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Medical Forum / General / Vision / May 2006

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Bad Doctor or Bad Prescription???

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Alana - 05 May 2006 23:28 GMT
I have been to my OD four times complaining that one eye is not as clear as
the other when corrected.

My prescription is as follows:

Right: +2.25        Cyl -.50 Axis 92
Left: +1.00         Cyl -.50 Axis 090

My left eye, which has the best vision is not as clear as my right eye when
I wear my glasses. My bad eye (right) can see details in leaves, read signs
at far distance better and things are brighter.

Could this be because the magnification of my bad eye is so much more -
should they not be equal.

Final mystery: The good eye (left) sees all my blue and red stereo on lights
( in my home entertainment center) as perfect round dots with no glasses.
When I put on my prescription glasses my left eye sees the blue lights as
blurred images of several lights and the red is OK...and again this is my
good eye and it sees the dots correctly  until I put on my glasses.

Thanks so much for your thoughts.

Konnie
p.clarkii@gmail.com - 06 May 2006 00:10 GMT
when you say "good eye" and "bad eye" you apparently are talking about
how strong of a prescription is required to get the best acuity.  if
both eyes correct to 20/20, then one is no better than the other, one
just takes a stronger lens to get there.

historically have you noticed any difference between the corrected
acuity in your two eyes?  is this a recent change?

it may very well be that your left eye, even with the best lenses on
it, can't get equal acuity to your right.  it might be due to any
number of factors (slight cataract development, corneal abnormality,
etc. etc.).  just because your left eye requires a lower power lens
does not mean it should be expected to be "better" than your right.

your description of the way your left eye sees colored lights, however,
is telling.  Since blue light is refracted more than red light, and
ideally they should be balanced, it might be that you are slightly
over-plused in your left eye.

anyway these details should ideally be worked out between you and your
eye doctor.  If this was a recent change and it started when you got a
new pair of glasses, you might be reacting to an increase in
prescription in your left eye.  you could possibly get used to it--
hyperopes (=farsighted people like you) sometimes have difficulty
accepting increased plus in the distance but will adjust with continued
wear.  what is your acuity in your left eye with that prescription on?
Alana - 06 May 2006 00:56 GMT
These are my first distance vision glasses. Why would the blue light be
fuzzy in the eye with less correction

"Over-plused" does that mean too much correction - then why can a read
distant signs better with the eye that has the higher prescription and the
left with minimal prescription is the one blurred.

Konnie
> when you say "good eye" and "bad eye" you apparently are talking about
> how strong of a prescription is required to get the best acuity.  if
[quoted text clipped - 22 lines]
> accepting increased plus in the distance but will adjust with continued
> wear.  what is your acuity in your left eye with that prescription on?
p.clarkii@gmail.com - 06 May 2006 12:09 GMT
you don't seem to understand.  your right eye is more farsighted than
your left eye so it needs a higher prescription to get it to maximal
acuity (about +2.25).  If you gave it a little more than it needed
(e.g. +2.50) then it might be blurry in the distance.  your left eye is
less farsighted than your right eye so it needs less of a prescription
to get to its maximal acuity.  I suggest that it might need only +0.75
instead of +1.00.

if this is your first set of glasses, you might eventually get used to
them.  it is hard for hyperopes to "accept" plus lenses in the
beginning.  try wearing them as much as possible for a week or so and
see what happens.  you might find that your left eye adjusts nicely and
everything will be fine.
drfrank21@gmail.com - 09 May 2006 01:24 GMT
> your description of the way your left eye sees colored lights, however,
> is telling.  Since blue light is refracted more than red light, and
> ideally they should be balanced, it might be that you are slightly
> over-plused in your left eye.

I agree. She did a red-green balance test on herself in
essence. A quarter less plus on that left eye is
probably what is needed.

frank
doctor_my_eye@msn.com - 06 May 2006 13:22 GMT
...or "Bad Patient?".....;)
otisbrown@pa.net - 06 May 2006 16:52 GMT
Dear Alana,

Doctor-My_Eyes now explains the perfect answer.

The "problem" is never the "doctor", no, no,no,
it is always the "bad" patient.

So I guess that explains the problem, Alana.

Go figure.

Otis
retinula@hotmail.com - 06 May 2006 18:12 GMT
one thing is for sure otis.  you don't know the first thing about
Alana's problem.

Go on out to the nurses station and take your milk-of-magnesia.  your
irregularity makes you cranky.
acemanvx@yahoo.com - 07 May 2006 01:51 GMT
Looks like your presbyopic now if you need glasses even for distance
for low hyperopia. What you can do is get an overrefraction and see if
your glasses are the right power. another scinerio is one eye has more
high order aberrations/irregular astigmastim. My pescription is:

left eye: -4.5 sphere, -.75 cylindar(140 axis) correctable to 20/30
right eye: -3.5 sphere, -1.5 cylindar(55 axis) correctable to 20/40

Although my right eye is less myopic, it has more astigmastim including
the irregular kind as well as high order aberrations so I dont see as
well, dont correct as well. This may be the case for you and is why
your not seeing as clear in one eye.
serebel - 07 May 2006 02:39 GMT
Disregard the above poster (Ace), he likes to carry his doctor bag when
he diagnoses people on the web.
acemanvx@yahoo.com - 07 May 2006 04:07 GMT
I am not a doctor but my experience will prove invaluable in your own
judgement reguarding whats wrong. Its either your glasses or one eye
just doesnt correct as well as the other and amblyopia isnt always to
blame. High order aberrations are.
serebel - 08 May 2006 02:38 GMT
Where is your fantasy world? Mommies basement?
Neil Brooks - 10 May 2006 00:47 GMT
> I am not a doctor but my experience will prove invaluable in your own
> judgement reguarding whats wrong.

But why is it that you are the only one who believes this ... and why
do you believe this??

I believe it's called "Delusions of Grandeur" and it usually responds
to treatment.
ashnay@sbcglobal.net - 22 May 2006 08:22 GMT
Since this is your first pair of distance glasses, you likely have
spent some time without binocular, but with bi-ocular vision.  Without
the glasses you can fine tune the distance vision for your left eye
with accommodation while suppressing your right eye.  Now, the glasses
don't allow that suppression, which is good, but they are taking away
your ability to "fine tune."  I would bet a slight decrease in power in
the left eye, or even both eyes (as long as the Rx is balanced
appropriately) would fix the problem.
p.clarkii@gmail.com - 07 May 2006 03:34 GMT
wrong
wrong
and who asked about your prescription anyway
go eat some mushrooms
 
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