. She doesn't drive long distances so probably won't wear them for that but she does go to the cinema quite regularly so it would be interesting to know if she wears them for that as recommended by the optician.

Danielle wasn't clear whether her girlfriend was given a prescription or not (I didn't want to ask too many questions in case I sounded overly interested in glasses) but it was interesting to hear the optician said she could continue using the +0.5s. I know she can't have changed the size of her eyeballs to affect her vision so my theory is that maybe she's weakened her focussing muscles very slightly by wearing the glasses so much and so when she tries to read small print at a close distance her focussing mussels aren't quite strong enough to change the shape of her eyes lenses enough to make a clear image.

I don't know if she wants stronger glasses but I think she wants a prescription to justify wearing glasses. She feels she does actually need them now whereas at first she just wanted to wear glasses that didn't have plain lenses but were weak enough to see through.

Danielle doesn't understand why her girlfriend wants to wear glasses but accepts it as she loves her.

Soundmanpt 01 May 2015, 16:29


Sounds like your going to have some some on Monday with your friends.

When Danielle told you that she was going to book an appointment to get her eyes checked did she say why? I mean did she say that she felt like her glasses weren't helping as much as when she first got them? Or was this just an annual checkup based on a reminder card coming in the mail that she was due to get her eyes examined? It just sounds like they are giving her a small increase just to sharpen things up for her now that her eyes are used to her current prescription.

I'm surprised that her gf the coffee shop server didn't get at least a small prescription. I think that was really what she was hoping for as well. She just must have super strong eyes. But her glasses must be effecting her eyes a little bit if she was having difficulty with seeing the small print on the chart. Do you mean she was having trouble seeing the small line on the eye chart or the small print on the card they sometimes have you read from with various size letters on it? Her glasses are very weak since Danielle ordered her glasses on line so the change in her vision isn't going to be huge, but at least now she knows that her glasses are helping her slightly. That's better than nothing. Now if she is really wanting her eyes to be m effected more by wearing glasses she really should order some new glasses on line and get them a little bit stronger now that her eyes have adjusted to the +.50 glasses. Now her eyes could probably easily tolerate +1.00 glasses now. But I am betting that she will be showing up wearing her glasses this wekend when you all get together.

Carrie 01 May 2015, 13:28

I was chatting to my friend Danielle on the phone a bit earlier discussing what we're all up to this weekend as it's a Bank Holiday on Monday so a lot of our friends have a day off work. The shop where I work is open but I booked the day off ages ago! Our coffee shop server friend has also booked the day off. Gemma and me and Danielle and "The Server" are meeting up with other friends for an afternoon in a pub garden (if the weather is a nice as forecast). One of our friends has just got engaged to her boyfriend so wants to celebrate!

Anyway enough of my plans - during my chat with Danielle she happened to mention her trip to the optician earlier in the week. Her eyes haven't exactly got worse, just settled in to her current prescription. This prescription it turns out isn't quite strong enough and her eyes need a little extra help as they can't compensate any more. She doesn't have to wear her new prescription all the time as her distance vision is ok, although just slightly better with the test lenses. The optician told Danielle that she would definitely benefit from new glasses as they would make reading even easier. They would also help generally when concentrating for long periods such as watching a film at the cinema or when driving for an hour or more. If her eyes felt tired her glasses would help then. She ordered her new glasses and they will be ready next week sometime. I asked about how her girlfriend got on at the optician (she was getting her eyes tested straight after Danielle). Apparently the test showed no real need for a prescription but as she did have a little difficulty with the very small letters on the reading test and she said the glasses she has now make her eyes feel relaxed when she's tired they said she can carry on using them when she feels they will help.

Soundmanpt 25 Apr 2015, 13:59


It sure seems like your server friend is really wanting to be told that she needs glasses. But if she wears her glasses in for her appointment she tells them that they seem to relax her eyes I am sure this time she will at very least be given a prescription either for the same power as the ones shes wearing or possibly even a little stronger prescription. Now that could be because she actually needs glasses now or since she is comfortable with wearing glasses they may see a great chance to make a nice sale of glasses to her. But I am betting the results this time will be different for her and she will come away with a prescription.

Not surprising that Danielle needs a little stronger prescription. Her glasses are well over a year old and she seems to need her glasses much more than when she first got her glasses. Your right in pointing out that she really should consider either going full time when she gets her new glasses or going to progressives so she don't have to keep taking them off and on. I would think that has to be a pain based on just how many times she had to put them on while you were with her.

Carrie 25 Apr 2015, 08:46

We met up with our friends Danielle and the server from our favourite coffee shop for lunch in town today. Our server friend wasn't working today but was still wearing the +0.5 glasses she wears at work. She's said previously that she likes to wear them most of the time even though she doesn't really need them at all. As we were chatting I casually asked her how well she could see with the glasses on. She said she could see really well with them now as they don't make distances burry any more. She can't see any better with them on but it's the same if she has them on or off. If she's had them on for a few hours her eyes feel a bit weird if she takes them off which is one of the reasons she wears them most of the time, another reason being that she likes how she looks in them and wants to wear them most of the time.

As soon as the waiter handed out the menus Danielle grabbed her own glasses from her bag and put them on to read the menu saying that she can't read anything without glasses anymore and she's getting her eyes tested on Monday as she thinks her eyes have got worse and probably needs new glasses as things aren't as clear as they were. Her girlfriend (the server) added that she is going to get her eyes tested straight after Danielle but is fairly sure it will be the usual "No prescription required" she's been told before. I asked her if she had her glasses with her last time or told the optician that she wore them. "Not last time but I will this time. I'll tell them I wear them because they make my eyes feel more relaxed, which is true" she said.

I was enjoying myself as I was in the company of 3 gorgeous women who, at one point, were all wearing glasses. Danielle took hers off after choosing what she wanted from the menu and put them back on when she received a message on her phone and took them off after reading the message. A bit later on she had to put her glasses back on to read the back label of the bottle of wine we had. I asked her if she could see distances with her glasses on. She said yes. So I then asked her if she'd thought about wearing her glasses all the time as that would save constantly putting them on and taking them off again. She said she has thought about it but doesn't want to as she feels she doesn't need to. She said she does sometimes wear her glasses all day if her eyes feel tired but even at work were she's on a computer most of the time she usually takes her glasses off when she goes for a break.

Very progressives 24 Apr 2015, 16:40


Very early stages of cataracts. I'm 54 and per the Dr about average point for my age. Not really anything that would effect my vision other than aging itself.

Very progressives 24 Apr 2015, 16:40


Very early stages of cataracts. I'm 54 and per the Dr about average point for my age. Not really anything that would effect my vision other than aging itself.

Very progressives 24 Apr 2015, 16:40


Very early stages of cataracts. I'm 54 and per the Dr about average point for my age. Not really anything that would effect my vision other than aging itself.

Very progressives 24 Apr 2015, 16:40


Very early stages of cataracts. I'm 54 and per the Dr about average point for my age. Not really anything that would effect my vision other than aging itself.

Very progressives 24 Apr 2015, 16:40


Very early stages of cataracts. I'm 54 and per the Dr about average point for my age. Not really anything that would effect my vision other than aging itself.

Very progressives 24 Apr 2015, 16:39


Very early stages of cataracts. I'm 54 and per the Dr about average point for my age. Not really anything that would effect my vision other than aging itself.

Very progressives 24 Apr 2015, 16:39


Very early stages of cataracts. I'm 54 and per the Dr about average point for my age. Not really anything that would effect my vision other than aging itself.

Very progressives 24 Apr 2015, 16:39


Very early stages of cataracts. I'm 54 and per the Dr about average point for my age. Not really anything that would effect my vision other than aging itself.

Brian 24 Apr 2015, 07:50

Kris, How have the Prism lenses been working out?

Maurice 23 Apr 2015, 14:56

Very progressive, any chance that you might be developing cataracts?

SC 15 Apr 2015, 23:10

Very Progressive,

I understand your difficulties - I'm currently wearing +1 add +2 and spend 10 hours a day in front of a computer.

When I got progressives, I found it difficult to use a monitor - I just had to hold me head too high and got neck ache as a consequence.

So my solution was to switch to a laptop

1) you look down so better suited to progressives

2) you work closer to the screen so the reading segment is more suited

3) the keyboard and screen are close together so you can use the same segment and you are not moving your head about and having to reposition

I wear one pair (transitions in summer) - I don't normally carry a spare. I have sunglasses for driving as the transitions don't work and I have reading glasses at home

very progressive 15 Apr 2015, 14:23


My rx in my right eye when down .25 diopters and the astigmatism in my left eye increased by .25 diopters ,making it .75

I was given a prescription for both the regular progressives and another for computer glasses. The Dr. stated that I would still need both as the section in the lens that is needed for the computer is very small and I would be uncomfortable. I work at a computer 8-11 hrs a day.

My eyes are very dry and I have difficulty reading the eye chart and deciding on which lens is best as I have to constantly blink to see anything.

I think I will keep the computer glasses that I have and just get another pair of regular glasses.

I imagine that with such a minimal change the difference probably won't be noticed.

I am wearing my glasses most of the time on the weekend as I am on my phone much more. I also wear them for driving because even at such a low rx, I feel a little uncomfortable without them.

Soundmanpt 15 Apr 2015, 09:04

Very Progressive

It is very possible that your distance prescription may be reduced at your eye exam and by the time your reading this you already had your eye exam so you know. It would seem that if your work progressive glasses work well with seeing your computer then your day to day progressives probably just need to be increased so you can just wear the one pair.

Now as to your taking your glasses off and on, that is going to be up to you. If your taking them off just because you feel like your distance prescription is too weak to justify wearing them full time you shouldn't feel that way. Your distance vision isn't going to be perfect so without your glasses your distance is still going to be blurry. Even if your distance vision was perfect many people still wear progressives so they can keep their glasses on and not be taking them off and putting them on every time they need to read something.

What did your ECP suggest as for glasses? How much did your prescription change?

LT Lurker 15 Apr 2015, 04:56

Very progressive, sorry my statement was not too coherent. What I meant was,if you are looking across the table with +2.5 reading glasses with an uncorrected -1.25 refractive error,I would expect looking at someone to be uncomfortable and blurry.In which case you would possibly find some benefit from wearing bifocals/progressives.

LT Lurker 15 Apr 2015, 04:50

Hi Very Progressive, When you look across the table at a persons face do you see can't see them which is perhaps why you seem uncomfortable.

Progressives may well be of help.

On a different matter a work colleague has just got reading glasses, or that's what she called them.

The appeared like they may be quite powerful but didn't ask the Rx as I am not on that closer terms with her.

I noticed the other day she was sitting quite a way back well over 1m maybe 1.5m and reading her screen with her glasses on.

One day last week she went off for a coffee and I was alone in the office and thought I would try them on.

I put them on and was less than 1m away and was surprised everything was pretty blurry.I could see well from 33cm

(i measured this)

I am a myope with -2.5D and have been prescribed with +1.5 ADD

I would expect blur had I not been wearing contact lenses

So this got me wondering if my colleague is reasonably hyperopic as she is younger than me at about 46.

Very Progressive 14 Apr 2015, 09:59

I am going for my eye exam tonight and haven't been there in about 2 years. I have a distance rx of 1.50 in my right eye and -1.00 in my left eye. +.50 in both.

I feel as though my distance prescription will probably be reduced, as it has for the last several years I have been examined. I am 54 yrs old so realize this is not unusual.

My present add is +2.50 which I am told is rather high for my age (at least when I saw them last and was 52). I am hoping it hasn't increased but there is a possibility.

I have to wear progressive computer glasses at work and can't see the computer with my regular progressives.

I would love to invest in some great designer glasses that I could wear for seeing well at every distance. Does anyone feel that if the right rx is prescribed I may be able to get 1 pair and not have to carry sunglasses and 2 other pair around in my purse.

I also find myself laying my glasses down and not remembering where I put them. I am constantly on and off with my glasses.

Of course, I can't read a thing including my phone or labels etc at the grocery store etc. I don't always feel comfortable having them on when I am just talking to some one sitting across the table (for example) from me.

Please tell me that there is a possibility I might find the rx that will work.

Should I be wearing glasses full time with such a low distance rx?


Very Progressive 14 Apr 2015, 09:59

I am going for my eye exam tonight and haven't been there in about 2 years. I have a distance rx of 1.50 in my right eye and -1.00 in my left eye. +.50 in both.

I feel as though my distance prescription will probably be reduced, as it has for the last several years I have been examined. I am 54 yrs old so realize this is not unusual.

My present add is +2.50 which I am told is rather high for my age (at least when I saw them last and was 52). I am hoping it hasn't increased but there is a possibility.

I have to wear progressive computer glasses at work and can't see the computer with my regular progressives.

I would love to invest in some great designer glasses that I could wear for seeing well at every distance. Does anyone feel that if the right rx is prescribed I may be able to get 1 pair and not have to carry sunglasses and 2 other pair around in my purse.

I also find myself laying my glasses down and not remembering where I put them. I am constantly on and off with my glasses.

Of course, I can't read a thing including my phone or labels etc at the grocery store etc. I don't always feel comfortable having them on when I am just talking to some one sitting across the table (for example) from me.

Please tell me that there is a possibility I might find the rx that will work.

Should I be wearing glasses full time with such a low distance rx?


Slit 09 Apr 2015, 05:59

@Admin - can we have a thread for "Prism" please?

Prismatic 07 Apr 2015, 18:16

Kris, I hope all is going well with the transition to being a prism wearer. I will say there is a bit of a adjustment period and comes with a week or two of intermittently angry eyes. I also notice the same thing when my prism rx is increased. After the adjustment time then life is good again.

My need for prism came on after taking up knitting as a hobby. Unlike reading, I just couldn't put it down despite the eyestrain - I was just having too much fun to stop. This led to a period of about a week where the muscles in my eyes were in searing pain and felt like I was being jabbed in the corner of my eye with a sharp pencil. The only thing that made it better was sleeping, but anything visual (yeah, that's pretty much everything) set it on fire. After my eye dr of many years just told me to keep trying reading glasses (which I had been doing anyway) a friend who also wears prism and has had similar problems told me to see stribismus specialist at the eye center connected to the university in my city. The tech doing the initial evaluation tried some prism lenses with me looking at a magazine - base out made everything worse, and then she flipped them over - base in - the page jumped into this magical focus that I had never before seen in my life. It was unbelievable. The ophthalmologist confirmed the findings and diagnosed me with convergence and accommodative insufficiency. An immediate trip to Lens Crafters and "about and hour" later I was seeing better than I ever had in my life. The searing eyestrain pain went away within minutes. I started at 4 BI with no near add. A few years later I am now at 7 BI with an add of 2.0 and symptoms are controlled if I wear my glasses for any visual task that requires tracking (reading, close work, tv, driving, sports etc). I have a distance plus full add progressive pair and a distance+1/+1 progressive pair for the computer. I am now a happy camper and would probably have been a genius had I had prism lenses in grade school. It still amazes me that I managed to get doctorate with the undiagnosed vision problems that I had.

Jo 04 Apr 2015, 11:08

Ginaa, your story was very interesting, would be nice if you keep posting about how your vision change last months, i know sometimes stories here are fake, but i guess yours isn´t, so please back here, have a great weekend!

Julian 03 Apr 2015, 23:22

...and incidentally one of them has posted saying that she no longer posts 8)

Julian 03 Apr 2015, 23:19

Over the years I've known lots of ladies called Gina and I was mildly surprised to read posts from a GINAA - but then my own name (not my online name!) has a slightly unusual spelling. Now, however, we seem to have two posters claiming to be her but spelling it GINNA. Do try to be more consistent, girls, if that's what you are!

Ginna 03 Apr 2015, 20:14

The below 'Gina' is not me...I no longer post

Jo 03 Apr 2015, 16:45

how about the full rx Ginaa?

Ginna 02 Apr 2015, 09:23

I was ghiven a perscription for trifocals with prisims.

@Ginaa 02 Apr 2015, 05:56

Hello Lady,

Maybe you could tell us about your life with your own new glasses ?


Kris 01 Apr 2015, 17:23

Thanks Guys,

Today't the first day with the 2 BO prism lenses. Definitely feel more comfortable than before and the computer screen seems sharper and almost 3D. I'm not sure if I'm 100% comfortable with the new lenses, but will continue to use and see how they settle out. It is inconvenient switching between my progressives and my computer glasses with prisms, but I think I need to see how I adapt to the prism before doing anything with my regular glasses.

I get the impression my ECP was concerned with how I would do with the prisms, but he indicated that this was only the starting point for my prescription. Seeing my ECP and being told I needed prism (even though I was aware I might need it before the visit) made me really aware of the eye strain i was experiencing. I have really struggled with computer work and reading in the last week and have had really dry eyes and headaches. I don't know if I am just letting myself notice symptoms I've had for awhile or if something in the eye exam triggered the symptoms. I was also much more aware of how often I see double. I think I'm really good at ignoring the second image. I'm hopeful prism will help, but it sounds like it's not without it's downside.

Brian 28 Mar 2015, 07:15

Kris, I started at 2BI in each eye several years ago.. I'm now at 5BI in each eye but that prescription has held steady the last few years. I was a contacts/glasses wearer throughout my late teens and 20's.. I was always told I had exophoria, started having double vision at times when tired and reading in late 20's.. My eye doctor started me at 2BI in each eye when I was probably 29/30ish.. I'm 36 now.. The 1st couple of years everytime I'd go back I needed more prism.. But I've been steady at 5BI in each eye the last 3 years or so.. Obviously with needing that much prism I can not longer wear contacts only glasses, but my vision with the glasses on is very good, but I do have instant double vision now if I take my glasses off.. If you need anything else let me know..

Prismatic 28 Mar 2015, 07:10


Making the jump to using prism can be a jump that is difficult to make but worth it in the end. For me it has solved so many issues that at one time didn't know what they were. I feel I am lucky because I can still see without double vision (except for up close) despite having worn them for over 5 years. I know that is not the common experience for most.

Ever since I was very young I hated reading and would avoid it all costs - headaches, blurring, eye pain... I had a low moderate astigmatism that was found in the 2nd grade but somehow was not given glasses and I am not sure why. By high school the astigmatism had increased but vanity kicked in. So I didn't wear them much. Luckily I have a high verbal comprehension so I managed to maintain a high GPA. By college it was time to finally give in. Astigmatism treated (~plano sphere, -3 cyl). After that I couldn't live without them. Contacts never worked. My axis was unstable and would change every 3-6 mos - causing major headaches. Even with glasses I would get eyestrain and headaches with reading, and felt something wasn't right. Dr prescribed reading glasses - they helped but still had the pain and blurring after 10-15 min of reading. Makes it hard to study as a college student. But I got by. I had lasik 12 years ago because I couldn't stand nor afford the frequent axis changes, and no one could seem to make my glasses right on the first try. Distance vision was great after that (still is), reading is still terrible. More rounds of reading glasses, same old problem... the saga continues.

Gotta run, I will finish the story later...

Kris 28 Mar 2015, 06:35

Thanks Cactus,

I've sent you an email message. I am looking for other's experiences with being prescribed prism and how whether the prescription changed quickly or was stable. I'm still trying to understand how this might impact my lens wear.


Kris 27 Mar 2015, 22:06

Thanks Cactus,

I've given up on vanity as my eye turns occasionally with my current glasses so I don't think the prism can be any worse. My concerns are more around the issues with settling into a new lens prescription and adapting to the potential down side of wearing prism. I just want to know how I will adapt to using prism, and what kind of need for prism I will have and I know that only time will tell.

I am a little concerned about the practicality of playing sports with glasses vs contacts and am hoping I can still get by with contacts, since I only have prisms for readers. I did want to get a pair of readers for the same reasons you use them, so am not too upset about a new pair of glasses.

As well, I am concerned about how well I will function at work. I am in a setting where I move frequently from computer work to interacting with people, and don't see me changing my glasses each time I use a computer. I hope I will still be comfortable in my current progressives for those situations (I think this is likely a temporary solution, as I'm sure I will want prism in my regular lens once we sort out what I need for a script). I'm also concerned about double vision at mid distance which is an intermittent issue currently. Since I only have the reader prism, I'm not sure how my vision at mid distance is going to be affected.

I have to wait for the glasses to be made, and I just want to try them so I can see how this will actually play out.

Since deciding that it is time to accept that I need prism, I have noticed increased issues in my vision. I don't know if I've just been really good at ignoring them, or if the prism fitting made me realize how I could actually see with prism correction. I've noticed that I do see a faint double image at near, which I'd never noticed before and that reading really does strain my eyes. I just want my new lenses now, so that I can read comfortably again. Is there any way of estimating how much prism I will ultimately need?

Cactus Jack 27 Mar 2015, 21:43


I you decide you would like to discuss any of this privately, please contact me at:


Cactus Jack 27 Mar 2015, 21:40


I understand your frustration because "I have been there and done that".

You are right about the inconvenience of having two different pairs of glasses. I have been wearing trifocals with prism for many years. I started wearing trifocals long before there were progressives. I tried them, but I was not happy with the field of vision they offered in my work. I think you will soon decide to get some prism in your progressives. I also have some reading glasses that I wear when I have a lot of reading to do, because they are simply more comfortable. Typically, I wear them for reading in bed.

I can't tell from your posts, if there is an element of vanity in your concerns. As long as your prism is less than about 10 BO in each eye, few people will even notice that you have prism in your glasses. The amount of turn in with 10 Prism Diopters is only 5.7 angular degrees and that is almost invisible to other people. The need for BO prism is much less noticeable than BI prism. I occasionally have to wear 15/15 BO and only people I know well asked, one time, if I got new glasses. I just told them that they weren't really new, but sometimes i had to wear them when I had double vision problems. End of discussion.

Because you play Soccer using contacts, I will tell you a little story about a friend (we'll call him A) who lives in Brazil, where Futbol (Soccer) is in their DNA.

A is in his mid 20s, but was born without crystalline lenses in his eyes, probably as a result of rubella during gestation. He is very hyperopic and very cross eyed. His vision with glasses is about 20/60 with no peripheral vision. His glasses are more than +30 Sphere, with significant prism in the glasses, supplemented by Press-On prisms. Even with all that, he still sees double. He sees things to his right using his left eye and things to his left using his right. His doctors are not sure how he functions as well as he does, but they can't argue that he does pretty much what he wants to, except drive, with style and grace.

For Soccer, he wears Sports Goggles with a strap to keep them on. He is an incredibly good Goalie on his amateur team. The ball is coming at him and he detects the motion and tracks it with the appropriate eye. He simply will not let the ball past him. This can be pretty hard on regular glasses, but the Sports Goggles seem to survive pretty well.

Interestingly, he has a friend and team mate (M) who is also significantly cross eyed, but does not need glasses. His strabismus is caused by malformation of his eyes where the optic nerve and fovea is offset from the normal position. The result is that his eyes have to cross so he can see straight ahead with near 20/20 vision in both eyes.

I am not all that familiar with Soccer and I don't know what position M plays. He is an absolutely deadly shot with the Soccer ball and he can put it exactly where he wants it, with as much power behind it, as he needs.

You can often tell what someone is going to do by watching their eyes. However, with these two, players on the opposing team can't tell where either one is looking. If you think the Goalie is not paying attention to your shot, SURPRISE, he was looking and just blocked your shot.

One funny thing happened about a year or so ago. One member of the opposing team got pretty frustrated with M, because he could not "read" him. He started giving M a ration of S**t about being cross eyed and stupid looking. To top it off M also has a speech impediment and stammers badly when excited. That makes it hard for him to respond in kind. Anyway, M finally had enough and fired the ball into his nemesis' gut, knocking the wind out of him and onto his back. The spectators roared their approval because they had seen and heard the verbal crap M was dealing with.

Unfortunately, M made a small strategic error at this point. Instead of rushing to his target and profusely expressing his apology for a misdirected shot (that he could have blamed on his vision), his speech impediment got in the way and he turned away with a "gotcha" look of satisfaction on his face. The referee saw him and presented him with a "red card" and suspension. He had to sit on the sidelines and watch his team play for 3 successive weeks before he could play again. However, M achieved considerable respect. I don't think anyone on any opposing team has mentioned his visual handicap again.

Something to think about. Maybe some prism in your glasses can be turned into a competitive advantage. We have a saying here. "If life hands you a lemon, make lemonade".


hoffide 27 Mar 2015, 21:03

My Prism glasses are becoming stronger. Jetz 24 prisms and left a 10 prism film.

Kris 27 Mar 2015, 17:21

I know I've hijacked this thread to talk about prism, but I have questions and this seems like the best spot. Sorry for those who aren't interested.

Since ordering my new readers with prism, I'm starting to wonder how this is going to work out for me. I currently wear progressives, and my plan is to wear the progressives except when I'm doing near work for extended periods. It seems like a nuisance to have two pairs of glasses that I have to switch between. I'm wondering how I'm going to find doing near work with my progressives (without prism) for those times I don't switch. As well, this only solves the issue of double vision at close range. Will I experience more issues with double vision at longer distances once I start using prism for near? Or, will taking the stress off trying to maintain near fusion, enable me to put more energy into maintaining fusion at longer distances. Part of me feels like wearing prism for near may cause more vision problems overall, but maybe not.

From what my ECP tells me, my prism script is going to change, so the readers are the most economical way to introduce prism, but I'm worried things might get worse before they get better. Once the prism is sorted, I'm more willing to invest in new lenses for distance. Any advice, anyone?

Kris 26 Mar 2015, 13:35

Thanks prismatic,

I'm definitely looking for others experiences with prism. It took me a while to accept that I would have to go this route, I really thought I could force the fusion and ignore the symptoms. My ECP had talked about me using them a year and a half ago, and I had no interest at that time. For now, I'm sticking with prism just for readers because it sounds like it can take a few tries to get the prescription right, and I really had the impression that my ECP does not think the first lenses will last me very long. Once things settle out I will see what needs to be done with my progressives.

Strangely, I was having more issues with vision today. I'm more aware of the second image my right eye is seeing and seem to be seeing double more. I also had a lot of eye fatigue today and found reading uncomfortable. I don't know if it's always been there and I've been ignoring it, or if the tiny amount of time I spent using the trial lenses with prism would have caused more double vision (it seems unlikely). It's amazing how, when you stop denying something is an issue, how the symptoms feel more obvious. I'm not sure I'm happy about the need for prism, but we'll see how this plays out.

Prismatic 26 Mar 2015, 05:44


I have been a long time lurker of this site but have never posted. Your story seems somewhat similar to mine and I would love to share it, but I have to leave for work. I am 38 and my Rx is +.5/-.5 90, -.25/-.25 87 Add 2.0, Prism 3.5 BI. I wanted to tell you that you can in fact get progressive lenses with prism, I have done it for several years now, and no one has ever told me otherwise. More later and good luck!

Kris 26 Mar 2015, 04:18


I play soccer and ultimate frisbee.

My readers prescription is Left eye 3.25, 2 bo, right eye 4, cyl -0.5, 2bo.

Cactus Jack 25 Mar 2015, 22:07


May I ask what sports you participate in?

Do you by chance have the prescription for your reading glasses?


Kris 25 Mar 2015, 19:49


The testing showed that I needed 1 prism at distance (essentially nothing).

The way my ECP was talking, it sounded like he expected I would be back in to adjust the readers in the first couple of months. He indicated he wanted to start low because I might have problems getting used to them. Is it possible, that as I get used to the near prism, I'll end up needing the same prism script for distance? It seems complicated with the current script for readers with prism, progressives without, and contacts for sports.

I did notice that when I came home, reading seemed more uncomfortable than before, even though I only had the trial lenses on for a few minutes. I really didn't want to accept that I might need prisms, but when I went to the ECP it seemed like he was waiting for me to see the light (so to speak). I'd asked if it was something I could hold off on doing and he really pushed for me to start using them now as he felt things were only to get worse for me if I didn't. I really thought I would just continue with stable low level symptoms, but he told me that was unlikely and that my ability to maintain fusion would decrease.

Cactus Jack 25 Mar 2015, 19:20


It is likely that your prism will increase. Your eyes automatically converge when you read and the reading glasses with 2 BO in each eye just lets them converge a bit more.

You can probably get progressives with 2 BO in each eye, but the 2 BO will apply to both distance and near. Bifocal glasses with different amounts of prism for distance and near are call Slab-off lenses. I seriously doubt you can get progressives with different amount of prism in each zone.


Kris 25 Mar 2015, 13:10

So I was able to see my ECP yesterday. After the exam he decided I needed prism just for near vision. He suggested I get the minimum I needed but did ask if I wanted the full amount prescribed. In the end he prescribed 2 BO for each eye, which isn't too bad. I'm getting readers with the prism and he's said he's willing to adjust the script in the next month or two if needed. I'm not sure when I'll get the glasses, but it definitely complicates things having two pairs of glasses. But, it is kind of a relief that I don't need the prism all the time, as I can still wear contacts. I know prism prescriptions tend to go up over time, but should I expect a change in the next couple of months? Will I be able to get this kind of prism prescription in progressives?

Cactus Jack 24 Mar 2015, 10:15


Yes, any Optometrist can prescribe prism and depending on where you live, use dilating drops.


Jo 24 Mar 2015, 09:36

Ginaa did you get your glasses? please tell us how you´re doing with them, i guess your close vision will get so much better

Kris 23 Mar 2015, 21:01

Thanks Cactus Jack,

I think you are right about the muscle relaxation being part of the reason why getting fusion back took awhile. It kind of reminds me of when I first got my glasses. It took a while to get used to them for distance as I had worked so hard for so long to maintain focus without glasses. Once the lenses relaxed, it became harder and harder to focus without glasses (and then of course there is the presbyopia...). It initially took a bit to figure out the test- i.e. figuring out where the right image was falling relative to the left and I think that I may have relaxed my vision a little too long. I've been feeling some pulling in my right eye today and feel like it may be turning in a bit more than usual.

I know, from when I made a wrong turn in the hospital one time, that there is a strabismus clinic in my city. I am going to ask for a referral, as it can't hurt to discuss options. Can any optometrist prescribe prism, or do you need a specialist?

I really thought that if I got my glasses prescription right the double vision issues would settle, but over the last few years I am more aware of seeing double intermittently. Talking it out on this sight has made me realize that I may be working more than I thought to maintain single vision.

Cactus Jack 23 Mar 2015, 20:41


I have never had any reports of the test causing any problems. Generally, the test does not take enough time for any adaptation to occur. What may be happening is that you are maintaining effort to fuse or attempt to fuse images and when you allow the muscles to finally relax for the test, they are having difficulty responding to your efforts because of fatigue.

