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Medical Forum / General / Vision / July 2007

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Maddox rod testing

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cdavis6632@yahoo.com - 29 Jun 2007 18:28 GMT
Hi
I have two questions that I am hoping someone can answer.

1. I have a pair of prescription reading glasses that don't seem to
work too well for reading. I asked to have the optical centers marked
and the pupil distance measured. The frames are regular frames that
sit on the bridge of my nose and I look downward to read. The optical
centers are more or less centered vertically and set for my reading
pupil distance. The doctor said that in single vision lenses the
optical center is somehow translated downward so that I should be able
to read just fine. Is this true? Also, I asked him if bifocals would
be a better choice but he said that fitting bifocals is difficult and
wouln't work well. Is that true?

2. He did a Maddox rod test. The first time, the red line was to the
left of the white light. Then he changed something over the left eye
and asked me if I could see the light and the red line now. I could
but the line was not vertical or horizontal. On the right side it was
lower than the light and then ran upwards, through the light, ending
up higher then the light on the left hand side. He did this twice and
then said he didn't know what that meant, that he would have to
research it. So, do any of you know what it means and what can be done
about it, if it means there is a problem?

Well, that is really three questions but any help would be wonderful.
Kisame Hoshigaki - 29 Jun 2007 18:41 GMT
1a) Yes.

1b) In most situations, yes.

2) I'm not sure.
Kisame Hoshigaki - 29 Jun 2007 18:45 GMT
1a) Yes.

1b) In the majority of cases, yes.

2) I'm not sure.

-KH
Dr Judy - 29 Jun 2007 20:28 GMT
On Jun 29, 1:28 pm, cdavis6...@yahoo.com wrote:
> Hi
> I have two questions that I am hoping someone can answer.
>
> 1. I have a pair of prescription reading glasses that don't seem to
> work too well for reading.

What is the problem with reading?  Not clear? Seeing double? need to
hold material too close? or further away?

I asked to have the optical centers marked
> and the pupil distance measured. The frames are regular frames that
> sit on the bridge of my nose and I look downward to read. The optical
[quoted text clipped - 4 lines]
> be a better choice but he said that fitting bifocals is difficult and
> wouln't work well. Is that true?

Bifocals or progressives are usually not a problem but may be in your
particular case.  Do you know what your prescription is?

> 2. He did a Maddox rod test. The first time, the red line was to the
> left of the white light. Then he changed something over the left eye
[quoted text clipped - 5 lines]
> research it. So, do any of you know what it means and what can be done
> about it, if it means there is a problem?

He was testing for the alignment between your eyes while wearing the
glasses.  If you have a large difference between the two eyes or large
amounts of astigmatism there may be an problem induced if you are not
reading through the centre of the lens.

What solution is available depends upon what the problem is which
depends upon your symptoms, prescription, lens design and other
individual to you factors.  We would need more detail to say anything
more.

Dr Judy

> Well, that is really three questions but any help would be wonderful.
cdavis6632@yahoo.com - 29 Jun 2007 23:47 GMT
> On Jun 29, 1:28 pm, cdavis6...@yahoo.com wrote:
>
[quoted text clipped - 44 lines]
>
> > Well, that is really three questions but any help would be wonderful.

I wasn't wearing the glasses when he did the Maddox rod test. The
glasses are a regular size (not the old real big ones or the new real
small ones) and the lenses are regular plastic. The prescription is:
right eye: +1.5 -0.25 axis 5
left eye:  +2.75 -2.00 axis 168

My symptoms are blurriness in the left eye when I am reading at a good
distance for the right, difficulty in keeping my place because the
images don't seem to be on the same line, and eyestrain in the right
eye. After awhile my eyes give up and don't stay together well at all.
Dr Judy - 30 Jun 2007 19:27 GMT
On Jun 29, 6:47 pm, cdavis6...@yahoo.com wrote:

> > On Jun 29, 1:28 pm, cdavis6...@yahoo.com wrote:
>
[quoted text clipped - 50 lines]
> right eye: +1.5 -0.25 axis 5
> left eye:  +2.75 -2.00 axis 168

Difference in sphere powers and cyl in only one eye means glasses need
to be well aligned and bifocals, though possible, may require special
treatment to work.

> My symptoms are blurriness in the left eye when I am reading at a good
> distance for the right, difficulty in keeping my place because the
> images don't seem to be on the same line, and eyestrain in the right
> eye. After awhile my eyes give up and don't stay together well at all.

Have you had a recent refraction, if each eye has clear focus but at
different distances, it suggests that the refraction is off.   If
starting to see double, then the maddox rod testing was checking out
whether your eyes are aligned or not.   This is a specific problem for
you and will require that your eye doctor check you out to uncover the
reasons,  limited ability for a news group to help other than
speculation.

Dr Judy
cdavis6632@yahoo.com - 01 Jul 2007 02:08 GMT
> On Jun 29, 6:47 pm, cdavis6...@yahoo.com wrote:
>
[quoted text clipped - 71 lines]
>
> Dr Judy

Yes, I have had 4 complete refractions in the past 10 months. Except
for the astigmatism, my distance vision is not far from zero but when
the reading part is done he always comes up with something different.
He has sent them back to the lab twice already to have something done
but I can't tell any difference. Now he has them again and is
researching the problem but he hasn't told me what the problem is.
That is why I thought I would ask in here myself thinking maybe I
would get my glasses back more quickly. Thank you anyway.
 
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