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Medical Forum / General / Vision / December 2005

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Reading with one eye shut

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Chris Sprague - 01 Dec 2005 14:38 GMT
Over the past year or two, I've caught myself closing my right eye when
reading a computer screen, and more often, a book.  It seems to happen
more often when I'm tired.

I'm 28 years old, and have been wearing glasses/contacts to correct
near-sightedness since 1991.  I don't have a very strong prescription,
-2.00 in my right eye, -1.75 in my left.  This hasn't changed very much
in the 14 years since I first got glasses.

In spite of this "read with one eye open" thing, I can actually see the
text on the screen/page perfectly well with either eye up to a distance
of about 12-18".  I've found that I can even switch which eye is closed
when reading, without any vision detriment.  I think I'm just left-eye
dominant, so my right eye is the one I subconsciously close.

The question is though, if I can see fine up close with both eyes, why
do I often find myself closing one in order to read?  Is it a focusing
issue, a convergence problem of some kind?  This seems to happen
regardless of if I'm wearing my contacts/glasses or no correction at
all.

If it helps, I work as a computer programmer by day, and sit in front
of a monitor a lot, and I'm a prolific reader at home.  I read books
for 1-2 hours each night, almost every night.

Thoughts?

- Chris
Dick Adams - 01 Dec 2005 15:40 GMT

> -2.00 in my right eye, -1.75 in my left.  This hasn't changed very much
> in the 14 years since I first got glasses.

> [ ... ]

> I work as a computer programmer by day, and sit in front
> of a monitor a lot, and I'm a prolific reader at home.  I read books
> for 1-2 hours each night, almost every night.

Apparently the Intelligent Designer has fixed your eyes for close
work.  Maybe you should always read without eyeglasses.  Otis
thinks so, too, but what does he know?

Maybe the O.D.'s want to saddle your eyes with prisms.  That
would be a nuisance, but perhaps a learning experience.

--
Dicky
Chris Sprague - 01 Dec 2005 19:04 GMT
In my original post, I stated "This seems to happen regardless of if
I'm wearing my contacts/glasses or no correction at all."

The last thing I expected was a reply that was little more than a
polemic against certain belief systems.  I was hoping for some insight
into my eyesight.

- Chris
Dick Adams - 01 Dec 2005 19:49 GMT
> The last thing I expected was a reply that was little more than a
> polemic against certain belief systems.  

Sorry, but with a myopic refractive error of ~2 diopters, reading without
your eyeglasses will brand you as heretical, even if it works and makes
good sense.

> I was hoping for some insight into my eyesight.

Your best hope would be oversight.  Tell people you lost your glasses
when they catch you reading with your naked eyeballs.

Now, if you have a problem with convergence or astigmatism, your naked
eyeballs might need some more help.  But what do I know?

--
Dicky
Retired x-myope.
Chris Sprague - 01 Dec 2005 19:57 GMT
But Dick, reading with my naked eyeballs doesn't help.  I still find
myself closing one eye, especially if I'm tired.

Sorry if I haven't been clear.
Dick Adams - 01 Dec 2005 21:11 GMT
> But Dick, reading with my naked eyeballs doesn't help.  I still find
> myself closing one eye, especially if I'm tired.
>
> Sorry if I haven't been clear.

Yes, I understand.  Well, you may have some trouble converging.  That
could be simple, or because the images in the two eyes are different, as
might occur if you had moderate uncorrected astigmatism, or similar.

What do you see if suddenly open you eyes towards a test pattern of
object after having 'em closed for a while?  What is the pattern of their
movement?

--
Dicky
Professional Myope, Ret.
dumbstruck - 01 Dec 2005 21:19 GMT
Do you every few minutes relax your eyes and look in the distance, or
do you keep your eyes in a steely death grip on that world a few inches
away for hour after hour?

Years ago I had a not too disimilar problem after intense 50+hr weeks
at the computer screen, and my company offered a free vision therapy
class.  To make you more flexible and aware of convergence process,
they had you try tasks with distorting prism glasses and various eye
exercises.  And the looking away stuff, as well as not having the
screen right close in your face (and preferably not with a wall
immediately beyond).

Main benefit seemed to be just the awareness of when you dropped into a
strained, harsh viewing mode and could back off.  Otherwise it can be
sort of self anethesic, at least for some personality types or in high
stress yet passive activities, to just strain away which may not be
good.  Try glancing away and reading more "softly", if no better ideas
come up...
acemanvx@yahoo.com - 01 Dec 2005 22:00 GMT
try reading and using the computer WITHOUT correction
melindasaccount@yahoo.com - 09 Dec 2005 01:19 GMT
Don't mistakenly assume you are too young for a cataract. I don't know
your medical history. If you are a diabetic, have rheumatoid arthritis
or some other autoimmune system disorder, or have ever had an injury to
that eye, even one you don't remember, it could be forming.
We all know that websites are no substitute for competent medical
advice, that is - medical advice driven by the best interests of the
patient and not by the profit motive. Is there any of that around
anymore?  m
Neil Brooks - 09 Dec 2005 02:19 GMT
>Don't mistakenly assume you are too young for a cataract. I don't know
>your medical history. If you are a diabetic, have rheumatoid arthritis
[quoted text clipped - 4 lines]
>patient and not by the profit motive. Is there any of that around
>anymore?  m

I'd say that the doc's who participate on this forum exemplify that
first kind....

