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Medical Forum / General / Vision / August 2005

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Adapting to new prescription

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Charles - 31 Jul 2005 16:27 GMT
I'm having a heck of a time adapting to my new prescription. I have a fairly
minor prescription to begin with, something like 0.25 power and 1.25 cylinder
in both eyes. For this go around, I think they went from 1.0 to 1.25 cylinder
in one eye. I've had the glasses for about a week and they are still driving
me crazy. Everything is sharp, for the most part, and I can definitely tell
things are sharper than they used to be in the ey that changed, but I have
this vague disoriented feeling all the time, and it's really bad when I go
outside and look far away - I basically feel kind of cross eyed looking at a
distance. I get the same thing to a lesser extent just watching TV. I'm not
sure if it's related, but especially when watching TV I have a strong urge to
turn my head to an angle with the TV and watch kind of out of the corner of
my eye.

Any words of wisdom? Should I just keep trying to adapt for another week or
two, or is this unusual?
William Stacy - 31 Jul 2005 17:39 GMT
If you've worn them more or less full time for a few days and are still
bothered, there is something wrong with the Rx or the glasses or both.

The head turn bit makes me think you've got a serious distortion in the
center of one or both of the lenses.

Have them checked by a disinterested party against the written Rx, for
starters.

w.stacy, o.d.

> I'm having a heck of a time adapting to my new prescription. I have a fairly
> minor prescription to begin with, something like 0.25 power and 1.25 cylinder
[quoted text clipped - 11 lines]
> Any words of wisdom? Should I just keep trying to adapt for another week or
> two, or is this unusual?
Charles - 01 Aug 2005 03:18 GMT
Thanks everyone for the input. I guess I'll have to go back and have them
looked at again. The problem is so subtle that I think maybe I'm just more
sensitive than most people and should give it more time. I've already been
back once since I was not even close to adapting last time. It wasn't the
glasses themselves, it was the prescription. In addition to increased
astigmatism, they had more power in the other eye and that was really driving
me nuts. This time I'm close to adapting, and as I said, things are fairly
crisp.  I don't want to be the problem patient...

One other thing I've noticed while obsessing over this problem is that things
are a little sharper looking out of the left side of the lens, like if I
point my head to the right while looking at the text I'm typing. This is true
on both eyes. Shouldn't the prescription stay fairly constant over my field
of view, except for maybe the very very edge?

>If you've worn them more or less full time for a few days and are still
>bothered, there is something wrong with the Rx or the glasses or both.
[quoted text clipped - 22 lines]
>> Any words of wisdom? Should I just keep trying to adapt for another week or
>> two, or is this unusual?
otisbrown@pa.net - 31 Jul 2005 20:36 GMT
Dear Charles,

Subject:  Try a "spherical" lens.

This is a matter of your choice, but
it seems that you have SLIGHT hyperopia.

You might try a mild "plus" over-the-counter
glass for reading -- and see if this is
easier for you.

Best,

Otis
(Engineer)
p.clarkii@gmail.com - 31 Jul 2005 22:24 GMT
charles,

please ignor the posting from otisbrown.  his reply is moronic, and he
is untrained as an eyecare professional.  he insist on posting in this
forum and he misleads people constantly.

if you have astigmatism of about 1.00 to 1.25 diopters then a spherical
lens would be totally inappropriate.  also, OTC reading glasses will be
totally ineffective for the problems you are describing.

getting adjusted to a change in your astigmatism correction would be my
best guess about what you are going through.  as mentioned by William
Stacy, why not get the prescription in the glasses verified against the
prescription that was written out for you when you had your
examination.  if the specs have been made correctly, i would see my
eyedoc again and let him know what your problems are.  this is not an
uncommon situation for your eyedoc.
otisbrown@pa.net - 01 Aug 2005 05:03 GMT
Dear Charles,

A "spherical equivalent" will have equal power in all
segments.

If this lens gives you 20/20, then perhaps the
astigmatism "cut" is not that "necessary".
Give it a try.

Best,

Otis
(Engineer)
Mike Tyner - 01 Aug 2005 05:45 GMT
> If this lens gives you 20/20, then perhaps the
> astigmatism "cut" is not that "necessary".
> Give it a try.

Of course, you'll reimburse him for new lenses when it doesn't work.

-MT
retinula@hotmail.com - 01 Aug 2005 15:56 GMT
otis
every time you open your mouth you stick your foot in farther and
demonstrate your ignorance more

if a patient has one diopter or more of astigmatism, spherical lenses
are inappropriate.
why do you think reading glasses will help him when he has a distance
complaint of distortion?
where did you get the idea he is hyperopic\/  he is an astigmat

you should go to some other forum.

sick, pathetic, old fool
A Lieberman - 31 Jul 2005 23:52 GMT
> Dear Charles,

Dear Charles,

Please disregard Otis's postings.  He is not in the medical profession nor
is he in the position to give medical advice.

Thank you!

Allen
Wooly - 31 Jul 2005 23:50 GMT
>I'm having a heck of a time adapting to my new prescription.

I had the same problem with my last set of spectacles (updated Rx, new
frames, new lenses).  It was so bad that I actually reverted to my old
spectacles.  The optician kept telling me nothing was wrong with the
new spectacles, so I took them with when I went in for a contact lens
fitting earlier in the summer.  My ophthalmologist's optician (they
only do Medicaid fabrication, hence he's not *my* optician) checked
the Rx of each lens (correct, sort of) and marked optical center.  On
the left lens the OC was 13mm high, on the right lens it was 7mm low.
Additionally, the left lens (the one with the high astigmatism
correction) was mounted incorrectly in the frame; it had been rotated
90 degrees.

And finally, the new lenses were not the same material as the old
ones, but were a cheaper (lower index?) material.  Because of the
difference in materials the geometry of the lens backs is
substantially different between the old and new lenses.  This produced
a lot of visual disorientation on top of the other problems,
especially if I turned my head too quickly.

The upshot:  My optician (the one who fabricated the spectacles) gave
me a full refund and my OD's office put new lenses in my old frames.
Featherweight titanium is so much more comfortable than plastic, even
if the new frames were a bit nicer-looking on my face.

+++++++++++++

Reply to the list as I do not publish an email address to USENET.
This practice has cut my spam by more than 95%.  
Of course, I did have to abandon a perfectly good email account...
otisbrown@pa.net - 01 Aug 2005 03:21 GMT
Dear Charles,

Subject:  Some "effect" of an astigmatic lens.

You might call your OD and state that you
would like your astigmatic "correction"
converted to "spherical equivalent",
and ask that he provide that prescription
to you.

Some people have these "reactions" to
an astigmatic "cut" in the lens.

If he refuses to do this -- please
post his response and reasons.

Best,

Otis
Philip D Izaac - 01 Aug 2005 09:51 GMT
> Dear Charles,
>
[quoted text clipped - 5 lines]
> and ask that he provide that prescription
> to you.

Giving Moronic advice again Otis?

Dear Charles,

Please ignore Otis (who conveniently forgot to state here that he is an
engineer)

> Some people have these "reactions" to
> an astigmatic "cut" in the lens.

True, but there are several other solutions to his problem. What suprizes me
is that you are willing to offer advice that will over prescribe his myopia.
Hope Charles has been lurking around here long enough to know what to do
with your advice.
Otis, Charles has already received good advice from professionals, of
course, you think you know better.

> If he refuses to do this -- please
> post his response and reasons.

I would refuse. Anyone here willing to follow Otis's advice and prescribe a
spherical equavalent for charles at this point?

Roland J. Izaac

> Best,
>
> Otis
 
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