Bad Doctor or Bad Prescription???

Discussion in 'Optometry Archives' started by Alana, May 5, 2006.

  1. Alana

    Alana Guest

    I have been to my OD four times complaining that one eye is not as clear as
    the other when corrected.

    My prescription is as follows:

    Right: +2.25 Cyl -.50 Axis 92
    Left: +1.00 Cyl -.50 Axis 090

    My left eye, which has the best vision is not as clear as my right eye when
    I wear my glasses. My bad eye (right) can see details in leaves, read signs
    at far distance better and things are brighter.

    Could this be because the magnification of my bad eye is so much more -
    should they not be equal.

    Final mystery: The good eye (left) sees all my blue and red stereo on lights
    ( in my home entertainment center) as perfect round dots with no glasses.
    When I put on my prescription glasses my left eye sees the blue lights as
    blurred images of several lights and the red is OK...and again this is my
    good eye and it sees the dots correctly until I put on my glasses.

    Thanks so much for your thoughts.

    Alana, May 5, 2006
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  2. Alana

    p.clarkii Guest

    when you say "good eye" and "bad eye" you apparently are talking about
    how strong of a prescription is required to get the best acuity. if
    both eyes correct to 20/20, then one is no better than the other, one
    just takes a stronger lens to get there.

    historically have you noticed any difference between the corrected
    acuity in your two eyes? is this a recent change?

    it may very well be that your left eye, even with the best lenses on
    it, can't get equal acuity to your right. it might be due to any
    number of factors (slight cataract development, corneal abnormality,
    etc. etc.). just because your left eye requires a lower power lens
    does not mean it should be expected to be "better" than your right.

    your description of the way your left eye sees colored lights, however,
    is telling. Since blue light is refracted more than red light, and
    ideally they should be balanced, it might be that you are slightly
    over-plused in your left eye.

    anyway these details should ideally be worked out between you and your
    eye doctor. If this was a recent change and it started when you got a
    new pair of glasses, you might be reacting to an increase in
    prescription in your left eye. you could possibly get used to it--
    hyperopes (=farsighted people like you) sometimes have difficulty
    accepting increased plus in the distance but will adjust with continued
    wear. what is your acuity in your left eye with that prescription on?
    p.clarkii, May 6, 2006
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  3. Alana

    Alana Guest

    These are my first distance vision glasses. Why would the blue light be
    fuzzy in the eye with less correction

    "Over-plused" does that mean too much correction - then why can a read
    distant signs better with the eye that has the higher prescription and the
    left with minimal prescription is the one blurred.

    Alana, May 6, 2006
  4. Alana

    p.clarkii Guest

    you don't seem to understand. your right eye is more farsighted than
    your left eye so it needs a higher prescription to get it to maximal
    acuity (about +2.25). If you gave it a little more than it needed
    (e.g. +2.50) then it might be blurry in the distance. your left eye is
    less farsighted than your right eye so it needs less of a prescription
    to get to its maximal acuity. I suggest that it might need only +0.75
    instead of +1.00.

    if this is your first set of glasses, you might eventually get used to
    them. it is hard for hyperopes to "accept" plus lenses in the
    beginning. try wearing them as much as possible for a week or so and
    see what happens. you might find that your left eye adjusts nicely and
    everything will be fine.
    p.clarkii, May 6, 2006
  5. ....or "Bad Patient?".....;)
    doctor_my_eye, May 6, 2006
  6. Alana

    otisbrown Guest

    Dear Alana,

    Doctor-My_Eyes now explains the perfect answer.

    The "problem" is never the "doctor", no, no,no,
    it is always the "bad" patient.

    So I guess that explains the problem, Alana.

    Go figure.

    otisbrown, May 6, 2006
  7. Alana

    retinula Guest

    one thing is for sure otis. you don't know the first thing about
    Alana's problem.

    Go on out to the nurses station and take your milk-of-magnesia. your
    irregularity makes you cranky.
    retinula, May 6, 2006
  8. Alana

    acemanvx Guest

    Looks like your presbyopic now if you need glasses even for distance
    for low hyperopia. What you can do is get an overrefraction and see if
    your glasses are the right power. another scinerio is one eye has more
    high order aberrations/irregular astigmastim. My pescription is:

    left eye: -4.5 sphere, -.75 cylindar(140 axis) correctable to 20/30
    right eye: -3.5 sphere, -1.5 cylindar(55 axis) correctable to 20/40

    Although my right eye is less myopic, it has more astigmastim including
    the irregular kind as well as high order aberrations so I dont see as
    well, dont correct as well. This may be the case for you and is why
    your not seeing as clear in one eye.
    acemanvx, May 7, 2006
  9. Alana

    serebel Guest

    Disregard the above poster (Ace), he likes to carry his doctor bag when
    he diagnoses people on the web.
    serebel, May 7, 2006
  10. Alana

    p.clarkii Guest

    and who asked about your prescription anyway
    go eat some mushrooms
    p.clarkii, May 7, 2006
  11. Alana

    acemanvx Guest

    I am not a doctor but my experience will prove invaluable in your own
    judgement reguarding whats wrong. Its either your glasses or one eye
    just doesnt correct as well as the other and amblyopia isnt always to
    blame. High order aberrations are.
    acemanvx, May 7, 2006
  12. Alana

    serebel Guest

    Where is your fantasy world? Mommies basement?
    serebel, May 8, 2006
  13. Alana

    drfrank21 Guest

    I agree. She did a red-green balance test on herself in
    essence. A quarter less plus on that left eye is
    probably what is needed.

    drfrank21, May 9, 2006
  14. Alana

    Neil Brooks Guest

    But why is it that you are the only one who believes this ... and why
    do you believe this??

    I believe it's called "Delusions of Grandeur" and it usually responds
    to treatment.
    Neil Brooks, May 10, 2006
  15. Alana

    ashnay Guest

    Since this is your first pair of distance glasses, you likely have
    spent some time without binocular, but with bi-ocular vision. Without
    the glasses you can fine tune the distance vision for your left eye
    with accommodation while suppressing your right eye. Now, the glasses
    don't allow that suppression, which is good, but they are taking away
    your ability to "fine tune." I would bet a slight decrease in power in
    the left eye, or even both eyes (as long as the Rx is balanced
    appropriately) would fix the problem.
    ashnay, May 22, 2006
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