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SC 21 May 2017, 10:23

Just had a regular test. Age 52 and astigmatism doubles!

Old

OD +1.5 0.5 x80

OS +1.75 0.5x173

Add 2.25

New

+1.75 1.00 x80

+2.00 1.50 x173

Add 2.25

Left eye really +4.50 but brain can't handle it so cosmetic lens


Soundmanpt 16 May 2017, 13:36

R

You never have stated what you age is and that is an important factor here. I can only assume that you might be in your early 40's based on what is going on with your eyesight. So based on that assumption you need to understand that your near vision isn't going to get better. It just doesn't work that way. Almost certainly it is going to worsen no matter what glasses you decide to get. Even though your nearsightedness seems to have improved, it really hasn't changed hardly at all because of the addition of astigmatisms you now have. Visually you are only about -.25 better now than you are with your current -1.25 glasses. I don't have to tell you that -.25 is practically nothing. So I doubt that trying to wear your glasses less is going to be any easier for you than it would now by taking your glasses off. For some reason you seem to think that wearing glasses is somehow going to make your eyesight worse. That is not the case. No matter which way you go you need to accept that your eyesight is going to continue to change and not for the better.


R 16 May 2017, 11:54

Basically can't read with glasses on so now need to take them off to read. Can read fine with glasses off unless very small print on a label. I am

Surprised how quickly near vision has got worse, feels like just a few weeks!

Worsening of near vision now more bothersome than blurred distance vision, that's why I am wondering should I just try to wear glasses less. And it's only in last year that I started wearing glasses much more during the day.


NNVisitor 16 May 2017, 09:59

R

Wearing your glasses shouldn't make reading more difficult if you pick one of the three options below.

Are you comfortable taking off your glasses to read? Or do you have to strain your eyes if you read a lot? If you're straining your eyes to read then reading glasses will work for reading if you don't mind switching glasses to read. Progressives and bifocals have a separate area with the add for reading. You would need to adjust to the fact that such glasses require looking through different parts of the lens for distance and another for reading.


R 15 May 2017, 21:04

It seems that the add might push me from wearing glasses a lot to fulltime if reading might be more difficult even though distance if anything is better?

Should I maybe try to reduce glasses use to stop dependence?

Or am at I a point were I have to accept that a combination of factors make full time glasses wear inevitable?


KL 15 May 2017, 14:42

R,

If you were to get bifocals, the reading segment (or single vision glasses for reading) would be SPH +0.5 CYL -0.5 and SPH +0.25 CYL -0.5 (algebraically adding +1.25 to your distance prescription) which will be more comfortable than just removing your -0.75 -0.5 and -1 -0.5 glasses. Your astigmatism is pretty small, but they'll correct that, and you'll have some plus sphere that means less accommodation necessary for you.

Which also means that yes, if you wear bifocals (or single vision reading glasses, for that matter) it will make it harder to read without them because the ciliary muscles responsible for your ability to accommodate will get weaker when they don’t need to work as hard as they have been.


Soundmanpt 15 May 2017, 14:09

R

Bifocals in your case shouldn't make it anymore difficult for you to read without glasses because all they are doing is eliminating the -1.25 distance. So what you would be really seeing is 0.00 through the add segment of your glasses. But you do need to understand that the reason this is happening to you now is because your eyes are beginning to change as for as needing reading help so it probably won't be long no matter what you do before you're going to need reading help.

It doesn't matter what most people would do if this were their first glasses. They aren't your eyes what matters is what you want. It's really very simple if you get single vision glasses then you will have to constantly be removing your glasses to see small print. If you get bifocals you won't need to take your glasses off to see small print.


R 15 May 2017, 13:35

If go with bifocals will it make it more difficult to read without glasses?

If this was first time glasses would most people go for bifocals or single vision?


Soundmanpt 15 May 2017, 09:10

R

Apparently if you have been wearing your -1.25 glasses nearly full time for a good long while without any vision problems close up, but now you are starting to experience difficulty with seeing close up it means your eyes crystalline lenses are starting to harden which is why your eyes aren't as able to ficus close up anymore. You didn't state your age but this generally starts to occur in your early 40's.

