I am back from the ophthamologist! I will tell you
everything that happened in order.

I went to an eye exam room and tried on trial lenses. For my left
eye I found that -5 was all I needed. -5.5 didnt help things any and -6
actually started to give me hyperopic blur. -4.5 was only a tiny bit
blurry. For the right eye it was trickier but a -4.5 lense seemed to
give the clearest vision but the BCVA wasnt as good as my left eye. I
also tried a -4 and a -1 cylindar and it appeared to work as well as
the -4.5 lense. I then placed minus lenses over my -4.25 glasses and
-.75 and -1 both appeared to give me the best vision. The right eye
didnt benefit much from more minus. I tried other minuses as well and
for fun I tried -20, whoa! so blurry! Then I tried +20 and superman
blur! I then put two +20 lenses together and looked thru them and I
could barely see my own arm! Two +20 lenses plus my -5 simulates -45
diopters but with 1.8x magnification, something a real -45 wont have.

The lady(optician?) then confirmed with a machine that my distance
glasses were indeed -4.25 First she tested my distance vision in each
eye. First the right and I saw all of the 20/50 line and I believe 2 of
the 20/40 line although I admit I kind of guessed. The left eye saw all
of the 20/50 as well and none of the 20/40. Then I looked with both
eyes and got all of the 20/40 line minus one or two. She put down 20/40
OU, I mentioned I am between 20/40 and 20/50 with those -4.25 glasses
and she and my dad agreed. It was one of those projector eyecharts and
the room was 20 feet long and the chart projected onto a square frame
hanging on the wall. No mirrors needed. She also used a near chart and
held it like 10 inches from my eyes. I mentioned I had presbyopia and
that this was too close to see clearly with my glasses(which werent
even full power!). I read the 20/50 line and she wrote that down
too(for near vision).

I went back to wait for my turn for more testing. I then went into the
other eye exam room and given numbing drops so I can get a glucoma test
with reduced discomfort. The drops burned somewhat for half a minute
and I said wait till they take effect so he waited a minute then
proceeded to do the tests.

Next came the cyclopegia. He used cyclogyl, also known as
cyclopentolate. I expressed concern with this conflicting with the
numbing drops I got earlier but he said the two act seperately and
have absolutely no relationship with each other. I believe he inserted
2 drops in each eye then said come back in an hour where its effects
will take on. I went to the bathroom to look in the mirror and sure
enough my pupils had started to dilate! Soon they were absolutely huge!
I noticed lights were overly bright and there was glare around the
bathroom light! When we went outside, I was blinded by the light and
couldnt even keep my eyes open! My mom came and handed me her
sunglasses which helped immensely but I was still extremely senestive!

After an hour and a half I returned and the ophthamologist's assisant
looked into my eyes, holding a minus lense in front and said my myopia
went down half a diopter. I then requested to look thru a phororaptor
and see which minus power I now needed. The ophthamologist says he
doesnt believe in doing that under cyclopegia because my pupils are now
huge among other factors and the results wouldnt matter. He looked into
my dilated eyes with a bright little light(that hurt!) then looked
holding a +90(!!!) diopter lense for magnification! The lense was about
half inch and so thick it was nearly sphere! Anyway my eyes are just
fine. No cateracts, no diseases, no glucoma, no pathalogies. Just I
have lots of myopia. He did say come back next week and he will give me
a manifast refraction so I can update my records and pescription.

I asked him some questions and got answers. Heres the answers:
He agrees alot of people, more than 25% cant be corrected to 20/20. He
doesnt believe in eye exercises, not even to improve pseudomyopia. He
belives some people are happier being undercorrected, especially with
presbyopia because full power glasses gives headache, eyestrain and
will make your eyes worse. He also agrees I have presbyopia, something
"not very common" at my age of 23.

I will ask the ophthamologist several questions when I return.

1. What factors determine BCVA? High order aberrations appear to be the
most talked about factor and may be true in my case.

2. What is the difference between presbyopia and accomodative
dysfunction?

3. Whats your stance on contact lenses, including RGP and orthoK?

4. If someone asked you if he should consider laser refractive surgury,
whats your stance and opinion on this?

5. What amount of magnification does this +90 diopter lense give?
I am also very curious the effects of placing that in front of your eye
since your eyeball is about +60 diopters, that lense would cause an
image to focus way in front of your retina, in fact the focus point
would be outside your eyeball! How high can plus lenses get and would
the focus come in front of the plus lense itself if high enough?

6. How high can myopia get? I have heard a few reports of -100s on the
internet and of one guy who was a -96 then a year later he progressed
to -104!

7. I will think of more questions. Any of you have stuff I should ask
him?