You may have identified something else that is going on with your suspicion that your brain is sometimes ignoring one of the images. I need to think a little more about your symptoms.

The reason I suggested the Pediatric Ophthalmologist is that they often have more things they can do in addition to muscle surgery such as Botox Injections and drops that partially reduce the strength of muscles that are too strong. The big thing they may be able to do is identify and isolate the cause of your double vision.

Hopefully, you live in an area where there are several Pediatric Ophthalmologists where you can get more than one opinion about what is going on.

One thing about using prism correction is that it is generally reversible by simply taking off your glasses. There might be some concern about adapting to and becoming dependent on prism. I think you do have some long standing Esophoria or Esotropia and you are past the point where you can use your muscles to correct it, without some help. You may not be at the point where you need full correction, you may just need enough prism to get the images into range where you can do the rest yourself.

Also, wearing prism will not affect surgical, medical, or therapy possibilities. Please be aware that correcting Strabismus problems can be a long and drawn out.

You have not said where you live. If you happen to live in the UK, one of the best eye hospitals in the world, Moorfields, is in London, I believe.


Kris 23 Mar 2015, 19:13

Cactus Jack

What are the advantages of seeing a paediatric strabismus ophthalmologist? If I don't want surgery is there any benefit to seeing them? My optometrist seems willing to prescribe prism, is there a reason why I shouldn't just see him?

I tried the PD measurement again today. My PD with glasses on seems to be between 24-25. With glasses off it's about 33. I'm now not sure if I can achieve fusion, or if I've just been ignoring the info my right eye is sending me. I can bring the images together, but still have 13-16 PD between images, even with effort. I usually have to turn my head a little to get rid of the double vision. I've had more problems with double vision today, I think in part because of taking this test and relaxing my vision.

I thought I would be able to power through these issues without correction, but am I deceiving myself? How much deviation before correction is necessary?

Kris 22 Mar 2015, 21:06


I can track my finger. My eye turns in when I move my finger to the left side and looks like it stays there a beat or two longer than it should as I move my finger to the right. Otherwise, full movement. I feel like my right eye is a bit more "free range" than it used to be, and I seem to be catching it turning in more often. I may just be more sensitized to it now. At first, I would find my eye turning in with my glasses off, but at times I'm now catching it turning in, even with glasses on. It's usually when I'm looking through the distance part of my lens at mid distance objects (over a couple of feet away).

Before I got glasses, I feel that I was relying on my left eye for vision. I had poor depth perception and would often find myself covering the right eye to read, watch presentations, or when I was tired. I have improved vision with my glasses, but still feel I use my left eye more than my right. It sort of feels like I use the right for peripheral vision and the left for the full field of vision.

I've been seeing an optometrist, but have been planning on asking for a referral to the strabismus specialist before I commit to prisms (if I need them). It's been normal for me to occasionally see double, and it's only through people's talk of prisms on this website, that I am starting to question some of my symptoms.


Cactus Jack 22 Mar 2015, 20:35


The catch all term for almost any flavor of Strabismus is Muscle Imbalance, but it can be caused by Muscle Problems, Cranial Nerve Problems with the nerves that control the muscles, and/or Issues with your Eye Positioning Control System in your brain. Unfortunately, the only ways we have to correct Double Vision problems is Prism in Glasses, Muscle Surgery of some type, or possibly, Vision Training. If the problem is not directly related to the Eye Positioning Muscles, surgery on the muscles seems to me to be counting on two wrongs making a right. The problem with most muscle surgery, other than Recession where the attach point is moved, results in the formation of scar tissue which does not have the ability to stretch and contract like regular muscle tissue.

The eye positioning muscles work in opposing pairs where one contracts and the other relaxes. One of the problems you can have is that for normal eye motility, there is never a requirement for your eyes to diverge beyond the central axes of vision being parallel, when you are looking straight ahead. However, it is normal for your eyes to be able to track and follow an object moving from far left to far right or vice versa. If your eyes are converged, it takes a lot of effort to cause them to diverge. I find that if I am seeing double, trying to fuse the images by forcing divergence, without my glasses, will often cause more convergence.

Is your right eye able to fully track your finger from left to right and vice versa. You might try a tracking test wearing your glasses (tholepin you focus and your finger about 20 cm from your face. Don't worry about trying to focus, just track your finger. It is normal for the inside turning eye to "hit the stop" before the outward turing eye hits its stop. When the eye hits the stop it is normal to break fusion because the eye cannot turn farther.

Is the ECP you visit a Pediatric Ophthalmologist that specializes in motility problems?


Kris 22 Mar 2015, 15:18

Thanks Cactus,

I'm math brained and like to understand what is going on so would love to have more explanation of the fusion/prism issue. I am also interested in the pros and cons of prism vs surgery. Since I had eye surgery as a kid (right eye only), does this make it a less viable option? I not a fan of surgery, but do like to be informed of my choices.

I had a conversation with my ECP about a year and a half ago because I was experiencing intermittent double vision. He definitely thought prism would be an option for me, but did warn I needed to be committed to the idea before he would prescribe. I didn't dare bring it up at my last exam (I didn't want to be told I had to have it). I wear contacts for sports only, and am finding them less and less comfortable, so I may be ready to talk options by my next visit. I think I lived in the hope that I still had some latent hyperopia that would resolve the issue, but my distance script has been toyed around with and the double vision is still an issue.

I have gone up quite quickly in my add (up to 2.25 in 4.5 years). I always go to the ECP with complaints of eye strain but didn't have problems reading the fine print. As well I've been getting headaches, and I wonder if part of the issue is my strabismus.

I just redid the prism test and settle between 22-24 prism diopter. I can bring it down to 13 with mild effort, but have to really work to bring the images closer.

Any advice is appreciated. I think I've been asking on this site, hoping there was some magic cure for this (other than prism/surgery).

Cactus Jack 22 Mar 2015, 14:42


Lets do a little math. If you were 3 meters away from the target you can just divide the displacement by 3 to get the approximate number of diopters of prism that would be required to fuse the images. For example if there was 90 cm displacement at 3 meters, it would take 30 diopters of prism to fuse the images, but that number may not be what you really need.

There are other factors that affect the readings. You experienced the practical side of one of them by comparing the displacement with and without your glasses. I don't have your exact prescription in mind, but if I remember right you have some hyperopia, but I don't remember is there is any prism in your glasses. If there is no prism in your glasses, part of the problem is the strength of the connection in your brain between the focus control system and your eye positioning system. The act of causing your ciliary muscles to try to focus distant images also triggers a convergence response and your eyes try to converge, increasing the displacement.

You may in fact need 30 diopters of prism, which would typically be prescribed as 15 in each eye or maybe a bit more in eye that tries to turn inward and a bit less in the other eye. Or you may actually just need a little help to get the displaced images into a range where your eye positioning system can take over and complete the fusion task.

I hope this helps some. The eye positioning system is fascinating from an engineering point of view. It is what a Mechanical or Electrical Engineer would call an Open Loop Servo System. I don't have time, right now, to explain and I don't know if you have any interest in how it works. Please let me know any other findings.

Maybe we can talk about the pros and cons of prism and muscle surgery.


Kris 22 Mar 2015, 14:12

Cactus Jack,

We must have posted messages at the same time. So with your conversion. My prism diopter with glasses on would be between17 and 22 and with glasses off it would be over 30.

I only set up to measure about 12 prism diopters as I thought the distance between images was fairly low. Had to reset to really get a sense of it.

I will retest in the next couple of days, as per your recommendation.

Kris 22 Mar 2015, 13:52

I tried the home test to sort out what my eye deviation is. I did it with both glasses on and off. I stood 3 meters back and, with glasses on, the left eye image and right eye image were 51 or 52 cm apart. I could bring it back to about 30 cm easily but had a hard time getting the images to re-fuse. I could feel the strain on my right eye (the one that deviates). With glasses off the difference between images was over 90cm.

I tried again a little later with my glasses on, and this time the images quickly moved to about 50 cm apart. I was able to relax my eyes a little more and the images moved to about 64-66cm apart. After both tests it took 10-15 minutes for my eyes to settle again, I could feel them fighting the fusing of the images.

What does this mean? Is this in the range of deviation that people don't need prism/surgery to correct?

Cactus Jack 22 Mar 2015, 13:44


That would be correct. A 1 prism diopter lens will deflect a ray of light 1 cm at 1 meter, 2 cm at 2 meters, 3 cm at 3 meters, etc.

You should do the test a few times over a few days. Early morning when your eye positioning muscles are rested and relaxed and perhaps later in the day after you have been doing some close work.

Hope this helps.


Kris 22 Mar 2015, 11:35

Cactus Jack,

I've moved my prism question to this thread, since this is where I usually post. If I understand the prism test properly, if I am measuring at 3 meters a prism diopter would be 3 cm? I just did the test and want to check before I post results.

Julian 22 Mar 2015, 04:54

Well said, Carrie; Don't let the bastards grind you down Ginaa!

Carrie 22 Mar 2015, 02:39

Ginaa don't stop posting! I got abusive messages on here but I ignored them and I still post. The website owner can block people who continually post abusive messages.

I think you might have needed glasses for much longer than you realise but your eyes have, up until now, managed to force themselves to focus. Welcome to the club. You are officially a female "plussie". Your optician said to wear your glasses when you need them. That's likely to be just for reading/close work for now and that's how it might stay but you also might find yourself wearing them more and more and eventually finding that distances are no longer blurry and you don't need to take them off to see across the room (which could be useful). It's possible that you might eventually also need your glasses for distances or even all the time. I did (although my first prescription was weaker than yours and I began wearing full time before I actually found I needed to). Your prescription is very close to mine - I'm Left +2.00 and Right +2.50. I couldn't cope with reading without glasses - I could just about manage a few lines but it would be very hard work. Also my eyes would soon get uncomfortable if I didn't wear my glasses all the time as I need them to see clearly at all distances. I'm not "blind" without my glasses for distances but I would never drive without them.

Ginaa 21 Mar 2015, 21:00

K, thanks! Bye!

 21 Mar 2015, 17:30

Ginnaa, you should be going through the chage of life in another week or two, at this rate.

Soundmanpt 21 Mar 2015, 17:27


Thanks for the update. Were you surprised that you needed a little bit stronger glasses than the readers you bought? You know of course if your comfortable with your readers and feel like for the time being they are doing the job then your doing no harm in just using them until they start to feel too weak for your eyes.

Don't stop contributing in here. Ignore the remarks that come from those that never say anything of any interest. If you leave then they win. Don't allow yourself to be bullied.

Kris 21 Mar 2015, 16:25


Did your ECP indicate if you were hyperopic or presbyopic or is the script a combination of the two? Did she give you any indication of what to expect with your script over the next few years?

Ginaa 21 Mar 2015, 14:52's been really busy in my neck of the woods the last couple of days, but here is the update of my exam.

Had a dilated exam and after all the "1 or 2?" clicking and so-on, I came away with a Rx of +2.00 for left eye and +2.25 for right eye. The Dr. said that I should use them "when I need them". I did express my concerns about needing them at a young age and she admitted that I was way below the average age for such a near vision Rx but the exam results and my experiences in the last few months speak for themselves (paraphrasing of course).

Despite what some have said here; I decided against bifocals or progressives, and am getting regular glasses at the Rx she prescribed and will use them when needed. I've already pretty much gotten used to the routine with the off-the-shelf ones that I bought, and it really isn't THAT inconvenient all things considered.

P.S. I know what this website is all about. I'm not some simple-minded naive person. I DO have an interest in glasses and that's why I knew about this place. However, my interests have always been glasses-on-other-people, and NOT glasses-on-me. I finally posted because I was looking for specific information or advice when my vision issues began (or when they got to a point where I could no longer ignore them) and I continued posting because I know people are interested. However, if my posts are going to cause trouble I have no trouble going silent as a lurker so....there's that.

 20 Mar 2015, 10:32

Just let the woman wear her readers, perv

Soundmanpt 20 Mar 2015, 10:06


So yesterday was the day of your eye exam. You knew going in that there was no doubt that you were going to be prescribed glasses. The only question was what your prescription would be. The only question really is if your distance vision isn't quite as good as you think it is or not. Of course if you have even the slightest need need for distance correction them progressives (bifocals) is the easy answer. And even if your distance vision is still perfect since you have found that you really can't see to read even normal size print anymore without glasses then for convenience sake you really should get progressives so your not doing the on and off thing all day long. I'm sure if those readers you bought had clear lenses in the top section you would probably keep your glasses on at least all day while at work. The thing is your eyes don't need +1.50 correction to see things in the distance. So if you get single vision glasses even in your prescription your going to have the same problem when you look up and want or need to see something in the distance.

Kris 18 Mar 2015, 15:47


I was told I needed progressives when I was 38 and I got them a year later (denial is strong in me). It was a year of blurry distance vision because of the strain I was putting on my eyes using my near vision. I'm a lesson for others. Even though I'd had eye issues as a kid, I only had one eye exam in my 20's prior to seeing an ECP at 38 because of eyestrain (I was increasing the font size on my computer and could only use it for 30 minutes at a time). My initial lens script only lasted for 2 months before I was having issues again and I was given my full distance prescription. I actually thought they had overprescribed the second script and went back because I was having issues with blurry vision and that is when I was told I needed progressives.

My ECPs comment to me at the end of my first exam is that I should've been wearing glasses years earlier (I had a pair for reading prescribed when I was 25, but rarely used them). I'm farsighted and as you are probably aware, we end up needing progressives much earlier than those who are nearsighted.

I cannot imagine that you would need +3 lenses. I would think you would be really suffering if that were the case. I am curious if you do have hyperopia, as one of the first signs can be difficulty with near vision. Let us know what comes of the eye exam. I'll save any advice I may have for when you know what is actually going on with your vision.

Phil 18 Mar 2015, 15:18

We just hardly hear from Gina on this thread, do we?

Ginaa 18 Mar 2015, 15:12

Tony and Jo,

+3.00 seems awful high to me. I think that's higher than anything available off-the-shelf and the ones I bought (which are lower than that) seem to work fine for close up. I'll find out tomorrow I guess.


In an earlier post you mentioned that were under 40 when you first got progressives or a reading Rx. Just curious how old you were because I'm barely in my 30's and I'm staring down the barrel of reading glasses after my eye appt. tomorrow; with a lot of people here thinking I'll go straight to bifocals.

Kris 18 Mar 2015, 14:02

I've commented recently on the progression of my presbyopia so that I can no longer function, even for short periods of time, without my glasses. I had still been able to check my phone with my distance prescription contacts in. However, this week, even with my contacts in, I could barely make out messages on my phone and reading regular print is challenging. Even though I've been in progressives for 4 and a half years, it's only in the last six months that I cannot function at all without them on. I am going to have to invest in reader's for times when I want to wear contacts. Even though my presbyopia has been progressing for a awhile, crossing over this functional threshold is definitely an adjustment period for me.

Jo 18 Mar 2015, 08:40

Tony the correct rx you predict would be +1,00 add+2,00, i guess Ginaa will get that rx too, good luck tomorrow!

Jo 18 Mar 2015, 08:40

Tony the correct rx you predict would be +1,00 add+2,00, i guess Ginaa will get that rx too, good luck tomorrow!

tony 18 Mar 2015, 08:27

i bet +3,00 for close, maybe +1,00 for far to Ginaa

@ Ginaa 18 Mar 2015, 04:33

... tomorrow (thursday) a lot of eyescene's user will have some thought for you, Ginaa !

You will know about your prescription, and in a few days, you will have to do with yor own glasses...

The best things for you, Ginaa.

Ginaa 16 Mar 2015, 08:45

Back to work today and relieved to have the glasses back.

Suddenly it's actually possible to use my phone and see everything else within an arm-length.

researching and Reading through old seems that wearing reading glasses for presbyopes or hyperopes deconditions the eye muscles, but for some it is possible to recondition them, especially younger people. Well, over the course of 3 days without reading glasses (and after only about a week of using them!) I gained no focusing ability back at all and may even be more dependent on the glasses; it makes me think I'm presbyopic rather then hyperopic even though I'm only 31. I could be wrong, I'm no expert. I'll find out on Thursday I guess.

Slit 14 Mar 2015, 10:56


I understand :)

Fine, in this case probably it's best to have a good netflix time...

Ginaa 14 Mar 2015, 09:35

I don't live with my parents; I'm all grown up and on my own! LOL!

Anyway, my Mom is the recognized cook/baker in the family and few years ago for Xmas she printed off these recipe card packets for her me, my siblings, and her siblings; that's why I have them.

Slit 14 Mar 2015, 03:57

Ginaa.... sorry to hear the trouble... well we all have been through it one time or the other...

Do you stay with parents? Just by chance is there an early pair of glasses mom used for reading?

Ginaa 13 Mar 2015, 13:29

Appt. is toward the end of the upcoming week (Thursday to be exact).

...and yes I can go a weekend without reading, but I like reading! That was part of the 'be-lazy-for-3-days' plan! Seeing the computer properly is even a challenge but at least web pages are zoom-able and font-size is adjustable. And a few baking projects are out since it seems I can no longer see the recipes (Mom's old recipes printed on cards)....still amazed how fast I have become dependent (1 week!?!?!?)

Anyway; I guess I could binge-watch some Netflix instead. :-)

Soundmanpt 13 Mar 2015, 09:50


It seems your off to a not so fun start to your 3 day weekend? If it makes you feel any better what you did it very common for anyone that wears readers. So most everyone that only wears readers often times has quite a few pairs lying everywhere. Because your new to even wearing glasses it is even more likely that you would do just as you did. You were probably doing the on and off thing most of the day and near the end of the day in order to see distance clearly you probably took off your glasses and laid them somewhere and then as you say being excited to start your weekend totally forgot them. But even though you have only had your readers a very short time your eyes have already adjusted to them and now trying to read almost anything without them is nearly impossible. This was sure to happen once you started wearing them for reading and other close things. Now I know your reluctant about the idea of getting progressives, (bifocals)but now your beginning to see why even though your distance vision may in fact be just fine without any vision correction the idea of not having to take them off and on so much, and forgetting them, is a lot easier. You found out that even something as simple as shopping is now pretty much impossible without glasses because your eyes can longer focus up close.

It seems a big waste to drive over 30 miles even to get to a store to buy another pair of readers and then find out once you get your eyes examined that you need a different prescription which is likely to happen. Maybe you would be better off just not doing any reading over the weekend. Didn't you say your eye appointment was this weekend anyway?

Ginaa 12 Mar 2015, 16:10

Interesting and humiliating....Off from work and headed into a 3-day weekend, I left the glasses at work in my excitement and rush to get the heck outta there! I didn't notice I left them until I stopped by a local clothing store to do just a bit of shopping; I am in need of a few work shirts (the paint/markers/etc. have a way of finding your clothes when you work with little kids!!).

Anyway, I was surprised (thought I should NOT have been the way things have been progressing) to find it impossible to do by myself. After some familiar arm-strtehcing to maximum length, I finally swallowed my pride and asked a store associate for help several different times to figure out both prices AND sizes on a few different items. I finally got what I needed and after struggling mightily with a debit card machine at the register I got out of there sufficiently humiliated. The reality of my situation keeps finding ways to remind me of itself!

I went straight home out of frustration as I have quite a long commute but now that I'm here with a cooler head; the I follow through with my original plan to sit around the house and do as little as possible (but be without glasses for 3 days) for my 3-day weekend OR do I drive all the way back to town (which is a good 30 miles BTW-I really live out in the boonies) to get another pair of off-the-shelf glasses to get me through?

Ugh, blerg; decision, decisions........

keith 12 Mar 2015, 13:24

Had an appointment with the eye doctor yesterday. Distance vision remains good. She wrote a prescription for reading glasses----+1.25 for both eyes.

Ginaa 11 Mar 2015, 19:35

Appt. is the end of next week. We'll see how things go.

Soundmanpt 11 Mar 2015, 19:28


I am not at all surprised that is happening to you. Your eyes are adjusting to them and that's fine your not doing any harm to your eyes. And you can expect the same will happen once you get your eyes examined and get your correct prescription. Your eyes are enjoying the help and so now when your trying to read something without them it is even harder than before you got the readers. And because your eyes don't need the same prescription in order to see distance is why everything at even a short distance is pretty blurry with them. Now your beginning to see why I keep suggesting the idea of progressives. If you had them you would be able to look at things in the distance and see them without any problem with your glasses till on. And of course anytime you wouldn't be reading you wouldn't need to wear glasses at all. But at the same time if your okay with wearing glasses you can wear them even full time. If you only get single vision glasses when you get your eyes examined then you will be doing just what your doing now. Putting them on quite often to see anything in print and either taking them off all the time to see distances or if you just force yourself to keep them on after awhile your eyes will slowly adjust to them for distance, but then you will need in order to see distance as well as clsoose up.

So is your appointment still 2 weeks away?

Ginaa 11 Mar 2015, 17:26

Well, it's been a full week using the readers. I find myself using them more and more each day when at first it was just sort of experimentally once-in-a-while. In fact, I may already be past the point of no return because when I make a point of trying to go without them, some tasks are quickly approaching impossibility!(I'm looking at you mobile Facebook!) They still make the distance quite blurry, so no change there.

Keith 11 Mar 2015, 04:29

Am going to the eye doctor today----will see if presbyopia is approaching.

Slit 10 Mar 2015, 04:00

Hi Ginaa,

Good that you are not straining eyes and using at least the over the counter glasses... it is not so bad as long as an element of astigmatism or different prescription in two eyes are found. So definitely you should get the eyes tested when there is an opportunity.

I noticed you are somewhat apprehensive about the progressive addition lenses... well, I would say "try and see" ...check it out before you decide. It's extremely useful as an young person. In this day and age we need to switch between near and far often (mobile phone/ car GPS/ iPod etc & distant viewing while walking/ jogging/ travelling as well as parties/ club/ theatre entertainment etc). So please ask for Upper Segment Plano with lower segment prescription for your near tasks.

However, as a 1st time prescription glasses wearer, there are 2 things you should deal with a cool head:

1. Ignorant people who make remarks on "why progressive before 40?" - if they haven't been where we are, they have no clue about what we go through and it's not their business to comment on.

2. Getting used to the head movements needed to see through right region of progressive lenses. - once gotten used to, this happens automatically and effortlessly. All you have to do is move the head gradually towards what you want to see and if for anything near and mid distance, direct your nose towards what you see...

Looking forward to hear from you with results of eye test...


Ginaa 09 Mar 2015, 16:27

I continue to wear them for near stuff, but they are really unsuitable for distance vision so far. I haven't worn them for any length of time to try to adapt over the course of a day or anything, but in the limited time I've worn them between close tasks they were really quite blurry.

It would really surprise me if I need an Rx for anything but near vision, as my distance vision is actually really good if I do say so myself, but reading through some stuff on this site I can see that others have been fooled so I guess we'll see.

Willy 09 Mar 2015, 11:45

Ginaa -- I would agree with Soundmanpt that you should at least go ahead and have your eyes examined. The symptoms you have described would be unusual for someone your age if there weren't some degree of hyperopia present. So I would be surprised if you weren't told to prepare for a bifocal or progressive prescription at some point. But it may well be that for now you would end up with a fairly simple prescription that can be taken care of by drugstore readers, if not the very pair you already have.

 09 Mar 2015, 10:29

Save your money. The readers are fine.

 09 Mar 2015, 10:29

Save your money. The readers are fine.

Soundmanpt 09 Mar 2015, 10:13


Getting the readers was a very good idea until your able to get in and get your eyes examined so you can get your correct glasses. It could even turn out that the readers you bought might be the correct prescription for you. But getting your eyes examined is really the right thing because you may need one eye to be stronger than the other, or you might find out that you also have astigmatisms that need correction as well. But for now using the +1.50 readers is a very good idea and they clearly are helping your eyes.

But as good as they are for seeing close things, how is your vision when you try and look across the room at something? I would imagine it is blurry? That is the reason I am suggesting that if you don't want to be taking your glasses off everytime you look up from reading progressives (bifocals without the line) is a good solution. That way if you want you can keep you glasses on all the time if you want and be able to see distance as well as close up. You don't have to have a prescription in the top if you don't need any. I'm sure the more your eyes adjust to those readers you bought the harder it is going to get for you to read anything anymore without glasses. So my point is that it will start to be a pain with needing topull out your glasses to see a price tag and then take them off to drive home etc.

Ginaa 09 Mar 2015, 04:23

The glasses really work well for near tasks; I was really planning on just kind of experimenting with them until I get a real Rx but once I used them a few times it has been hard to go back! I'm not wearing full time, only for up-close work.

As far as the people around me, it has been mostly non-surprise because it seems everybody has seen me struggling, hold things away from me, etc. Like I said before; my Co-Teacher had seen me struggling and wanted to offer her own glasses to help but didn't want to embarrass me. Once she knew I recognized it was a problem she actually did offer them once before I got the off-the-rack glasses. Basically, wearing the glasses (even though I'm not thrilled with the idea) is better than struggling embarrassingly or borrowing my 40-something year old Co-Teacher's.

Slit 08 Mar 2015, 21:34

Hi Ginaa,

How are you managing with the over the counter glasses? Did you wear them full time or just for reading etc? How was the reaction of your near and dear people?

Cactus Jack 08 Mar 2015, 07:21


Presbyopia is creeping up on you, like it does for almost everyone. There is nothing you can really do about it except get some focusing help. If your distance vision is good, you can probably get by with some Over-the-Counter reading glasses in the +1.25 to +1.50 range. However, I would suggest that you strongly consider an eye exam at least once a year to be sure all is well not only with your eyes. The eyes are windows into the body and many "silent" health conditions are first detected during an eye exam, before they can adversely affect your life style or do much permanent damage. Some examples of these are High Blood Pressure, Diabetes, Glaucoma and Dry Eye Syndrome. If they are detected early they are usually easy to manage and prevent long term damage.

If you get some reading glasses or bifocals, you may think that they have caused your close vision to deteriorate. This is because you will likely find that you soon need stronger reading glasses. This is not because your Presbyopia has suddenly increased, but because your ciliary muscles have been relieved of their impossible task and have become de-conditioned. It can happen fast, but again there is not much you can do about it. However, depending on the type of close focusing you need to do, the PLUS power you need will depend on how close you need to focus. If you like to read at 40 cm or about 16 inches the most you will need is +2.50. If you like to focus closer it will need to be maybe +3.00 or +3.25. I like to read in bed and +3.25 makes it easy and comfortable.

I hope this helps you understand what is happening to your vision as you get older. It is nothing to get excited about, it is just part of life. If you have more questions, please ask. Welcome to the group.


Keith 08 Mar 2015, 04:55

Am 46 years old and have noticed more and more that I am rubbing my eyes while doing close-up work. Is this a symptom of possibly needing reading glasses. Had my eyes checked in December 2013 and all was good.

Kris 07 Mar 2015, 15:16


I was hoping that as I lost my ability to focus at near, the eye turning in would settle since it wouldn't be able to focus anyway. At this point I'm not having many issues with double vision and if it starts to happen, I can usually get myself refocused to only see one image. I didn't realize that as my eyes age, that my childhood issues with my eye turning in would reappear. I was ready for the loss of near vision, and this is just the icing on the cake, I guess. I'm definitely making up for all those years I felt bad for my nearsighted friends and enjoyed my "perfect" vision. I recall wishing I had glasses, but have learned that you need to be careful what you wish for.

Cactus Jack 07 Mar 2015, 09:04


The eye turning inward phenomenon without your glasses or when not looking through the Add part of your glasses for focusing close is pretty common in people with hyperopia. The cause is pretty easy to understand.

There is a two way connection in your brain between your focus control system and your eye positioning system. When you focus on close objects, your eyes must converge to NOT see double. The strength of this connection varies with individuals. Without your glasses or an Add to help you focus close, your focus control system has to strain to cause your ciliary muscles to try to focus close - it does not mater if you actually can or not - the act of trying to focus triggers the convergence response and your eye or eyes try to turn inward. This is the reason you often see young children wearing bifocals to help their eyes to NOT cross.

It is possible to alter the strength of the connection between focus and convergence through vision training, If that does not work, then prism is used to allow the eye to turn inward and correct the resulting double vision.


kris 06 Mar 2015, 23:18

Although I've been in progressives for almost 5 years, I had been able to get by without them in a pinch. This made me feel better about being in them before I turned 40. I could read caller ID on my phone, check my email on my phone, and read regular font sizes. I couldn't do it for any length of time without a headache but it was nice to know I didn't need to reach for my glasses every time the phone rang or if I wanted to quickly check something on my email. It seems those days are now over. I've noticed that print has been shrinking in the past 6 months. It now takes good lighting, arm stretching and some decent squinting to make out anything without my glasses. I can't make out words at all if the letters are crowded or if the font is low contrast. I know this has been gradually happening, but it seems like the change from functioning without glasses to limited function has been pretty abrupt.

My current prescription is Right eye 1.75, -0.5, Left eye 1.0 with a 2.25 add. I hold things pretty close to my face when I read, which is part of why my add is where it is. I'm amazed what the little bit of astigmatism correction has done for vision clarity in my right eye. Before getting glasses I don't think I was using my right eye very much and had noticed real issues in depth perception which has been corrected since getting glasses.

The downside is my right eye now turns in frequently if my glasses are off and it makes me very self conscious. I've noticed that it does turn in if I look at something close up without looking through the add part of my glasses. Friends have noticed it as well. I've had some issues with double vision but they have not been bad enough to need prism (although my eye doc has said I may need them at some point). I had strabismus as a kid and was treated with surgery and glasses (until I was 7). Does anyone know if my eye turning in is expected to get worse as I age, or should it settle down?

Please excuse my ramblings, I am just trying to adapt to the changes I've noticed and figure out what to expect with my issues with strabismus.

Aubra 06 Mar 2015, 10:22


There is no big deal going into varifocals - not bifocals which may have a visible line.

My wife at age 44 got them a year or so ago and adapted very quickly.

Nothing worse than for example a lady about mid-thirties in the pub the other night who constantly changed between her about +2 glasses and +4 readers to see things.

Just get a good quality pair that give good peripheral vision, and you'll be amazed at just how easy it is see everything clearly at all distances.

Ginaa 05 Mar 2015, 03:42

Well, like I said; thanks to technology I know from a LOGICAL standpoint that nobody would know they're bifocals but I still can't help but hope a little that I DON'T end up in bifocals (just a psychological hurtle I guess).

