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Medical Forum / General / Vision / November 2007

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Vision and prescription changes

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duchess@iol.ie - 14 Nov 2007 23:15 GMT
Hi, I would like to ask a question but first my presriptions etc.

My prescription  in June 2004 was:

R:  +6.50 -0.50 X 112 (06+)                  Add +2.00         N5
L   +5.00                   (03-)                   Add +2.00
N5

At the end of February 2005 it was:

R:  +6.50 -0.50 X 112 (04+) ph (04-)      Add +2.00         N6
L:  +5.00                   (02)   ph (02-)      Add +2.00         N6

In October 2007 it was:

       Sph/Cyl       Axis    D Prism      V/A      Add         N V/A
R:  +6.50/-0.75       95                       0.3-    +2.25
N8-
L:   -4.5/0.00                    1/2 up        0.2-    +2.25
N10

I have ocular macular degeneration and corneal erosion and I am told
this is caused by inactive Best's Disease.

I would like to ask:
if the changes are considered slow/fast/usual?
If the changes are big or small?
how an 'inactive' disease could cause macular degeneration and corneal
erosion?
whether any of the prescriptions met the requirements for driving?
whether it is thought that Guillian Barre Syndrome ( contracted it 14
years ago, after which I was was unable to wear contact lenses again
and needed correction in my lenses for prism.
Finally(!) whether the latest prescription is indicative of
eligibility for registration as partially sighted?

To anyone with the knowledge and patience to answer any of the above -
thank you!

)
opt - 15 Nov 2007 04:26 GMT
Did your left eye really go from +5.00 in 2005 to -4.50 n 2007?  If so,
that's a very unusual change in refractive error.

Also, I'm not sure what your doctor meant by "inactive," unless he/she was
meaning to say that the degeneration appears to have stabilized over the past
few years in regards to your prescription and your macular findings.
Hopefully your doctor has given you an Amsler grid to use at home to monitor
any signs of progression.  I can tell you that Best's disease is not
associated with corneal erosions.  That is an entirely separate entity in
itself.  While corneal erosions can occur for a number of reasons, in your
case it just might be a sequelae of Guillian-Barre Syndrome.
Dr Judy - 16 Nov 2007 14:57 GMT
On Nov 14, 6:15 pm, duch...@iol.ie wrote:
> Hi, I would like to ask a question but first my presriptions etc.

snip

> I would like to ask:
> if the changes are considered slow/fast/usual?

Has the left eye really gone from +5.00 to -4.50 or is it a typo and
should be +4.50.  If -4.50 then it does seem to be a fast change.
Could be "usual" if due to cataract or corneal problem.

> If the changes are big or small?

This is a hard question to answer.  They are what they are.

> whether any of the prescriptions met the requirements for driving?

Driving requirements are based on best corrected acuity, not
prescription.  Reguirements vary from country to country.  You will
need to check with your local licensing agency for this answer.  Your
doctor also could tell you.

> Finally(!) whether the latest prescription is indicative of
> eligibility for registration as partially sighted?

Eligibility for registration as partially sighted depends upon best
corrected acuity not prescription.  The requirements vary from country
to country.  You will need to check with your local registrattion
agency for this answer.  Your doctor could tell you, should have the
forms needed and will need to fill them out.

Dr Judy
 
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