Optometrists are too anxious to change perscription?

Discussion in 'Optometry Archives' started by C, Mar 29, 2008.

  1. C

    C Guest

    Every time I go to the optometrist, they want to slightly change my
    prescription. I always resist these changes for the following reasons:

    1) I used to go to the optometrist yearly. Every year, they would change a
    lens (and it was always the opposite lens as the year before). They
    wouldn't change the prescription much, but as soon as they would change a
    lens, my opposite eye would get a bit lazy and lose some of it's acuity.
    Ironically, when I quick going to optometrist, my vision never declined any
    further. Yes, the opposite eye lost some of it's acuity, but as long as
    they weren't changing lens, it never declined. Thus, I am somewhat
    suspicious that lens changes permit my eyes to be lazy and they decline.
    Whereas, if I make the eyes work, they won't decline. I should point out
    that the corrections they are making are never that large, and my vision is
    usually 20/20 (or slightly better) in the eye they did the most recent lens
    change in, and something just less than 20/20 in the other.

    2) My vision changes from day to day. If I've had several good nights
    sleep, and it is early in the morning my vision is clear. If I have been
    working long hours (with little sleep), my vision will decline throughout
    the day. But my vision always seems to restore itself once I've had a few
    days of rest. Consequently, when the optometrist wants to change my
    prescription, I half suspect that on a different day, the results of the
    test may be different.

    3) It is very costly to change my prescription, because I have contact lens,
    and two pairs of glasses. I find that when they change my prescription
    (even when it is a slight change), it is hard to go back to the old glasses.
    Consequently, a prescription change means a large cost.

    Currently, my lens in one pair of glasses is all scratched up, and they will
    not replace lens without a current prescription. Thus, I need to go back to
    the optometrist. How do I ensure that they aren't "over-prescribing"? The
    last optometrist wanted to change the prescription of my one eye slightly,
    but when I challenged her on it, she agreed it wasn't necessary. But
    educated professionals don't like to be challenged. What is the best way
    for me to challenge an optometrist? What questions should I be asking? How
    do I do it without offending.

    Thank you for your insights.

    C, Mar 29, 2008
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  2. C

    Zetsu Guest

    1. (a) Glasses are detrimental. (b) Eyecare is a profession of
    guesswork and failure, not of facts and success.

    2. (a) Vision is always changing. (b) Rest improves the sight.

    3. Eyecare is a lucrative business.

    4. "Educated professional don't like to be challenged". I agree, to
    somewhat of an extent.
    Zetsu, Mar 29, 2008
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  3. C

    Mark A Guest

    If you don't want to change your Rx every year, don't get an exam every

    Some opticians will replace an existing lens without an Rx based on the
    existing lens power.
    Mark A, Mar 29, 2008
  4. C

    otisbrown Guest

    3) It is very costly to change my prescription, because I have contact lens,
    otisbrown, Mar 30, 2008
  5. C

    otisbrown Guest

    And of course the expert second-opinion:

    I have yet to hear of a research paper confirming the beneficial
    effect of prescribing compensatory lenses.
    I am sure most optometrists will confirm the clinical observation that
    patients who receive compensatory lenses for full time wear
    are usually the ones who need a stronger prescription every year.

    J. Liberman OD, PhD
    otisbrown, Mar 30, 2008
  6. C

    Dr. Leukoma Guest

    I can also confirm from first-hand experience that when one gets shoes
    for full time wear, one will need a larger and larger shoe each year
    until adulthood....ditto shirts, pants, etc., etc.
    Dr. Leukoma, Mar 30, 2008
  7. C

    otisbrown Guest

    And of course, rather than being "safe" as the majority-opinion OD
    might WISH,
    there is a problem with it:

    The suspicion began to dawn on me slowly that among the causes of
    progressive myopia it might be necessary to list concave (minus)
    lenses themselves.
    From many articles that have appeared in the past on the subject of
    'Optical Poison',
    a familiar term a decade ago, many other optometrists appear to have
    the same idea.
    Dr. Samuel Druker of Brooklyn, NY, in the Optical Journal
    otisbrown, Mar 30, 2008
  8. C

    Neil Brooks Guest

    My hair didn't REALLY start growing until my first haircut.

    Otis? The evidence all contradicts you, there, buddy.

    Even in the chicken and monkey tests that YOU love, short breaks (NOT
    suturing a lens onto an animal that sees 20/20 and doesn't NEED the
    lens) prevented any change in the underlying vision.

    But why would anybody suture a lens onto an animal that doesn't need
    the lens?

    Frequent breaks, lots of fresh air and exercise, meticulous visual
    hygiene, and "periocular warming."

    Better than ANYTHING Otis Brown will EVER say, AND based on science,
    not faith.
    Neil Brooks, Mar 30, 2008
  9. C

    Neil Brooks Guest

    Until my wife finally had PRK, she was a stable low myope for some 20+
    years, through school, college, and a Master's degree.

    She wore her minus lenses the entire time.

    What happened, Otis?

    Why does your theory fall apart in the real world?
    Neil Brooks, Mar 30, 2008
  10. C

    Dr. Leukoma Guest

    Dr. Samuel Druker of Brooklyn, NY, in the Optical Journal, March 15,

    Yes, blow the one inch of accumulated dust off that journal so we
    might have a look, eh?
    Dr. Leukoma, Mar 30, 2008
  11. C

    Dr. Leukoma Guest

    One year ago I prescribed a minus prescription with a bifocal for a
    young myopic lady who demonstrated nearpoint esophoria and
    accommodative lag. I followed Dr. FA Young's advice to the letter.
    Yesterday I found that her myopia increased a full diopter from one
    year ago (manifest and cycloplegic).

    WWOD in this situation?
    Dr. Leukoma, Mar 30, 2008
  12. C

    Neil Brooks Guest

    Blame the patient for "lacking personal resolve" or "will" or
    "intestinal fortitude" or "intellectual capacity," or some such tripe.
    Neil Brooks, Mar 30, 2008
  13. C

    Dr. Leukoma Guest

    Wrong. He would ignore the data because it didn't fit the hypothesis.
    Dr. Leukoma, Mar 30, 2008
  14. C

    C Guest

    It looks like my email touched on a sensitive subject, which unfortunately,
    did not generate many answers to my questions. What questions should I be
    asking to ensure that my perscription is not unecessarily changed?

    Thank you,
    C, Apr 1, 2008
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