As far as what to do about getting glasses is really up to you. Since you seem to be pretty used to wearing your glasses almost full time anyway I think it would be much more handy to go ahead and get the full prescription so you don't have to be constantly removing your glasses to see things close up. By putting the +1.25 in your glasses what that is in effect doing is cancelling out your -1.25 distance prescription. So it would be the same for your eyes as having no prescription for the reading add. Also you are in fact slightly less nearsighted, however, you now have a bit of astigmatisms to deal with that you apparently don't have in your current glasses. So astigmatisms effects your eyesight at all distances. I hope to not confuse you but if you were sya only considering getting contact lenses with just your new distance prescription the contacts would be -1.00 / -1.25. The doctor would take half the value form your astigmatisms and include that in your distance correction. So really only a very slight decrease in your prescription. But having the actual astigmatism correction in your glasses would still provide you with slightly better vision than contacts would.

So after all that what you're left with is to decide if you want to only get single vision glasses for distance with your new prescription not including the +1.25 add and have to remove your glasses for seeing close or get get bifocals / progressives and not be needing to remove your glasses to see close up.


R 15 May 2017, 00:09

I have had a prescription of -1.25 and have been wearing glasses almost full time for a while. Recently up close is a bit blurred. New prescription is -0.75 -0.5, -1 -0.5 with +1.25 both eyes! Option was to get the prescription or just take off glasses for reading? Should I get glasses with the new +1.25?

As my distance need has apparently lessened, which I didn't notice do I need to continue full time glasses or should I try to wear less?


Soundmanpt 14 May 2017, 08:22

Maria Et

To fully answer your question about your boyfriend's eyesight is really a bit complicated. But you are correct in thinking that + glasses are commonly thought of as reading glasses and not needed for seeing distances. However + glasses are also often wore for farsightedness as well which is a bit different than just being reading glasses anymore. In your boyfriends case he also has a very high amount of astigmatisms which is the -3.25 and -4.25 numbers you see on his prescription. That alone would cause him to need his glasses for everything.


Maria Et 14 May 2017, 01:29

Can someone please explain my boyfriend's prescription to me?

left eye is +5.75-3.25x165

right eye is +5.50-4.25x170

His glasses magnify his eyes, I was always thought + was for reading but he wears his glasses or contacts for everything.

I want to understand his eyes more...


MKWL 10 May 2017, 22:09

Thank you guys!

I finally got my new glasses. They look thicker, but everything looks super clear with them. Also, the reading ones really help.


GreginColo 26 Apr 2017, 18:30

MKWL; it looks like you have already gotten a o]possible interpretation of your new Rx by someone more informed about such than myself. It does sound like a fairly complex Rx. However, you also asked about your + Rx, which could be part of the normal aging process, for most people beginning in their early to mid 40's, were they/we loosse some ability for close up focus, hence the need for reading glasses, which I think is basically what the weaker of your new Rx's is intended to accomplish. You didn't mention your age to help confirm that. Also has you distance Rx stabilized or has it continued to increase from your prior?. You ECP should be willing and able to answer your questions, but if not there are many helpful and well-intended people who contribute to this site. Best of luck adjusting to your new RX. Do you always wear glasses, or sometimes contacts?


 26 Apr 2017, 15:07

MKWL, I could be wrong but I think you have left something out, because what you have written doesn't make any sense. However I am guessing that what you left out might be the reading for the right eye distance. I have taken a wild guess and I think this might be your full prescription:

OD: -16.75 x -3.75 x 120 with 12 D base out prism distance

: -15.50 x -3.75 x 120 with 14 D base out prism mid range

OS: -14.50 x -3.25 x 135 with 12 D Base out prism distance

: -13.25 x -3.25 x 135 with 14 D base out prism mid range

with a +1.25D ADD.

