Please could someone advise

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Carolyn - 06 May 2007 23:05 GMT

I wanted to ask about the advice you give to patients with different
prescriptions in each eye. In the last 10 years my prescription has gone up
from -1.25 in both eyes to -2 and 3.50 and I now wear -1.75 and -2.75 + some
astigmatism. Mostly I wear contacts although I don’t see too badly without
glasses, which is because one eye is better than the other my optician says.
Without the contacts I do feel that the worse eye causes blurring, which can
be quite noticeable. This probably sounds like a stupid question, but is
this prescription strong enough to justify wearing it when I’m not wearing my
contacts? I tend to go without because I can get by. I've mentioned this to
my optician and I’d really like him to give me some guidance but nothing is
forthcoming and I wondered what advice you would be giving to one of your
patients in the same situation.

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Dr Judy - 07 May 2007 02:33 GMT

> I wanted to ask about the advice you give to patients with different
> prescriptions in each eye. In the last 10 years my prescription has gone up
[quoted text clipped - 8 lines]
> forthcoming and I wondered what advice you would be giving to one of your
> patients in the same situation.

Whether or not you wear the glasses/contacts full time is entirely up
to you. You do no harm to yourself wearing or not wearing. If you
are uncomfortable or notice the blur without them, then wear them. If
you are comfortable and the blur doesn't bother you without them,
don't wear them. Many people with prescriptions like yours wear their
correction full time, many don't.

Dr Judy

> --
> Message posted via MedKB.comhttp://www.medkb.com/Uwe/Forums.aspx/vision/200705/1

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Dom - 07 May 2007 12:18 GMT

>> I wanted to ask about the advice you give to patients with different
>> prescriptions in each eye. In the last 10 years my prescription has gone up
[quoted text clipped - 20 lines]
>> --
>> Message posted via MedKB.comhttp://www.medkb.com/Uwe/Forums.aspx/vision/200705/1

Carolyn I agree with what Dr Judy said, but I would add that if you
drive a car you should wear them for that (presumably your drivers
licence already requires this); and also that although it's up to you if
& when you wear glasses, most people with your prescription would wear
them at least 'most' of the time if not all.

Dom

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Phil - 07 May 2007 12:26 GMT

Do eyecare professionals give that advice? I am a long time struggler with
mild myopia, recently 'given in' as some people see it to wearing glasses.
Why is it such an issue that we need to be told we should wear them before we
feel it is justified? Is this us or the industry?

>> I wanted to ask about the advice you give to patients with different
>> prescriptions in each eye. In the last 10 years my prescription has gone up
[quoted text clipped - 13 lines]
>> --
>> Message posted via MedKB.comhttp://www.medkb.com/Uwe/Forums.aspx/vision/200705/1

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Mike Tyner - 08 May 2007 00:53 GMT

> Do eyecare professionals give that advice? I am a long time struggler with
> mild myopia, recently 'given in' as some people see it to wearing glasses.
> Why is it such an issue that we need to be told we should wear them before
> we
> feel it is justified? Is this us or the industry?

Most professionals feel that wearing vs not wearing makes no difference in
your eventual degree of myopia.

When vision decreases past about 20/40, I insist that people wear their
glasses to drive. Otherwise I don't give advice other than "wear them when
you need them." Other doctors may do differently, but I see no logic in
insisting someone get glasses when they're legal to drive.

I often tell kids to wear glasses full-time at school, but this is because
they lose their glasses when they're off and on a lot.

-MT

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