I continued to wear them for tasks at home last night after work and it was kind of amazing how they helped with tasks I didn't even realize I was having trouble with or that I didn't really even associated with near vision; such as preparing food. Then; as I'm off to such an early start this morning; I used 'em to help with makeup application and what a difference they make; especially with mascara and eye liner (though it's a little tricky to work around them).

Anyway; I'm gonna get outta cyber space and back into the real world to start my day now....more updates later probably.

Soundmanpt 04 Mar 2015, 20:12


Now you can see why I was suggesting bifocals for the reason you found. With the readers even though they seemed to be working pretty well for reading and other close things anytime you would be looking up there going to cause everything at even a short distance to be blurry. Now of course if you do end up getting single vision prescription glasses they will be nearly the same as the readers you now have. Now as others have suggested it is possible that your doctor may think it is better for your eyes to adjust to glasses for distance as well. That is something you need to ask when you're being examined.

Ginaa 04 Mar 2015, 16:51

May as well keep updating until the eye appt...

I went ahead and bought off-the-rack readers. I had a hard time deciding what number to get. The higher ones were amazing up close (made me realize what I'm missing up close actually), but there was no way I could tolerate through the distance. I don't plan on wearing them all the time anyway, but if I'm just glancing up from near work it'd be nice to not be in a TOTAL blur (just a little blur).

The rack actually had a little viewer with what looked like a page from a phone book inside-you could look through and click through different numbers; kinda cool if a little imperfect.

Anyway, I got a pair at +1.50; and tried 'em out a few times during the day. It was an interesting experience and a mix of emotions...good emotions as in 'WOW, I can see what I'm doing!" and bad emotions as in 'Oh no, this confirms it; I'm a glasses wearer now.'

Even after using them only experimentally, I'm kinda thinking they're gonna be a fixture for me; in only a day they've already made life so much easier (I can even see the watch instructions).

I can only imagine the difference a 'real' pair will make.

DS 03 Mar 2015, 20:07


You're right that things work differently with nearsightedness. There, the power of the eye is too strong and the eye is relaxed, even when looking at a target closer than infinity.

Basically, hyperopia leads to overworked muscles while myopia leads to underworked muscles.

Thus, a different problem can happen with myopes where upon getting glasses they have difficulty reading comfortably. Because the muscles haven't been fully exercised, not being needed to read when not wearing correction, they are weak. This isn't as common as needing to decondition the hyperopic eye because the inability to see clearly, as opposed to the farsighted eye that can compensate, causes glasses to be sought out earlier both in age and in magnitude of the prescription.

Ginaa 03 Mar 2015, 18:12

OK, the muscle relaxing thing makes sense though I don't think that happens to nearsighted people does it?

Otherwise you may have talked me into the off-the-rack readers...sure enough, now that she knows, my co-teacher wants to talk about it every time she sees me struggling, including an offer to use her glasses-no thanks! In order to avoid this I may get the off-the-rack ones just to avoid the attention over it!

Willy 03 Mar 2015, 10:47

Ginaa -- The issue of farsightedness versus nearsightedness can be a bit confusing at first, so I would not worry too much about what you can see at distance through the drugstore reading glasses. But given that your struggles have been noticed by your co-worker (and likely by others), I would again encourage you to try a pair to help you see up close for the next couple of weeks.

DS 03 Mar 2015, 05:58

The eye focusing mechanism contracts muscles to focus close and relaxes them for distance. With hyperopia, those muscles are under constant strain, as if reading all the time, and it can take some extra time to decondition and fully relax.

Until the muscles relax, a full prescription results in blurry distance vision. Therefore, the doctor usually eases someone into their full prescription to maintain the clear distance vision that the person is accustomed to and as necessary for driving.

It is customary to get a vision check-up every year or two, but it is common for the emerging hyperope to be seen more often until the full distance prescription can be tolerated.

Ginaa 03 Mar 2015, 03:46


Well, maybe it would be useful to take a look. At least I'd have something to talk to the Dr. about as far as the Rx number goes; no promises that I'll actually buy them ;-) though I might be forced into it by the struggle!

One question though; what do mean by getting to my full Rx quicker? Why would it be slower otherwise, and what exactly does that mean? I guess I'm not getting it.

DS 02 Mar 2015, 20:58


If you are indeed farsighted, as I'm guessing given your age, wearing readers before your exam might help get you to your proper prescription quicker by allowing your eyes to relax as much as possible before the doctor visit. If you're planning to buy glasses from retail optical, this could save you some money in the long run by not having to replace lenses as soon.

If you put on the lowest power drug store readers and can still see fine in the distance, then you would confirm the farsightedness. The right pair would be the strongest pair that lets you still see clearly in the distance and in a form that you could wear for all activities vs. only near tasks.

Otherwise, the readers are only there to help you read, are relatively inexpensive, and would probably be convenient to have laying around anyway. You won't do any harm by trying them.

Ginaa 02 Mar 2015, 16:36

I brought all this up with my Co-Teacher in the classroom, and she mentioned that she has seen me doing the arm-stretch. She knows all about it but she's in her early 40's; She said she has thought about offering hers to me to borrow when she's seen me struggling but didn't wanna mention anything and embarrass me, so I guess my need is no secret to her and probably others around me.

BTW, thanks for the advise but I'll probably skip the store-bought glasses thing; I don't want to get the wrong Rx level since I don't know much about it. I've survived this long without, I can make it a couple more weeks.

SC 02 Mar 2015, 12:32


As to your concern about how quickly your vision has deteriorated...

Vision seems to vary on a day by day basis - I remember that some days I could read something and some days I couldn't. I started reading a book where it each page corresponded to a day of the year. It was a struggle from the start (January) but by May I just couldn't read the small print and gave up. I got glasses 7 months later and read the book from then on.

Even during that time, I'd pick up a book (not small print) at bedtime and sometimes I'd be able to focus and sometimes not.

I guess when you reach the 'tipping-point' things become unpredictable.

SC 02 Mar 2015, 12:24


As you have realised you will need glasses. Your test will determine what you need. You could have early onset presbyopia in which case you will need reading glasses. Alternatively you could be far-sighted, in which case you need glasses full-time for distance that will also help solve the reading issues.

Or it could be combination of the two, in which case you'll need two pairs or progressives as others have suggested

Aksel 02 Mar 2015, 11:42


My gf had sore eyes for some time and got to the eyedoctor.

She got a new prescrption, that is :

OS : +0.25

OD : -0.25 +.25 160

She said it didn't change, except her OS prescrition is now +0.25 lower.

However, I can tell looking at the left lense of her old glasses that there is some astigmatism prescription, and that the objects are a bit smaller than with my own +0.5 plain prescription.

So I guess her old one was probably something about +0.5 -0.25.

How come she was now given no astigmatism prescription to this eye ?

Is it possible to go from +0.50 to +0.25 ? Did her eye get larger ?

Fyi, she is 28, wears glasses since she is 17. She saw the same eyedoctor as ever.


Willy 02 Mar 2015, 11:10

Ginaa -- I don't know that drugstore readers are "all" that you will need, but they sure will help you for the next couple weeks until your appointment, so I would not hesitate to pick a pair up at your earliest opportunity. You can try different strengths off the rack, but if you don't feel comfortable doing that, from what you have described, you might try +2.00...

Ginaa 01 Mar 2015, 16:14

Small town, only 2 places available....not worth it to travel 50 miles to the next bigger city; also I had to work around my own work schedule.

Soundmanpt 01 Mar 2015, 16:04


Where are located that it will take 3 week to get an eye appointment?

 01 Mar 2015, 14:17

G, buy a pair of drug store readers. That's all you need.

 01 Mar 2015, 14:16

G, buy a pair of drug store readers. That's all you need.

Ginaa 01 Mar 2015, 13:58

Surprisingly I was able to reserve an appt. online but it's three weeks away, so I'll struggle through until then and keep all posted about the result. Hopefully things don't get any worse between now and then, or I'll be helpless! :-P

Soundmanpt 01 Mar 2015, 10:40


I meant to ask you when you planned on getting your eyes examined and forgot, but I figured you were considering going rather soon. I'm sure if your holding things at arms length anyone seeing you knows you need glasses. But I urge you to ask when your being examined if bifocals might be a better idea for you or if single vision is better for now? For many years your right hardly anyone ever get prescribed bifocals before they were in their 40's, but much has changed since then. Now young kids are constantly on their small games on pocket size devices as well all the texting. The eyes were never exposed to so much small before. Also even when someone younger could have benefited from bifocals there wasn't any no line bifocals out there so hardly any young person wanted to be seen wearing bifocals with a line clearly showing.

If the doctor recommends that you wear your glasses full time then you really should ask if bifocals is a better option or not? Otherwise you're distance vision is going to be somewhat blurry for distance until your eye's finally adjust to them after several weeks Or you may be able to just do the old on /off thing all day long.

Be sure to get a copy of your prescription because you know in here everyone will be asking you what it is later that same day you get your eye exam done. While your getting that you should also ask for your PD measurement as well in case you may want to get an extra pair on line or depending on how much your going to be wearing them, maybe even rx sunglasses.

Soundmanpt 01 Mar 2015, 10:40


I meant to ask you when you planned on getting your eyes examined and forgot, but I figured you were considering going rather soon. I'm sure if your holding things at arms length anyone seeing you knows you need glasses. But I urge you to ask when your being examined if bifocals might be a better idea for you or if single vision is better for now? For many years your right hardly anyone ever get prescribed bifocals before they were in their 40's, but much has changed since then. Now young kids are constantly on their small games on pocket size devices as well all the texting. The eyes were never exposed to so much small before. Also even when someone younger could have benefited from bifocals there wasn't any no line bifocals out there so hardly any young person wanted to be seen wearing bifocals with a line clearly showing.

If the doctor recommends that you wear your glasses full time then you really should ask if bifocals is a better option or not? Otherwise you're distance vision is going to be somewhat blurry for distance until your eye's finally adjust to them after several weeks Or you may be able to just do the old on /off thing all day long.

Be sure to get a copy of your prescription because you know in here everyone will be asking you what it is later that same day you get your eye exam done. While your getting that you should also ask for your PFD measurement as well in case you may want to get an extra pair on line or depending on how much your going to be wearing them, maybe even rx sunglasses.

Curt 01 Mar 2015, 10:19

Ginaa: bifocals are a convenience, nothing more. If you get single vision reading glasses, anytime you look up and out more than about 5-6 feet, everything will be blurry...that's just how it is with reading glasses. Bifocals give you clear vision far away, and even better vision close up. I got my first bifocals at 27; no big deal. And if you go with progressives (no-line bifocals), as most people do, no one but you will know.

Curt 01 Mar 2015, 10:18

Ginaa: bifocals are a convenience, nothing more. If you get single vision reading glasses, anytime you look up and out more than about 5-6 feet, everything will be blurry...that's just how it is with reading glasses. Bifocals give you clear vision far away, and even better vision close up. I got my first bifocals at 27; no big deal. And if you go with progressives (no-line bifocals), as most people do, no one but you will know.

Ginaa 01 Mar 2015, 10:01

Another though....I'm kind of only kidding about the "Eeesh". At this point, the arm stretch that I'm finding necessary for multiple tasks throughout the day is probably more embarrassing than wearing glasses will be even if they're bifocals.....especially if the arm stretch thing doesn't work for some unforeseen circumstance and I end up having to get help reading something....which hasn't happened yet.

Still though....the 'B' word. My parents were well into their 40's for that. Oh well, we'll see.

ginaa 01 Mar 2015, 09:11

The only med. I take on a regular basis is a generic Claritin for allergies.

As far as bifocals; as I said before 'Eeesh!' but I guess I'll find out soon enough. I'm gonna schedule an eye doc. appointment on Monday (everything near me is closed today).

Soundmanpt 01 Mar 2015, 08:35


Your clearly going to be prescribed glasses when you get your eyes examined. It's interesting how for some their vision deteriorates rather quickly and others seems to go much slower. From what you describe you do have a job that requires a lot of near vision and that could be pushing things along for you. May I ask how your distance vision seems to be? I assume it must be doing okay since you only mention your issues with reading small print. Now if your going to need your glasses for reading and seeing close up,wearing glasses may cause your vision to be a little blurry when you look into the distance. So it could mean a lot of putting them on and taking them off. For that reason if you don't want the hassle of all that then you may want to inquire about going straight to bifocals. In your case because your barely 30 you would probably want progressives so there wouldn't be a line for others to see in your glasses. Like most I could tell by your response to Likelenses when he mentioned it that you don't feel like your "old" enough for bifocals, but you would be surprised at how many even under 20 are now wearing bifocals. In your case even if your vision is perfect for distance they simply kake the upper segment clear, no prescription, so your able to see perfect wearing them for distance and yet still have the right power to read and see things up close by using the lower segment. Also if you do have some astigmatism it would be included in the upper segment and make your distance vision even better. But the best part is that you could put your glasses on when you get to work and leave them on all day or until the end of work and you would be able to see while reading from a book and be able to see across the room with out any blur as well. I just suggest that you maybe ask when you get your eyes examined. Now of course if you find that seeing the eye chart is also a challenge then the doctor will probably recommend bifocals anyway.

Julian 01 Mar 2015, 08:19

Ginaa: you aren't on any medication, are you?

Ginaa 01 Mar 2015, 07:19

I work in a preschool with kids aged 3-5.

As a side note...when I go to the eye doc. I'm not going to be surprised to be suddenly a glasses wearer becuase clearly that's going to happen, I'm just surprised that the NEED for glasses has sprung up so fast. Let me try to do a timeline here...

-About 2 years ago I started noticing that seeing small print took more effort BUT I could still bring the tiniest print into focus with that little bit of extra effort and it didn't bother me too much.

-I know that even as recently as this past Christmas I was still at that level because I specifically remember reading instructions on setting up a watch that I received as a gift; the print was SOOOOO small but I could do it!

-Then seemingly all of a sudden (maybe mid January) I suddenly started struggling on a new level; Like I said before-holding things at arm's length, struggling to do stuff like clip my nails, which one's the shampoo/conditioner, filling out kids' daily sheets at work, and a bunch of other examples.

-As I type this, I went and found those watch instructions even and in the past 2 months I went from being able to read it to having no chance at all, no matter how far away I hold it.

-It's like I woke up one day and suddenly can't see within a couple feet of me! It's the suddeness of the worsening that has be kind of shocked.

Likelenses 01 Mar 2015, 00:37


What kind of work do you do?

Ginaa 28 Feb 2015, 21:30

Eeesh, here's hoping that's not the case. Not ready for that one.

Ginaa 28 Feb 2015, 21:30

Eeesh, here's hoping that's not the case. Not ready for that one.

Likelenses 28 Feb 2015, 18:34


I agree with EyeTri,you are most likely going to need bifocals.

The reason that I think so,is your comment in having to squint. That is an indication that you have some astigmatism,as well as the need for a plus lense to avoid holding close work at a distance.

EyeTri 28 Feb 2015, 09:29


I got my first bifocals when 31 years old. I didn't think I was having trouble seeing close, but I was tired all the time for no obvious reason. My family doctor couldn't find anyting wrong with me and suggested getting an eye exam. The exam indicated I was far sighted and needed extra help reading. In one day I went from someone who had never worn glasses to a bifocal wearer. When I got the glasses it was pretty obvious to me that I needed them.

Ginaa 27 Feb 2015, 17:13

..just curious if presbyopia just kinda 'kicks in' suddenly for most people.

I've known it's been creeping up on me for a couple years even though I'm still early 30's but I could always cope and was still able to read even really tiny print with a little effort; but it seems like within a matter of a couple weeks it has suddenly become an insurmountable problem. I've caught myself holding things away from me, squinting, etc.

Thoughts? Personal experiences?

Soundmanpt 24 Jan 2015, 07:11

Zenni is international so it doesn't matter where you live to in order to buy glasses on line from them.

Aubrac 24 Jan 2015, 02:53


You could try OTC readers but these will not compensate for the astigmatism correction, and while it is low in your left eye, will make things clearer and more comfortable in your right eye.

Don't know which country you are in but Zenni in the US offer very cheap glasses online, and in the UK sell complete glasses from £5 (British pounds).

Probably better to buy online as these are better quality and not much more expensive than OTC readers.

Soundmanpt 23 Jan 2015, 13:04


if you go to the thread "Seen on the Web" you will see that Julian and myself answered a question from "Missy" who also was just prescribed her first glasses and her prescription is nearly the same as yours. So our comments would be exactly the same to you.

Will your glasses make a difference? Yes of course they will, but they won't if you don't wear them. So a lot depends on you in how much you wear them. If you wear them quite a bit your sure to notice even more when your not wearing them. If you hardly ever wear them first of all your eyes won't really adjust to them like they need to. That said even wearing your glasses full time, your vision when you would take your glasses won't be very bad at all, but you will not see as well as you do with your glasses.

Vicky 23 Jan 2015, 11:08

I just got prescribed first time glasses for close. He says I need:

r: +1.25 -.50 180

l: +1.25 -.25 20

Will they make a big difference for me?

Do you all think I can use over the counter readers or do I have to have them made special?


SC 19 Jan 2015, 11:34


As Julian says it is really up to you and whether you want to wear glasses. If you get glasses and use them then you will be dependent on them, may be to avoid headaches rather than be unable to see. However as Jim H says you will progress to being unable to see without them, particularly close up but also distance.

On the other hand, you can ignore the prescription until your mid-late 30s at which point your close-up vision will be struggling.

I have hyperopia, less than you, I'm totally dependent but presbyopia has caused that.

If I was 24 I would look forward to 12-15 yrs without glasses before I had to get them rather than rush to wear them - life is just easier without glasses (sport, field of vision, frame, cleaning) if you don't need them to see

Likelenses 18 Jan 2015, 17:39


I would suggest that you purchase a pair of online glasses with the autorefractor prescription.

Because you are relatively new to glasses,most likely the glasses prescribed for you from the subjective part of your exam,are a bit weaker than what you really need.Also that small astigmatism correction will help you.

If you go with the last prescription given to you,I believe that you will be going back to the optometrist shortly for the stronger prescription with the astigmatism correction in it.

Jim H 18 Jan 2015, 15:16

Francis, I can provide you with the experience of my wife who I met around your age and had a similar glasses prescription. She also has had a similar progression up to her current script and she will be turning 30 this year.

When we met, she was wearing glasses for school and studying, but was certainly a part time wearer and had very good vision near and far, but would experience eye strain if she wasn't wearing glasses. She also tried contacts around this time but could not tolerate them. When she started work, she had another slight increase and was wearing them much more often, which included work most times, but vert periodically anytime else. When she hit +1.75, the wearing increased to all the time at work and at home, but she was not comfortable wearing at fancier social occasions. At this point she definitely felt eyestrain any time she was not wearing glasses, but still had quite good vision without them. When she hit +2.25 a couple years ago, she had a frame she really liked and went full time. In the spring, she got prescription sunglasses as she now needed them for outdoors, and her regular sunglasses just did not do the trick. This is also the script that she had noticed her near and far vision was just not as clear anymore, and was wearing glasses not just for eyestrain, but difficulties reading and seeing far away.

She purchased 2 new pairs of glasses over the christmas break with the new prescription of :

RE: +2.50 -0.75 170

LE: +2.50 -0.50 163

She is now completely full time! She wore her glasses to a formal new years party and looked amazing! And also recently for a Baptism. She had also started wearing her glasses to bed to watch tv where as before she always took them off before coming to bed. This has also led to some intimate moments together with us keeping our glasses on! Yesterday I went into the bathroom and she was having a bath and she kept her glasses on! She is now much more confident with glasses and it is now part of her look. Her friend was over last night and she had started wearing glasses for mild myopia. She said she only needs them for driving watching tv but her husband wants her to wear them all the time! My wife said "whats with guys and liking girls with glasses, Jim loves me with my glasses"! The friend then put her glasses on and looked at me and said "Ooohh am I turning you on?" Haha, YES!

So Francis, Im sure you will enjoy wearing glasses, maybe not all the time at first. But it will help with your eyestrain, and you will find overtime that your eyes will like having glasses in front of them. Don't worry about the lenses. At your prescription they will have a nice slight magnifying effect with not much lens distortion. Just be confident and you will see that wearing glasses is no big deal and can even land you with a great guy! Good luck.

Julian 18 Jan 2015, 12:58

Francis: I've been pondering your post and Soundmanpt's reply, and wanted to comment in the light of my own experience of having a small degree of hyperopia (alias long or far sight).

Hyperopia is not progressive in the way myopia is; it doesn't increase though it may seem to. Basically we can't focus at any distance without using our power of accommodation (focusing on near objects). Up to now you have had no problem with this, but you are getting to the point where you don't have the accommodation you need. This is entirely normal, but for you (as for me) the result is the eyestrain you have been feeling. This can only get worse with time, and the only cure is to get glasses and wear them, at least for reading and other close work. I don't think you need to wear them full time yet, though when you get used to them you should be able to see near and far with them. The time will probably come when you do need them full time, but that MAY not be for twenty years or more.

The increase in your prescription after a few months may be caused by the stress you were putting on your eyes at the time; or it may be that you are just at the critical point where your eyes are beginning not to cope without help. I notice the autorefractor gave an even higher Rx (though it's still not all that high) including the smallest possible bit of astigmatism. So I think your best bet is to get your glasses and wear them as much as you think you need to. Best wishes!

Soundmanpt 17 Jan 2015, 15:22


The key here for you is your age and probably the amount of close work you do on a daily basis. You must know the chances of not one but 2 different optometrists being wrong isn't very likely. But it is slowly catching up to you. At some point your going to find the eyestrain getting a bit worse and you will probably get glasses at that time. Once you get your glasses and start wearing them you will very quickly not be able to do without them anymore.

The girl that cuts what hair I have left is about your age and she told me a year ago that at an annual eye exam she given a plus prescription for glasses which she was shocked by because like you she can see perfectly fine. But she recently told me that now when she does a lot of reading her eyes do seem to get tired rather quickly. She said she is sure if she had a job where she was at a computer all day or doing a lot of close work she would have to start wearing glasses, but so far cutting hair is still fine.

francis 17 Jan 2015, 14:16

Hello, I'm 24, I've never worn glasses and never had a reason for that, because I see perfectly the whole life.

About eight months ago I had something in my eye, so I visited an eye doctor to get rid of it. She checked my eyes too, which I've never done before and asked me if I used the glasses. I told her I had never used the glasses. She was quite surprised and asked me again if I didn't use it during childhood…no...

Than told me I should wear glasses and gave me prescription.

Right eye: +1.25

Left eye: +1.00

I didn't buy any glasses, I saw well so I didn't need them and forgot about that.

In these days I've felt little eyestrain when working on a computer and had a few headaches in the evenings. It was also harder to read things on the screen at night.

I've remembered my eye exam half a year ago and I've visited a local optometrist to check my eyes.

She checked my eyes, asked me if I use or used glasses during childhood, was surprised that I've never used.

Told me I'm farsighted and I should use the glasses full time. I was in a rush so I had no time to choose glasses. I'll do it asap.

She gave me the prescription:

Right eye: +1.75

Left eye: +1.5

I have also paper from auto-refractometer

Right eye: +2.25 -0.25 130

Left eye: +2.00 -0.25 160

I'm a little confused now. I think I see perfectly. I have maybe some problems when on computer at night. But during day I have no problem at all, I can see all distances clearly. But on the other hand the prescription looks really huge...I can't believe that. It looks like I have to start wearing glasses…;/

I have no problem with glasses, but I really don't like the magnifying effect of the plus lenses.

I'm also a bit scared of becoming depended on glasses. Will the prescription increase further? 0.5 for the half year…isn't it much? Thanks

Soundmanpt 16 Jan 2015, 16:09


She's not going to like it once her eyes do adjust to them, because then when she takes them off things are going to be even more blurry for her then they were.

I'm sure you know, but I guess she doesn't get it that she is never going to be told that she doesn't need her glasses anymore. The most she can hope for is that at some point she may not need an increase in her glasses. But until that happens she needs to be happy about being able to pick out new glasses every year.

Carrie 16 Jan 2015, 11:51

My cousin picked up her new glasses earlier today. She came round a little while ago to show them. It's quite obvious to me that they are stronger than her old ones. At a guess they are probably +0.5 to +1.00 stronger, maybe more. (She still can't remember her exact new prescription). She said it does feel a little strange but did admit reading was "super clear" but distances are a little blurred at the moment and, as before, she said the optician said "this will go in a few days once she's used to the new prescription and will have clear vision near and far all the time." She had hoped that she was going to be told she didn't need to wear them all the time any more.

Julian 16 Jan 2015, 10:31

...or even WAIT and see!

Julian 16 Jan 2015, 10:19

Mickey: I think John's forecast for you is a bit pessimistic. As Cactus Jack says, presbyopia comes to us all sooner or later, and the fact that you've got to 43 without it becoming a problem is a good sign. If it has developed along with latent hyperopia, you might have needed reading glasses sooner. What is certain is that with time you'll need stronger glasses for reading, and possibly not so strong ones for middle distance vision. If presbyopia is all you have, you may live to 80, 90 or 100 without having to wear glasses full time. You'll just have to with and see!

I got my first glasses when I was 18,and wore them part-time (but quite a lot of the time) for ten years, when a different ECP gave me a telling-off for not wearing them full time. I obeyed, but several people told me afterwards that he was obsessive about full-time wear. I went into bifocals at 40 and progressives at 50.

Mickey, don't worry! Use your glasses as and when you need/want to, and enjoy seeing better with them - when you do!

Mickey 16 Jan 2015, 08:05

Thanks John. Any way to predict how fast the slope to really needing them is? A month? 6? Think I will know when/if I will need for distance? How far down the road is that. I am really not looking forward to becoming dependent on them. Can contacts work for me?

Cactus Jack 16 Jan 2015, 07:54


Welcome to the club. What you are experiencing is what billions of people have experienced as they get older. Nearly everyone develops Presbyopia in their late 30s or 40s. Presbyopia affects your auto-focus system system in two ways. First your Crystalline Lenses, which have the consistency of gelatin dessert when you are young, get stiff and it is hard for your Ciliary Muscles to squeeze them to focus close and then when you start wearing reading glasses or bifocals to help, your ciliary muscles don't have to work as hard to focus and like all muscles they begin to loose strength and become reconditioned. It is the muscle de-conditioning that seems to make Presbyopia advance faster than the actual lens stiffening.

The good news is that at some point, the power of the reading glasses or bifocal or trifocal or progressive ADD you need, will stop increasing. After the power or ADD reaches about +2.50, the power you need strictly depends on your preferred reading or focus distance. +2.50 focuses at about 16 inches or 40 cm. +3.00 focuses at about 13 inches or 33 cm. +1.25 or +1.50 is about right for most computer displays, which explains why many people prefer trifocals after their reading add exceeds +2.00.


gwgs 16 Jan 2015, 03:31

Soundman - she has worn glasses for many years as my eBay listings show as she is quite myopic and has rather a collection of frames (old / no longer used glasses for sale, a couple of them are listed now) as she has rather an expensive habit of buying designer glasses that is funded by me given she is a "lady of leisure". However, since she has needed reading glasses she has refused to get bifocals, and so now rather unconventionally, she has her everyday distance glasses, and her reading glasses.

She won't get bifocals as she thinks they're "for old people", or progressive lenses for that matter as her granny had an accident many years ago on a set of stairs that was caused by her wearing progressive lenses.

john 15 Jan 2015, 17:08

Mickey-sorry to say you will need them more as time goes on. the more you use them the more you will need them.At first it is a convience to see better as they realy sharpen reading.But you will need them more as you use them and bifocals are most likely down the road later.The eye dr will sharpen your distance a little at some point during an eye exam and bifocals have come.It is not the end of the world.There are now teens that need bifocals.I had regular glasses all my life so around the 43 age mark my eye dr said i need bifocals.He said i could put it off a year but i would be begging for them soon so why put it off?I was a little suprised i needed them but boy they really helped my ease to read and i did not know what i was missing . The add will increase each year a little.When you have a little trouble reading with your glasses it is time for a increase. Theres no set time to when the increase is needed just go see a eye dr.It is just your lense in the eye is getting a little harder,When you get around a add of 2 trifocals are great.I use the lined kind since i hated the unlined bifocals(snall reading area and you get dizzy a lot).hope this helps you

Soundmanpt 15 Jan 2015, 11:23


Sorry! That's the price I guess you will have to pay to see your wife wearing glasses.

gwgs 15 Jan 2015, 10:28

Soundman - I have to keep my knowledge of these sorts of things hidden as she would wonder how and why I know about Zenni and all of these sorts of things!

The other factor is she is quite a fashion victim and only likes designer names, so in her words "if I have to wear glasses, they will be designer" :(

Mickey 15 Jan 2015, 08:48

Last week I couldn't read the fine print on a medicine bottle without using a magnifier, so I bit the bullet and went for an exam. Not unsurprisingly he told me glasses for reading will make close work easier. He prescribed glasses that are +1.25, with my right eye having -.50 astigmatism. He is right...they do help a bunch, although I can easily read normal print without them.

Question...if I wear them regularly to read, will I become dependent on them? Sometimes I will begin to read the paper with relative ease, and then put them on. They do make the print a bit bolder. If I take the glasses off within 5 minutes there is a small difference but I can still read ok. If I take them off after 30 minutes or more of reading, the print really blurs.

Will increased usage cause me to be unable to read without them and make me dependent on them? Over what period of time?

I've noticed that after wearing reading glasses for a year or so many acquaintances get bifocals and wear their glasses all the time...Shall I expect that too? Is there a way to know?

I am 43 and new to this glasses stuff


Soundmanpt 15 Jan 2015, 07:56


Can't you at least maybe encourage her to check out glasses on line from Zenni? The glasses they offer are every bit as good of quality as those from her optical shop and they even have more to offer.

gwgs 15 Jan 2015, 02:10

Soundman - I was going to do that just wanted an indication as to what her new prescription maybe, she always likes to do things the expensive way in life with me paying, hence visiting an optician for an eye test, then no doubt picking out some designer frames etc all just for reading glasses which you can buy in numerous places now for next to nothing!

Soundmanpt 14 Jan 2015, 18:05


That's fine to just bump up her glasses a bit but instead of guessing why don't you just find a store that sells over the counter readers and she can try on various powers until she finds the one that works best for her eyes? Then if she finds she really likes the power you can always go on line and get her several pairs that way which might be nicer looking.