If I am reasonably close, you do have a strong prescription. You require R-16.75D spherical and L-15.50D sph. with another R-3.75D at 120 degrees and L-3.25D at 135 degrees of cylinder for your distance correction. You also require 12 degrees of base out prism for each eye.

For your mid range vision your distance correction is reduced by -1.25D Your astigatism stays the same, however your prism is increased by 2 degrees base out.

The additional prism in your mid range vision is required to bring your eyes to focus up close. No further increase is needed for your reading so it is indicated by a +1.25D ADD.

If you did not require cylindrical or prism correction your prescription would likely have been written as:

OD - 16.75, OS - 14.50 with + 2.50 add multifocal


Maxim 26 Apr 2017, 14:17

I totally agree with Tom.

The correction needed is very low indeed, and you could give a try to the simple lenses without astigmatism.

Best wishes!


Tom 26 Apr 2017, 14:01

I'm not that expert but your astigmatism sounds low esp in the right eye, which can easily survive without cylinder.

I'm sure you'd be ok with -1.5 and -1 sphere, no astigmatism at all.

Let see what others think.


Squidink 26 Apr 2017, 13:17

I had recent eye test, astigmatism went up. I'm debating trying contact lenses for occasional use but heard that toric contacts are not very comfortable and are more expensive. Is the optometrist likely to give me toric contacts with this prescription

Left eye sphere -1.00 cyl -0.75 axis 10 Right eye sphere -1.00 cyl -0.25 20


MKWL 25 Apr 2017, 19:13

Well, I had an interesting appointment today. The appointment was a little different today. At the end the doctor opened up both eyes and asked if I saw one or two images, and I saw two. He then did some weird stuff, like kept waving something in front of and away from my eyes, and back and forth between my eyes and held this ruler looking thing to my eye. This was then done by looking at a hand held card. Also, after that the doctor pulled out a smaller chart and had me try to read it with the black glasses thing, and I couldn't read it all. He switched some stuff up, and it became clear and easier to read. When I went to pick out glasses they told me I needed two, One for far, and one for reading. The girl also said something about a prism and presbyopia. I am so confused. When I looked at the paper with my prescription, there were two joined charts there, and one on the bottom of the page instead of the usual one. The the top part of the joined chart is distance and the bottom half is near. I don't know how to really understand a prescription, so was hoping some one can help me. All I know is I am very nearsighted, and the bigger the number the worse my prescription, and my numbers are pretty high. My prescription is: the distance part has the following numbers in the first row: . The second row in the distance part : -14.5, -3.25, 135, 12, and out. Now for the near part of the chart, the first row: -15.5,-3.75,120,14, and Out. The second row of the near part: -13.25,-3.25,135,14 and out. The other chart on the bottom of the page is longer, with more columns, but only has two rows. It reads mostly the same, but the extra columns, which I think just blends the other charts into one, but has this +1.25 in both rows under the ADD column. Why is there a + I thought I was nearsighted? What is the plus doing, and why isn't there a plus in the other merged chart?

Sorry for being so long, just really confused. Hope someone can help.


Cactus Jack 06 Apr 2017, 11:05

RL,

You only need to click one time on the Submit button. If it turns blue with white text, your post has been placed in the queue and it will be transmitted to the server in a few seconds. If you click more than once you will cause multiple posts.

C.


RL 06 Apr 2017, 07:36

There was some astigmatism too but it never changed. -1.25 in the right eye and -.75 in the left eye.


RL 06 Apr 2017, 07:35

There was some astigmatism too but it never changed. -1.25 in the right eye and -.75 in the left eye.


RL 06 Apr 2017, 07:17

That was a -1.5 jump to -10.25.


RL 06 Apr 2017, 06:38

On average it went up about -.75 a year. Biggest jump was -1.25 from -8.75 to -10.25. I was about 30 years old then. Next year it was at -1l, actually -11.25 where it finally stopped.


