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Medical Forum / General / Vision / October 2008

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Difference between these 2 scripts?

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Ed - 20 Oct 2008 15:36 GMT
Hello,

Several months ago, I went for a routine exam (optometrist) and was
given this prescription:

OD:

Sph=    -1.00
Cyl=      SPH
Axis=     ----
Add=    +1.25

OS:

Sph=    -0.75
Cyl=    +0.25
Axis=    080
Add=   +1.25

Recently, I had 2 strange occurances of distorted vision in one eye,
where these falshing & pulsating colorful "triangular shaped" designs
appeared in my central vision, then expanded outward throughout my
field of vision, then disappeared.  All within a 20 minute time
period.  So I went to an opthamologist who, after a series of all
kinds of tests, diagnosed me with occular migraine.  He also performed
a refration and came up with the following prescription:

OD:

Sph=    -1.00
Cyl=     SPH
Axis=    -----
Add=    +1.75

OS:

Sph=    -.050
Cyl=     -.050
Axis=     170
Add=    +1.75

Other than the obvious increase in add strength, what is the
difference in the left eye scripts? It appears that the newer script
is about 1/2 diopter stronger?

My current glasses have the older prescription. I can see perfectly in
the left eye. My distance vision in the left eye is actually slightly
more "crisp" than in my right eye (close up is the opposite, with the
right eye seeing more "crisp" than the left).  I'm a bit apprehensive
about getting glasses based on this newer prescription.

Thanks,
-Ed
otisbrown@embarqmail.com - 20 Oct 2008 18:31 GMT
Ed,

Subject:  Comparing these two "prescriptions".

I am an engineer, not a "doctor" -- but here is the math
to compare these two "prescriptions".

Remember that there are two "methods" to write the
astigmatic part of the prescription.  (i.e., cyl.)

Ophthamologists thend to write "plus",  optometrists
generally write " minus ".  So with that in mind:

Several months ago, I went for a routine exam (optometrist) and was
given this prescription:

##########
Old:

(The right eye is virtally no change.  )

Left eye:

OS:
Sph=    -0.75
Cyl=    +0.25
Axis=    080
Add=   +1.25

New
OS:

Sph=    -.050
Cyl=     -.050
Axis=     170
Add=    +1.75

To simplify this comparison, just convert to "spherical equivalent.
Old Left Eye:  -0.625  Equivalent
New Left Eye:  -0.750 Equivalent

Difference:  0.125

This is within the range of normal measurement error.  For distance
vision, there
is virtually no change.

I am certain you will get more commentary on this issue.  But both
prescriptions
are quite accurate, given normal variaions in any given measurement.

Enjoy,

> Hello,
>
[quoted text clipped - 49 lines]
> Thanks,
> -Ed
 
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