Lee wrote:
> I am 33 years old with progressive lenses which, by some sites,
> shouldn't happen until I'm in my 40's. I was put in progressives last
> year when I was told that I have issues with accomodation and
> presbyopia. This is in addition to my extreme nearsightedness and'
Hmm, usually people do not need to be told they have issues with
accomodation and presbyopia. They can tell by themselves because they
start having to take their glasses off to see things up close, or have
trouble reading. I basically told my optometrist that I was having
trouble seeing up close and probably needed bifocals, she didn't tell
me. Granted, normal screening would have also detected it, but my point
was that I didn't need screening to know this, it was pretty obvious
that I was having reading difficulties pre-screening.
One question I do have is whether you were dilated when this finding was
made. When I was dilated, it caused my left eye to refract worse than it
normally does, causing the optometrist to issue a higher prescription. I
am not sure what the exact mechanism is or why this happened, but I do
know that glasses issued in the new prescription were quite obviously
wrong when I put them on over undilated pupils and when I was
re-refracted undilated, my left eye was back to its normal power.
> I don't have my prescription with me but I know that my eyes are -6.5
> and -6.75 with about a +2.0 for the progressives. My astigmatism
High index lenses can accomodate you fairly well for quite some time, my
brother's eyes were past -9 before his retinas detached and his glasses
were quite obviously thick but still usable backup for his contact
lenses. As others mention, due to the thickness of lenses at those
powers, glasses are heavy and cumbersome and used mostly as a backup to
contacts at those powers. However, at your age it is quite unlikely
you'll ever reach those levels, my brother was there by age 18 and his
first detachment was before age 30.
Insofar as eye health issues, extreme myopia is associated with
increased risk of retinal detachment, with myopia lower than -8 being a
particularly bad risk factor. The good news is that if you get surgery
immediately to re-attach the retina, sufficient sight can usually be
saved to continue a normal life. I would not, at your age, worry much
about blindness, just keep an eye out (pun intended) for the typical
signs of retinal detachment and if you detect ANY of them, immediately
go to your opthamologist. If you do not currently have an opthamologist
I suggest that you get one. That said, given the information you've
given us (you do not indicate that either of your parents or anybody
else in your family has experienced retinal detachment or blindness), I
wouldn't worry *TOO* much about it. You have a risk factor that needs to
be considered, but it isn't a high one.
-Elron
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