New Prescription Not Right - Now what

Discussion in 'Optometry Archives' started by Alana, Jan 26, 2007.

  1. Alana

    Alana Guest

    I just went for a full exam and refraction test. My right eye has some
    significant correction but my right is minimal.

    With my glasses I can see clearly at distance (driving glasses) but my
    barely corrected left eye is not clear. I have been back three times and the
    doctor says he has no idea why.

    He finally told me that some eyes just can't be corrected this

    Alana, Jan 26, 2007
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  2. Alana

    LarryDoc Guest

    It is certainly true that sometimes both eyes cannot be corrected to
    provide identical acuity, and more often true when there is significant
    difference in correction.

    In any event, when this occurs, the doctor should attempt to rule out
    any eye or neurological pathology and this requires dilation and some
    specialized testing. Determining that your eyes are healthy is most

    Some information that would be nice to have includes whether or not this
    is your first eyeglasses and whether or not your eyes see clearly when
    checked separately.

    If you are not feeling satisfied by the care and explanation you are
    receiving from this doctor, you should consider a second opinion from
    another doctor.

    LB, O.D.
    LarryDoc, Jan 26, 2007
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  3. What? Did you do a typo error there?
    Maybe you should post the Rx (and any prior ones you may have had).
    True, although every case must have a reason/diagnosis. It should not
    be an "unknown". And in no case should distance Rx be worse than no Rx
    at distance.
    William Stacy, Jan 26, 2007
  4. Alana

    Dan Abel Guest

    I'm not sure life is that simple. Sometimes the diagnosis is "unknown".
    Not a lot of help.
    Dan Abel, Jan 27, 2007
  5. Fortunately, there are few things in eyecare that are completely
    unknown. Almost every problem has a reason that has been or can be
    succinctly described/defined. If there is a problem that has not yet
    been differentially diagnosed, the problem must be persued with vigor
    until the unknowns become knowns.
    William Stacy, O.D., Jan 27, 2007
  6. Alana

    mikabrainy Guest

    You should see an ophthalmologist, and your optometrist should have
    told you so. A similar thing happened to me a few years ago. It
    turned out that I had a macular hole and needed surgery. If glasses
    cannot correct your vision, you are more likely than not to have some
    problem. Don't delay!
    mikabrainy, Mar 10, 2007
  7. Alana

    Dr. Leukoma Guest whatever cost to the healthcare system until someone provides an
    answer that all parties can agree upon, whether it is the true reason
    or not. Time to drag out the OCT, the MRI, the wavefront aberrometer,
    etc. Then, when all else fails, send them to the neuro-
    ophthalmologist. The default diagnosis in the absence of any findings
    would be amblyopia. Is there perhaps some evidence, such as one eye
    needing correction, suggesting monocularity?

    By the way, what did the OP say was the corrected visual acuity in the
    offending eye? Does blur mean 20/40, 20/30, 20/25, 20/20- ?

    But I agree that if the OP wasn't satisfied with the lack of an
    explanation, then they are certainly free to obtain a second opinion.
    The optometrist might have come off better if he had offered this.

    Dr. Leukoma, Mar 10, 2007
  8. Alana

    Dan Abel Guest

    When I had my first retinal detachment, I was out of town. When I got
    back, after surgery and a couple of visits up there, I was treated by my
    own OMD. I saw him once a month. I often asked about whether I would
    get my vision back. Always the same answer. He didn't know. It would
    come back or it wouldn't.

    When my son died, again out of town, we had an hour visit with our
    pediatrician. I kept hammering him, why did he die? He finally told
    me. I could tell instantly that he just made it up. He wasn't there.
    He could see that I was really upset (having a child die does that to
    you). My son was two weeks short of his first birthday. I don't know
    what caused him to die. The diagnosis was, dead.
    Dan Abel, Mar 11, 2007
  9. Alana

    callimico66 Guest

    Hi Alana
    Everyone else has given good advice and I wanted to add something.
    There is an ART to getting an excellent eye exam, and thus, the
    correct Rx. Part of it is the skill of the eye doctor, part is good
    communication. And, the patient almost has to LEARN how to cooperate
    in the exam and help the doctor. It has taken me years of experience
    and many eye exams to figure out what to look for on the eye chart.
    With any "better or worse" choice, there is a quality to the letters'
    images--are they "clearer," or just "darker?" Do they look clear, but
    "smeary?" Which letters in a line are easy to read and which are
    difficult? Communicating these things to the doctor helps them
    troubleshoot the vision problem and get the best Rx for you.

    Also, if you have difficulty getting the right Rx, then ask for a
    longer appointment for the refraction exam. It really does help and is
    worth the extra cost--you don't feel as rushed and neither does the
    doctor. There's time to go back and double-check settings, ask
    questions, clarify, talk about what glasses/contacts are the best
    choice, etc. Finally, if there's a real lack of communication, try
    another eye doctor. I am really lucky to have 2 eye doctors in the
    same office I go to--they're young, incredibly smart, and they really
    work with me.

    callimico66, Mar 11, 2007
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