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Medical Forum / General / Vision / May 2007

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Is this a significant Rx change for 2 years?

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bugman1974@gmail.com - 03 May 2007 01:13 GMT
All,
Every few years my distance vision gets a bit worse, and I usually get
a new set of glasses with stronger Rx.  I am 24, and thus far there is
no sign that my vision is going to stabilize.  Im a bit worried that
if things keep going like this, I will eventually not be able to
correct my vision.

My previous Rx (from 2 years ago):
OD: -2.25 (sphere), -2.00 (cyl), 114 (axis)
OS: -1.50 (sphere), -2.00 (cyl), 077 (axis)

My new Rx:
OD: -3.75 (sphere), -1.75 (cyl), 119 (axis)
OS: -2.75 (sphere), -1.75 (cyl), 081 (axis)

Does the above change seem significant for a 2 year timeframe?

Thanks,
spammer - 03 May 2007 01:33 GMT
Relax, your vision will stabilize in a few years. I had the same
changes from seventeen thru twenty eight. The only way you won't be
able to be corrected is if you poke your eyes out.
At your age, it is not a significant change.
cdavis@directflatscreen.tv - 03 May 2007 02:25 GMT
> Relax, your vision will stabilize in a few years. I had the same
> changes from seventeen thru twenty eight. The only way you won't be
> able to be corrected is if you poke your eyes out.
> At your age, it is not a significant change.

How do you know it will stabilize? How old are you and how long have
you been stabilized?
serebel - 03 May 2007 03:24 GMT
On May 2, 9:25 pm, cda...@directflatscreen.tv wrote:

> How do you know it will stabilize?

Experience.

>How old are you and how long have
> you been stabilized?

Mid forties and since I was about twenty eight.
Dr Judy - 03 May 2007 03:53 GMT
On May 2, 8:13 pm, bugman1...@gmail.com wrote:
> All,
> Every few years my distance vision gets a bit worse, and I usually get
> a new set of glasses with stronger Rx.  I am 24, and thus far there is
> no sign that my vision is going to stabilize.  Im a bit worried that
> if things keep going like this, I will eventually not be able to
> correct my vision.

Not an unusual change for 2 years, though more common in younger
people.

No need to worry that you will not be able to correct your vision.
You have a moderate prescription, many people have prescriptions two
to five times stronger than yours and still have perfect 20/20 vision
corrected.   Some people have prescriptions up to -20 and still have
good vision.  No one goes blind from increasing refractive error.

Dr Judy

> My previous Rx (from 2 years ago):
> OD: -2.25 (sphere), -2.00 (cyl), 114 (axis)
[quoted text clipped - 7 lines]
>
> Thanks,
Robert Martellaro - 03 May 2007 21:46 GMT
>On May 2, 8:13 pm, bugman1...@gmail.com wrote:
>> All,
[quoted text clipped - 6 lines]
>Not an unusual change for 2 years, though more common in younger
>people.

Judy,

If I had a client like the above, and I suspected that their exam might not have
been as comprehensive as it should have been, should I consider recommending a
visit with a corneal specialist?

Thanks

Robert Martellaro
~~~~~~~~~~~~~~~~~~
Optician/Owner
Roberts Optical
Wauwatosa Wi.
~~~~~~~~~~~~~~~~~~
"Science is a way of trying not to fool yourself."
- Richard Feynman
Dr Judy - 04 May 2007 15:23 GMT
> If I had a client like the above, and I suspected that their exam might not have
> been as comprehensive as it should have been, should I consider recommending a
> visit with a corneal specialist?

Given that there was no change in cyl and only a change in myopia, I
would not suspect a corneal problem.  If he complained of blurred
vision with the new Rx, you could send for a second opinion with an
optometrist you trust, but I don't think a corneal specialist is
called for.

Dr Judy
Robert Martellaro - 04 May 2007 20:22 GMT
>> If I had a client like the above, and I suspected that their exam might not have
>> been as comprehensive as it should have been, should I consider recommending a
[quoted text clipped - 7 lines]
>
>Dr Judy

Good to know. I don't see many twenty something clients, and I was thinking that
this degree of change towards more minus past the growth years might be a red
flag.  