Whatever you do you won't be doing any harm to her eyes.

Geert 14 Jan 2015, 15:17

Hi gwgs

I think it is very difficult to tell. My wife started holding the newspaper at arm's length and struugling with very small print when she was 38. Only just before her 40th birthday she bought a first pair of +1.0 readers in the supermarket "because they were so cheap and only for when she'd be very tired in the evenings".

She tried to use het glasses as little as possible, and always explained why when she did (reading a very small drug prescription paper, sewing,...). However, within the year she had about 5 pairs all over the house and in her car, which told me she needed and used them more often.

Now she is 41.5yrs of age and recently started buying +2.0 readers after trying on a friend's during a dinner. She told me "anyway nobody notices the difference with my old ones, but I really see much better with them". Every time she buys new readers I tell her I really like them. She is quite self conscious, and tries to always take those glasses with her with the colour that matches her outfit best.

gwgs 14 Jan 2015, 07:08

Some help / guidance is needed here guys. My other half was prescribed reading glasses about 18 months ago with a prescription of +1.

She has been complaining over the past few weeks though that she can't read things that she could do before, and is needing her glasses more and is getting quite annoyed at this! She has said we should take a trip back to the optician but I told her that I think that we could easily add a bit onto her prescription, and save a huge expense as it is only for reading small text / doing close up work.

What would you estimate her prescription would be now given we are in the stages of presbyopia?

Am I correct thinking +1.5 would be fine to order, or could it be bumped up to +1.75?

SC 13 Jan 2015, 11:12


It is quite easy to get the first prescription wrong unless you have specific problems, but I'm sure the optician must have had doubts over the progressives being an accurate Rx.

Probably around 1 in 4 people are far-sighted so it is not that you are exceptional. Most will not find out until their 40s. At 34 it was much more likely that you actually needed single vision plus glasses for distance and no add at all.

However, once you have an 'add' it is very difficult to do without, so looking cynically, the optician has probably got an extra 6 years of progressives with a new Rx every 18 months.

You shouldn't be surprised if you have a lot of change - it is possible your distance Rx could rise to +2.5 or +3.0 as you are only 36. I'd also expect the Add to go up with age but surprised you didn't keep +1.5 as that is often the minimum for progressives because close-up capability worsens quickly.

I started as minus @44, zero @45, plus after 2 yrs @46.

Carlos, Jr. 12 Jan 2015, 14:30

Maurice, he uses/used a large magnifying glass. Does not want to be seen in glasses, but holding a magnifier in front of the computer monitor somehow was better than glasses.

Rooster 12 Jan 2015, 11:05


I have just been given a prescription for glasses. It is my third prescription in 6 years and strangely very different from the first one.

6 Years ago I got glasses for distance, the prescription was OD: Sph-0.5 Cyl-1.0 Axis 165, OS: Sph-0.75 Cyl-1.5 Axis 180.

Wore those off and on for 4 years but noticed my distance vision improving slightly without wearing. I was 30 at the time of my first prescription.

Then went for another eye test at 34 after struggling with eyestrain. To my surprise got a prescription for bifocals! Prescription was OD: Sph:-0.25 Cyl-0.75 Axis 167 and OS: Sph PL Cyl-1.0 Axis 180 Add +1.5

I got progressives at 34!! Didnt like that at all. Way to young...

So, a week ago , 2 years after my last visit, saw the optician after some headaches and strain and walked out with the following...

OD: Sph+1.0 Cyl-0.75 Axis 168 and OS: Sph+1.25 Cyl-1.0 Axis 180 Add +1.25.

To me this is very strange and worrying as I am only 36...From a minus prescription to this in a couple of years? Am I not to young for such a prescription or is it just age catching up with me....

Maurice  11 Jan 2015, 06:03

Carlos, Jr---how was this person doing any close-up work if he needed +2.75 for close-up?

Carlos, Jr. 08 Jan 2015, 09:22

Hi SC, I know what you mean about some people choosing NOT to wear glasses. We have a 60-year-old at work who will not wear glasses. He was complaining that the print on the computer monitor was too small and wanted up to buy him a very large monitor so that he could expand the font to a size he could read. The agency told him that we were not able to do this----so he finally gave in and had his eyes examined. Needed +2.75 for close-up.

Crystal Veil 07 Jan 2015, 15:27


the shop in question is located in Dublin and it has a good reputation so the +0.25 add really puzzled me. My model was unfamiliar with the proceedings of an eye test as these were her first glasses ever. When I asked her about this highly unusual prescription, she replied that it was probably an act of gentleness from her optician to include an add at no extra cost. She is a very polite young lady indeed. In my opinion, it was a rip off. I did not get an articulate answer on my question if she had any benefit from the add and my guess is that they sold her single vision glasses for the price of progressives. My guess is that Zenni is selling progressives with an add of +0.25 as the option is included in the menu on their website. The model in question went for the fee and not for glasses so what she gets is a real bonus.

Soundmanpt 07 Jan 2015, 11:56

Crystal Veil

Great minds think alike! Actually like you when I am selling glasses to anyone I always just include the extra cost of the AR coating in the price I give. I only had one girl request the very best coating they offer ind she loved it.

Whoever was trying to convince your model that she needed bifocals with only an add of +.25 must have been trying to make a bigger sale. I am not sure it is even possible to get such a weak add anywhere? I can only guess that the idea was so she wasn't reading through her -1.00 distance prescription? But -1.00 is pretty weak so her eyes shouldn't have any problem reading with or without her glasses.

I'm sure she will be very happy to receive not one but 2 pairs of glasses for her work. When you think about it if she were buy 2 pairs of glasses she would likely pay about $400.00 for them so she should be very happy.

Crystal Veil 07 Jan 2015, 11:31


I always order glasses with AR coating for my models without asking them if they want it. All Zenni glasses used in my photo shoots have AR coating as well. The extra cost is quite modest and the results are so much better. It saves a lot of editing time as well. By the way, I just started posting a winter photo shoot with beautiful Iris. She posed in three dozen pairs and this time we included some ten glasses for long sight. One pair has lenticular lenses of +11. It will probably take two weeks to get everything posted.

Soundmanpt 07 Jan 2015, 08:33

Crystal Veil

When you provide glasses fro your models do you also include the option of AR coating as well? It really is a great option and I always include the least expensive one which is only $4.95 buy it works great and everyone I have ordered glasses fro really likes it.

canpaixano 07 Jan 2015, 07:35

Beautiful and hyperopic (I would guess about +1.25 dpt) Mia Khalifa. She's a godess!

Crystal Veil 07 Jan 2015, 01:56


the model in question will get a surprise anyway. She sent me her top 3 of favourite frames. I will send her not only her first choice but also the second choice which was hard on its heels. We discussed the +0.25 add but she said there was no need. She has a mild prescription (around -1.00) and only uses her glasses part time. Both pairs have cat eye frames and she is delighted with the prospect of wearing that style. The price of two pairs with single vision lenses is about the price of one pair with progressives that give her no benefit. But thanks for the idea!

Likelenses 06 Jan 2015, 17:19

Crystal Veil

It may be interesting to get her a pair of single vision,and a pair of bifocal,just as a surprise.

Crystal Veil 06 Jan 2015, 07:03

One of my models sent her prescription after I had offered her a free pair of glasses as a bonus for her excellent photo shoot. She is 29 and much to my surprise, her optician's prescription mentions a reading add of +0.25. She says she can read perfectly and we agreed that I will order her single vision glasses.

Melyssa 06 Jan 2015, 06:06


"Bifocal babe" -- that has a nice ring to it -- but I must win the lottery first. :)


Most of my reading is done during commercial breaks, and with 48 pairs of glasses already, I prefer not to shortchange any of them. :) As for cooking, the few things I do make (besides reservations) have never required "plus" lenses, as the kitchen is quite bright. And opening a box of soup and pouring it into boiling water is very easy. Of course, there is that occasional problem of opening the oven to go from baking to broiling when my glasses get steamed up for a few seconds. L'Chaim!

Likelenses 05 Jan 2015, 23:49


Sounds like the time has come to be a bifocal babe.

A. P. 05 Jan 2015, 16:13


Have you considered investing in one pair of real bifocals for reading at home? Bifocals could also be helpful for cooking sometimes. Isn't it a bit risky to be balancing two pairs of glasses on your nose at once? I'd hate for you to accidentally splash your specs into the soup. Oh, the humanity!

Cheers to you!

A. P.

Melyssa 05 Jan 2015, 13:47

Two of my besties, Jen and Kate, are totally different with their reading glasses. Kate, age 54, might use hers once or thrice a month to read something if her eyes are tired. She had Lasik a long time ago. Jen, age 60, has great distance vision, but she wears her readers seemingly more than not. Then there is Melyssa, age ##, who wears hers with her regular glasses when she is reading at home when the light is not bright enough.

SC 05 Jan 2015, 11:55

Carlos Jr,

Some people will always choose not to wear glasses. I have one friend who has held out to 50 to get first pair of readers that she never wears, and another two friends who are nearing 60 and rarely wear. So they are either determined or just not seeing very well.

I have no choice, the hyperopia is enough to justify full-time wear for distance and close-up is just not an option.

Most people will require a reading Rx add of +2.5 in their 50s - this has a focal length of 40cm. If a persons residual accommodation is +0.6 then that implies closest point of focus without glasses is around 1.6 metres. If you only have readers then what do you do for all the distances in between? That covers quite a lot of normal life.

So for me, I only realised the usefulness of varifocals through necessity, but I guess if I had 'normal' distance at some point in the future (eg IOL correction through cataract surgery), then I'd still choose to wear varifocals with plano distance because (I imagine) the alternative of single vision readers would be intolerable

Carlos, Jr. 05 Jan 2015, 05:11

In reading these threads, it is clear that ALL people will need bifocals/progressives. There seems to be no normal "distant" vision for any of us. If we are not nearsighted then we are latent hyperopic. BTW---your plus lens are on the way.

Sally Ann 04 Jan 2015, 14:28

Hi SC and everyone ho has posted,Thank you for the info - When I was tested initially the test seemed more thorough with a lot of attention by the optometrist ,whilst the last test was quick and seemed to be done mostly by their machine.

I know that my vision is slowly getting worse, I just don't really want to go from occasional readers to full time bifocals, so I may well just wear the readers more.

Being 47 now I am anticipating a fast decline from reading up on this site, maybe I can get through to 50s like your wife's sister?

Likelenses 04 Jan 2015, 00:33


I agree with the others here that you are a sure candidate for bifocals,it it just a matter of when.

You started with plus lenses early ,and with the demands on young peoples eyes today you will most likely need them earlier than previous generations.

SC 03 Jan 2015, 13:05


You will need varifocals for sure but you will probably make it to 40 without. I'm surprised your cousin has a problem - this isn't due to hyperopia but more likely an accommodation issue, unless the hyperopia is some way from being fully realised - for example if her full distance Rx was +5, say, then maybe +3 would start to be a struggle for close up.

Opticians seem to like to trap you in to progressives, they cost a lot more for the lenses, and there is little option to go back to single vision after wearing. +5 add 0 is much cheaper than +3 add +2.

There seem to be a number of posters who are prescribed 1.5 for reading in their 30s when it seems much more likely they need distance glasses instead and will be in progressives by their next test.

Soundmanpt 03 Jan 2015, 12:58


What your cousin needs to understand about bifocals i she doesn't need them so much because her eyes have gotten all that bad, but because her need for having glasses to see close is still increasing a bit, but her distance vision really doesn't need anymore correction. So by giving he bifocals they can control both her near vision as well as her distant vision much better. So when she gets her new glasses she will be in effect be forcing her eyes to wear stronger glasses than she has a need for. My guess is her current glasses are just perfectly fine for seeing distance with just as they are, but the fact that she was straining even with her glasses on to see small letters she needs more power for reading. Really the smartest thing she could have done was to go ahead and request bifocals now. Sadly most young people cringe when they hear the word "bifocal" because for so long it seemed only old people ever needed bifocals, but that isn't the case anymore thanks in large pert to I-phones and texting so much. But like you say if you need them you would get progressives (varifocals) so no one would see that bifocal line. Just so you know she may as well start preparing for being told at her next eye check that she needs to start wearing bifocals because that is almost sure to happen.

SC 03 Jan 2015, 12:56

Sally Ann,

It is likely that you wil need glasses full-time.... But not yet. From what you have described - reading at 40, seeing distance through reading glasses and now a little hyperopia in the test (+0.25) all point in that direction. People who become dependent on glasses don't become full time wearers. Almost everyone becomes dependent on glasses due to myopia or presbyopia. I would guess that one-third of people who are not short-sighted will go on to wear glasses for hyperopia - the odds are stacked that you are in that one-third.

As I said, my wife has +0.5 hyperopia and she doesn't have any correction for that (@48yo) but her sister gave in @54yo and got varifocals for (my assumption) abouth the same Rx. Presbyopia will eventually reduce your accommodation to about +0.6. If you have hyperopia to the degree of +0.5 then that really limts your ability to focus at intermediate distances so things like TV (without glasses) will become more difficult than reading small print (with suitable glasses).

So I'd not worry about the +0.25 for now and just get net +1.25 readers. As I said in my previous post you would likely need +0.25 add +1.75 if you did decide to go the varifocals route now because your close up vision would likely deteriorate very quickly with full time wear.

Carrie 03 Jan 2015, 11:17


I'm not excited about bifocals but I am curious what they are like to wear. I expect I will need them one day and if I did I would get varifocals (no-line bifocals). I have no particular desire to have them but if my optician said I needed them then I'd get them. My cousin is relieved she doesn't need them just yet but is concerned she might be prescribed them at her next eye test.

Likelenses 03 Jan 2015, 10:57


Are you hoping that this gene is passed to you?

Would you be excited to need bifocals?

Carrie 03 Jan 2015, 10:46

Just been chatting to my cousin. She's just got back from the optician and sounded a bit down. She's getting new glasses as her prescription has gone up again. She was told her eyes haven't got worse it's her eyes relaxing as they don't have to work so hard. The optician said said she was on the verge of needing bifocals or separate reading glasses as she hesitated on some of the smallest letters on the reading test but wasn't going to prescribe them this time. She may need them next time she has her eyes tested. She said she "can't remember her new prescription exactly apart from it was 3 something for both eyes." She's picked out 2 frames and her glasses will be ready in 7-10 days.

She thought her sight was ok with her current prescription (+2.75) and hadn't thought about getting an eye test just a year after her last one. Her mum had picked up the reminder card the opticians sent in the post just before Christmas and booked the appointment. My cousin usually wears her glasses all the time but sometimes leaves them off to try and show she can see without them. I'm sure she can see without her glasses, I can see without mine, but I know like me she finds that everything is clearer and her eyes feel more relaxed wearing her glasses all the time. Her current prescription is stronger than mine.

Maurice 01 Jan 2015, 11:52

Happy 2015 Prebyopes! Looking for more plus in the coming year!

Maurice 01 Jan 2015, 11:52

Happy 2015 Prebyopes! Looking for more plus in the coming year!

Maurice  26 Dec 2014, 19:31

Happy Holidays to all my presbyopia glasses


UK Poster 24 Dec 2014, 07:37

Hi Sally Ann

My wife is 47 and has a very similar prescription to you, she wears varifocals (or progressive/no-line bifocals if you're in the USA) full-time and loves them.

It saves having to search for reading glasses and makes driving (especially at night) very clear. She swears by them and recommends them to all her friends.

As they've no visible line, nobody need know that you've been prescribed bifocals.

Good luck

Sally Ann 24 Dec 2014, 01:17

Hi thanks for your responses, I got glasses at 40 for headaches from close work that I did all day at that time, I wore them mostly in the afternoon.

I was at one stage quite accustomed to them and found I could see quite well beyond the computer screen. I stopped wearing them when I finished that job. Now I know I need to get new lenses but not keen on bifocals as I don't want to be a full time wearer which seems to happen quickly.

SC 23 Dec 2014, 10:33

Sally Ann,

Your Rx is quite odd for your age. If the dr is prescribing bi-focals then the add is very low. If you were to wear these regularly, ie for all reading, then I would expect you to need a stronger add quite soon. Usually the min is +1.5 for progressive/bi-focal prescriptionsm. Maybe you aren't being prescribed bi-focals just that the dr has identified a minor distance issue that doesn't need anything yet. My wife has +0.5 add 1.5 but only wears reading glasses (net +2) so just because it is on your rx doesn't mean you need bi-focals.

I'm a bit puzzled what made you get glasses at 40? It is unusual to get readers at 40 and then not wear or need them until 47! Most people start around 45 and are getting their second rx at 47. Most people who need reading help at 40 are full-time wearers at 47 with somthing like +2 for distance

Soundmanpt 23 Dec 2014, 09:32

Sally Ann

I agree with what "Likelenses" has already told you about your prescription. My guess is your +1.25 readers didn't have any correction for astigmatism in them. Your distance vision correction is very minimal +.25 is the very weakest you could have been given and I am sure if you didn't have the astigmatisms you would not have been prescribed bifocals. However your doctor feels that you have enough need for astigmatism correction now and that is why you were given a prescription for bifocals. And of course since he / she was already writing you a bifocal prescription it makes sense to give you all the correction you need.

Your feeling dizzy and slightly sick isn't due to the +.25 for your distance that is making you feel that way. It's the astigmatism part that is causing you to feel that way. It is very common and will go away as soon as your eyes adjust to your glasses. But you need to keep them on so allow that to happen. My guess is that feeling will go away after the first full day wearing them and toy will be fine.

Likelenses 23 Dec 2014, 02:22

Sally Ann

First off,did your previous glasses have any correction for astigmatism? If not then the biggest thing that has changed is that you now have -.50 in your right,and -.25 in your left.Although that is a small amount it does affect both far,and near vision.

The new Rx will still give you +1.25 for near,and only +.25 for distance,with is negligible.

I would say go ahead and get the new Rx,and I think you will find them very beneficial for close work,and you will most likely want to wear them for night driving.

For your age it is really a minimal Rx,you are fortunate.

Sally Ann 22 Dec 2014, 23:49


I have just been proscribed what I was told are weak bifocals

The thing is I have very good distance vision and I am concerned that if I get these then my distance vision will go downhill.

I had +1.25 readers from when I was about 40 which is 7 years ago and I feel uncomfortable wearing these. I expected to get maybe a slight increase but instead told I would do well with bifocals or progressives.

The new prescription is

R sph +0.25 cyl -0.5 ADD +1

L sph +0.25 cyl -0.25 ADD +1

Currently I am not wearing the original glasses as they make me feel a bit dizzy and slightly sick.

Maurice 18 Dec 2014, 05:19

Chong, I put off wearing glasses as long as it was practical. Finally gave in to presbyopia at age 49, when I could no longer read texts or emails on my phone. Also, my distant vision started deteriorating. Seriously, I did not want to wear glasses, but progressives now rule.

Julian 17 Dec 2014, 05:54

Curious C: as Cactus Jack has often mentioned, presbyopia actually starts to set in in childhood, but for most people doesn't become a problem till the 40s - earlier for those with hyperopia (latent or manifest). Thus it's quite common these days to see teenagers using reading glasses or bifocals to read small text on mobile phones &c. Hope that makes sense.

Curious C. 17 Dec 2014, 03:52


What do you mean by: my guess is that your age has a bit to do with it with the approach of significant presbyopia.

That my presbyopia will be significant? Or that presbyopia per se is significant and starts to set in at my age due to the fact that hyperopes sometimes suffer earlier from presbyopia?

Julian 16 Dec 2014, 06:26

Curious C: My guess is that your age has a bit to do with it with the approach of significant presbyopia; but you astigmatism also contributes to the headaches and discomfort you mention. If you prefer to wear them all the time - wear them all the time!

Curious C. 16 Dec 2014, 05:38

What would you consider as low, medium and high hyperopia?

Furthermore: is there a diopter number for hyperopia that is considered as having to wear the glasses permanently?

I know, this is very objective, but maybe there is some recommendation of the optician or ecp society.

I have currently +1.75 dpt with some astigmatism and would say that I need to wear my glasses permanently in order to avoid headaches and discomfort. I only have my new glasses for a few days now. before I had a slightly weaker script of +1.25 for my left eye and +1.5 dpt for my right eye (for the last three years) and never felt that I had to wear my glasses permanently. I would go for days without wearing them (mostly on vacation, when I felt relaxed and was not at work). But now I really prefer to wear them all the time.

Is this something that's got to do with age (I'm 35 years old now)?

Thank you for your expert view on that.



Chong 16 Dec 2014, 05:14

So Maurice, what is your glasses story?

Chong 13 Dec 2014, 15:30

Hi Maurice, the glasses are doing their job very well. Seeing good close-up and at a distance. No more need to hold items at arms-length for clear vision.

Maurice 12 Dec 2014, 13:43

Hey Chong, those glasses still treating you well.

SC 09 Dec 2014, 00:31


Did you also adjust the add for distance Rx?

I also use single vision reading glasses for reading rather than progressives. I have a pair of +3 readers which give much better vision than +1 add +2 progressives. This is because the progressive lens only gets to +3 right at the bottom so definitely not as comfortable as single vision.

To give your wife reasonable +2 for reading with -0.5 for distance you would probably need to go for -0.5 add +2.75 as this would give a net reading segment of +2.25.

tliteful 08 Dec 2014, 20:25

I was apparently mistaken thinking that a low plus would be easily resolved without custom progressive lenses. Worth a shot anyway, and not expensive since these internet glasses can be remade at minimal charge. When a prescription arrives, we can deal better with reality. Thanks.

SC 08 Dec 2014, 13:08


I think you are going about this in the wrong way. Progressives are precision tools that have to be properly aligned. In the UK, the site I use insist on a previous pair of progressives so they can take the accurate measurements - not just generic or PD.

Also, the -0.5 is not a simple thing that your wife will appreciate. If you wife has even a hint of hyperopia then this will just make matters worse. I had a pair with -0.25 and it was struggling to see through these that revealed my hyperopia - now such a prescription is effectively opaque!

I would strongly recommend that you get your wife to be tested and measured by an optician/optometrist otherwise you may set your desires back indefinitely

tliteful 07 Dec 2014, 18:59


I hear you man, but she seems to prefer the very large close-up field of view that the readers provide. She's stubborn and refused to keep trying after a few hours in the house, so when the contacts fail, maybe we'll try this again...

Soundmanpt 07 Dec 2014, 11:14


I am really surprised that your wife feels she is unable to wear the progressives. Yes they take a bit of adjusting to but not nearly as much as she is claiming. I'm sure the -.50 in the top part had nothing to do with since you even had her try some with no rx in the top and she couldn't wear them either. Honestly I really don't think she really tried very hard. The add part was her own very real prescription.

Did you have her try just getting used to them by sitting down and watching TV wearing them? That way she is only consentrating on seeing distance and not worrying about the add at all. I can see at first going from distance to close could be confusing at first so try making it simpler for her by ignoring anything to do with reading close up an let her adjust to seeing distance with them only for a while.

I can tell you this much, if she is really having this much of a problem wearing bifocal glasses she will never be able to wear bifocal contacts because they tend to not want to stay in place very well and loosing focus is a problem fro most.

tliteful 07 Dec 2014, 09:00

My own experience, being rather nearsighted, is that progressives take some getting used to, with all the head pointing and imperfect peripheral vision. I find there is a VERY small sweet spot in the center, while the rest of the field is less sharp. I'm just surprised that with only +2 and no distance correction, my wife would find them SO annoying as to be unwearable. I tried two suppliers (2 pair each) to see if there would be a difference - one was generic, but the other used her PD and a "free-form progressive lens. Compared to the progressive lens, this has a wider visual field, allowing you to see more" ( I'm sure she would object to bifocals with the line, so it looks like readers are it, and hopefully the contacts never work out.

Michael 06 Dec 2014, 03:05


Likelenses 06 Dec 2014, 01:29


I agree with John,about the problems getting used to progressives.

Why don't you check and see if the online place has a guarantee,and if so exchange them for bifocals in the same prescription.

I really think that if she would have the bifocals she would love the -.5 for distance,and probably wear then for TV, and when you two go out to movies,or sporting events.

John S 05 Dec 2014, 23:07


I hope you don't mind if I jump in. Progressives just don't work for some people. I don't understand it, because I think they are great. I feel that I am a perfectionist, and I wouldn't go back to a lined bifocal. But to each his own.

I wear a really strong add (3.50-4.00) That makes the "swim" effect that a progressive addition lens (PAL) has, very severe.

I know exactly where to look to see clearly without thinking about it. I have my lenses set about 3mm above where they are normally fitted, so I have a larger, easier to use reading area. I don't have to look through the bottom edge of the lens to get the maximum add.

For me, a PAL feels very natural, a bifocal does not. I have worn bifocals since I was 13, and PALs since my late 20s. If I wore a 2.00-2.50 add like most people do, I could tolerate (but not like) a bifocal. Since I prefer a closer working distance, the jump between near and far is very annoying. A trifocal would solve some of that, but still not as comfortable as a PAL is.

The lens is designed like an hour glass. Depending on the brand and model of the lens determines the exact shape of the hour glass. Outside of the hour glass, there is a ton of unwanted astigmatism. That equates to lots of blur. The stronger the add, the more unwanted astigmatism there is. Your vision is only clear inside of the hour glass, and of course within that area, you need to find the correct power to see the distance you are looking at. You need to aim your nose toward what you want to see, always looking through the center of the lens horizontally, finding the correct power vertically.

The PD and height measurements are critical for a correct fitting. Not enough pantoscoptic tilt can also cause a smaller reading area and near vision distortion. The frame should have about a 7-10 degree tilt, the bottom of the lens being closer to your face. For a first time wearer, I would use a lens height of at least 31 mm for best results.

Using a ruler or measuring my PD with one those hand held boxes, mine comes out 1.5 to 2 mm wider that what I need. A 2 mm difference can make a PAL uncomfortable to wear, due to the intermediate channels being out of alignment. To add to that, there are short and long channel (corridor) PALs. I prefer a long channel.

I believe you ordered these glasses online without a optician's help, but there are also opticians that don't know the basics of a PAL.

If a person can adapt to a PAL, it should happen with full time wear within 2 weeks. After that, it just ain't going to happen. Some people are just incapable of dealing with a PAL. I have a friend that has a pretty good understanding of optics, he cannot wear a PAL. He absolutely hates them. He uses multiple pairs of SV glasses instead.

As you can see, there are a lot of things that can go wrong in the fitting of a PAL, no less the non-adapt of some wearers. A PAL is a compromise, it has it good points and bad ones also.

I hope you are not totally confused now.

tliteful 05 Dec 2014, 19:54


Remember, I was trying to get my wife to wear progressives rather than reading glasses? Well, I bought 2 pairs from 2 different internet providers - nice big frames. She simply cannot get used to them - "everything" is blurry and she wore them in the house for a few hours and was "bumping into things." Surprisingly, she claims even at the top (plano)she did not have clear vision, even though her distance vision is perfect. At your suggestion, I had -0.5 put into the last 2 pairs to see if "super vision" would be more persuasive - no benefit, I'm sorry to say. Anyway, I am enjoying the BIG +2 readers she wears working around the kitchen, reading, and while dining out, although the constant on-and-off and looking-over-the-top drives me crazy! Apparently, she likes the very large field of vision for reading and close-up. I must say, there are some fabulous frames out there at reasonable prices, if you take time to look. Hopefully, the monovision contacts she still wants to try will fail just as miserably as the progressives. Thanks for the encouragement!

Soundmanpt 05 Dec 2014, 11:26


What's happening is, your eyes are getting more and more used to the readers away from work and now trying to see close up without them isn't as easy and your probably holding reading matter much too far away from your eyes. In other words, you were caught. But to be honest your days of being able to read close without some added help will soon be gone. So then the question comes up, if your soon going to be wearing your readers over the top of your contacts for work then even though your not crazy about wearing glasses won't you be much better off biting the bullet and just start wearing bifocals? They would be easier on your eyes then wearing both contacts and glasses at the same time.

Also you commented that when you were last in to get your eyes examined your doctor asked about your husband's vision history. He then recommended that your kids need to come in so he could do an extensive eye exams on their eyes to see if they may also be farsighted or myopic. Did you have them in to get eye exams as of yet? If so what were the results?

Catherine 04 Dec 2014, 21:40

A month or so ago I wrote in about a recent exam where I was told that I could wear reading glasses over my contacts. I have used the reading glasses at home, while traveling etc. but never at work. Today a colleague actually said she thought it was time that I got my eyes examined as she thought I might need reading glasses. Funny how I thought I was hiding it!

Cactus Jack 28 Nov 2014, 14:31


You are correct. It is just not possible to induce hyperopia. Hyperopia is caused by a mismatch between the total PLUS optical power of your eye's lens system and the distance from the back of your lens system and your retina. The PLUS powers and the distances involved are amazing.

The distance from the back of the lens system in a typical adult human eye, with NO refractive error, is about 17 mm and the relaxed power of the lens system is about +58 diopters. This relationship is dictated by the laws of optical physics which were identified by Sir Isaac Newton over 300 years ago. If a person is hyperopic it means that either the the total PLUS power of the lens system is LESS than that required to focus distant objects on the retina or the retina is too close to the back of the lens system because the eyeball did not grow enough in childhood and adolescence.

Almost all children are born with hyperopia. This is because the eyes must be small enough to fit in the eye sockets in the head, which in turn must be small enough to transit the birth canal. Fortunately, the crystalline lenses are very flexible and most children can easily focus their crystalline lenses to add enough PLUS to be able to focus very close. The exact mechanism and hormones involved have never been discovered, but there almost HAS to be a genetically controlled, hormonal process that regulates eyeball growth, If the eyeball does not grow enough, the person is hyperopic. If the eyeball grows too much, the person is myopic. If we had identified, isolated and could formulate the growth hormone(s) we could cause the eyeballs of a person with hyperopia to grow and correct the problem. However, to increase a persons hyperopia we would have to know how to shrink the eyeball or reduce the PLUS power of the eye's lens system and that is highly unlikely, without surgery of some type. Maybe someday.


varifocals. 28 Nov 2014, 10:26

From what I gather, it is not possible to induce long sight, in the same way the myopic club can ,by simply increasing the rx of the glasses or contacts, then the eyes adjust accordingly.

Unless of course some one has cracked it.

varifocals. 28 Nov 2014, 10:26

From what I gather, it is not possible to induce long sight, in the same way the myopic club can ,by simply increasing the rx of the glasses or contacts, then the eyes adjust accordingly.

