Closer to finding comfortable eyeglasses. What next?!


Question: Closer to finding comfortable eyeglasses. What next?
So I'm astigmatic in one eye and myopic in the other. I'm getting closer to glasses that don't drive me nuts, but I'm not quite there. It seems that I'm VERY sensitive to small changes (probably because I do a lot of visually-oriented detail work,) which has perhaps made things more difficult.

Here's the most comfortable old prescription I've been able to use:

OD: -3.00 -1.50 x20
OS: -0.75 -3.00 x175

Unfortunately, they've always given me this strange, glassy-eyed impossible to concentrate feeling..

My newer glasses have been worse in terms of strain, but without the glassy-eyedness. Those numbers were like so:

OD: -4.00 -1.50 x25
OS: -0.75 -3.00 x175

Before dropping that doctor I asked him to low the OD back down to -3.25 -1.50 x25, and it made no difference to the strain. I learned that he'd used polycarb in the OD and high index in the OS so I suspected this to be the culprit and ran. Why you'd use materials with different optical properties in somebody already at risk for aniseikonia boggles my mind.

So I recently went to a handful of different optometrists looking for some answers, competence, and a new prescription and chose only one to order a new pair of glasses. He was one of only two doctors who insisted I was overcorrected on the OS, as opposed to undercorrected. My current glasses look like this:

OD: -3.75 N
OS: N -3.00 x175

The simple fact was that I could still see 20/20 without any spherical correction in that eye at all. The result was quite satisfying and much more comfortable than the old one.

The new doctor also dropped the cylindrical in the OD, which he admitted I *did* need. The reason it's not there is that, after seeing that I was feeling a lot of subjective difference in binocular comfort between 25 and 28 degrees in that eye, he decided that it may have hurt more than it helped, and decided to get rid of it. This was a BIG mistake, as now that eye can't get a clear image even at close distances and it is extremely distracting when using both eyes.

Unfortunately, although the most comfortable OD I've ever had by far is -3.00 -1.50 x20, several doctors (including, ironically, my current one who left me with an even blurrier OD) heavily discourages me because it's less than what I need. Moreover, computer and subjective results at the office both place me at closer to x28, even though I can swear from old lenses that x20 is just a little bit crisper somehow. Perhaps I'd be willing to split the difference.

There's also something else: For the OS, I've noticed that at 180 it ends up being blurry on the left part of the lens at at 175 it goes blurry on the right, suggesting to me that the angle that would give me enough leeway for lens distortion (and which is also probably the most correct angle) would be about 177 or 178. But from my experience, nobody will believe that anything less than 5 degrees makes any difference at all. Some doctors/labs even seem to round to the nearest multiple of five.

So basically, the best balance of crispness and comfort would seem to be yielded by the following prescription:

OD: -3.00 -1.50 x24 (or x20 if I want to just copy the old lens and leave it at that)
OS: N -3.00 x177

But am I crazy or what? I feel like the most irritating patient alive. How should I be approaching this? My current doctor already switched me from 180 to 175 on the OD because 180 created constant blurriness while reading and even then he was surprised it made any difference at all. Plus, he'd already discouraged keeping the spherical in the OD so low. What do some other professionals think?

Answers:

Just come in for an exam. I can help.



Every action has and equal action and opposite, so damp care it.



Don't give up. Jac is right.




The consumer health information on answer-health.com is for informational purposes only and is not a substitute for medical advice or treatment for any medical conditions.
The answer content post by the user, if contains the copyright content please contact us, we will immediately remove it.
Copyright © 2007-2011 answer-health.com -   Terms of Use -   Contact us

Health Categories