RL 06 Apr 2017, 06:37

On average it went up about -.75 a year. Biggest jump was -1.25 from -8.75 to -10.25. I was about 30 years old then. Next year it was at -1l, actually -11.25 where it finally stopped.


I, Glasses 05 Apr 2017, 18:09

RL, What was the specific progression of your myopia, in other words, at what ages/intervals (years or months) did you get stronger prescriptions, and what was each stronger prescription? Thanks.


RL 04 Apr 2017, 10:10

Got my first glasses at 19. They were -.75. Over the next 15 years the RX progressed to -11 where it stayed until my late 60s when it backed off a bit to -9.25 where it is today.


RL 04 Apr 2017, 10:09

Got my first glasses at 19. They were -.75. Over the next 15 years the RX progressed to -11 where it stayed until my late 60s when it backed off a bit to -9.25 where it is today.


Cactus Jack 03 Apr 2017, 17:31

nemo,

May I ask where she lives? When I read your post, I hoped she lives in or near the UK. The reason is that Moorfields Hospital in London is one of the best Eye Hospitals, in the world.

Many eye and hearing conditions have a genetic cause, because they tend to run in families, but I don't believe that there is one gene that affects both vision and hearing. The human Genome is much more complicated than that.

It is pretty common for people with high myopia to have Visual Acuity problems. Vertex Distance effects of high minus glasses cause the image on the Retina to be small and it is possible that there are some congenital retina issues that make it difficult for the minified images of text to stimulate enough Rods and Cones in the retina to produce a signal that the Visual Cortex can resolve. Remember, vision occurs in the brain, the eye are merely biological cameras.

Glaucoma is notorious for causing retinal damage.

Hopefully, she is under the care of a Low Vision specialist.

One "trick" that might be possible it to wear Contact Lenses to correct most of her sphere error and enlarge the images on her retinas and also wear glasses to correct the rest of sphere and ALL of her astigmatism. She needs to be under the care of an ECP who is willing to be creative.

C.


nemo 03 Apr 2017, 15:33

A have recently had an online talk with a 19yo girl complaining for her eyesight. She is currently wearing a -19 -15 single vision glasses with -4.50 -2.50 astigmatism. Her RX is significantly higher than her previous one she had last september, both for sphere (increas around -3) and cylinder (increase around -2).

Nonetheless:

1) even with her new glasses she cannot focus well far and has feels usafe in streets, cannot see stairs, and so on;

2) since last december she is almost unable to have good close vision: she cannot read prints at all and needs to strongly magnify computer screen to read it;

3) she has high eye pressure;

4) her hearing acuity is slowing down as well: her mother (which is 40yo) is -7 and has recently started to wear hearing aids: it is possible that both have some genetic disease that targets simultaneously on eyes and ears?

She has told me that according to her eye doc her eyeight will worsen and suggested her to go urgently to an eye hospital and test eyes better, so as to find tools to cope with so poor eyesight.

Sadly, I suspect she has glaucoma or keratoconus (or both).

is that possible? Could her close vision problems depend on the higher minus RX, so that she can overcome them with a pair of bifocals? Is she doomed to become blind or has a residual hope to recover sight or at least keep her remaining acuity?

Please give me any suggestion to not scare her and to be of help during our talks. Thank you


Cactus Jack 01 Apr 2017, 14:45

Lucas,

Plus lenses for reading are Magnifying lenses. If you need PLUS Sphere lenses for distance, you do not have enough PLUS in your eye's lens system to focus distant images clearly on your Retinas. Effectively, your eyes actually MINIFY the images on the Retina, but you are used to that situation. The +0.75 Add in your prescription to help you focus for reading will actually magnify the images of the text slightly, but the main thing they will do is reduce the amount of extra PLUS your Crystalline Lenses will have to supply for you to focus at normal reading distances.

I suggested the +1.00 clip-ons because RxSafety Glasses do not offer powers less than +1.00.

You might consider ordering glasse from Zenni Optical. They are high quality and cost a lot less than High Street Opticians.

C.