Unless of course some one has cracked it.

varifocals. 28 Nov 2014, 10:26

From what I gather, it is not possible to induce long sight, in the same way the myopic club can ,by simply increasing the rx of the glasses or contacts, then the eyes adjust accordingly.

Unless of course some one has cracked it.

varifocals. 28 Nov 2014, 10:26

From what I gather, it is not possible to induce long sight, in the same way the myopic club can ,by simply increasing the rx of the glasses or contacts, then the eyes adjust accordingly.

Unless of course some one has cracked it.

Chong 24 Nov 2014, 16:58

I am giving thanks that I don't wear tri-focals, myodiscs, and can see so good through these progressives.

Maurice 21 Nov 2014, 05:17

Hey Chong, I was told the same hyperopia story when I first started wearing glasses (progressives). Am thinking now that I probably should have been wearing glasses earlier in life.

Cactus Jack 20 Nov 2014, 19:08


In this case, Latent Hyperopia means "Hidden" Hyperopia. Hyperopia also called Farsightedness or Longsightedness is caused by a mismatch between the length of your eyeball and the relaxed power of your eye's lens system. The mismatch generally occurs when your eyeballs don't grow quite enough between birth and adulthood. This results in the distance from the back of your crystalline lenses to your retinas is a tiny bit too small for the power of your lens system. If your eyeballs grow too much, you wind up with myopia, also called nearsightedness or shortsightedness. The distance errors involved are very small, about 0.3 mm per diopter of error. In your case where you need +0.75 diopters of correction, because your eyeballs are 0.225 mm too short and distant images focus being your retinas and you need a little more PLUS to move the focus up to the retina.

Hyperopia is the ONLY eye condition that you can correct by using your ciliary muscles and crystalline lenses, often without your being aware of it. If you do that long enough-often years-your ciliary muscles and crystalline lenses will become used to supplying the extra PLUS you need to focus and will have trouble relaxing That is Latent Hyperopia.

Typically an early clue that you have Latent Hyperopia is that your distance vision will be a little bit blurry when you first get glasses, but over a few weeks or months of wearing your PLUS glasses, your distance vision will gradually become clearer. When that occurs, you should probably get another eye exam to see if you may need a bit more PLUS for distance in your glasses. At some point glasses with increased PLUS won't help and that means that your ciliary muscles and crystalline lenses will be fully relaxed and further PLUS increases for distance will not be needed. Your Latent or Hidden Hyperopia will have been fully revealed.

By the way Hyperopia only affects your sphere correction. Astigmatism only truly affects the cylinder and axis portion of your prescription.


Chong 19 Nov 2014, 17:39

What is latent hyperopia? Am not familiar with the term.

Cactus Jack 18 Nov 2014, 08:18


Myodisc glasses are something you absolutely do not need to concern you, unless you decide to do GOC or have major refractive surgery.

Myodiscs are glasses with very strong MINUS prescriptions, usually over -20. The actual glasses prescription is ground into a small "bowl" (disc) in the center of the lens. The rest of the lens then becomes the "carrier" for the medics part of the lens.

At your age, it is very unlikely that your distance prescription will increase very much, naturally. You may have a bit of what is called Latent Hyperopia which will cause your distance prescription to increase slightly - probably less than +1.00 diopter over your current distance Rx.

As I mentioned before, you are developing Presbysopia, just like billions of other people as we get older and you will most likely need some focusing help in the future. Glasses are simply tools to help see clearly at all distances. The laws of optical physics dictate that you will need different powers of lenses to focus at different distances. Just as there are many different styles and sizes of wrenches in a good tool box, there are many different styles of glasses lenses. You presently have bifocals, you could easily have two pairs of glasses with different powers, but bifocals just give you two different powers in one lens for distance and close focusing. Maurice made light of trifocals, but all they do is provide 3 different powers in one convenient place, on your nose. Progressives do the same thing, but have no obvious lines between lens power changes. Many people think progressives are more attractive, but the price you pay is smaller areas of useful sharpness.

Some time in the future, you may find that you need different styles and powers of lenses in your glasses to operate efficiently in YOUR visual environment. There are many different ways to correct your vision and while you don't need them right now, it is good to know they exist and what your options are. Just remember that you wear vision correction for YOUR benefit, comfort and convenience. Everyone's needs and circumstances are different, fortunately, there are many choices.

Please feel welcome here and feel free to ask questions. You will get some answers, some opinions, and sometimes unhelpful comments or suggestions. You will soon learn to separate the wheat from the chaff.


Chong 18 Nov 2014, 04:59


Likelenses 17 Nov 2014, 19:40


No, more likely have him induce myopia,and then proceed to myodiscs.

Maurice 17 Nov 2014, 17:43

Alright Chong---you just started wearing glasses and this website is ready to slap trifocals on you.

Chong 15 Nov 2014, 17:58

No driving for Chong. Live in NYC and navigate the MTA.

 15 Nov 2014, 16:08

Don't drive, Chong!!!!

Cactus Jack 15 Nov 2014, 15:42


That sounds about right for a 44 year old, low hyperope. Presbyopia is gradually creeping up on you. You have enough accommodation to easily correct your +0.75 for distance, but not enough for your ciliary muscles and crystalline lenses to be able to add the additional PLUS you need to focus close.

You can expect your add to increase more rapidly than you expect in the next few months and for your distance to perhaps increase slightly as everything relaxes. Don't worry about it, it happens to almost everyone who is farsighted and dealing with presbyopia.

One bright spot in all this is that your add will never increase beyond about +2.50 to +3.00 unless you like to read very small print or read with the text close to your eyes.

At some point, depending on your visual environment (computers in particular) you may want to consider trifocals or a pair of computer bifocals with the top part set for the working distance of your computers and a small add for reading and a pair of single vision reading glasses for reading in bed. You didn't mention astigmatism, if you don't have much, you can still use OTC reading glasses if you know how to select the power while considering your hyperopia and the focus distance. We can help with that.


Chong 15 Nov 2014, 08:51

Am 44 years old. Was having difficulty reading small-print close-up and great difficulty reading items on my phone. For about two months, used OTC reading glasses, but I knew that I should have an eye exam.

Was surprised to be prescribed multi-focals---each eye was +.75 with an add of +1.50. Just never realized before that I was farsighted. Getting used to FT glasses---not so bad.

j 11 Nov 2014, 07:25

Soundmanpt..thanks for your suggestion. I will go back and ask to have the prescription changed.

tliteful 11 Nov 2014, 04:48


I ordered a few pair and am anxiously waiting for delivery!

Soundmanpt 10 Nov 2014, 14:23


In researching something else I came across several posts from back in Feb. of this year where your wife took your daughter to get her eyes examined because she failed a vision test at school. it turned out that your daughter wasn't given glasses but she was likely to need them in a short while. But while there your wife decided to get her eyes checked. She was surprised that she actually needed glasses for distance as well as for close up and was given a prescription for her first glasses and they were going to be bifocals. You were excited at the prospect of seeing your wife wearing glasses full time. You both went to pick out glasses for her and you as well. Your last report was right after she had gotten her glasses and she was surprised at the difference they made in watching TV. At your suggestion she planned on wearing her glasses full time as an example to your daughter that seemed likely to need glasses at her next exam.

That has been over 8 months ago so has yur daughter been back to get her eeys examined again and did she get glasses this time? And how is you wife doing with her glasses? Did she get comfortable wearing glasses or did she resist wearing them?

Soundmanpt 10 Nov 2014, 11:45


So what your saying is that you were fine at +1.50 and don't think you really needed the extra 2 "clicks"? I can't answer you except to say if you feel they are too strong then you probably should take them back. most places offer full refunds if your unhappy with your glasses for any reason within a certain time frame.

Just curious if you bought your glasses from that shop? If you don't have any astigmatism you can save a lot of money by just buying over the counter readers in +1.50. Most places for less than $10.00.

I hate to say it but I sometimes question these places that offer free or discounted eye exams because they are clearly hoping to make a sale of glasses.

 10 Nov 2014, 11:20

Duh, J, she be fucking with ya, like the pervs do, here, to get off on their erotocisims.

J 10 Nov 2014, 10:40

Thanks Soundmanpt.

My other question though is if the =1.25's seem to be working ok for me, if can see close comfortably, why such a huge bump? I should have asked, but if I could see the small print, why did she decide on 2 "clicks" more? As I could not focus at all after I wore them for a while and took them off, I presume this will quickly increase my total dependency on them for anything close. Am I right on that?

Soundmanpt 10 Nov 2014, 10:09


Your eyes are used to seeing your computer screen with your +1.25 glasses which you have been wearing for the past 2 years. Your computer screen is a bit further away than say your phone which is closer to your eyes. With your +2.00 glasses your able to see your phone much better now, but your eyes haven't had enough time to adjust to the stronger prescription for seeing your computer which is a little further away from your eyes. I suggest you try your best to continue wearing the new glasses so your eyes adjust. Of course if you continue to have problems adjusting then you may want to talk to your ECP about going to bifocals which would allow you to wear a weaker rx for distance including your computer and have the stronger add for seeing close.

J 10 Nov 2014, 09:26

I have been wearing +1.25 readers for the last couple of years, that were prescribed after an exam.I use them often but get by with larger print without the glasses (I am 45). One of the chains here offered a discount on an exam, so I stopped by. My distance was ok, and then she had me read the small print. At one point she asked me if I could read the smallest line, and I could. Then she flipped the lenses and the print got a bit brighter. She flipped them again, and the print got a bit bigger and clearer. She wrote me a prescription for +2.00, which I think is a big jump! I got the glasses yesterday, and when I put them on everything really jumps, but I can't read my computer screen. I see find with the 1.25's, but with these, after a while I feel a strain and when I took them off close print was much more blurry than previously.

Was I overprescribed? How can I tell if these new glasses are too strong? Is there a down side to wearing them? Thanks..I don't know who to ask...

FionaA 10 Nov 2014, 08:41

Once again my vision has been causing me problems so I had another eye test. I seem to need to do this every year which does seem a bit to often. Anyway, as I think someone suggested, my right eye(which had been prescribed a very weak minus lens) has now apparently become long-sighted! My left eye also needs a stronger lens . My new prescription is apparently the strongest plus that I can handle at the moment. This time, they put drops in my eyes to test for latent hyperopia and said that I actually have quite a bit and that over the next few years as my eyes start to relax they will be able to get me to my full script.

So, my new glasses will be

right eye: +2 -0.75 (Can't remember the axis and don't have script with me) add +2.5

left eye: +2.75 -0.5 add +2.5

Soundmanpt 08 Nov 2014, 09:16


Sorry for being so late in responding to your post but I missed it earlier on. What has happened is that you were prescribed early on for reading and other close work and your vision was probably fine for seeing distance without glasses. But with doing more and more reading and studying putting on and taking off your glasses became nuisance and you started just leaving your glasses on and the blur you used to get when leaving them on was soon gone and you could now see distance perfect with your glasses. Which was better for you now because you weren't putting and and taking off your glasses anymore. Of course the downside was that you could no longer see distance without your glasses. This worked for a good long while but now your distance vision is being corrected with your glasses just fine but there no longer strong enough to provide you with good vision for seeing close up. So these days your contacts work fins for your distance vision but are too weak for reading. So of course the option of putting on readers over your contacts works good but really it is pretty much what you started with when you first got glasses. Meaning a a lot of putting on and taking off of glasses. You know the real solution is bifocals or progressives (fancy name same thing). Just because your only 35 doesn't mean your eyes aren't ready for bifocals because they are. Now you do have a couple of options. You can get bifocal contacts but to be honest they tend to move around on your eyes and cause you to loose focus at times, or you may what to try monovision which is simply wearing one lens just for distance and the other for reading which menas making your brain do some work. And the last option is of course just returning to wearing glasses full time again which in the end will give you the best vision of the 3 options.

Soundmanpt 08 Nov 2014, 08:46


So did you order your wife a pair of progressives for her birthday as you planned on doing? I assume you saw "Likelense" suggestion to put a small -.50 prescription in the top segment of them. I think even being young she would notice the change in her distance vision but in a positive way. Even with her distance vision being perfect wearing -.50 correction will make her distance vision much like adding HD to your TV. So she should enjoy the clarity her glasses would provide her not only fro seeing close but distance as well. If she asks any question you can just tell her that is recommended with progressives to enhance ones vision. (Just a bit of a white lie of course)

Tino 03 Nov 2014, 06:18

I've found recently that I need to move my glasses further from my eyes to magnify the print I'm trying to read. Is this simply a case of needing a stronger prescription for reading and intermediate use or something else? If it's a stronger prescription does anyone have an idea of what moving the lenses 3/4 inch further from my eyes equates to in terms of dioptres?

Likelenses 29 Oct 2014, 17:41


To add a little spice to her birthday gift,you could have the progressives made up with a -.50 in the top portion of each lense.

She is young so she may not even realize it except that her distance vision would be very sharp.

tliteful 29 Oct 2014, 17:12


Good to hear the prospect for failure with monovision contacts is high - I think she was already warned this could be a difficult adjustment. So, I will try the birthday surprise and hope for the best. She likes to change her looks a lot, and I can feed right into that!

Soundmanpt 29 Oct 2014, 17:06


Well your idea is by far a better idea and not just because you of course want her to wear glasses and not contacts. Like you say she can do what they call monovision wear she would only wear one contact of +1.50 and since she doesn't need any correction for distance then she wouldn't need a contact the other eye. But to be honest only about half the people that try it can do it. People really struggle with monovision so it is hard to say how well she might fair with it. Other wise she can get contacts in +1.50 and by wearing them constantly it is possible that her eyes may adjust to seeing distances after she wears them a while, but then she will probably need full time correction even fro distances as well.

Her best option is your idea of getting her a pair of progressive glasses which won't do any harm to her distance vision and yet she will be able to see close up by simply moving her eyes down through her lenses of her glasses.

tliteful 29 Oct 2014, 15:48


Of course my wife needs to buy into the idea of glasses as a better choice than readers or contacts. She thinks she wants contacts, but I hope progressives will show her a more easily managed and much more fashionable choice. How easy is it to wear contacts (1 or 2?) having a plus in one eye only for reading, and the other eye for distance? Thanks.

Slit 29 Oct 2014, 09:53


The slow progression of the prescription with your age gave some valuable insights. Looks like your weakness is a really slight one, perhaps a slightly shorter eye ball from early years of life and it seems the ciliary muscle has been doing a good job so far. So probably you will not get massive increases till next 5 years...

Accomodative insufficiency means the ciliary muscle (the muscles that helps to change the shape of lens of eye to become more curved when you look at near things (hence increasing the power)) is not string enough to fully change the lens shape to make it powerful enough to see near...

With regards to glasses, you can probably try progressive lenses with upper part zero prescription and lower part reading prescription, which avoids the trouble of looking over the reading glasses when seeing distance.

Do you work many hours a day on computer? (Tech industry job/ stock market analyst etc are about 85% of time on computer so benefit from full size reading glasses made to match computer screen's distance)

Or do you have interaction with people at work? (E.g. Bank officer has to use the computer 50% of time and rest of the time interact with customers -> progressive bifocals are great)

Soundmanpt 29 Oct 2014, 07:04


It really depends on if she is ready to start wearing her glasses more often or not? Even though your doing this because you want to see her wearing glasses full time and the bigger frame style you in fact would be doing something that she should be pleased about. I saw your post over in "New glasses" and she is already questioning your interest in her wearing of glasses and by doing this she is sure to find out that you have a "glasses fetish"

As for her adjusting to them she shouldn't have much if any problem getting used to them very quickly and she really should like being able to look up and be able to see clearly with them on, something she can't do with her readers on. So if she is reading and also watching TV now when she looks up from her book her vision is slightly blurry if she is looking through her glasses or she has to pull them down and look over them and then push them up again to continue reading her book. With the progressives she would be able to read her book and be able to look at the TV and now see it perfectly. For that reason she very well may decide to wear them full time or at least a lot more.

tliteful 29 Oct 2014, 03:44

Nothing - her distance vision is perfect.

Likelenses 28 Oct 2014, 21:05


What were you planning for the top portion,or distance part,of these progressives.

tliteful 28 Oct 2014, 19:30

Question - reading glasses vs. progressives.

My wife has been wearing rather mild reading glasses for about 7 yrs now. Currently at +1.25 or 1.5, so I was thinking about buying her some progressives from websites that do this without a prescription (surprise birthday gift). I am hoping she will wear them more full-time, without all the taking-them-off, losing them, looking over the top nonsense that the reading glasses seem to demand. Do you think they will be an easy transition?? I am looking at only the largest frames, of course! Thanks.

Catherine 28 Oct 2014, 18:37

Slit/Soundmapt,Carrie - I started wearing glasses in 4th grade (9 or 10 years old) mostly for reading and studying. In college I pretty much was wearing them all the time instead of taking them on and off so that is when I got contacts. I have had pretty much the same prescription until now at 35. I have been having some eye strain when doing a lot of computer work or while looking at my cell phone so it was recommended that I wear reading glasses over my contacts. I have tried reading glasses at home and they really do help but I haven't used them in front of anyone yet. One other thing the optometrist said was that I have accommodative insufficiency...would that be the reason for the reading glasses?

Soundmanpt 27 Oct 2014, 09:10


It is true vision genes can skip a generation. So even though your parents don't wear glasses glasses it is possible that it did just skip from a grandparent.

But in your case it would be hard to tell when you might have gotten your first glasses had you not just been interested in trying on those over the counter readers and discovered you were able to read somewhat better with them. That plus the fact that you always had the desire to wear glasses prompted you to get your eyes checked and you got your first rx of +.75 / +1.00. But if you had not been trying on those readers it is very hard to say when your vision would have become noticeable enough to you to even consider getting your eyes checked? At the time when you got your glasses you were not having any issues with reading. And of course wearing your glasses full time was sure to make reading easier with glasses than without glasses.

The girl that cuts what hair I have left was told 3 years ago that she actually had a plus prescription and she could have gotten glasses then already but because she wasn't showing any signs of having any problems with reading then and still not that she could put off getting glasses until she starts having difficulty reading close up. The only thing she is starting to notice is that if she reads for too long her eyes do tend to start loosing focus and she has to stop reading. She admitted to me that if she had an office job doing computer work or much reading she would have to get glasses now. Unlike you she is not looking forward to when she will have to start wearing glasses and she knows that day is coming. I just hope I still have enough hair for her to cut so I will be around to see her wearing glasses.

Carrie 26 Oct 2014, 17:42

I meant to say that my Nan got her first glasses when she was in her late teens, roughly the same age as when I got my first glasses and my cousin got her first glasses.

Carrie 26 Oct 2014, 17:38

In my case the eyesight problem skipped a generation. I seemed to have got my long sightedness from my Nan (my Mum's Mum). My cousin on the same side of the family (I've mentioned her before) has the same long sightedness gene. My Mum had perfect eyesight until she was in her 50s when she got age related reading glasses. She's got better eyesight than me!

Slit 25 Oct 2014, 22:21

Hi Catherine,

Yes there is a tendency for the kids of the parents who are far/near sighted also to get it from the genes. But in your family it will be an interesting case, because father used to be fairly near sighted and mother is slightly far sighted.

Probably your husband wore glasses from a much early stage of life, but your prescription looks very slight and perhaps your farsighted was induced only because of lot of reading and other close work?

Did you have glasses since you were at college? Also at what age they suggested you to use reading glasses over contacts?

Soundmanpt 25 Oct 2014, 17:12


Its all about genes and since you and your husband both wear glasses it is very probable that your kids will be needing glasses if they don't already. In kids it is much harder to determine farsightedness because they can get by much easier than adults can with not seeing well close up.

The girl that cuts my hair was told that she farsighted and at this point she doesn't have any problem with her eyes, but she did admit that if she is reading for along stretch say a book after a while her eyes do start to get tired and the letters of words begin to blur. I told her that she will probably notice with each passing year that her reading time will become less and less. I warned her that she may not want to take a desk job where she is doing much close work because she probably would be needing glasses even sooner. She laughed and said her optometrist told her the very same thing. Sadly she doesn't have any desire to start wearing glasses until she really needs them. I tried to convince her to get some +1.00 readers but she didn't like that idea at all.

At any rate it would be a very good idea to get your kids eyes examined even if they aren't showing any signs of needing glasses. It's just good eye health.

Catherine 25 Oct 2014, 12:05

I had an eye exam the other day and the doctor was great. My distance glasses stayed the same at +1.75 -.5 (both eyes) and I was saying that I still have issues with my phone or the computer even with my contacts on so he checked my near vision and said I could wear +1.00 over my contacts for extended near tasks. Seems like an easy fix but I never liked people seeing me in glasses so we'll see if I get the nerve to wear the reading glasses. But what was interesting was that he asked if my husband was nearsighted or farsighted and I said he was nearsighted (-4.5) but had had lasik. He went on to say that if my husband was farsighted we should have our kids in so he could do a thorough exam to see if they are also farsighted as it is not always easy to detect. He thought it would be a good idea to have them in for an exam anyway because he would be able to predict by where they are now whether they could become farsighted or nearsighted...I had never heard of that before?

Melyssa 24 Oct 2014, 04:37

Another one bites the dust -- no, not me, but my dental hygienist, who is in her upper 40s age-wise. Yesterday was the first time I had ever seen her wear glasses -- they were half-glasses, like the ones I use with my regular glasses for reading. Hers were red, and they did work very well because she did not make me bleed while working on my lovely choppers. :)

Cactus Jack 02 Oct 2014, 19:06


I would suggest that you are looking at the need to wear glasses, the wrong way. Glasses are just tools to help you function more efficiently and comfortably. Those of us who need reading glasses, bifocals, trifocals, or progressives understand what you are experiencing, but let me assure you that you will soon appreciate the valuable service your glasses are doing for you.

Consider that you are somewhat dependent on other tools, but you probably don't think much about them.

Shoes are tools to keep the rocks from hurting your feet. The primary purpose of clothing is a tool to keep you warm in cool weather. Hammers are just tools to let you drive nails with minimal pain to your hand. Obviously, Shoes and Clothing have other ancillary functions, but they may not be necessary or even appreciated in certain situations.

If there is a vanity issue involved, maybe we can help with that also.


MCI 02 Oct 2014, 15:05

Cactus Jack, thank you for the clear explanation.

I don't worry too much, and I don't mind to use glasses. But I feel a bit frustrated of being so dependent on them, not being capable of reading anything without glasses

Cactus Jack 30 Sep 2014, 23:07


Welcome to the "joys" of presbyopia and all the things that go with it. Presbyopia itself is caused by stiffening of the crystalline lenses. Over time, your crystalline lenses will become so stiff that your ciliary muscles cannot increase their PLUS power to focus close. However, there is another effect that you are experiencing.

For their size, your ciliary muscles are the strongest muscles in the body, but like all muscles it you don't use them, they get out of condition. The +0.5 sphere in your prescription means that you have a little hyperopia. The function of the sphere and cylinder distance correction in your glasses is to correct your hyperopia to 0.00 or no refractive error. The +1.50 add has another purpose entirely.

When you were young, your crystalline lenses had the consistency of gelatin dessert and your ciliary muscles could easily squeeze your crystalline lenses and cause them to provide the extra PLUS you needed to correct your hyperopia, but also effortlessly focus close for reading or any other close task. After your hyperopia was corrected, the amount of extra PLUS you needed to to focus close was strictly related to the focus distance involved. This relationship is described by the most fundamental formula of optics developed by Sir Isaac Newton of gravity fame around 1700. The formula is pretty simple: Lens power in diopters = 1 meter, 100 cm or 1000 mm / Focal Distance in meters, cm or mm as appropriate. If you like to use inches, 39.37 inches = 1 meter.

To focus at a normal reading distance of 40 cm or 16 inches requires +2.50. That +2.50 has to come from somewhere. The Add in your glasses provided +1.50 and you were able to supply the extra +1.00 internally using your ciliary muscles and crystalline lenses for a total of +2.50. When you wear higher plus glasses, for reading, your ciliary muscles can relax and let the glasses to the work, but that quickly leads to de-conditioning. It is a vicious circle and it will ultimately lead to a full time need for either bifocals or trifocals to provide the needed PLUS, externally. Frankly, there is not much you can do about it. It happens to almost everyone.

I can offer you a little comfort. The amount of PLUS you will need will depend on your preferred focus distance, nothing else, after your hyperopia is corrected. If you like to read closer than 40 cm or 16 inches, you may need a +3.00 or +3.50 Add, but it is very rare for the Add to go higher than that unless you like to work on mechanical watches. You may find that +1.25 or +1.50 is very handy for using a computer and there are some tricky ways to do that.

Again, what you are experiencing is normal and the best thing is to not worry about it, but just get the glasses you need to function comfortably in all situations. I you have more questions, we will be happy to help.


MCI 30 Sep 2014, 17:43

Tired of putting the glasses on and off I decided to move to multifocals at the beginning of this year (I was using occupational glasses before) Short time after, I became fully dependent on them for reading. (Before I could still read the text at the mobile with a bit of effort but now I can’t anymore). I understand eyes can relax getting used to the glasses, but I was already using them full time (10-12 hours/day) for close work (reading and computer) and I didn’t expect my close vision changes. I don’t understand it can have changed because of the new glasses.

I’m now struggling a bit with the very small printer. Last weekend I was using the readers of a friend. They were +2.5D, what is ~0.5D stronger than my prescription for close (my prescription in January was: OD:sph +0.50 cyl -0.50 OS:sph +0.5 cyl -0.25 Add +1.5). When I put them I feel them stronger than mine, but after some time I feel very comfortable for reading, for computer distance was not so good but it was not too bad either. I continued using them for the full weekend (to read and computing only). Can our eyes relax and get used to stronger prescriptions? Or perhaps my vision has really worsen? An increase of +0.5D looks perhaps too much change for 9 months, and an addition of +2.0D looks also a bit high for my age (I turned to 47 recently). Do you have any hint?

I don’t know if it’s worth to get my eyes checked again.

Carlos, Jr. 26 Sep 2014, 18:03

Hi Slit, great news about you being prescribed progressives. Let us know how the adjustment goes.

Cactus Jack 24 Sep 2014, 08:16



Sydneycider 24 Sep 2014, 03:09

Hi Cactus Jack,

What is your email?



Sydneycider 24 Sep 2014, 03:09

Hi Cactus Jack,

What is your email?



LT Lurker 04 Sep 2014, 00:21

Oh to the last anonymous post....perhaps your pious personality may do better on another site. One that shapes your dull and uninteresting character into an even more politically correct clone drone.

 03 Sep 2014, 22:15

Well, L.T. Lurker, perhaps 46 is old enough for her to make her own decisions as to when she wears, or doesn't wear her glasses... notwithstanding your fetish, of course.

LT Lurker 03 Sep 2014, 19:36

My wife has been back wearing her glasses for a year or so and then all of sudden she stops and complains they are "no good" as they give her a worse headache than not wearing them also she complains that when she looks around it makes her dizzy and uncomfortable although straight ahead at a screen is fine.

Rx is R+1.25 L +1.00 CYL -0.25

Although she had a test 1 year ago which she didn't fill of

R+0.25 CYL -0.25 L+0.25 CYL -0.25 ADD +1

She is 46

Carlos, Jr. 03 Sep 2014, 18:17

My glasses-averse boss is at it again. Not wearing his glasses for the past few weeks and using a magnifying glass to read items on the computer monitor. Sounds like glasses would be a much easier solution.

Maurice 29 Aug 2014, 12:18

Slit, how long have you worn glasses for hyperopia. Are you full-time or just for close-up work?

Grant 21 Aug 2014, 06:57

Slit - I can see pretty well in the distance with my glasses although it is a little clearer with them off. Is it normal at 35 to feel I need to wear my glasses for most prolonged near task since they are so weak?

Slit 21 Aug 2014, 04:32


when you wear the regular reading glasses do you find the distant vision blurry?

given that your present reading glasses are not much powerful, you might even get adapted to wearing them full time. (initially it will be blurry in distances with them on, but if you practice wearing it in a safe manner avoiding driving with them etc, you will find them helping both distant and close vision).

However if you absolutely hate wearing glasses in public, and also if you can afford, multifocal contact lenses are a good option.

Other advantage is you are still 35, so getting used to the multifocal contact lenses earlier in life will be helpful when you have higher prescriptions as you grow older...

Grant 20 Aug 2014, 21:16

I have glasses for reading L +1.5, R +1.75. The machine (autorefractor, I think?) gave a prescription of L +.25, R +.5. I wear my reading glasses all day at work then take them off but in the last year I find that looking at my phone or doing anything up close causes strain and headaches pretty quickly. It has been 3 years since my last exam and I am 35 years old. I am wondering if I could wear bifocal contacts so that I do not have to always have my glasses that possible with my prescription? I am really self conscious about my glasses and I know my prescription is weak so I am really nervous about going for an exam and asking about contacts.

Weirdeyes 01 Aug 2014, 22:47

I'm 18. I do look at my iphone for hours because of boredom. I recently got glasses in my new prescription. I get some headaches from them, but I notice slightly clearer distance vision.

LT Lurker 01 Aug 2014, 22:34

Hi Weird Eyes,

Very interesting post there.Did you have a full cycloplegic test? Also how old are you?

I say this because I recently read an article on lasik where the surgeon concerned specialized in clients who were hyperopic presbyopes, ie persons of 40 -55 or so who had had great eyesight but found that presbyopia had reduced the quality of their vision at both near and far.

A lot of information suggests that there is no real need to cycloplege a 45+ year old, however this particular surgeon insists it essential as time is money and he does not wish to keep wasting it doing the so called "enhancements".

This means he aims to identify the full amount of latent hyperopia and his results show that he often finds as much as 2D of hyperopia as the eye muscles are so tense that they have this much locked up and he has to use increased amounts of the atropine to ensure he gets a complete picture.

So when you say that your prescription was lowered as a result of tense muscles I suggest that it is because you might have a good amount of latent hyperopia going undetected and all sorts of things can affect this from various pharmaceuticals to plain old sugar as well as looking at a PC all day without glasses or too weak glasses.

Weirdeyes 28 Jul 2014, 01:31

I keep on noticing that my vision fluctuates. I sometimes see fine with my glasses, but I sometimes get slightly blurred distance vision. My eyes happened to be tense when I got tested, so my prescription got lowered a bit. Today my vision is more relaxed and my distance vision is fine with my glasses.

