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Medical Forum / General / Vision / January 2005

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Eye exam OK, got glasses, but my eyes still hurt....!?

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Todd_Calhoun - 22 Jan 2005 00:16 GMT
Between work and home, I am a heavy computer user and reader.  I have been
for at least the last 6 years.  About 6 weeks ago, I would start to get
terrible eye strain and headaches towards the end of my work day.  Sometimes
I would just go sit in my car at lunch and close my eyes, even though I
wasn't tired.

So I decided to bite the bullet and get an eye exam...at LensCrafters.  I
got the deluxe treatment, with dilation, and they determined nothing was
wrong with my vision.  They even did the computer eye exam with the little
LCD screen that hangs a foot or two from my face.

The doctor said that my eyes were just getting too worn out from focusing in
close so much, and wrote a prescription.  Of course, by now I couldn't see
squat because of the dilation, and I ended up spending over $200 for frames
and lenses, and then a friend looks at my prescription and says that I
pretty much just got a really expensive pair of reading glasses.  I can't
even read the prescription because of the bad carbon copy, so I have to call
back.

So I've been using my glasses for two days, and it's not much better.  I
usually wear them for about 30 minutes, then my eyes still get tired, so I
take them off.  I do take more breaks from my computer, and try some "eye
excercises" from an ergonomics website (focusing far away, then close; stuff
like that).

I don't know anyone else who would care about what has been going on, so I
thought I'd share here, and see if anyone had any thoughts.

One question:  I use a dual monitor setup at work (with two monitors
side-by-side).  And they're both CRT's.  Do LCD monitors make a difference?
Or will my eye-strain be the same?
Joe Stella - 22 Jan 2005 01:35 GMT
>[...] I ended up spending over $200 for frames
>and lenses, and then a friend looks at my prescription and says that I
[quoted text clipped - 4 lines]
>So I've been using my glasses for two days, and it's not much better.
>[...]

Just in case you weren't aware of it, Lenscrafters has a 30 day money
back guarantee, no questions asked.  So if your glasses are not helping
you, return them.
Neil Brooks - 22 Jan 2005 01:42 GMT
> Between work and home, I am a heavy computer user and reader.  I have
> been for at least the last 6 years.  About 6 weeks ago, I would start
[quoted text clipped - 28 lines]
> side-by-side).  And they're both CRT's.  Do LCD monitors make a
> difference? Or will my eye-strain be the same?`

How old are you?  What's the prescription that you received?

LCD monitors are easier on the eyes than CRT's
(http://www.nfib.com/object/1583663.html)

Neil
bruin70@mail.com - 22 Jan 2005 01:59 GMT
lcd's make a diff.

are you viewing your crt at their default settings? i find monitors are
set too harsh, ie,, too contratsy, too bright(extremes of darks and
lights)

if you are viewing at default, i would first suggest changing the
settings to your comfort. tweak the brightness lower and the contrast
as well, to suit your needs. try about 5% less on the contrast to
start. if it turns too grey or difficult to see crisply, then just work
with the brightness. set your gamma also. you can google for gamma
settings as a start.
Mark A - 22 Jan 2005 02:11 GMT
> lcd's make a diff.
>
[quoted text clipped - 8 lines]
> with the brightness. set your gamma also. you can google for gamma
> settings as a start.

A good CRT has better resolution and is less hard on the eyes than any LCD.
Yes, it has to be adjusted properly, and a decent video card is needed (set
to the appropriate refresh rate).

CRT's are capable of (and typically have) much higher refresh rates than
LCD's. However, sometimes they are not set up properly. A decent video card
should support a refresh rate of at least 75 Hz (which should be good enough
for most people), and many are capable of 85 Hz or higher.
bruin70@mail.com - 22 Jan 2005 23:43 GMT
,,,,,,,,,,,,,
> A good CRT has better resolution and is less hard on the eyes than any LCD.
> Yes, it has to be adjusted properly, and a decent video card is needed (set
[quoted text clipped - 4 lines]
> should support a refresh rate of at least 75 Hz (which should be good enough
> for most people), and many are capable of 85 Hz or higher.

todd,,,,what mark said about refresh rates. that's another thing. is
your refresh rate too low? if you look at your monitor PERIPERALLY, it
will be "blinking" if the refresh rate is not correct.
g.gatti@agora.it - 22 Jan 2005 10:02 GMT
Now you have been trapped in the supidiity of corrective lenses.

It would have been sufficient to learn how to relax your vision BEFORE
going to the stupid doctor, and it would have been very eady to do it
BEFORE the stupid man dilated your pupils and all that stupid treatment
which is still in use after so many have been injured by it.

Now if you resent your glasses, GOOD SIGN, TRASH THEM!!!

Start the practice of the rest methods!!!

Learn to look at the sun!

Learn to read MICROSCOPIC PRINT!

Learn how to look at PIXELS on the computer screen instead of whole
letters!!!
If you are interested, please visit http://TheCentralFixation.com
rfarmer_98@yahoo.com - 24 Jan 2005 16:42 GMT
Todd,
I work at a computer 10 hours a day and have extreme eye strain and
headaches 24/7.  I have gone to 32 doctors and they have not found
anything.  Eyes are OK!
Please let me know if you find anything.