Lucas 01 Apr 2017, 11:02

Went into a store today and realized very quickly that lenses with an add for near vision cost a fortune. So far, I dont have any symptoms really requiring me to use my glasses. My exam was really more of a check-up than anything else.

Would I really benefit from such a prescription? I tried +1.25 reading glasses in stores and they felt extremely strong, almost like using a magnifying glass. Instead of correcting my vision, it felt more like I was just using a magnifying glass and that the text was unnaturally big.

Thanks


Cactus Jack 31 Mar 2017, 19:55

Lucas,

+1.25 -0.50 165

+1.00 -0.25 005

could be prescribed as a single vision reading or computer prescription, but distant things would probably be a bit blurry. Bifocals with a low add are often prescribed to reduce headaches and fatigue when reading or doing close work and still provide good distance vision thru the top segment.

C.


Lucas 31 Mar 2017, 19:24

Cactus jack,

Thanks for the answer. Would that mean that my actual reading prescription is 1.25 and 1? Why not prescribe that directly?


Cactus Jack 31 Mar 2017, 19:19

Lucas,

The add only affects the absolute power of the Sphere connection in the reading segment. The prescription there is:

+1.25 -0.50 165

+1.00 -0.25 005

I would like to suggest an alternative. RxSafety.com in New Jersey offers some Clip-on Magnifiers starting at +1.00 and working up to +5.00. They offer two sizes. I suggest that you consider the small size +1.00 and wear them over your 4 year old glasses when using the computer. I think you will find them comfortable and you don't have to tilt your head back and get a crick in your neck. They are very high quality and are about US$15.00 a pair.

They have a 20% off sale right now with the code THAW17.

You may be tempted to try something stronger, but try the +1.00 first. You don't want to let your Ciliary Muscles get de conditioned.

C.


Lucas 31 Mar 2017, 18:20

Hi,

I got the following new prescription for glasses :

+0.50 -0.50 165 ADD +0.75

+0.25 -0.25 005 ADD +0.75

The dr suggested I get anti fatigue glasses.

I am 25 years old working on the computer all day.

Now this prescription is identical to a previous one from 4 years before, with the ADD on top. The doctor mentioned that my previous prescription wasnt strong enough and suggested I wear these constantly when working.

From my research online, anti-fatigue glasses are only +0.6 near add. Why did she specify +0.75?

Also, would that make my near vision +1.25 or just top part 0.5 and bottom part of the glasses 0.5?

Should my prescription for close be really 1.25? If thats the case, why not prescribe that, is it for me to get accustomed to them and my distance vision to the 0.5 on top?

Thank you for the help


Lucas 31 Mar 2017, 18:20

Hi,

I got the following new prescription for glasses :

+0.50 -0.50 165 ADD +0.75

+0.25 -0.25 005 ADD +0.75

The dr suggested I get anti fatigue glasses.

I am 25 years old working on the computer all day.

Now this prescription is identical to a previous one from 4 years before, with the ADD on top. The doctor mentioned that my previous prescription wasnt strong enough and suggested I wear these constantly when working.

From my research online, anti-fatigue glasses are only +0.6 near add. Why did she specify +0.75?

Also, would that make my near vision +1.25 or just top part 0.5 and bottom part of the glasses 0.5?

Should my prescription for close be really 1.25? If thats the case, why not prescribe that, is it for me to get accustomed to them and my distance vision to the 0.5 on top?

Thank you for the help


Lucas 31 Mar 2017, 18:19

Hi,

I got the following new prescription for glasses :

+0.50 -0.50 165 ADD +0.75

+0.25 -0.25 005 ADD +0.75

The dr suggested I get anti fatigue glasses.

I am 25 years old working on the computer all day.

Now this prescription is identical to a previous one from 4 years before, with the ADD on top. The doctor mentioned that my previous prescription wasnt strong enough and suggested I wear these constantly when working.

From my research online, anti-fatigue glasses are only +0.6 near add. Why did she specify +0.75?