Carlos 02 Jun 2014, 13:31

Looks like my 49-year old boss has finally resigned himself to a life of wearing glasses. Though he has had glasses for months, we saw him using a magnifying glass, stretching out his arms, squinting when he read close-up. But, suddenly, during the past two week, he has gone to glasses full-time. I guess he finally came to the conclusion that he just could not see.

Cactus Jack 01 Jun 2014, 15:02


Yes! Even that small amount means that her ciliary muscles and crystalline lenses are having to work to see distance clearly and harder than normal to focus close. If she finds that her vision is more comfortable with +0.25 glasses, it is not for us to pass judgment on what makes another person comfortable. It would be like me saying that I would like it better if you were wearing shoes that were 1/2 size smaller than what is comfortable.


Dude 01 Jun 2014, 14:29

Hi, I'm curious my cousin is a 25 years old girl, who wears +.25 glasses full-time, when she's not wearing her glasses, she squints a lot and has headaches. Should a little prescription such as this, make any difference in her eyesight?

don-boy 29 May 2014, 18:59

hi wife went for new glasses with complaint of poor vision near,int, and far was given od+2.75-0.75x080 os+3.00-0.75x080 add+2.00 autorefraction od+3.50-0.75x080 os+3.75-1.00x080 old rx od+2.75-0.75x080 os+3.00-0.50x089 add 1.50

old autorefraction od+3.00-0.75x097 os+3.25-0.75x085

question is autorefraction went up +050 but new distance rx stayed same thanks



Julian 26 May 2014, 02:21

okay: don't know why you bothered.

okay 25 May 2014, 18:22

Let me try again...

okay 25 May 2014, 18:15

Looks like celebrities are not immune...

Weirdeyes 07 May 2014, 03:31

I think my visual discomfort has to do with being tense, having sinus problems or eye strain. Even though I've worn my glasses fulltime for two years I still have trouble relaxing my eyes. When my eyes get very tense I start to get slightly blurry distance vision or lowered contrast.

It seems like it's way easier for Carrie to relax her eyes even though she's not much older than me. She also seems way more dependent on her glasses. It's still very easy for me to read without my glasses even though my prescription is higher than Carrie's.

John S 02 May 2014, 01:02


The test is called a Fused Cross Cylinder Test. I think I have only had the test once or twice. I have not made an effort to read enough about it and retain the info to understand how it actually works.

This is from a document on how to measure accommodation.

"1. Ask the patient to report which lines are sharper or most distinct, the lines going up and down or the lines going across.

2. If the patient reports that the vertical lines are sharper than the horizontal lines before any lenses have been added, reduce the illumination. If the patient then reports that the horizontal lines are sharper or that the two sets of lines appear equal, proceed to step 4. Otherwise, proceed to step 3.

3. If the patient continues to report that the vertical lines are sharper with reduced illumination, flip the JCC axes so that the red dots (minus cylinder axis) are now along the horizontal meridian and again ask patient which lines are sharper.

a. If the patient then reports that the vertical lines are still sharper, stop the procedure and record “vertical preference.”

b. If the patient reports that the horizontal lines are sharper, record “lead of accommodation,” “minus add indicated,” or “minus projection.”

4. If the patient reports that the horizontal lines are sharper or that the two sets of lines appear equal, add plus lenses binocularly, +0.25D at a time, until the patient reports that the vertical lines are sharper.

5. Reduce the plus power binocularly until equality in the sharpness of the lines is produced. If equality is not reached, stop at the highest plus lens through which the patient reports that the horizontal lines are sharper."

I also found an optometrist explaining the test-

"If you're overminused/uncorrected hyperopic/presbyopic/overaccommodator, the verticals will seem clearer. If you're normal (due to +0.50 lag in accommodation)/underminused/underaccommodator, the horizontals will seem clearer.

It's a "sneaky" test that patients can't overthink and therefore screw up."

The way I read it, in your case you will most likely see the horizontal lines darker when the test is started if your minus distance rx is set into the phoropter. That indicates you need more plus to accommodate for near. Plus is added until the vertical lines seem darker. If you delay your response when you see vertical lines get darker for a few lens changes, more plus should be added showing a need for a higher reading add.

I found a blog with some good info on accomodation problems with kids. Since you're not 35-40 yet, it can apply to you.

I really like the paragraph starting with "Then I like to demonstrate".

I hope this helps.

Dan 01 May 2014, 15:09

Question about the cross cylinder test for near vision. I know this has been discussed on here before but can't seem to find the relevant info.

As I have mentioned in the past, I sometimes wear bifocals or reading glasses over contacts. At my next appointment, if they do the cross cylinder test with the horizontal and vertical liens for close work, what is the best way to go about that if I wanted to get a slightly stronger add?

Marg 29 Apr 2014, 14:21

I asked my optician today if I should have the prisms in my plus 9 reading glasses and he said YES I do not like very small frames can u tell be how much thicker the 5 out prims will make the lens Thanks

Aubrac 28 Apr 2014, 03:48


Base out prism is used to correct over convergence which can most often happen when reading but also at any other time. This can result in one or both eyes turning inward and give rise to double vision, eyestrain, and headaches.

The extra thickness will be at the outer edge but actual thickness will depend on the frame size of the lens but at 5 degrees should not make too much difference.

I think you will find the prism makes reading easier but at +9.00 your optician may not think them necessary.

Have you experienced any vision problems or headaches? Many people who get a prism correction do find it makes vision much more comfortable and with less strain.

Carlos 27 Apr 2014, 08:07

Got my first pair of glasses yesterday. Had been having some difficulty reading items on my phone. To my surprise, discovered that I probably should have been wearing glasses a lot earlier than this. Apparently, I am farsighted, along with being presbyopia.

Left eye is+1.25 add +1.25

Right eye is +1.50 add + 1.25

Anyway, am getting used to not only wearing glasses, but wearing glasses full-time.

Marg  27 Apr 2014, 07:37

I forgot to say I also wear plus 9glasses for reading should I get prisms in these as well and how thick would they be


Marg 27 Apr 2014, 06:26


I wear plus 6 lens with no cyl or axis correction for distance I have now been told I need 5 out prisms will this be a lot thicker now.also where will the extra thickness be will it be in the middle or. To one side also I always wear cr 39 lens much clear vision many thanks

Cactus Jack 27 Apr 2014, 02:19

Ty ty,

You've got it!


Ty ty 26 Apr 2014, 21:59

I have been reading about eye exercises and all and how they are supposed to relax your ciliary muscles which will in turn improve your vision and less dependency on glasses. However if you are farsighted, wouldnt that relax your muscles into being more farsighted?

LTLurker 26 Apr 2014, 18:57

I neglected to consider that the glasses would not get tired!

LT Lurker 26 Apr 2014, 17:52

Hi SC, That is the bit I don't understand, if you read prescribing philosophies in various books and papers they suggest that to do close work comfortably you require 1/2 the total amplitude of accommodation in reserve

o One-half amplitude in reserve

 Determine ½ amplitude of accommodation and accommodative stimulus (determined by working distance)

 What do you have to give them so that ½ of their amps plus the patient’s add= stimulus?

The above info pulled from a university text is what is confusing me.


SC 26 Apr 2014, 13:10

LT Lurker

Not sure I agree with your maths.

@33cm (small print) you need +3.0D plus distance

So for PH wife:

With current glasses (RE +0.75, Add +1.50):

Total needed +3.75D

Glasses provide +2.25

Remainder +1.5 to be provided by accommodation.

This is nothing special as my wife has +1.5 add @48yo

This is also my reasoning that variations in distance Rx not an issue. If LE is trule +1.0 and glasses currently +0.25 the available +1.5 will cover the difference albeit I suspect reading will become more difficult.

In my eye tests, each eye tested separately for distance but often together for reading so may be it would not be picked up.

Jamie32 26 Apr 2014, 12:03

Yeah Dan,

I see what you mean

BTW, am wearing my bifocals to type this to you:)

Think I'll be a full time bifocal wearer after next eye exam!

choch 26 Apr 2014, 11:54

Would it be viable to ask an optician to prescribe a +2.00 contact as well as glasses -2.00 stronger than I officially need to induce a little bit more dependency while wearing the contacts? I have been having a lot of trouble reading recently even with just my extremely low myopia and I am pretty self conscious about the thought of needing readers before age 30. Bifocals too. Id like it to keep it more of a secret and honestly even with the new lenses bifocals are fairly obvious for a number of reasons. It would be nice to just take glasses off and be able to read again. Would an optician buy into this if asked about it? Has anyone here ever tried this?

Dan 26 Apr 2014, 11:03


Haha...we'll see how long I can hold out. It took smaller font on a different computer for some of my issues to really present themselves it seems. I have an appointment in August. We'll see how dependent I have become on reading glasses by then!

Jamie32 26 Apr 2014, 10:28

Hey Dan,

Thanks for the update. Yeah, read a post that more younger people needing the extra help up close way earlier than ever before due to our digital world.

Now, just how long before you become a full time wearer of progressives:) Of course, this coming from Eyescene's slowest ever realizer/accepter of his own actual need for a little extra help up close, lol

LT Lurker 25 Apr 2014, 23:16

I think that the situation with Puzzled Husbands wife is fascinating.

SC& CJ have both proposed quite acceptably that as there was in the past 1D of Hyperopia found then that will re appear at some later date as it is currently being corrected by accommodation.

So this means that PH's wife has to find with current specs at least +.75D to clear distance, then she has an additional help of + 2D for near.

So it is my understanding that in order to see clearly and comfortably at near, at say 14" (35cms), then she must have 5.75 D of accommodation still available.

This is (please correct me if I am wrong)formulated as follows -

3.5D required to see at 14" with an additional 3.5D to see without tiring.

So the +2 add makes up deficit.

The thing is,is that this goes against the generally held and accepted Donders rule of expected amplitudes accommodation, as PH's wife is 46 and Donders states that only 3.5D is available for a 45 year old.

So with PH's wifes prescription for near we can question Donders as - if she wishes to read at near she has correction +0.25 for the distance in one eye and +2D for near in both meaning prolonged near work she will need 7D less 2D for her lenses, so her accommodation will need to be 5D least 1.5D more than Donders says she can have.

So why Donders is so well held I don't know.

Hofstetters’ formulas shown below however give us a better impression on what is going on with PH's wife.

i. Minimum expected amplitude = 15 – 0.25 (age)

ii. Average expected amplitude = 18.5 – 0.30 (age)

iii. Maximum expected amplitude = 25 – 0.40 (age)

The average expected gives her 4.7D whilst the maximum will give her 6.6D... so the originally found Hyperopia could exist latently with this formula.

Additionally I have read an article by a lasik surgeon who specialises in "baby boomers" and correcting their sudden need for glasses after a life of both great near and distant vision (some able to see 20/10)

He insists ALL patients over 45 (most of his client base btw) have a cycloplegic refraction, because many of his presbyopic hyperopes are found to have a significant amount of latent hyperopia even at around 50 years of age and the last thing he wanted was to have clients rocking up for an "adjustment" (he doesn't want to see them again).

So the evidence is there and it could be that as PH's wife has been given varifocals for the simple reason that the optician knows that distance correction will increase and that it is better to be used to varifocals than to have a hard time adjusting.

I should finally mention that my partner was in a similar situation to PH's wife ...

33 +0.75 L +0.5 R

39 +1.25 L

+1.0 -0.25CYL r

45 +0.25 -0.25 CYL ADD+1.00 L

+0.25 -0.25 CYL ADD+1.00 R

She has not filled the final prescription and wears her previous script for reading and PC,I know also, although she denies this, that she can see with this for distance.

Finally the prescribing philosophy that is held with low latent hyperopes who emerge in the late 30s/40s that only part of the full correction be given as a near correction.

I presume that PH, your wife wears her varifocals all the time?

I await with interest the views of the more learned posters on this site as I am keen to learn more about the strange phenomenon of accommodation and it's bearing on hyperopia and presbyopia.


Dan 25 Apr 2014, 16:57

I've posted on here several times and figured I'd give an update!

Been wearing my -1.25 contacts all the time, as I have for the past few years (sorry all glasses fans!). As I've mentioned before, I've toyed around with bifocals and reading glasses from time to time over the last few years but never consistently used any. That may be changing. I recently got a new position at work which requires lots of work in Excel. Also received a new computer which has great resolution but the font seems quite tiny. I started getting headaches so decided to try the reading glasses again...and wouldn't you know! No more headaches. Looks like I may be moving more toward reading glasses regularly for close work. It's amazing what the computers have done to us! :) I am nearly 25.

Cactus Jack 25 Apr 2014, 16:01

New Wearer,

Obviously, the optician you visited did not do a very good job. If you could provide a bit more information, we might be able to offer suggestions. You may have provided the requested information before, but it is impossible to remember the details of every post.

1. Your age?

2. Where you live?

3. Most recent complete prescription with approximate date?

4. Complete prior prescription with approximate date?

5. Did you visit an independent optician or an optical chain?

Even without the above information, I think you need to visit a different Eye Care Professional, but before you do that, you need to do a bit of planning. We can help with that.


New Wearer 25 Apr 2014, 12:30

Hi everyone. I posted on new glasses a while back about getting new glasses.

I've been getting persistent headaches, neck ache and eye strain as well as double vision.

I went to the opticians today. They didn't even check my eye alignment (new optician). There was no lining up as per before and no cover test.

I am convinced I need stronger prism correction but this optician didn't even check.

I need stronger glasses he says, but only mildly so.

I don't think that will fix my problems!

SC 25 Apr 2014, 07:39

Puzzled Husband,

Looking at the Rx you list for your wife. Then you can make some assumptions:

- the +0.75/+1.00 that has been prescribed in the past will be the minimum distance in the long run as CJ says it doesn't get better

- an add of +1.5 (as in the 45yo Rx) suggests there must still be another +1.5 internal accommodation to handle small print and so small changes in distance Rx will not be a problem

- as the add increases due to accommodation reduction then the distance Rx will become much more sensitive and the true Rx will begin to appear

John S 24 Apr 2014, 22:26

In my 40s, my distance rx dropped to +0.25/+0.50 from +1.00/+1.25. I had the +1.00 rx since I was 13.

By the time I hit 50, I was back to my same old rx. I never understood why.

As far as different exam results go, I had better results wearing stronger lenses before the exam. Wearing an intermediate distance rx while driving seemed to shift the rx a little more positive. I guess the lenses were causing my eyes to relax to try to make my vision clearer.

SC 24 Apr 2014, 10:11

Ennis, PH

I have little faith in individual eye tests as being an accurate indicator of hyperopia. So much depends on the day and what you have been doing. The best approach is self-assessment particularly the intermediate segment of progressive lenses.

In my personal experience, I find that if I drive a long way, say 200 miles, then my eyes get tired and they will accept a stronger prescription, but driving that distance before an eye test is a little incovenient! Using the reading add then my brain seems to realise that it is for short distance and will not relax, but the intermediate seems to relax easily.

My previous Rx ws +0.75 Int Add +0.75, Read Add +1.50. I found that the intermediate (+1.5) focus distance increased to 3 metres over about 6 months and was OK for distance after the tired driving. so I knew I needed +1.5 for distance, but when my eyes were tested I could not see through them!!!

So I got +1.0 Int add +1.25, read add +2.00. I was told by the optician that I'd have to get used to using the intermediate for the computer (as opposed to reading segment). Within 2 weeks I was using the reading add again, and the intermediate had quickly stretched to 2 metres.

So now I need at least +1.75, and having tried on my mum's +2.25, probably +2.25 as they seemed ideal.

This would mean my progression would be:

-0.25 at 44yo

0.00 at 45.5yo

+0.75 at 46yo

+1.00 at 48yo

?+2.25 at 49yo

So I wouldn't read too much into individual tests. I got my mum to dig out her Rx (as she didn't know) and she brought out a stack going back 20 years. Interesting that she added the final +0.5 sphere between ages 55 and 61 which I thought was very late

Ennis 23 Apr 2014, 21:34

My guesses regarding the Puzzled Husband (PH) conundrum:

Because PH's wife has had relatively low hyperopia, there was more room for error in determining the right prescription. As Cactus Jack mentioned, it is hard to get a mild prescription right. The good thing is that most people can tolerate a small range of power. Plus, there is also the day-to-day (or more frequent) variability he mentioned.

Earlier, PH's wife probably had more tolerance for prescription variability and, perhaps, more tolerance for a stronger prescription than what she really needed. Now that she is older, her eyes accommodate less and cannot tolerate a prescription that is either too strong or too weak.

It is still possible that her hyperopia will increase in the future. For now, though, her presbyopia is becoming manifest.

I would be interested in hearing what others might think.

hooked 23 Apr 2014, 05:03

@Puzzled Husband

My wife is a rather strong hyperope with a refraction of +5/+5.5 from the age of 20 until 45. Before 20 it decreased slightly.

Since then (She is 48 now) the RX increased to +5.5/+6 .

Her doctor told that such an increase is quite normal during that age which fits to your theory/understandings. Usually one can expect an increase up to 1 diopter.

This increase goes together with the onset presbyopia. At the age of 45 my wife had an add of max. +0.5 while now it is +2 AFAIR.

Cactus Jack 22 Apr 2014, 19:37

Puzzled Husband,

Thanks, it may be related to the phenomenon known as Second Sight, when the crystalline lens begins to swell as a result of changes in the protein molecules that make up the lens. Swelling would increase the + power of the crystalline lens and reduce the need for external correction. Ultimately, the protein changes and the crystalline lens becomes clouded with a cataract, think what happens to egg white when you cook it, and the lens must be removed and replaced. Usually, Second Sight is enough of a change that older people who have acceptable distance vision, but need +2.50 or +3.00 for focusing close, can get by pretty well in bright light, without much correction. However, when that happens, it usually means that it won't be long before cataracts manifest themselves.

Small changes, such as your wife has experienced, is usually just normal variance. One thing that can cause short term changes in vision is Blood Glucose (BG) levels. The Aqueous Humor is a thin fluid between the Conrea and the Crystalline Lens. The Vitreous Humor is a thick gel between the crystalline lens and the retina. Changes in Blood Glucose levels can cause the Index of Refraction of the Humors to change and that can cause vision changes. For a person without Diabetes, BG levels average around 80 when fasting and as high as 160 to 180 after a high carb or high fat meal and that can affect eyesight by a fraction of a diopter in sphere. The Islets in the Pancreas produce Insulin to bring down the BG level or the liver dumps some Glycogen in the blood to raise the BG level. Most people don't notice the small changes. When working right, BG control is very fast and fully automatic. The system's ability to keep BG in the proper range for good health and proper functioning is truly amazing.

Again thanks for the link. As I have said many times, I am not an ECP. My background is Electronics and Computers. I am an Amateur in the original French sense in that I have studied vision and optics out of love of the subject, motivated by vision problems that the average ECP, had trouble explaining or correcting to my satisfaction. Also, I have a reputation as being a pretty good explainer and problem solver, once I understand the exact nature of the problem. Hopefully, the link will increase my knowledge.

You provided excellent detailed information in your first post. I will study the link and get back to you. In the meantime, I don't think you or your wife should be very worried.


Puzzled Husband 22 Apr 2014, 18:36

My assumption was not based on my own theories but on the following academic article which concluded: "In the longitudinal study,

it was found that almost all hyperopic and emmetropic eyes showed an age-related hyperopic shift"

The authors concluded that: "that when healthy myopic, hyperopic, or

emmetropic eyes shift in the hyperopic direction, it is because of an age-related decrease in the gradient index of the lens";jsessionid=0EA645549AC61102E30B37D6C4385B72.f04t02?v=1&t=hubrpzfb&s=0525090a319cb9bd74557678523d08db82a7e9db

Perhaps I've taught you something for a change! ;-)

cactus jack 22 Apr 2014, 17:35

Puzzled Husband,

I would suggest that you have misinterpreted the research findings or the finding are flawed. More likely you misinterpreted the research and are reaching conclusions that you desire, rather than understanding what is happening.

Hyperopia and presbyopia are the two most difficult vision problems to understand because they are caused by two different problems that have the same solution.

Hyperopia is caused by a mismatch between the total optical power of the eye's lens system and the length (size) of the eyeball from the back of the crystalline lens and the retina. Presbyopia is caused by a gradual stiffening of the crystalline lens with age.

Based on the prescriptions you provided, your wife has almost no Hyperopia as indicated by the sphere correction (1st number) and a tiny bit of astigmatism and your wife's prescription has been amazingly stable over the years. The early prescriptions may have been used to assist dealing with her visual environment at that time, but her recent prescriptions just indicated a reasonable onset of Presbyopia

Refraction results, particularly where low refractive errors are involved, are very subjective and your refractive error can change some throughout the day and sometimes from hour to hour depending on what you have been doing.

For a person's true hyperopia to decrease, the eyeball would either have to shrink - not very likely considering the tissue that the eye is made of - or if there is an increase, it is likely that the person had Latent Hyperopia component to their Hyperopia and it is gradually resolving.

I urge you read some of the many explanations of Hyperopia, Latent Hyperopia, and Presbyopia on this and related threads.

Incidentally, some of the dimensions and optical powers involved are very interesting. The total optical power of the eye's lens system is between 50 and 60 diopters. The distance from the back of the eye's lenses system is about 17 mm. Length variant is about 0.3 mm per diopter of error. There are 4 lenses in the eye's lens system. 3 lenses; the cornea, aqueous humor, and vitreous humor are all fixed focus. The crystalline lens is variable focus. The crystalline lens, the ciliary muscles and the focus control system in the brain make up the auto-focus mechanism of the eyes.

Rather than write a tutorial to fit your post, the explanations are already here, but you may have to look some and think some. May I ask you to review what has been written and ask questions about what you don't understand. Here is a clue, nothing in the prescriptions you posted are unusual.


Puzzled Husband 22 Apr 2014, 13:06

I had always been led to believe that hyperopia usually increases with age, an assumption which has been backed up by solid scientific research.

I was therefore relishing my wife (a very mild hyperope) becoming more reliant on her glasses for distance as she got older. However she seems to be bucking the trend as evidenced by her eye test results over the past ?? years:

1994 (age 27) - advised to wear for reading when tired

R +0.25

L +0.25

2001 (age 34) - advised to wear for reading

R Plano add +1.00

L Plano add +1.00

2002 (age 35) - advised to wear full-time

R +0.50 -0.50

L +0.75 -0.25

2004 (age 37) - advised to continue wearing full-time

R +0.50 -0.50

L +0.75 -0.50

2007 (age 40) - advised to continue to wear full-time

R +0.75 -0.50

L +0.50 -0.25

2009 (age 42) - advised to wear for reading only!

R +0.75 -0.50 add +0.50

L +0.25 add +0.50

2009 (age 42.5) - advised to wear varifocals (different optician)

R +0.75 -0.50 add +1.25

L +0.50 add+1.25

2011 (age 44) - advised to wear varifocals

R +0.75 -0.75 add +1.25

L +1.00 add +1.25

2013 (age 45) - advised to wear varifocals

R +0.75 -0.50 add +1.50

L +0.25 add +1.50

2014 (age 46) - advised "no clinical change, continue with current varifocals)

R: +0.25 -0.50 add +2.00

L: Plano add+ +2.00

I thought you might be interested to see the progression (or lack of!) in her prescription - I just wish she was following the clinical norm! Instead her distance vision seems to be improving rather than getting worse - which is a shame!

She had been for a run on the morning of her test and was rather red in the face afterwards - could raised blood pressure make someone more myopic perhaps?

Soundmanpt 22 Apr 2014, 12:04


It seems that your eyes are changing some. If you got your first glasses when you were 18 and I assume the prescription you got was the +.75 -.25 then? Now it is +1.25 with some astigmatism. Not a huge change but certainly enough that you should notice the difference more. When you got your first glasses did you go straight to full time wear or just as you needed them? If your not wearing your glasses full time then I suggest that you do that. Like "Svesort" said you can't induce hyperopia, but constant wear should help some. Also being only 20 you can always order your glasses on-line and increase the +1.25 a bit higher because your eyes shouldn't have any problem tolerating a little more power. Not that this will actually change your real prescription but it will make your glasses look stronger which it sounds like what your wanting?

svensont 22 Apr 2014, 01:45


Measure the new distance. Try wearing this combo as often and as long as possible. I believe that after few days the distance will increase significantly

Lena 21 Apr 2014, 19:28


At first putting the +2s over I could see the computer clearly (the text of this website) until about 45cms. Within 10 or minutes this distance increased slightly.

svensont 21 Apr 2014, 17:32


You can check if your eyes can relax more. Buy over the counter reading glasses, lets say +2D and wear them over your glasses. Measure the distance from your eyes to a small print until it becomes blurry. Then after some time measure it again. If it will increase, it means you have more hyperopia.

It may take more time, just try wearing that combo as long as you can, and after few hours or days you will know the answer. This method will turn off your accommodation, so your ciliary muscles will start relaxing (if they can, because hyperopia cannot be induced).

Let us know about the results, how is the maximal distance you can read in that combo changing.

Lena 21 Apr 2014, 16:51


- What was the reason to get glasses?

Poor distance vision at night, initially.

- How long have you been wearing glasses?

2 yrs

- Your previous prescriptions?

+0.75, -0.5 each eye

- Have you got a dilated eye exam?



svensont 21 Apr 2014, 09:22


It all depends, if you have some latent hyperopia then your prescription can be higher. We need more details:

- What was the reason to get glasses?

- How long have you been wearing glasses?

- Your previous prescriptions?

- Have you got a dilated eye exam?

Cactus Jack 21 Apr 2014, 08:54


It sounds like you are working with your eye care professionals to help you with your problems. There have been several instances over the years where people were having mysterious eye comfort problems and it took some detective work to identify the problem. Three possibilities come to mind that might be worth considering:

1. Dry eye problems, caused by insufficient tearing action, very low humidity, In one very unusual case, the individuals eye lids were not completely closing when they were asleep.

2. Allergies causing itchy eyes. Typically allergy problems are caused by pollen in the spring, but can also be caused by pets and other environmental factors.

3. Early onset of the symptoms of presbyopia. Your comment about your iPhone brought that to mind. The tiny text on smartphones and tablets has resulted in teen agers experiencing the symptoms of presbyopia years earlier than that ordinarily would. This happens more often to teens with unidentified and uncorrected hyperopia. The idea that you don’t need close focusing help until 40 is a myth.

Presbyopia actually starts in childhood and you gradually loose your ability to focus close as you get older. It typically does not become a problem until a person gets to 30 or 40, but people with hyperopia tend to experience it earlier and often need a low add bifocal much earlier than is typical. All those myths and rules were developed long before iPhones were even dreamed about. Back when the smallest text was newsprint, or worst of all, the phone book, many a phone book had a magnifying glass nearby. These days, it is not unusual to see a teen looking through her/his bifocals to read the text on their smartphone.

I would suggest that you need to do a bit of detective work. When you start noticing the discomfort, try to write down what you were doing just prior to the onset of the discomfort, the environment, and time of day. It may take a few weeks of notes for an identifiable pattern to become apparent. If you can see a pattern, you can probably solve the problem. Remember, your Eye Care Professional (ECP) gets to see you for just a few minutes, but you get to experience the problem for hours or days. The better you can describe the problem and circumstances to your ECP, the better chance you have of getting him/her to help you solve it.

You did not mention in what part of Canada you live, but it has been an exceptionally cold winter in parts of Canada and the northern US. Cold weather is often accompanied by extremely low humidity both indoors and out. Could that be a factor?

Keep in the back of your mind that what you are experiencing is really not all that weird and the solution may not involve optics at all.

Please let us know what you discover. You have to be the detective. Remember, all we can do is be a long distance Coach, sometimes from many thousands of Km away.


Lena 21 Apr 2014, 08:30


I am +1.25 farsighted with some mild astigmatism. Is there any way that I can get progressively more farsighted or get a stronger prescription by the time of my next eye exam? I am 20.

LT Lurker 20 Apr 2014, 20:37

Thanks CJ for a superb explanation. I am guessing that in the case of a latent hyperope they could have a lot of ability to move focus nearer by using the un-relaxed cilliary muscles and once presbyopia kicks in these cilliary muscles have to start relaxing?

Thanks LTL

Weirdeyes 20 Apr 2014, 19:42

1. Am I correct in assuming that you are still a student?

Yes, but not full time. I have chronic fatigue symptoms.

2. Do you have to do a lot of reading?

No, but I use my iphone a lot.

3. May I ask your favorite subjects?

I don't really have any.

4. Have you had any science, math, or physics courses?

Not really.

5. If you have studied any science or physics, did you study anything about optics?

No, but I learned about optics while browsing this website and a few others.

6. Do any of your parents, grandparents or other close relatives have to wear Plus glasses or Minus glasses full time?

My mom wore +5.00 glasses before LASIK and my dad just has low minus glasses with about the same amount of astigmatism as me.

7. May I ask your gender?


8. Would you like to understand more about optics and vision?


9. Do you happen to recall your glasses prescription prior to this one?

R +0.25, -0.50 L +3.50, -0.50

10. Do you recall any discussion about amblyopia?

When I had my previous prescription they thought I had it, but when they increased my astigmatism correction they discovered that I don't have amblyopia.

11. While wearing your glasses, if you compare your vision with each eye individually, is it pretty much equally clear?


Cactus Jack 20 Apr 2014, 19:05


Thank you for your answers. They help.

First of all, your eyes are not very weird, you happen to be a bit hyperopic and have a bit of astigmatism. None of this is particularly unusual, it just seems that way to you and perhaps to your classmates. The only thing that is even a little bit unusual is the difference in the prescription between your Right eye and your Left eye you provided (R +1.75, -0.75 L +4.25, -1.25) and that is only a difference of 2.50 diopters. There is nothing that says that your two eyes have to track together and it is actually rare to have exactly the same prescription in both eyes.

Could I ask a few more questions?

1. Am I correct in assuming that you are still a student?

2. Do you have to do a lot of reading?

3. May I ask your favorite subjects?

4. Have you had any science, math, or physics courses?

5. If you have studied any science or physics, did you study anything about optics?

6. Do any of your parents, grandparents or other close relatives have to wear Plus glasses or Minus glasses full time?

7. May I ask your gender?

8. Would you like to understand more about optics and vision?

9. Do you happen to recall your glasses prescription prior to this one?

10. Do you recall any discussion about amblyopia?

11. While wearing your glasses, if you compare your vision with each eye individually, is it pretty much equally clear?

Sorry to be a pain with the questions, but as I said hyperopia causes lots of different problems compared to myopia and sometimes is it hard to figure out what is causing visual discomfort.