Regards

Robert Martellaro
~~~~~~~~~~~~~~~~~~
Optician/Owner
Roberts Optical
Wauwatosa Wi.
~~~~~~~~~~~~~~~~~~
"Science is a way of trying not to fool yourself."
- Richard Feynman
spammer - 04 May 2007 20:32 GMT
> >> If I had a client like the above, and I suspected that their exam might not have
> >> been as comprehensive as it should have been, should I consider recommending a
[quoted text clipped - 15 lines]
>
> Robert Martellaro

 The above posts are a prime example of the danger of internet
diagnoses. People should always be examined by a qualified physician
directly. You'll always get conflicting advice over the internet.
michael toulch - 03 May 2007 12:39 GMT
On May 2, 8:13 pm, bugman1...@gmail.com wrote:
> All,
> Every few years my distance vision gets a bit worse, and I usually get
[quoted text clipped - 14 lines]
>
> Thanks,

that is really not very unusual, rate of change will surely decrease.
might not change anymore either.
Dom - 05 May 2007 11:01 GMT
> All,
> Every few years my distance vision gets a bit worse, and I usually get
[quoted text clipped - 14 lines]
>
> Thanks,

Yeah, it is significant, though maybe not actually alarming. You'll
always be able to correct your vision but still it's not great to be
increasingly myopic. Do you have a family history of myopia, or do you
spend a lot of time reading or using a computer?

Dom
bugman1974@gmail.com - 06 May 2007 03:19 GMT
> bugman1...@gmail.com wrote:
> > All,
[quoted text clipped - 24 lines]
>
> - Show quoted text -

Both parents and sides of the family wear glasses/contacts.

I spend a considerable amount of time using a computer.  8+ hours a
day at work, and then several more hours a day at home.  I can easily
average 10 hours or more a day.
otisbrown@pa.net - 12 May 2007 02:10 GMT
Well, the explains it.

On May 5, 10:19 pm, bugman1...@gmail.com wrote:

> > bugman1...@gmail.com wrote:
> > > All,
[quoted text clipped - 32 lines]
>
> - Show quoted text -
spammer - 12 May 2007 02:50 GMT
On May 11, 9:10 pm, "otisbr...@pa.net" <otisbr...@pa.net> wrote:

> Well, the explains it.

What, no plus prevention on the staircase ?
Nicolaas Hawkins - 12 May 2007 05:18 GMT
> On May 11, 9:10 pm, "otisbr...@pa.net" <otisbr...@pa.net> wrote:
>
>> Well, the explains it.
>
> What, no plus prevention on the staircase ?

No, but I can't avoid thinking one of the brats should have left a
rollerskate there.

Signature

Nicolaas.

2007 Pricelessware CD now available.  600Mb of the best of the best in
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serebel - 12 May 2007 23:38 GMT
> > On May 11, 9:10 pm, "otisbr...@pa.net" <otisbr...@pa.net> wrote:
>
[quoted text clipped - 4 lines]
> No, but I can't avoid thinking one of the brats should have left a
> rollerskate there.

 Or maybe they did, maybe they did. :)
A.G.McDowell - 13 May 2007 17:25 GMT
>Well, the explains it.

(trimmed)

>> > > My previous Rx (from 2 years ago):
>> > > OD: -2.25 (sphere), -2.00 (cyl), 114 (axis)
[quoted text clipped - 24 lines]
>>
>> - Show quoted text -

Practically, you have a long way to go before your myopia ceases to be
correctable with glasses. I am now -18D or so, and beginning to find
that opticians are having to work hard. I can read and drive perfectly
well. (I am 44, having had glasses since 11 or earlier).

Theoretically, I find this somewhat discouraging. A large modern flat
panel display looks a lot less like near work than pen and paper.
Consider

(1) Adjustable font sizes and large screen mean that a larger working
distance is possible (extreme example: computer projector!)
(2) Higher contrast possible than ink on paper.
(3) Back lighting means it is always well lit.

I think even (especially) the cynics will agree that there is an
experiment waiting to happen here. I would bet money that if you did a
big enough clinical trial on the effects of substituting good modern
computer display screens for pen and paper you would find a
statistically significant difference in favour of the computer screen.
(I would NOT bet on whether it would be practically relevant). Those
magic words (statistically significant) should a good number of
whichever computer screen you happened to use in the study. Now consider
that the Asian tiger economies are simultaneously centres of myopia,
myopia research, and electronics manufacture.

Question: can anybody think of a way of demonstrating this sort of
difference with an animal model?
Signature

A.G.McDowell

 
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