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Medical Forum / General / Vision / September 2006

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Decrease in sphere, increase in cylinder ---> what's the effect?

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NIEQ100 - 09 Sep 2006 02:06 GMT
I'm 30 yrs old; I had a recent eye exam and dilation ---> no problems
were found. I went to the optometrist because I'm having a slight
"contrast problem" with my right eye - very slight (but enough to cause
headaches). Basically it's a small sense of 'brightness' in my right
eye while using the computer, and the same 'slight' brightness looking
around (at any distance) while outside in the daytime. My sphere is
-4.00, cylinder -1.00.

Interestingly, I just now found a pair of old reading glasses (+1.50)
and while wearing BOTH pairs of glasses at the same time, the
brightness (while staring at the computer screen) is completely GONE.
As soon as I remove the reading glasses, it returns instantly. I
believe this might be an important discovery but I don't know enough to
suggest a course of action to my optometrist. This is why I'm asking
for opinions here :)

I'm assuming that the reading glasses are decreasing the overall
sphere, and that this is making my eye feel better. But if he decreases
the sphere to make it easier for me to stare at the computer it would
make it more difficult to see far away (-4.00 is already a little weak
I think).

My question is, if he decreases the sphere to correct my computer
problem, will an equal increase in cylinder (from -1.00 to -1.50) allow
me to continue seeing well enough at far distances?
NIEQ100 - 09 Sep 2006 02:13 GMT
Inotherwords, what would the effect be of going from:

-4.00 -1.00

TO

-3.50 -2.25 (or something like this --- I don't think a decrease in
sphere of 1.50 is needed, just a slight decrease would probably do the
trick?)
otisbrown@pa.net - 09 Sep 2006 02:23 GMT
You can conver to "Spherical Equivalent"

Just take 1/2 the astigmatic value and add it to the sphere:

-4.0 astig -1

would be  -4.5 spherical-equivalent.

> Inotherwords, what would the effect be of going from:
>
[quoted text clipped - 5 lines]
> sphere of 1.50 is needed, just a slight decrease would probably do the
> trick?)

-3.5 - 1.1

-4.6 spherical equivalent.

The spherical-equivalent are about the same.

It comes down to the issue of image-sharpness for
you and what is comfortable when working
on the computer.

Just one man's opinion.

Otis
A Lieberma - 09 Sep 2006 03:53 GMT
"otisbrown@pa.net" <otisbrown@pa.net> wrote in news:1157765028.940346.53420
@p79g2000cwp.googlegroups.com:

> You can conver to "Spherical Equivalent"

Please disregard Otis's postings.  He is not in the medical profession and
not in any position to give medical advice.

Thank you!

Allen
William Stacy - 09 Sep 2006 03:02 GMT
> I'm 30 yrs old; I had a recent eye exam and dilation ---> no problems
> were found. I went to the optometrist because I'm having a slight
[quoted text clipped - 21 lines]
> problem, will an equal increase in cylinder (from -1.00 to -1.50) allow
> me to continue seeing well enough at far distances?

No, and disregard otis, he doesn't fathom what you're talking about.
What your little experiment shows is that your far Rx is too strong for
near work.  Increasing the cylinder is not an appropriate idea here.
The big question is, when looking through both pairs at once, is your
far vision good, bad or about the same as with your regular Rx alone?
If good or about the same, then your glasses are way too strong.  If
bad, you probably need readers (that will be blurry at far, for sure),
or multifocals. To be sure, have an eye exam.

w.stacy, o.d.
William Stacy - 09 Sep 2006 03:05 GMT
 To be sure, have an eye exam.

oops. I see you had an exam.  Do the test I mentioned and if the results
indicate too strong an Rx, go somewhere else.

> w.stacy, o.d.
 
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