Weirdeyes 20 Apr 2014, 13:01

1. Your age?


2. Your occupation?


3. Where do you live (country)?


4. Does your Right Eye or Left Eye feel differently when you are feeling strain.

They usually feel different whether I have strain or not.

5. Do you have any problems with double vision with or without your glasses.

Sometimes I notice double vision without my glasses. When I first got my glasses I noticed double vision when I moved my head.

6. How long have you worn vision correction?

Since I was eleven.

7. How is your distance vision with your glasses?


8. How is your near vision with your glasses?


Cactus Jack 20 Apr 2014, 10:19


The typical reason a post gets no response is that there is not enough information to offer reasonable suggestions or the symptom descriptions are almost meaningless.

Hyperopia is probably the most difficult to deal with because it can have a variety of symptoms and effects and much more information is needed to understand and explain what may be happening.

Here are a few questions that would help:

1. Your age?

2. Your occupation?

3. Where do you live (country)?

4. Does your Right Eye or Left Eye feel differently when you are feeling strain.

5. Do you have any problems with double vision with or without your glasses.

6. How long have you worn vision correction?

7. How is your distance vision with your glasses?

8. How is your near vision with your glasses?

Just to mention a few. There could be more questions based on your answers.

One thing that comes to mind is that there is enough difference between the sphere correction to cause a noticeable difference in image size on your retinas. It could be that your brain is ignoring the image from one of your eyes and overworking the other. At this point there is no way to know and even with all the information you can offer, you may need to consult an ECP.


Weirdeyes 20 Apr 2014, 08:06

I'm reposting this because I got no replies.

I've been noticing some weird eye strain that I get whether I'm wearing my glasses or not. When I have this eye strain I can see okay with or without glasses. My prescription is R +1.75, -0.75 L +4.25, -1.25. I've been wearing this prescription full time for two years, but sometimes it seems pointless when I get that weird strained feeling.

Soundmanpt 19 Apr 2014, 14:41


It was just a matter of time before your cousin was bound to give up telling herself she didn't to wear her glasses full time. It never was a question of if but rather a question of when. Now of course she is finding out what you have been telling her, that is just so much easier to wear them all the time and be done with it.

Now as for the little girl working at the coffee shop, if she still can actually see distances perfect without her glasses it won't be long before she won't be able to anymore. Of course she may not want to admit it to anyone. Now of course since her glasses are probably pretty weak she will be able to see distances okay, just not perfect. Pretty much like you when you started wearing glasses and you could see distance pretty good without your glasses but you could see distance better with them.

Carrie 19 Apr 2014, 13:43

My cousin has finally given in to wearing glasses full time. She's spent the last few months since getting her new prescription denying to herself and everyone else that she should wear them all the time despite her optician saying she would be better off wearing her glasses full time. At first her new glasses made distances worse but this changed one she had got used to them. She would wear them at college and at home (to stop her parents nagging her to wear them) and, as they did actually improve her distance vision, for driving but would avoid wearing them anywhere else unless she really needed to. In the last couple of weeks her eyes have felt more tired and in the last few days has reluctantly began wearing her glasses all the time. She admits that her eyes do feel better for it.

Me and Gemma took her into town for some retail therapy today and called in at our favourite coffee shop. Danielle was in there waiting for our friend to finish her shift serving in the shop. As soon as Danielle saw us I could tell she fancied my cousin! Our server friend came over to sit with us when she finished still wearing the glasses she doesn't really need. I looked around the table and noticed that Danielle was now wearing her glasses (looking sexy in them) as she was messaging someone on her phone. At that point every person on that table was wearing glasses! The only one with minus prescription glasses was my Gemma, the rest of us were wearing plus prescriptions of varying strengths. So she was sort of the odd one out. My cousin pointed out that she was the odd one out as she was the only straight one out of the 5 of us. Danielle suggested that her girlfriend could also be the odd one out as she was the only one of us who didn't need the glasses she was wearing! You can't have 3 odd ones out! Ha Ha!

We chatted for ages and my cousin cheered up.

Cactus Jack 19 Apr 2014, 01:27

LT Lurker,

You can get a pretty good idea of your accommodative amplitude by judicious application of our favorite one of Sir Isaac Newton’s optical formulas to the numbers you provided.

You can get a good clue that you still have pretty good accommodation for your age by noticing that you only have a prescribed add of +1.50. That means you have +1.00 to +1.50 of comfortable accommodation remaining to read at 40 to 33 cm.

If you wear a -2.50 contact on one eye, you can focus pretty easily at 30 cm. Lens Power = 100 cm / 30 cm or +3.33 of accommodation without much effort and 100 cm / 22 cm = +4.50 if you work at it.

To focus the uncorrected eye at 12 cm requires 100 / 12 = +8.33 from somewhere. +2.50 of that comes automatically from your uncorrected myopia. The remainder of +5.83 has to come from your ciliary muscles and crystalline lenses.

Do not assume that your two eyes have to respond to accommodation requirements equally. They are independent entities and your ciliary muscle strength may not be equal and presbyopia effects may also not be equal.

Naturally, these are all SWAGs


LT Lurker 18 Apr 2014, 23:32

Hi All,

I have been trying to work out my accommodative amplitude.

I am 47 and wear a -2.50 contact lens in my left eye and I am uncorrected in the right (-2.50) as well.

My prescription for glasses is L-2.5 R-2.5 ADD +1.5 - I don't have bi or multifocals as I do ok with either monovision or my single vision glasses .

I have been trying the push up method -moving a sheet of small text along a ruler and the text blurs at 30cms with the corrected eye.Although I can see the same text clearly nearer in if I kind of refocus and is clear at 22cms

The uncorrected eye is 12cm -

How am I able to refocus to 22cms at age 47 when I have a +1.5 ADD?

Thanks LTL

Soundmanpt 28 Mar 2014, 12:13


Well your wife has had her glasses now for about 10 days how is she doing with them? If shes been wearing them full time her eyes should be adjusted to them and they should feel comfortable for her now. When she takes them off her distance should be slightly blurry and not as clear. Has she managed to learn how to use the add when she is reading or doing other close work yet?

Soundmanpt 28 Mar 2014, 11:26


When and when you don't choose to wear your glasses is totally up to you and your wife.

And I promise not yo call the "glasses police" on you or her. This time I will just let you off with a warning. lol

PaulZ 25 Mar 2014, 21:01

Your response is true in some cases however my comment was based on the majority. Yes I know of a few that wear progressives and don't wear their glasses full time. For most though either the distance vision or the close vision continues to change requiring glasses to be worn more often if not full time.

As far as astigmatisms go generally speaking most doctors recommend full time wear at -.75 or -1.00 for sure. Like anything this doesn't mean the patient always does what is recommended.


I'm sorry but my statements are true, period. I worded them carefully enough, without using any specific numbers, to make them so.

You cannot take your personal observations and project on those onto a general population; I doubt there are many surveys on the link between having progressive lenses and wearing glasses all the time. On the topic of astigmatism (there is no such thing as "astigmatisms"), again, we have two eyes, not one, so people can vary in their tolerance.

For example, I can tell you that I have -0.50 R and -0.75 L of astigmatism with nearsightedness in progressive lenses myself, and I frequently take my glasses off while at my desk. My wife is now normally full time (plus with a little astigmatism in progressives). But she, too, takes her glasses off sometimes when we go for a walk, relax on the sofa, etc. Are you going to call the full time police on us?

My point is, you are not an optometrist and neither am I, and we have to be respectful of personal choices--particularly in these mild correction cases.

Soundmanpt 25 Mar 2014, 10:05


Your response is true in some cases however my comment was based on the majority. Yes I know of a few that wear progressives and don't wear their glasses full time. For most though either the distance vision or the close vision continues to change requiring glasses to be worn more often if not full time.

As far as astigmatisms go generally speaking most doctors recommend full time wear at -.75 or -1.00 for sure. Like anything this doesn't mean the patient always does what is recommended.

Weirdeyes 25 Mar 2014, 08:30

I've been noticing some weird eye strain that I get whether I'm wearing my glasses or not. When I have this eye strain I can see okay with or without glasses. My prescription is R +1.75, -0.75 L +4.25, -1.25. I've been wearing this prescription full time for two years, but sometimes it seems pointless when I get that weird strained feeling.

PaulZ 18 Mar 2014, 22:52

Soundmanpt, I read your posts here and appreciate your helping others, but I have to correct a couple of points you constantly make:

(1) Just because someone has been prescribed multifocal or progressive lenses does NOT mean the person is compelled

to wear glasses full time.

(2) Just because someone has mild astigmatism does NOT mean the person is compelled to wear glasses all the time.

Believe me, I learned about this the hard way: My wife was long ago prescribed a mild prescription similar to James's wife, though with a little distance plus as well. It was her first prescription, and I was excitedly looking forward to her wearing them full time. I, too, relied on the internet and textbooks, and made the same assumptions as you have. I am nearsighted, so clearly I didn't know what it was like to have a prescription like hers.

Well, my wife was really not wearing the glasses as much as I expected, and she didn't seem to really need them all that much either. To make a long story short, our optometrist corrected me in front of my annoyed wife and suggested that I let my wife decide when and if she needed them. She really scoffed at the idea of going by a textbook.

She explained: Many people can go without a mild correction (especially plus) without realizing it. It doesn't matter whether the prescription has an ADD. Many people can tolerate mild levels of astigmatism as well, without realizing it (including some soft lens wearers). Many people can still read without their reading correction if they so choose. What multifocal lenses do is give the patient the OPTION of wearing them anytime. That notion is quite different from mandatory wear.

Really, almost any adult can figure out when to wear his or her glasses. If not wearing them is dangerous or harmful (say, when driving), then certainly an eye care professional will let the patient know, and suggest wearing them. (Kids, and perhaps the elderly, are obviously a different story.) Otherwise, it's better to let the patient decide, because the patient can figure it out.

Anyway, after that embarrassing moment, I left my wife alone. It took a few years, and just a few small prescription increases, before she really went full time. Patience prevailed.

Carrie 17 Mar 2014, 19:03

Soundmanpt - Thank you for asking after me. Just been busy, really. Also, don't want to lie to Gemma about what I was looking at if she asks so I tend not to look at eyescene if she isn't occupied doing something. I have been having a quick look at the posts but haven't had time to post anything myself.

Soundmanpt 17 Mar 2014, 12:17


I was just thinking yesterday that they should be calling soon to tell you that both you and your wife's glasses were ready to be picked up. You have been down this road many times, but this was all new for your wife being fitted with glasses. Did the optician explain anything to your wife about her glasses or did she ask any questions? They should have warned her to be very careful on steps until she gets used to her glasses. Did they have her read a card with various size sentences on it to test how well she could see with the add? Was any recommendations made about when she should wear them? It of course would have been a big help if they suggested that she wear them full time. Actually she really does need to even though she doesn't have any SPH so she isn't nearsighted, but her CYL is at the point that most doctors want their patients to wear their glasses full time.

I'm sure she was surprised at how much better she was able to see the TV with her new glasses. She has been watching TV and never had any idea it wasn't as clear and sharp as it should have been. She will find the same thing when she is driving. Even though she could see okay before, now everything is going to be even more intense with her glasses.

Of course the more she wears them the more comfortable she is going to get wearing them. But it makes sense the more she finds how they improve her vision the better for you and her.

James 17 Mar 2014, 02:05

So we finally picked up our new glasses and my wife was amazed at the difference in the television. She kept saying, "I know I have a little script, but man they make a difference."That was music to my ears. She's worn them watching our normal Sunday night shows so hopefully the novelty will not wear off.

James 16 Mar 2014, 22:54

So we finally picked up our new glasses and my wife was amazed at the difference in the television. She kept saying, "I know I have a little script, but man they make a difference."That was music to my ears. She's worn them watching our normal Sunday night shows so hopefully the novelty will not wear off.

Soundmanpt 16 Mar 2014, 11:28


It has been several weeks since you last posted any comments? I hope all is well with you?

LT Lurker 12 Mar 2014, 05:57

My wife, after some time of trying hard not to wear her glasses has relented and now wears them regularly.

She sometimes tries to go with out but after a while she is popping them on her face.

She is trying hard not to look through the lenses for any distance work but sometimes she forgets herself and I catch her looking at objects across the room or outside.

I know she can see clearly with them as she states everything is extremely blurry - She has called out detailed info whilst only looking through her glasses ....and then realises and quickly whips them off!

I reckon a year or so she'll be full time.

Soundmanpt 06 Mar 2014, 15:35


She was willing yesterday, but the real question will come when she actually has to start wearing them how willing she will be? I think most would say it is much easier to go from part time wear and have a gradual progression to full time wear. It's a much bigger step going from never wearing glasses at all to wearing them full time. For her right now i'm sure she feels like she can see just fine. But that first day she gets her glasses and wears them she will not it that when she takes them off her vision is going to be more blurry than before she got her glasses. Somehow your going to have to convince her that this is normal and that her eyes are just adjusting to them. Hopefully the very first day she will get lots of complements which should help a lot.

When she was picking out her frame with your friends mom was there any recommendations about wearing them full time?

James 06 Mar 2014, 14:51

My wife and I went yesterday to get fitted for our new glasses. She was a very willing participant and seemed happy with the look. We should get them in about a week

DC 03 Mar 2014, 05:57

I was wondering of anybosy can help me

My wife is finally succumming to having to wear glasses and I have just had a chance to see the latest prescription, Can you advise me of her progression to full time varifocals


Left sph cyl -100 Axis 015

Right sph cyl -50 Axis 170


Left +1.75

Right +1.75


Left +1.25


She is in her late 40's and is taking this badly even if I reassure her that she looks great, just would love to see her fulltime


Soundmanpt 02 Mar 2014, 15:09


These young ladies you described are just complete opposites. The one that was wearing SPH -1.50 CYL -3.00 clearly doesn't like wearing glasses and probably even less in front of a guy she was on a date with. She know doubt is uncomfortable wearing glasses and feel she is more attractive without glasses. Did you ever try and tell her when she did have them on briefly that she looked good with glasses? It may have helped, sometimes just an acceptance can make a big difference. For her by taking her glasses off she was saying this is what I really look like. my guess is she really liked you and she was trying to make an impression on you.

The other young lady is the one I would want to date. This is just a guess but she may have one of those girls that always wanted glasses and never needed them. But if she continued to insist that she needed glasses and it could be when she got to driving that if she made a claim about poor vision at night whil driving that will almost always trigger a doctor to prescribe glasses fro driving at night. So that may have provided her with her first rx of only -.50 in both eyes and again with constant badgering that her glasses aren't strong enough she could have convinced different doctors to give her the smallest increases possible and now they are refusing because they can tell she doesn't need an increase and probably is over corrected. She probably has convinced herself that her glasses aren't strong enough and she actually believes it herself. If she has been twice in 2 years and she wasn't given an increase her eyes are completely stable and she won't find a doctor to go any further with over correcting.

If you still know her you need to get her into this forum i think she belongs.

astigmaphile 02 Mar 2014, 14:11


The woman with -1.50sph/-3.00 cyl had alot more reason to keep her glasses on than someone with just -.75/ -1.00 sph only.Sometimes I don't understand peoples behavior.

Likelenses 01 Mar 2014, 22:23

Revolver and astigmaphile

Yes blur interpretation is interesting

I at one time dated a girl that had really strong astigmatism correction,perhaps -3.00 cyl.,along with about -1.50 sphere. When I would pick her up for a date she would be bare eyed, but would put the glasses on to walk out of her apartment.As soon as she sat down in my car,off they came,but as soon as I began driving on they went.When we got to the date destination off they came until we were inside,and on again they went.This type of thing went on all evening,no matter where we went. Watching TV with her was interesting also. On for the program,but if she got up to leave the room,or wanted to talk,off they came.The hinges on the glasses were so loose that they would flop around.

Another girl that I later dated had a very mild minus Rx,around -.75.-1.00,with no cyl.,and she wore her glasses constantly.If she took them off for any reason,even if to only clean them,she would squint very hard.Even when the glasses were new she would squint through them.She would complain how bad her vision was especially at night,while wearing glasses.She had two eye exams in the two years that we dated and never needed an increase.If we went to a movie she always wanted to sit near the front because she said she could not see well.She said she did not like to participate in sports because she couldn't see well.

astigmaphile 28 Feb 2014, 18:07


I am 0.00/=2.50 in my left eye and can easily read the 20/70 line. My right eye is 0.00/+1.25 and is 20/30 or 20/40. Do I just have damned good blur interpretation?

Soundmanpt 28 Feb 2014, 15:18


Just a suggestion when you both go back to have your glasses fitted when they come in. If your wife doesn't ask maybe you should say something about this being your wife's first glasses and just say something about adjusting to wearing glasses and that you have heard that getting adjusted to glasses with astigmatisms is harder than if you are just nearsighted? By the way this is true, for many astigmatisms can cause the room to spin and dizziness which is very common, but the fear for you is if that happens she may decide not to wear them.

Likelenses is very right that usually most doctors want you to wear your glasses full time once your astigmatisms are at -.75 or above.

Maybe another way is that after you both make your selections for glasses and this woman your going to be working with has a chance to see her prescription you could call her before your glasses come in and let her know that these are your wife's first glasses and that your afraid she is going to be reluctant to wear them as she should and that it would help if she would make a a point to recommend that she wear them full time because of her astigmatisms so her eyes can adjust.

Did you happen to ask your wife what the doctor suggested to her about when she should wear them> I can't imagine that she didn't ask that question already so maybe see what she says her doctor recommended.

Revolver 28 Feb 2014, 13:32

Likelenses: the operative words in your recent post were "optometry books", so they can teach and the O.D. can preach, but it's a matter of the subjective interpretation by the wearer.

Case in point, I had a girlfriend back in the 80's who was prescribed OD plano/-1.25 x 172 and OS plano/-1.75 x 180. Her unaided VA was 20/100 OU, with that rx she was corrected to 20/20 OU. She had a very attractive pair of large plastic frames, but would not be caught dead wearing them, she put them on once for me and then I never saw them again. And horror of all horrors, she drove without them.

The docs call this good blur interpretation. My opinion was it was pure vanity.

James 28 Feb 2014, 09:24

Thanks for the responses. I was a little disappointed in the weakness of the perscription. I guess since she never really complained about poor vision I should have expected it to be weak. My hope is that when she gets the glasses she is amazed at the clarity and decides that she wants to wear them often. As someone who has never worn glasses or understands what it really means to be blind w/o glasses, she may think she is really blind without them. What is the likeliness of an increase going forward? I guess whether she's full-time, part-time or whatever now, I'm sure I'll be able to look forward to full-time eventually like almost all of us. I'm also hoping the fact that I have always worn glasses full-time since the day we met 12 years ago that she may embrace wearing them as well. She has always been very involved in picking out my glasses,so I'm looking forward to the same with her on Wednesday. Btw, I'm getting new glasses too so we'll be helping each other.

Likelenses 27 Feb 2014, 20:14


Most books on optometry teach doctors that if the astigmatism is .75 or greater in the better eye,that the glasses should be worn full time.

Since she is at that point,and that her right eye is at 1.00, I think that if she wears the glasses for a few days that she will be very uncomfortable ,and will not see distant things very well without them.Additionally if she uses them for extended periods of near work,she will find distant things quite blurred.

I think that you can look forward to having a full time GWG!

Soundmanpt 27 Feb 2014, 19:15


It will be up to her about what type of glasses she decides on. But since she isn't crazy about getting glasses in the first place I would think she will want progressives since there is no line for anyone to see and with such a weak prescription they will appear to only be single vision glasses.

I think if she asks about when she should wear them they might suggest full time because even though her astigmatisms isn't very bad they do cause her vision to be less than perfect at all distances. Generally when bifocals are prescribed they are for full time wear.

Soundmanpt 27 Feb 2014, 19:10


Well your wife's prescription is interesting. On the good side because the prescription is so weak she shouldn't have much trouble adjusting to them, but then again the fact that she has never wore glasses before and that she hardly needs them she may feel like she really doesn't need them. Since her distance part of her prescription is blank or "plano" in the SPH space that means she is able to see the 20/20 line on the eye chart. However she does have a fair amount of astigmatisms (CYL) and that will effect her vision slightly for seeing distances and even though she can read the 20/20 line without correction with her glasses it will be much sharper and clearer for her. Astigmatisms effect vision at all distances, so if she does as she said and wears her glasses full time she will quickly find them comfortable to her eyes for everything even though her sight isn't bad at all. The reading add is actually as weak as they can make it. So once again she is able to read now fine but just like the upper segment of her glasses the more she wears them the more she will find they make reading easier.

Since your looking forward to seeing her wearing glasses full time the biggest problem maybe just be the fact that her need for glasses isn't too much so she may feel like she can see just fine without them and sadly for you she is right. Remember for her not only does her eyes have to get comfortable wearing them but she has to get comfortable with learning to wear glasses. She isn't use to having anything on her nose, or behind her ears full time not to mention just getting used to looking through 2 little pieces of plastic in front of her eyes and now if that isn't enough learning how to use progressives. You will have to be very patient with her once she gets them.

James 27 Feb 2014, 15:56

My wife finally brought home a copy of her script :

OD sph: PL cyl: -1.00 axis: 080 add: +0.75

OS sph: PL cyl: -0.75 axis: 090 add: +0.75

We are going to get it filled next Tuesday. What kind of improvement in her vision can my wife expect? How often should she wear them? Will it be difficult to adjust to this prescription? Will she notice a big difference? Will they prescribe bifocals? varifocals? progressives?

What do you guys think?

Bob 27 Feb 2014, 15:43

Hi Cactus Jack,

yes, I think I understand the problem with the astigmatism.

Thank you for the explanation for the night conditions; good analogy.

I am a software engineer and live in NZ.

I had been living in (continental) Europe and just came back from there. One difference I recall (and that could make the difference) is that the ECP tested without dimming the surrounding light, while over here testing usually occurs in the dark room. That might have led to the different results.

I was thinking about the nearpoint as an indicator for the right prescription values - but this idea may be totally off. When using my old glasses I have the near point at around 28-30cm depending on situation, with the new prescription it lies at pretty much 20cm, which gives me very comfortable near vision, particularly when reading in bed.

Thanks for all your explanations!


Cactus Jack 27 Feb 2014, 10:48


Astigmatism is NOT the direct cause of your eyes trying to turn inward. It is a very INDIRECT and more subtle cause. Astigmatism is typically caused by the front surface of the cornea having an uneven curvature sort of like the shape of a section of an American Football. Ideally, the cornea should be shaped like a section from the side of a perfect sphere. It can only be corrected by a cylinder and axis component in the lenses of glasses, contact lenses, or refractive surgery. You have no internal ability to correct astigmatism, but your brain does not know that. The only tools it has to adjust focus ares your ciliary muscles and crystalline lenses. When it tries to use those tools it triggers the convergence response and that causes your eye(s) to turn inward.

The reason you have more trouble at night is the same reason professional photographers have to be more careful about lens focus in low light conditions than bright light. It is a phenomenon called "Depth of Field" or range of useful focus. In bright light, your pupil closes down to reduce the amount of light reaching your retina just like the photographer increases the "f" stop on his lens to make the Iris opening on his camera lens, smaller. In both your eyes and in the camera that increases the range of useful focus. In low light your pupils open up to let in more light and the focus gets more critical.We can't tell for sure at this point if you need more PLUS or less PLUS to focus clearly in low light, but I suspect it is a little bit less. However, less plus would slow the resolution of your Latent Hyperopia.

A month is probably not long enough to resolve a situation that took years to develop. Ideally, you should get a new prescription, to balance your vision, but it is likely a bit too soon for that and your Eye Care Professional (ECP) would not want to change your prescription this quickly. I suggest waiting another month to see how your vision improves. I may be able to suggest a simple test to estimate the cause of the blurriness in your left eye. Remember that your two eyes are more independent than most people think and they respond differently to their visual environment.

May I as where you live and your occupation?


Bob 27 Feb 2014, 06:06

Hi Cactus Jack,

yes, sorry I forgot to mention the amount of the increase. The increase was around 0.75 for each eye (not sure about the exact values). That was the strongest jump I ever had, and this within a year. And yes, initially things were quite blurry, but close distance was a real surprise (forgot that one has fingerprints ;)). However, now distance is clearing up. Only the left side is still a bit blurry but I can compensate this well when using both eyes. However, I still struggle a bit at night (if that makes sense). In daylight my vision is much more comfortable. The increase was about a month ago. Should the ciliary muscles be relaxed by now or can I expect a further improvement?

But coming back to the original point: Your suggestion that the astigmatism might be the actual reason for the turning sounds convincing. I indeed have to put quite some effort to read small writing because of the constant blur, which bothers me more at close distance. Thank you for this insight. Also, the idea with the projecting clock is great.

Again, thank you very much!


Cactus Jack 26 Feb 2014, 16:38


Because you didn't provide your previous prescription, I can comment on the change and all I can do is speculate on what is going on. Here is what I think.

You have a low to moderate hyperopia prescription, possibly with some Latent (hidden) additional Hyperopia lurking in the background. Your prescription is complicated by significant astigmatism and likely some true or perhaps what I will call some Pseudo Presbyopia with a little Esophoria, thrown in for good measure.

Given all that, the symptoms you related are pretty typical of a person of your age, in your situation. With the exception of the astigmatism, all the things i mentioned sort of go together. The astigmatism just makes trying to correct your hyperopia using your ciliary muscles and crystalline lenses, impossible and when you try very hard, your eye or most likely, both eyes, try to converge or turn inward. Your left eye just turns in more. This inward turning is because of the interconnection in your brain between the focus control system and your eye positioning system. The connection between those systems works both ways and when you try to add some PLUS using your ciliary muscles and crystalline lenses, your eyes converge and vice versa. The strength of the interconnection varies with the individual and yours seems to be pretty strong.

The only way you can avoid that is wearing your glasses and letting them do the work. You might also consider some toric contacts that can be safely worn for for extended periods (overnight), but they have risks of there own and are not inexpensive. Another possibility is refractive surgery for both your hyperopia and astigmatism, but you don't want to consider that until all of your latent hyperopia has been resolved. You might also try one of those clocks that project the time on the ceiling so you don't have to focus close to read it.

I believe the first thing you need to do is try to resolve your Latent Hyperopia and then work on the other items. Unfortunately, a dilated exam will help to discover your actual hyperopia by relaxing your ciliary muscles, but that often does not fully relax them, it just does not last long enough. The best technique is to wear a bit more PLUS sphere correction than you need to see distant objects clearly. Initially, distant objects may be blurry, but if, over a few weeks of full time wear, they clear up, it is a sure sign that you had some latent hyperopia. The next step is to increase the sphere PLUS again and wait for the distance blur to clear up. At some point, the distance blur will not clear and it is time to back off on the PLUS until distant objects are clear and that prescription will probably be stable for years.

Unfortunately, there is a side effect that you may not like. Your ciliary muscles will probably become de-conditioned and you may need to wear bifocals or progressives sooner than you expected, but there are ways to exercise them and restore some accommodation. However, conditioning the ciliary muscles will not have any effect on the steady progress of Presbyopia. Presbyopia is most likely inevitable and most people with hyperopia seem to need close focusing help earlier than the mythical 40.

Hope this helps.


Bob 26 Feb 2014, 06:57

Hi guys,

I recently had a change in my prescription:

L +2.5, -1.75

R +2, -1.5

I also wear 2 prism BO in each eye.

Now when I focus at an object without glasses (e.g. clock after waking up) it has gotten a lot harder to focus on close objects. (In this situation I generally only use my right eye as the left one is too blurry, despite the low prescription.)

However, when I do so, my left eye seems to turn in towards the nose, and not just a bit, but pretty much totally crosses (way more than the deviation I have with prisms). I didn't have that problem before and I am just wondering if that is normal. I read about this before, but I thought this would only happen with strong prescriptions, not weak ones as mine.

Can I do anything to avoid that? If I force my eyes to focus together, everything is too blurry.

Is that a reason to be concerned, or do other people have a similar problem?

If of relevance, my age is 33 and I am pretty sure I didn't have that problem before.


 26 Feb 2014, 04:41

Cactus jack

My wife is finally succumming to having to wear glasses and I have just had a chance to see the latest prescription, Can you advise me of her progression to full time varifocals


Left sph cyl -100 Axis 015

Right sph cyl -50 Axis 170


Left +1.75

Right +1.75


Left +1.25


She is in her late 40's and is taking this badly even if I reassure her that she looks great, just would love to see her fulltime


Cactus Jack 25 Feb 2014, 10:43


I am not sure what measurement system you like to use (Metric or English), but I will use Metric in what follows simply because it is easier work with. Just remember that 1 meter is 39.37 inches.

You have a pretty good idea of how the optics of the eye work. Actually, the numbers do bear a mathematical relationship to their prescription, it just is not obvious. The mathematics of optics were discovered by Sir Isaac Newton, of gravity fame, around 1700. It was he that developed the formula that is the basis of almost all optical calculations. The formula fundamentally says that the optical power of a lens is equal to 1 meter (or 100 cm or 1000 mm) divided by distance at which parallel rays of light from a distant object will converge to a point. If you have ever used a magnifying glass (PLUS lens) to focus the sun's rays to set something on fire, you have used Sir Isaac's formula. In math shorthand the formula is: Lens Power in diopters = 100 cm / Focus Distance in cm. That formula can be algebraically rearranged to: Focus Distance = 100 cm / Lens Power in Diopters.

Everything related to vision correction starts with the determination of a person's refractive error, generally by using trial lenses to discover which lenses will correct their distance vision refractive error to 0.00 using external lenses that NEUTRALIZE or CANCEL OUT the error. That means that if your eyes have too much PLUS (myopia), you need MINUS lenses to neutralize it or if your eye have too little PLUS (hyperopia), you need PLUS lenses to supplement that which you already have or can generate, using your internal crystalline lenses. The object is to sharply focus light rays from distant objects, very shapely on the retina. Notice the emphasis on PLUS lens power in your eyes. That is because each eye has 4 lenses with a total power of between +50 and +60 diopters to focus distant images on the retina, which is typically only about 12-16 mm behind the eye's lens system. Once, the required correction for distance has been determined, everything from there is simply math using Sir Isaac's formula.