Good luck with your challenges, Melinda.  I believe I just may
understand....
Signature

Live simply so that others may simply live

melindasaccount@yahoo.com - 19 Dec 2005 20:11 GMT
I hope you've gotten some answers about your vision by now. If you
can't afford a specialist, and who can these days, go to the Lions Club
home page and look for free vision screenings in your area.
I'm telling you, you may very well have a slow-growing cataract. I had
strongly favored the left eye for years without thinking much about it
until I was diagnosed. By the time they took the cataract off, it was
quite dense and resulted in a lot of damage to the eyeball just in the
process of removing it (I've told my eyeball tale on this site before -
no need for a repeat). Good luck to you. Melinda
Dan Abel - 20 Dec 2005 00:05 GMT
> no need for a repeat). Good luck to you. Melinda

And good luck to you, also.  Keep us posted.

Signature

Dan Abel
dabel@sonic.net
Petaluma, California, USA

Dr Judy - 02 Dec 2005 00:56 GMT
> Over the past year or two, I've caught myself closing my right eye when
> reading a computer screen, and more often, a book.  It seems to happen
[quoted text clipped - 16 lines]
> regardless of if I'm wearing my contacts/glasses or no correction at
> all.

Either a focusing issue or a convergence issue.  It is time for an eye
examination.  You may need some exercises to improve convergerence.  Or
possibly the refractive error has changed in one eye and the two eyes are
not focused on the same plane.

Dr Judy

> If it helps, I work as a computer programmer by day, and sit in front
> of a monitor a lot, and I'm a prolific reader at home.  I read books
[quoted text clipped - 3 lines]
>
> - Chris
Charles - 04 Dec 2005 01:37 GMT
FWIW, I was doing a similar thing (and was noticing other symptoms as
well) and after seeking out a doctor that would take the time, I was
diagnosed with a convergence problem.  It's worth getting checked out.
Maybe they'll put you on vision therapy, which is no big deal except
for the expense of it.  It seems to be helping me some.  I'm about half
way through my program.

> Over the past year or two, I've caught myself closing my right eye
> when reading a computer screen, and more often, a book.  It seems to
[quoted text clipped - 25 lines]
>
> - Chris
melindasaccount@yahoo.com - 07 Dec 2005 03:16 GMT
Hey, you might have a cataract forming on one side or the other -
probably the side you use less. I had had my cataract a long time
before it was even discovered due to lack of consistent health
coverage. Needless to say, have a qualified opthalmologist, not just an
optometrist, examine your eyes right away. And don't say you can't
afford it. No price is too high to save your sight, because in your
case, it's your livelihood. M
William Stacy - 07 Dec 2005 17:56 GMT
Bad diagnosis and advice.  No indication of cataracts from the history
and from the age, entirely unlikely.  Even if there were a cataract, an
optometrist is indicated here.  Why bother a surgeon with a non surgical
problem like this?  I would think you of all people woul be skeptical of
running off to a surgeon at the first sign of trouble...

w.stacy, o.d.

>Hey, you might have a cataract forming on one side or the other -
>probably the side you use less. I had had my cataract a long time
[quoted text clipped - 5 lines]
>
>  
Dan Abel - 09 Dec 2005 11:46 GMT
> Hey, you might have a cataract forming on one side or the other -
> probably the side you use less. I had had my cataract a long time
[quoted text clipped - 3 lines]
> afford it. No price is too high to save your sight, because in your
> case, it's your livelihood. M

Or maybe not.  Just because you had cataract doesn't mean that everybody
with a vision problem does.

Young people can have cataract, as you say.  I've known a couple, who
had eye injuries.

However, any competent OD can diagnose cataract.  If that's it, they
should refer.  If that isn't it, the OD may be the very best person to
fix the problem.

Signature

Dan Abel
dabel@sonic.net
Petaluma, California, USA

William Stacy - 09 Dec 2005 16:21 GMT
> Or maybe not.  Just because you had cataract doesn't mean that everybody
> with a vision problem does.

Right.

> However, any competent OD can diagnose cataract.

and, I hate to say it, but even an incompetent O.D. can diagnose
cataract.  It's perhaps the easiest eye diagnosis of all. Only a blind
O.D. couldn't see a cataract.

One thing I'm finding these days is I'm referring cataracts way earlier
than I used to, and many surgeons are too timid to take on such early
cases, mostly for fear that insurance might not pay them.  They are
SLOWLY coming around, but I've had a few disappointed patients who are
made to wait unnecessarily, IMO.

w.stacy, o.d.
Dan Abel - 10 Dec 2005 21:52 GMT
> > However, any competent OD can diagnose cataract.
>
[quoted text clipped - 7 lines]
> SLOWLY coming around, but I've had a few disappointed patients who are
> made to wait unnecessarily, IMO.

You're the professional, and I'm a layperson, so I won't try to tell you
how to do your job.  IMNSHO, I think that it is appropriate to refer
immediately.  It ain't gonna go away.  I had many arguments with my
first OMD about when to do my first cataract surgery.  He won, of
course.  I can't make him do it.  I wanted to see.  He said it wasn't
time yet.  I thought it was time to see.  He said that only God can make
an eye.  I didn't like that.  Why did God make my eye broken?

There are a number of compelling reasons to delay surgery.  One is
money.  My HMO doesn't make money by doing surgery.  Another is risk.  
We have a posting right here on this group from a woman who's vision is
actually worse much after surgery, who has missed major time from work,
who is in constant pain and is considering suicide.  It's not going to
take many of these patients to make a surgeon think long and hard.  I
had an excellent outcome, as did you.  Most people do, but not all.  
The third reason is accommodation.  Some people just don't understand,
even if it is explained.  They understand fast enough when it is gone.  
They know how to call their lawyer, too.  I wouldn't want to explain to
a judge or jury about why it has to happen.  It's just surgeon
incompetence.  Pay up.

Signature

Dan Abel
dabel@sonic.net
Petaluma, California, USA

 
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