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Medical Forum / General / Vision / February 200750 y/o not presbyope?
Hey docs. Thoughts on this: 50 y/o F claims not to need reading glasses, always had "perfect distance vision" and in fact has always tested about 1D hyperope with a 1D ATR astig. Now tests 1 D *myopia* . That's a 2D myopic shift in 1 year! No other significant findings. What's your guess (I have mine)? (and Otis need not respond because 1. your not a doctor, 2. you spew forth nonsense, 3 no one cares about what you have to say and lastly, 4. I don't see your posts anyway.) LB, O.D. > Thoughts on this: > 50 y/o F claims not to need reading glasses, always had "perfect > distance vision" and in fact has always tested about 1D hyperope with a > 1D ATR astig. Now tests 1 D *myopia* . That's a 2D myopic shift in 1 > year! No other significant findings. Is this the same in both eyes? ..... Possibly early nuclear cataracts causing the myopic shift? The myopia will then mask any presbyopia and reading will be relatively clear. if its unilateral myopia, then she will effectively have monovision.... Either that, or its all the hormonal imbalance we ladies have to put up with which can send us totally screwy at times. just give us chocolate and nobody gets hurt!! Helen > > Thoughts on this: > > 50 y/o F claims not to need reading glasses, always had "perfect [quoted text clipped - 11 lines] > > Helen Both eyes, equally, no cataracts, lots of chocolate. LB, O.D. > In article <1171289645.057230.31...@q2g2000cwa.googlegroups.com>, > Both eyes, equally, no cataracts, lots of chocolate. > LB, O.D Diabetes?? (maybe TOO much chocolate!) .... So what is your guess then? Go on, put me out of my mysery! Helen ps. Apologies for the typing error..... :-) Helen >> Thoughts on this: >> 50 y/o F claims not to need reading glasses, always had "perfect [quoted text clipped - 11 lines] > > Helen Women, hormonal imbalance, totally screwy at times...come on, you're kidding, right? > Hey docs. > [quoted text clipped - 11 lines] > > LB, O.D. Gotta be diabetes. The other option was cataract of rather sudden onset, but you excluded that already in your other post. Combined with physiologically small pupils. Is she symptomatic for the myopia? (i.e. distance blur?)... or does she claim that's still "perfect" too?! Dom > Hey docs. > [quoted text clipped - 11 lines] > > LB, O.D. OK. I have a similar case of a 56 y/o female hyperope who refracts about +0.75. She reads just fine. Out of curiosity, I did a wavefront zonal refraction and found that her lens accommodates nearly 4 diopters in the central 1 mm or so at 16 inches. At 3.8 mm, it is about 2.12 diopters. DrG |
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