> Between work and home, I am a heavy computer user and reader.  I have been
> for at least the last 6 years.  About 6 weeks ago, I would start to get
[quoted text clipped - 27 lines]
> side-by-side).  And they're both CRT's.  Do LCD monitors make a difference?
> Or will my eye-strain be the same?
Neil Brooks - 24 Jan 2005 17:29 GMT
> I work at a computer 10 hours a day and have extreme eye strain and
> headaches 24/7.  I have gone to 32 doctors and they have not found
> anything.  Eyes are OK!
> Please let me know if you find anything.

Couple quick questions:

1) Have you been /tested/ for dry eyes?  This would include Schirmer's,
T-BUT, and rose bengal tests, for example.  Quantitative and qualitative
tests;

2) How old are you?

3) What's your prescription?

4) Have you had your prescription checked with your eyes dilated?  If so,
what was /that/ prescription?

The computer being such a factor, dry eyes could do it.  It also sounds like
you're having some form of accommodative dysfunction.  You can Google this
to get additional information.  See if it fits.

You may have seen 32 doctors, but--trust me on this--you haven't found the
right one.  I'm just a patient, not a doctor, but was fighting similar
battles for 20 years before I figured out what my issues were . . . /then/
found a doctor to work with me toward a treatment plan.

Best of luck!

Neil
g.gatti@agora.it - 24 Jan 2005 18:19 GMT
> You may have seen 32 doctors, but--trust me on this--you haven't found the
> right one.  I'm just a patient, not a doctor, but was fighting similar
[quoted text clipped - 4 lines]
>
> Neil

ZERO out of 32.

Now this profession...
You continue to say that this profession is not CRIMINAL????????
rfarmer_98@yahoo.com - 24 Jan 2005 22:04 GMT
Neil,
I am 59. had both eye surgery for cataract.  I do not have dry eyes. I
have not been tested when my eyes are dilated.  I have had this
condition since 02/15/04.  I am in alot of pain.  What would you
suggest.  I live in Southern California.  I went to UCI Medical Center.
No help.  My next meeting is with UCLA Jules Stein Eye Center
Neil Brooks - 24 Jan 2005 23:23 GMT
> I am 59. had both eye surgery for cataract.  I do not have dry eyes. I
> have not been tested when my eyes are dilated.  I have had this
> condition since 02/15/04.  I am in alot of pain.  What would you
> suggest.  I live in Southern California.  I went to UCI Medical
> Center. No help.  My next meeting is with UCLA Jules Stein Eye Center

I can empathize.

Jules Stein is famously excellent.  I've been seen there by Arthur Rosenbaum
and Joseph Demer.  Not sure if they'll be the ones for your issue.  I'm in
San Diego.  JSEI would have been one of my first recommendations.  A dilated
exam by a competent ophthalmologist is a critical next step for you.  If
you've complained about eye pain to 32 doctors, it's incredible that this
hasn't been done.

My thought, if not dry eye, was accommodative dysfunction.  In other words,
if they put fixed focal implants in when they did your cataract surgery,
then they would likely have set you up properly for distance vision, but not
for near.  If that's the case, then you would need the proper refractive
help (reading glasses) for near/intermediate vision (i.e., the computer).
At 59, you're likely running out of accommodation, the ability to shift your
focus from distance to near.  If you're not using the correct reading
glasses for computer work, then this /could/ be the problem.

I know a pretty fair amount about accommodative issues, but--in that
regard--I'm a Johnny one-note.  In other words, I'm glad you're going to
Jules Stein.  Hopefully, what you're experiencing is nothing more serious
than needing a new prescription.  Uveitis can also cause pain in the eyes.
Here's some basic information about Uveitis:
http://www.healthscout.com/ency/68/570/main.html

Please let us know what they say at JSEI, and check back here to see if any
of the doc's have more to contribute.

Best,

Neil
g.gatti@agora.it - 24 Jan 2005 18:18 GMT
Dear friend, I have already told you what to do. I copy and paste:

Start the practice of the rest methods!!!

Learn to look at the sun!

Learn to read MICROSCOPIC PRINT!

Learn how to look at PIXELS on the computer screen instead of whole
letters!!!
If you are interested, please visit http://TheCentralFixation.com
Todd_Calhoun - 28 Jan 2005 20:25 GMT
Thanks for the input everyone.  My monitors had been calibrated for video
production work, and both have refresh rates of 85hz, with the contrast,
brightness, and gamma adjusted for video (so they're not very bright).  I
think the problem may be that they are two different sizes of monitor (21"
and 19"), and they aren't on the same "plane", one is a little slanted.  I'm
going to experiment with different monitor positions.  I'll also look into
LCD.

I ended up taking the glasses back, and Lenscrafters was very nice about the
whole thing.  In the meantime, I'm taking more frequent eye breaks.

I'll let you know if I find anything else that works.

> Between work and home, I am a heavy computer user and reader.  I have been
> for at least the last 6 years.  About 6 weeks ago, I would start to get
[quoted text clipped - 27 lines]
> side-by-side).  And they're both CRT's.  Do LCD monitors make a
> difference? Or will my eye-strain be the same?
g.gatti@agora.it - 28 Jan 2005 22:50 GMT
Do you have renounced eyeglasses?
Wow!!!

That's a great intelligence you have shown.

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