For example, if you want to focus on a book or newspaper that is typically about 40 cm or 16 inches away from your eyes, you will need +2.50 of additional PLUS from some source. ( Lens Power = 100 cm / 40 cm +2.50). The key point is "from some source". If your ciliary muscles and crystalline lenses can supply it internally, then that will be good enough. If they can't, it MUST be supplied by glasses or contact lenses. The rules of optical physics apply, no matter what. Distances less than 6 meters (20 feet), but more than 40 cm or 16 inches will require LESS plus. To focus and distances closer than 40 cm or 16 inches will require MORE plus.

When you see that a prescription includes an ADD, that just means that the reading segment ADDs that much PLUS power to your basic distance prescription. You can calculate the ABSOLUTE optical power of the reading segment by simply adding the distance sphere correction to the ADD. For example, if you need a sphere correction of +1.00 to see clearly for distance, your reading segment will be (+1.00) + (+2.50) = +3.50. If you wanted to get some prescription single vision reading glasses you would just need to get some +3.50 readers to have the same optical power as the reading segment of bifocals or progressives. If a person was myopic the power of their reading segment might be something like this: (-2.00) + (2.50) = +0.50.

If a person still has some accommodation available to help out with focusing close, the reading ADD will be less than +2.50 by what ever amount of PLUS they can contribute internally.

If you like to focus closer than 40 cm, your ADD will be more than +2.50. To determine the ADD to focus at any distance, just divide the distance in cm into 100 cm and that will give you the answer.

People order glasses with prescriptions that are different than those prescribed in examinations for a lot of reasons, but Sir Isaac's formulas are the basis of all optical prescriptions.


Helen 25 Feb 2014, 04:08

Hello Cactus Jack

Thank you for the reply and as I understand it the role of my glasses is to let my Ciliary muscles relax and take on their role. I guess this means that like any muscle if its not used it will loose its strength hence your suggestion about full time wear. The consequence being my distance vision will eventually become slightly blurry all the time without glasses. I have read a lot of stuff on the internet about glasses making vision worse so I was keen to find out exactly what was happening so thank you for clearing that myth up. One other question if you don't mind, I have read elsewhere on the internet about someone talking about the lens strength of their glasses. How did they arrive at a number which bore no relation to the numbers on their prescription?

James 24 Feb 2014, 20:32

My wife has dragged her feet on getting her script, but she is set to finally get it on Wednesday. Then she can go into my friend's mom's store and get her bifocals. I'll share her script when I see it on Wednesday.

Cactus Jack 24 Feb 2014, 08:13


I suspect what is going on is that you may have a bit of Latent Hypeopia or Hyperopia that has not been correct and you still have a very small amount of accommodation. You glasses allow your ciliary muscles and crystalline lenses to relax for distance, which is what you want to occur. When you take off your glasses, your ciliary muscles try to use your crystalline lenses to add the plus you need to see clearly in the distance, but it takes time and a lot of effort and strain to do it, thus the headaches.

Hyperopia, where you need plus lenses to see clearly in the distance, is unique because you have the internal ability to use your ciliary muscles and crystalline lenses to correct it. However, presbyopia gradually takes that ability away. When you get Hyperopia, Presbyopia, and glasses trying to work together to solve a problem is can sometimes be like the old saying that "too many cooks spoil the broth". Sometimes they work together and sometimes they work at cross purposes and the results are often confusing.

The best solution is to wear your glasses all the time and avoid the blurriness and headaches. Be aware that your distance prescription may not be quite through changing and you may need a bit more plus before it stabilizes. If you vision is not comfortable, don't put off a visit to your optician until some arbitrary time. There is nothing to be gained by waiting.


Helen 24 Feb 2014, 07:08

Hello Cactus Jack,Thank you for replying. I was first prescribed readers only when I was 41, and this followed until this last prescription when my Optician said my distance vision needed a 'boost'. My current prescription says Right eye Sph+.75 Cyl -.50 axis 75 Add +2.75

Left eye Sph +.75 Cyl -.50 axis 100 add +2.75.

My previous prescription was Sph+.25 Cyl -.50 axis 75 Add +2.25. Left eye Sph +.25 Cyl -.50 axis 100 add +2.25.I am now 49.

Cactus Jack 24 Feb 2014, 06:48


The symptoms you posted are typical when a person has a combination of hyperopia and presbyopia and has just begun to need correction for both. I could probably give you a more definitive answer if you could provide your complete prescription and your approximate age.

If you review some of the earlier posts on this thread, I think you will find others who have had or are having similar symptoms.


Helen 24 Feb 2014, 06:37

Hello everyone,I am curious about some of the changes with my eyesight. I recently got my first pair of progressives after only having readers for several years before. I am finding that after wearing them for a a few hours if I take them off my distance vision is slightly blurry this however does clear after a while although if I don't wear my glasses again I will tend to get a headache which will be resolved by putting my glasses back on again. I have also noticed that the longer I wear my glasses the longer it takes for the distance vision blurriness to resolve.

Cactus Jack 21 Feb 2014, 12:18


Sorry to be slow in answering your questions. Been very busy on another project.

You vision can change through the day for many reasons and it is sometimes very hard to understand what is happening with so many variables. The key is to gather clues over several days and if possible keep detailed notes.

In some situations, you vision can even be affected by what you eat and your overall health. For example, blood glucose levels can affect the Index of Refraction of the Aqueous Humor and Vitreous Humor in your eyes and change your prescription. People with poorly controlled diabetes often have to have several different pairs of glasses and have to pick the pair that gives them the best vision for what they are doing. I did not mention that to scare you, but it does happen and is sometimes a clue that there are other health problems.

Another thing that can happen is that after a day of doing close work, your ciliary muscles and crystalline lenses may be slow to relax and you notice a difference between being tired and fully rested in the morning. If you have Latent Hyperopia, that is fundamentally caused by the ciliary muscles and crystalline lenses having trouble relaxing.

Please make some notes on your symptoms over a couple of days. If you have the weekend off, it is likely that your visual environment will be considerably different than a typical workday. That may help provide some clues as to what is going on.

Please remember that no one, including your ECP, can see what you see. Everyone involved can only rely on what you tell them. The more accurate and detailed your description, the better chance there is of getting to the bottom of the problem and getting it fixed.


Soundmanpt 20 Feb 2014, 20:09


Your correct in not saying anything. that would probably only make her rebel even more and as you know her eyes aren't going to get any better so as her eyes get worse she will soon not have any choice but to wear them no matter how much she hates the idea. Once she finally comes around and starts wearing them she will be fine with wearing them full time.

Probably the best thing is when she does start wearing them more often is to not say anything, not even a complement because she won't want to be reminded that she is wearing them.

Carrie 20 Feb 2014, 19:19


I'm afraid my cousin is being very stubborn and doesn't wear her glasses unless she is reading or with her or my parents. I'm not going to say anything to her or to our parents. It's her choice and I think she will wear her glasses more when she's ready and when she wants to. I'm not going to gain anything by saying something.

Lucas 20 Feb 2014, 09:27

Hi again,

A quick question. Last night, I could see perfectly well from close with the glasses on and they clearly helped my near vision. however this morning, I see better with them off. Is this due to how tired my eyes are in the evning and me able to compensate for my latent hyperopia in the morning? Should i keep them on even if my vision is worse with them?


Cactus Jack 19 Feb 2014, 19:54


it is possible, but there is no way to predict WHEN you may need a change to your prescription. The point I was trying to make is that your visual comfort and clarity of vision are the things that should cause you to consider getting a vision check up, not an arbitrarily selected date.

I have seen visitors to ES, over the years, who obviously needed a prescription change in their glasses, but the ECP had said to come back in 6 months, 1 year, or even 2 years and they thought that they could not go back until the proper time. If you decide that your visual comfort is not what it should be, thats the time to get a check up. If you are doing fine at 6 months, wait a while. If things don't seem right at 4 months, check into it. You are the only one who can judge if you are not seeing as well as you should.


Lucas 19 Feb 2014, 18:22

Do you mean I could need an increase sooner than in 6months?

Cactus Jack 19 Feb 2014, 17:41


Sounds like a good plan, at least for the short term. Don't let the calendar govern your actions. Your visual comfort and visual clarity should be the deciding factors until everything stabilizes. If you have any other questions, don't hesitate to ask.


Lucas 19 Feb 2014, 17:33

Ill be wearing them all the time at work from now on anyways. I imagine ill need to go back in 6 months for a prescription increase as my eyes have accustomed

Cactus Jack 19 Feb 2014, 17:27


It may take more than an evening for your distance vision to clear up. It depends on the prescription in the glasses, your actual prescription, and how much Latent Hyperopia you have. That is one of the reasons Hyperopia and Latent Hyperopia are so hard to deal with. High levels of Latent Hyperopia can take weeks and months to fully resolve.

Please keep us updated on how you are doing with your glasses.


Lucas 19 Feb 2014, 17:18

I picked up my glasses with my new prescription. So far, distance is a tiny bit blurry but i will wear them all evening and see if it adjusts

Soundmanpt 19 Feb 2014, 16:40


Is your cousin coming to terms with wearing her glasses full time now?

Don't forget to check in soon at the coffee shop to see how she is doing now that she has her own weaker glasses to wear.

Soundmanpt 19 Feb 2014, 15:14


You said your wife "freaked out at being told she needs bifocals" Did she say if she has been having any problems with seeing signs in the distance or maybe problems when she is reading? If she honestly was surprised that she needs glasses that should mean her prescription for both distance and close will be on the weak side which should make it easier for her eyes to adjust to them.

Hopefully while there fitting her glasses for her they will give her advice as well. For instance while her eyes are adjusting to them she needs to be very careful going up and coming down steps as her depth perseption will be off a bit.

It is hard to say if she will need a minus on the top or a plus. it could be either way for her. If she does much close work or computer work then it could very well be that she needs a little minus for her distance. i guess you be finding out in a short while?

James 19 Feb 2014, 09:15

I had a good talk with my wife yesterday, and she's totally on board with the glasses. I told her that a friend's mom works at a local optical shop where they sell fashionable frames, and I would contact my friend to see a good time for her to go in. I'm also excited because that means she needs to go back to the place where she had the exam and get the script. I'm interested to see what it's going to be. I would imagine that it's going to be a + perscription with a bit of an add.

Soundmanpt 18 Feb 2014, 14:50


I'm sure your doctor is probably very capable. If he examined your daughter's eyes and feel she isn't ready for glasses yet then there is no rush to put her in glasses. Chances are by next year her eyes will have changed and she will need glasses. Hard to predict about your other daughters as that depends if they got your genes or your wife's genes. Since your wife is 38 and first now is needing glasses your daughters may not need glasses until later on as well. But of course it makes sense to get them all annual eye exams to know if and when they may need glasses.

Your right in your approach since your 8 year old knows that mom was told she needs glasses if she doesn't follow through now and get her glasses and wear them it will be very hard when the daughters start to need glasses to make them wear them if mom puts it off. So your right she needs to set an example for them. And as you know once starts wearing glasses she will soon find it hard to be without them anymore.

Of course you know when she gets her glasses you need to convince her that she looks good wearing them. But when she starts wearing them and her friends and family see her wearing them they will give her lots of complements which will really help her confidence.

James 18 Feb 2014, 09:22

My wife knew I was just kidding. We have that kind of relationship. My daughters know that she was perscribed glasses so my angle to get her to wear them is that we know at least one of them will need glasses someday (probably all of them with my eyesight) so she needs to set the example and wear them.

James 18 Feb 2014, 04:33

I live in a suburb of Chicago. Should I be more concerned about my daughter? I trust my optician. I've been seeing him for at least 15 years for myself.

Julian 18 Feb 2014, 03:35

James: seems to me that if your wife hasn't already chosen her frames you might tell her you want to help her with the choice because you think right glasses will make her even more gorgeous - if anything could!

Soundmanpt 18 Feb 2014, 01:59


Cactus jack is right. The worst thing you could ever do is poke fun at her or tease her about needing bifocals. Trust me if you do you might never see her wearing any kind of glasses.

This is a big step for her to not only be getting her first glasses but bifocals on top of it. You will be much better off by doing some mild encouraging by pointing out that they will probably help her see things better and that age has nothing ot do with needing bifocals and point out that she can get progressives and no one except he will know they are for distance as well as close up.

Cactus Jack 17 Feb 2014, 22:57


I strongly suggest that you DO NOT joke with your wife about needing glasses or bifocals. She is having the denial reaction almost any woman will have to the news she received. It just confirms her worst fear, that she is going to get older. If you continue, she will dig in her heels and it will be years before she does anything about getting glasses, no matter how badly she needs them.

Instead, comfort her and re-assure her that it is her decision and no matter what she decides you will still love and cherish her. You might explain that the reason you found it funny is that you never have had a choice about wearing glasses. You are nearsighted and can't see much beyond your nose without your glasses. People who are significantly nearsighted, as you are, can sometimes avoid wearing bifocals or progressives for a bit longer than the average person, but you will also need bifocals pretty soon (unless you already have them).

Also, explain to her that your biggest concern is that she be able to see comfortably at all distances no matter if it takes glasses to do it and you will support her decision.

You also need to dig a little deeper into your daughter's situation and find out exactly what kind of vision difficulties your daughter is having.and why she did not pass the school vision test. You may also need a 2nd opinion from a another Eye Care Professional.

May I ask where you live?


James 17 Feb 2014, 22:32

My wife took my 8yr old daughter for an eye exam today. My daughter failed her eye test at school but the Dr. said today that she has a weak muscle in her eye that caused her to fail but she doesn't need glasses at this time. My 38yr old wife, though, also had an exam also and was told she has near and far issues and would need bifocals. As you can imagine, she is freaking out. She's never worn glasses and definitely doesn't seem ready to either. I, on the other hand, wear glasses full-time (-6.00) in each eye. Not sure what wifey is gonna do, but I'm excited about the idea of seeing her in glasses. I'm also enjoying calling her grandma bc of the bifocals, haha. On a day when I expected my daughter to need glasses, I get the nice surprise abt my wife instead!!

Soundmanpt 16 Feb 2014, 11:40


I think the word "bifocals" really tends to scare people much more than it should I can only assume that for years it seemed something that only old people were prescribed to wear. But not anymore. You would be surprised at how many late teens and early 20's are now wearing bifocals. I too agree with Cactus Jack and Likelense as well that bifocals / progressives is the best option for you. Progressives is probably the better choice since there is no line to be seen and only you know your wearing them for both distance as well as seeing close. Also progressives offer a mid section that works well on the computer. As stated you probably need less than -1.00 for distance but even such a small amount will make a difference in how you see things at a distance. And your distance isn't likely to change much over time. Your nearsightedness is probably due to all the computer work you do which is very common. The nice thing is that your glasses should stay on the weak side for both distance as well as close up.

Wearing progressives will mean you won't be putting on and taking off your glasses all the time. You would probably get comfortable just wearing them all the time.

Kate 16 Feb 2014, 10:13

Bifocals? Really? Could it be that I am overprescribed for my reading prescription? I could strictly only wear them when reading but I hate drawing attention to them with all the on and off. I can still read without them but it is increasingly difficult and I don't think I could work the entire day without wearing them due to the eye strain and headaches. Maybe I will book an appointment at a different eye doctor...the last place I went seemed to be annoyed to have to give eye exams and were less than helpful.

Lucas 16 Feb 2014, 09:07

Hi thanks for all the info,

What ill probably do is wear these all the time in 6 months and then go back and see if I should have a stronger prescripiton now that im used to wearing glasses for distance and close

John S 16 Feb 2014, 02:43


You know that extended close work causes you discomfort. In some cases it is difficult to get a doctor to prescribe a "decent" reading prescription to a younger person.

You did not help the situation by saying you had a distance problem, when you really have a reading problem. Then you come out of the exam with an even weaker prescription.

I will repeat what C.J. said, you need to establish a baseline. You need to know what your distance prescription is. The only sure way to find that out is with a dilated exam. Your real distance prescription can easily be masked by the intervention of your accommodation muscles. The dilation procedure should paralyze the muscles and get them out of the way to reveal the amount of distance correction needed (if any). This may be an trial and error process to find out what is really going on. If you go in for another exam, measure the average distance between your forehead and the monitor, so your reading distance can be set to that.

At this point, there is not a lot of information to determine the problem.

Some possibilities - Latent hyperopia, a stronger distance prescription that may take a while to overcome to the distance blur.

An accommodation problem, with or without hyperopia. A possible distance prescription with a stronger reading prescription. When I was a teenager that was my problem, I had hyperopia and accommodative insufficiency (AI).

Eye teaming problems, where both eyes do not work together. Google the term, there are a lot of problems that can fall into that category.

An eye doctor that specializes in pediatric optometry is your best bet to get to the root of the problem. They are used to dealing with convergence and accommodation problems.

Likelenses 16 Feb 2014, 01:13


I agree with Cactus Jack,that there is a good possibility that you are now slightly nearsighted from all of the computer work that you do.

Many adults are becoming nearsighted in later years,and it is called adult onset myopia.The good news is that the distance prescription never gets really strong,but you will need to wear the glasses full time.I would guess that your new distance prescription will be about -1.00,and within a few years top out at -2.50 or so.And and as Cactus Jack said they will be bifocals.

Cactus Jack 15 Feb 2014, 23:41


You need an eye exam. In bright light, your pupils close down like the "f" stop adjustment on a professional camera. This increases the Depth or Field or Range of Useful Focus of the lens. The same thing happens in your eyes. In low light conditions your pupils open up and that reduces your range of useful focus. The range gets narrow and distant things go out of focus. After a day of work, you may be a little nearsighted or need a prescription change. Be sure and tell the examiner all your symptoms you may need to consider bifocals or progressives to see comfortably for both distance and close because you are at an age where presbyopia can begin to manifest itself. The idea the you don't need focusing help until your 40s is a myth. Everyone is different and your visual situation is unique to you. Please don't put off an exam. Nothing will be gained by delaying.


Cactus Jack 15 Feb 2014, 23:28


Hyperopia is much harder to refract, because you have the internal ability to compensate for quite a bit by using your ciliary muscles and crystalline lenses, which make up the autofocus portion of your eyes. Normally for distance, your ciliary muscles and crystalline lenses should be fully relaxed and to focus close, the ciliary muscles squeeze your crystalline lenses to add the necessary additional PLUS to focus closer than about 20 feet. When a person has hyperopia (needs PLUS glasses for distance) but does not wear them, the ciliary muscles and crystalline lenses can compensate without your even being aware of it and over time they can get so accustomed to adding that additional plus that they are unable to fully relax. That is what is called Latent or hidden Hyperopia.

Also, your autofocus system can become very sensitive to the need to focus and that makes it difficult to correctly refract a person who has Latent Hyperopia. To try to identify how much hyperopia you have, the examiner will start with trial lenses that have more PLUS (same thing as increasing the MINUS) than you need to correct your apparent hyperopia and gradually reduce the amount of plus until your can read the 20/20 line without effort. As a test, the examiner will often go beyond the 20/20 point by one or two steps and your autofocus system will correct the focus internally and you will see a bit sharper image which is the same phenomenon that people experience by wearing glasses with a slightly stronger MINUS prescription or in your case, less plus than you really need.

It is possible to prevent your autofocus mechanism from helping by using a dilating agent to temporarily paralyze the ciliary muscles. I would urge you to consider getting a dilated exam. Some states allow Optometrists to use dilating agents, but other states only allow Ophthalmologists to use them. A dilated exam takes a bit longer than a non-dilated exam because it takes about 20-30 minutes for most dilating agents to work. In addition to paralyzing your ciliary muscles the dilating agent will also relax your pupil. The effects will gradually wear off over 5-6 hours and during that time, you will not be able to focus very well or read and you will not be able to deal with bright lights. The examiners are well aware of this and they usually provide disposable high density sun glasses to help you get home. I have had many dilated exams and I try to schedule them so that I can go from the exam to home. There is no pain or other discomfort associated with a dilated exam. The dilating agent may sting a little, but most examiners will use a mild anesthetic drop before using the dilating drop, so you don't feel the sting.

A dilated exam is the first step in correcting your hyperopia, but unfortunately it will usually not detect much Latent Hyperopia. The dilation process simply does not last long enough for the ciliary muscles and crystalline lenses to fully relax. It can take weeks or months for Latent Hyperopia to be fully resolved. Which is understandable when you consider that it took years for it to develop.

If Latent Hyperopia is suspected or confirmed, the solution is to prescribe glasses with several steps too much plus and perhaps possibly a temporary prescription for bifocals, trifocals or progressives is a person is young. The idea is to create a condition where the crystalline lenses can relax. Initially, distance vision will be a little blurry, but as the Latent Hyperopia resolves, the distance vision will clear up and more accommodation will be available for close work. That may take a few weeks and a prescription change to again add a bit more plus may be necessary to complete the process. Once the Latent Hyperopia is resolved, you will probably need a prescription for plus glasses or contacts for distance, but if your ciliary muscles and crystalline lenses recover their full accommodation range, you may find that you can work for long periods at the computer in comfort. It is possible that you may find that some computer glasses add a bit of comfort, but one thing your should do when doing close work is to blink frequently and look up about every 10 minutes for a few seconds at a distant object to give your ciliary muscles and crystalline lenses a chance to relax a bit.

This has been a bit longwinded, but I hope this will help you understand what is going on and what can be done about it. One thing to remember is that you are not the only person to experience these kinds of problems. Hyperopia and Latent Hyperopia are pretty common. The reason I asked about the Smartphone and Tablet is that they tend to reveal that even some teens have Latent Hyperopia and require early help to read the tiny text. What is happening is early revelation of presbyopia. Presbyopia actually starts in childhood, but does not become a problem until the late 30s or early 40s. It is common for people with Hyperopia to begin to have problems with presbyopia earlier than people with myopia because they have been using part of their accommodation to correct their hyperopia instead of using it to focus close.


Kate 15 Feb 2014, 22:03

Hi all. I have reading glasses, +1.5 L +1.75 R. In the last year or so, when I am tired or have a headache I tend to wear them all daylong since I spend the majority of the day in front of a computer. It seems that on days that are sunny my distance vision is not blurry at all but on cloudy days my distance vision is a little blurry. Is there a reason why that would be? I am due for an exam since it has been 2.5 years since my last one. I am 35 years old.

Lucas 15 Feb 2014, 21:06

Hi Cactus Jack,

to answer your questions in order:

1) From memory it was +1.00 in the right eye and +0.5 in the left eye

2) I have never had a dilated exam

3) I have recently graduated and started work where I spend all day on the computer. This is where I realized that my eyes would be extremely tired in the afternoon, much more so than as a student.

4) I do not use a phone a lot for texting

5) I do not own a tablet

6) US

7) No one in my family wears plus glasses for distance

Cactus Jack 15 Feb 2014, 20:57


Based on the very limited information you provided, I suspect that you have some Hyperopia along with perhaps some Latent Hyperopia to go along with it. At your age, you have plenty of accommodation and you can easily use your accommodation to compensate for your hyperopia, but it takes effort and is ultimately very tiring. Also, it can cause problems in an eye exam. Here are a few questions that might help us offer some suggestions:

1. What was your complete prescription before your most recent exam?

2. Have you ever had a dilated or "wet" eye exam?

3. What is your occupation. If you are a student, your course of study?

4. Do you use a Smartphone much for texting?

5. Do you use a Tablet?

6. Where do you live - Country?

7. Do either of your patents or any grandparents need Plus glasses for distance? It is likely that they need reading glasses or bifocals for close work.


Lucas 15 Feb 2014, 15:47

Any thoughts?

 13 Feb 2014, 19:48

Lucas, she's an inadequite practitioner, because she doesn't have the communication skills to make up for your lack there of. Good luck being Mr. McGoo.

Lucas 13 Feb 2014, 17:59

Additionnaly, most of the eye test focused on me testing my distance vision with them, even though its mostly been reading problems. She also realized that for any lenses she would put, my eyes were always trying to adjust to them and in the end, id have a hard time telling which lens was best

Lucas 13 Feb 2014, 17:57


I went for a new eye exam following really tired eyes at work and got a decrease in my prescription but told to wear them all day at work and for tv and distance. My prescription went down to +0.5 and -0.25 160 in the right eye and plano in the left. The doctor asked me how much i wore my old pair and i had told her only when my eyes were tired because i couldnt see well in the distance with them. She asked me if i would wear them more if my distance was clear with them to which i said yes. Am i correct in assuming that she is tryign to get me to wear them all the time and progressively get to my real hyperopia prescription?

PS i am now 23

Cactus Jack 12 Feb 2014, 13:19


Of all the refractive problems, Astigmatism is the most difficult to understand. Your prescription:

OD: Sphere -1.50, Cylinder -1.75 x 94

OS: Sphere -2.25, Cylinder -1.25 x 76

indicates that you have significant astigmatism in both eyes, perhaps the dominant factor in your right eye.

Astigmatism typically affects the Cornea which provides a significant portion of the eye’s total optical power. The actual cause of Astigmatism is unknown, but the effects cause the front surface of the cornea to be curved more steeply in one direction (axis) than it is in the axis that is at 90 degrees from the long axis of the cylinder. To help visualize the effects of astigmatism, imagine that your cornea is shaped more like an American Football than like a section from the side of a perfect sphere like a soccer ball. The result is that it has more plus power in one direction than at 90 degrees to that direction.

In your right eye, its power is +1.75 diopters more (this will be very confusing) in the 004 axis than in the 094 axis. It is corrected by a cylindrical lens with -1.75 oriented, by convention, with the long axis of the cylinder at 94 degrees or approximately in the vertical directions. By convention, cylinder axis are measured from 0 degrees Horizontal in a counter-clockwise direction looking at the patient, through 90 degrees Vertical around to 180 degrees. Cylinder axis are always designated as less than 180 degrees.

Because astigmatism affects only the fixed focus cornea, it does not change with focus distance and therefore needs to be corrected only ONCE and it is good for all distances. If you read any of the posts on the GOC thread, you may notice that participants are cautioned to NEVER adjust the cylinder and axis in the glasses prescription while the sphere prescription is changed massively.

Note: There are two ways to designate cylinder correction. Ophthalmologists typically use + cylinder and Optometrists, Opticians, and Lens Makers typically use - cylinder. The use of + cylinder will make the overall prescription look radically different. However there is a simple formula for converting + cylinder to - cylinder and lens makers apply the formula to + cylinder prescriptions and make the lenses using - cylinder. The optical results are identical no matter how the original prescription was written.

Under Correction or Over Correction - Please do not confuse the Snellen Fraction 20/20 or 6/6 etc. for the optical power of the eye or any lens system. Other things can affect Visual Acuity than just refractive error. The Snellen Fraction is just a convenient way of saying that this person sees at 20 feet with a person with “normal” vision sees at 30 feet, 100 feet etc. It is very loosely related to refractive error, but refractive error can be on either side of 0.00, which is the goal of vision correction for distance. A person can need a +0.50 corrective lens or a -0.50 corrective lens and have say 20/40 vision in either instance. The BIG difference is that a person who needs +0.50 MAY be able to correct his vision internally using some of the accommodative power of the crystalline lenses and ciliary muscles, but a person who needs -0.50 CAN NOT.

Over Correction or under correction are relative terms related to the sphere correction. Its meaning can vary depending on which side of 0.00 the prescription is on. Increasing PLUS is the SAME THING as decreasing MINUS and vice versa. The object of ALL vision correction is to correct a persons refractive error to 0.00 for distance (defined as 20 feet or 6 meters) and then determine if a PLUS ADD or PLUS sphere adjustment is necessary to REDUCE the focal distance to some preferred or required value. The primary reason for needing an ADD or increased PLUS in sphere is that the ciliary muscles and crystalline lenses can no longer add the increased PLUS required, internally. The reason the ciliary muscles can no longer do it usually starts with presbyopia, but can be a change in visual needs such a acquiring a Smartphone or taking up watch making. In ALL instances, Sir Isaac Newton’s formula for calculating focal distances apply. Another principle to remember is that ALL sphere refractive errors are caused by a mismatch between the total power of the eye’s lens system and the distance from the back of the crystalline lens and the retina. In all cases of myopia, hyperopia, or presbyopia, it is caused by: Myopia, too much PLUS, Hyperopia, too little PLUS, and Presbyopia, not enough PLUS to focus close, for the distance to the retina.

In your case, an ADD reduces your MINUS sphere distance correction and if strong enough will change the absolute power of the reading lens lens to a PLUS value. For example, if you got a +2.50 ADD, your prescription in the reading segment would be:

OD: Sphere +1.00, Cylinder -1.75 x 94

OS: Sphere +0.25, Cylinder -1.25 x 76

Mr. Walker discusses his experiences with myopia. He may have experienced the effects of Pseudo or false myopia in addition to his Axial or true myopia. They have two different causes, but have the same symptoms and the same correction. Axial or true myopia is caused by the eyeball having grown too much and it is NOT reversible. It would require that the eyeball un-grow or shrink. Pseudo or false myopia is actually the same phenomenon as Latent Hyperopia, just on a different side of 0.00. It is caused by the ciliary muscles and crystalline lenses being unable to fully relax back to their minimum PLUS state. Pseudo myopia IS reversible, but it can take weeks or months for it to occur. IF it is present, wearing LESS MINUS can encourage the ciliary muscles and crystalline lenses to relax and distance vision will be improved. The big problem is determining how much of a person’s total myopia is caused by Pseudo Myopia. Dilating agents used for “wet” exams typically do not fully relax the ciliary muscles and crystalline lenses to be able to eliminate Pseudo Myopia as part of the total Myopia.

Super-Focus glasses are just the latest version of a type of glasses that have been around for a long time. They were originally invented by a man in England (I think) to help people in 3rd world countries that had little or no ability to access eye care. They weren’t perfect because they could not correct astigmatism, but they were cheap if mass produced and allowed people to adjust them to their needs. Any time you relieve the ciliary muscles of some of their workload, you are contributing to their de-conditioning.

You can do the same thing your optician suggested by trying some Over the Counter readers. The only thing is that they usually start at +1.00 or more and go up to about +3.50. Your optician can start with +0.25.


IndoorSighted 11 Feb 2014, 22:51

Cactus Jack,

You wrote:

"A very significant factor in correcting your vision is your Cylinder correction for astigmatism. ... The need for sphere correction is usually caused by a mismatch between the total optical power of the eyes's lens system and the length of the eyeball. The need for cylinder correction is generally caused by uneven curvature of the front surface of the cornea and it typically affects Visual Acuity at all distances.

It is particularly noticeable when reading text."


I am curious about why the Cylinder correction does not need to be adjusted for ones reading prescription (Optos just add the ADD to your distance prescription), as I would assume that as the text gets closer to ones eyes the distortions o