What the hell is wrong with my eyes?

Discussion in 'Eye-Care' started by ellis22, Mar 28, 2006.

  1. ellis22

    ellis22 Guest

    It was just before christmas last year when they changed, i'm
    longsighted, my perscription then was L 3.25 R 3.50, these where
    perfectly fine just before christmas(no problems at all), I went to the
    opticions and he did a dialation and said my eyes where L5.25 R5.50, I
    am wearing these now and still have problems with focus, when I look
    out my glasses people and thing's are blurred but when I relax my eyes
    when looking through them it goes clear?, same thing if im looking at
    the pavement then look ahead and everythings blurry then takes a while
    to get a bit clearer.

    So stronger glasses dont solve anything, thye could make them the
    srongest pair ever yet my eyes never feel relaxed anymore, why?.

    I've been doing eye exercies since christmas and still no differnt,
    someone mentioned on here it may be Accommodative
    Insufficiency/dysfunction?, but it's still there 4 months later, what
    do I need to remedy this? :(.

    Kind Regards
    Ellis.
     
    ellis22, Mar 28, 2006
    #1
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  2. ellis22

    Neil Brooks Guest

    Ellis:

    First, please remember that I'm a patient, not a doctor. I've had a
    lot of experience with issues pretty similar to yours, but still....

    One thing that I'm guessing your up against is how correct your
    prescription is *for you*. There's a saying in prescribing (Melvin
    Rubin, "The Fine Art of Prescribing Glasses") that you give the patient
    what they like. Were your 3.25/3.50 glasses too *weak*? Maybe. Are
    your 5.25/5.50 glasses too *strong*? Maybe.

    Conventional wisdom in optometry, as I understand it, says that you
    don't often give somebody their *full cycloplegic power*. In other
    words, if the drops they gave you *fully* knocked out your
    accommodative mechanism, and the result was that your true refractive
    error was 5.25/5.50 ... many/most eye docs would prescribe something
    short of that. If your accommodative mechanism can't relax fully
    without the use of these drops ("tonic accommodation") then the
    5.25/5.50 leaves you over-corrected.

    Now ... that said ... do you have vergence disorders?? Do you have
    esotropia or exotropia?? Do you have convergence excess or convergence
    insufficiency?? Any of these can play a role in what you're
    experiencing.

    How old are you? Are you in bifocals or a single-vision prescription?

    This may not lend itself to a ready "fix," but may be something that
    can be properly managed, leaving you with few or no symptoms.

    My one caveat to you is this: if you were wearing the 3.25/3.50 glasses
    for many years, and doing a significant amount of near work (reading,
    computers) during that time, then it wouldn't surprise me one bit if
    you've developed ciliary spasm and accommodative dysfunction from
    trying so hard to focus at near. You really need to be thoroughly
    evaluated in light of all of these things.

    I wish you luck. Believe me when I say: I know this is difficult....
     
    Neil Brooks, Mar 28, 2006
    #2
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  3. ellis22

    ellis22 Guest

    Hi Neil,

    The part where you mentioned:
    ====================================================
    My one caveat to you is this: if you were wearing the 3.25/3.50 glasses
    for many years, and doing a significant amount of near work (reading,
    computers) during that time, then it wouldn't surprise me one bit if
    you've developed ciliary spasm and accommodative dysfunction from
    trying so hard to focus at near. You really need to be thoroughly
    evaluated in light of all of these things.
    =====================================================

    You are correct, this period was when I was unemployed and used the PC
    for atleast 7/8 hours a day for 2 years, I now have a job and work
    outside, only use computer for about 2 hours a day now.

    Im 21, and wear single vision glasses, I don't know out of those
    disorders I have, i'll sometimes get convergance issues, flashes of
    light, increase in floaters in my right eye and my eyes also feel
    differn't in shape(odd I know). My eye doc said it was "all in my head"
    and my eyes healthy, it's not "all in my head".

    Thanks for the help/advice Neil.

    Ellis.
     
    ellis22, Mar 28, 2006
    #3
  4. ellis22

    CatmanX Guest

    Your problem appears you are overcorrected. As an OD, you don't
    prescribe the full wetRx, it is an indicator of where you will end up.

    If you are getting strain with +3.25, you need the script upgraded to +
    3.75 or +4.00, not +5.50.

    Go back to your optom and talk to him about your problems. He should
    change the script for you.

    dr grant
     
    CatmanX, Mar 28, 2006
    #4
  5. ellis22

    acemanvx Guest

    maybe you need bifocals. I know alot of people who didnt see well from
    near with glasses till they got bifocals with an add. One lady was
    amazed how much easier and sharper it was to read with a +1.25 add.
     
    acemanvx, Mar 28, 2006
    #5
  6. ellis22

    Dan Abel Guest

    A lot of people who are 21 years old? Not likely.
     