Also, would that make my near vision +1.25 or just top part 0.5 and bottom part of the glasses 0.5?

Should my prescription for close be really 1.25? If thats the case, why not prescribe that, is it for me to get accustomed to them and my distance vision to the 0.5 on top?

Thank you for the help


George1968 24 Mar 2017, 17:16

Dahlia,

You have to make the choice as to how often you wear your glasses. It's a combination of physical and psychological comfort.

Some people are really bothered by the vision they have when their prescriptions are -2.50 and higher, and so wear their glasses for because it is physically more comfortable for them. Others can deal with the less than perfect vision, or are so distressed about wearing glasses, that it is not worth it for them to do so.

That's all up to you. If you feel the glasses are too thick, you can either change the glasses or not wear them unless you absolutely have to.

Or, maybe after a couple of days, you'll figure that, on balance, it is better to wear them than not.


George1968 24 Mar 2017, 17:11

Dahlia,

How often are you wearing your glasses? Do they make a difference?

You might notice some change in thickness, but I think it is more of a thing that you are -- or you are considering -- wearing your glasses full time and are worried about what people will think.


Soundmanpt 24 Mar 2017, 09:10

Dahlia

I can't understand why your lenses would be as thick as you say they are. Even the optical stores don't start suggesting high index lenses until a prescription gets a bit stronger than -2.50. Now of course if you wear rimless or semi-rimess glasses there is no frame to cover any thickness. Of course your lenses would be slightly thicker going from -1.50 to -2.50 and -1.25 to -2.25. Enough that you would be able to see the difference but not to the point where they should look too thick or strong. Most places that you buy glasses form have a return policy for up to 90 days which allows you to change your glasses or modify them without any charge. So you have several options. One is go back and pay the extra to have high index lenses put in. The other is to get a full plastic frame which should cover or hide any thickness from being seen. In either case you would only be charged the difference. Switching to thinner lenses should be under $50.00 and switching frames might be a refund to you depending on the prices of the frames.


Dahlia 24 Mar 2017, 03:23

They are really quite thick.


bracesfan 23 Mar 2017, 23:50

Dahlia:

Cokebottles at -2,5 diopters? Sorry but you are exaggerating. Even in 1,49 and with big frames itīs only a couple of milimeters. You should see what cokebottles are and how they change the face.


Likelenses 22 Mar 2017, 23:51

Dahlia

There is nothing hotter that a twenty year old girl with thick lenses.


Rebecca 22 Mar 2017, 00:20

I don't know what my current real prescription is. I really hope it has increased this time. I'll have another eye exam in April. Currently I wear -3.75 glasses and I've gotten used to them, so I will get a stronger prescription next time I buy from Clearly.


NNVisitor 22 Mar 2017, 00:06

Dahlia

You do not have a very strong prescription however very large frames will result in thicker glasses. My Glasses were much much stronger and yes my glasses were very thick until I started purchasing high index thinner eyeglass lenses in smaller frames. We are our own worst critics when it comes to how we think our glasses look to others. I've found out after many years that to other people the appearance of my glasses were no big deal. Everyone has their own problems that they focus on so don't worry about your appearance with your glasses on. To others they will look absolutely great on you.


Dahlia 21 Mar 2017, 21:09

Glasses arrived earlier today. They're absolute cokebottles unfortunately. I asked the guy why the lenses were so thick. He said it's because I chose an "oversized" frame with 1.49 index lenses. Not sure what that means but I am not happy!


Likelenses 21 Mar 2017, 19:57

Dahlia

Yes, you should be a full time wearer.If not now with in the next two years you will probably be peering through -4.00,and unable to function without correction.

Bottomline is SOONER, OR LATER.


George1968 21 Mar 2017, 12:39

Dahlia,

Do you have an issue wearing glasses fulltime?

Look, no one will make you wear your glasses. It's a matter of physical and psychological comfort.

So, when you get them, wear them for a couple of hours and then take them off. Do you feel you are comfortable with the vision without glasses?

If not, you probably have your answer.


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