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Medical Forum / General / Vision / January 2005

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Two pretty different prescriptions in 8 months.

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JP - 09 Jan 2005 13:18 GMT
I'm 49, I got a prescription done in April 2004 and was recommended
bi-focals. However I never went through with it and stuck with my old reader
and distance glasses. I got a voucher for a free eye test which was a day
ago. When I comared them I was suprised that the sph has changed so much.
Frankly, with the 1st test I did feel  had a lot more time getting it
'right' than the rushed job I felt I got from the second.
I wondered if anyone would care to comment. Is it likely that my sph number
would go down on 2nd test?
These are the two results.
Apr  2004     R S+2.75 C-1.25 Axis95 Left S+3.75 C -1.75 Axis 65     Near
+1.5
Jan   2005     R S+2.50 C-1.25 Axis107 Left S+3.25 C -1.75 Axis 63     Near
+1.5
Mike Tyner - 09 Jan 2005 15:00 GMT
> I'm 49, I got a prescription done in April 2004 and was recommended
> bi-focals. However I never went through with it and stuck with my old
> reader

That's not a big change, first of all.

Second, the entire population is shifting in the same direction at age 49,
some of them very rapidly.

Third, "taking your time" is sometimes prone to error, just as much as the
"rushed job." IOW, the first refraction may be _underdone_ rather than the
second one _overdone_.

Finally, the real test is - does your distance vision seem blurred with the
second refraction. If not, it's "right."

-MT, OD

> I'm 49, I got a prescription done in April 2004 and was recommended
> bi-focals. However I never went through with it and stuck with my old
[quoted text clipped - 10 lines]
> Jan   2005     R S+2.50 C-1.25 Axis107 Left S+3.25 C -1.75 Axis 63
> Near +1.5
JP - 09 Jan 2005 15:19 GMT
>> I'm 49, I got a prescription done in April 2004 and was recommended
>> bi-focals. However I never went through with it and stuck with my old
[quoted text clipped - 28 lines]
>
> -MT, OD

I'm I right in thinking the 2nd prescrition show my eyes have ''improved''?
Mike Tyner - 09 Jan 2005 15:25 GMT
> I'm I right in thinking the 2nd prescrition show my eyes have
> ''improved''?

Yes, and I'm totally off-base. I misread the dates - I should never answer a
question before coffee.

In that case, yes, unless you have diabetes it isn't common to "improve" and
the second refraction is suspect.

-MT
JP - 09 Jan 2005 23:56 GMT
>> I'm I right in thinking the 2nd prescrition show my eyes have
>> ''improved''?
[quoted text clipped - 4 lines]
> In that case, yes, unless you have diabetes it isn't common to "improve"
> and the second refraction is suspect.

Thanks Mike!
I usually blame the beer!
RM - 09 Jan 2005 16:02 GMT
These two refractions are really not that different.  The reduced plus
sphere power is easily tolerated and sometimes even preferred by farsighted
middle-aged patients when you do a refraction.

The question really is, how do you "see" with the glasses on.  Many people
can see 20/20 quite well over a range of lens powers, particularly someone
who is farsighted (plus sphere power) like yourself.

If you can see equally in the distance with both prescriptions, and have no
difficulty seeing at near with them either, then they are both fine.

=================

> I'm 49, I got a prescription done in April 2004 and was recommended
> bi-focals. However I never went through with it and stuck with my old
[quoted text clipped - 10 lines]
> Jan   2005     R S+2.50 C-1.25 Axis107 Left S+3.25 C -1.75 Axis 63
> Near +1.5
drfrank21@hotmail.com - 10 Jan 2005 01:57 GMT
> I'm 49, I got a prescription done in April 2004 and was recommended
> bi-focals. However I never went through with it and stuck with my old reader
> and distance glasses. I got a voucher for a free eye test which was a day
> ago. When I comared them I was suprised that the sph has changed so much.
> Frankly, with the 1st test I did feel  had a lot more time getting it

> 'right' than the rushed job I felt I got from the second.
> I wondered if anyone would care to comment. Is it likely that my sph number
[quoted text clipped - 4 lines]
> Jan   2005     R S+2.50 C-1.25 Axis107 Left S+3.25 C -1.75 Axis 63     Near
> +1.5

You didn't mention your habitual distance srx (the one you're currently
wearing).
It ain't a large difference between the two but the initial exam could
possibly leave you slightly over-plussed.

frank
JP - 10 Jan 2005 18:16 GMT
>> I'm 49, I got a prescription done in April 2004 and was recommended
>> bi-focals. However I never went through with it and stuck with my old
[quoted text clipped - 21 lines]
> It ain't a large difference between the two but the initial exam could
> possibly leave you slightly over-plussed.

You may be right.
Just got my  distance glasses checked and they said
Right s2.5 and left s3.00
JP - 13 Jan 2005 00:52 GMT
>>> I'm 49, I got a prescription done in April 2004 and was recommended
>>> bi-focals. However I never went through with it and stuck with my old
[quoted text clipped - 25 lines]
> Just got my  distance glasses checked and they said
> Right s2.5 and left s3.00

Thank you everyone for your help.
 
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