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Medical Forum / General / Vision / April 2005

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low myopic prescription

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kemccx@gmail.com - 11 Apr 2005 01:01 GMT
here's something I was wondering about.  At the local drugstores, you
can easily buy different strengths of glasses for farsightedness (+.75
up to +3). They cost about $20 (at the most). Granted, these are for a
large number of the presbyopic population. But, why can't the same be
done for us in the minus world?  We have to pay up to $200 for a low
myopic prescription. Is it the that the material is different? More
work involved in grinding the lens?  And, why are frames so expensive
if these other glasses can be bought for such a small amount of money?
otisbrown@pa.net - 11 Apr 2005 02:33 GMT
Dear Friend,

If you are low on cash, this is a site
where you can get your minus lens
at a reasonable price.

http://zennioptical.com/cart/home.php

Enjoy,

Otis
Mark A - 11 Apr 2005 03:13 GMT
> here's something I was wondering about.  At the local drugstores, you
> can easily buy different strengths of glasses for farsightedness (+.75
[quoted text clipped - 4 lines]
> work involved in grinding the lens?  And, why are frames so expensive
> if these other glasses can be bought for such a small amount of money?

Reading glasses are made for close up work such as reading. If someone was
to use off the shelf minus lens for distance vision (such as while driving)
then the legal liability would be significant. This is especially true since
most people have at least some astigmatism that needs correction.

The frames that come with the drugstore reading glasses are not very high
quality, but nevertheless it is true that the mark-up on frames in an
optical shop is astronomical. This is especially true for "designer"
frames..

When Lenscrafters offers 1/2 off sale on lenses (just about all the time),
it is only available when you purchase a frame from them. Think about it.
Dr Judy - 11 Apr 2005 03:41 GMT
> here's something I was wondering about.  At the local drugstores, you
> can easily buy different strengths of glasses for farsightedness (+.75
> up to +3). They cost about $20 (at the most). Granted, these are for a
> large number of the presbyopic population. But, why can't the same be
> done for us in the minus world?

Largely a question of volume.  Everybody over age 40, including the myopes
using contact lenses, needs low power reading glasses and the  power range
is quite limited (from about +1.00 to +3.00).  Sixty to 70% of that
population only need readers, no distance and many people who have expensive
prescription lenses also have one or two pairs of readers scattered around
the house and office as back up.

Myopia, on the other hand, is only 20% to 25% of the population, the range
of power is from -0.50 to -6.00 commonly and up to -10.00 or more.

Dr Judy

We have to pay up to $200 for a low
> myopic prescription. Is it the that the material is different? More
> work involved in grinding the lens?  And, why are frames so expensive
> if these other glasses can be bought for such a small amount of money?
andrewedwardjudd@hotmail.com - 11 Apr 2005 07:06 GMT
>> Everybody over age 40, including the myopes
using contact lenses, needs low power reading glasses

A generalisation which is just not true.

My brother is 50 for example.  I am 49.   Neither of us needs low power
reading glasses.

I know people in their 60's who dont need reading glasses, and who have
never needed glasses.
Andrew Chew - 11 Apr 2005 13:49 GMT
>>> Everybody over age 40, including the myopes
> using contact lenses, needs low power reading glasses
[quoted text clipped - 6 lines]
> I know people in their 60's who dont need reading glasses, and who have
> never needed glasses.

Yeah, it seems presbyopia does not affect everyone, even though conventional
wisdom says it does. My mom(70) doesn't need glasses to read and she's
plano.
retinula@hotmail.com - 11 Apr 2005 14:18 GMT
how certain are you that each eye is really plano without astigmatism?
are her pupils very small?
how big are her pupils?
what size print can she read?
how much light does she need to read it?
how far away does she hold the print in order to make it out?
Andrew Chew - 11 Apr 2005 17:50 GMT
> how certain are you that each eye is really plano without astigmatism?

She was tested with an autorefractometer.

> are her pupils very small?
> how big are her pupils?

No idea.

> what size print can she read?
> how much light does she need to read it?
> how far away does she hold the print in order to make it out?

She can read newspaper print at arm's length in normal fluorescent lighting.
RM - 11 Apr 2005 15:26 GMT
> A generalisation which is just not true.

A generalization that is indeed quite true.