    Dan Abel, Mar 28, 2006
    #6
  7. ellis22

    Neil Brooks Guest

    Dan,

    While I categorically refuse to agree with Ace -- largely because I
    find him to be rather asinine -- people of all ages can be prescribed
    bifocals, especially if they have convergence issues (convergence
    excess comes to mind), accommodative dysfunction, or high hyperopia.

    Were I born today (first: I'd expect a card, a gift ... something from
    each of you), they would have put my highly hyperopic eyes in full
    plus lenses, likely with a reading add ... and my outcome would likely
    have been different.

    Born early ... as usual.
     
    Neil Brooks, Mar 28, 2006
    #7
  8. ellis22

    otisbrown Guest

    Dear AceMan,

    Subject: Stair-case myopia.

    Is there such a thing as stair-case "hyperopia", where your
    eyes go "positive" from the wearing of a plus lens all the time?

    I wonder?

    Best,

    Otis
     
    otisbrown, Mar 28, 2006
    #8
  9. ellis22

    p.clarkii Guest

    there is no such thing at staircase myopia or staircase hyperopia. if
    you understood the true "dynamic nature" of the eye then you would
    understand what underlies both types of refractive problems and you
    would understand the symptoms and treatments for them. but you don't.
    all you know is some anecdotal stories and some buzzwords and
    "otisisms"

    i thought you had been embarrassed off of this forum. that was wishful
    thinking i guess.
     
    p.clarkii, Mar 28, 2006
    #9
  10. ellis22

    p.clarkii Guest

    catmanx is right. i think you've been given too much plus compared to
    what you are used to. i'm not sure why your spec Rx was changed but if
    it needed to be increased at all is should have been in small steps
    (+0.25 to +0.50). i think you should discuss this with your doctor.
    do you know what the power of the lenses is in the new glasses he gave
    you?
     
    p.clarkii, Mar 28, 2006
    #10
  11. ellis22

    Neil Brooks Guest

    He is, it would seem, grooming his heir apparent, Aceman. A younger,
    more virile version, to be sure, but one who supplants Otis's senile
    dementia and aberrant thinking with a history of hallucinogenic drug
    use and manifest asocial behavior.
     
    Neil Brooks, Mar 28, 2006
    #11
  12. ellis22

    Neil Brooks Guest

    I'm taking *at least* half-credit for this one:

    Docs: 11,278
    Lay people: 3
     
    Neil Brooks, Mar 28, 2006
    #12
  13. ellis22

    acemanvx Guest

    Long time no see Otis! My take is that there really isnt stair case
    hyperopia as the eyeball can not get shorter, only longer. Most people
    actually start out mildly hyperopic as tots and undergo emmetropization
    which should bring them to plano, give or take half a diopter. If plus
    glasses are used at an early age, this can slow down emmetropization
    due to lack of accomodation, not giving the chance for axial myopia to
    cancel out the hyperopia. Had my dad not gotten his plus glasses at age
    6, he would still be going thru emmetropization and probably be near
    plano or very mildly hyperopic. If plus glasses must be pescribed, only
    give enough plus power for clear distance vision and let accomodation
    do the rest. Encourage the person to do lots of reading and computer to
    make his eyeballs enlongate and become less hyperopic. Give even weaker
    glasses. Once the person gets near plano or sees well enough near and
    far without glasses, success is reached. Be careful not to go overboard
    and into myopia.
     
    acemanvx, Mar 29, 2006
    #13
  14. ellis22

    otisbrown Guest

    Dear AceMan,

    Subject: Positive refractive change in primates -- when a plus is
    applied.


    Long time no see Otis!

    Otis> Always pleasant to analyize the behavior of all natural eyes --
    in terms or refractive state.


    My take is that there really isnt stair case
    hyperopia as the eyeball can not get shorter, only longer.

    Otis> Not exactly. In a study by a Dr. Smith in Houston, a "plus" was
    applied to primates,
    and the refractive state moved "positive", as a dynamic system.

    Otis> Perhaps we should call this "stair-case" plus changed -- which
    is what is actually MEASURED, rather than the biased "hyperopia".

    Otis> From Dr. Guyton's statement, the eye does "change" as the
    environment is changed.

    Most people
    actually start out mildly hyperopic as tots

    Otis> Actually, at birth, the primate eye's refractive STATE runs
    between zero to plus 9 diopters. I would not "bother" with the term
    "mildly hyperopic" for refractive states that are completely NORMAL at
    birth.


    and undergo emmetropization
    which should bring them to plano, give or take half a diopter.

    Otis> The NORMAL primate eye (in the wild) has refractive states
    running from zero to +2 diopters. I would be a mistake to call natural
    refractive states "defects" -- when they are normal.

    Best,

    Otis
     
    otisbrown, Mar 29, 2006
    #14
  15. ellis22

    Quick Guest

    Are we talking about wild humans or some other
    species again?

    -Quick
     
    Quick, Mar 29, 2006
    #15
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