There are scenarios when presbyopia doesn't affect people too much until
their late forties or early fifties.  As you have heard previously in this
NG, a person can have some astigmatism which helps a significant amount with
near vision without detracting seriously from distance.  Also, a person can
be just slightly myopic, perhaps in just one eye, that allows comfortable
reading while still preserving good distance vision.

Of course we all know about the effects of having small pupils.

Another point, some people naturally use long reading distances where the
effects of presbyopia are not obvious until later on.

Some people use lots of light when they read.

Some people don't read much so don't notice the effects.

Some people know that near problems represent an effect of aging so they
just deny it, either consciously, or subconsciously.

I've had a lot of people of presbyopic age tell me they don't have any
problems reading, and when you test them with a near-point card at 40cm,
they indeed DO have a problem.  Sometimes they act surprised.  Sometimes
they just smile at you sheepishly and say "well, its not too bad".
William Stacy - 11 Apr 2005 16:58 GMT
>I've had a lot of people of presbyopic age tell me they don't have any
>problems reading, and when you test them with a near-point card at 40cm,
>they indeed DO have a problem.  Sometimes they act surprised.  Sometimes
>they just smile at you sheepishly and say "well, its not too bad".
>
>  

I like to tell a story about a chiropractor  who practiced next to me
who claimed his vision was perfect due to his special treatments.  I
could tell by looking at him that he was over 50 yo, so I said "I think
you probably have a problem at one distance or another with one eye or
the other". He was vehement in denying it.  So I gave him a quick, free
acuity test.  Sure enough, 20/20 in each eye at distance, but about
20/60 at near.  I said "You can't read the small print". To which he
replied "Yes I can".  I said "ok read the last 4 lines on the card ".
He replied "It's too small to be read!".

I picked up a pair of loose + 2.00s and said  "Here, read it through
these".  He read it and said  "I don't need to read  THAT WELL!".

Denial is a large part of these presbyopes claiming  perfect vision.

w.stacy, o.d.
William Stacy - 11 Apr 2005 17:00 GMT
>I've had a lot of people of presbyopic age tell me they don't have any
>problems reading, and when you test them with a near-point card at 40cm,
>they indeed DO have a problem.  Sometimes they act surprised.  Sometimes
>they just smile at you sheepishly and say "well, its not too bad".
>
>  

I like to tell a story about a chiropractor  who practiced next to me
who claimed his vision was perfect due to his special treatments.  I
could tell by looking at him that he was over 50 yo, so I said "I think
you probably have a problem at one distance or another with one eye or
the other". He was vehement in denying it.  So I gave him a quick, free
acuity test.  Sure enough, 20/20 in each eye at distance, but about
20/60 at near.  I said "You can't read the small print". To which he
replied "Yes I can".  I said "ok read the last 4 lines on the card ".  
He replied "It's too small to be read!".

I picked up a pair of loose + 2.00s and said  "Here, read it through
these".  He read it and said  "I don't need to read  THAT WELL!".

Denial is a large part of these presbyopes claiming  perfect vision.

w.stacy, o.d.
youidiota@yahoo.com - 13 Apr 2005 01:09 GMT
You wanna know why they don't sell that sh.t?  BECAUSE IF THEY SOLD
THOSE, not only would lenscrafters lose money, rendering the
optometrist's job USELESS, but they would make everyone's eyes more
myopic.  Just like how glasses made my eyes more myopic.  I can't even
see the computer screen without my glasses.  This would raise people's
awareness about myopia, and everyone would be myopic and eventually a
lot of optometrists would get laid off.  Everyone would go crazy and
hate optometrists and SUE SUE SUE Walgreens for selling minus lenses,
which little kids can use and destroy their eyes!!!!!!!!!
Neil Brooks - 13 Apr 2005 01:20 GMT
>You wanna know why they don't sell that sh.t?  BECAUSE IF THEY SOLD
>THOSE, not only would lenscrafters lose money, rendering the
[quoted text clipped - 5 lines]
>hate optometrists and SUE SUE SUE Walgreens for selling minus lenses,
>which little kids can use and destroy their eyes!!!!!!!!!

Is there a way that you can quote the particular posting, or passage,
to which you are replying?  It makes it easier to follow the
"conversation."

Thanks!
 
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